WorldWideScience

Sample records for units utilizing military

  1. The United States Military and Humanitarian Operations

    Science.gov (United States)

    1995-01-01

    stated that, "The wave of the future will be putting together task forces that will be able to respond to crisis management or humanitarian...examine three options for the military’s role in humanitaria operations at home and abroad. Option 1: Virtually Eliminate Anv Military Role This is the...humanitarian aid in almost any crisis .36 The military resists the creation of specially designated units because such specialization reduces the

  2. 32 CFR 575.6 - Catalogue, United States Military Academy.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Catalogue, United States Military Academy. 575.6... ADMISSION TO THE UNITED STATES MILITARY ACADEMY § 575.6 Catalogue, United States Military Academy. The latest edition of the catalogue, United States Military Academy, contains additional information...

  3. Cohesion in Multinational Military Units

    Science.gov (United States)

    2010-12-10

    He openly admitted his homosexual orientation at a staff meeting; by doing that he clearly stated his guidelines toward gays . He had developed a...of units and consequentially unit effectiveness (Dupuy 1993, 2948). Some nations permit openly gay and lesbian personnel and others may not. Social...may cause less tension. However, for some nations involvement of gays and lesbians in multinational units may be offensive, while other nations are

  4. Continental United States Military Housing Inspections Southeast

    Science.gov (United States)

    2015-09-24

    standards. 3. Work with the privatized housing partner to ensure that fire protection inspection and maintenance plans are achieved. Deputy Assistant...Secretary stated that Hunt Military Communities and Patrick AFB civil engineers were working to correct all of the other fire protection system...create a plan for the performance of ongoing inspection and maintenance of all housing units to applicable electrical codes and standards. 3. Work

  5. [Efficacy of pneumococcal vaccine in military units].

    Science.gov (United States)

    Zhogolev, S D; Mosiagin, V D; Demidovich, V U; Mel'nichenko, P I; Ogarkov, P I

    2003-01-01

    Pneumococcal vaccine Pneumo-23, used for specific prophylaxis of pneumonia and other pneumococcal infections, was tested in military training units of the North Western, Central and Far Eastern Military Districts. The vaccine used for immunization of servicemen, was shown to have high immunogenicity with no adverse reactions. In the training group of the North Western Military District the epidemiological effectiveness of the vaccine was particularly high a month after immunization and amounted to 83.7%. During the period between month 2 and month 5 after immunization pneumonia morbidity among the immunized servicemen was 6.12 times lower than among the non-immunized ones. In the training units of the Central and Far Eastern Military Districts, where the period of the formation of postvaccinal immunity coincided with the peak of the outbreak of pneumonia, the protective properties of the used batches of the vaccine could be observed as early as during the first month after immunization, which made it possible to recommend this vaccine for urgent prophylaxis in the foci of pneumococcal infection. During the period of 5 months the effectiveness of the vaccine with respect to pneumonia was 62.1-66.2% for all three districts. The effectiveness of the combined immunization of conscripts with vaccines Pneumo-23 and Vaxigrip with respect to pneumonia was higher (78.54%) and the index of effectiveness (4.66) was 1.58 fold greater than in monoimmunization (2.95). The epidemiological effectiveness of the pneumococcal vaccine was high also with respect to other pneumococcal infections: acute bronchitis, acute respiratory diseases of pneumococcal etiology, cases of acute sinusitis and acute otitis. The use of the vaccine for the immunization of servicemen yielded the economic effect equal to 92 US dollars per person.

  6. Family Annualized Cost of Leaving: The Household as the Decision Unit in Military Retention

    Science.gov (United States)

    1990-05-01

    history of occupational choice theory as it relates to military retention, and then review the economic literature with specific reference to family...from this individual utility maximization framework. Occupational choice theory -- the analysis of which job the individual will choose -- has also...location and risks. It is occupational choice theory , with the individual as the unit of analysis, that has been applied to the military retention

  7. Establishing Military Utility of Non-traditional Sensing

    Science.gov (United States)

    2014-02-13

    designed to leverage its pervasive utility in society , Google Corporation used a software model combining pertinent search terms with geographic data...Military Relationship Interview by Vago Muradian.” AFA Conference, 15 August 2013. http://www.defensenewstv.com/video.php?bctid=2719735994001...Inglis, John C. Penn Law’s Center for Ethics and Rule of Law Conference. Penn Law Center, Philadelphia, 22 November 2013. Johnson, Nicole Blake

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

    Science.gov (United States)

    Kudro, Nataliya M.; Puzikova, Svetlana M.

    2017-09-01

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

  9. United States Civil Military Relations: Defense Reform

    Science.gov (United States)

    2016-03-01

    358–421. 154 Lederman, Reorganizing the Joint Chiefs of Staff, 74. 155 Thomas L. McNaugher and Roger L. Sperry , “Improving Military Coordination...edited by Thomas C. Bruneau and Florina Cristiana Matei, 26–38. New York: Routledge Taylor and Francis, 2015. McNaugher, Thomas L. and Roger L... Sperry . “Improving Military Coordination: The Goldwater-Nichols Reorganization of the Department of Defense.” In Who Makes Public Policy: The

  10. Military Service in the United States

    Science.gov (United States)

    1982-03-01

    of ending the draft. American Economic Review 59:239-54, June 1969. Reply with rejoinder, B.P. Klotz 60:970-83, December 1970. Fligstein, Neil... Economic Review 61:195-6, March 1971. Bradford, Zeb B., Jr. American ground power after Vietnam. Military Review 52:4-13, April 1972. Brooke, Edward W...Blumenthel, Michael. Of arms and men. New York Times, p. E25:3, 11 January 1981. Borcherding, T. E. Neglected social cost of a voluntary military. American

  11. Analysis of Serbian Military Riverine Units Capability for Participation in the United Nations Peacekeeping Operations

    Directory of Open Access Journals (Sweden)

    Slobodan Radojevic

    2017-06-01

    Full Text Available This paper analyses required personnel, training capacities and equipment for participation in the United Nations peacekeeping operations with the riverine elements. In order to meet necessary capabilities for engagement in United Nations peacekeeping operations, Serbian military riverine units have to be compatible with the issued UN requirements. Serbian Armed Forces have the potential to reach such requirements with the River Flotilla as a pivot for the participation in UN missions. Serbian Military Academy adopted and developed educational and training program in accordance with the provisions and recommendations of the IMO conventions and IMO model courses. Serbian Military Academy has opportunities for education and training military riverine units for participation in the United Nations peacekeeping operations. Moreover, Serbia has Multinational Operations Training Center and Peacekeeping Operations Center certified to provide selection, training, equipping and preparations of individuals and units to the United Nations multinational operations.

  12. Ensuring Operational Readiness: Private Military Contractor Support for the United States Air Force

    Science.gov (United States)

    2017-03-15

    Ensuring Operational Readiness: Private Military Contractor Support for the United States Air Force A Monograph by Maj Stephen P. Joca United...States Air Force School of Advanced Military Studies United States Army Command and General Staff College Fort Leavenworth, Kansas 2017 Approved...Operational Readiness: Private Military Contractor Support for the United States Air Force Approved by: __________________________________, Monograph

  13. LEADERSHIP IN SMALL MILITARY UNITS--SOME RESEARCH FINDINGS.

    Science.gov (United States)

    LANGE, CARL J.

    THE EFFECT OF A LEADER'S ACTIONS ON HIS FOLLOWERS IN SMALL MILITARY UNITS WAS THE SUBJECT OF SEVERAL RESEARCH STUDIES CONDUCTED TO EXPLORE THE NATURE OF THE LEADERSHIP PROCESS, WITH THE ULTIMATE GOAL OF DEVELOPING TRAINING THAT WOULD USE IMPROVED PRESENTATIONAL MATERIALS AND WOULD BE BASED ON LEADERSHIP DOCTRINE WITH DEMONSTRATED VALIDITY. THE…

  14. Adverse Effects of Tobacco Use in Deployed Military Units

    Science.gov (United States)

    2009-10-01

    Tobacco Use in Deployed Military Units RTO-MP-HFM-181 P9 - 3 performance 30 , and that it is associated with hypercholesterolemia 31 and higher...smokeless tobacco, cigarette smoking, and hypercholesterolemia . American Journal of Public Health, 79, 1048 – 1050 32 Bolinder, G., & De Faire, U

  15. Automated military unit identification in battlefield simulation

    Energy Technology Data Exchange (ETDEWEB)

    Stroud, P.; Gordon, R.

    1997-05-01

    It is the nature of complex systems, composed of many interacting elements, that unanticipated phenomena develop. Computer simulation, in which the elements of a complex system are implemented as interacting software objects (actors), is an effective tool to study collective and emergent phenomena in complex systems. A new cognitive architecture is described for constructing simulation actors that can, like the intelligent elements they represent adapt to unanticipated conditions. This cognitive architecture generates trial behaviors, estimates their fitness using an internal representation of the system, and has an internal apparatus for evolving a population of trial behaviors to changing environmental conditions. A specific simulation actor is developed to evaluate surveillance radar images of moving vehicles on battlefields. The vehicle cluster location, characterization and discrimination processes currently performed by intelligent human operators were implemented into a parameterized formation recognition process by using a newly developed family of 2D cluster filters. The mechanics of these cluster filters are described. Preliminary results are presented in which this GSM actor demonstrates the ability not only to recognize military formations under prescribed conditions, but to adapt its behavior to unanticipated conditions that develop in the complex simulated battlefield system.

  16. An outbreak of trichinellosis in a military unit

    Directory of Open Access Journals (Sweden)

    Radosavljević Vladan

    2008-01-01

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

  17. 78 FR 65977 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2013-11-04

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will not take place: 1. Name of Committee: United States Military Academy Board... of appropriations, the Department of Defense cancelled the meeting of the U.S. Military Academy Board...

  18. United States Military Presence in Central Asia: Implications of United States Basing for Central Asian Stability

    Science.gov (United States)

    2006-06-01

    Europe and reducing the number of military personnel by 40,000 to 60,000. According to United States Air Force General Charles Wald , there are...The Deputy Secretary of Defense Paul Wolfowitz is quoted as saying United States presence “…may be more political than actually military” and that

  19. Utilization of simple and double control subsonic aircraft for advanced combat training of the military pilots

    Directory of Open Access Journals (Sweden)

    Ioan STEFANESCU

    2012-03-01

    Full Text Available The use of subsonic single control aircraft and especially of double–control ones, instead of supersonic combat aircraft in the military pilot training programs in the operational units, has be-come a necessity due to the economic and financial world-wide crisis which began during the 70’s-80’s, with the advent of the oil crisis, affecting many countries, which have their own Military Air Forces.

  20. A constraint programming solution for the military unit path finding problem

    CSIR Research Space (South Africa)

    Leenen, L

    2012-01-01

    Full Text Available In this chapter the authors present an algorithm to solve the Dynamic Military Unit Path Finding Problem (DMUPFP) which is based on Stentz’s well-known D* algorithm to solve dynamic path finding problems. The Military Unit Path Finding Problem...

  1. 78 FR 32241 - Board of Visitors, United States Military Academy (USMA); Meeting

    Science.gov (United States)

    2013-05-29

    ... Department of the Army Board of Visitors, United States Military Academy (USMA); Meeting AGENCY: Department... Committee: United States Military Academy Board of Visitors. 2. Date: Wednesday, June 19, 2013. 3. Time: 2 p...). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy leadership will...

  2. 76 FR 31308 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2011-05-31

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... USMA Board of Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6...

  3. 76 FR 60816 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2011-09-30

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy...

  4. 77 FR 58529 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2012-09-21

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of...). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy leadership will...

  5. 77 FR 14006 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2012-03-08

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy...

  6. 75 FR 20827 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2010-04-21

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of...). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy leadership will...

  7. 78 FR 13030 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2013-02-26

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... updates on Academy issues. 6. Agenda: The Academy leadership will provide the Board updates on the...

  8. 76 FR 41490 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2011-07-14

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy...

  9. 75 FR 7571 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2010-02-22

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... Committee: United States Military Academy Board of Visitors. 2. Date: Tuesday, March 9, 2010. 3. Time: 12:30... provided updates on Academy issues. 6. Agenda: The Academy leadership will provide the Board updates on the...

  10. 75 FR 3901 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2010-01-25

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy...

  11. 78 FR 60266 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2013-10-01

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... advisory committee meeting will take place: 1. Name of Committee: United States Military Academy Board of... Visitors (BoV). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy...

  12. 40 CFR 72.91 - Phase I unit adjusted utilization.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Phase I unit adjusted utilization. 72... (CONTINUED) PERMITS REGULATION Compliance Certification § 72.91 Phase I unit adjusted utilization. (a) Annual... annual compliance certification report the unit's adjusted utilization for the calendar year in Phase I...

  13. 75 FR 65006 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2010-10-21

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... States Military Academy Board of Visitors. This is the 2010 Annual Meeting of the USMA Board of Visitors. Members of the Board will be provided updates on Academy issues. ] DATES: Friday, November 5, 2010 at 1 p...

  14. 76 FR 5143 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2011-01-28

    ... Department of the Army Board of Visitors, United States Military Academy (USMA) AGENCY: Department of the... States Military Academy Board of Visitors. This is the 2011 Organizational Meeting of the USMA Board of Visitors. Members of the Board will be provided updates on Academy issues. DATES: Wednesday, February 16...

  15. 48 CFR 252.225-7007 - Prohibition on Acquisition of United States Munitions List Items from Communist Chinese Military...

    Science.gov (United States)

    2010-10-01

    ... of United States Munitions List Items from Communist Chinese Military Companies. 252.225-7007 Section... Chinese Military Companies. As prescribed in 225.1103(4), use the following clause: Prohibition On Acquisition of United States Munitions List Items From Communist Chinese Military Companies (SEP 2006) (a...

  16. Planning and Operational Considerations for Units Utilizing Military Working Dogs

    Science.gov (United States)

    2009-01-01

    ophen, ibuprofen), xylitol chewing gum , and grapes or raisins.7 Dogs should always be supervised, and such items should be stored out of their reach...and stress can greatly increase the risk of a bite. (Figure 4) Ensure handlers properly re- strain and muzzle dogs for all medical procedures or any...structures are injured, a surgeon should be consulted. The dog handler should examine the MWD’s mouth for missing or broken teeth which may be left in the

  17. Damage control: unintended pregnancy in the United States military.

    Science.gov (United States)

    Ponder, Kathryn L; Nothnagle, Melissa

    2010-01-01

    Women's access to reproductive health care is an ongoing source of conflict in U.S. politics; however, women in the military are often overlooked in these debates. Reproductive health care, including family planning, is a fundamental component of health care for women. Unintended pregnancy carries substantial health risks and financial costs, particularly for servicewomen. Compared with their civilian counterparts, women in the military experience greater challenges in preventing unwanted pregnancy and have less access to contraceptive services and abortion. Current military policies, federal laws, and health care practices are not always consistent with evidence-based research and patient-centered care. A multidisciplinary effort on the part of military personnel, lawmakers, and health care providers is needed to eliminate these disparities. We discuss recommendations in the following categories: improving contraceptive education and adherence, expanding research, broadening access to the full range of contraceptive options including emergency contraception, and ensuring access to safe abortion.

  18. Abundance and Utility: For Military Operations, Liquid Fuels Remain a Solid Choice over Natural Gas

    Science.gov (United States)

    2014-08-01

    and combat support vehicles, ships, and aircraft, the adoption of natural gas —whether as compressed natural gas (CNG) or liquefied natural gas (LNG...tacticaldefensemedia.com16 | DoD Power & Energy Fall 2014 For Military Operations, Liquid Fuels Remain a Solid Choice over Natural Gas By Bret...Strogen and Patrick Lobner Abundance and Utility Fueling the Force Natural Gas M ilitary energy strategists often recount the British Royal Navy’s decision

  19. Reforming Military Resources and the Authority of the United Nations Security Council in implementing coercive military measures

    Directory of Open Access Journals (Sweden)

    Sofia Santos

    2013-05-01

    Full Text Available The lack of a de facto military component is rather significant in normative and operational terms within the UN system. The differences among the permanent members of the Security Council, which exist since its beginning, have stopped provisions from being enforced which were included in the United Nations Charter, as well as the design of credible and effective alternatives. Considering that what is at stake are coercive military measures decided by the Security Council under Chapter VII, this becomes a decisive issue, as these measures were decided ultima ratio to maintain or restore international peace and security. Without an operational Military Staff Committee, without armed forces and without power of authority in the enforcement process, the Council is limited to approving decisions and held hostage to the options of Member-States, namely its permanent members. To ignore the urgency of a reform implies perpetuating a double paradox: on the one hand, the Security Council is required to take increasingly wider responsibility, laid down in article 24 and, in this context, in art. 42, and this body still lacks adequate military instruments; on the other hand, by correlating the reinforcement of efficiency, legitimacy and enforcement of Council decisions exclusively with the reform of its composition and work methodology, we are neglecting the fact that this change requires a reform of military instruments and of its authority within the scope of the body's multidimensional reform process. This paper begins by analyzing the enforcement mechanism established in the Charter and then addresses the issue underlying the delegation of implementing coercive military measures. Finally, the paper discusses the reform proposals, their guidelines and puts forward possible solutions.

  20. Outbreak of staphylococcal food poisoning from a military unit lunch party - United States, July 2012.

    Science.gov (United States)

    2013-12-20

    On July 30, 2012, the emergency department at a military hospital was visited by 13 persons seeking care for gastrointestinal illness with onset 2-3 hours after a work lunch party. The hospital responded by opening up temporary evaluation and treatment capacity in primary-care clinics and a progressive-care unit and by diverting one patient to a local civilian hospital. An immediate outbreak investigation was conducted by local military public health personnel with assistance from CDC. Initial epidemiologic analysis implicated "perlo" (a chicken, sausage, and rice dish) and bacterial intoxication as the outbreak mechanism. This enabled public health personnel to 1) recommend no further consumption of perlo and 2) reassure appropriate authorities that no additional ill persons likely would be seeking care and advise that nothing more than supportive care of ill persons likely would be required. After interviewing party attendees, investigators found nine additional persons who met their case definition. Subsequent CDC laboratory analysis of a sample of perlo detected staphylococcal enterotoxin A, supporting the epidemiologic findings. Improper food handling and preparation measures were identified and addressed by the appropriate authorities, who provided additional detailed education on food preparation safety for the persons who prepared the meal.

  1. Reflections on the United States Military 1941-1987

    Directory of Open Access Journals (Sweden)

    Eveleigh Douglas E

    2009-09-01

    Full Text Available Abstract This article, 'Reflections on the United States Military 1941-1987' written by my grandmother, Mary Mandels, illustrates her passion for life. Her outreach article was considered most appropriate for publication in this forum. Her career activities are outlined in the prior article 'Mary Elizabeth Hickox Mandels, 90, Bioenergy Leader' while her accomplishments were fully recognized, for instance, nationally through the American Chemical Society and through her induction into the Hall of Fame at the US Army Soldier Systems Center in Natick, Massachusetts. As illustrated, along with Dr Elwyn Reese at Natick's Pioneering Research Laboratory, she headed a bioengineering group that is particularly remembered for developing a process for the enzymatic conversion of waste cellulosic biomass into soluble sugars that could be fermented to ethanol for an alternate liquid fuel (gasohol. This technology remains a subject of interest with growing environmental concerns and an oil shortage crisis. Mary broke the promotional glass ceiling in her own field, all the more remarkable from the perspective that she was born 3 years before women gained the right to vote. Her talents as the family storyteller, enthralling her four siblings while growing up, later reflected her abilities as an outstanding mentor to young scientists. Mary's passions went beyond her career with a love of nature and the outdoors, taking frequent canoe, hiking, skiing, and camping trips. She had a broad fascination for science, foci including her encyclopedic knowledge of plants and wildlife. When not outdoors Mary enjoyed listening to music, from opera to 'Bobby' Dylan, as she called him. Her voracious appetite for books was apparent by the tomes that covered her coffee table. She was never shy to share her political opinions and would send long handwritten letters to politicians who did something to her disapproval. She was strong willed and passionate in everything that she did

  2. 75 FR 62439 - The Entire United States and U.S. Territories; Military Reservist Economic Injury Disaster Loan

    Science.gov (United States)

    2010-10-08

    ...-00006] The Entire United States and U.S. Territories; Military Reservist Economic Injury Disaster Loan..., and the Military Reservist and Veteran Small Business Reauthorization Act of 2008, this notice establishes the application filing period for the Military Reservist Economic Injury Disaster Loan...

  3. [Experience in organization of drug supply for military personnel and military retirees in the United States].

    Science.gov (United States)

    Miroshnichenko, Iu V; Gaĭnov, V S

    2012-01-01

    In the U.S. troops and military retirees realize the right to obtain drugs by participating in a nationwide managed care program TRICARE under the routines TRICARE Pharmacy. Militarily, the U.S. health care holding drug based on the Basic Core Formulary and Extended Core Formulary, which are developed by US Department of Defense Pharmacy and Therapeutics Committee. Realization of subprogram TRICARE Pharmacy is performed by Express Scripts.

  4. United States Strategic Doctrine and the Evolution of Military Airlift

    Science.gov (United States)

    1987-09-01

    and Company, 1983), p. 6?. ’Frank R. Barnett; Huqh B. Tovar ; and Richard H. Shultz, Special Operations in U.S. Strategy (Washington, D. C.: National...world, we must have the support of the C-17."𔃻 Pro jections Samuel Huntington emphasizes the importance of time management in future military...8217 - BIBLIOGRAPHY Art, Robert J.; Davis, Vincent; and Huntington, Samuel P. Reorganizing America’s Defense. Washington D. C.: Pergam-Brassey’s International

  5. A systematic review of help-seeking and mental health service utilization among military service members.

    Science.gov (United States)

    Hom, Melanie A; Stanley, Ian H; Schneider, Matthew E; Joiner, Thomas E

    2017-04-01

    Research has demonstrated that military service members are at elevated risk for a range of psychiatric problems, and mental health services use is a conduit to symptom reduction and remission. Nonetheless, there is a notable underutilization of mental health services in this population. This systematic review aimed to identify and critically examine: (1) rates of service use; (2) barriers and facilitators to care; and (3) programs and interventions designed to enhance willingness to seek care and increase help-seeking behaviors among current military personnel (e.g., active duty, National Guard, Reserve). Overall, 111 peer-reviewed articles were identified for inclusion. Across studies, the rate of past-year service use among service members with mental health problems during the same time frame was 29.3% based on weighted averages. Studies identified common barriers to care (e.g., concerns regarding stigma, career impact) and facilitators to care (e.g., positive attitudes toward treatment, family/friend support, military leadership support) among this population. Although programs (e.g., screening, gatekeeper training) have been developed to reduce these barriers, leverage facilitators, and encourage service use, further research is needed to empirically test the effectiveness of these interventions in increasing rates of service utilization. Critical areas for future research on treatment engagement among this high-risk population are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Contractors on Deployed Military Operations: United Kingdom Policy and Doctrine

    Science.gov (United States)

    2005-09-01

    defense outsourcing statistics indicates that the MoD most closely matches DoD trends. As Figure 1 shows, the number of UK MoD “ public private partnerships ” (PPP...International Statistics on Public Private Partnerships (PPP) in Defense. with the premise that “there are no military core competencies, and that all...and scope of MoD’s “ public private partnerships ” program. The second analyses the premises underpinning the “government orthodoxy” and the

  7. 48 CFR 225.770 - Prohibition on acquisition of United States Munitions List items from Communist Chinese military...

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Prohibition on acquisition of United States Munitions List items from Communist Chinese military companies. 225.770 Section 225... of United States Munitions List items from Communist Chinese military companies. This section...

  8. Developing Leaders of Character at the United States Military Academy: A Relational Developmental Systems Analysis

    Science.gov (United States)

    Callina, Kristina Schmid; Ryan, Diane; Murray, Elise D.; Colby, Anne; Damon, William; Matthews, Michael; Lerner, Richard M.

    2017-01-01

    A paucity of literature exists on the processes of character development within diverse contexts. In this article, the authors use the United States Military Academy at West Point (USMA) as a sample case for understanding character development processes within an institution of higher education. The authors present a discussion of relational…

  9. 75 FR 65460 - Renewal of Department of Defense Federal Advisory Committee; United States Military Academy Board...

    Science.gov (United States)

    2010-10-25

    ... Academy Board of Visitors AGENCY: Department of Defense (DoD). ACTION: Renewal of Federal advisory... Department of Defense gives notice that it is renewing the charter for the United States Military Academy... Academy, including the following: morale and discipline, curriculum, instruction, physical equipment...

  10. United States Military in Central Asia: Beyond Operation Enduring Freedom

    Science.gov (United States)

    2009-10-23

    Malinowski , advocacy director for Human Rights Watch, stated, “the United States is most effective in promoting liberty around the world when people...26 U.S. President, The National Security Strategy of the United States of America, page? 27 Thomas Malinowski , “Testimony

  11. Combat Modeling Evaluation at the United States Military Academy.

    Science.gov (United States)

    1985-06-01

    ULOC)).PRCNT(ILOC) 0238 DO 110 ISUPSI,12 0239 SUPPLY(IFILE(ILOC), ISUP ).IFORCE(ILOC, ISUP ) 0240 110 CONTINUE 0241 DO 120 IWE~ul,? 0242 NUNDERVEAPONS...IWEP) 0226 70 CONTINUE 0227 DO S0 ISUP01,12 0228 IFORCE(ILOC, ISUP )mSUPPLY(LOC.ISUP) 0229 80 CONTINUE 0230 90 CONTINUE 0231 DO 290 IRONw1,IREPT 0232...EACH TYPE BY UNIT IN FILE INPUT.DAT NITCL ARRAY OF UNIT COLORS IN FILE INPUT.DAT ISUP SUPPLY CATEGORY • e IFORCE ARRAY TO STORE SUPPLIES ON HAND IN

  12. Evaluation Capacity Building in the Context of Military Psychological Health: Utilizing Preskill and Boyle's Multidisciplinary Model

    Science.gov (United States)

    Hilton, Lara; Libretto, Salvatore

    2017-01-01

    The need for evaluation capacity building (ECB) in military psychological health is apparent in light of the proliferation of newly developed, yet untested programs coupled with the lack of internal evaluation expertise. This study addresses these deficiencies by utilizing Preskill and Boyle's multidisciplinary ECB model within a post-traumatic…

  13. Politico-Military Relations, a Basis for Military Interaction between Argentina and the United States

    Science.gov (United States)

    1990-06-15

    34 Guevara had a secret meeting with President Frondizi . (e) Refusal of the government to associate Argentina with the United States and the thirteen other...Peronist governor and even the government was shocked with this outcome, which was foreseen by the armed forces but not by President Frondizi . (2...accomplish what the constitutional government of President Illia could not. (b) Support of civilian intellectuals included ex-president Frondizi , who welcomed

  14. The Potential for Religious Conflict in the United States Military

    Science.gov (United States)

    2005-12-01

    Wicca traces its roots back to the late Gerald Gardner (1884-1964), ergo Gardnerian Witchcraft . This United Kingdom-based group came into existence...gain support for the practice of witchcraft . However, that effort only lasted a short time due to Wiccans’ independent nature. A group of Wiccans... witchcraft at DoD facilities. Shortly after this flare-up, there were hints of Wiccans wanting their own chaplain. In a letter to the Church of the

  15. Continental United States Military Housing Inspection National Capital Region

    Science.gov (United States)

    2015-08-13

    lead, copper, microbial (total coliform ) contamination, and chlorine residue. The water samples were collected from buildings selected at random...selected locations from 23 accompanied housing and 4 units in the barracks for lead, copper, total coliform , E. Coli, and residual chlorine. The... coliform and E. Coli bacteria. All drinking water quality test results were below applicable action levels for community water suppliers. The same 27

  16. Can and Should the United States Preserve A Military Capability for Revolutionary Conflict

    Science.gov (United States)

    1972-01-01

    relentlessly into more costly intervencions . This concern ignores the fact that the United States has for many years been providing a modest level of...34 "ad" crisis management" in opposition to what was increasingly viewed as the bankrupt notion of "massive retaliation." That notion had. failed to deter...considerable capacity to learn, the military organizations responsible for assessing crisis and threat situations are burdened with long-standing

  17. Exergy recovery in regasification facilities - cold utilization: a modular unit

    OpenAIRE

    Dispenza, Celidonio; Dispenza, Giorgio; Rocca, Vincenzo La; Panno, Giuseppe

    2009-01-01

    Abstract The paper deals with the problem of cold recovery for direct utilization both in the site of regasification facility and far from it. A modular LNG regasification unit is proposed having the regasification capacity of 2 billion standard cubic meters/year of gas. The modular plant is based on use of a Power Cycle working with Ethane or Ethylene which allows operation of cold energy transfer, contained in LNG to be regasified, in a range of temperatures suitable f...

  18. The Feasibility and Cost-Effectiveness of Utilizing Skilled Parolees in the United States Armed Forces.

    Science.gov (United States)

    1980-12-01

    those inmates at Soledad and other known prisons . The environment is not the same for each class of individual. The first time offenders at Soledad...projections utilizing Armed Forces Cost-effectiveness of parolees Military Labor in the service Criminal offenders in the military Recidivism SO...provided by the staff and inmates at the Soledad Correctional Training Facility (CTF) and the Salinas Parole Division, Salinas, California, and the

  19. The Impact of Couple Therapy on Service Utilization among Military Veterans: The Moderating Roles of Pretreatment Service Utilization and Premature Termination.

    Science.gov (United States)

    Madsen, Joshua W; Tomfohr-Madsen, Lianne M; Doss, Brian D

    2017-09-01

    Couple therapy reduces relational and individual distress and may affect utilization of other health services, particularly among higher service utilizers. Although average decreases in service utilization are predicted among recipients of couple therapy, low utilizers of services may appropriately increase use. The relationship between couple therapy and service utilization was examined among a sample of 179 U.S. military veterans who received treatment in Veterans Affairs (VA) specialty couple therapy clinics. Consistent with hypotheses, overall mental and physical health visits decreased from the 12 months preceding couple therapy to the 12 months following treatment. Moderator analyses showed that decreases were greatest among individuals who were rated by their therapist as having completed a full course of couple therapy, suggesting that change was attributable to intervention. Pretreatment service utilization also moderated observed change-higher utilizers' use of services decreased substantially, whereas lower utilizers' slightly increased. Cost analyses revealed that the estimated per person mean cost in our sample decreased by $930.33 in the year following compared to the year prior to couple therapy, as per 2008 VA cost data. As service utilization data were only available for one partner and only for 1 year posttherapy, the true magnitude of this effect may be underestimated. Our findings are relevant to policy makers as they demonstrate that couple therapy reduces average service utilization and associated costs and addresses calls for analyses of cost effectiveness of systemic interventions. © 2016 Family Process Institute.

  20. Percutaneous Coronary Intervention Utilization and Appropriateness across the United States.

    Directory of Open Access Journals (Sweden)

    Michael P Thomas

    Full Text Available Substantial geographic variation exists in percutaneous coronary intervention (PCI use across the United States. It is unclear the extent to which high PCI utilization can be explained by PCI for inappropriate indications. The objective of this study was to examine the relationship between PCI rates across regional healthcare markets utilizing hospital referral regions (HRRs and PCI appropriateness.The number of PCI procedures in each HRR was obtained from the 2010 100% Medicare limited data set. HRRs were divided into quintiles of PCI utilization with increasing rates of utilization progressing to quintile 5. NCDR CathPCI Registry® data were used to evaluate patient characteristics, appropriate use criteria (AUC, and outcomes across the HRR quintiles defined by PCI utilization with the study population restricted to HRRs where ≥ 80% of the PCIs were performed at institutions participating in the registry. PCI appropriateness was defined using 2012 AUC by the American College of Cardiology (ACC/American Heart Association (AHA/The Society for Cardiovascular Angiography and Interventions (SCAI.Our study cohort comprised of 380,981 patients treated at 178 HRRs. Mean PCI rates per 1,000 increased from 4.6 in Quintile 1 to 10.8 in Quintile 5. The proportion of non-acute PCIs was 27.7% in Quintile 1 increasing to 30.7% in Quintile 5. Significant variation (p < 0.001 existed across the quintiles in the categorization of appropriateness across HRRs of utilization with more appropriate PCI in lower utilization areas (Appropriate: Q1, 76.53%, Q2, 75.326%, Q3, 75.23%, Q4, 73.95%, Q5, 72.768%; Inappropriate: Q1 3.92%, Q2 4.23%, Q3 4.32%, Q4 4.35%, Q5 4.05%; Uncertain: Q1 8.29%, Q2 8.84%, Q3 8.08%, Q4 9.01%, Q5 8.93%; Not Mappable: Q1 11.26%, Q2 11.67%, Q3 12.37%, Q4 12.69%, Q5 14.34%. There was no difference in risk-adjusted mortality across quintiles of PCI utilization.Geographic regions with lower PCI rates have a higher proportion of PCIs performed

  1. Percutaneous Coronary Intervention Utilization and Appropriateness across the United States

    Science.gov (United States)

    Thomas, Michael P.; Parzynski, Craig S.; Curtis, Jeptha P.; Seth, Milan; Nallamothu, Brahmajee K.; Chan, Paul S.; Spertus, John A.; Patel, Manesh R.; Bradley, Steven M.; Gurm, Hitinder S.

    2015-01-01

    Background Substantial geographic variation exists in percutaneous coronary intervention (PCI) use across the United States. It is unclear the extent to which high PCI utilization can be explained by PCI for inappropriate indications. The objective of this study was to examine the relationship between PCI rates across regional healthcare markets utilizing hospital referral regions (HRRs) and PCI appropriateness. Methods The number of PCI procedures in each HRR was obtained from the 2010 100% Medicare limited data set. HRRs were divided into quintiles of PCI utilization with increasing rates of utilization progressing to quintile 5. NCDR CathPCI Registry® data were used to evaluate patient characteristics, appropriate use criteria (AUC), and outcomes across the HRR quintiles defined by PCI utilization with the study population restricted to HRRs where ≥ 80% of the PCIs were performed at institutions participating in the registry. PCI appropriateness was defined using 2012 AUC by the American College of Cardiology (ACC)/American Heart Association (AHA)/The Society for Cardiovascular Angiography and Interventions (SCAI). Results Our study cohort comprised of 380,981 patients treated at 178 HRRs. Mean PCI rates per 1,000 increased from 4.6 in Quintile 1 to 10.8 in Quintile 5. The proportion of non-acute PCIs was 27.7% in Quintile 1 increasing to 30.7% in Quintile 5. Significant variation (p < 0.001) existed across the quintiles in the categorization of appropriateness across HRRs of utilization with more appropriate PCI in lower utilization areas (Appropriate: Q1, 76.53%, Q2, 75.326%, Q3, 75.23%, Q4, 73.95%, Q5, 72.768%; Inappropriate: Q1 3.92%, Q2 4.23%, Q3 4.32%, Q4 4.35%, Q5 4.05%; Uncertain: Q1 8.29%, Q2 8.84%, Q3 8.08%, Q4 9.01%, Q5 8.93%; Not Mappable: Q1 11.26%, Q2 11.67%, Q3 12.37%, Q4 12.69%, Q5 14.34%). There was no difference in risk-adjusted mortality across quintiles of PCI utilization. Conclusions Geographic regions with lower PCI rates have a higher

  2. America's Women Veterans: Military Service History and VA Benefit Utilization Statistics

    Data.gov (United States)

    Department of Veterans Affairs — This comprehensive report chronicles the history of women in the military and as Veterans, profiles the characteristics of women Veterans in 2009, illustrates how...

  3. Geothermal energy utilization in the United States - 2000

    Energy Technology Data Exchange (ETDEWEB)

    Lund, John W.; Boyd, Tonya L.; Sifford, Alex; Bloomquist, R. Gordon

    2000-01-01

    Geothermal energy is used for electric power generation and direct utilization in the United States. The present installed capacity for electric power generation is 3,064 MWe with only 2,212 MWe in operation due to reduction at The Geysers geothermal field in California; producing approximately16,000 GWh per year. Geothermal electric power plants are located in California, Nevada, Utah and Hawaii. The two largest concentrations of plants are at The Geysers in northern California and the Imperial Valley in southern California. The direct utilization of geothermal energy includes the heating of pools and spas, greenhouses and aquaculture facilities, space heating and district heating, snow melting, agricultural drying, industrial applications and ground-source heat pumps. The installed capacity is 4,000 MWt and the annual energy use is 20,600 billion Btu (21,700 TJ - 6040 GWh). The largest applications is groundsource (geothermal) heat pumps (59% of the energy use), and the largest direct-use is in aquaculture. Direct utilization is increasing at about six percent per year; whereas, electric power plant development is almost static. Geothermal energy is a relatively benign energy source, displaying fossil fuels and thus, reducing greenhouse gas emissions. A recent initiative by the U.S. Department of Energy, “Geo-Powering the West,” should stimulate future geothermal development. The proposal is especially oriented to small-scale power plants with cascaded uses of the geothermal fluid for direct applications.

  4. Geothermal Energy Utilization in the United States - 2000

    Energy Technology Data Exchange (ETDEWEB)

    Lund, John W.; Boyd, Tonya L (Geo-Heat Center, Oregon Institute of Technology, Klamath Falls, OR); Sifford, Alex (Sifford Energy Services, Neskowin, OR); Bloomquist, R. Gordon (Washington State University Energy Program, Olympia, WA)

    2000-01-01

    Geothermal energy is used for electric power generation and direct utilization in the United States. The present installed capacity for electric power generation is 3,064 MWe with only 2,212 MWe in operation due to reduction at The Geysers geothermal field in California; producing approximately16,000 GWh per year. Geothermal electric power plants are located in California, Nevada, Utah and Hawaii. The two largest concentrations of plants are at The Geysers in northern California and the Imperial Valley in southern California. The direct utilization of geothermal energy includes the heating of pools and spas, greenhouses and aquaculture facilities, space heating and district heating, snow melting, agricultural drying, industrial applications and ground-source heat pumps. The installed capacity is 4,000 MWt and the annual energy use is 20,600 billion Btu (21,700 TJ - 6040 GWh). The largest applications is groundsource (geothermal) heat pumps (59% of the energy use), and the largest direct-use is in aquaculture. Direct utilization is increasing at about six percent per year; whereas, electric power plant development is almost static. Geothermal energy is a relatively benign energy source, displaying fossil fuels and thus, reducing greenhouse gas emissions. A recent initiative by the U.S. Department of Energy, “Geo-Powering the West,” should stimulate future geothermal development. The proposal is especially oriented to small-scale power plants with cascaded uses of the geothermal fluid for direct applications.

  5. Reduction of Laboratory Utilization in the Intensive Care Unit.

    Science.gov (United States)

    Raad, Samih; Elliott, Rachel; Dickerson, Evan; Khan, Babar; Diab, Khalil

    2017-09-01

    In our academic intensive care unit (ICU), there is excess ordering of routine laboratory tests. This is partially due to a lack of transparency of laboratory-processing costs and to the admission order plans that favor daily laboratory test orders. We hypothesized that a program that involves physician and staff education and alters the current ICU order sets will lead to a sustained decrease in routine laboratory test ordering. Prospective cohort study. Academic closed medical ICU (MICU). All patients admitted to the MICU. We consistently educated residents, faculty, and staff about laboratory test costs. We removed the daily laboratory test option from the admission order sets and asked residents to order needed laboratory test results every day. We only allowed the G3+I-STAT (arterial blood gas only) cartridges in the MICU in hopes of decreasing duplicative laboratory test results. We added laboratory review to the daily rounding checklist. Total number of laboratory tests per patient-day decreased from 39.43 to an average of 26.74 ( P central laboratory processing duplicative laboratory tests per patient-day decreased from 0.17 to an average of 0.01 ( P unit morbidity and mortality were not impacted. A simple technique of resident, nursing, and ancillary staff education, combined with alterations in order sets using electronic medical records, can lead to a sustained reduction in laboratory test utilization over time and to significant cost savings without affecting patient safety.

  6. Roles of the Military Dietitian in Combat Operations and Humanitarian Assistance-Professional Development and Utilization.

    Science.gov (United States)

    Story, Kerryn L; Bukhari, Asma S; Bovill, Maria

    2016-10-01

    Military dietitians have long been valued members of the health care team, called on for their expertise as early as World War I. However, in the more recent conflicts over the past two decades, their role in health care delivery as a component of medical stability operations has been largely undefined. The purpose of this study was to explore the types of missions supported by U.S. military dietitians and characterize any unique competencies critical to their success during these missions using an online questionnaire. Sixty-five military dietitians responded to an online questionnaire and 49 (75%) shared their deployment experiences, lessons learned, and recommendations for future training based on 57 deployments from 1975 to 2014. Results indicated that during these deployments nutrition- and dietetics-related competencies were capitalized along with staff positions in support of combat and humanitarian operations. The majority (n = 24; 51%) valued mentorship as a useful resource before deployments followed by field experience (45%) and Web-based training (43%). The authors propose standardized formal training for military dietitians aimed at increasing strategic level awareness of partnerships and collaborations between U.S. Government and interagency organizations; these associations are vital for sustained synchronization of global health efforts.

  7. Relationship between Leadership and Characteristics of Learning Organizations in Deployed Military Units: An Exploratory Study

    Directory of Open Access Journals (Sweden)

    Eileen Van Aken

    2013-09-01

    Full Text Available Previous research has shown that military units operating in the context of risky missions display the characteristics of a Learning Organization. The present work provides preliminary exploratory evidence about the association between Learning Organization characteristics and leadership styles used by military leaders in the field. Based on the literature, we hypothesized that higher Learning Organization characteristics would be associated with a more transformational style of leadership that inspires followers. With this purpose, the five characteristics of a Learning Organization as defined by Peter Senge (Systems Thinking, Team Learning, Shared Vision, Mental Models, and Personal Mastery and leadership styles as defined by the multifactor leadership model of Bass and Avolio (Transformational, Transactional, and Passive-Avoidant, were measured among commanding officers who had recently served in a mission abroad. Associations with organizational outcomes (Extra-Effort, Effectiveness, and Satisfaction were also investigated for both Learning Organization characteristics and leadership styles. The correlations showed that Learning Organization characteristics were highly related to Transformational leadership dimensions, and also with Transactional leadership based on Contingent Rewards; meanwhile no association was found with a Passive-Avoidant leadership. Organizational outcomes were also related to Transformational leadership, Contingent Rewards and to various characteristics of a Learning Organization. Implications of these results, as well as avenues for future research, are also discussed.

  8. 北虫草的活性成分及开发利用研究%Study on the Active Components and Utilization of Cordyceps Militaris

    Institute of Scientific and Technical Information of China (English)

    叶春苗

    2014-01-01

    Much research and attention have been devoted to Cordyceps militaris due to its medicinal and health functions. This article makes summary of the main bioactive components in Cordyceps militaris and its development and utilization, gives a description of the artificial cultivation method of Cordyceps militaris, and analyzes its exploitation and utilization prospect so as to provide reference for the further research and use of Cordyceps militaris.%北虫草因具有药用与保健功能,被广泛研究与关注。综述北虫草中主要生物活性成分及其开发利用情况,介绍北虫草的人工培育方法,分析、展望北虫草的开发利用前景,以期为北虫草的进一步研究、利用提供参考。

  9. Designating Earth's Moon as a United Nations World Heritage Site - Permanently Protected from Commercial or Military Uses

    Science.gov (United States)

    Steiner, R. G.

    2002-01-01

    This paper proposes that Earth's Moon, in its entirety, be designated a United Nations World Heritage Site (WHS), permanently protected from any and all commercial or military utilization and reserved exclusively for scientific and aesthetic purposes. The paper discusses: 1) the extraordinary importance of the Moon for science, culture, and religion - past, present and future; 2) the history of proposals to exploit the Moon for commercial and military purposes and the shortcomings of this colonial, exploitation paradigm; and 3) the necessity, policy mechanisms, and political dynamics of designating the Moon as a World Heritage Site, permanently protected from commercial and/or military uses. The first part of the paper discusses the extraordinary importance of the Moon as it exists today - as a scientific laboratory, a source of beauty and inspiration throughout human evolution, a source for artistic expression, and as an object that is considered sacred by many cultures. Next, the paper traces the history of specific proposals for the exploitation of the Moon for commercial and/or military purposes - including plans by the U.S. Air Force in 1959 to detonate a nuclear explosion on the Moon, proposals to strip-mine the lunar regolith for helium-3 and rocket-fuel hydrogen; construction of solar power plants to transmit energy to Earth, and proposals to use the lunar surface as a billboard upon which to project commercial advertisements visible from Earth. The profound ethical, legal, and scientific shortcomings of this exploitation paradigm are described as an emerging Extraterrestrial Manifest Destiny that we have a collective obligation to challenge and constrain. The paper proposes that space exploration be infused with an ethical commitment to compassion, reverence, conservation, and non-interference to abiotic and biotic systems alike; as opposed to the expansion and extraterrestrial imposition of the colonization, exploitation, domination, and despoliation

  10. The Political Economy of the United States Military Market: 1963-2005

    Science.gov (United States)

    2006-06-01

    performance in the ’execution phase’ of the military market. The U.S. Political Environment and National Defense The word democracy is derived from the Greek ...the years. As Table 1 shows, the military has increasingly eliminated barriers to military service for blacks, women and homosexuals , although some...harassment was unacceptable conduct). 1981 DOD issued a policy that banned homosexuals from military service. 1985 Air Force assigned the first women

  11. Implications of China's growing military diplomatic clout for the United States: cooperation, competition or conflict?

    OpenAIRE

    Li, Steven X.

    2009-01-01

    Approved for public release, distribution unlimited China's military capabilities are growing and so is Beijing's ability to employ its military in diplomatic capacities. Since the Chinese military's power projection capabilities still remain limited, the preponderance of its activities still fall within Asia. This thesis uses a three-step process (comparing, analyzing and extracting implications) to assess if increased levels of Chinese military diplomacy will shift the Sino-U.S. milit...

  12. Challenges Faced by Military Families: Perceptions of United States Marine Corps School Liaisons

    Science.gov (United States)

    Aronson, Keith R.; Perkins, Daniel F.

    2013-01-01

    The global war on terror has placed a number of stressful demands on service members and their families. Although the military offers a wide range of services and supports to military families, not all families are willing or able to use them. For example, geographically dispersed families can find it challenging to connect with military support…

  13. Challenges Faced by Military Families: Perceptions of United States Marine Corps School Liaisons

    Science.gov (United States)

    Aronson, Keith R.; Perkins, Daniel F.

    2013-01-01

    The global war on terror has placed a number of stressful demands on service members and their families. Although the military offers a wide range of services and supports to military families, not all families are willing or able to use them. For example, geographically dispersed families can find it challenging to connect with military support…

  14. The Context of Military Environments: An Agenda for Basic Research on Social and Organizational Factors Relevant to Small Units

    Science.gov (United States)

    2014-06-01

    currently in play ( Samuelson and Zeckhauser, 1988). A related notion is regret avoidance: since people experience greater regret for action than for...for Basic Research on Social and Organizational Factors Relevant to Small Units 56 THE CONTEXT OF MILITARY ENVIRONMENTS Samuelson , W., and R. Zeckhauser

  15. Unit Social Cohesion in the Israeli Military as a Case Study of “Don’t Ask, Don’t Tell”

    OpenAIRE

    Kaplan, Danny; Rosenmann, Amir

    2012-01-01

    The presence of openly gay soldiers does not undermine unit cohesion, according to a new statistical analysis of the Israel Defense Force (IDF). The study surveyed 417 male Israeli soldiers from 22 military installations. Statistical analysis of responses to the survey indicated that for both combat and non-combat units, the presence of openly gay troops in a unit had no relationship to the cohesiveness of the unit. Israel has allowed gays and lesbians to serve openly in the military since 1993.

  16. [Bacterial epidemiology in the burns unit at military teaching hospital Mohamed V of Rabat].

    Science.gov (United States)

    Essayagh, Touria; Zohoun, Alban; Essayagh, Meriem; Elameri, Abdelouahab; Zouhdi, Mimoun; Ihrai, Hsain; Elhamzaoui, Sakina

    2011-01-01

    We aimed to establish the ecology of the Burns Unit of the Military Teaching Hospital Mohammed V of Rabat. We present results of a retrospective study of four years (March 2006-June 2010) on all micro-organisms isolated from patient samples. During the study period, we analyzed 307 samples corresponding to isolate bacterial strains from 288 non-redundant and 5 yeasts among which 4 corresponded to Candida albicans. The bacteriological profile of the isolated stumps showed a change between 2006 and 2010. Staphylococcus aureus in 2007 and 2008 (52.3%, 33.9%) was in 3rd position in 2010 (10.5%). Acinetobacter baumannii found in 3rd position or below (3.7%, 11.6%, 15.3%), between 2006 and 2008, reached the summit in 2009 and 2010 (22.6% and 23.7%). Pseudomonas aeruginosa, strain dominant in 2006 (33.3%) maintained its second position in 2007, 2008 and 2010 (19.8%, 18.6%, 18.4%) while it was third in 2009 (14.3%). Study of the resistance in antibiotics of the main isolated bacteria showed a stability of the profile of resistance. In conclusion, an epidemiological surveillance of bacteria is necessary, in the burns unit and in the hospital, to guide better the probability antibiotic treatment.

  17. A New Type of Great Power Relationship Between the United States and China: The Military Dimension

    Science.gov (United States)

    2014-09-01

    Philippines, and Thailand ). Toward this purpose, the Army’s Foreign Area Offi- cers program has particular utility in that it produces means by which local...Journal, June 10, 2013. The United Nations World Tourism Organization figures showed that at a collective $102 bil- lion in 2012, Chinese tourists...Shanghai Syndrome,” The Straits Times, November 11, 2013. 18. Despite all the statistics concerning rising anger about cor- ruption, unfair land

  18. The United States Military Entrance Processing Command (USMEPCOM) Uses Six Sigma Process to Develop and Improve Data Quality

    Science.gov (United States)

    2007-06-01

    mecpom.army.mil Original title on 712 A/B: The United States Military Entrance Processing Command (USMEPCOM) uses Six Sigma process to develop and...Entrance Processing Command (USMEPCOM) uses Six Sigma Process to Develop and Improve Data Quality 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...Processing Command (USMEPCOM) uses Six Sigma Process to Develop and Improve Data Quality 3 • USMEPCOM Overview/History • Purpose • Define: What is Important

  19. Condition and Organization of Everyday Life in the Military Units of the Southwestern, Stalingrad and Don fronts (1942–1943

    Directory of Open Access Journals (Sweden)

    Tatiana P. Khlynina

    2015-03-01

    Full Text Available The article is devoted to various aspects of the condition and organization of the everyday life of military units of the Southwestern, Stalingrad and Don fronts in 1942–1943 years. The looks of the questions of food and clothing supplies, ensure domestic needs and recreation. At the base of the article are documents of the Central Archive of the Ministry of Defense of the Russian Federation, recorded memories participants in the events of that time, published sources.

  20. Authentic science in education: Studies in course-based research at the United States Military Academy

    Science.gov (United States)

    Chase, Anthony M.

    This dissertation consists of two studies at the United States Military Academy. Both studies involve the use of Course-based Undergraduate Research Experiences (CUREs). These experiences give students the ability to engage in undergraduate research at an early point in their academic career by replacing traditional laboratory activities with semester-long research projects. Both studies show an implementation of this type of instruction from the Center for Authentic Science Practice in Education (CASPiE). Study 1 shows the specific method of implementation at the military academy and explores learning-based outcomes. Primarily the outcome of critical thinking is demonstrated. Critical thinking is a construct that many curriculum developers and instructors want to foster within their students but often lack clear definitions or evaluation plans. This study gives a definition of critical thinking and an outcome of a critical thinking test. Significant gains in critical thinking are observed by students participating in the CURE as well as significant gains in three affective factors (Interest in Science/Chemistry, Authenticity, Perceived Learning). The gains in critical thinking are then further statistically linked to students’ perceptions of how authentically they saw the research in the course. If they felt that the course was demonstrating more authentic science practices, they gained significantly more in their critical thinking scores. The second study in this dissertation adds an additional transfer focus to the instructional materials that the CURE was meant to support. The treatment group in this study received instruction that was framed expansively. The expansively framed instruction showed students ways that the material was applicable outside of the course. The assessments and instructional materials of this study were transfer assessments with contrasting cases. Instances of negative or “overzealous transfer” were also reported. Findings suggest

  1. Utilizing Graphics Processing Units for Network Anomaly Detection

    Science.gov (United States)

    2012-09-13

    matching system using deterministic finite automata and extended finite automata resulting in a speedup of 9x over the CPU implementation [SGO09]. Kovach ...pages 14–18, 2009. [Kov10] Nicholas S. Kovach . Accelerating malware detection via a graphics processing unit, 2010. http://www.dtic.mil/dtic/tr

  2. Utilization of Graduate Education in the United States Marine Corps

    Science.gov (United States)

    2015-03-01

    group receives. For example, when examining test tubes for catalytic reactions of enzymes when added to a specific substrate, the control test tube...remain a constant force multiplier and act as a. model for high retention strategy. 14. SUBJECT TERl"\\IS Utilization, tmited states marine corps...remain a constant force multiplier and act as a model for high retention strategy. vi THIS PAGE INTENTIONALLY LEFT BLANK vii TABLE OF

  3. Army Materiel Requirements to Support the Continental United States Military Mobilization Base Structure

    Science.gov (United States)

    1989-10-01

    Level of Organization AMC ............... Army Materiel Command AMOPS ............. Army Mobilization and Operations Planning System AMPC ...Military Personnel Center ( AMPC ) uses an automated mobilization manpower (MOB MAN) requirements data manipulator system to prepare time- phased

  4. 77 FR 31339 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2012-05-25

    ...). Members of the Board will be provided updates on Academy issues. 6. Agenda: The Academy leadership will provide the Board updates on the following: Physical, Moral/Ethical and Military Programs, to...

  5. The Musculoskeletal Readiness Screening Tool-Injury Predictor for United States Military Academy Preparatory Cadets

    Science.gov (United States)

    2015-10-30

    the musculoskeletal injuries are 128 a direct result of participation in sports and physical training .8 Injuries observed in 129 military service are...vehicle-related injuries followed closely by 144 sports -related injuries.8 Prevention of these sports and physical training injuries is 145 a top... physical 564 training for 9 months, various athletic sport practices, and military marching with 565 and without a rucksack. The combination and variety

  6. Multimodal Retrospective and Prospective Unit-Level Analysis of Military Workplace Violence

    Science.gov (United States)

    2014-10-01

    Camp Pendleton). 2. KEYWORDS Military Workplace Violence Combat Deployment Traumatic Brain Injury Post- Traumatic Stress Disorder Risk Taking...reentry. The effects of deployment may be moderated by individual characteristics, as well as by military training and support. The overall study...1936524 0.0007 0.0271 otherchildhood_ever 5.6.2 Other disorders of infancy childhood or adolescence 1936524 0.0005 0.0219 pervasive_ever 5.6.3

  7. Endangered Species on Military Training Lands: Cooperation Between the Military Services and the United States Fish and Wildlife Service

    Science.gov (United States)

    1994-06-17

    that interbreeds when mature. Excluded is any species of the Class Insecta determined to constitute a pest whose protection would present ?n overwhelming...species are important sources of medicinal drugs. At least a quarter of all prescription drugs in the United States come from wild plants.3 1 3. Human... Medicinal Uses of Plants: Protection under the Endangered Species Act, 103d Congress, 1st Session, Nov. 9, 1992; James B. Hudson, Antiviral Compounds from

  8. The utilization of a midwifery obstetrical unit in a metropolitan area

    OpenAIRE

    2012-01-01

    M.Cur. In this study a qualitative design which is explorative, descriptive and contextual in nature is followed. The objective of the study is three-fold: firstly, to explore and describe the opinions of members of the community about the reasons for the under-utilization of the Midwifery Obstetrical Unit ; secondly, to explore and describe the suggestions of the community for improving the utilization of the Midwifery Obstetrical Unit and, thirdly, to formulate intervention strategies fo...

  9. Software for simulation of utilization schemes of secondary energy from the exhaust gases of metallurgical units

    Science.gov (United States)

    Olennikov, A. A.; Tsymbal, V. P.

    2016-09-01

    The work is devoted to the program complex intended for designing schemes of secondary energy utilization from metallurgical units. The structure of the software system is based on three levels of complex systems assembled from subsystems. The mathematical models of a complex process of heat transfer and gas dynamics occurring in the energy utilization units and gas cleaning devices. We describe the user interaction with the software package, and show the calculation results in the form of plots.

  10. Single-unit transfusions and hemoglobin trigger: relative impact on red cell utilization.

    Science.gov (United States)

    Yang, William W; Thakkar, Rajiv N; Gehrie, Eric A; Chen, Weiyun; Frank, Steven M

    2017-05-01

    Patient blood management (PBM) programs can reduce unnecessary transfusions, but the optimal methods used to achieve this effect are unclear. We tested the hypothesis that encouraging single-unit red blood cell (RBC) transfusions in stable patients would have a greater impact on blood use than compliance with a specific hemoglobin (Hb) transfusion trigger alone. We analyzed blood utilization data at three community hospitals without previous PBM efforts before and after implementing a PBM program. Data were analyzed at monthly intervals to determine the relative impact of a "Why give 2 when 1 will do?" campaign promoting single-unit RBC transfusions and simultaneous efforts to promote evidence-based Hb triggers of 7 or 8 g/dL. Univariate and multivariate analyses were used to identify independent effects of these two interventions on overall RBC utilization. Univariate analysis revealed that both the increase in single-unit transfusions (from 38.0% to 70.9%; p utilization. Multivariate analysis showed that the increase in single-unit transfusions was an independent predictor of decreased RBC utilization, but the Hb triggers of both 7 and 8 g/dL were not. Overall, our PBM efforts decreased RBC utilization from 0.254 to 0.185 units/patient (27.2%) across all three hospitals (p = 0.0009). A campaign promoting single-unit RBC transfusions had a greater impact on RBC utilization than did encouraging a restrictive transfusion trigger. © 2016 AABB.

  11. Menthol cigarette pricing at military and community retail outlets in the United States

    Directory of Open Access Journals (Sweden)

    Poston Walker SC

    2012-09-01

    Full Text Available Abstract Background Cigarette prices at military exchanges historically have been discounted. DoD Instruction 1330.9 has mandated that prices be within 5% of the price offered in the local community since 2001. Because minorities are highly represented in the military, we determined whether menthol cigarette prices, the leading choice of African Americans, were compliant with the instruction. Methods We collected, via telephone, menthol cigarette price data from 48 randomly selected US military installation exchanges and matched local area Walmarts. We collected prices after taxes to determine the cost to consumer. Newport was selected as the index brand for menthol cigarettes because it is the leading and second leading brand smoked by African Americans and by Hispanics, respectively and has the second overall highest market share in the US. Results Smokers purchasing menthols at exchanges would realize average savings of 22.78%. There were no significant differences in savings based on military service (F = 1.850, p = 0.152 or US Census Division (F = 1.226, p = 0.311: data not shown. In addition, not a single exchange price was compliant with the DoD instruction. Conclusions Newport menthol cigarettes at military exchanges cost substantially less than the nearest Walmart, with an average savings of 23%. Our findings demonstrate that menthol cigarettes are substantially discounted on military installations, in a manner similar to other cigarette prices, and that DoD Instruction 1330.09 is not enforced.

  12. The Proper Role of the United States Military in Combatting Drug Smuggling.

    Science.gov (United States)

    1990-04-01

    support personnel and aviators, the operation destroyed $229.2 million worth of cannabis from 1977-85 at a total cost to the State of less than $1...produced for US import. The largest foreign sources of marijuana are Columbia, Mexico, and Jamaica . (79:1) The use of US military resources in these

  13. Military Curricula for Vocational & Technical Education. Packing and Unitization, 19-2.

    Science.gov (United States)

    Joint Military Packaging Training Center, Aberdeen Proving Ground, MD.

    This correspondence course on methods and techniques of packing materials and equipment for shipment and storage is designed to familiarize students with the subject matter area and to serve as a background for a more detailed and specialized study. One of a number of military-developed curriculum packages selected for adaptation to vocational…

  14. For God or Country? Religious Tensions Within the United States Military

    Science.gov (United States)

    2006-12-01

    of attention in the mid-80s and 90s was Wicca . According to the Spiritual Philosophy and Practice of Wicca in the U.S. Military, Wicca is a Neo...Pagan, earth based, mystery religion. . . The Latin roots of the word “ Wicca ” mean “wise ones”, or wisdom. The 90 Craig Atwood and Samuel Hill and

  15. Integration of photovoltaic units into electric utility grids: experiment information requirements and selected issues

    Energy Technology Data Exchange (ETDEWEB)

    1980-09-01

    A number of investigations, including those conducted by The Aerospace Corporation and other contractors, have led to the recognition of technical, economic, and institutional issues relating to the interface between solar electric technologies and electric utility systems. These issues derive from three attributes of solar electric power concepts, including (1) the variability and unpredictability of the solar resources, (2) the dispersed nature of those resources which suggests the feasible deployment of small dispersed power units, and (3) a high initial capital cost coupled with relatively low operating costs. It is imperative that these integration issues be pursued in parallel with the development of each technology if the nation's electric utility systems are to effectively utilize these technologies in the near to intermediate term. Analyses of three of these issues are presented: utility information requirements, generation mix and production cost impacts, and rate structures in the context of photovoltaic units integrated into the utility system. (WHK)

  16. Brazil-United States Military Relations in the Early Post-World War II Era Brazil-United States Military Relations in the Early Post-World War II Era

    Directory of Open Access Journals (Sweden)

    Sonny Davis

    2010-05-01

    Full Text Available As estreitas relações militares entre o Brasil e os Estados Unidos deterioraram-se no período imediatamente após à II Guerra Mundial. As divisões associadas à Guerra Fria criaram pressões nacionais e internacionais que levaram a um relacionamento menos preciso e sempre reativo entre os dois gigantes do hemisfério. Quando havia uma convergência de metas, as relações militares refletiam a cooperação amistosa anterior. Quando divergências políticas e institucionais sobre questões bilaterais emergiam, o Brasil recusava-se a seguir a liderança norte-americana. Em larga medida, a política externa no pós-guerra obrigou o Brasil a desenvolver confiança e habilidade para acabar com a prática tradicional de agir como subordinado de um poderoso protetor. O processo começou com a assistência norte-americana para a criação da Escola Superior de Guerra e culminou em 1977 com o fim das relações militares com os EUA (com a denúncia do acordo militar com os EUA. Dessa forma, o Brasil conquistou parte do seu antigo desejo de grandeza.The close military relations between the Brazil and the United States underwent strains in the early post-war era. Cold War divisions created national and international pressures that led to a less precise and often reactive relationship between the hemisphere giants. When there was a convergence of goals, military relations reflected the previous smooth cooperation. When political and institutional divisiveness emerged in the officer corps over bilateral issues, Brazil refused to follow the U.S. lead. To a large degree, the post-war foreign policy forced Brazil and its military establishment to develop the confidence and ability to end the traditional practice of acting as a surrogate for a more powerful patron. The process began with U.S. assistance in creating the Escola Superior de Guerra and culminated in 1977 with the end of formal military relations with the United States. In so doing, Brazil

  17. Integration of photovoltaic units into electric utility grids: experiment information requirements and selected issues

    Energy Technology Data Exchange (ETDEWEB)

    1980-09-01

    A number of investigations have led to the recognition of technical, economic, and institutional issues relating to the interface between solar electric technologies and electric utility systems. These issues derive from three attributes of solar electric power concepts, including (1) the variability and unpredictability of the solar resources, (2) the dispersed nature of those resources which suggest the deployment of small dispersed power units, and (3) a high initial capital cost coupled with relatively low operating costs. An important part of the DOE programs to develop new source technologies, in particular photovoltaic systems, is the experimental testing of complete or nearby complete power units. These experiments provide an opportunity to examine operational and integration issues which must be understood before widespread commercial deployment of these technologies can be achieved. Experiments may also be required to explicitly examine integration, operational, and control aspects of single and multiple new source technology power units within a utility system. An identification of utility information requirements, a review of planned experiments, and a preliminary determination of additional experimental needs and opportunities are presented. Other issues discussed include: (1) the impacts of on-site photovoltaic units on load duration curves and optimal generation mixes are considered; (2) the impacts of on-site photovoltaic units on utility production costs, with and without dedicated storage and with and without sellback, are analyzed; and (3) current utility rate structure experiments, rationales, policies, practices, and plans are reviewed.

  18. United States Security Assistance Training of Latin American Militaries: Intentions and Results.

    Science.gov (United States)

    1995-09-01

    Guatemalan efforts were in opposition to subversion of the Partido Guatemalteco de Trabajo (PGT), or the communist party. The PGT had received some...Training School Noncommissioned Officer Organization of American States Partido Guatemalteco de Trabajo (Guatemalan Communist Party) Peace Keeping...los Derechos Humanos en Colombia y el Papel del Gobierno y las Fuerzas Armadas para su Defensa," Military Review. (Hispanic Edition) 60-82. (April

  19. Persistence of Serogroup C Antibody Responses Following Quadrivalent Meningococcal Conjugate Vaccination in United States Military Personnel

    Science.gov (United States)

    2014-05-14

    6. AUTHORS Manisha Patel, Sandra Romero- Steiner , Michael P. Broderick, Cynthia G. Thomas, Brian D. Plikaytis, Daniel S. Schmidt, Scott E. Johnson ...States Military Personnel Manisha Patel Sandra Romero- Steiner Andrea S. Milton Michael P. Broderick George M. Carlone Cynthia G. Thomas Thomas...A. Clark Brian D. Plikaytis Nancy E. Messonnier Daniel S. Schmidt Amanda C. Cohn Scott E. Johnson Dennis J. Faix Report No. 13-07 The

  20. United States Military Non-Disabled Retirement Pay: Let it Stand!

    Science.gov (United States)

    2013-04-17

    military force must be young and vibrant: Most civilian sector pension plans require employees to reach normal retirement age (typically 62-65...to be eligible for an unreduced retirement annuity . However most civilian employers do not require youth and vigor of their employees, nor are they...during the extended field service required over the period 1812- 1861. While the law provided a pension of one-half pay for disabled officers, there

  1. Circling the Earth: United States Plans for a Postwar Overseas Military Base System, 1942-1948

    Science.gov (United States)

    2005-08-01

    offend Filipino pride.76 At the end of March, For- restal dictated a memorandum stating his view that the main categories of the Navy’s postwar problems...Interdepartmental memorandum regarding organization of ACC, 27 March 1945 (signed by Acting Secretary of State Joseph C. Grew, Stimson, For- restal , and...8, Papers of James V. For- restal , Seeley G. Mudd Library, Princeton University, N.J. 16. Annex to JCS 1295/8, Military Development of Alaska, 26

  2. Changing of the Guard: Nation Building and the United States Military

    Science.gov (United States)

    2010-06-01

    in the deaths of thirty-eight people in the city‘s marketplace, the hair trigger of the NATO alliance yielded under the pressure. ―On 30 August...Rumsfeld ―that son of a bitch,‖ or ―that asshole.‖ 14 According to Woodward, ―strong, forceful military advice was bleached out of the system. The

  3. The United States Humanitarian Demining Program: Civil-Military Relations in Humanitarian Demining

    Science.gov (United States)

    2015-05-23

    society: (1) social composition of the officer corps, (2) political decision-making process, (3) recruitment method, and (4) military style .”50...which had sheltered the 9/11 attacker’s parent organization, Al Qaeda contributed to the already dangerous landmine contamination in the country...which attempted to provide agricultural assistance, food aid, public and maternal health services and economic recovery to the growing number of refugees

  4. Experimental investigations on cylindrical latent heat storage units with sodium acetate trihydrate composites utilizing supercooling

    DEFF Research Database (Denmark)

    Dannemand, Mark; Johansen, Jakob Berg; Kong, Weiqiang;

    2016-01-01

    unit was tested with 116.3 kg SAT with 0.5% Xanthan rubber as a thickening agent and 4.4% graphite powder. The heat exchange capacity rate during charge was significantly lower for the unit with SAT and Xanthan rubber compared to the unit with SAT and extra water. This was due to less convection......Latent heat storage units utilizing stable supercooling of sodium acetate trihydrate (SAT) composites were tested in a laboratory. The stainless steel units were 1.5 m high cylinders with internal heat exchangers of tubes with fins. One unit was tested with 116 kg SAT with 6% extra water. Another...... in the thickened phase change material after melting. The heat content in the fully charged state and the heat released after solidification of the supercooled SAT mixtures at ambient temperature was higher for the unit with the thickened SAT mixture. The heat discharged after solidification of the supercooled SAT...

  5. Shrinking the Civil-Military Divide: A Military Perspective

    Science.gov (United States)

    2015-04-13

    Government, the United States Military resides . If the government is a behemoth, it is in no small part due to the size of the military. As one...Department’s future military leaders. See no evil , hear no evil , speak no evil is the curriculum when it comes to civil- military relations, partisan

  6. [Medical and technical means for united circle of evacuation measures in military-medical organisations of the Ministry of Defence].

    Science.gov (United States)

    Fisun, A Ya; Kalachev, O V; Shchegolev, A V; Vertii, B D

    2015-06-01

    Experts of the medical service of the Armed Forces carried out an analysis of capabilities of modern Russian enterprises and their innovative projects regarding creation of unified means of evacuation of wounded and providing to them necessary types of emergency care with the use of existing and future special and regular means of transport for medical evacuation. As a result of the work of industrial enterprises of the OAO Kazan "Vertoletniy Zavod", "Zarechie", "Vysota" was created a device for the medical evacuation of severe wounded patients. The device is designed for medical evacuation of severe wounded patients from the military medical unit to the site providing comprehensive medical care with maintenance of vital functions and monitoring of his condition. Testing was conducted on the products of regular vehicles medical company of one of the brigades of the Western Military District. The device was presented at the special tactical exercises the Armed Forces Medical Service "Frontier-2014", "Innovation Day" of the Defence Ministry in 2014.

  7. Persistence of serogroup C antibody responses following quadrivalent meningococcal conjugate vaccination in United States military personnel.

    Science.gov (United States)

    Patel, Manisha; Romero-Steiner, Sandra; Broderick, Michael P; Thomas, Cynthia G; Plikaytis, Brian D; Schmidt, Daniel S; Johnson, Scott E; Milton, Andrea S; Carlone, George M; Clark, Thomas A; Messonnier, Nancy E; Cohn, Amanda C; Faix, Dennis J

    2014-06-24

    Serogroup C meningococcal (MenC) disease accounts for one-third of all meningococcal cases and causes meningococcal outbreaks in the U.S. Quadrivalent meningococcal vaccine conjugated to diphtheria toxoid (MenACYWD) was recommended in 2005 for adolescents and high risk groups such as military recruits. We evaluated anti-MenC antibody persistence in U.S. military personnel vaccinated with either MenACYWD or meningococcal polysaccharide vaccine (MPSV4). Twelve hundred subjects vaccinated with MenACYWD from 2006 to 2008 or MPSV4 from 2002 to 2004 were randomly selected from the Defense Medical Surveillance System. Baseline serologic responses to MenC were assessed in all subjects; 100 subjects per vaccine group were tested during one of the following six post-vaccination time-points: 5-7, 11-13, 17-19, 23-25, 29-31, or 35-37 months. Anti-MenC geometric mean titers (GMT) were measured by rabbit complement serum bactericidal assay (rSBA) and geometric mean concentrations (GMC) by enzyme-linked immunosorbent assay (ELISA). Continuous variables were compared using the Wilcoxon rank sum test and the proportion of subjects with an rSBA titer ≥ 8 by chi-square. Pre-vaccination rSBA GMT was antibody.

  8. United States military service members and their tattoos: a descriptive study.

    Science.gov (United States)

    Lande, R Gregory; Bahroo, Bhagwan A; Soumoff, Alyssa

    2013-08-01

    To explore the characteristics of military service tattoos a descriptive study was conducted at Walter Reed Army Medical Center to collect information from a convenience sample. An investigator-developed questionnaire provided the data for this study. Over the ensuing 12 month-period the researchers collected 126 questionnaires. Typical respondents were enlisted men with at least one deployment to an area of combat operations. Among the respondents, 57% acquired their tattoos before their deployment. One-quarter of the respondents reported only one tattoo, leaving the majority with multiple tattoos. Men received their first tattoo at an earlier age than women. The most common tattoo listed a person's name. Respondents did not regret their tattoos and rarely acquired the body art under the influence of alcohol or drugs. Little evidence was found to support a connection between tattoos and deployment. Few regretted their decisions and most all approached the tattoo experience free of any mind-altering substance. All this seems to suggest that military tattoos are a well-accepted means of self-expression.

  9. Electricity pricing and the financial health of electric utilities in the United States. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1984-08-01

    The electric utility industry in the United States is characterized by wide diversity in utility ownership, management, cost structure, and regulation. There are approxiately 240 investor-owned utilities in the US. There are more than 1900 government utilities in the US. There are more than 50 regulatory commissions which regulate retail prices to ultimate customers. This substantial diversity in regulatory policies, processes, and rules applied to utilities across the country as well as significant regional variations in costs results in a wide variation in electricity prices and financial health among utilities. Prices and financial conditions for the industry as a whole also have varied substantially over time. During the 1960s, utilities were financially healthy, and real electricity prices were falling. In the decade following the Arab oil embargo in 1973, however, the industry was characterized by poor financial health and rapidly rising prices, although the reasons for these conditions varied somewhat between the first part of the decade and the last few years (1980-82) of the decade. Improved economic conditions during 1983 have contributed to improved utility financial health. A continuation of these economic conditions would result in continued financial stability for most utilties. Some individual utilities - particularly those with large constuction programs and those facing substantial reductions in the demand for electricity - may continue to exhibit financial problems. Utilities that have attempted to complete large nuclear projects during the presence of sharply declining load growth face severe financial problems. Prospects for the future financial health of the industry depend critically on the future demand for electricity, requirements for new generating capacity and other utility investments, and resolution of several policy issues affecting utility ratemaking, operations, and financial accounting.

  10. Managing Carbon Regulatory Risk in Utility Resource Planning:Current Practices in the Western United States

    Energy Technology Data Exchange (ETDEWEB)

    Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

    2008-05-16

    Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. Assuch, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by fifteen electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without Federal climate regulation in the U.S., the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of U.S. electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations

  11. Managing Carbon Regulatory Risk in Utility Resource Planning: Current Practices in the Western United States

    Energy Technology Data Exchange (ETDEWEB)

    Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

    2008-07-11

    Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. As such, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by fifteen electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without Federal climate regulation in the U.S., the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of U.S. electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations.

  12. FBC utilization prospects in decentralized cogeneration units in Caucasus region countries

    Directory of Open Access Journals (Sweden)

    Skodras George

    2003-01-01

    Full Text Available Great differences are encountered among Caucasus region countries with respect to energy resources reserves and economic conditions. Thermal power plants consist of obsolete and inefficient units, while the Soviet-type large heating systems in the area collapsed after 1992 and their reconstruction is considered uneconomic. Renovation needs of the power and heat sector, and the potential of Fluidised Bed Combustion implementations in decentralized cogeneration units were investigated, since operating oil and gas power plants exhibit high fuel consumption, low efficiency and poor environmental performance. Results showed significant prospects of Fluidised Bed Combustion utilization in decentralized cogeneration units in the Caucausus region heat and power sector. Their introduction constitutes an economically attractive way to cover power and heat demands and promotes utilization of domestic energy resources in all of three countries, provided that financial difficulties could be confronted.

  13. Econometric methods for life-testing of capital units and results for regulated public utilities

    Energy Technology Data Exchange (ETDEWEB)

    Schiffman, D.A.

    1983-01-01

    The dissertation pertains to regulated public utilities that purchase capital units when the service lives of these units are random. Chapter II develops the econometric tools needed to analyze the data generated in such an instance. Results concerning the existence, consistency and asymptotic normality of a maximum likelihood estimator are derived. Chapter III contains a small model of a regulated public utility. Key components are assumptions of a fixed capital stock, random served lives for capital units, a tax environment where current tax laws concerning depreciation expense and investment tax credits are considered and a regulatory constraint of the type contained in the classic literature of Averch and Johnson (1962). Objectives are established for both regulatories and investors. It is assumed that each of these economic agents chooses from units which differ in terms of efficiency, purchase price, and durability. It is demonstrated that the objectives of regulators and investors may be different with respect to the choice of capital units, depending on current tax laws, and that this phenomenon is related to the results of Averch and Johnson. Chapter IV contains an application. Data were obtained for power transformers and the objectives of regulators and investors were evaluated. It was shown that differences in the expected service lives of these units is a key consideration.

  14. Military Music in the United States: A Historical Examination of Performance and Training

    Science.gov (United States)

    Gleason, Bruce P.

    2015-01-01

    As of 2014, the U.S. Department of Defense is the largest employer of musicians in the United States, with more than 6,000 musicians serving in active-duty, reserve, and National Guard bands. From its dual origins with drums and fifes in infantry units (foot soldiers) and trumpets in the cavalry (horse-mounted troops), music has served crucial…

  15. Improving Military Ties

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    China and the United States appear poised to strengthen their troubled military exchanges Vice Chairman of China’s Central Military Commission Xu Caihou kicked off his 10-day-long official visit to the United States in a bid to

  16. Hospital Utilization and Cost Trends in Canada and the United States

    Science.gov (United States)

    Andersen, Ronald; Hull, John T.

    1969-01-01

    Differences in hospital costs and utilization between the United States and Canada are analyzed and an attempt made to measure the significance of various demographic, economic, and other factors thought to be related to the differences. Increases in utilization are traced to population increases and to actual increased use per person; and cost increases tied to general inflationary trends are separated from those attributable to specific hospital price increases. Differences in the financing and reimbursement mechanisms in the two countries are shown to have had little effect on relative cost increases, which in the period under consideration were parallelled by similar or greater increases in other industrialized nations. PMID:4981616

  17. Clinical Effectiveness and Changes in Care Utilization Derived from a Military Adolescent Multi-Disciplinary Headache Clinic

    Science.gov (United States)

    2016-04-07

    clinics. Chronic headaches within the adolescent population have ben shown to have great morbidity on patient lives, including but no limited to missed...school/work days, and loss of parental work time getting to appointments. Some studies have been completed regarding chronic adolescent headaches , but at...this time nothing has been published regarding multi-disciplinary chronic headache clinics for adolescent children of military personnel. The purpose

  18. Improving Intensive Care Unit and Ward Utilization by Adapting Master Surgery Schedules.

    Science.gov (United States)

    Fügener, Andreas; Edenharter, Guenther Michael; Kiefer, Paskal; Mayr, Ulrike; Schiele, Julian; Steiner, Fabian; Kolisch, Rainer; Blobner, Manfred

    2016-03-15

    With increasing organizational and financial pressure on hospitals, each individual surgical treatment has to be reviewed and planned thoroughly. Apart from the expensive operating room facilities, proper staffing and planning of downstream units, like the wards or the intensive care units (ICUs), should be considered as well. In this article, we outline the relationship between a master surgery schedule (MSS), i.e., the assignment of surgical blocks to medical specialties, and the bed demand in the downstream units using an analytical model. By using historical data retrieved from the clinical information system and a patient flow model, we applied a recently developed algorithm for predicting bed demand based on the MSSs for patients of 3 surgical subspecialties of a hospital. Simulations with 3 different MSSs were performed. The impact on the required amount of beds in the downstream units was analyzed. We show the potential improvements of the current MSS considering 2 main goals: leveling workload among days and reduction of weekend utilization. We discuss 2 different MSSs, one decreasing the weekend ICU utilization by 20% and the other one reducing maximum ward bed demand by 7%. A test with 12 months of real-life data validates the results. The application of the algorithm provides detailed insights for the hospital into the impact of MSS designs on the bed demand in downstream units. It allowed creating MSSs that avoid peaks in bed demand and high weekend occupancy levels in the ICU and the ward.

  19. China’s Military Space Program: A Threat to the United States or a Peaceful Endeavor

    Science.gov (United States)

    2012-02-15

    seizure of Taiwan.”29 Japan has historically advocated for the peaceful use of space in large part due to its pacifist constitution. So it was no...space objectives, and the judgments of space experts from the United States, Russia, Japan , and India. The paper concludes that the Chinese are...boom has propelled the Peoples Republic of China (PRC) ahead of Japan as the second largest economy behind the United States (U.S.) and has

  20. Guinea’s 2008 Military Coup and Relations with the United States

    Science.gov (United States)

    2009-07-16

    WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Congressional Research Service,Library of Congress,101 Independence Ave., SE...Washington,DC,20540-7500 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S... Gouvernement de Kabiné Komara,” January 14, 2009. 31 Economist Intelligence Unit (EIU), Country Report: Guinea, March 2009: 13. 32 International Crisis Group

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

    Science.gov (United States)

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

    2016-01-01

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

  2. Sexual Orientation and Substance Abuse Treatment Utilization in the United States: Results from a National Survey

    OpenAIRE

    McCabe, Sean Esteban; West, Brady T.; Hughes, Tonda L.; Boyd, Carol J.

    2012-01-01

    This study examined substance abuse treatment utilization across three dimensions of sexual orientation (identity, attraction, behavior) in a large national sample of adults in the United States. Prevalence estimates were based on data collected from the 2004–2005 National Epidemiologic Survey on Alcohol and Related Conditions. The sample consisted of 34,653 adults aged 20 years and older: 52% women, 71% White, 12% Hispanic, 11% African American, 4% Asian, and 2% other race/ethnicities. Appro...

  3. Managing Training of Military Units: Development of a Management Information System.

    Science.gov (United States)

    Atwood, Nancy K.; Hiller, Jack H.

    An automated management information system was developed for planning and scheduling unit training in a U.S. Army infantry division. The primary goal of the project was to test the feasibility of the concept for a computer-based management information system. Specific objectives were to integrate information on personnel, training, and logistics…

  4. The Implications of Network-Centric Warfare for United States and Multinational Military Operations

    Science.gov (United States)

    2007-11-02

    31. Rear Admiral D. Mayo, Bandwidth Baseline Assesment Memo, <http://copernicus.hq.navy.mil/crwg98/briefs/brownbag_bam.pdf>, p. 22. 14... smoke signals or drums, or carefully selected commercial technology? The United States experience in Somalia and the Russian experience in

  5. Arthroplasty Utilization in the United States is Predicted by Age-Specific Population Groups.

    Science.gov (United States)

    Bashinskaya, Bronislava; Zimmerman, Ryan M; Walcott, Brian P; Antoci, Valentin

    2012-01-01

    Osteoarthritis is a common indication for hip and knee arthroplasty. An accurate assessment of current trends in healthcare utilization as they relate to arthroplasty may predict the needs of a growing elderly population in the United States. First, incidence data was queried from the United States Nationwide Inpatient Sample from 1993 to 2009. Patients undergoing total knee and hip arthroplasty were identified. Then, the United States Census Bureau was queried for population data from the same study period as well as to provide future projections. Arthroplasty followed linear regression models with the population group >64 years in both hip and knee groups. Projections for procedure incidence in the year 2050 based on these models were calculated to be 1,859,553 cases (hip) and 4,174,554 cases (knee). The need for hip and knee arthroplasty is expected to grow significantly in the upcoming years, given population growth predictions.

  6. Association Between Intensive Care Unit Utilization During Hospitalization and Costs, Use of Invasive Procedures, and Mortality.

    Science.gov (United States)

    Chang, Dong W; Shapiro, Martin F

    2016-10-01

    Maximizing the value of critical care services requires understanding the relationship between intensive care unit (ICU) utilization, clinical outcomes, and costs. To examine whether hospitals had consistent patterns of ICU utilization across 4 common medical conditions and the association between higher use of the ICU and hospital costs, use of invasive procedures, and mortality. Retrospective cohort study of 156 842 hospitalizations in 94 acute-care nonfederal hospitals for diabetic ketoacidosis (DKA), pulmonary embolism (PE), upper gastrointestinal bleeding (UGIB), and congestive heart failure (CHF) in Washington state and Maryland from 2010 to 2012. Hospitalizations for DKA, PE, UGIB, and CHF were identified from the presence of compatible International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. Multilevel logistic regression models were used to determine the predicted hospital-level ICU utilization during hospitalizations for the 4 study conditions. For each condition, hospitals were ranked based on the predicted ICU utilization rate to examine the variability in ICU utilization across institutions. The primary outcomes were associations between hospital-level ICU utilization rates and risk-adjusted hospital mortality, use of invasive procedures, and hospital costs. The 94 hospitals and 156 842 hospitalizations included in the study represented 4.7% of total hospitalizations in this study. ICU admission rates ranged from 16.3% to 81.2% for DKA, 5.0% to 44.2% for PE, 11.5% to 51.2% for UGIB, and 3.9% to 48.8% for CHF. Spearman rank coefficients between DKA, PE, UGIB, and CHF showed significant correlations in ICU utilization for these 4 medical conditions among hospitals (ρ ≥ 0.90 for all comparisons; P utilization rate was not associated with hospital mortality. Use of invasive procedures and costs of hospitalization were greater in institutions with higher ICU utilization for all 4 conditions. For medical

  7. Implications For The Military Health Care System in Utilizing Non- Physician Providers. Part I. The Cost Implications

    Science.gov (United States)

    1979-03-01

    Air Force Base Hospital, Washington, D.C. This program is still active. There are currently no students in out-service midwifery training pro- grams...practice/adult health; and OB-GYN/ midwifery . /Ref. 377 As do all the military services, the Navy grants full officer c mmissions to their NPs within the...primarily a desire by NPs not to be placed into the same "titular category" with PAs, and to re- tain their own autonomy apart from the physician. With

  8. Military Preparedness

    Science.gov (United States)

    2015-09-01

    United States Army War College Department of Command, Leadership , and Management Carlisle Barracks, Carlisle, PA Military Preparednessa Dr...Readiness Management Systems A 1991 RAND study differentiated several readiness appraisals, each constituting a “pillar” of readiness management that...The question seems a simple one at the national level, but in defense management practice it is actually two questions rolled into one, and the

  9. Association between unemployment rates and prescription drug utilization in the United States, 2007–2010

    Science.gov (United States)

    2012-01-01

    Background While extensive evidence suggests that the economic recession has had far reaching effects on many economic sectors, little is known regarding its impact on prescription drug utilization. The purpose of this study is to describe the association between state-level unemployment rates and retail sales of seven therapeutic classes (statins, antidepressants, antipsychotics, angiotensin-converting enzyme [ACE] inhibitors, opiates, phosphodiesterase [PDE] inhibitors and oral contraceptives) in the United States. Methods Using a retrospective mixed ecological design, we examined retail prescription sales using IMS Health Xponent™ from September 2007 through July 2010, and we used the Bureau of Labor Statistics to derive population-based rates and mixed-effects modeling with state-level controls to examine the association between unemployment and utilization. Our main outcome measure was state-level utilization per 100,000 people for each class. Results Monthly unemployment levels and rates of use of each class varied substantially across the states. There were no statistically significant associations between use of ACE inhibitors or SSRIs/SNRIs and average unemployment in analyses across states, while for opioids and PDE inhibitors there were small statistically significant direct associations, and for the remaining classes inverse associations. Analyses using each state as its own control collectively exhibited statistically significant positive associations between increases in unemployment and prescription drug utilization for five of seven areas examined. This relationship was greatest for statins (on average, a 4% increase in utilization per 1% increased unemployment) and PDE inhibitors (3% increase in utilization per 1% increased unemployment), and lower for oral contraceptives and atypical antipsychotics. Conclusion We found no evidence of an association between increasing unemployment and decreasing prescription utilization, suggesting that any

  10. A Comparative Analysis of the United States Military Relationships with the Republic of Korea and the Philippines

    Science.gov (United States)

    1985-04-01

    importance of Korea and China. Faced with a growing gap between missions and resources, U.S. military planners increasingly inclined toward a ’ maritme ...the U.S. Army engineers set about improving the living conditions on the islands. A U.S. military presence remained in the Philippines after the

  11. Assisting Children and Families with Military-Related Disruptions: The United States Marine Corps School Liaison Program

    Science.gov (United States)

    Aronson, Keith R.; Caldwell, Linda L.; Perkins, Daniel F.; Pasch, Kenneth W.

    2011-01-01

    Military families face a number of unique challenges, including frequent relocations and school transitions, as well as extended separations from loved ones. The military, schools, and communities have been working together to build the capacity of children, youth, and families to successfully cope with the stressors they encounter. Most branches…

  12. Genetic Algorithm Based Simulated Annealing Method for Solving Unit Commitment Problem in Utility System

    Science.gov (United States)

    Rajan, C. Christober Asir

    2010-10-01

    The objective of this paper is to find the generation scheduling such that the total operating cost can be minimized, when subjected to a variety of constraints. This also means that it is desirable to find the optimal generating unit commitment in the power system for the next H hours. Genetic Algorithms (GA's) are general-purpose optimization techniques based on principles inspired from the biological evolution using metaphors of mechanisms such as neural section, genetic recombination and survival of the fittest. In this, the unit commitment schedule is coded as a string of symbols. An initial population of parent solutions is generated at random. Here, each schedule is formed by committing all the units according to their initial status ("flat start"). Here the parents are obtained from a pre-defined set of solution's i.e. each and every solution is adjusted to meet the requirements. Then, a random recommitment is carried out with respect to the unit's minimum down times. And SA improves the status. A 66-bus utility power system with twelve generating units in India demonstrates the effectiveness of the proposed approach. Numerical results are shown comparing the cost solutions and computation time obtained by using the Genetic Algorithm method and other conventional methods.

  13. Drug use and service utilization among Hispanics in the United States.

    Science.gov (United States)

    Mancini, Michael A; Salas-Wright, Christopher P; Vaughn, Michael G

    2015-11-01

    To examine illicit drug use and service utilization patterns of US-born and foreign-born Hispanics in the United States. Hispanic respondents 18 years and older in the NESARC were categorized as being of Mexican (n = 3,556), Puerto Rican (n = 785), Cuban (n = 346), Central American (n = 513), or South American (n = 381) origin. We examined lifetime prevalence of drug use and substance abuse treatment utilization patterns for US-born and Hispanic immigrants across subgroups. Lifetime prevalence of drug use was greater among US-born Hispanics than Hispanic immigrants after controlling for age, gender, income, education, urbanicity, parental history of drug use problems and lifetime DSM-IV mood/anxiety disorders. Both US-born and immigrant Hispanic drug users were less likely than non-Hispanic white drug users to have utilized any form of substance abuse treatment (US-born AOR = 0.89, immigrant AOR = 0.64) and more likely to have utilized family or social services (US-born AOR = 1.17, immigrant AOR = 1.19). Compared to US-born Hispanic drug users, Hispanic immigrant drug users were less likely to have used any form of substance abuse treatment (AOR = 0.81) and were more likely to have utilized family or social services (AOR = 1.22). Strategies to increase engagement and retention of Hispanic drug users in substance abuse treatment include increasing access to linguistically and culturally competent programs that address unmet family and social needs. Further studies examining differences in drug use and service utilization patterns within Hispanic subgroups are needed.

  14. The utilization of a Midwifery Obstetrical Unit (MOU) in a Metropolitan area.

    Science.gov (United States)

    Mashazi, M I; Roos, S D

    2000-12-01

    In this study an explorative, descriptive design which is contextual in nature, is utilized. The objective of the study is three-fold: Firstly, to describe the opinions of members of the community about the reasons for the under-utilization of the Midwifery Obstetrical Unit (MOU); secondly, to describe the suggestions of the community for improving the utilization of the MOU and thirdly, to describe intervention strategies for community nurses to improve the utilization of the MOU. Data was collected by means of focus group interviews, and was analysed using Tesch's (in Cresswell, 1994: 154-155) method of data analysis. Trustworthiness was ensured by using the method of Guba and Lincoln (1985). The respondents were mothers who delivered their babies at the hospital, mothers who delivered their babies at the MOU, members of the Community Health Committee and MOU nurses. Data was collected in two phases. Phase I dealt with the first question: What is your opinion about the reasons for the under-utilization of the MOU? Phase II dealt with the second question: What are your suggestions for improving the utilization of the MOU? The four groups participated in Phase I as well as in Phase II, the reason being to involve the groups in identifying problems and finding solutions with which they would be comfortable, since it would be their ideas. This whole exercise was, however, carried out in line with the RDP principle of people driven approach or community involvement. The investigation revealed that the community was not utilizing the MOU because of the following reasons: Negative attitudes of nurses. Lack of material and human resources. Poor safety and security measures. Lack of community involvement/participation. The focus groups then identified the following suggestions for improving the utilization of the MOU: Change of attitudes by nurses towards the patients. Availability of material and human resources. Proper safety and security measures in the MOU. Community

  15. Check Your Privacy Rights at the Front Gate: Consensual Sodomy Regulation in Today’s Military Following United States v. Marcum

    Science.gov (United States)

    2005-10-04

    2) (charging Marcum with one count of Article 92, failure to obey order or regulation by providing alcohol to persons under 21, three counts of...who was allowed to testify regarding a previous consensual adulterous affair with Stirewalt, should have been able to be cross-examined regarding a...the first case to be decided by a lower military appeals court since the Marcum ruling took effect . The United States Army Court of Criminal Appeals

  16. Successful strategy to decrease indwelling catheter utilization rates in an academic medical intensive care unit.

    Science.gov (United States)

    Gupta, Sushilkumar Satish; Irukulla, Pavan Kumar; Shenoy, Mangalore Amith; Nyemba, Vimbai; Yacoub, Diana; Kupfer, Yizhak

    2017-08-22

    Duration of indwelling urinary catheterization is an important risk factor for urinary tract infections. We devised a strategy to decrease the utilization of indwelling urinary catheters (IUCs). We also highlight the challenges of managing critically ill patients without IUCs and demonstrate some of the initiatives that we undertook to overcome these challenges. A retrospective observational outcomes review was performed in an adult medical intensive care unit (ICU) between January 2012 and December 2016. This period included a baseline and series of intervals, whereby different aspects of the strategies were implemented. IUC utilization ratio and catheter-associated urinary tract infection (CAUTI) rates were calculated. Our IUC utilization ratio had a statistically significant decrease from 0.92 (baseline) to 0.28 (after 3 interventions) (P decrease from 5.47 (baseline) to 1.08 (after 3 intervention) (P = .0134). These rates sustained a statistically significant difference over the 2-year follow-up period from the last intervention. Incontinence-associated dermatitis (IAD) was identified as a potential complication of not using an IUC. There was no statistically significant change in the IAD rates during 2013-2016. Our interventions demonstrated that aggressive and comprehensive IUC restriction protocol and provider training can lead to a successful decrease in IUC use, leading to a lower IUC utilization ratio and CAUTI rate in a large complex academic ICU setting. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  17. Thermal Unit Commitment Scheduling Problem in Utility System by Tabu Search Embedded Genetic Algorithm Method

    Directory of Open Access Journals (Sweden)

    C. Christober Asir Rajan

    2008-06-01

    Full Text Available The objective of this paper is to find the generation scheduling such that the total operating cost can be minimized, when subjected to a variety of constraints. This also means that it is desirable to find the optimal unit commitment in the power system for the next H hours. A 66-bus utility power system in India demonstrates the effectiveness of the proposed approach; extensive studies have also been performed for different IEEE test systems consist of 24, 57 and 175 buses. Numerical results are shown comparing the cost solutions and computation time obtained by different intelligence and conventional methods.

  18. A Peacetime/Wartime Framework. Soviet and Chinese Views of Military and Non-Military Factors in the Balance of Power and Their Implications for the United States

    Science.gov (United States)

    1984-01-31

    I.I i m ii11 0 0 0 ....... I L I Sociological and Military Affairs, 75825, 6 April 1980. 68. Ningxia Ribao, 29 June 1982. FBIS, China, 3 August 1982...LIBRARY ATTN CODE 17504 SYE, ATTN CODE 1 750 J SYKES ATTN CODE 1750WCONLEY* U S ARMY ENGR WATERWAYS EXPER STATION ATTN CDEN1750TR COEY ATTNJ RHOUTON.WESV...BRODE. CHAIRMAN SAGE ATTN L 83 M GUSTAVSON ATTN R A CORALLO PALOMAR CORP ATTN R WERNE 2 CYS ATTN 8 GAPPETT 2 CYS ATTN BOGLASERLOS ALAMOS NATIONAL LABORATORYATTN F601 T DOWLER ATTN R SANOOVAL ATTN R STOLPE 112 S - kv *S

  19. Interservice Resource Management. Proceedings of the Military Librarians’ Workshop (26th) Held at the United States Military Academy, West Point, New York, 13 - 15 October 1982

    Science.gov (United States)

    1984-01-01

    personal, as well as the U.S. Military Academy’s, thanks go to Mr. Paul Klinefelter and Mr. Normand Varieur and to their committee members as well as to...art history . At the time of this writing, the results have only been par- tially analyzed, bit even this restricted analysis shows intriguing results...renaissance and baroque art history is obviously a much . more specialized subject. What did the overlap study reveal in this in- 14 • .S -- -• -.-. - 0 0

  20. A Model Midshipman: Factors Related to Academic and Military Success of Prior Enlisted Midshipmen at the United States Naval Academy

    Science.gov (United States)

    2005-06-01

    40 1. Plebe Year Academic Performance..................................................40 2. First Class Year Academic Performance...43 3. Plebe Military Performance..............................................................44 4. First...41 Table 5. Plebe Year CAQPR Regression Output

  1. Cancer risk and all-cause mortality among Norwegian military United Nations peacekeepers deployed to Kosovo between 1999 and 2011.

    Science.gov (United States)

    Strand, Leif Aage; Martinsen, Jan Ivar; Borud, Einar Kristian

    2014-08-01

    Media reports of leukaemia and other cancers among European United Nations (UN) peacekeepers who served in the Balkans, and a scientific finding of excess Hodgkin lymphoma among Italian UN peacekeepers who served in Bosnia, suggested a link between cancer incidence and depleted uranium (DU) exposure. This spurred several studies on cancer risk among UN peacekeepers who served in the Balkans. Although these studies turned out to be negative, the debate about possible cancers and other health risks caused by DU exposure continues. The aim of the present study was to investigate cancer incidence and all-cause mortality in a cohort of 6076 (4.4% women) Norwegian military UN peacekeepers deployed to Kosovo between 1999 and 2011. The cohort was followed for cancer incidence and mortality from 1999 to 2011. Standardised incidence ratios for cancer (SIR) and mortality ratios (SMR) were calculated from national rates. Sixty-nine cancer cases and 38 deaths were observed during follow-up. Cancer incidence in the cohort was similar to that in the general Norwegian population. No cancers in the overall cohort significantly exceeded incidence rates in the general Norwegian population, but there was an elevated SIR for melanoma of skin in men of 1.90 (95% confidence interval [CI] 0.95-3.40). A fivefold increased incidence of bladder cancer was observed among men who served in Kosovo for ≥ 1 year, based on 2 excess cases (SIR=5.27; 95% CI 1.09-15.4). All-cause mortality was half the expected rate (SMR=0.49; 95% CI 0.35-0.67). Our study did not support the suggestion that UN peacekeeping service in Kosovo is associated with increased cancer risk. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. MOBIL CONTAINER UNIT FOR SEWAGE SLUDGE UTILIZATION FROM SMALL AND MEDIUM WASTWATER TREATMENT PLANTS

    Directory of Open Access Journals (Sweden)

    Stanisław Ledakowicz

    2016-06-01

    Full Text Available The most wastewater treatment plants in Poland are small and medium plants of flow capacity below 1000 m3/d. These plants are not able to build sludge incineration plants and the transportation costs to the nearest plants increase the total costs of wastewater treatment. Polish company Metal Expert together with the French company ETIA and Lodz University of Technology proposed mobile unit for integrated drying and pyrolysis of sewage sludge in a pilot bench scale with capacity of 100 kg/h of dewatered sludge. The pilot plant was mounted in a typical mobile container which could provide service to small and medium wastewater treatment plants offering thermal processing of sewage sludge. This unit consists of KENKI contact dryer and „Spirajoule”® pyrolyser supplied with electricity utilizing the Joule effect, and a boiler, wherein the pyrolysis gases and volatile products are burned producing steam sent to the contact dryer. The bio-char produced during sludge pyrolysis could be utilized for agriculture purposes. During preliminary experiments and short-term exploitation of the unit at Elbląg Wastewater Treatment Plant the obtained results allowed us to make a mass and energy balance depended on the process conditions in the pyrolysis temperature range of 400÷800 °C. Based on the obtained results a calculator was created in the Excel , which enables assessment of pyrolysis products content and making mass and energy balances depended on process parameters such as initial moisture of sludge, pyrolysis temperature and installation output.

  3. Understanding health-care access and utilization disparities among Latino children in the United States.

    Science.gov (United States)

    Langellier, Brent A; Chen, Jie; Vargas-Bustamante, Arturo; Inkelas, Moira; Ortega, Alexander N

    2016-06-01

    It is important to understand the source of health-care disparities between Latinos and other children in the United States. We examine parent-reported health-care access and utilization among Latino, White, and Black children (≤17 years old) in the United States in the 2006-2011 National Health Interview Survey. Using Blinder-Oaxaca decomposition, we portion health-care disparities into two parts (1) those attributable to differences in the levels of sociodemographic characteristics (e.g., income) and (2) those attributable to differences in group-specific regression coefficients that measure the health-care 'return' Latino, White, and Black children receive on these characteristics. In the United States, Latino children are less likely than Whites to have a usual source of care, receive at least one preventive care visit, and visit a doctor, and are more likely to have delayed care. The return on sociodemographic characteristics explains 20-30% of the disparity between Latino and White children in the usual source of care, delayed care, and doctor visits and 40-50% of the disparity between Latinos and Blacks in emergency department use and preventive care. Much of the health-care disadvantage experienced by Latino children would persist if Latinos had the sociodemographic characteristics as Whites and Blacks.

  4. Stereotactic radiotherapy of the prostate: fractionation and utilization in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Weiner, Josph P.; Schwartz, David; Shao, Meng; Osborn, Virginia; Schreiber, David [Dept. of Radiation Oncology, Veterans Affairs New York Harbor Healthcare System, Brooklyn (United States); Choi, Kwang [Dept. of Radiation Oncology, SUNY Downstate Medical Center, Brooklyn (United States)

    2017-06-15

    To analyze the utilization and fractionation of extreme hypofractionation via stereotactic body radiotherapy (SBRT) in the treatment of prostate cancer. Data was analyzed on men diagnosed with localized prostate cancer between 2004–2012 and treated with definitive-intent radiation therapy, as captured in the National Cancer Database. This database is a hospital-based registry that collects an estimated 70% of all diagnosed malignancies in the United States. There were 299,186 patients identified, of which 4,962 (1.7%) were identified as receiving SBRT as primary treatment. Of those men, 2,082 had low risk disease (42.0%), 2,201 had intermediate risk disease (44.4%), and 679 had high risk disease (13.7%). The relative utilization of SBRT increased from 0.1% in 2004 to 4.0% in 2012. Initially SBRT was more commonly used in academic programs, though as time progressed there was a shift to favor an increased absolute number of men treated in the community setting. Delivery of five separate treatments was the most commonly utilized fractionation pattern, with 4,635 patients (91.3%) receiving this number of treatments. The most common dosing pattern was 725 cGy × 5 fractions (49.6%) followed by 700 cGy × 5 fractions (21.3%). Extreme hypofractionation via SBRT is slowly increasing acceptance. Currently 700-725 cGy × 5 fractions appears to be the most commonly employed scheme. As further long-term data regarding the safety and efficacy emerges, the relative utilization of this modality is expected to continue to increase.

  5. 32 CFR 575.1 - Military Academy.

    Science.gov (United States)

    2010-07-01

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

  6. Utilization of preventive care services and their effect on cardiovascular outcomes in the United States

    Directory of Open Access Journals (Sweden)

    Varun Vaidya

    2011-01-01

    Full Text Available Varun Vaidya, Gautam Partha, Jennifer HowePharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, OH, USAObjective: To describe and analyze utilization of preventive care services and their effect on cardiovascular outcomes in the United States.Methods: Data from the 2007 Medical Expenditure Panel Survey (MEPS were used to analyze utilization of preventive care services and their effect on cardiovascular outcomes. Recommendations by the Seventh Report of the Joint Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and the National Cholesterol Education Program were used to determine appropriate levels of preventive care utilization. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable, while age, gender, race, ethnicity, insurance status, and perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, while a multivariate logistic regression model was built to predict odds of utilizing appropriate levels of preventive services.Results: Total number of adult respondents for which data were available for blood pressure checkup and cholesterol checkup was 20,523 and 15,784, respectively. Overall, MEPS respondents were found to adhere to guideline recommendations for preventive care utilization. Multivariate logistic regression showed that odds of utilization of preventive care services were higher for elderly patients (age >65 years for blood pressure (odds ratio [OR] = 2.39, 95% confidence interval [CI]: 1.92–2.97 and cholesterol (OR = 3.05, 95% CI: 2.18–4.27 preventive services compared with younger population (age 18–54 years. Males had much lower odds of

  7. Longitudinal Risk and Resilience Factors Predicting Psychiatric Disruption, Mental Health Service Utilization & Military Retention in OIF National Guard Troops

    Science.gov (United States)

    2009-04-01

    Prescribed by ANSI Std . Z39.18 Page 3 Table of Contents...Minneapolis, MN 5541, United StatesQ2 6 c Department of Psychiatry, University of Minnesota Medical School, 420 Delaware Street, S.E. Minneapolis, MN 55455...Krueger, R. F. (1999). Personality traits in late adolescence predict mental disorders in 600 early adulthood: A prospective epidemiological study

  8. [Transnational health service utilization by Mexican immigrants in the United States].

    Science.gov (United States)

    González-Vázquez, Tonatiuh Tomás; Torres-Robles, Cristian Armando; Pelcastre-Villafuerte, Blanca Estela

    2013-01-01

    Document the transnational utilization of health resources and services by Mexican immigrants in the United States. Between December 2009-February 2011, Interviews and focus groups were conducted in California and four states of México. Data were collected from 135 individuals, including return migrants, allopathic physicians and traditional healers. Faced with obstacles to accessing US health care and some health services within the Mexican system, many immigrants within the US make use of Mexican health resources and services, either from a distance or during visits to Mexico. These resources and services include allopathic medicine, traditional medicine, and home remedies and medicines. The legal status of immigrants and their access to health insurance in the US are related to whether their transnational use of Mexican health resources and services is formal or informal; immigrants who are undocumented and without health insurance are the most vulnerable.

  9. AN ANALYSIS OF THE IMPACT OF SPORTS UTILITY VEHICLES IN THE UNITED STATES

    Energy Technology Data Exchange (ETDEWEB)

    Davis, S.C.

    2000-08-16

    During the 1990s, sport utility vehicles (SUVs) became the fastest growing segment of the auto industry, especially those in the medium-size category. In 1999, SUV sales reached almost 19% of the total light vehicle market and the mix of SUVs on the road, as measured by registration data, was about 8.7%. This immense popularity has been called by some a passing fad--vehicle purchases based on the SUV ''image''. But the continued yearly increases in SUV sales seem to indicate a more permanent trend. Additional explanations for SUV popularity include the general economic well being in the United States, a perception of safety, and ''utility''. Generally larger and heavier than the typical automobile, SUVs require more fuel per mile to operate and produce greater amounts of pollutants. They are also driven further annually than are automobiles of the same vintage, a fact that exacerbates the fuel-use and emission problems. Although buyers believe that SUVs are safer than automobiles which they are in some cases, SUVs are more prone to roll-overs than are automobiles. In addition, SUVs, with their higher bumpers and greater weight, may be a threat to other vehicles on the highway, especially in side-impact crashes. With sales projected to grow to over 3 million units per year beginning in 2001, SUVs show no sign of decreasing in popularity. These vehicles are used primarily for general mobility, rather than off-road activities. An emphasis on better fuel economy and improved emissions control could address environmental and oil dependency concerns. In fact, recently, two vehicle manufacturers announced intentions of improving the fuel economy of their SUVs in the next few years. Also, tests simulating crashes involving automobiles and SUVs could provide valuable data for identifying potential safety design issues. It is clear that automobiles and SUVs will be sharing the highways for years to come.

  10. Acculturation and health care utilization among Mexican heritage women in the United States.

    Science.gov (United States)

    Bermúdez-Parsai, Mónica; Mullins Geiger, Jennifer L; Marsiglia, Flavio F; Coonrod, Dean V

    2012-08-01

    With the increasing Latino population in the United States, it is critical to examine the influence of the process of acculturation on health care practices and utilization. The purpose of this study was to evaluate the relationship between acculturation level and post-partum visit (PPV) compliance among Latinas participating in a larger psycho-educational intervention aimed at encouraging women to engage in positive healthcare practices. Acculturation was measured with the Bicultural Involvement Questionnaire which assigned participants to five categories: Assimilated, Separated, Moderate, Bicultural and Alienation. Logistic Regression analyses were conducted to predict post-partum visit attendance. Odds ratios and relative risk of not attending the post-partum visit are presented. Results suggest women in the Separation and Assimilation groups were less likely than bicultural group members to attend the PPV. The only other variable that was significant in this analysis is the group condition, indicating that the intervention group was more likely to attend the PPV than the control group. Women identifying as bicultural seem to participate more actively in their own healthcare as they draw on the cultural assets that have a positive influence on informal health practices, such as healthy eating and refraining from drug use. Bicultural group members can also use formal skills related to language and knowledge of the dominant culture to help effectively navigate the healthcare system. Implications for research, intervention and practice are discussed to improve healthcare practices and increase utilization among Latinas.

  11. Sexual orientation and substance abuse treatment utilization in the United States: results from a national survey.

    Science.gov (United States)

    McCabe, Sean Esteban; West, Brady T; Hughes, Tonda L; Boyd, Carol J

    2013-01-01

    This study examined substance abuse treatment utilization across three dimensions of sexual orientation (identity, attraction, and behavior) in a large national sample of adults in the United States. Prevalence estimates were based on data collected from the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions. The sample consisted of 34,653 adults 20 years and older, and represented a population that was 52% women, 71% White, 12% Hispanic, 11% African American, 4% Asian, and 2% other race/ethnicities. An estimated 2% of the target population self-identified as lesbian, gay or bisexual; 4% reported same-sex sexual behavior, and 6% reported same-sex sexual attraction. Sexual minorities, especially women, had a greater likelihood of lifetime substance use disorders and earlier age of drinking onset. The majority of respondents with substance use disorders were untreated and lifetime substance abuse treatment utilization differed based on sexual orientation. Sexual minorities were found to have more extensive family histories of substance abuse problems. The findings indicate the underutilization of substance abuse treatment among all adults, and highlight some important factors to consider when working with sexual minorities. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. Drug utilization study in a burn care unit of a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Santoshkumar R Jeevangi

    2011-03-01

    Full Text Available Objective: To evaluate drug utilization and associated costs for the treatment of patients admitted in burn care unit of a tertiary care hospital. Methods: A prospective cross sectional study was conducted for a period of 15 months at Basaweshwara Teaching and General Hospital (BTGH, Gulbarga and the data collected was analyzed for various drug use indicators. Results: A total of 100 prescriptions were collected with 44% belonging to males and 56% to females. The average number of drugs per prescription ranged from 4.5 to 9.5. 9.5% of generics and 92% of essential drugs were prescribed. The opioid analgesics and sedatives were prescribed to all the patients who were admitted in burn care unit. The (Defined daily dose DDD/1 000/day for amikacin (359 was the highest followed by diclofenac sodium (156, pantoprazole (144, diazepam (130, ceftazidime (124, tramadol (115, ceftriaxone (84 and for paracetamol (4 which was the lowest. Conclusions: Significant amount of the money was spent on procurement of drugs. Most of the money was spent on prescribed antibiotics. The prescription of generic drugs should be promoted, for cost effective treatment. Hence the results of the present study indicate that there is a considerable scope for improvement in the prescription pattern.

  13. Complementary and alternative medical therapy utilization by people with chronic fatiguing illnesses in the United States

    Directory of Open Access Journals (Sweden)

    Jones Ann-Britt

    2007-04-01

    Full Text Available Abstract Background Chronic fatiguing illnesses, including chronic fatigue syndrome (CFS, pose a diagnostic and therapeutic challenge. Previous clinical reports addressed the utilization of health care provided to patients with CFS by a variety of practitioners with other than allopathic training, but did not examine the spectrum of complementary and alternative medicine (CAM therapies used. This study was designed to measure CAM therapy use by persons with fatiguing illnesses in the United States population. Methods During a random-digit dialing survey to estimate the prevalence of CFS-like illness in urban and rural populations from different geographic regions of the United States, we queried the utilization of CAM including manipulation or body-based therapies, alternative medical systems, mind-body, biologically-based, and energy modalities. Results Four hundred forty fatigued and 444 non-fatigued persons from 2,728 households completed screening. Fatigued subjects included 53 persons with prolonged fatigue, 338 with chronic fatigue, and 49 with CFS-like illness. Mind-body therapy (primarily personal prayer and prayer by others was the most frequently used CAM across all groups. Among women, there was a significant trend of increasing overall CAM use across all subgroups (p-trend = 0.003. All categories of CAM use were associated with significantly poorer physical health scores, and all but one (alternative medicine systems were associated with significantly poorer mental health scores. People with CFS-like illness were significantly more likely to use body-based therapy (chiropractic and massage than non-fatigued participants (OR = 2.52, CI = 1.32, 4.82. Use of body-based therapies increased significantly in a linear trend across subgroups of non-fatigued, prolonged fatigued, chronic fatigued, and CFS-like subjects (p-trend = 0.002. People with chronic fatigue were also significantly more likely to use body-based therapy (OR = 1.52, CI = 1

  14. The United States Special Operations Command Civil Military Engagement Program - A Model for Military-Interagency Low Cost / Small Footprint Activities

    Science.gov (United States)

    2014-05-02

    with the Office of the United Nations High Commissioner for Refugees ( UNHCR ) and other international and nongovernmental organizations (NGOs) to...infrastructure. By the end of 2012 the United Nations High Commission for Refugees ( UNHCR ) estimated the number of Syrians in Jordan at 140,000. CMSE...good governance programs at the local level; 4) The Refugee Support Program assisted refugee relocation; 5) The PSYOP Program provided support for

  15. Translating sexual assault prevention from a college campus to a United States military installation: piloting the know-your-power bystander social marketing campaign.

    Science.gov (United States)

    Potter, Sharyn J; Stapleton, Jane G

    2012-05-01

    One population that shares both similar and different characteristics with traditional college-age students is the U.S. Military. Similarities include a high concentration of 18- to 26-year-olds dealing with new found independence, peer pressure, and the presence of social norms that support violence and hypermasculinity. Sexual violence is a major public health problem in the United States, and because of the similarities in the age group of college and military populations, the problems regarding sexual violence in both constituencies have been well-documented. In the current pilot study we seek to add to both current knowledge about and promising practices of translating prevention strategies from one target audience to another. We describe how we translated, administered, and evaluated a bystander intervention social marketing campaign focused on sexual assault prevention that had been found to significantly affect attitude change on a college campus for a U.S. Army installation in Europe. In addition to demonstrating the process of translating prevention strategies across target audiences, findings from this pilot study contribute to the evaluation data on the effectiveness of sexual violence prevention strategies implemented with members of the U.S. Military. From our analysis, we see that research participants indicate that the degree to which the images resonate with them and the familiarity of the context (i.e., social self-identification) significantly effect the participants' personal responsibility for reducing sexual assault, confidence in acting as a bystander, and reported engagement as a bystander.

  16. Intimate partner violence and utilization of prenatal care in the United States.

    Science.gov (United States)

    Cha, Susan; Masho, Saba W

    2014-03-01

    Over 1.5 million women are victims of physical, sexual, and emotional abuse by former or present intimate partners. Intimate partner violence (IPV) around pregnancy can lead to devastating health consequences to mothers and infants. While some research suggests that IPV negatively affects the utilization of health services like prenatal care (PNC), inconsistencies in the assessment of PNC utilization, timing of partner violence, and definitions of IPV yield conflicting results. The objective for the present study is to evaluate whether preconception IPV, prenatal IPV, or IPV in the preconception and/or prenatal period affects PNC utilization. This study analyzed the 2004-2008 national Pregnancy Risk Assessment Monitoring System (PRAMS), which included 202,367 women who delivered a live birth in the United States. IPV victimization was measured using four items that addressed physical abuse by a current or former husband/partner in the 12 months before (preconception) and during (prenatal) pregnancy. Responses were categorized as preconception, prenatal, and preconception and/or prenatal IPV. The outcome was PNC adequacy categorized as inadequate, intermediate, adequate, and adequate plus based on the Adequacy of Prenatal Care Utilization index. Separate logistic regression models provided crude and adjusted odds ratios and 95% confidence intervals (CI). Over 6% of women reported preconception and/or prenatal IPV and 26% had less than adequate PNC. Women who reported abuse before and/or during pregnancy were more likely to have inadequate PNC (odds ratio [OR] = 1.4, 95% CI = [1.3, 1.6]). Similarly, women who experienced preconception or prenatal IPV were 30% more likely to have inadequate PNC (OR = 1.3, 95% CI = [1.2, 1.5]; OR = 1.3, 95% CI = [1.1, 1.7], respectively). Adequate PNC is essential in improving pregnancy outcomes; however, women in abusive relationships may face ongoing challenges and difficulties with obtaining appropriate care. Findings underscore a

  17. 32 CFR 9.2 - Establishment of Military Commissions.

    Science.gov (United States)

    2010-07-01

    ... PROCEDURES FOR TRIALS BY MILITARY COMMISSIONS OF CERTAIN NON-UNITED STATES CITIZENS IN THE WAR AGAINST TERRORISM § 9.2 Establishment of Military Commissions. In accordance with the President's Military Order...

  18. Travelers’ Diarrhea Diagnosis and Therapy Study in United States Military Personnel on Short-Term Deployment in Thailand

    Science.gov (United States)

    2004-01-01

    conjunctivitis, and urethritis triad) and ankylosing spondylitis have estimated increased risks of 37- and 126-fold, respectively. The hemolytic uremic...Table 1. Population characteristics among U.S. military presenting with acute diarrhea during training exercises in Thailand...ON TRAINING EXERCISES IN THAILAND, A CAMPYLOBACTER HYPERENDEMIC REGION .................................................. 137 ABSTRACT

  19. US MILITARY OVERSEAS BASES- HOW THEY BEGAN AND THE ENDURING NEED FOR FORWARD BASED UNITED STATES TROOPS

    Science.gov (United States)

    2017-04-06

    States might ‘exercise international police power in ‘flagrant cases of such wrongdoing or impotence’.8 In 1912, Woodrow Wilson , a progressive leader...deployed its vessels in ‘combat-credible force packages’ to signal American resolve. Under President Wilson , the US military sustained its works to

  20. IED Campaign in the U.S. Homeland: Are U.S. Military EOD Units Prepared to Respond

    Science.gov (United States)

    2017-06-09

    military’s categories for capabilities development : doctrine, organization , training, materiel, leadership and education, personnel, and facilities...military’s Joint Capabilities Development (JCD) system used to create and evolve military capabilities through changes in doctrine, organization ... organization without requiring a lengthy and expensive acquisitions or force development solution. A materiel solution for the primary or secondary research

  1. Soft power geopolitics: how does the diminishing utility of military power affect the Russia – West confrontation over the “Common Neighbourhood”

    Directory of Open Access Journals (Sweden)

    Vasif HUSEYNOV

    2016-12-01

    Full Text Available This paper is based on the fact that a number of factors, but particularly the restricting utility of military force between great powers, increase the significance of soft power as a tool both for legitimization and expansion in international relations in general, and in the West – Russia confrontation over the “common (or shared neighbourhood” in particular. It explores how this fact affects the policies of the Western powers and Russia within the frame of the confrontation they are in. The paper narrows down its analytical focus on the efforts of the Kremlin to affect the public opinion in its neighbourhood and to counter Western soft power. It is argued that the Ukraine crisis has affected Russia’s perception of soft power, re-constructed its counter-revolutionary agenda, and increased the profile of propaganda in its foreign policy. The paper concludes that the soft power competition between Russia and West and the policies of the two powers to win over the hearts and minds of people in the shared neighbourhood re-define the character of geopolitical games in the Former Soviet Union.

  2. Analysis on the Utilization of Digital Resources in Military Academy Library%军校图书馆数字资源利用现状分析

    Institute of Scientific and Technical Information of China (English)

    王宏燕

    2016-01-01

    随着社会科学技术的不断发展和教育机制的创新改革,越来越多的电子及网络开始出版,各大高校的图书馆资源也逐渐变得数字化,传统纸质图书馆已不能够满足学生的要求。文章分析了各军校图书馆目前存在的数字资源利用问题。%With the development of society, science and technology and education mechanism of reform and innovation, more and more electronic and network began publishing. Major colleges and universities library resources have gradually become digitized, so the traditional paper libraries cannot meet the students ’ more requirements. The paper researches on the existing problems in various military academy library digital resources utilization process.

  3. Psychological Safety During Military Integrations

    NARCIS (Netherlands)

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

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

  4. A Framework for NGO-Military Collaboration

    Science.gov (United States)

    2013-12-13

    the roles of various actors involved in postconflict reconstruction ” (Gheciu 2011, 96). Blurred boundaries, in the case of increasing NATO military...Coordination of Humanitarian Affairs OE Operational Environment OFDA Office of Foreign Disaster Assistance PRT Provincial Reconstruction Team SAR...military units are now tasked with a broad range of stability missions, from peacekeeping to post-conflict reconstruction . Military units

  5. Competence, risk, and resilience in military families: conceptual commentary.

    Science.gov (United States)

    Masten, Ann S

    2013-09-01

    This commentary highlights conceptual themes in the opening section of this special issue on military families in relation to a new synthesis of developmental systems theory that emerged from developmental, ecological, and family systems theory, as well as developmental psychopathology and risk/resilience frameworks. Articles in this special issue draw on these concepts to characterize and guide the burgeoning research on military families. This perspective emphasizes that multiple dynamic systems interact across levels to shape individual development, as well as the function of families and military units. Developmental timing is important for understanding how challenges of military life may impact individuals and families. Cascade effects are noted, where stress experienced by one family or service member can influence the function of other individuals or larger systems. Capacity for resilience is distributed across systems, including families and cultures, as well as resources or supports provided by military organizations to foster adaptive responses or recovery. These systems include schools and educational programs that play key roles in fostering and supporting resilience for children. Overall, developmental system concepts have considerable utility for guiding research with military families, particularly in regard to promoting resilience. Moreover, lessons learned from military families and programs may have much broader implications for many other nonmilitary children, families, and organizations that share similar goals and challenges.

  6. Spatial resolution recovery utilizing multi-ray tracing and graphic processing unit in PET image reconstruction.

    Science.gov (United States)

    Liang, Yicheng; Peng, Hao

    2015-02-07

    Depth-of-interaction (DOI) poses a major challenge for a PET system to achieve uniform spatial resolution across the field-of-view, particularly for small animal and organ-dedicated PET systems. In this work, we implemented an analytical method to model system matrix for resolution recovery, which was then incorporated in PET image reconstruction on a graphical processing unit platform, due to its parallel processing capacity. The method utilizes the concepts of virtual DOI layers and multi-ray tracing to calculate the coincidence detection response function for a given line-of-response. The accuracy of the proposed method was validated for a small-bore PET insert to be used for simultaneous PET/MR breast imaging. In addition, the performance comparisons were studied among the following three cases: 1) no physical DOI and no resolution modeling; 2) two physical DOI layers and no resolution modeling; and 3) no physical DOI design but with a different number of virtual DOI layers. The image quality was quantitatively evaluated in terms of spatial resolution (full-width-half-maximum and position offset), contrast recovery coefficient and noise. The results indicate that the proposed method has the potential to be used as an alternative to other physical DOI designs and achieve comparable imaging performances, while reducing detector/system design cost and complexity.

  7. Primary language spoken at home and children's dental service utilization in the United States.

    Science.gov (United States)

    Noyce, Matthew; Szabo, Aniko; Pajewski, Nicholas M; Jackson, Scott; Bradley, T Gerard; Okunseri, Christopher

    2009-01-01

    Language barriers have been well documented as a contributing factor to disparities in the receipt of medical services, especially for Hispanic children. However, there is a paucity of information on the effect of language barriers on children's dental service utilization. We examined the association of primary language spoken at home with the receipt of preventive and routine dental care for children in the United States. We analyzed data from the Medical Expenditure Panel Survey (2002-2004), which contains data on 21,049 children weighted to represent 75.8 million children nationally. Among children aged 1-18 years, 13 percent spoke a language other than English at home. Whites, females, children between the ages of 7 and 12 years, and those whose parents spoke English at home had the highest marginal rates of preventive and routine dental visits. However, the large marginal effect of language, even among Hispanics, was not significant after adjusting for other covariates. Parental education and having a primary provider were the strongest predictors of preventive and routine dental visits. Children that did not speak English at home were less likely to receive preventive or routine dental care. However, after adjusting for other socio-economic factors, our study suggests that language barriers may not play as pronounced a role in the receipt of dental care as that documented for medical services.

  8. Effectiveness and Utility of a Case-Based Model for Delivering Engineering Ethics Professional Development Units

    Directory of Open Access Journals (Sweden)

    Heidi Ann Hahn

    2015-04-01

    Full Text Available This article describes an action research project conducted at Los Alamos National Laboratory (LANL to resolve a problem with the ability of licensed and/or certified engineers to obtain the ethics-related professional development units or hours (PDUs or PDHs needed to maintain their credentials. Because of the recurring requirement and the static nature of the information, an initial, in-depth training followed by annually updated refresher training was proposed. A case model approach, with online delivery, was selected as the optimal pedagogical model for the refresher training. In the first two years, the only data that was collected was throughput and information retention. Response rates indicated that the approach was effective in helping licensed professional engineers obtain the needed PDUs. The rates of correct responses suggested that knowledge transfer regarding ethical reasoning had occurred in the initial training and had been retained in the refresher. In FY13, after completing the refresher, learners received a survey asking their opinion of the effectiveness and utility of the course, as well as their impressions of the case study format vs. the typical presentation format. Results indicate that the courses have been favorably received and that the case study method supports most of the pedagogical needs of adult learners as well as, if not better than, presentation-based instruction. Future plans for improvement are focused on identifying and evaluating methods for enriching online delivery of the engineering ethics cases.

  9. Coercion: A Credible and Capable United States Military Instrument of Power Key to Future US Foreign Policy Success

    Science.gov (United States)

    2012-06-17

    led Noriega to perceive the demand was not serious. As Byman and Waxman make very clear, “Will and credibility matter as much as, and often more than...Department advocacy of force to overthrow Panamanian Dictator Manuel Noriega in Panama.31 They believed that using military force was not appropriate to... Noriega , President Bush addressed the nation and stated he looked forward to strengthening relations with democracies in this hemisphere.51

  10. The Impact to NATO and the United States of the European Union’s Military Rapid-Reaction Force

    Science.gov (United States)

    2007-11-02

    rhetoric. Catherine Lalumiere , a French member of the EU Parliament and a member of a left wing political party, was the rapporteur for a November...with Ukraine ( Lalumiere 2000, 8-12). In fact, EU members have many military modernization programs underway, in addition to the aforementioned A400M...this thesis could not address. 85 REFERENCE LIST Aguera, Martin and Amy Svitak. 2001. Spending gap bedevils NATO. Defense News, October 8-14

  11. The Abongo Abroad: Military Internationalism, Travel, Training, and Peace in Ghana and the United States, 1960-1992

    Science.gov (United States)

    2014-05-01

    armies attempted to impose their own doctrines governing hygiene , gender roles, and nuclear families within larger projects of “detribalizing...century commodified consumer goods, especially household and hygiene items, to signify social differences, prescribe ever-shifting criteria of modernity...manufacturers and merchants . This chapter, therefore, employs the term “class” to describe Ghanaian military families’ socio-economic patterns in income

  12. 关于组建航空军事运输装卸保障分队的思考%Reflections on Construction of Loading and Unloading Support Unit for Military Airlift Transportation

    Institute of Scientific and Technical Information of China (English)

    罗雷; 李鹏; 常刚

    2012-01-01

    Based on the scrupulous analysis of the necessity of the construction of loading and unloading support unit for military airlift transportion, the construction principles of loading and unloading support unit for military airlift transportion are presented, the basic idea of construction of loading and unloading support unit for military airlift transportion are definit- ed.%在认真分析组建航空军事运输装卸保障分队必要性的基础上,提出了我军航空军事运输装卸保障分队的建设原则,明确了航空军事运输装卸保障分队建设的基本思路。

  13. International Space Station (ISS) Plasma Contactor Unit (PCU) Utilization Plan Assessment Update

    Science.gov (United States)

    Hernandez-Pellerano, Amri; Iannello, Christopher J.; Garrett, Henry B.; Ging, Andrew T.; Katz, Ira; Keith, R. Lloyd; Minow, Joseph I.; Willis, Emily M.; Schneider, Todd A.; Whittlesey, Edward J.; Wollack, Edward J.; Wright, Kenneth H.

    2014-01-01

    The International Space Station (ISS) vehicle undergoes spacecraft charging as it interacts with Earth's ionosphere and magnetic field. The interaction can result in a large potential difference developing between the ISS metal chassis and the local ionosphere plasma environment. If an astronaut conducting extravehicular activities (EVA) is exposed to the potential difference, then a possible electrical shock hazard arises. The control of this hazard was addressed by a number of documents within the ISS Program (ISSP) including Catastrophic Safety Hazard for Astronauts on EVA (ISS-EVA-312-4A_revE). The safety hazard identified the risk for an astronaut to experience an electrical shock in the event an arc was generated on an extravehicular mobility unit (EMU) surface. A catastrophic safety hazard, by the ISS requirements, necessitates mitigation by a two-fault tolerant system of hazard controls. Traditionally, the plasma contactor units (PCUs) on the ISS have been used to limit the charging and serve as a "ground strap" between the ISS structure and the surrounding ionospheric plasma. In 2009, a previous NASA Engineering and Safety Center (NESC) team evaluated the PCU utilization plan (NESC Request #07-054-E) with the objective to assess whether leaving PCUs off during non-EVA time periods presented risk to the ISS through assembly completion. For this study, in situ measurements of ISS charging, covering the installation of three of the four photovoltaic arrays, and laboratory testing results provided key data to underpin the assessment. The conclusion stated, "there appears to be no significant risk of damage to critical equipment nor excessive ISS thermal coating damage as a result of eliminating PCU operations during non- EVA times." In 2013, the ISSP was presented with recommendations from Boeing Space Environments for the "Conditional" Marginalization of Plasma Hazard. These recommendations include a plan that would keep the PCUs off during EVAs when the

  14. Comparing Oral Health Care Utilization Estimates in the United States Across Three Nationally Representative Surveys

    Science.gov (United States)

    Macek, Mark D; Manski, Richard J; Vargas, Clemencia M; Moeller, John

    2002-01-01

    Objective To compare estimates of dental visits among adults using three national surveys. Data Sources/Study Design Cross-sectional data from the National Health Interview Survey (NHIS), National Health and Nutrition Examination Survey (NHANES), and National Health Expenditure surveys (NMCES, NMES, MEPS). Study Design This secondary data analysis assessed whether overall estimates and stratum-specific trends are different across surveys. Data Collection Dental visit data are age standardized via the direct method to the 1990 population of the United States. Point estimates, standard errors, and test statistics are generated using SUDAAN. Principal Findings Sociodemographic, stratum-specific trends are generally consistent across surveys; however, overall estimates differ (NHANES III [364-day estimate] versus 1993 NHIS: –17.5 percent difference, Z=7.27, p value < 0.001; NHANES III [365-day estimate] vs. 1993 NHIS: 5.4 percent difference, Z=–2.50, p value=0.006; MEPS vs. 1993 NHIS: –29.8 percent difference, Z=16.71, p value < 0.001). MEPS is the least susceptible to intrusion, telescoping, and social desirability. Conclusions Possible explanations for discrepancies include different reference periods, lead-in statements, question format, and social desirability of responses. Choice of survey should depend on the hypothesis. If trends are necessary, choice of survey should not matter; however, if health status or expenditure associations are necessary, then surveys that contain these variables should be used, and if accurate overall estimates are necessary, then MEPS should be used. A validation study should be conducted to establish “true” utilization estimates. PMID:12036005

  15. Updated Value of Service Reliability Estimates for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Michael [Nexant Inc., Burlington, MA (United States); Schellenberg, Josh [Nexant Inc., Burlington, MA (United States); Blundell, Marshall [Nexant Inc., Burlington, MA (United States)

    2015-01-01

    This report updates the 2009 meta-analysis that provides estimates of the value of service reliability for electricity customers in the United States (U.S.). The meta-dataset now includes 34 different datasets from surveys fielded by 10 different utility companies between 1989 and 2012. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods, it was possible to integrate their results into a single meta-dataset describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the U.S. for industrial, commercial, and residential customers. This report focuses on the backwards stepwise selection process that was used to develop the final revised model for all customer classes. Across customer classes, the revised customer interruption cost model has improved significantly because it incorporates more data and does not include the many extraneous variables that were in the original specification from the 2009 meta-analysis. The backwards stepwise selection process led to a more parsimonious model that only included key variables, while still achieving comparable out-of-sample predictive performance. In turn, users of interruption cost estimation tools such as the Interruption Cost Estimate (ICE) Calculator will have less customer characteristics information to provide and the associated inputs page will be far less cumbersome. The upcoming new version of the ICE Calculator is anticipated to be released in 2015.

  16. Experimental investigations on prototype heat storage units utilizing stable supercooling of sodium acetate trihydrate mixtures

    DEFF Research Database (Denmark)

    Dannemand, Mark; Dragsted, Janne; Fan, Jianhua;

    2016-01-01

    was filled with 220 kg SAT mixture thickened with 1% carboxymethyl cellulose. The heat exchange capacity rate during the charging of the unit with the extra water was significantly higher than for the unit with the thickening agent due to the different levels of convection. The SAT mixtures in the units were......Laboratory tests of two heat storage units based on the principle of stable supercooling of sodium acetate trihydrate (SAT) mixtures were carried out. One unit was filled with 199.5 kg of SAT with 9% extra water to avoid phase separation of the incongruently melting salt hydrate. The other unit...

  17. Utility-Scale Solar 2014. An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Seel, Joachim [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-09-01

    Other than the nine Solar Energy Generation Systems (“SEGS”) parabolic trough projects built in the 1980s, virtually no large-scale or “utility-scale” solar projects – defined here to include any groundmounted photovoltaic (“PV”), concentrating photovoltaic (“CPV”), or concentrating solar thermal power (“CSP”) project larger than 5 MWAC – existed in the United States prior to 2007. By 2012 – just five years later – utility-scale had become the largest sector of the overall PV market in the United States, a distinction that was repeated in both 2013 and 2014 and that is expected to continue for at least the next few years. Over this same short period, CSP also experienced a bit of a renaissance in the United States, with a number of large new parabolic trough and power tower systems – some including thermal storage – achieving commercial operation. With this critical mass of new utility-scale projects now online and in some cases having operated for a number of years (generating not only electricity, but also empirical data that can be mined), the rapidly growing utility-scale sector is ripe for analysis. This report, the third edition in an ongoing annual series, meets this need through in-depth, annually updated, data-driven analysis of not just installed project costs or prices – i.e., the traditional realm of solar economics analyses – but also operating costs, capacity factors, and power purchase agreement (“PPA”) prices from a large sample of utility-scale solar projects in the United States. Given its current dominance in the market, utility-scale PV also dominates much of this report, though data from CPV and CSP projects are presented where appropriate.

  18. Military Exposures

    Science.gov (United States)

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

  19. Implementing the CASPiE course-based research experience at the United States Military Academy: Affective responses and effects on critical thinking

    Science.gov (United States)

    Chase, Anthony Michael

    The Center for Authentic Science Practices in Education (CASPiE) pioneered a course-based research experience approach to teaching chemistry laboratory courses. The method had previously been studied in a variety of institutional settings. Recently, the United States Military Academy at West Point decided to develop CASPiE-style modules for the introductory honors chemistry course. This research setting presents clean experimental-control comparisons and a group of faculty who were completely new to the method. Equipping students with authentic research experiences early in their education is important regardless of the institution. However, cadets at a military academy must make decisions relatively early (the outset of their second year) as to what their career trajectory will be as eventual officers. In the new CASPiE-based experience, cadets are given the opportunity to select from one of three different modules (analytical chemistry, toxicology, and chemical engineering) in which to participate during the course. These three modules represent subsections of an overall Army waste-to-energy research project. Cadets generate unique hypotheses, real data, and research posters towards the advancement of the project. Posters are then presented in a session. that includes an audience of project stakeholders, course instructors, and other academy faculty and staff. Here, I will present my research methods, evaluative procedures, and findings in the affective domain, critical thinking, and laboratory content comprehension.

  20. Study of water quality improvements during riverbank filtration at three midwestern United States drinking water utilities

    Science.gov (United States)

    Weiss, W.; Bouwer, E.; Ball, W.; O'Melia, C.; Lechevallier, M.; Arora, H.; Aboytes, R.; Speth, T.

    2003-04-01

    Riverbank filtration (RBF) is a process during which surface water is subjected to subsurface flow prior to extraction from wells. During infiltration and soil passage, surface water is subjected to a combination of physical, chemical, and biological processes such as filtration, dilution, sorption, and biodegradation that can significantly improve the raw water quality (Tufenkji et al, 2002; Kuehn and Mueller, 2000; Kivimaki et al, 1998; Stuyfzand, 1998). Transport through alluvial aquifers is associated with a number of water quality benefits, including removal of microbes, pesticides, total and dissolved organic carbon (TOC and DOC), nitrate, and other contaminants (Hiscock and Grischek, 2002; Tufenkji et al., 2002; Ray et al, 2002; Kuehn and Mueller, 2000; Doussan et al, 1997; Cosovic et al, 1996; Juttner, 1995; Miettinen et al, 1994). In comparison to most groundwater sources, alluvial aquifers that are hydraulically connected to rivers are typically easier to exploit (shallow) and more highly productive for drinking water supplies (Doussan et al, 1997). Increased applications of RBF are anticipated as drinking water utilities strive to meet increasingly stringent drinking water regulations, especially with regard to the provision of multiple barriers for protection against microbial pathogens, and with regard to tighter regulations for disinfection by-products (DBPs), such as trihalomethanes (THMs) and haloacetic acids (HAAs). In the above context, research was conducted to document the water quality benefits during RBF at three major river sources in the mid-western United States, specifically with regard to DBP precursor organic matter and microbial pathogens. Specific objectives were to: 1. Evaluate the merits of RBF for removing/controlling DBP precursors and certain other drinking water contaminants (e.g. microorganisms). 2. Evaluate whether RBF can improve finished drinking water quality by removing and/or altering natural organic matter (NOM) in a

  1. The Death of Military Justice

    Science.gov (United States)

    2010-01-01

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

  2. Military Implications of Global Warming.

    Science.gov (United States)

    2007-11-02

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

  3. Utility-Scale Solar 2013: An empirical analysis of project cost, performance, and pricing trends in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Weaver, Samantha [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2014-09-17

    Other than the SEGS I-IX parabolic trough projects built in the 1980s, virtually no large-scale or "utility-scale" solar projects-defined here to include any ground-mounted photovoltaic ("PV"), concentrating photovoltaic ("CPV"), or concentrating solar power ("CSP" or solar thermal) project larger than 5 MWAC-existed in the United States prior to 2007.

  4. Antimicrobial agents' utilization and cost pattern in an Intensive Care Unit of a Teaching Hospital in South India

    Directory of Open Access Journals (Sweden)

    Nikhilesh Anand

    2016-01-01

    Full Text Available Background and Aims: High utilization and inappropriate usage of antimicrobial agents (AMAs in an Intensive Care Unit (ICU increases resistant organisms, morbidity, mortality, and treatment cost. Prescription audit and active feedback are a proven method to check the irrational prescription. Measuring drug utilization in DDD/100 bed-days is proposed by the WHO to analyze and compare the utilization of drugs. Data of AMAs utilization are required for planning an antibiotic policy and for follow-up of intervention strategies. Hence, in this study, we proposed to evaluate the utilization pattern and cost analysis of AMA used in the ICU. Methodology: A prospective observational study was conducted for 1 year from January 1, 2014, to December 31, 2014, and the data were obtained from the ICU of a tertiary care hospital. The demographic data, disease data, relevant investigation, the utilization of different classes of AMAs (WHO-ATC classification as well as individual drugs and their costs were recorded. Results: One thousand eight hundred and sixty-two prescriptions of AMAs were recorded during the study period with an average of 1.73 ± 0.04 prescriptions/patient. About 80.4% patients were prescribed AMAs during admission. Ceftriaxone (22.77% was the most commonly prescribed AMA followed by piperacillin/tazobactam (15.79%, metronidazole (12%, amoxicillin/clavulanic acid (6.44%, and azithromycin (4.34%. Ceftriaxone, piperacillin/tazobactam, metronidazole, and linezolid were the five maximally utilized AMAs with 38.52, 19.22, 14.34, 8.76, and 8.16 DDD/100 bed-days respectively. An average cost of AMAs used per patient was 2213 Indian rupees (INR. Conclusion: A high utilization of AMAs and a high cost of treatment were noticed which was comparable to other published data, though an increased use of newer AMAs such as linezolid, clindamycin, meropenem, colistin was noticed.

  5. Energy Efficiency as a Preferred Resource: Evidence from Utility Resource Plans in the Western United States and Canada

    Energy Technology Data Exchange (ETDEWEB)

    Hopper, Nichole; Barbose, Galen; Goldman, Charles; Schlegel, Jeff

    2008-09-15

    This article examines the future role of energy efficiency as a resource in the Western United States and Canada, as envisioned in the most recent resource plans issued by 16 utilities, representing about 60percent of the region's load. Utility and third-party administered energy efficiency programs proposed by 15 utilities over a ten-year horizon would save almost 19,000 GWh annually, about 5.2percent of forecast load. There are clear regional trends in the aggressiveness of proposed energy savings. California's investor-owned utilities (IOUs) had the most aggressive savings targets, followed by IOUs in the Pacific Northwest, and the lowest savings were proposed by utilities in Inland West states and by two public utilities on the West coast. The adoption of multiple, aggressive policies targeting energy efficiency and climate change appear to produce sizeable energy efficiency commitments. Certain specific policies, such as mandated energy savings goals for California's IOUs and energy efficiency provisions in Nevada's Renewable Portfolio Standard had a direct impact on the level of energy savings included in the resource plans. Other policies, such as revenue decoupling and shareholder incentives, and voluntary or legislatively mandated greenhouse gas emission reduction policies, may have also impacted utilities' energy efficiency commitments, though the effects of these policies are not easily measured. Despite progress among the utilities in our sample, more aggressive energy efficiency strategies that include high-efficiency standards for additional appliances and equipment, tighter building codes for new construction and renovation, as well as more comprehensive ratepayer-funded energy efficiency programs are likely to be necessary to achieve a region-wide goal of meeting 20percent of electricity demand with efficiency in 2020.

  6. Utility-Scale Solar 2015: An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Seel, Joachim [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division

    2016-08-17

    The utility-scale solar sector—defined here to include any ground-mounted photovoltaic (“PV”), concentrating photovoltaic (“CPV”), or concentrating solar power (“CSP”) project that is larger than 5 MWAC in capacity—has led the overall U.S. solar market in terms of installed capacity since 2012. It is expected to maintain its market-leading position for at least another five years, driven in part by December 2015’s three-year extension of the 30% federal investment tax credit (“ITC”) through 2019 (coupled with a favorable switch to a “start construction” rather than a “placed in service” eligibility requirement, and a gradual phase down of the credit to 10% by 2022). In fact, in 2016 alone, the utility-scale sector is projected to install more than twice as much new capacity as it ever has previously in a single year. This unprecedented boom makes it difficult, yet more important than ever, to stay abreast of the latest utility-scale market developments and trends. This report—the fourth edition in an ongoing annual series—is intended to help meet this need, by providing in-depth, annually updated, data-driven analysis of the utility-scale solar project fleet in the United States. Drawing on empirical project-level data from a wide range of sources, this report analyzes not just installed project costs or prices—i.e., the traditional realm of most solar economic analyses—but also operating costs, capacity factors, and power purchase agreement (“PPA”) prices from a large sample of utility-scale solar projects throughout the United States. Given its current dominance in the market, utility-scale PV also dominates much of this report, though data from CPV and CSP projects are also presented where appropriate.

  7. U.S. Army Corrosion Office's storage and quality requirements for military MEMS program

    Science.gov (United States)

    Zunino, J. L., III; Skelton, D. R.

    2007-04-01

    As the Army transforms into a more lethal, lighter and agile force, the technologies that support these systems must decrease in size while increasing in intelligence. Micro-electromechanical systems (MEMS) are one such technology that the Army and DOD will rely on heavily to accomplish these objectives. Conditions for utilization of MEMS by the military are unique. Operational and storage environments for the military are significantly different than those found in the commercial sector. Issues unique to the military include; high G-forces during gun launch, extreme temperature and humidity ranges, extended periods of inactivity (20 years plus) and interaction with explosives and propellants. The military operational environments in which MEMS will be stored or required to function are extreme and far surpass any commercial operating conditions. Security and encryption are a must for all MEMS communication, tracking, or data reporting devices employed by the military. Current and future military applications of MEMS devices include safety and arming devices, fuzing devices, various guidance systems, sensors/detectors, inertial measurement units, tracking devices, radio frequency devices, wireless Radio Frequency Identifications (RFIDs) and network systems, GPS's, radar systems, mobile base systems and information technology. MEMS embedded into these weapons systems will provide the military with new levels of speed, awareness, lethality, and information dissemination. The system capabilities enhanced by MEMS will translate directly into tactical and strategic military advantages.

  8. Three essays on productivity and research and development in United States investor-owned electric utilities

    Science.gov (United States)

    Connolly, Haru

    Although productivity of major U.S. investor-owned utilities is an oft researched topic, the impact of research and development (R&D) on productivity has not been explored. Using a data set spanning from 1983 to 1994 and gathered from FERC Form 1 and publications from EPRI, the U.S. Energy Information Administration, and investment banks, I estimate total factor productivity, efficiency, and the impacts of regulation and other utility characteristics on R&D. Throughout the analysis, R&D is disaggregated into two categories, R&D at the industry's research consortium, the Electric Power Research Institute (EPRT) and R&D carried out by the utility itself. No published research on this industry has made such a distinction. In the first chapter, I use parametric methods to estimate an average production function and a production frontier that include both types of R&D as an input. The contributions of R&D of both types are small, which is expected given the low level of expenditures in the industry (about one percent of revenues). Total factor productivity is steady between 1984 and 1994. In chapter 2, I use data envelopment analysis (DEA) to estimate measures of efficiency for each utility. DEA is a nonparametric, linear programming method, and I compute estimates under the assumptions of constant and variable returns to scale (CRS and VRS, respectively). The VRS results are more plausible; under VRS, more utilities in a greater range of sizes are considered efficient than under CRS. The DEA efficiency measures are regressed on R&D, regulation (measured as investment bank Merrill Lynch's ratings of state commission's investor-friendliness), and other utility features, including the age of the generation plant and proportion of nuclear generation. Efficiency rises with both own R&D and spending at EPRI, and it decreases with the increasing age of the generation plant. Regulation has no effect. Finally, in chapter 3, I use a maximum likelihood Tobit to determine the

  9. Food Insecurity and Health Care Utilization Among Older Adults in the United States.

    Science.gov (United States)

    Bhargava, Vibha; Lee, Jung Sun

    2016-01-01

    This study examined the relationships between food insecurity and utilization of four health services among older Americans: office visits, inpatient hospital nights, emergency department visits, and home health care. Nationally representative data from the 2011 and 2012 National Health Interview Survey were used (N = 13,589). Nearly 83.0% of the sample had two or more office visits, 17.0% reported at least one hospital night, 23.0% had at least one emergency room visit, and 8.1% used home health care during the past 12 months. Adjusting for confounders, food-insecure older adults had higher odds of using more office visits, inpatient hospital nights, and emergency department visits than food-secure older adults, but similar odds of home health care utilization. The findings of this study suggest that programs and policies aimed at reducing food insecurity among older adults may have a potential to reduce utilization of health care services.

  10. Relationship Between Children’s Dental Needs and Dental Care Utilization: United States, 1988–1994

    Science.gov (United States)

    Vargas, Clemencia M.; Ronzio, Cynthia R.

    2002-01-01

    Objectives. This study describes the relationship between dental needs and dental care utilization among children. Methods. Data from the third National Health and Nutrition Examination Survey (1988-1994) were used to analyze dental care needs and dental care utilization. Results. Younger children with perceived needs (needs perceived by the child or responsible adult) were more likely to be episodic users of dental care than children without perceived needs. Younger children with normative needs (defined by the presence of untreated caries diagnosed by a dentist) were less likely to be regular users. Older children with perceived or normative needs were more likely to be episodic users and less likely to have had a previous-year visit than children with no needs. Conclusions. Despite their presence, dental needs do not drive dental care use among children, and children’s dental care utilization is inadequate. PMID:12406814

  11. Supporting Student Veterans: Utilizing Game-Based Role-Plays with Virtual Humans to Build Military Cultural Competency and Helping Behaviors in Faculty and Staff

    Science.gov (United States)

    Cate, Chris A.; Albright, Glenn

    2015-01-01

    Veterans and military service members enter the classroom with valuable life and leadership experience; however, transitioning to student life represents unique challenges. Like the larger veteran population, student veterans may bring to campus the negative aftereffects of their combat experiences in the form of post-traumatic stress, substance…

  12. Hispanic acculturation and utilization of colorectal cancer screening in the United States.

    Science.gov (United States)

    Shah, Mona; Zhu, Kangmin; Potter, John

    2006-01-01

    Despite the evidence on the effectiveness of colorectal cancer (CRC) screening procedures, its use remains low, especially among Hispanics. Social-cultural factors may play a role in the underutilization of cancer screening. This study aimed to examine whether low acculturation was a risk factor for the underutilization of colorectal cancer screening in the Hispanic population. The subjects were adults aged 50-80 years who identified themselves as Hispanic and never were diagnosed with colorectal cancer. Colorectal cancer screening utilization was assessed based on the use of at-home Fecal Occult Blood Test (FOBT) and the use of endoscopies (sigmoidoscopy, colonoscopy, or proctoscopy). Respondents who underwent a test for diagnostic purposes were excluded from the study. Our data showed that colorectal screening was underused in Hispanics compared to non-Hispanic Whites. There was a trend that acculturation level was inversely correlated with having an endoscopy in the past 5 years. This trend was also seen with having a FOBT in the past year or an endoscopy in the past 5 years. However, the association disappeared after adjusting for factors pertaining to utilizing other health care services. Additionally, after stratifying by gender, the association between the two variables was diluted. The findings show that low acculturation was associated with the underutilization of endoscopic colorectal cancer screening. This association may be related to lower utilization of health care services and/or language barriers that may contribute to the lower utilization.

  13. Association of unit size, resource utilization and occupancy with outcomes of preterm infants.

    Science.gov (United States)

    Shah, P S; Mirea, L; Ng, E; Solimano, A; Lee, S K

    2015-07-01

    Assess association of NICU size, and occupancy rate and resource utilization at admission with neonatal outcome. Retrospective cohort study of 9978 infants born at 23-32 weeks gestation and admitted to 23 tertiary-level Canadian NICUs during 2010-2012. Adjusted odds ratios (AOR) were estimated for a composite outcome of mortality/any major morbidity with respect to NICU size, occupancy rate and intensity of resource utilization at admission. A total of 2889 (29%) infants developed the composite outcome, the odds of which were higher for 16-29, 30-36 and >36-bed NICUs compared with bed NICUs (AOR (95% CI): 1.47 (1.25-1.73); 1.49 (1.25-1.78); 1.55 (1.29-1.87), respectively) and for NICUs with higher resource utilization at admission (AOR: 1.30 (1.08-1.56), Q4 vs Q1) but not different according to NICU occupancy. Larger NICUs and more intense resource utilization at admission are associated with higher odds of a composite adverse outcome in very preterm infants.

  14. Rotavirus vaccines and health care utilization for diarrhea in the United States (2007-2011).

    Science.gov (United States)

    Leshem, Eyal; Moritz, Rebecca E; Curns, Aaron T; Zhou, Fangjun; Tate, Jacqueline E; Lopman, Benjamin A; Parashar, Umesh D

    2014-07-01

    To examine reductions in diarrhea-associated health care utilization after rotavirus vaccine implementation and to assess direct and indirect effectiveness of vaccination. Retrospective cohort analysis of claims data of commercially insured US children aged vaccine coverage. We compared rates of diarrhea-associated health care utilization in prevaccine (2001-2006) versus postvaccine introduction (2007-2011) years, compared rates of diarrhea-associated health care utilization in vaccinated versus unvaccinated children and compared rates in unvaccinated children in postvaccine versus prevaccine years. Among children aged vaccine coverage rates reached 58% and 5%, respectively, by December 31, 2010. Compared with the average rate of rotavirus-coded hospitalizations in 2001-2006, rates were reduced by 75% in 2007-2008, 60% in 2008-2009, 94% in 2009-2010, and 80% in 2010-2011. Compared with unvaccinated children, in 2010-2011, the rate of rotavirus-coded hospitalizations was reduced by 92% among RV5 recipients and 96% among RV1 recipients. Rotavirus-coded hospitalization rate reductions among RV5 recipients versus unvaccinated children ranged from 87% among vaccines has substantially reduced diarrhea health care utilization in US children. Both rotavirus vaccines conferred high protection against rotavirus hospitalizations; RV5 conferred durable protection through the fourth year of life. Vaccination also conferred indirect benefits to unvaccinated children. Copyright © 2014 by the American Academy of Pediatrics.

  15. Cementing Military Bonds

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    China and the United States incorporate military cooperation into their strategic dialogue The recently concluded fifth round of the China-U.S.Strategic Dialogue with its special focus on defense was an instrumental first step for the two countries to advance their mili- tary relations through formal discussions,

  16. Pediatric Emergency Department Utilization and Reliance by Insurance Coverage in the United States.

    Science.gov (United States)

    Schlichting, Lauren E; Rogers, Michelle L; Gjelsvik, Annie; Linakis, James G; Vivier, Patrick M

    2017-08-18

    For many children, the Emergency Department (ED) serves as the main destination for health care, whether it be for emergent or non-urgent reasons. Through examination of repeat utilization and ED reliance, in addition to overall ED utilization, we can identify subpopulations dependent on the ED as their primary source of health care. Nationally representative data from the 2010-2014 Medical Expenditure Panel Survey (MEPS) were used to examine the annual ED utilization of children age 0-17 years by insurance coverage. Overall utilization, repeat utilization (≥2 ED visits), and ED reliance (percentage of all health care visits that occur in the ED) were examined using multivariate models, accounting for weighting and the complex survey design. High ED reliance was defined as having >33% of outpatient visits in a year being ED visits. A total of 47,926 children were included in the study. Approximately 12% of children visited an ED within a one-year period. A greater number of children with public insurance (15.2%) visited an ED at least once, compared to privately insured (10.1%) and uninsured (6.4%) children. Controlling for covariates, children with public insurance were more likely to visit the ED (adjusted odds ratio [aOR]: 1.55; 95% confidence interval [CI]: 1.40-1.73) than children with private insurance, whereas uninsured children were less likely (aOR: 0.64; 95% CI: 0.51-0.81). Children age three and under were significantly more likely to visit the ED than children age 15-17, whereas female children and Hispanic and non-Hispanic other race children were significantly less likely to visit the ED than male children and non-Hispanic white children. Among children with ED visits, 21% had two or more visits to the ED in a one-year period. Children with public insurance were more likely to have two or more visits to the ED (aOR: 1.53; 95% CI: 1.19-1.98) than children with private insurance whereas there was no significant difference in repeat ED utilization for

  17. An Analysis of the Impact of Sport Utility Vehicles in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Davis, S.C.; Truett, L.F.

    2000-08-01

    It may be labeled sport utility vehicle, SUV, sport-ute, suburban assault vehicle, or a friend of OPEC (Organization for Petroleum Exporting Countries). It has been the subject of comics, the object of high-finance marketing ploys, and the theme of Dateline. Whatever the label or the occasion, this vehicle is in great demand. The popularity of sport utility vehicles (SUVs) has increased dramatically since the late 1970s, and SUVs are currently the fastest growing segment of the motor vehicle industry. Hoping to gain market share due to the popularity of the expanding SUV market, more and more manufacturers are adding SUVs to their vehicle lineup. One purpose of this study is to analyze the world of the SUV to determine why this vehicle has seen such a rapid increase in popularity. Another purpose is to examine the impact of SUVs on energy consumption, emissions, and highway safety.

  18. Military Strategy vs. Military Doctrine

    DEFF Research Database (Denmark)

    Barfoed, Jacob

    2015-01-01

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

  19. The System Design of a Global Communications System for Military and Commercial use Utilizing High Altitude Unmanned Aerial Vehicles (UAVs) and Terrestrial Local Multipoint Distribution Service (LMDS) Sites

    OpenAIRE

    Banks, Bradley

    2000-01-01

    This thesis proposes the design of the UAV-LMDS communication system for military and commercial use. The UAV-LMDS system is a digital, wireless communication system that provides service using unmanned aerial vehicles (UAVs) flying at 60,000 ft. acting as communication hubs. This thesis provides background information on UAV-LMDS system elements, a financial analysis, theory, link budgets, system component design and implementation issues. To begin the design, we develop link budgets t...

  20. Military Marvels

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The crucial role played by China’s military since the Sichuan earthquake has endeared them to the country more than ever August 1 is the founding anniversary of China’s People’s Liberation Army(PLA).It’s a date with particular public resonance this year because of the crucial role the military has played

  1. The geography of antidepressant, antipsychotic, and stimulant utilization in the United States.

    Science.gov (United States)

    King, Marissa; Essick, Connor

    2013-03-01

    This paper analyzes local and regional geographic variability in the use of antidepressant, antipsychotic and stimulant medications in the United States. Using a data set that covers 60% of prescriptions written in the United States, we find that use of antidepressants in three digit postal codes ranged from less than 1% of residents to more than 40% residents. Stimulant and antipsychotic use exhibited similar levels of local geographic variability. A Kulldorf Spatial Scan identified clusters of elevated use of antidepressants (RR 1.46; pmultilevel model, we find that access to health care, insurance coverage and pharmaceutical marketing efforts explain much of the geographic variation in use. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Problem alcohol use and healthcare utilization among persons with cannabis use disorder in the United States.

    Science.gov (United States)

    John, William S; Wu, Li-Tzy

    2017-09-01

    The emergency department (ED) and hospital settings represent crucial opportunities for engaging treatment for cannabis use disorder (CUD). Thus, there is a need to identify factors associated with healthcare utilization among persons with CUD to improve screening and intervention approaches. Problematic alcohol use may be a salient risk factor. Using data from the 2005-2013 National Surveys on Drug Use and Health, we determined factors, including different patterns of alcohol use, associated with past-year ED admission and inpatient hospitalization among persons aged 12 years or older meeting criteria for CUD in the past year (N=16,757). We also determined the prevalence and correlates of problem alcohol use among persons with CUD to further inform its association with healthcare utilization. Among persons with CUD, 40.15% and 10.04% reported past-year ED admission and inpatient hospitalization, respectively. Severe alcohol use disorder (AUD) (≥6 AUD symptoms), female sex, Black race, low income, major depressive episode (MDE), and other substance use disorders were associated with increased odds of healthcare utilization; current (i.e., last month) alcohol use patterns were not. Persons with CUD that were males, ages 18-25 (vs. ages 12-17), Hispanic (vs. White), and with low income, other drug use disorders, or MDE had increased odds of AUD. Findings suggest that screening and intervention efforts for improving treatment initiation or engagement for CUD may target cannabis-using women, blacks, low-income adults or those with severe AUD in the past year, another substance use disorder, or MDE. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Treatments, complications, and healthcare utilization associated with acromegaly: a study in two large United States databases.

    Science.gov (United States)

    Broder, M S; Neary, M P; Chang, E; Cherepanov, D; Katznelson, L

    2014-08-01

    The economic burden of acromegaly in the US has been largely unknown. We describe the prevalence of treatment patterns, complication rates, and associated healthcare utilization and costs of acromegaly in the US. Patients were identified between 1/1/2002 and 12/31/2009 in claims databases. During 1-year after each continuously-enrolled patient's first acromegaly claim, pharmacy and medical claims were used to estimate outcomes. Regression models were used to adjust outcomes. There were 2,171 acromegaly patients (mean age: 45.3 years; 49.7% female); 77.8% received the majority of their care from non-endocrinologists. Pharmacologic treatment was used by 30.8% of patients: octreotide-LAR in 18.6%, dopamine agonists in 9.8%, short-acting octreotide in 4.7%, pegvisomant in 4.1%, and lanreotide in 1.2%; 56% had biochemical monitoring. Comorbidities were common, ranging from 6.6% (colon neoplasms) to 25.6% (musculoskeletal abnormalities). Mean healthcare costs were $24,900. Adjusted analyses indicated comorbidities increased the odds of hospitalization: by 76% for musculoskeletal abnormalities; 193% for cardiovascular abnormalities; and 56% for sleep apnea (p acromegaly patients. Cardiovascular complications nearly tripled the odds of hospitalization (OR 2.93) and increased annual mean cost by $13,331. Adequate management of this disease may be able to reduce health care utilization and cost associated with these complications and with acromegaly in general.

  4. The Nation’s Most Decorated Military Unit--The 100th/442nd Regimental Combat Team

    Science.gov (United States)

    1992-04-08

    the 141st Regiment, 36th Division from Texas in the Battle of Bruyeres (See Appendix C) and were the first unit to break through the " Gothic Line...442nd Regimental Combat Team’s history proves very enlightening . Through its gallant efforts, sacrifices and winning performance, the 442nd RCT...APPENDIX D The Battle of the Gothic Line. During the last few months of the war, the Germans maintained their last stronghold in a mountain region in

  5. Women’s Work: Incorporating Females into the United States Military Strategy to Contain and Degrade Boko Haram

    Science.gov (United States)

    2017-06-09

    Moderate impact (2 points) Significant impact (3 points) 2) Does incorporating females change our Organization ? X Source: Developed by...UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Army Command and General Staff College ATTN: ATZL-SWD-GD Fort Leavenworth, KS...SUPPLEMENTARY NOTES 14. ABSTRACT Boko Haram is currently one of the world’s deadliest terrorist organizations . Despite a multinational effort to contain

  6. Tuberculosis management continues to utilize a large amount of hospital resources in the United States.

    Science.gov (United States)

    Allareddy, Veerasathpurush; Rampa, Sankeerth; Allareddy, Veerajalandhar; Nalliah, Romesh P

    2017-01-01

    The objective of this study is to examine longitudinal trends in hospital admissions attributed to tuberculosis and resulting hospitalization outcomes in the United States for the years 2000-2010. We used the Nationwide Inpatient Sample, which is the largest all-payer and nationally representative in-hospital dataset in the United States. All hospitalizations that had a primary diagnosis for tuberculosis were selected for analysis. Patient characteristics and outcomes including discharge status following hospitalization, length of stay in hospital and hospitalization charges were examined. During the study period, a total of 96 431 hospitalizations occurred due to tuberculosis. The mean age of hospitalizations was 48.6 years. Males comprised 64.2% of all hospitalizations; 24.8% were Whites, 25.5% Blacks, 26.5% Hispanics, 14.3% Asians/Pacific Islanders, 1% Native Americans, and 7.9% other/mixed races. Following hospitalization, 72.1% were discharged routinely, 3.4% were transferred to another acute-care hospital, 10.7% to long-term care facilities including skilled nursing facilities, 7.6% to home health care, and 2.1% were discharged against medical advice. There were 3815 patients who died (4% of hospitalizations). The total hospitalization charge for this cohort of patients admitted due to tuberculosis across the United States was $6.96 billion and the total hospitalization days over study period was 1 419 605 days. High-risk cohorts who are likely to be hospitalized due to tuberculosis included Blacks and Hispanics. Majority of hospitalization comprised of males. Even though the annual number of hospitalizations reduced over the study period, substantial amounts of resources are used in hospital settings to manage tuberculosis. © 2015 John Wiley & Sons Ltd.

  7. [Utilization of technological resources within the framework of operation of a Mobile Mental Health Unit].

    Science.gov (United States)

    Garoni, D; Sarantidis, D; Katsadoros, K

    2016-01-01

    Telepsychiatry was introduced in the early 1950's for the provision of mental health services from a distance. In 1990 the progress made in telecommunications technologies caused a significant expansion in telepsychiatry services. It can refer to store and forward technologies, interactive technologies, remote monitoring technologies and it is applied to contribute to the lift of restrictions placed on providing mental health services. Restrictions may exist due to geographic isolation, lack of specialized services, high cost of moving patients etc. The positive cost-benefit analysis and the reliability of diagnosis and efficacy of interventions through telepsychiatry have been documented in various research papers referring to a wide range of contexts such as prisons, remote areas, general and psychiatric hospitals. Since 2003 the Mobile Mental Health Unit of South- Eastern (SE) Cyclades has been using videoconferencing in order to provide mental health services in thirteen islands. This area shares many of the characteristics of remote areas such as residential dispersion, lack of mental health services and frequent lack of access to services in urban centers. Telepsychiatry in conjunction with physical presence of professionals was launched by the Mobile Mental Health Unit in order to provide assistance to the evaluation of patients, to therapeutic interventions, to medicine prescription, to crisis intervention, to psychoeducation of patients and their families and to the implementation of educational and administrative activities . The use of existing technology in combination with the development of human resources has enabled continuity of care, crisis intervention and avoidance of involuntary hospitalization for a significant number of persons. Moreover, it has improved cooperation and coordination between the interdisciplinary team and local authorities and agencies. When professionals located in different parts are collaborating via telepsychiatry it is

  8. Analysis of free flap complications and utilization of intensive care unit monitoring.

    Science.gov (United States)

    Cornejo, Agustin; Ivatury, Sirinivas; Crane, Curtis N; Myers, John G; Wang, Howard T

    2013-09-01

    We aimed to determine the optimal time for intensive care unit (ICU) monitoring after free flap reconstruction based on the timing of surgical complications. We reviewed retrospectively 179 free flaps in 170 subjects during an 8-year period at University Hospital. Thirty-seven flaps were reoperated due to vascular (n = 16, 8.9%) and nonvascular complications (n = 21, 11.7%). Vascular complications presented earlier relative to nonvascular complications (10.8 versus 99.3 hours). The flap survival rate was 93.2% with a mean ICU length of stay of 6.2 days. The lack of standardized monitoring protocols can lead to overutilization of ICU. Sometimes, flap monitoring is not the limiting factor, as patients with other comorbidities necessitate longer ICU stays. However, our study suggests that close monitoring of flaps seems most critical during the first 24 to 48 hours, when most thrombotic complications occur and prompt identification and re-exploration is critical. Some thrombosis and most hematomas present within 72 hours, and thus close monitoring is still warranted. We suggest close monitoring of free flaps in the ICU or dedicated flap monitoring unit where nursing can check the flap on an every-1-to-2-hour basis for the first 72 hours postoperatively to assure optimal surveillance of any potential problems.

  9. Experiences with self designed pyrolyses unit by utilization of various type of fuels

    Energy Technology Data Exchange (ETDEWEB)

    Juchelkova, Dagmar; Roubicek, Vaclav; Mikulova, Zuzana [VSB - Technische Univ. Ostrava (Czech Republic). Energieinst.; Smelik, Roman; Balco, Mario [Arrowline, a.s. (Czech Republic)

    2008-07-01

    According to the situation in the Czech Republic - existing only 3 municipal waste combustion units and about 50 small industrial waste incineration units it seems to be necessary to design some alternative for combustion process. Pyrolysis is an established process that can potentially be used to convert polymer-based materials of different types since a high yield in the separation is not necessary. Pyrolysis is the thermal degradation (without oxygen) led to produce a char, oil and gas. All of which have potential as useful end products. The Czech ministry of the environment seems to have bigger acceptance for the material recycling than for combustion processes. The concept pyrolyse is now to day understood as material recycling. Our work will be concern on the selected materials. Nowdays, polymer-based materials provide a fundamental contribution to all main daily activities (agriculture, automobile industry, packing and so on). Due to their excellent properties are now irreplaceable and absolutely necessary for people life. Their production and use are increasing sharply. On the other hand, they are not quickly decomposed and disposal of used plastics has become a serious problem. (orig.)

  10. Fostering Constructive Dialogue on Military Sexual Assault

    Science.gov (United States)

    2013-01-01

    military.html>. 10 “Members panels” in the military justice system take the place of a civilian “jury.” 11 United States v. Lamb, 2010 CCA LEXIS 334 (N...M. Ct. Crim. App. 2010). 12 United States v. Peterson, 2010 CCA LEXIS 336 (N-M. Ct. Crim. App. 2010). 13 The term black out refers to an alcohol

  11. Downhole Microseismic Monitoring at a Carbon Capture, Utilization, and Storage Site, Farnsworth Unit, Ochiltree County, Texas

    Science.gov (United States)

    Ziegler, A.; Balch, R. S.; van Wijk, J.

    2015-12-01

    Farnsworth Oil Field in North Texas hosts an ongoing carbon capture, utilization, and storage project. This study is focused on passive seismic monitoring at the carbon injection site to measure, locate, and catalog any induced seismic events. A Geometrics Geode system is being utilized for continuous recording of the passive seismic downhole bore array in a monitoring well. The array consists of 3-component dual Geospace OMNI-2400 15Hz geophones with a vertical spacing of 30.5m. Downhole temperature and pressure are also monitored. Seismic data is recorded continuously and is produced at a rate of over 900GB per month, which must be archived and reviewed. A Short Term Average/Long Term Average (STA/LTA) algorithm was evaluated for its ability to search for events, including identification and quantification of any false positive events. It was determined that the algorithm was not appropriate for event detection with the background level of noise at the field site and for the recording equipment as configured. Alternatives are being investigated. The final intended outcome of the passive seismic monitoring is to mine the continuous database and develop a catalog of microseismic events/locations and to determine if there is any relationship to CO2 injection in the field. Identifying the location of any microseismic events will allow for correlation with carbon injection locations and previously characterized geological and structural features such as faults and paleoslopes. Additionally, the borehole array has recorded over 1200 active sources with three sweeps at each source location that were acquired during a nearby 3D VSP. These data were evaluated for their usability and location within an effective radius of the array and were stacked to improve signal-noise ratio and are used to calibrate a full field velocity model to enhance event location accuracy. Funding for this project is provided by the U.S. Department of Energy under Award No. DE-FC26-05NT42591.

  12. Payload influences on technology development and utilization of the Space Shuttle extravehicular mobility unit

    Science.gov (United States)

    Patrick, J. W.; Kraly, E. F.

    1976-01-01

    Historical EVA approaches are examined. The considered data emphasize the overall importance of EVA for Shuttle payload operations. Twenty requirement categories related to crew protection, crew performance, and payload protection are listed in a table. Attention is given to a preliminary assessment of payload related requirements, an evaluation of the natural thermal environment in the case of the Shuttle orbiter bay, and the ability of the extravehicular mobility unit (EMU) to protect the crewman from induced or natural radiation as found in the Van Allen radiation belt South Atlantic anomaly. On the basis of the evaluation it appears very likely that design improvements alone can make the EMU meet payload requirements without requiring significant technology advances.

  13. Clinical utility of the Hopkins Competency Assessment Test on an inpatient geropsychiatry unit.

    Science.gov (United States)

    Wilkins, Kirsten M; Lund, Brian C; McAdams, Jimmie D; Yates, William R

    2009-01-01

    This study examined the clinical use of routine administration of the Hopkins Competency Assessment Test on an inpatient geropsychiatry unit. The purpose was to determine whether the Hopkins Competency Assessment Test results influenced the psychiatrist's capacity assessment or confidence in that determination. The test was administered to all patients admitted voluntarily during an 18-week period. The attending psychiatrist determined treatment consent capacity and rated confidence in that determination, before and after review of the test results. Fifty seven patients were assessed. After review of the test results, the psychiatrist's capacity rating changed in only 2 (3.5%) cases. However, the test increased the psychiatrist's confidence ratings, particularly among the patients with cognitive impairment. The Hopkins Competency Assessment Test is not suited for routine administration among geropsychiatry inpatients. However, the test may serve a role as a supplementary tool for assessing treatment consent capacity among patients with evidence of cognitive impairment.

  14. Utilization of iTero digital impression unit for resin composite inlay.

    Science.gov (United States)

    Laman, Stephen A; Frey, Gary N; Patel, Shalizeh A; Quock, Ryan L

    2014-01-01

    Historically, traditional elastomeric impression techniques for indirect fixed procedures have presented challenges for the operator, laboratory, and patient. Recent digital impression unit technology offers a compelling alternative to elastomeric impressions. The iTero system applies parallel confocal imaging to create a virtual impression that can be easily captured, edited, and uploaded electronically to the dental laboratory. Computer-aided design/computer-aided manufacturing technology is applied to the virtual impression to create an unlimited number of identical polyurethane models. This case report is presented from the perspectives of the clinicians and the laboratory technician using an iTero system to treat a left mandibular second premolar with a resin composite inlay.

  15. GIS applications for military operations in coastal zones

    Science.gov (United States)

    Fleming, S.; Jordan, T.; Madden, M.; Usery, E. L.; Welch, R.

    In order to successfully support current and future US military operations in coastal zones, geospatial information must be rapidly integrated and analyzed to meet ongoing force structure evolution and new mission directives. Coastal zones in a military-operational environment are complex regions that include sea, land and air features that demand high-volume databases of extreme detail within relatively narrow geographic corridors. Static products in the form of analog maps at varying scales traditionally have been used by military commanders and their operational planners. The rapidly changing battlefield of 21st Century warfare, however, demands dynamic mapping solutions. Commercial geographic information system (GIS) software for military-specific applications is now being developed and employed with digital databases to provide customized digital maps of variable scale, content and symbolization tailored to unique demands of military units. Research conducted by the Center for Remote Sensing and Mapping Science at the University of Georgia demonstrated the utility of GIS-based analysis and digital map creation when developing large-scale (1:10,000) products from littoral warfare databases. The methodology employed-selection of data sources (including high resolution commercial images and Lidar), establishment of analysis/modeling parameters, conduct of vehicle mobility analysis, development of models and generation of products (such as a continuous sea-land DEM and geo-visualization of changing shorelines with tidal levels)-is discussed. Based on observations and identified needs from the National Geospatial-Intelligence Agency, formerly the National Imagery and Mapping Agency, and the Department of Defense, prototype GIS models for military operations in sea, land and air environments were created from multiple data sets of a study area at US Marine Corps Base Camp Lejeune, North Carolina. Results of these models, along with methodologies for developing large

  16. The research of the stock utilization plans in aged housing estate by remodeling of dwelling units -I By Experimental self-aide remodeling of dwelling units in Nishimuko housing estate

    OpenAIRE

    大坪, 明

    2009-01-01

    The students in 5 universities who learn architecture and pretended to be tenants implemented the experi-mental self-aid remodeling of dwelling units in a collective housing. Those dwelling units in the aged hous-ing estate were revived by them with a remarkable personality. This result proved that the aged dwelling unit stocks will be still utilized sufficiently. There will be many ways of continuing to use those remodeled dwell-ing units.

  17. Water use and supply concerns for utility-scale solar projects in the Southwestern United States.

    Energy Technology Data Exchange (ETDEWEB)

    Klise, Geoffrey Taylor; Tidwell, Vincent Carroll; Reno, Marissa Devan; Moreland, Barbara Denise.; Zemlick, Katie M.; Macknick, Jordan

    2013-07-01

    As large utility-scale solar photovoltaic (PV) and concentrating solar power (CSP) facilities are currently being built and planned for locations in the U.S. with the greatest solar resource potential, an understanding of water use for construction and operations is needed as siting tends to target locations with low natural rainfall and where most existing freshwater is already appropriated. Using methods outlined by the Bureau of Land Management (BLM) to determine water used in designated solar energy zones (SEZs) for construction and operations & maintenance, an estimate of water used over the lifetime at the solar power plant is determined and applied to each watershed in six Southwestern states. Results indicate that that PV systems overall use little water, though construction usage is high compared to O&M water use over the lifetime of the facility. Also noted is a transition being made from wet cooled to dry cooled CSP facilities that will significantly reduce operational water use at these facilities. Using these water use factors, estimates of future water demand for current and planned solar development was made. In efforts to determine where water could be a limiting factor in solar energy development, water availability, cost, and projected future competing demands were mapped for the six Southwestern states. Ten watersheds, 9 in California, and one in New Mexico were identified as being of particular concern because of limited water availability.

  18. Estimated Value of Service Reliability for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, M.J.; Mercurio, Matthew; Schellenberg, Josh

    2009-06-01

    Information on the value of reliable electricity service can be used to assess the economic efficiency of investments in generation, transmission and distribution systems, to strategically target investments to customer segments that receive the most benefit from system improvements, and to numerically quantify the risk associated with different operating, planning and investment strategies. This paper summarizes research designed to provide estimates of the value of service reliability for electricity customers in the US. These estimates were obtained by analyzing the results from 28 customer value of service reliability studies conducted by 10 major US electric utilities over the 16 year period from 1989 to 2005. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods it was possible to integrate their results into a single meta-database describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the US for industrial, commercial, and residential customers. Estimated interruption costs for different types of customers and of different duration are provided. Finally, additional research and development designed to expand the usefulness of this powerful database and analysis are suggested.

  19. 非战争军事行动中军队医院机动卫勤分队模块化抽组的建设思考%Think about constructing modular pumping grouping of military hospital's mobile medical units in the military operations other than war

    Institute of Scientific and Technical Information of China (English)

    赵从林; 李思睿

    2015-01-01

    In the military operations other than war(MOOTW),the ability and efficiency of mobile medical units of military hospitals in performing medical tasks depend on the convenience and accuracy of modular pumping grouping. The modularity approach is an effective method in dealing with complicated tasks. In an attempt to illustrate the complex problem of pumping grouping in the modular approach through combining the modularization principle and mobile medical unit pumping grouping ,this research has been an useful endeavor to improve the medical capacity of mobile medical units in military hospitals.%在非战争军事行动背景下,军队综合性医院机动卫勤分队遂行卫勤保障任务的效率和能力,取决于模块化抽组的便捷性和准确性。模块化是处理复杂问题的有效方法之一,本文将模块化原理和机动卫勤分队抽组有机结合起来,试图把复杂的抽组问题通过模块化方式得以阐述,为提高军队医院机动卫勤分队卫勤保障能力进行尝试。

  20. Transformational leadership and group potency in small military units: The mediating role of group identification and cohesion

    Directory of Open Access Journals (Sweden)

    Carlos García-Guiu

    2016-12-01

    Full Text Available In the present study, we examined an exploratory model to assess the relationship between transformational leadership and group potency and analyze the mediating role of group identification and cohesion. The research was conducted with squads of the Spanish Army. The sample was composed of 243 members of 51 squads of operational units. Our findings highlighted the importance of the transformational leadership style of command of non-commissioned officers (NCOs due to its positive relationship with the group potency of the squad. We also analyzed the indirect relationships between transformational leadership and group identification and group cohesion and found that the latter variables played a mediating role between transformational leadership and group potency. The conclusions of this study are relevant due to the growing importance of transformational leadership and actions implemented at lower levels of the command chain for the success of missions of security organizations and defense.

  1. [Initiation to military medical corps activity modalities: a teaching unit providing a new approach to recruiting reserve pharmacists].

    Science.gov (United States)

    Labrude, P

    2004-07-01

    During the last ten Years, major reforms have been implemented in the French armies due to discontinuation of mandatory enlistment. For the medical corps, recruitment and training for reservists has ceased since the national school for reserve officers in Libourne was closed. During this same time, the number of foreign engagements of the French armies has revealed the need for available young reserve officers in the medical corps. Reserve training of students in medicine, pharmacy, odontology, or nursing has been considered and different possibilities considered. One option is to develop a teaching unit during the third Year of the curriculum allowing volunteer students to become junior officers. For pharmacy students, specific training on drug supply, nuclear, biological and chemical weapons and terrorism as well as clinical chemistry, toxicology, and hygiene are also organized.

  2. Epidemiology of colds in military units during a German out-of-area mission in Kosovo (former Yugoslavia).

    Science.gov (United States)

    Völker, Hans-Ullrich

    2007-08-01

    In the opinion of soldiers and unit surgeons, specific environmental and climatic conditions in the mission in the former Yugoslavia increase the incidence of severe infections of the respiratory tract (so-called "Kosovo Cough"). Proof is pending. Thus, colds were analyzed during Bundeswehr operations in the province of Kosovo. Over a period of 4 weeks in January 2003, all German soldiers who reported for medical treatment or requested medicine were registered. Patients provided information about their disease as well as information about smoking habits, etc. Two hundred three soldiers (9.2% of all) were treated for a cold. Although 72 soldiers (35.5%) complained about a subjectively perceived unusually long and severe clinical course, all infections proved uncomplicated from an objective viewpoint. The findings are inconsistent with an increased incidence of colds. There was no indication of the existence of the so-called "Kosovo Cough."

  3. The Transgender Military Experience

    Directory of Open Access Journals (Sweden)

    Michelle Dietert

    2015-04-01

    Full Text Available Although there have been studies that focus on the experiences of the gay and lesbian population serving in the United States military, few have focused on the experience of active duty transgender service members. Transgender individuals transgress the binary conception of gender by deviating from societal gender norms associated with assigned sex at birth. The Department of Defense has set policies and standards that reflect a binary conception of gender, with a focus on conformity. We argue that able-bodied gender variant service personnel are just as capable of serving their country as anyone else. Because of the repercussions associated with active duty transgender military personnel, our sample is small and involves nine clandestine service members and two international service members who wanted to share their stories from a different perspective. Snowball sampling was aimed at finding current active duty and reserve transgender service members. Using a combination of telephone interviews and questionnaires, data were collected from active duty transgender service personnel throughout the United States and two from international militaries that allow transgender people to serve. Data collection focused on the overall experiences of the participants along with questions regarding workplace discrimination, suggestions for policy changes, and their views about the overturn of Don’t Ask, Don’t Tell. Our findings add to a growing source of information about the transgender military experience in the U.S. armed forces and the importance of overturning discriminatory workplace policies that negatively impact transgender service members.

  4. Lunar-Forming Giant Impact Model Utilizing Modern Graphics Processing Units

    Indian Academy of Sciences (India)

    J. C. Eiland; T. C. Salzillo; B. H. Hokr; J. L. Highland; W. D. Mayfield; B. M. Wyatt

    2014-12-01

    Recent giant impact models focus on producing a circumplanetary disk of the proper composition around the Earth and defer to earlier works for the accretion of this disk into the Moon. The discontinuity between creating the circumplanetary disk and accretion of the Moon is unnatural and lacks simplicity. In addition, current giant impact theories are being questioned due to their inability to find conditions that will produce a system with both the proper angular momentum and a resultant Moon that is isotopically similar to the Earth. Here we return to first principles and produce a continuous model that can be used to rapidly search the vast impact parameter space to identify plausible initial conditions. This is accomplished by focusing on the three major components of planetary collisions: constant gravitational attraction, short range repulsion and energy transfer. The structure of this model makes it easily parallelizable and well-suited to harness the power of modern Graphics Processing Units (GPUs). The model makes clear the physically relevant processes, and allows a physical picture to naturally develop. We conclude by demonstrating how the model readily produces stable Earth–Moon systems from a single, continuous simulation. The resultant systems possess many desired characteristics such as an iron-deficient, heterogeneously-mixed Moon and accurate axial tilt of the Earth.

  5. Ambulatory Healthcare Utilization in the United States: A System Dynamics Approach

    Science.gov (United States)

    Diaz, Rafael; Behr, Joshua G.; Tulpule, Mandar

    2011-01-01

    Ambulatory health care needs within the United States are served by a wide range of hospitals, clinics, and private practices. The Emergency Department (ED) functions as an important point of supply for ambulatory healthcare services. Growth in our aging populations as well as changes stemming from broader healthcare reform are expected to continue trend in congestion and increasing demand for ED services. While congestion is, in part, a manifestation of unmatched demand, the state of the alignment between the demand for, and supply of, emergency department services affects quality of care and profitability. The central focus of this research is to provide an explanation of the salient factors at play within the dynamic demand-supply tensions within which ambulatory care is provided within an Emergency Department. A System Dynamics (SO) simulation model is used to capture the complexities among the intricate balance and conditional effects at play within the demand-supply emergency department environment. Conceptual clarification of the forces driving the elements within the system , quantifying these elements, and empirically capturing the interaction among these elements provides actionable knowledge for operational and strategic decision-making.

  6. Increasing Utilization Of Pediatric Epilepsy Surgery In The United States Between 1997 and 2009

    Science.gov (United States)

    Pestana Knight, Elia M.; Schiltz, Nicholas K.; Bakaki, Paul M.; Koroukian, Siran M.; Lhatoo, Samden D.; Kaiboriboon, Kitti

    2014-01-01

    SUMMARY OBJECTIVE To examine national trends of pediatric epilepsy surgery usage in the United States between 1997 and 2009. METHODS We performed a serial cross-sectional study of pediatric epilepsy surgery using triennial data from the Kids’ Inpatient Database from 1997 to 2009. The rates of epilepsy surgery for lobectomies, partial lobectomies, and hemispherectomies in each study year were calculated based on the number of prevalent epilepsy cases in the corresponding year. The age-race-sex adjusted rates of surgeries were also estimated. Mann-Kendall trend test was used to test for changes in the rates of surgeries over time. Multivariable regression analysis was also performed to estimate the effect of time, age, race, and sex on the annual incidence of epilepsy surgery. RESULTS The rates of pediatric epilepsy surgery significantly increased from 0.85 epilepsy surgeries per 1,000 children with epilepsy in 1997 to 1.44 epilepsy surgeries per 1,000 children with epilepsy in 2009. An increment in the rates of epilepsy surgeries was noted across all age groups, in boys and girls, all races, and all payer types. The rate of increase was lowest in blacks and in children with public insurance. The overall number of surgical cases for each study year was lower than 35% of children who were expected to have surgery, based on the estimates from the Connecticut Study of Epilepsy. SIGNIFICANCE In contrast to adults, pediatric epilepsy surgery numbers have increased significantly in the past decade. However, epilepsy surgery remains an underutilized treatment for children with epilepsy. In addition, black children and those with public insurance continue to face disparities in the receipt of epilepsy surgery. PMID:25630252

  7. Utility of electroencephalogram in altered states of consciousness in intensive care unit patients

    Directory of Open Access Journals (Sweden)

    Kapadia F

    2005-01-01

    Full Text Available BACKGROUND: EEG is an investigative tool for assessing cerebral activity. Although certain EEG patterns may have a specific diagnostic or prognostic inference, they may not be precise for any sole etiology in majority of cases and may need clinical correlation. OBJECTIVE: Aim of this study was to assess the severity and prognosis of cerebral dysfunction in patients admitted to Intensive Care Unit (ICU and to evaluate the incidence of non-convulsive status epilepticus (NCSE. DESIGN: A prospective study, wherein we analyzed EEG characteristics in a series of 70 patients. SETTING: A tertiary care hospital in Mumbai, India. PATIENTS: EEG characteristics of 70 patients admitted in ICU over a period of 9 months were comprehensively analyzed. These patients were clinically examined and a questionnaire was completed without knowledge of the EEG findings. EEGs were requested for by neurologist or intensivist and our inclusion criteria were (i patients with altered sensorium of varying etiology, (ii unconscious patients at risk for non-convulsive status epilepticus (those with a history of epilepsy, and (iii unconscious patients with involuntary jerky eye movements. RESULTS: Of the various clinical presentations on ICU admission, there were 20 patients with seizures, 15 with metabolic disorders, 13 with infective causes, 9 with hypoxia, 9 with cerebro-vascular accident on presentation, 1 patient with alcohol/drug overdose, 2 with intra-cerebral space occupying lesion and 1 with ambiguous etiology on admission (there being an overlap among the presentation. Mean duration from presentation to performing EEG was 13 hours. 64 (91.42% patients had abnormal EEGs. 32(50% patients had EEG slowing and 4(6.25% patient had electro cerebral inactivity. Eleven (21.87% patients had epileptiform activity on the EEG of which seven did not have overt seizures (NCSE. Follow-up EEGs of these patients showed resolution of the epileptiform activity. CONCLUSIONS: EEG is useful

  8. Utilization of third-party in vitro fertilization in the United States.

    Science.gov (United States)

    Kushnir, Vitaly A; Darmon, Sarah K; Shapiro, Alice J; Albertini, David F; Barad, David H; Gleicher, Norbert

    2017-03-01

    The use of in vitro fertilization that includes third-party in vitro fertilization is increasing. However, the relative contribution of third-party in vitro fertilization that includes the use of donor oocytes, sperm, or embryo and a gestational carrier to the birth cohort after in vitro fertilization is unknown. The purpose of this study was to examine the contribution of third-party in vitro fertilization to the in vitro fertilization birth cohort over the past decade. This retrospective analysis investigated 1,349,874 in vitro fertilization cycles that resulted in 421,525 live births and 549,367 liveborn infants in the United States from 2004-2013. Cycles were self-reported by fertility centers to a national registry: Society for Assisted Reproductive Technologies Clinic Outcome Reporting System. Third-party in vitro fertilization accounted for 217,030 (16.1%) of all in vitro fertilization cycles, 86,063 (20.4%) of all live births, and 115,024 (20.9%) of all liveborn infants. Overall, 39.7% of third-party in vitro fertilization cycles resulted in a live birth, compared with 29.6% of autologous in vitro fertilization cycles. Use of third-party in vitro fertilization increased with maternal age and accounted for 42.2% of all in vitro fertilization cycles and 75.3% of all liveborn infants among women >40 years old. Oocyte donation was the most common third-party in vitro fertilization technique, followed by sperm donation. Over the study period, annual cycle volume and live birth rates gradually increased for both autologous in vitro fertilization and third-party in vitro fertilization (Pvitro fertilization modalities were used, followed by oocyte donation. Third-party in vitro fertilization use and efficacy have increased over the past decade, now comprising >20% of the total in vitro fertilization birth cohort. In women who are >40 years old, third-party in vitro fertilization has become the dominant treatment. Copyright © 2016 Elsevier Inc

  9. The Utility of Preliminary Patient Evaluation in a Febrile Respiratory Infectious Disease Unit outside the Emergency Department.

    Science.gov (United States)

    Kang, Jun Sik; Jhun, Byung Woo; Yoon, Hee; Lim, Seong Mi; Ko, Eunsil; Park, Joo Hyun; Hwang, Sung Yeon; Lee, Se Uk; Lee, Tae Rim; Cha, Won Chul; Shin, Tae Gun; Sim, Min Seob; Jo, Ik Joon

    2017-09-01

    A febrile respiratory infectious disease unit (FRIDU) with a negative pressure ventilation system was constructed outside the emergency department (ED) of the Samsung Medical Center in 2015, to screen for patients with contagious diseases requiring isolation. We evaluated the utility of the FRIDU during 1 year of operation. We analyzed 1,562 patients who were hospitalized after FRIDU screening between August 2015 and July 2016. The level of isolation recommended during their screening at the FRIDU was compared with the level deemed appropriate given their final diagnosis. Of the 1,562 patients screened at the FRIDU, 198 (13%) were isolated, 194 (12%) were reverse isolated, and 1,170 (75%) were not isolated. While hospitalized, 97 patients (6%) were confirmed to have a contagious disease requiring isolation, such as tuberculosis; 207 patients (13%) were confirmed to be immunocompromised and to require reverse isolation, mainly due to neutropenia; and the remaining 1,258 patients (81%) did not require isolation. The correlation coefficient for isolation consistency was 0.565 (P < 0.001). The sensitivity and negative predictive value of FRIDU screening for diagnosing contagious disease requiring isolation are 76% and 98%, respectively. No serious nosocomial outbreaks of contagious diseases occurred. During FRIDU screening, 114 patients were admitted to the resuscitation zone due to clinical instability, and three of these patients died. The initial isolation levels resulting from FRIDU screening were moderately well correlated with the isolation levels required by the final diagnosis, demonstrating the utility of pre-hospitalization screening units. However, the risks of deterioration during the screening process remain challenges. © 2017 The Korean Academy of Medical Sciences.

  10. Air Power and Warfare. The Proceedings of the Military History Symposium (8th), United States Air Force Academy, 18-20 October 1978,

    Science.gov (United States)

    1979-01-01

    der Generale der deutschen Luftwaffe (not yet published). 48. General (ret.) Wilh. Speidel: ’Gedanken uber den deutschen Generalstab." Lands- berg/Lech...Bomb Group at Roswell Army Airfield, New Mexico , wrote to Curt LeMay about the practical problems obstructing his progress to combat-ready status...thirteenth among nations in military aviation. Evein Mexico had more military planes than the U.S. Then came American involvement in World War 1. The most

  11. Reducing patient wait times and improving resource utilization at British Columbia Cancer Agency's ambulatory care unit through simulation.

    Science.gov (United States)

    Santibáñez, Pablo; Chow, Vincent S; French, John; Puterman, Martin L; Tyldesley, Scott

    2009-12-01

    We consider an ambulatory care unit (ACU) in a large cancer centre, where operational and resource utilization challenges led to overcrowding, excessive delays, and concerns regarding safety of critical patient care duties. We use simulation to analyze the simultaneous impact of operations, scheduling, and resource allocation on patient wait time, clinic overtime, and resource utilization. The impact of these factors has been studied before, but usually in isolation. Further, our model considers multiple clinics operating concurrently, and includes the extra burden of training residents and medical students during patient consults. Through scenario analyses we found that the best outcomes were obtained when not one but multiple changes were implemented simultaneously. We developed configurations that achieve a reduction of up to 70% in patient wait times and 25% in physical space requirements, with the same appointment volume. The key findings of the study are the importance of on time clinic start, the need for improved patient scheduling; and the potential improvements from allocating examination rooms flexibly and dynamically among individual clinics within each of the oncology programs. These findings are currently being evaluated for implementation by senior management.

  12. USSR Report, Military Affairs.

    Science.gov (United States)

    2007-11-02

    notorious questionnaire method, haste and thoughtlessness lead to sad results. For example, in one unit in the Northern Group of Forces a person...the Komsomol member and how they worried that he was military, cocky and sharp-tongued! And his shoulders were squared and his craving to dare, to...examples in this work and make a contribution to the implementation of the nation’s Food Pro- gram. This year too, working in the kolkhoz and sovkhoz

  13. Inpatient resource utilization, disease severity, mortality and insurance coverage for patients hospitalized for hepatitis C virus in the United States.

    Science.gov (United States)

    Younossi, Z M; Otgonsuren, M; Henry, L; Arsalla, Z; Stepnaova, M; Mishra, A; Venkatesan, C; Hunt, S

    2015-02-01

    Although the incidence of new hepatitis C virus (HCV) infection has fallen, HCV-related complications are on the rise. Our aim was to assess and describe the 2005-2009 national inpatient mortality and resource utilization trends for patients with HCV. Data from the National Inpatient Sample (NIS) and the National Hospital Discharge Survey (NHDS) between 2005 and 2009 were analyzed. Included were all adult hospital discharges with HCV-related ICD-9 codes. Incremental hospital charge, in-hospital mortality and length of stay (LOS) were estimated using n = 1000 bootstrap replicates clustered by unique hospital identifier. A total of 123 939 (0.38%) discharges were related to HCV (primary or secondary diagnosis). In-hospital mortality increased from 1.7% (2005) to 2.6% (2009) (P hospital costs ($6500) remaining stable while at the same time, hospital-to-hospital transfer admissions and disposition to home health care increased. HCV-related hepatocellular carcinoma predicted longer hospital stay and death; older age predicted death; and receiving more procedures predicted higher hospital costs. The percentage of patients with private insurance significantly decreased (4.7%), while government-sponsored insurance and uninsured increased by 2.5% and 2.1%, respectively (P hospitalization than those with government-sponsored insurance. HCV-related inpatient mortality and resource utilization have increased. HCC was the largest predictor for mortality and resource utilization. These data are consistent with the rising clinical and societal burden of chronic hepatitis C in the United States. © 2014 John Wiley & Sons Ltd.

  14. Evaluation of the Utility of the Edmonton Symptom Assessment System (revised) Scale on a Tertiary Palliative Care Unit.

    Science.gov (United States)

    Beddard-Huber, Elizabeth; Jayaraman, Jyothi; White, Laura; Yeomans, Wendy

    2015-01-01

    The aim of this study was to evaluate the utility of the Edmonton Symptom Assessment System (ESAS-r) Scale on a tertiary palliative care unit. There were 92 admitted patients who participated in the study; the scale was administered to those able to participate on day 1 (n = 35, 38 percent), on day 4 (n = 20, 21 percent), and weekly. Patient comfort level with the ESAS-r tool was assessed using a 5-point Likert scale (strongly disagree to strongly agree) on day 4. Nurses' and physicians' perceptions of clinical assessment pre- and postimplementation of the scale were surveyed using a 5-point Likert scale. Of the participating physicians, 75 percent (n = 3) found that the ESAS-r Scale did not enhance clinical assessment; the proportion of nurses with that response was 37.5 percent (n = 6). Among these care providers, 50 percent of the physicians (n = 2) and 62 percent of the nurses (n = 10) thought that the scale was burdensome to patients; but 60 percent of the patients who were able to complete the comfort-level survey (n = 12) indicated that they did not find the scale burdensome. Patient acuity, team expertise, perceived burden to patients, and time commitment all influenced staff's recommendation not to implement the ESAS-r tool on the palliative care unit.

  15. Aircrew Training Devices: Utility and Utilization of Advanced Instructional Features (Phase II-Air Training Command, Military Airlift Command, and Strategic Air Command [and] Phase III-Electronic Warfare Trainers).

    Science.gov (United States)

    Polzella, Donald J.; Hubbard, David C.

    This document consists of an interim report and a final report which describe the second and third phases of a project designed to determine the utility and utilization of sophisticated hardware and software capabilities known as advanced instructional features (AIFs). Used with an aircrew training device (ATD), AIFs permit a simulator instructor…

  16. The Future of Utility Customer-Funded Energy Efficiency Programs in the United States: Projected Spending and Savings to 2025

    Energy Technology Data Exchange (ETDEWEB)

    Barbose, Galen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hoffman, Ian [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Billingsley, Megan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-09-11

    We develop projections of future spending on, and savings from, energy efficiency programs funded by electric and gas utility customers in the United States, under three scenarios through 2025. Our analysis, which updates a previous LBNL study, relies on detailed bottom-up modeling of current state energy efficiency policies, regulatory decisions, and demand-side management and utility resource plans. The three scenarios are intended to represent a range of potential outcomes under the current policy environment (i.e., without considering possible major new policy developments). By 2025, spending on electric and gas efficiency programs (excluding load management programs) is projected to double from 2010 levels to $9.5 billion in the medium case, compared to $15.6 billion in the high case and $6.5 billion in the low case. Compliance with statewide legislative or regulatory savings or spending targets is the primary driver for the increase in electric program spending through 2025, though a significant share of the increase is also driven by utility DSM planning activity and integrated resource planning. Our analysis suggests that electric efficiency program spending may approach a more even geographic distribution over time in terms of absolute dollars spent, with the Northeastern and Western states declining from over 70% of total U.S. spending in 2010 to slightly more than 50% in 2025, with the South and Midwest splitting the remainder roughly evenly. Under our medium case scenario, annual incremental savings from customer-funded electric energy efficiency programs increase from 18.4 TWh in 2010 in the U.S. (which is about 0.5% of electric utility retail sales) to 28.8 TWh in 2025 (0.8% of retail sales). These savings would offset the majority of load growth in the Energy Information Administration’s most recent reference case forecast, given specific assumptions about the extent to which future energy efficiency program savings are captured in that forecast

  17. United States Military-To-Military Contacts with the People’s Liberation Army: Can it Further U.S. Policies and Aims in the Asia-Pacific Region?

    Science.gov (United States)

    2003-01-01

    Society, Vol. 25, Issue 4, Summer, 1999. [available on-line]; available from Ebsco Host ; Internet; accessed 20 August 2002. 59Wolfowitz quoted in Grahman...Military Ties.” Armed Forces & Society. 25, Issue 4 (Summer, 1999): Journal on-line. Available from Ebsco Host . Internet. Accessed 20 August 2002...information provided by the TCTs is tailored to the host nation’s particular needs. In addition to TCTs, the objectives of the MMCP may be accomplished

  18. Utility-Scale Solar 2016: An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark; Seel, Joachim; LaCommare, Kristina Hamachi

    2017-09-19

    The utility-scale solar sector has led the overall U.S. solar market in terms of installed capacity since 2012. In 2016, the utility-scale sector installed more than 2.5 times as much new capacity as did the residential and commercial sectors combined, and is expected to maintain its dominant position for at least another five years. This report—the fifth edition in an ongoing annual series—provides data-driven analysis of the utility-scale solar project fleet in the United States. We analyze not just installed project prices, but also operating costs, capacity factors, and power purchase agreement ("PPA") prices from a large sample of utility-scale PV and CSP projects throughout the United States. Highlights from this year's edition include the following: Installation Trends: The use of solar tracking devices dominated 2016 installations, at nearly 80% of all new capacity. In a reflection of the ongoing geographic expansion of the market beyond California and the Southwest, the median long-term average insolation level at newly built project sites declined again in 2016. While new fixed-tilt projects are now seen predominantly in less-sunny regions, tracking projects are increasingly pushing into these same regions. The median inverter loading ratio has stabilized in 2016 at 1.3 for both tracking and fixed-tilt projects. Installed Prices: Median installed PV project prices within a sizable sample have fallen by two-thirds since the 2007-2009 period, to $2.2/WAC (or $1.7/WDC) for projects completed in 2016. The lowest 20th percentile of projects within our 2016 sample were priced at or below $2.0/WAC, with the lowest-priced projects around $1.5/WAC. Overall price dispersion across the entire sample and across geographic regions decreased significantly in 2016. Operation and Maintenance (“O&M”) Costs: What limited empirical O&M cost data are publicly available suggest that PV O&M costs were in the neighborhood of $18/kWAC-year, or $8/MWh, in 2016. These

  19. Military Government

    Science.gov (United States)

    1949-07-01

    Public finance -------------------~·---------------------22 Civilian protection -------------------------------------23 Public health and sanitation...22. PUBLIC. ~INANCE.~q. Basic "planning data for public finance in- clude-- (1) ·rrax·ation systems: - .(2)- ~ethods of_tpaking appropriations.- ( 3...Probable ·adequacy- of public funds. (.4) Administrative .. _ organization for_ public finance sections. b. Military government -staff sections

  20. Feasibility and utility of mapping disease risk at the neighbourhood level within a Canadian public health unit: an ecological study

    Directory of Open Access Journals (Sweden)

    Wanigaratne Susitha

    2010-05-01

    Full Text Available Abstract Background We conducted spatial analyses to determine the geographic variation of cancer at the neighbourhood level (dissemination areas or DAs within the area of a single Ontario public health unit, Wellington-Dufferin-Guelph, covering a population of 238,326 inhabitants. Cancer incidence data between 1999 and 2003 were obtained from the Ontario Cancer Registry and were geocoded down to the level of DA using the enhanced Postal Code Conversion File. The 2001 Census of Canada provided information on the size and age-sex structure of the population at the DA level, in addition to information about selected census covariates, such as average neighbourhood income. Results Age standardized incidence ratios for cancer and the prevalence of census covariates were calculated for each of 331 dissemination areas in Wellington-Dufferin-Guelph. The standardized incidence ratios (SIR for cancer varied dramatically across the dissemination areas. However, application of the Moran's I statistic, a popular index of spatial autocorrelation, suggested significant spatial patterns for only two cancers, lung and prostate, both in males (p Conclusion This paper demonstrates the feasibility and utility of a systematic approach to identifying neighbourhoods, within the area served by a public health unit, that have significantly higher risks of cancer. This exploratory, ecologic study suggests several hypotheses for these spatial patterns that warrant further investigations. To the best of our knowledge, this is the first Canadian study published in the peer-reviewed literature estimating the risk of relatively rare public health outcomes at a very small areal level, namely dissemination areas.

  1. 32 CFR 635.20 - Military Police Codes (MPC).

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police Codes (MPC). 635.20 Section 635... ENFORCEMENT AND CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Offense Reporting § 635.20 Military Police... attached military police units are notified for mobilization, relocation, activation, or inactivation....

  2. Survey on the use of psychotropic drugs by twelve military police units in the municipalities of Goiânia and Aparecida de Goiânia, state of Goiás, Brazil.

    Science.gov (United States)

    Costa, Sérgio Henrique Nascente; Cunha, Luiz Carlos da; Yonamine, Maurício; Pucci, Liuba Laxor; Oliveira, Fernando Gomes Ferreira; Souza, Camila Gabriela de; Mesquita, Guilherme Alves; Vieira, Ana Paula de Toledo; Vinhal, Ludmilla Barros; Dalastra, Janayna; Leles, Cláudio Rodrigues

    2010-12-01

    To determine the prevalence of psychotropic drug use among military police officers in the state of Goiás, Brazil. Study carried out at twelve military police units located in the municipalities of Goiânia and Aparecida de Goiânia between March to October 2008. Volunteers (n=221) were interviewed about drug use using a questionnaire especially designed by the Centro Brasileiro de Informações sobre Drogas Psicotrópicas (CEBRID). Descriptive statistics was used to determine the prevalence of licit and illicit drug use in the study sample. The frequency of use was divided into: 1) lifetime use: tobacco-39.9%, alcohol-87.8%, cannabis-8.1%, cocaine-1.8%, stimulants-7.2%, solvents-10.0%, sedatives, anxiolytics, antidepressants-6.8%, LSD-0.5%, Bentyl®-0.5%, anabolic steroids-5.4%; 2) use in the previous year: tobacco-15.4%, alcohol-72.9%, stimulants-6.3%, solvents-0.5%, sedatives, anxiolytics, antidepressants-3.7%; 3) use in the previous 30 days: tobacco-14.5%, alcohol-57.5%, stimulants-5.0%, solvents-0.5, sedatives, anxiolytics, antidepressants-3.7%. The high prevalence rate of psychotropic drug use found amoung military police officers in two cities of the state of Goiás in Brazil can be considered an important factor with potential influence on job activities.

  3. Long-Term Reliability of a Hard-Switched Boost Power Processing Unit Utilizing SiC Power MOSFETs

    Science.gov (United States)

    Ikpe, Stanley A.; Lauenstein, Jean-Marie; Carr, Gregory A.; Hunter, Don; Ludwig, Lawrence L.; Wood, William; Iannello, Christopher J.; Del Castillo, Linda Y.; Fitzpatrick, Fred D.; Mojarradi, Mohammad M.; Chen, Yuan

    2016-01-01

    Silicon carbide (SiC) power devices have demonstrated many performance advantages over their silicon (Si) counterparts. As the inherent material limitations of Si devices are being swiftly realized, wide-band-gap (WBG) materials such as SiC have become increasingly attractive for high power applications. In particular, SiC power metal oxide semiconductor field effect transistors' (MOSFETs) high breakdown field tolerance, superior thermal conductivity and low-resistivity drift regions make these devices an excellent candidate for power dense, low loss, high frequency switching applications in extreme environment conditions. In this paper, a novel power processing unit (PPU) architecture is proposed utilizing commercially available 4H-SiC power MOSFETs from CREE Inc. A multiphase straight boost converter topology is implemented to supply up to 10 kilowatts full-scale. High Temperature Gate Bias (HTGB) and High Temperature Reverse Bias (HTRB) characterization is performed to evaluate the long-term reliability of both the gate oxide and the body diode of the SiC components. Finally, susceptibility of the CREE SiC MOSFETs to damaging effects from heavy-ion radiation representative of the on-orbit galactic cosmic ray environment are explored. The results provide the baseline performance metrics of operation as well as demonstrate the feasibility of a hard-switched PPU in harsh environments.

  4. Assistive Technology Needs, Functional Difficulties, and Services Utilization and Coordination of Children with Developmental Disabilities in the United States.

    Science.gov (United States)

    Lin, Sue C; Gold, Robert S

    2017-01-31

    Assistive technology (AT) enhances the ability of individuals with disabilities to be fully engaged in activities at home, at school, and within their communities-especially for children with developmental disabilities (DD) with physical, sensory, learning, and/or communication impairments. The prevalence of children with DD in the United States has risen from 12.84% in 1997 to 15.04% in 2008. Thus, it is important to monitor the status of their AT needs, functional difficulties, services utilization, and coordination. Using data from the 2009-2010 National Survey on Children with Special Health Care Needs (NS-CSHCN), we conducted bivariate and multivariate statistical analysis, which found that 90% or more of parents of both children with DD and other CSHCN reported that their child's AT needs were met for vision, hearing, mobility, communication, and durable medical equipment; furthermore, children with DD had lower odds of AT needs met for vision and hearing and increased odds for meeting AT needs in mobility and communication. Our findings outline the current AT needs of children with DD nationally. Fulfilling these needs has the potential to engender positive lifelong effects on the child's disabilities, sense of independence, self-confidence, and productivity.

  5. Analysis of logistical support as the key link of military logistics

    Directory of Open Access Journals (Sweden)

    Артем Володимирович Зозуля

    2016-11-01

    Full Text Available The analysis of the specific logistic support in terms of military logistics is proposed in the article. Special attention is addressed to legal regulation of financial and business activity of military units in logistics processes. The special role of prime importance of the formation of the corresponding moral - psychological model of military personnel of military units and subunits are noted. The specifics of the formation of military logistics systems in current economic conditions is analyzed

  6. Outsourcing, managing, supervising, and regulating private military companies in contingency operations

    OpenAIRE

    2010-01-01

    Approved for public release; distribution is unlimited This thesis examines the utilization of private military companies (PMCs) by government agencies of the United States in contingency operations in Iraq and Afghanistan. The aim of this thesis is to investigate the roles that PMCs play in current contingency operations, and to analyze how PMCs can become more useful instruments in contingency operations if they are properly outsourced, managed, supervised, and regulated. In this regar...

  7. Translating Sexual Assault Prevention from a College Campus to a United States Military Installation: Piloting the Know-Your-Power Bystander Social Marketing Campaign

    Science.gov (United States)

    Potter, Sharyn J.; Stapleton, Jane G.

    2012-01-01

    One population that shares both similar and different characteristics with traditional college-age students is the U.S. Military. Similarities include a high concentration of 18- to 26-year-olds dealing with new found independence, peer pressure, and the presence of social norms that support violence and hypermasculinity. Sexual violence is a…

  8. Translating Sexual Assault Prevention from a College Campus to a United States Military Installation: Piloting the Know-Your-Power Bystander Social Marketing Campaign

    Science.gov (United States)

    Potter, Sharyn J.; Stapleton, Jane G.

    2012-01-01

    One population that shares both similar and different characteristics with traditional college-age students is the U.S. Military. Similarities include a high concentration of 18- to 26-year-olds dealing with new found independence, peer pressure, and the presence of social norms that support violence and hypermasculinity. Sexual violence is a…

  9. Suicide in the military environment

    Directory of Open Access Journals (Sweden)

    Čabarkapa Milanko M.

    2004-01-01

    Full Text Available Suicide of soldiers has its own specifics, because not only it represents the tragedy for the individuals and their family, but also has great psychological effect on social environment and military unit in which it occurs. Suicide can be caused by variety of factors, as reported in the literature. The case reviewed in this article presents multilateral determination of suicide, with particular stress on the character of each individual and social interaction of soldiers. Psychological complex of basic inferiority, low educational level, family problems, and poor integration into military unit could be considered the leading determinants of this suicide. This emphasizes the importance of certain preventive measures such as more rigorous psychological selection for specific military duty, and the education of non-commissioned officers for better recognition and understanding of pre-suicidal syndrome.

  10. Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois

    Science.gov (United States)

    1983-06-01

    UTILIZATION OF A MARKETING STRATEGY AToNAVAL REGIONAL MEDICAL CENTER GREAT LAKES NGREAT LAKES, ILLINOIS I DTIC S1 ELECTE I A Graduate Research...IWORK UNIT ELEMENT NO. NO. NO. rCCESSION NO. 11. TITLE (bw* u S.wufty asification) Utilization of A Marketing Strategy At Naval Regional Medical Center...Applied Research Question. ........ 37 Summary of the Steps of a Marketing Strategy .. ..... 38 Applicability to the Military Health Care System

  11. Creating National Attraction: Military Intelligence Sharing Building Foreign Military Interdependence

    Science.gov (United States)

    2015-05-21

    intelligence sharing agreements drive long- term military partnerships. 6 Neil E. Harrison...well as possible leverage should one state decide to defect from the agreement. The Navy ran into problems with their endeavor to establish a sound ...the years enabled the United States and Colombia to visualize how they could cooperate for a mutually beneficial outcome regardless of their

  12. 78 FR 66607 - Military Family Month, 2013

    Science.gov (United States)

    2013-11-05

    ... United States of America A Proclamation Throughout our Nation's history, an unbroken chain of patriots... their dreams. And let us keep our military families strong and secure. NOW, THEREFORE, I, BARACK OBAMA...

  13. Future Utilization of the Continuing Education Unit in Conferences, Institutes, Short Courses, Workshops, Seminars, and Special Training Programs Within the Southern Association of Colleges and Schools.

    Science.gov (United States)

    Rhodes, John A., Jr.

    The study forecasts the utilization of the Continuing Education Unit (CEU) in conferences, institutes, short courses, workshops, seminars, and special training programs within the Southern Association of Colleges and Schools. (A CEU is defined as 10 contact hours of participation in an organized continuing education experience.) The methodology…

  14. Utilization of the Continuing Education Unit in Conferences, Institutions, Short Courses, Workshops, Seminars, and Special Training Programs within the Southern Association of Colleges and Schools.

    Science.gov (United States)

    Rhodes, John Augustus, Jr.

    Recognizing the need for a uniform method of measurement to apply to non-degree adult education programs, the Southern Association of Colleges and Schools incorporated the Continuing Education Unit (CEU) for use December 1, 1971. The purpose of this study was to forecast the utilization of the CEU in these programs within the Southern Association…

  15. German Command’s Guidelines on Training of Wehrmacht’s Military Units at Soviet-German Front Based on the Front-line Experience in 1941-1942

    Directory of Open Access Journals (Sweden)

    Shendrikov Evgeniy Aleksandrovich

    2014-09-01

    Full Text Available he article analyzes the guidelines of the training division of the General Staff of German land forces on improving the fighting techniques of Wehrmacht’s military units on the basis of the front-line experience gained in armed hostilities with the Red Army in 1941-1942. The study of archives allowed the author to reveal drawbacks and shortcomings of Wehrmacht’s military units training in the period preceding the second major German advance in Summer of 1942. In particular, the following drawbacks were revealed: incatious movement through monitored terrains, insufficient camouflage security, lack of proper skills in overhead shooting, poor field engineering of the infantry, poor land navigation, defeat of tank attacks and finally, tank combating at close range. The article also contains the characteristics of profound and thorough training of German command for the summer campaign of 1942, which covered all major issues such as the actions of reconnaissance forces, the organization of officers and non-commissioned officers’ training, close combat instructions, training of infantry’s field engineering, night training, making reports etc. At the end of the article the author comes to the conclusion that despite the intensified training and correction of previous mistakes, German command failed to achieve radical turning point in the war, which ended in the total defeat of fascist Germany.

  16. Utility values for symptomatic non-severe hypoglycaemia elicited from persons with and without diabetes in Canada and the United Kingdom

    Directory of Open Access Journals (Sweden)

    Levy Adrian R

    2008-09-01

    Full Text Available Abstract Objective To elicit societal and patient utilities associated with diabetic symptomatic non-severe hypoglycaemia for three health states: 1 rare (quarterly, 2 intermittent (monthly, 3 and frequent (weekly hypoglycaemia episodes. Methods Using validated health states, time trade-off utilities were elicited from 51 Canadian respondents with diabetes, and 79 respondents in Canada and 75 respondents in the United Kingdom (UK without diabetes. Results and discussion Each hypoglycaemic episode was associated with a reduction in utility and persons with diabetes consistently reported slightly higher utility values than respondents without diabetes. The utility for diabetes without hypoglycaemia ranged from 0.88 to 0.97, the mean utility for rare hypoglycaemic events (quarterly ranged between 0.85 and 0.94. The utility for the intermittent state (monthly ranged from 0.77 to 0.90 and from 0.66 to 0.0.83 for the frequent state (weekly. Differences were observed between respondents without diabetes in Canada and the UK. Using a multivariate linear OLS regression, the estimated utilities associated with a single hypoglycaemic event were -0.0033 and -0.0032 for respondents with diabetes and without diabetes, respectively. Conclusion Among respondents with and without diabetes, there was a demonstrable utility loss associated with hypoglycaemia. Considering a utility loss of 0.03 as a minimum clinically important difference for persons with diabetes, the evidence from this study indicates that as low as ten symptomatic non-severe hypoglycaemic episodes per year may be of clinical importance and that the importance increases with frequency of episodes. Integrating directly elicited utility values such as those reported here will improve the quality and applicability of economic evaluations of diabetes treatment.

  17. [Optimum of polysaccharide distillation on scrap Cordyceps militaris medium].

    Science.gov (United States)

    Ren, Shu-Yu; Zhao, Chun-Yan; Song, Hui-Yi; Zhao, Hao-Lu; Sun, Jun-De

    2008-03-01

    A mass of scrap Cordyceps militaris solid culture medium could not be utilized better. In this test, using orthogonal design the optimal technique parmeter of extracting polysaccharide was 80 degrees C, two times, in twenty times of water, and 120 minutes each time. Temperature was the most important factor. The referenced data could be provided to depurative production of Cordyceps militaris and resource utilization.

  18. Proceedings of the (20th) Annual Military Librarians’ Workshop on Public Relations, United States Naval Academy, Annapolis, Maryland, 20-22 October 1976

    Science.gov (United States)

    1976-10-22

    of their overall collection. Paul Klinefelter has remarked that DDC intends someday to provide the kind of snared cataloging for technical reports that...Military History Research Collection Naval Observatory Library Carlisle Uarracks, Pennsylvania 17013 34th and Massachusetts Avenue, N.W. - Autovon: 242-3600...Maryland 20910 Columbus, Georgia 31905 Autovon: 290-2545 Autovon: 835-4053 I PAUL KLINEFELTER UNA HUGGINS Deputy Dircctor of Technical Services Army

  19. Marketing: applications in a military health care setting.

    Science.gov (United States)

    Roark, G A; Tucker, S L

    1997-08-01

    Military health care leaders must recognize the importance of satisfied consumers. As part of this recognition, the focus of military medicine must change from a coercive-power to a reward-power system. This change highlights the need for business practices such as marketing. Encouraging military health care administrators to learn and understand the applications of the marketing variables will enhance demand management and health care delivery for beneficiaries. This paper describes some applications of marketing variables, informs the military health care administrator about the process of marketing, and describes the utility of marketing in the current paradigm shift in military health care delivery.

  20. 300 MW机组利旧冷却塔的研究和运用%Utilization of Old Small Cooling Tower in a New 300 MW Generation Unit

    Institute of Scientific and Technical Information of China (English)

    周桥亮

    2014-01-01

    The feasibility of utilizing old smaller cooling tower in the construction pro-cess of large thermal power unit was studied. Utilization of old small cooling tower not only shortened the construction period but also reduced the project cost.%对大机组建设过程中利用小机组冷却塔的可行性进行了研究。利用旧的小机组冷却塔后缩短了施工工期,降低了工程造价。

  1. Proceedings of the Army Science Conference (1976), United States Military Academy, West Point, N. Y., 22 - 25 June 1976. Volume 1. Principal Authors A through G

    Science.gov (United States)

    1976-01-01

    157 1 2 173 187 183 il Author Chrepta, M. M. Christenson, C. R. Smith, J. L. Martin , T. A. Griffin, J. R. Christiansen, C. Christoe, C...Jones, R. A. Jones, R. D. Kaminskl, W. J. Kaminski, W. J. Kapsalis, J. G. Kayser, L. D. Kemmey, P. Kendall, D. P. Keown , M, P. Stoll, J, K. Kern...Management at Military Facilities 389 IX Author Lux, R. A. Malseed, D. T. Mapes, C. A. Sobocinski, P, Z. Martlgnoni, P. Martin , T. A. Masaitis

  2. MODERN MILITARY GEOGRAPHY

    Directory of Open Access Journals (Sweden)

    Jacques Bezuidenhout

    2012-05-01

    Full Text Available Modern Military Geography is a new text that explores the relationship between geography and military conflict. As such, it covers many different scenarios and operational theatres and brings perspective to the link between local topography, hydrographical settings, climate, coastal conditions and military operations. The text goes further by examining the influence of secondary factors, which include, biological, health and environmental issues on military operations. The unique interaction between physical conditions and the geopolitical realities of different geographical settings are well illustrated. This book is therefore an excellent addition to the fields of military geography and military history, as well as other related military disciplines.

  3. Variation in neoadjuvant chemotherapy utilization for epithelial ovarian cancer at high volume hospitals in the United States and associated survival.

    Science.gov (United States)

    Barber, Emma L; Dusetzina, Stacie B; Stitzenberg, Karyn B; Rossi, Emma C; Gehrig, Paola A; Boggess, John F; Garrett, Joanne M

    2017-06-01

    To estimate variation in the use of neoadjuvant chemotherapy by high volume hospitals and to determine the association between hospital utilization of neoadjuvant chemotherapy and survival. We identified incident cases of stage IIIC or IV epithelial ovarian cancer in the National Cancer Database from 2006 to 2012. Inclusion criteria were treatment at a high volume hospital (>20 cases/year) and treatment with both chemotherapy and surgery. A logistic regression model was used to predict receipt of neoadjuvant chemotherapy based on case-mix predictors (age, comorbidities, stage etc). Hospitals were categorized by the observed-to-expected ratio for neoadjuvant chemotherapy use as low, average, or high utilization hospitals. Survival analysis was performed. We identified 11,574 patients treated at 55 high volume hospitals. Neoadjuvant chemotherapy was used for 21.6% (n=2494) of patients and use varied widely by hospital, from 5%-55%. High utilization hospitals (n=1910, 10 hospitals) had a median neoadjuvant chemotherapy rate of 39% (range 23-55%), while low utilization hospitals (n=2671, 14 hospitals) had a median rate of 10% (range 5-17%). For all ovarian cancer patients adjusting for clinical and socio-demographic factors, treatment at a hospital with average or high neoadjuvant chemotherapy utilization was associated with a decreased rate of death compared to treatment at a low utilization hospital (HR 0.90 95% CI 0.83-0.97 and HR 0.85 95% CI 0.75-0.95). Wide variation exists in the utilization of neoadjuvant chemotherapy to treat stage IIIC and IV epithelial ovarian cancer even among high volume hospitals. Patients treated at hospitals with low rates of neoadjuvant chemotherapy utilization experience decreased survival. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. GIS applications for military operations in coastal zones

    Science.gov (United States)

    Fleming, S.; Jordan, T.; Madden, M.; Usery, E.L.; Welch, R.

    2009-01-01

    In order to successfully support current and future US military operations in coastal zones, geospatial information must be rapidly integrated and analyzed to meet ongoing force structure evolution and new mission directives. Coastal zones in a military-operational environment are complex regions that include sea, land and air features that demand high-volume databases of extreme detail within relatively narrow geographic corridors. Static products in the form of analog maps at varying scales traditionally have been used by military commanders and their operational planners. The rapidly changing battlefield of 21st Century warfare, however, demands dynamic mapping solutions. Commercial geographic information system (GIS) software for military-specific applications is now being developed and employed with digital databases to provide customized digital maps of variable scale, content and symbolization tailored to unique demands of military units. Research conducted by the Center for Remote Sensing and Mapping Science at the University of Georgia demonstrated the utility of GIS-based analysis and digital map creation when developing large-scale (1:10,000) products from littoral warfare databases. The methodology employed-selection of data sources (including high resolution commercial images and Lidar), establishment of analysis/modeling parameters, conduct of vehicle mobility analysis, development of models and generation of products (such as a continuous sea-land DEM and geo-visualization of changing shorelines with tidal levels)-is discussed. Based on observations and identified needs from the National Geospatial-Intelligence Agency, formerly the National Imagery and Mapping Agency, and the Department of Defense, prototype GIS models for military operations in sea, land and air environments were created from multiple data sets of a study area at US Marine Corps Base Camp Lejeune, North Carolina. Results of these models, along with methodologies for developing large

  5. 军事通信网ATM信元的优化问题研究%Research on Optimization of ATM Information Unit of Military Communication Network

    Institute of Scientific and Technical Information of China (English)

    林伟; 李其芳

    2012-01-01

    ATM(Asynchronous Transfer Mode)is a new data transmission technology, because of the good guarantee of QoS, big throughput supporting, comprehensive business and so on. It is widely used in the area of military communication network. Selection of the suitable wireless ATM cell for information transmission has very good reference value on the construction of military communication network based on wireless ATM technology%异步传送模式(ATM)是一种新的数据传输技术,由于其具有良好的QoS保证、吞吐量大、支持综合业务等一系列优点,在军事通信领域也获得了广泛的应用。选取适于作战信息传输的无线ATM信元,对构建基于无线PffM技术军事通信网具有很好的参考价值。

  6. Applying Culture to Military Operations: A Review of Foreign Militaries

    Science.gov (United States)

    2012-04-04

    perspective on cultural awareness as a consequence of its own indigenous Maori culture. During initial or basic training, the military examines its own...organizational culture. Two of the services, the New Zealand Army and Navy, utilize elements of the Maori culture in order to establish a common...experience within the island nations and their own Maori culture and language has some commonalities. For missions in less familiar surroundings, the NZDF

  7. Utility Values for Advanced Soft Tissue Sarcoma Health States from the General Public in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Julian F. Guest

    2013-01-01

    Full Text Available Soft tissue sarcomas are a rare type of cancer generally treated with palliative chemotherapy when in the advanced stage. There is a lack of published health utility data for locally advanced “inoperable”/metastatic disease (ASTS, essential for calculating the cost-effectiveness of current and future treatments. This study estimated time trade-off (TTO and standard gamble (SG preference values associated with four ASTS health states (progressive disease, stable disease, partial response, complete response among members of the general public in the UK (n=207. The four health states were associated with decreases in preference values from full health. Complete response was the most preferred health state (mean utility of 0.60 using TTO. The second most preferred health state was partial response followed by stable disease (mean utilities were 0.51 and 0.43, respectively, using TTO. The least preferred health state was progressive disease (mean utility of 0.30 using TTO. The utility value for each state was significantly different from one another (P<0.001. This study demonstrated and quantified the impact that different treatment responses may have on the health-related quality of life of patients with ASTS.

  8. A Process Improvement Study on a Military System of Clinics to Manage Patient Demand and Resource Utilization Using Discrete-Event Simulation, Sensitivity Analysis, and Cost-Benefit Analysis

    Science.gov (United States)

    2015-03-12

    military installation. Mild medical incidents can range from flu/cold incidents that do not require hospital care to food poisoning at a local restaurant ...Healthcare Industry Overview ..............................................................................9 Simulation in Healthcare...16 III. Industrial and Systems

  9. Integration of micro-fabricated atomic magnetometers on military systems

    Science.gov (United States)

    Schultz, Gregory; Mhaskar, Rahul; Prouty, Mark; Miller, Jonathan

    2016-05-01

    A new generation of ultra-high sensitivity magnetic sensors based on innovative micro-electromechanical systems (MEMS) are being developed and incorporated into military systems. Specifically, we are currently working to fully integrate the latest generation of MicroFabricated Atomic Magnetometers (MFAMs) developed by Geometrics on defense mobility systems such as unmanned systems, military vehicles and handheld units. Recent reductions in size, weight, and power of these sensors has enabled new deployment opportunities for improved sensitivity to targets of interest, but has also introduced new challenges associated with noise mitigation, mission configuration planning, and data processing. Our work is focused on overcoming the practical aspects of integrating these sensors with various military platforms. Implications associated with utilizing these combined sensor systems in working environments are addressed in order to optimize signal-to-noise ratios, detection probabilities, and false alarm mitigation. Specifically, we present collaborative work that bridges the gap between commercial specialists and operation platform integration organizations including magnetic signature characterization and mitigation as well as the development of simulation tools that consider a wide array of sensor, environmental, platform, and mission-level parameters. We discuss unique deployment concepts for explosive hazard target geolocation, and data processing. Applications include configurations for undersea and underground threat detection - particularly those associated with stationary or mobile explosives and compact metallic targets such as munitions, subsea threats, and other hazardous objects. We show the potential of current and future features of miniaturized magnetic sensors including very high magnetic field sensitivities, bandwidth selectivity, and array processing.

  10. E-RESOURCES GEOGRAPHIC INFORMATION SYSTEM SYSTEM FOR MILITARY OPERATION

    Directory of Open Access Journals (Sweden)

    Aditya Kurniawan

    2013-01-01

    Full Text Available Nowadays, the barometer of the strength of a country is a military force that is owned by the state. To produce a good military force in a country, it would require an easy, fast and accurate military resource management. This study utilized geographic data as a reference for the location of the logistics resources to help simplify the management of military data using spatial data in Geographic Information System (GIS. The system development approach used JSON Service technology framework and HTML 5 to improve system performance. The features development of the management of military resources associated with military operations are conducted. Results of this study generate e-resource military operation system which is swift and in accordance with the W3C web standards.

  11. A brief introduction to the military workplace culture.

    Science.gov (United States)

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

    2015-01-01

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

  12. Religiosity and Utilization of Complementary and Alternative Medicine among Foreign-Born Hispanics in the United States

    Science.gov (United States)

    Heathcote, John D.; West, Joshua H.; Hall, P. Cougar; Trinidad, Dennis R.

    2011-01-01

    The purpose of this study was to test the association between religiosity and utilization of complementary and alternative medicine (CAM) in a sample of foreign-born Hispanic adults, even when excluding prayer as a form of CAM. Data were collected using a self-report Spanish-language survey. Study participants consisted of 306 respondents between…

  13. Fewer intensive care unit refusals and a higher capacity utilization by using a cyclic surgical case schedule

    NARCIS (Netherlands)

    Houdenhoven, van Mark; Oostrum, van Jeroen M.; Wullink, Gerhard; Hans, Erwin; Hurink, Johann L.; Bakker, Jan; Kazemier, Geert

    2008-01-01

    Purpose: Mounting health care costs force hospital managers to maximize utilization of scarce resources and simultaneously improve access to hospital services. This article assesses the benefits of a cyclic case scheduling approach that exploits a master surgical schedule (MSS). An MSS maximizes ope

  14. Religiosity and Utilization of Complementary and Alternative Medicine among Foreign-Born Hispanics in the United States

    Science.gov (United States)

    Heathcote, John D.; West, Joshua H.; Hall, P. Cougar; Trinidad, Dennis R.

    2011-01-01

    The purpose of this study was to test the association between religiosity and utilization of complementary and alternative medicine (CAM) in a sample of foreign-born Hispanic adults, even when excluding prayer as a form of CAM. Data were collected using a self-report Spanish-language survey. Study participants consisted of 306 respondents between…

  15. Can portable pyrolysis units make biomass utilization affordable while using bio-char to enhance soil productivity and sequester carbon?

    Science.gov (United States)

    Mark Coleman; Deborah Page-Dumroese; Jim Archuleta; Phil Badger; Woodum Chung; Tyron Venn; Dan Loeffler; Greg Jones; Kristin McElligott

    2010-01-01

    We describe a portable pyrolysis system for bioenergy production from forest biomass that minimizes long-distance transport costs and provides for nutrient return and long-term soil carbon storage. The cost for transporting biomass to conversion facilities is a major impediment to utilizing forest biomass. If forest biomass could be converted into bio-oil in the field...

  16. The Utility of Military Deception During Counterinsurgency

    Science.gov (United States)

    2007-03-29

    against force. 22Ibid, 129. 10 Instead they conform to a kind of action theory , where...classical theory is more or less helpful in framing a theoretical basis for MILDEC inside COIN than eastern and progressive action theory ; whether human...domains with the STDM as a simplified action theory . MILDEC participates in the same STDM as other core elements of information operations which work

  17. Military Utility of Multispectral and Hyperspectral Sensors

    Science.gov (United States)

    1994-11-01

    2 wagging 7.83 C-H bending 7.96 8.16 8.33 OH in-plane bending 8.66 asymmetric bridge C-O-C stretching 9.03 asymmetric in-phase ring stretching 9.28...chloroplasts. The pigments most generally found in the chloroplasts are chloro- phyll, carotenes , and xanthophylls, where chlorophyll is the most abundant

  18. Modeliranje kretanja automobilskih jedinica realnim vojnim saobraćajnim tokom u koloni / Movement modeling of real military column traffic automobile units

    Directory of Open Access Journals (Sweden)

    Radomir S. Gordić

    2007-04-01

    Full Text Available U radu je prikazan model za ocenu efikasnosti i optimizaciju kretanja organizovanog vojnog saobraćajnog toka u koloni. Razrađeni i usavršeni model obezbeđuje brzu i jednostavnu realizaciju istraživanja motorizovanih kolona različitih karakteristika. Prikazani su model, metodologija i rezultati imitacionog modeliranja realnog organizovanog vojnog saobraćajnog toka automobilskih jedinica u koloni. Rad predstavlja originalan doprinos istraživanju realnog vojnog saobraćajnog toka u koloni. / Target of this research was appraisal efficiency and optimization developments of organized column traffic. Elaborated and perfected model provides quick and simple target research realization for the motorized columns with different characteristics. In this work, model, methodology and results of imitation modeling, for real organized column traffic, have been shown. Work represents an original contribution to effective military column traffic.

  19. Military Leadership in the Kenya Army.

    Science.gov (United States)

    1985-05-22

    109011"dt agency. USAWC MILITARY STUIES PRGRAM PAPER MILITARY LEADERSIP IN THE KENYA ~IMW INDIVIEUAL sIUD PROJTECT by Brigadier Jackson Munyao, IS Colonel...DO supervising and evaluating . k. Motivate. o. Applying principles of motivation, such as develop- ing morale and esprit in your unit; teaching...orders and make sure they are followed. Make any correction where required. This can be done if you evaluate the effectiveness of the plan by

  20. Homosexuality and the U.S. military.

    OpenAIRE

    McIntyre, Michael Thomas

    1980-01-01

    Approved for public release; distribution is unlimited The U.S. military services presently restrict homosexual individuals from entering the armed forces, and discharge gay service members once they have been discovered to be homosexual. As a result of recent social, judicial and political change within the United States, increasing pressure has been placed on the U.S. military to reevaluate and change its homosexuality-related regulations. This paper summarizes recen...

  1. Evaluation of Mobile Office Education Unit Utilization with Migrant Workers in Box Elder School District. Final Report.

    Science.gov (United States)

    Utah Research Coordinating Unit for Vocational and Technical Education, Salt Lake City.

    The purpose of this mobile-unit vocational education program was to focus on the basic communication skills, business skills, and math skills believed necessary to qualify better the migrant worker in securing entry jobs in the field of office occupations. The program was designed to meet the needs of the migrant worker from 14 to 30 years of age.…

  2. Cost Analysis of Utilizing Electric Vehicles and Photovoltaic Solar Energy in the United States Marine Corps Commercial Vehicle Fleet

    Science.gov (United States)

    2009-12-01

    The purpose of this MBA project is to examine the upfront cost associated with purchasing electric vehicles and installing photovoltaic (PV) solar...analysis for implementing Low Speed Vehicle (LSV), Pure Electric Vehicles (PEV), and PV solar electric energy in the United States Marine Corps commercial vehicle fleet at Marine Corps Logistics Base Barstow.

  3. The Grand Strategy of the United States

    Science.gov (United States)

    2014-10-01

    United States both militarily and by setting the terms of trade. While cultural and ideological affinities with European democra- cies played...military establishments (Japan, Russia, India, South Korea, Vietnam, Taiwan, Indonesia , Malaysia, Singapore) can check possible military expansion when

  4. Military Suicide Research Consortium (MSRC)

    Science.gov (United States)

    2013-10-01

    military, impact unit morale, and take a large emotional toll on the involved friends, family, and commanders. There is significant stigma...Identifying Behavioral and Neural Markers of Active Suicidal Ideation: Effects of Cognitive and Emotional Stress on Working Memory in OEF/OIF/OND Veterans...doi:10.1007/s10862-009-9131-7 Brenner, L. A., Terrio, H., Homaifar, B. Y., Gutierrez, P. M., Staves, P. J., Harwood, J. E. F., Reeves , D., Adler

  5. Education and the Knowledge Military

    Science.gov (United States)

    2010-04-01

    military, sea power 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON a. REPORT...Education of a Citizen, (Honolulu: University Press of the Pacific, 2002), 22. 3 Thomas Dewey , Democracy and Education, (New York: The Macmillan...the United States‟ shipbuilding has been completed decimated by over-regualtion and and non- competitive labor costs. 29 India and China are well

  6. Utilization of Observation Units for the Care of Poisoned Patients: Trends from the Toxicology Investigators Consortium Case Registry.

    Science.gov (United States)

    Judge, Bryan S; Ouellette, Lindsey M; VandenBerg, Melissa; Riley, Brad D; Wax, Paul M

    2016-03-01

    Many poisoned patients may only require a period of observation after their exposure. There are limited data describing the use of observation units for managing poisoned adult and pediatric patients. We performed a retrospective review of all patients reported to the ToxIC Case Registry between January 1, 2012 and December 31, 2013. Eligible patients included those who received a bedside consultation by a medical toxicologist and whose care was provided in an observation unit, or those who were admitted under the care of a medical toxicologist in an observation unit. A total of 15,562 poisonings were reported to the registry during the study period, of which 340 (2.2 %) involved patients who were cared for in an observation unit. Of these patients, 22.1 % were 18 years of age or younger, and the remaining 77.9 % were greater than 18 years of age. The most common reason for exposure was the intentional ingestion of a pharmaceutical agent in both adult (30.2 %) and pediatric patients (36.0 %). Alcohols (ethanol) (24.9 %), opioids (20.0 %), and sedative-hypnotics (17.7 %) were the most common agent classes involved in adult patient exposures. The most common agent classes involved in pediatric exposures were antidepressants (12.0 %), anticonvulsants (10.7 %), and envenomations (10.7 %). In adult patients, the most common signs and symptoms involved the nervous system (52.0 %), a toxidrome (17.0 %), or a major vital sign abnormality (14.7 %). In pediatric patients, the most common signs and symptoms involved the nervous system (53.3 %), a toxidrome (21.3 %), or a major vital sign abnormality (17.3 %). The results of this study demonstrate that a wide variety of poisoned patients have been cared for in an observation unit in consultation with a board-certified medical toxicologist. Patterns for the reasons for exposure, agents responsible for the exposure, and toxicological treatments will continue to evolve. Further study is needed to identify

  7. Dental age estimation utilizing third molar development: A review of principles, methods, and population studies used in the United States.

    Science.gov (United States)

    Lewis, James M; Senn, David R

    2010-09-10

    When an individual reaches the age of legal majority, their treatment within the criminal and civil legal systems is changed dramatically in the United States. Forensic odontologists are often asked to assist government agencies in estimating the ages of persons who may or may not have reached that legally important age. The third molars are the only teeth useful as forensic estimators of chronological age in the target age group. This study reviews the principles, methodology, and population data of the most commonly used technique in the United States, the analysis of the third molar development based on modified Demirjian staging. The method analyzes the developing third molar to estimate mean age, age intervals and the empirical probability that an individual has reached the anniversary of her or his eighteenth birthday.

  8. China's Military Diplomacy

    Institute of Scientific and Technical Information of China (English)

    He Qisong; Li Baowen

    2008-01-01

    Since the end of the Cold War, China's military diplomacy has displayed an omni-directional and multi-level form, and with an increasing transparency which has increased trust and reduced doubt. China has enhanced its conventional military functions and strengthened its military soft power. This has helped China develop into a responsible state on the world stage. Through military exchanges with other countries, the Chinese military has gradually strengthened its ability to undertake a variety of tasks. The Chinese military has to make greater efforts to counter the perception of a "China threat." There is also a need to establish a system of military spokesmen and to develop a theory of military diplomacy with Chinese characteristics.

  9. TRICARE, Military Health System

    Science.gov (United States)

    ... Claim Get Proof of TRICARE Coverage View My Military Health Record Less State of Emergency in North ... Disaster Information Download a Form Go Paperless My Military Health Records Multimedia Center Plan Information Kits Recoupment ...

  10. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... total__ Find out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health ... 10 VA HSR&D Investigator Insights: Military Sexual Trauma - Duration: 3:27. Veterans Health Administration 898 views ...

  11. National Military Family Association

    Science.gov (United States)

    ... 931.6632 info@MilitaryFamily.org © 2016 - National Military Family Association Twitter Facebook Pinterest Instagram Charity Navigator Four Star Charity GuideStar Exchange Better Business Bureau Charity Watch Independent Charity of America nonprofit ...

  12. Under-utilization of taps in intensive care unit as a cause of reservoirs of nonfermenting gram-negative bacilli.

    Science.gov (United States)

    de-Las-Casas-Cámara, Gonzalo; Martín-Ríos, María Dolores; Adillo-Montero, Maria Isabel; Muñoz-Egea, María Carmen; Zapardiel-Ferrero, Javier; Pérez-Jorge Peremarch, Concepción

    2017-03-10

    The under-utilisation of taps is associated with the generation of reservoirs of non-fermenting gram-negative bacilli with the ability to disseminate. We describe the detection and approach of the problem in an ICU. Observational descriptive study in an ICU with individual cubicles with their own sink. We collected clinical samples from patients and environmental samples from tap aerators and reviewed the unit's hygiene measures. We detected four cases due to Chryseobacterium indologenes, one to Elizabethkingia meningoseptica and another to Pseudomonas aeruginosa; they were identified both in clinical and the environmental samples. The healthcare professionals reported that almost every hand hygiene opportunity was performed with a hydroalcoholic solution. After considered the daily flushing of water outlets as inefficient, it was decided to remove them. National recommendations were insufficient for preventing, detecting and controlling tap contamination in units with a high risk of infection. The management of taps in these units needs to be improved. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  13. Ready to Use Tissue Construct for Military Bone & Cartilage Trauma

    Science.gov (United States)

    2015-12-01

    hopefully lead to the development of new military technology products and utilities for the definitive and preventive orthopaedic care of military personnel...osteotomy site. The dog was euthanized with an overdose of euthanasia solution by the attending veterinarian. After careful dissection of the affected

  14. 抽油机电动机合理负载率的研究%Reasonable Range of Electrical Motor Power Utilization Ratio of Pumping Units

    Institute of Scientific and Technical Information of China (English)

    宋扬; 姜雪; 张德实; 王新民

    2012-01-01

    The load characteristic of pumping units is a cyclicity loading. In order to startup and run the pumping units normally, the electrical motor theory installed power of pumping unit was usually higher than running power for requirement of the motor margin, which makes the electric power lost. The reasonable upper limit of electrical motor power utilization ratio by theorical check of the motor heating conditions, overload capacity and startup character and the lower limit by characteristic curve of electrical motor were made. It had been checked by experimental study. Declining electrical motor of pumping units installed power reasonably not only can raise electrical motor power utilization ratio and decrease inirial investment, but also can make importance for energy saving of oilfield.%游梁式抽油机的负载属于一种周期性交变载荷,为了满足抽油机正常启动、运行,所用电动机装机功率普遍高于理论装机功率,使电动机长期处于低负荷运行,造成能耗浪费.通过对电动机发热条件、过载能力及启动性能的理论校验与分析,确定了电动机负载率的合理上限,根据电动机工作特性曲线确定了负载率的合理下限,并利用试验研究进行了验证,合理地降低抽油机所用电动机的装机功率,不仅可以提高油井电动机负载率,降低初期投入,而且对油田生产节能降耗意义重大.

  15. Lack of utility of a decision support system to mitigate delays in admission from the operating room to the postanesthesia care unit.

    Science.gov (United States)

    Ehrenfeld, Jesse M; Dexter, Franklin; Rothman, Brian S; Minton, Betty Sue; Johnson, Diane; Sandberg, Warren S; Epstein, Richard H

    2013-12-01

    When the phase I postanesthesia care unit (PACU) is at capacity, completed cases need to be held in the operating room (OR), causing a "PACU delay." Statistical methods based on historical data can optimize PACU staffing to achieve the least possible labor cost at a given service level. A decision support process to alert PACU charge nurses that the PACU is at or near maximum census might be effective in lessening the incidence of delays and reducing over-utilized OR time, but only if alerts are timely (i.e., neither too late nor too early to act upon) and the PACU slot can be cleared quickly. We evaluated the maximum potential benefit of such a system, using assumptions deliberately biased toward showing utility. We extracted 3 years of electronic PACU data from a tertiary care medical center. At this hospital, PACU admissions were limited by neither inadequate PACU staffing nor insufficient PACU beds. We developed a model decision support system that simulated alerts to the PACU charge nurse. PACU census levels were reconstructed from the data at a 1-minute level of resolution and used to evaluate if subsequent delays would have been prevented by such alerts. The model assumed there was always a patient ready for discharge and an available hospital bed. The time from each alert until the maximum census was exceeded ("alert lead time") was determined. Alerts were judged to have utility if the alert lead time fell between various intervals from 15 or 30 minutes to 60, 75, or 90 minutes after triggering. In addition, utility for reducing over-utilized OR time was assessed using the model by determining if 2 patients arrived from 5 to 15 minutes of each other when the PACU census was at 1 patient less than the maximum census. At most, 23% of alerts arrived 30 to 60 minutes prior to the admission that resulted in the PACU exceeding the specified maximum capacity. When the notification window was extended to 15 to 90 minutes, the maximum utility was system to mitigate

  16. Ideology or Pragmatism? U.S. Economic Aid, Military Assistance, and Foreign Military Sales: 1950-2007

    Science.gov (United States)

    2009-08-01

    performed a critical pragmatic role in foreign policy with Ethiopia. Military assistance was used to negotiate with Haile Selassie , the Emperor of...Africa."[28] Immediately after World War II, Haile Selassie requested military assistance from the United States, which was initially denied by the... Selassie made to resource his military would ultimately become a key reason for his demise. In the 1960s and early 1970s, Kagnew gained greater

  17. Utility-Scale Photovoltaic Deployment Scenarios of the Western United States: Implications for Solar Energy Zones in Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Frew, Bethany [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Krishnan, Venkat [National Renewable Energy Lab. (NREL), Golden, CO (United States); Haase, Scott [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-12-01

    In this study, we use the National Renewable Energy Laboratory's (NREL's) Regional Energy Deployment System (ReEDS) capacity expansion model to estimate utility-scale photovoltaic (UPV) deployment trends from present day through 2030. The analysis seeks to inform the U.S. Bureau of Land Management's (BLM's) planning activities related to UPV development on federal lands in Nevada as part of the Resource Management Plan (RMP) revision for the Las Vegas and Pahrump field offices. These planning activities include assessing the demand for new or expanded additional Solar Energy Zones (SEZ), per the process outlined in BLM's Western Solar Plan process.

  18. Parametric Limits of Efficient Use of a Centrifugal Water Atomizer in Contact Waste-Gas Heat-Utilization Units

    Science.gov (United States)

    Bezrodnyi, M. K.; Rachinskii, A. Yu.; Barabash, P. A.; Goliyad, N. N.

    2016-07-01

    The relation for the limiting temperature of water heating in a contact gas-droplet-type apparatus with a centrifugal atomizer has been determined experimentally in relation to the conditions of utilization of heat of power plant waste-gases. Investigations were carried out in the range of excess water pressures in front of the atomizer 0.2-0.6 MPa and of the volume fraction of steam in the vapor-gas mixture at the inlet of the apparatus from 0.02 to 0.45. The possibility of using the obtained dependence for calculating the limiting values of the vapor-gas flow parameters that limit the range of efficient operation of the contact apparatus with steam condensation and in the absence of heated liquid droplet evaporation is shown.

  19. Assessment of Military Cultural Competence: A Pilot Study.

    Science.gov (United States)

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

    2015-08-01

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

  20. Pushing the Limits of Military Coercion Theory

    DEFF Research Database (Denmark)

    Jakobsen, Peter Viggo

    2011-01-01

    military coercion works and how the practical problems involved could be addressed. Our understanding of military coercion would be increased markedly if only coercion theorists would make a greater efforts to do three things, namely (1) provide clear operational definitions of key concepts and variables......, (2) engage in systematic and rigorous empirical analysis of generally accepted propositions, and (3) seek to provide solutions to the many policy problems that coercion theorists have identified to date. These simple steps would enhance the degree of cumulativity within the field, provide......The centrality of military coercion in contemporary Western crisis and conflict management constitutes a major policy problem because the United States and its allies are poor at translating their overwhelming military superiority into adversary compliance. The standard explanation provided...

  1. Military Commissions

    Science.gov (United States)

    1953-04-01

    under the law of the Detaining Power, in accordance with the principles of the Nuremberg trial, for war crimes and crimes against humanity, it being...Nurem- bergr (sometimes briefly referred to as IMT EUCOM), which tried Goering and other high Nazi leaders, was established in a charter annexed to a four...197, 69 s. Ct. 157. 1 6 A staff report to a member of one tribunal reflected 57 twelve trials 8were also conducted at Nuremberg by the United States

  2. Revolution in Military Logistics: No More Mountains to Move?

    Science.gov (United States)

    1995-03-08

    REVOLUTION IN MILITARY LOGISTICS : NO MORE MOUNTAINS TO MOVE? BY LIEUTENANT COLONEL SCOTT M. BERGERON United States Army !DT tA DISTRIBUTION STATEMENT A...17013-5050 c3, Revolution in Military Logistics : No More Mountains to Move? The views expressed in this paper are those of the author and do not

  3. Guide to Military-Loan Film (16mm).

    Science.gov (United States)

    1969

    Over 1,400 16 millimeter films are listed which are available from United States military organizations. They are free of charge for public, non-profit exhibition and cover a widely diverse range of subjects including vocational education, military history, industrial safety, transportation, and public works. The guide lists these films in…

  4. Benchmarking Teacher Education: What Can We Learn from the Military?

    Science.gov (United States)

    Wilmore, Elaine L.

    This paper examines how the United States Military Academy at West Point produces consistently high standards of quality, discussing what teacher education can learn from the military. West Point's mission is to educate and train the Corps of Cadets so that each graduate shall have the attributes essential to professional growth throughout a…

  5. Automated Sensor Tuning for Seismic Event Detection at a Carbon Capture, Utilization, and Storage Site, Farnsworth Unit, Ochiltree County, Texas

    Science.gov (United States)

    Ziegler, A.; Balch, R. S.; Knox, H. A.; Van Wijk, J. W.; Draelos, T.; Peterson, M. G.

    2016-12-01

    We present results (e.g. seismic detections and STA/LTA detection parameters) from a continuous downhole seismic array in the Farnsworth Field, an oil field in Northern Texas that hosts an ongoing carbon capture, utilization, and storage project. Specifically, we evaluate data from a passive vertical monitoring array consisting of 16 levels of 3-component 15Hz geophones installed in the field and continuously recording since January 2014. This detection database is directly compared to ancillary data (i.e. wellbore pressure) to determine if there is any relationship between seismic observables and CO2 injection and pressure maintenance in the field. Of particular interest is detection of relatively low-amplitude signals constituting long-period long-duration (LPLD) events that may be associated with slow shear-slip analogous to low frequency tectonic tremor. While this category of seismic event provides great insight into dynamic behavior of the pressurized subsurface, it is inherently difficult to detect. To automatically detect seismic events using effective data processing parameters, an automated sensor tuning (AST) algorithm developed by Sandia National Laboratories is being utilized. AST exploits ideas from neuro-dynamic programming (reinforcement learning) to automatically self-tune and determine optimal detection parameter settings. AST adapts in near real-time to changing conditions and automatically self-tune a signal detector to identify (detect) only signals from events of interest, leading to a reduction in the number of missed legitimate event detections and the number of false event detections. Funding for this project is provided by the U.S. Department of Energy's (DOE) National Energy Technology Laboratory (NETL) through the Southwest Regional Partnership on Carbon Sequestration (SWP) under Award No. DE-FC26-05NT42591. Additional support has been provided by site operator Chaparral Energy, L.L.C. and Schlumberger Carbon Services. Sandia National

  6. A Simulation to Evaluate Joint Military Logistics in a Humanitarian Assistance Environment

    Science.gov (United States)

    2012-03-01

    A SIMULATION TO EVALUATE JOINT MILITARY LOGISTICS IN A HUMANITARIAN ASSISTANCE ENVIRONMENT THESIS...protection in the United States. AFIT/LSCM/ENS/12-04 A SIMULATION TO EVALUATE JOINT MILITARY LOGISTICS IN A HUMANITARIAN ASSISTANCE ENVIRONMENT...FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED. AFIT/LSCM/ENS/12-04 A SIMULATION TO EVALUATE JOINT MILITARY LOGISTICS IN A HUMANITARIAN

  7. Catalog of the Orientalia Collection of the U.S. Military Academy Library.

    Science.gov (United States)

    Lee, Pingkun; Kao, Angela H.H.

    This bibliography of the holdings of the United States Military Academy Library's Orientalia Collection as of January 1977 lists books and periodicals written mostly in Chinese, with a few words in Japanese and English. The major subjects include general and military history, history of military art and science, biography, culture, geography,…

  8. 40 CFR 5.210 - Military and merchant marine educational institutions.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Military and merchant marine... FINANCIAL ASSISTANCE Coverage § 5.210 Military and merchant marine educational institutions. These Title IX... for a military service of the United States or for the merchant marine....

  9. 7 CFR 15a.13 - Military and merchant marine educational institution.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Military and merchant marine educational institution... ACTIVITIES RECEIVING OR BENEFITTING FROM FEDERAL FINANCIAL ASSISTANCE Coverage § 15a.13 Military and merchant... purpose is the training of individuals for a military service of the United States or for the...

  10. 10 CFR 5.210 - Military and merchant marine educational institutions.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Military and merchant marine educational institutions. 5... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 5.210 Military and... institution whose primary purpose is the training of individuals for a military service of the United...

  11. 24 CFR 3.210 - Military and merchant marine educational institutions.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Military and merchant marine... ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 3.210 Military and merchant marine educational... the training of individuals for a military service of the United States or for the merchant marine....

  12. Construction of cryptographic information protection in automated control systems for rapid reaction military forces

    Directory of Open Access Journals (Sweden)

    Sergey Petrovich Evseev

    2012-04-01

    Full Text Available New approaches to realizations of military operations are analyzed. The main factors that directly affect the construction and operation of information security subsystems in prospective automated command and control military systems are described. Possible ways of the construction of cryptographic subsystems of information protection in automated operation management systems for united military force groups are investigated.

  13. [The 90th anniversary of Novocherkassk military hospital].

    Science.gov (United States)

    Benia, F M; Matsko, B G

    2010-02-01

    The article is devoted to the 90th anniversary of Novocherkassk military hospital of Northern Caucasus military region (Rostov area). Military hospital is a modern treatment-prophylaxis institute. Quality of treatment of military service men, members of their families, reserve officers, civil staff is permanently increasing. Treatment-diagnostic units are equipped by modern facilities. 60 physicians and nurses have highest and first qualified categories. More then 10 years the staff of hospital realizes the medical aid to wounded and ill persons, coming from theatres of the armed conflicts.

  14. MILITARY COUPS AND MILITARY REGIMES IN AFRICA

    OpenAIRE

    2012-01-01

    Growth of Military StatesAs late as 1961 the African image had not been tarnished to any great extent by the incidence of military coups. Indeed, a field study tour conducted in 1960- 1 - the year of independence as it has been called - to investigate the place of the armed forces in societies in Africa did not provide the evidence on which to forecast the eventual spate of coups. Togo was the first country in West Africa to experience a military coup when on 13 January 1963 Togolese soldiers...

  15. Military Retention. A Comparative Outlook

    Directory of Open Access Journals (Sweden)

    Vasile Sminchise

    2016-06-01

    Full Text Available One of the main goals for human resources management structures and for armed forces leaders is to maintain all necessary personnel, both qualitatively and quantitatively for operational needs or for full required capabilities. The retention of military personnel is essential to keep morale and unit readiness and to reduce the costs for recruiting, training, replacement of manpower. Retention rates depend not only on money or other social measures. The goal for retention is to keep in use the most valuable resource that belongs to an organization: the human beings and their knowledge. The aim pf this paper is to provide a comparative analysis of retention measures in various countries based on Research and Technology Organisation report released in 2007 and, thus, provide more examples of retention measures as far as the Romanian military system is concerned.

  16. An Assessment of Water Demand and Availability to meet Construction and Operational Needs for Large Utility-Scale Solar Projects in the Southwestern United States

    Science.gov (United States)

    Klise, G. T.; Tidwell, V. C.; Macknick, J.; Reno, M. D.; Moreland, B. D.; Zemlick, K. M.

    2013-12-01

    In the Southwestern United States, there are many large utility-scale solar photovoltaic (PV) and concentrating solar power (CSP) facilities currently in operation, with even more under construction and planned for future development. These are locations with high solar insolation and access to large metropolitan areas and existing grid infrastructure. The Bureau of Land Management, under a reasonably foreseeable development scenario, projects a total of almost 32 GW of installed utility-scale solar project capacity in the Southwest by 2030. To determine the potential impacts to water resources and the potential limitations water resources may have on development, we utilized methods outlined by the Bureau of Land Management (BLM) to determine potential water use in designated solar energy zones (SEZs) for construction and operations & maintenance (O&M), which is then evaluated according to water availability in six Southwestern states. Our results indicate that PV facilities overall use less water, however water for construction is high compared to lifetime operational water needs. There is a transition underway from wet cooled to dry cooled CSP facilities and larger PV facilities due to water use concerns, though some water is still necessary for construction, operations, and maintenance. Overall, ten watersheds, 9 in California, and one in New Mexico were identified as being of particular concern because of limited water availability. Understanding the location of potentially available water sources can help the solar industry determine locations that minimize impacts to existing water resources, and help understand potential costs when utilizing non-potable water sources or purchasing existing appropriated water. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration under contract

  17. Final Environmental Assessment for Proposed Airspace Changes for Paradise East and Paradise West Military Operations Areas (MOAs) at Mountain Home Air Force Base (MHAFB) Idaho

    Science.gov (United States)

    2010-03-29

    spill-out” (training aircraft inadvertently flies outside of the MOA). These events significantly increase the ARTCC/Military RADAR Unit ( MRU ...military aircraft traffic. Military traffic within the MHRC MOAs is the responsibility of Cowboy Control Military Radar Unit ( MRU ).  Military Training...airspace because Cowboy Control MRU is not an Air Traffic Control facility and is therefore limited procedurally. The location of DVR relegates the

  18. Description and utilization of the United States department of defense serum repository: a review of published studies, 1985-2012.

    Directory of Open Access Journals (Sweden)

    Christopher L Perdue

    Full Text Available Specimens in the United States Department of Defense (DoD Serum Repository have accumulated in frozen storage since 1985 when the DoD began universal screening for human immunodeficiency virus. Use of the stored serum for health research has been carefully controlled, but the resulting publications have never been systematically identified or described. The Armed Forces Health Surveillance Center (AFHSC information systems and open (online sites were used as data sources. Through 2012, the repository contained 54,542,658 serum specimens, of which 228,610 (0.42% have been accessed for any purpose. Between 2001 (the first year that comprehensive, digital records were available and 2012, 65.2% of all approved requests for serum were for healthcare or public health investigations, but greater than 99% of all shipped samples were for research. Using two different methods - a structure search of PubMed and an exhaustive online search based on records from AFHSC - we identified 76 articles published between October 1988 and March 2013 that covered a multitude of infectious diseases, injuries, environmental exposures and mental health conditions through analysis of antibodies, biological metabolic, signaling and regulatory substances, Vitamin D, organochlorines, dioxin, omega-3-fatty acid, and portions of human deoxyribonucleic acid. Despite its operational and scientific value, it appears that the DoD Serum Repository has been underutilized. Changes to policy and increased capacity for specimen processing could increase use of the repository without risking privacy or the availability of specimens for the healthcare of individual service members in the future.

  19. Description and Utilization of the United States Department of Defense Serum Repository: A Review of Published Studies, 1985-2012

    Science.gov (United States)

    Perdue, Christopher L.; Cost, Angelia A. Eick; Rubertone, Mark V.; Lindler, Luther E.; Ludwig, Sharon L.

    2015-01-01

    Specimens in the United States Department of Defense (DoD) Serum Repository have accumulated in frozen storage since 1985 when the DoD began universal screening for human immunodeficiency virus. Use of the stored serum for health research has been carefully controlled, but the resulting publications have never been systematically identified or described. The Armed Forces Health Surveillance Center (AFHSC) information systems and open (online) sites were used as data sources. Through 2012, the repository contained 54,542,658 serum specimens, of which 228,610 (0.42%) have been accessed for any purpose. Between 2001 (the first year that comprehensive, digital records were available) and 2012, 65.2% of all approved requests for serum were for healthcare or public health investigations, but greater than 99% of all shipped samples were for research. Using two different methods – a structure search of PubMed and an exhaustive online search based on records from AFHSC – we identified 76 articles published between October 1988 and March 2013 that covered a multitude of infectious diseases, injuries, environmental exposures and mental health conditions through analysis of antibodies, biological metabolic, signaling and regulatory substances, Vitamin D, organochlorines, dioxin, omega-3-fatty acid, and portions of human deoxyribonucleic acid. Despite its operational and scientific value, it appears that the DoD Serum Repository has been underutilized. Changes to policy and increased capacity for specimen processing could increase use of the repository without risking privacy or the availability of specimens for the healthcare of individual service members in the future. PMID:25723497

  20. Breast and cervical cancer screening utilization among Hispanic women living near the United States-Mexico border.

    Science.gov (United States)

    Nuño, Tomas; Castle, Philip E; Harris, Robin; Estrada, Antonio; García, Francisco

    2011-05-01

    Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border. A cross-sectional study of women aged ≥50 years (n = 504) residing in Yuma County, Arizona, were randomly selected for interviews. Logistic regression analyses were conducted to identify determinants of compliance with mammography and Pap smear use. Women who received a recommendation from a clinician to get both mammography and Pap smears were more likely to receive a mammogram within the past year (adjusted odds ratio [AOR] 5.1, 95% confidence interval [CI] 3.0-8.9) compared to women who received no recommendation. Likewise, women who received both recommendations were more likely to receive a Pap smear within the past 3 years (AOR 9.7, 95% CI 4.6-20.7) compared to women who received no recommendation. Other factors, such as current health insurance and a visit with their healthcare provider in the past year, were also associated with getting a mammogram within 1 year or Pap smear within 3 years. Enabling characteristics were significantly associated with breast and cervical cancer screening use compared to predisposing and need characteristics among older Hispanic women residing near the U.S.-Mexico border. Clinician recommendation of both mammograms and Pap smears and opportunistic clinic visits to medical providers may increase breast and cervical cancer screening coverage and reduce the burden of these two cancers in this high-risk population.

  1. Estimation and comparison of EQ-5D health states' utility weights for pneumococcal and human papillomavirus diseases in Argentina, Chile, and the United Kingdom.

    Science.gov (United States)

    Galante, Julieta; Augustovski, Federico; Colantonio, Lisandro; Bardach, Ariel; Caporale, Joaquin; Marti, Sebastian Garcia; Kind, Paul

    2011-01-01

    To estimate and compare EuroQol instrument (EQ-5D) health states' values for pneumococcal and human papillomavirus (HPV) diseases in Argentina, Chile, and the United Kingdom. Twelve vignettes were designed, pilot-tested, and administered to a convenience sample in a cross-sectional design to elicit descriptive EQ-5D state data. Country-specific EQ-5D time-trade-off-based weights were used to map these descriptive health states into local country preference weights. Descriptive analysis is reported and intercountry differences for each condition were compared using repeated measures analysis of variance. Seventy-three subjects completed the survey. Pneumococcal disease-related health states mean values ranged from -0.331 (sepsis, Chile) to 0.727 (auditive sequelae, Argentina). HPV-related conditions ranged from 0.152 (cervical cancer, United Kingdom) to 0.848 (cervical intraepithelial neoplasia 1, Argentina). Chile had consistently the lowest mean values in pneumococcal states and in one HPV state, whereas those of the United Kingdom were the lowest in most HPV states. Argentina had the highest mean values in both diseases. Differences in country-specific values for each health state were statistically (P < 0.001) significant except for six health states in which differences between Chilean and United Kingdom weights were nonsignificant. Utility values for most conditions differed statistically relevantly among analyzed countries, even though the same health states' descriptive set was valued for each. These results reflect the difference in social weights among different countries, which could be attributed to either different population values or valuation study methodologies. They stress the importance of using local preference weights for context-specific decision making. Copyright © 2011 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  2. Military Advice and Civil-Military Relations

    Science.gov (United States)

    2010-05-21

    Ballinger Publishing Company, 1985. Builder, Carl H. The Masks of war: American Military Styles in Strategy and Analysis. Baltimore, MD: The Johns Hopkins...9 Carl H. Builder, The Masks of war: American Military Styles in Strategy and Analysis (Baltimore, MD: The Johns Hopkins...11 Carl von Clausewitz, On War, ed. Michael Howard and Peter Paret (New York, New York: Everyman’s Library , 1993), 733. 6 importance and thus the

  3. Thoughts of Project Cost and Price Management Optimization in Aerospace Military Units%航天军工单位项目成本和价格管理优化的思考

    Institute of Scientific and Technical Information of China (English)

    张妍

    2012-01-01

    Through the investigation of project valuation and cost management problems in aerospace military units in recent years, this paper put forward to research policy and perfect system, at the same time use a plurality of cost compensation and multiple classification valuation mode, pay attention to strategic management, realize the value chain analysis and activity-based cost management integration. In addition, the paper uses the earned value method of project cost and progress comprehensive control for the research of project cost control and performance measurement.%通过调研航天军工单位近年来科研项目计价和成本管理存在的问题,提出应进一步研究政策、完善制度,同时采用多元化的成本补偿方式和多种分类计价模式,注重战略管理,实现价值链分析与作业成本管理的融合。另外,采用能够对项目成本、进度进行综合控制的挣值法进行科研项目成本控制和绩效度量。

  4. Leishmaniose tegumentar americana em centro de treinamento militar localizado na Zona da Mata de Pernambuco, Brasil American cutaneous leishmaniasis in military training unit localized in Zona da Mata of Pernambuco State, Brazil

    Directory of Open Access Journals (Sweden)

    Sinval P. Brandão-Filho

    1998-12-01

    Full Text Available Um surto de leishmaniose tegumentar americana ocorreu em 1996 em unidade de treinamento militar situada na Zona da Mata de Pernambuco, com o registro de 26 casos humanos. Um inquérito epidemiológico foi realizado através da realização de levantamento entomológico e da aplicação do Teste de Montenegro. Lutzomyia choti apresentou predominância de 89,9% dos flebótomos identificados. De 545 homens que participaram de treinamentos no período, 24,1% (incluindo os casos clínicos foram positivo para o Teste de Montenegro.An outbreak of American cutaneous leishmaniasis has been occurred in military training unit localized in 'Zona da Mata' of Pernambuco State, Brazil, where were registered 26 human cases. An epidemiological survey was carried out by entomological investigation and Montenegro skin test (MST. Lutzomyia choti presents predominance (89.9% in sandflies identified. Out of 545 men who realized training activities were 24.12% positive to MST.

  5. Prevalence of sarcopenia and quality of life in retired cadres of a military unit%某部离退休干部肌少症患病情况及生命质量影响因素

    Institute of Scientific and Technical Information of China (English)

    陈卓; 戴若以; 顾小红

    2016-01-01

    目的:研究军队某部离退休干部肌少症患病情况及健康相关生命质量( health related quality of life, HRQOL)评分的影响因素。方法通过检测握力、步速、相对四肢骨骼肌质量( relative appendicular skeletal muscle mass, RASM)诊断肌少症,使用生活质量评价量表(short form 36 questionnaire, SF-36)测量HRQOL得分,并对离退休干部的一般状况进行统计,同时使用单因素方差分析及多元逐步线性回归统计对HRQOL的影响因素进行分析。结果某部离退休干部肌少症患病率为27.8%,且肌少症患者HRQOL得分低于未患肌少症者( t=2.19, P=0.00)。不同肌力下降病程、年龄、食欲对HRQOL得分造成差异( F=4.51, P=0.00; F=4.22, P=0.00; F=3.97, P=0.01);知晓肌少症防治知识、家庭关系和睦、离异或丧偶、锻炼、预防和治疗也会影响HRQOL得分(F=4.06, P=0.00; F=3.89, P=0.01; F=4.45, P=0.00; F=4.15, P=0.00; F=4.28, P=0.00)。影响HRQOL评分的6个最主要因素依次为:预防和治疗、锻炼、肌力下降病程、年龄、食欲、离异或丧偶(标准回归系数分别为0.55,0.44,-0.37,-0.33,0.29,-0.21)。结论肌少症降低离退休干部HRQOL,应加大对年龄偏大、2年以上病程、离异或丧偶离退休干部的关注。积极预防和治疗、宣传肌少症防治知识,协助患者营造良好的家庭氛围,鼓励离退休干部多运动锻炼,注意膳食营养搭配,均可显著改善离退休干部的HRQOL评分。%Objective To study the prevalence of sarcopenia and the influencing factors on quality of life ( HRQOL) score in retired cadres of a military unit .Methods Sarcopenia was diagnosed by grip strength , walking speed and relative appendicular skeletal muscle mass (RASM).We use the short form 36 questionnaire (SF-36) scalec to assess the QOL .We assess the general

  6. Factors Influencing the Impacts on Security of Manning Military Posts on the United States-Mexico Border from 1865 to 1916

    Science.gov (United States)

    2007-06-15

    town. Additionally, the Yucatan Peninsula declared itself independent and neutral in regards to the war. Following the loss at Buena Vista Santa Anna...across the southern United States by railroad to Agua Prieta to rout some 6,500 forces of Villa’s feared División del Norte. Once again Wilson’s...support worked. The Agua Prieta battle ended Villa’s ability to mass forces. His ability to influence Mexicans, however, had yet to peak. Fed up with the

  7. Military Surgeon and Humanity

    Institute of Scientific and Technical Information of China (English)

    LU Lu; WANG Yiran

    2015-01-01

    Military surgeons are a special group of doctors. They are both medical workers and soldiers.Their mission is to serve the wounded on the battlefield.And there is no doubt that military surgeons will save our comrades in the army. However,should a military surgeon save the wounded enemy? It is indeed a dilemma.Some may save the wounded enemy because military surgeons are doctors after all and they can't possibly abandon anybody to his fate,but some refuse to do so because military surgeons are soldiers.Therefore,some situations on the battlefield are discussed and advice is suggested for military surgeons,with heartfelt anticipation for there being less casualties on the battlefield as well as alleviating human suffering caused by war.

  8. Military Surgeon and Humanity

    Institute of Scientific and Technical Information of China (English)

    LU; Lu; WANG; Yiran

    2015-01-01

    Military surgeons are a special group of doctors.They are both medical workers and soldiers.Their mission is to serve the wounded on the battlefield.And there is no doubt that military surgeons will save our comrades in the army.However,should a military surgeon save the wounded enemy?It is indeed a dilemma.Some may save the wounded enemy because military surgeons are doctors after all and they can’t possibly abandon anybody to his fate,but some refuse to do so because military surgeons are soldiers.Therefore,some situations on the battlefield are discussed and advice is suggested for military surgeons,with heartfelt anticipation for there being less casualties on the battlefield as well as alleviating human suffering caused by war.

  9. The Transgender Military Experience: Their Battle for Workplace Rights

    National Research Council Canada - National Science Library

    Dietert, Michelle; Dentice, Dianne

    2015-01-01

    Although there have been studies that focus on the experiences of the gay and lesbian population serving in the United States military, few have focused on the experience of active duty transgender service members...

  10. China’s Modernizing Military: Credible Conventional Threat to Taiwan

    Science.gov (United States)

    2001-01-01

    check. Chinese leaders saw that the technological gap had widened much more than initially suspected between the United States military capability and...recognize a "significant technological gap that exists between the PLA and

  11. Neutral Caregivers or Military Support? The British Red Cross, the Friends’ Ambulance Unit, and the Problems of Voluntary Medical Aid in Wartime

    Science.gov (United States)

    2015-01-01

    During the First World War the British Red Cross Society (BRCS) served as the coordinating body for voluntary medical aid giving in Britain. Among the many units which came within its purview was the Friends’ Ambulance Unit (FAU), formed by a group of young men whose desire to serve their nation in wartime conflicted with their pacifist principles. Both the BRCS and the FAU were wracked by ideological conflicts in the years which preceded and throughout the war. These struggles over voluntarist identity highlight the contested meanings of service and conscience in wartime. Through a critical examination of the language of official histories and biographies, this article will argue that the war formed a key moment in the relationship between the British state and voluntary medical aid, with the state’s increasing role in the work of such organizations raising questions about the voluntarist principles to which aid organizations laid claim. The struggles that both organizations and individuals within them faced in reconciling the competing pressures that this new relationship created form a legacy of the war which continues to have important implications for the place of medical voluntarism in wartime today. PMID:26213442

  12. Neutral Caregivers or Military Support? The British Red Cross, the Friends' Ambulance Unit, and the Problems of Voluntary Medical Aid in Wartime.

    Science.gov (United States)

    Meyer, Jessica

    2015-05-01

    During the First World War the British Red Cross Society (BRCS) served as the coordinating body for voluntary medical aid giving in Britain. Among the many units which came within its purview was the Friends' Ambulance Unit (FAU), formed by a group of young men whose desire to serve their nation in wartime conflicted with their pacifist principles. Both the BRCS and the FAU were wracked by ideological conflicts in the years which preceded and throughout the war. These struggles over voluntarist identity highlight the contested meanings of service and conscience in wartime. Through a critical examination of the language of official histories and biographies, this article will argue that the war formed a key moment in the relationship between the British state and voluntary medical aid, with the state's increasing role in the work of such organizations raising questions about the voluntarist principles to which aid organizations laid claim. The struggles that both organizations and individuals within them faced in reconciling the competing pressures that this new relationship created form a legacy of the war which continues to have important implications for the place of medical voluntarism in wartime today.

  13. Iraqi Military Academies

    OpenAIRE

    Nodar Z. Mossaki

    2015-01-01

    The article analyzes the system of training of officers in military academies in Iraq – in Zakho, Qalacholan, ar-Rustamiyah and an-Nasiriyah. The author describes the history of creation, process of evolution, challenges and features of training in these colleges. Particular attention paid to military academies in the territory of Iraqi Kurdistan, which actually do not obey the central government of Iraq, however, have the highest level of training. Currently, Iraq's military academies operat...

  14. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 15K ...

  15. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert

    2013-01-01

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

  16. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert

    2013-01-01

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

  17. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 12, ...

  18. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 15K Loading... ...

  19. A markov decision process model for the optimal dispatch of military medical evacuation assets.

    Science.gov (United States)

    Keneally, Sean K; Robbins, Matthew J; Lunday, Brian J

    2016-06-01

    We develop a Markov decision process (MDP) model to examine aerial military medical evacuation (MEDEVAC) dispatch policies in a combat environment. The problem of deciding which aeromedical asset to dispatch to each service request is complicated by the threat conditions at the service locations and the priority class of each casualty event. We assume requests for MEDEVAC support arrive sequentially, with the location and the priority of each casualty known upon initiation of the request. The United States military uses a 9-line MEDEVAC request system to classify casualties as being one of three priority levels: urgent, priority, and routine. Multiple casualties can be present at a single casualty event, with the highest priority casualty determining the priority level for the casualty event. Moreover, an armed escort may be required depending on the threat level indicated by the 9-line MEDEVAC request. The proposed MDP model indicates how to optimally dispatch MEDEVAC helicopters to casualty events in order to maximize steady-state system utility. The utility gained from servicing a specific request depends on the number of casualties, the priority class for each of the casualties, and the locations of both the servicing ambulatory helicopter and casualty event. Instances of the dispatching problem are solved using a relative value iteration dynamic programming algorithm. Computational examples are used to investigate optimal dispatch policies under different threat situations and armed escort delays; the examples are based on combat scenarios in which United States Army MEDEVAC units support ground operations in Afghanistan.

  20. USSR Report, Military Affairs, No. 1774.

    Science.gov (United States)

    1983-06-13

    the extended cruise at sea for naval per- sonnel, the solemn ceremony of trooping the unit’s colors , the naval flag-rais- ing ceremony, commencing...Argentine magazine SEMANA stated that militarization of the Falkland Islands (Malvinas) by establishing there either a U.S. or joint NATO military

  1. USSR Report: Military Affairs, No. 1762

    Science.gov (United States)

    2007-11-02

    courage conducted at the initiative of the party activists have now become traditional in the military unit in which Major V. Golovin is a member of...remembered very well how in 1940 that army had invaded Belgium and then entered Paris. "With such an army," Hitler boasted, "we could storm the skies

  2. Historical Overview of Racism in the Military

    Science.gov (United States)

    2002-02-01

    highest military award, the Croix de Guerre was awarded to 170 individual soldiers as well as the unit itself. The 370th and 271st also received the... Croix . However, the AEF leaders were concerned about the French commending the Black American troops too highly, and urged them not to spoil the

  3. Military Reference Books: A Selective Bibliography.

    Science.gov (United States)

    1984-10-01

    RIBBONS AND MEDALS; THE WORLD’S MILITARY AND CIVIL AWARDS. Rev. ed. New York, NY: Doubleday, 1974. 359 p. UB435 .G7 D71 1974 4 4 I Dornbusch , Charles...Emil. HISTORIES, PERSONAL NARRATIVES: UNITED STATES ARMY; A CHECK LIST. Cornwallville, NY: Hope Farm, 1967. 399 p. 11>104 .Dll 1967 Dornbusch , Charles

  4. A High Technology Military Postal Service.

    Science.gov (United States)

    Mail to military personnel overseas is delivered essentially in the same way it was during World War I. The use of electronic mail has been growing...in private industry and the United States Postal Service recently began an international application of electronic mail . The new technology offers

  5. Inaugural editorial: Military Medical Research

    OpenAIRE

    Ren, Guo-Quan

    2014-01-01

    Military medicine is one of the most innovative part of human civilization. Along with the rapid development of medicine and advances in military techniques, military medicine has become the focus and intersection of new knowledge and new technologies. Innovation and development within military medicine are always ongoing, with a long and challenging path ahead. The establishment of ?Military Medical Research? is expected to be a bounden responsibility in the frontline of Chinese military med...

  6. School mental health services: signpost for out-of-school service utilization in adolescents with mental disorders? A nationally representative United States cohort.

    Directory of Open Access Journals (Sweden)

    Marion Tegethoff

    Full Text Available BACKGROUND: School mental health services are important contact points for children and adolescents with mental disorders, but their ability to provide comprehensive treatment is limited. The main objective was to estimate in mentally disordered adolescents of a nationally representative United States cohort the role of school mental health services as guide to mental health care in different out-of-school service sectors. METHODS: Analyses are based on weighted data (N = 6483 from the United States National Comorbidity Survey Replication Adolescent Supplement (participants' age: 13-18 years. Lifetime DSM-IV mental disorders were assessed using the fully structured WHO CIDI interview, complemented by parent report. Adolescents and parents provided information on mental health service use across multiple sectors, based on the Service Assessment for Children and Adolescents. RESULTS: School mental health service use predicted subsequent out-of-school service utilization for mental disorders i in the medical specialty sector, in adolescents with affective (hazard ratio (HR = 3.01, confidence interval (CI = 1.77-5.12, anxiety (HR = 3.87, CI = 1.97-7.64, behavior (HR = 2.49, CI = 1.62-3.82, substance use (HR = 4.12, CI = 1.87-9.04, and eating (HR = 10.72, CI = 2.31-49.70 disorders, and any mental disorder (HR = 2.97, CI = 1.94-4.54, and ii in other service sectors, in adolescents with anxiety (HR = 3.15, CI = 2.17-4.56, behavior (HR = 1.99, CI = 1.29-3.06, and substance use (HR = 2.48, CI = 1.57-3.94 disorders, and any mental disorder (HR = 2.33, CI = 1.54-3.53, but iii not in the mental health specialty sector. CONCLUSIONS: Our findings indicate that in the United States, school mental health services may serve as guide to out-of-school service utilization for mental disorders especially in the medical specialty sector across various mental disorders, thereby

  7. Psychological morbidity, quality of life, and self-rated health in the military personnel.

    Science.gov (United States)

    Chou, Han-Wei; Tzeng, Wen-Chii; Chou, Yu-Ching; Yeh, Hui-Wen; Chang, Hsin-An; Kao, Yu-Cheng; Tzeng, Nian-Sheng

    2014-01-01

    The mental health of military personnel varies as a result of different cultural, political, and administrative factors. The purpose of this study was to evaluate the psychological morbidity and quality of life of military personnel in Taiwan. This cross-sectional study utilized the World Health Organization Quality of Life Instrument, brief version, Taiwan version, the General Health Questionnaire-12, Chinese version, and the Visual Analog Scale (VAS) in several military units. More than half of the subjects (55.3%) identified themselves as mentally unhealthy on the General Health Questionnaire-12, Chinese version; however, a higher percentage of officers perceived themselves as healthy (57.4%) than did noncommissioned officers (38.5%) or enlisted men (42.2%). Officers also had higher total quality of life (QOL) scores (83.98) than did enlisted men (79.67). Scores on the VAS also varied: officers: 72.5; noncommissioned officers: 67.7; and enlisted men: 66.3. The VAS and QOL were positively correlated with perceived mental health among these military personnel. Our subjects had higher rates of perceiving themselves as mentally unhealthy compared to the general population. Those of higher rank perceived themselves as having better mental health and QOL. Improving mental health could result in a better QOL in the military. The VAS may be a useful tool for the rapid screening of self-reported mental health, which may be suitable in cases of stressful missions, such as in disaster rescue; however, more studies are needed to determine the optimal cut-off point of this measurement tool.

  8. Transforming Military Leaders

    Science.gov (United States)

    2006-03-15

    McGraw Hill, 2005), 608. 41 Peter Guy Northouse , Leadership : Theory and Practice (New York: Sage Publications Inc, 2004), 151. 42 Ibid, 151. 43...KEY TERMS: Globalization, Military Transformation, Leadership CLASSIFICATION: Unclassified A phrase that captures the challenges associated with the... leadership competencies to fully execute our National Security Strategy across the parochial elements of diplomatic, information, military and economic

  9. USSR Report, Military Affairs.

    Science.gov (United States)

    2007-11-02

    watermelons, tobacco and grain on the Black Sea and the Sea of Azov for many years. A distinctive characteristic of theirs was a virtually zero forward...military-patriot- ic films and books, debates, trips to historic places, meetings with veterans, "Me- morial Shifts" and military sport

  10. USSR Report, Military Affairs

    Science.gov (United States)

    2015-08-25

    enhancement of the efficiency of ideo- logical work and improvement in all forms of political training and party educa - tion and instruction. A...perfecting of the military training of commanders, staffs, and all 13 personnel, and to the improvement of the political, military, and moral educa - tion of

  11. Military Culture and Transformation

    Science.gov (United States)

    2008-01-01

    mines the success of transformation. The period between 1914 and 1945 shows the dynamic nature of military innova - tion and the difficulty military...maximized unity of effort. Leaders can foster a disciplined culture that encourages change and innova - tion by “creating a consistent system with clear

  12. Psychiatry and the military: an update.

    Science.gov (United States)

    Ritchie, Elspeth Cameron; Benedek, David; Malone, Ricky; Carr-Malone, Rosemary

    2006-09-01

    The United States has historically been concerned about the successful adjustment of its military members returning from war. These concerns are based on the recognition that war-zone exposures may have considerable negative emotional or behavior consequences. As the global war on terror continues, the United States military medical system will be required to address issues at the interface of psychiatry and the law. Despite clinical advances within the theater of war and at tertiary facilities in the United States, some military members will develop chronic and disabling mental illness as a result of traumatic exposure and exacerbated by the demands of the austere and dangerous operational environment. The extent to which violent and aggressive behavior in the aftermath of deployment can be attributed to combat experience remains an area of debate and ongoing investigation. However, experience suggests that a very small subgroup of the hundreds of thousands of war veterans deployed in conjunction with the current conflict in Iraq has already been involved in violent crimes. For this group, military forensic psychiatrists will be called on to make determinations of competency and criminal responsibility and to inform the courts about the potential contributions of war-related distress or disorder to criminal behavior. Though the overwhelming majority of war veterans will not be involved in criminal proceedings, a minority will develop career-ending (and in rare instances, life-ending) disabilities as a result of mental illness. For those who are no longer fit for duty, the military Physical Disability Evaluation System must make determinations of the extent to which future military performance and future civilian social and occupational function have been compromised. For a small yet highly visible minority of returning veterans, questions about the cause, precipitants, and manner of death will necessitate psychological autopsies. This article highlighted recent

  13. Iraqi Military Academies

    Directory of Open Access Journals (Sweden)

    Nodar Z. Mossaki

    2015-03-01

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

  14. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...... South' or utilising new technologies to overcome the prohibitive costs of current systems. Analysing the philosophical, strategic and budgetary underpinnings of these alternatives, he concludes that a more radical break from current military organisational practices is needed which would allow them...

  15. Debates on Military Affairs during Framing Constitution of the United States%美国宪法制订过程中关于军事问题的辩论

    Institute of Scientific and Technical Information of China (English)

    杨永康

    2012-01-01

    Both the supreme authority of the Constitution and the peculiarity of the research object of military law determine the importance of which the military law should be studied with a constitutional view. The military conditions of US at the confederation period became an important factor that accelerated the occurrence of the Constitutional Convention. The military thus became a very important topic during the federal convention of 1787. Framers focused their debates on how to define the meaning of war and peace, what kind of military establishment should be set up, and how to enhance the efficiency of military actions. The final Constitution, to a relatively satis-factory degree, embodied such important principles as the check and balance of powers, the federalism and the people's sovereign in its military clauses. Mounting a formidable campaign, the Antifederalists aired their criticisms on the military clauses. As a result of compromise, the Bill of Rights was created. At heart, the military amendments reflect the deep anxiety about a potentially abusive federal military. The thesis aims to promote our understanding on military rules itself, and search for a theoretical ground for the long - term prosperity of the state from a peculiar research angle.%宪法的崇高性与军事在国家发展中的重要性决定了从宪法的视角研究军事法学的必要性。本文在分析美国宪法军事条款产生的背景的基础上,分析了制宪者关于战争和安全的认识、关于保障安全和自由的制度设立的辩论、制衡军事权力保障国家的安全和公民的自由制度设计,并研究了反联邦党人关于宪法军事规定的责难及《权利法案》的产生过程,在此基础上剖析了美国宪法制订过程中关于军事问题的辩论对美国社会生活的影响,以期探讨支撑美国军事强势地位的法律制度根源并从一个独特的角度寻求国家长远性发展的一种理论性支撑。

  16. Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

    Directory of Open Access Journals (Sweden)

    Cary A. Brown

    2013-01-01

    Full Text Available Background. Many individuals who work in the military experience sleep deficiency which presents a significant problem given the nature of their work. The cause of their sleep problems is likely multifactorial, stemming from the interplay between their personal health, habits and lifestyle juxtaposed with the stress of their military work such as emotional and physical trauma experienced in service. Objective. To present an overview of sleep deficiency in military members (MMs and review of nonpharmacological treatment options. Discussion. Although there are a number of promising nonpharmacological treatment options available for people working in the military who experience problems sleeping, testing interventions within the context of the military are still in the early stages. Further research utilizing rigorous design and standardized, context appropriate outcome measures is needed to help treat this burgeoning problem.

  17. Military display market segment: helicopters

    Science.gov (United States)

    Desjardins, Daniel D.; Hopper, Darrel G.

    2004-09-01

    The military display market is analyzed in terms of one of its segments: helicopter displays. Parameters requiring special consideration, to include luminance ranges, contrast ratio, viewing angles, and chromaticity coordinates, are examined. Performance requirements for rotary-wing displays relative to several premier applications are summarized. Display sizes having aggregate defense applications of 5,000 units or greater and having DoD applications across 10 or more platforms, are tabulated. The issue of size commonality is addressed where distribution of active area sizes across helicopter platforms, individually, in groups of two through nine, and ten or greater, is illustrated. Rotary-wing displays are also analyzed by technology, where total quantities of such displays are broken out into CRT, LCD, AMLCD, EM, LED, Incandescent, Plasma and TFEL percentages. Custom, versus Rugged commercial, versus commercial off-the-shelf designs are contrasted. High and low information content designs are identified. Displays for several high-profile military helicopter programs are discussed, to include both technical specifications and program history. The military display market study is summarized with breakouts for the helicopter market segment. Our defense-wide study as of March 2004 has documented 1,015,494 direct view and virtual image displays distributed across 1,181 display sizes and 503 weapon systems. Helicopter displays account for 67,472 displays (just 6.6% of DoD total) and comprise 83 sizes (7.0% of total DoD) in 76 platforms (15.1% of total DoD). Some 47.6% of these rotary-wing applications involve low information content displays comprising just a few characters in one color; however, as per fixed-wing aircraft, the predominant instantiation involves higher information content units capable of showing changeable graphics, color and video.

  18. Sleep and Academic Performance in U.S. Military Training and Education Programs

    Science.gov (United States)

    Miller, Nita Lewis; Shattuck, Lawrence G.; Matsangas, Panagiotis; Dyche, Jeff

    2008-01-01

    This review examines the effects of military training regimes, which might include some degree of sleep deprivation, on sleep-wake schedules. We report a 4-year longitudinal study of sleep patterns of cadets at the United States Military Academy and the consequences of an extension of sleep from 6 to 8 hr per night at the United States Navy's…

  19. Scenarios of land use and land cover change in the conterminous United States: Utilizing the special report on emission scenarios at ecoregional scales

    Science.gov (United States)

    Sleeter, Benjamin M.; Sohl, Terry L.; Bouchard, Michelle A.; Reker, Ryan R.; Soulard, Christopher E.; Acevedo, William; Griffith, Glenn E.; Sleeter, Rachel R.; Auch, Roger F.; Sayler, Kristi L.; Prisley, Stephen; Zhu, Zhi-Liang

    2012-01-01

    Global environmental change scenarios have typically provided projections of land use and land cover for a relatively small number of regions or using a relatively coarse resolution spatial grid, and for only a few major sectors. The coarseness of global projections, in both spatial and thematic dimensions, often limits their direct utility at scales useful for environmental management. This paper describes methods to downscale projections of land-use and land-cover change from the Intergovernmental Panel on Climate Change's Special Report on Emission Scenarios to ecological regions of the conterminous United States, using an integrated assessment model, land-use histories, and expert knowledge. Downscaled projections span a wide range of future potential conditions across sixteen land use/land cover sectors and 84 ecological regions, and are logically consistent with both historical measurements and SRES characteristics. Results appear to provide a credible solution for connecting regionalized projections of land use and land cover with existing downscaled climate scenarios, under a common set of scenario-based socioeconomic assumptions.

  20. Advancing Military Professionalism in Africa

    Science.gov (United States)

    2014-07-01

    Military and Militarization of Politics The politicization of the military is the tip of an iceberg that very often conceals an active competition...military, in turn, should be modeled to meet its mission. If there is no clear need for a large externally facing military, government should...By providing equal access to education to its members, a military can model equity in the allocation of public resources while building a sense of

  1. LNG Cold Energy Utilization of Floating Storage and Regasification Unit%浮式储存再气化装置的LNG冷能利用

    Institute of Scientific and Technical Information of China (English)

    黄刘松; 宋炜; 刘涛

    2016-01-01

    Liquefied Natural Gas (LNG) will become one of the main energy sources for mankind in the 21st century. This paper systematically introduces the floating LNG receiving terminals in terms of concept, categorization, characteristics and system formation, etc., and summarizes their differences and deficiencies compared with LNG receiving terminals on land. Meanwhile, this paper also elaborates the LNG cold energy as well as its evaluation factors and utilization methods, and compares the utilization method of part of the LNG cold energy with conventional electrical consumption method. On this basis, the feasibilities of low temperature power generation, air separation, light hydrocarbon recovery, sea water desalination, liquefied CO2 and dry ice production, low temperature smashing, frozen and refrigeration, natural gas re-liquefaction, butyl rubber production, gas turbine air inlet and outlet cooling, application of offshore LNG cold energy utilization industrial park on FSRU (Floating Storage and Regasification Unit) are analyzed from aspects of initial investment, equipment size, level of commercialization, market potential, environmental protection, etc. to finally come to the conclusion that proper FSRU cold energy utilization method may include cold energy power generation, air separation, natural gas re-liquefaction, gas turbine air inlet and outlet cooling.%液化天然气(Liquefied Natural Gas, LNG)将成为人类在21世纪的主要能源之一。对浮式LNG接收终端从概念、分类、特点、系统组成等方面进行了较系统的介绍,总结了与陆地 LNG 接收站的不同特点及其不足之处。同时阐述了LNG冷能、LNG冷能的评价因素及利用方式,并将部分LNG冷能的利用方式与常规方式的电力消耗进行对比。在此基础上,从初投资、装置大小、商业化程度、市场潜力、环境保护等角度对低温发电、空气分离、轻烃回收、海水淡化、液态CO2及干冰制备、

  2. The association between pretest probability of coronary artery disease and stress test utilization and outcomes in a chest pain observation unit.

    Science.gov (United States)

    Napoli, Anthony M

    2014-04-01

    Cardiology consensus guidelines recommend use of the Diamond and Forrester (D&F) score to augment the decision to pursue stress testing. However, recent work has reported no association between pretest probability of coronary artery disease (CAD) as measured by D&F and physician discretion in stress test utilization for inpatients. The author hypothesized that D&F pretest probability would predict the likelihood of acute coronary syndrome (ACS) and a positive stress test and that there would be limited yield to diagnostic testing of patients categorized as low pretest probability by D&F score who are admitted to a chest pain observation unit (CPU). This was a prospective observational cohort study of consecutively admitted CPU patients in a large-volume academic urban emergency department (ED). Cardiologists rounded on all patients and stress test utilization was driven by their recommendations. Inclusion criteria were as follows: age>18 years, American Heart Association (AHA) low/intermediate risk, nondynamic electrocardiograms (ECGs), and normal initial troponin I. Exclusion criteria were as follows: age older than 75 years with a history of CAD. A D&F score for likelihood of CAD was calculated on each patient independent of patient care. Based on the D&F score, patients were assigned a priori to low-, intermediate-, and high-risk groups (90%, respectively). ACS was defined by ischemia on stress test, coronary artery occlusion of ≥70% in at least one vessel, or elevations in troponin I consistent with consensus guidelines. A true-positive stress test was defined by evidence of reversible ischemia and subsequent angiographic evidence of critical stenosis or a discharge diagnosis of ACS. An estimated 3,500 patients would be necessary to have 1% precision around a potential 0.3% event rate in low-pretest-probability patients. Categorical comparisons were made using Pearson chi-square testing. A total of 3,552 patients with index visits were enrolled over a 29

  3. Military and Veteran Student Perceptions of Military Friendliness on the College Campus

    Science.gov (United States)

    Dulchinos, Paul C.

    2014-01-01

    Over two million military personnel will leave the service over the next decade (Cook & Kim; 2009). The majority of these veterans will receive the most generous GI Bill since its inception (United States Department of Veterans Affairs [VA], 2011). Institutions will covet these students to offset discounting (Barr & McClellan, 2011; Basch,…

  4. Military and Veteran Student Perceptions of Military Friendliness on the College Campus

    Science.gov (United States)

    Dulchinos, Paul C.

    2014-01-01

    Over two million military personnel will leave the service over the next decade (Cook & Kim; 2009). The majority of these veterans will receive the most generous GI Bill since its inception (United States Department of Veterans Affairs [VA], 2011). Institutions will covet these students to offset discounting (Barr & McClellan, 2011; Basch,…

  5. Forecasting military expenditure

    Directory of Open Access Journals (Sweden)

    Tobias Böhmelt

    2014-05-01

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

  6. Families in the Military

    Science.gov (United States)

    ... Contents Facts For Families Guide - View by Topic Chinese Facts for Families Guide Facts For Families Guide - Search Spanish Facts for Families Guide Facts for Families - Vietnamese Military Families No. 88; updated March 2017 Global conflict ...

  7. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... navigation Sign in Search Loading... Close Yeah, keep it Undo Close This video is unavailable. Watch Queue ... trial of YouTube Red. Working... No thanks Try it free Find out why Close About Military Sexual ...

  8. Trends in resource utilization by children with neurological impairment in the United States inpatient health care system: a repeat cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Jay G Berry

    2012-01-01

    Full Text Available BACKGROUND: Care advances in the United States (US have led to improved survival of children with neurological impairment (NI. Children with NI may account for an increasing proportion of hospital resources. However, this assumption has not been tested at a national level. METHODS AND FINDINGS: We conducted a study of 25,747,016 US hospitalizations of children recorded in the Kids' Inpatient Database (years 1997, 2000, 2003, and 2006. Children with NI were identified with International Classification of Diseases, 9th Revision, Clinical Modification diagnoses resulting in functional and/or intellectual impairment. We assessed trends in inpatient resource utilization for children with NI with a Mantel-Haenszel chi-square test using all 4 y of data combined. Across the 4 y combined, children with NI accounted for 5.2% (1,338,590 of all hospitalizations. Epilepsy (52.2% [n = 538,978] and cerebral palsy (15.9% [n = 164,665] were the most prevalent NI diagnoses. The proportion of hospitalizations attributable to children with NI did not change significantly (p = 0.32 over time. In 2006, children with NI accounted for 5.3% (n = 345,621 of all hospitalizations, 13.9% (n = 3.4 million of bed days, and 21.6% (US$17.7 billion of all hospital charges within all hospitals. Over time, the proportion of hospitalizations attributable to children with NI decreased within non-children's hospitals (3.0% [n = 146,324] in 1997 to 2.5% [n = 113,097] in 2006, p<.001 and increased within children's hospitals (11.7% [n = 179,324] in 1997 to 13.5% [n = 209,708] in 2006, p<0.001. In 2006, children with NI accounted for 24.7% (2.1 million of bed days and 29.0% (US$12.0 billion of hospital charges within children's hospitals. CONCLUSIONS: Children with NI account for a substantial proportion of inpatient resources utilized in the US. Their impact is growing within children's hospitals. We must ensure that the current health care system is staffed, educated, and equipped to

  9. United States Military Posture for FY 1989.

    Science.gov (United States)

    1989-01-01

    utansc coans c Asma Aden Attack submar rec Suppo ppor shipIs SEthiopia Soviet dian Uganda Attack submarine Surface combatants and Tanzania Surface...t - -- ,Z- 5 . ,~, Soviet-Cuban Presence In Latin America U.S. Guff of MexJ , ’ . Dominican Republic \\ Mexic e pPueo Rico eHonduras CaVbbeen SOS

  10. Military Geodesy and Geospace Science. Unit Three

    Science.gov (United States)

    1981-02-01

    Description 3-56 Image Statistics 3-58 3.2.4 Non-Silver Imaging Materials 3-58 Non-Silver Inorganic Systems 3-60 Thermographic Systems 3-63 Photochromic ...Emulsions coated on thin sheets of glass are called photo- graphic plates. Specially whitened, high-quality paper or thin cardboard, sometimes treated...with a water-resistant sur- face coating to make it impervious to processing chemicals, is the base for photographic papers. Emulsions can also be

  11. Military Geodesy and Geospace Science. Unit Two,

    Science.gov (United States)

    1981-02-01

    be familiar with differential equations, analytic geometry, and linear algebra . Some acquaintance with vector calculus is useful but not essential...familiar with differential equations, analytic geometry, and linear algebra . Some acquaintance with vector calculus is useful but not essential. The...inertial sensors) using moderna - data processing techniques to produce an estimate of the state (position, velocity, attitude, etc.) of the vehicle

  12. Military Implications of United Nations Peacekeeping Operations

    Science.gov (United States)

    1993-06-01

    maintenance of law and order, protecting the delivery of humanitarian assistance, the denial of an air space and the guarantee of rights of passage . In...involve the coordinated presence of warships and combat aircraft in the disputed region. Operations to guarantee rights of passage may be mounted to ensure

  13. The Professional Military Ethic

    Science.gov (United States)

    2012-12-14

    profession. Overbey is more explicit in his doctoral thesis. He grounds his derived ethic in a utilitarian conception of morality. But he does not...THE PROFESSIONAL MILITARY ETHIC A thesis presented to the Faculty of the U.S. Army Command and General Staff College in partial...TITLE AND SUBTITLE The Professional Military Ethic 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Major

  14. Military Adaptation in War

    Science.gov (United States)

    2009-06-01

    the Germans believed they had won the war. General Alfred Jodl, the OKW’s (Oberkommando der Wehrmacht, the Armed Forces High Command) chief of staff...was soon in the hands of Britain’s political and military leaders: “OPERATION ADLER [EAGLE]. Within a short period you will wipe out the British air...in Airpower and Warfare, Proceedings of the Eighth Military History Symposium, ed. by Colonel Alfred F. Hurley and Major Robert C. Ehrhart

  15. The clinical utility of the functional status score for the intensive care unit (FSS-ICU) at a long-term acute care hospital: a prospective cohort study.

    Science.gov (United States)

    Thrush, Aaron; Rozek, Melanie; Dekerlegand, Jennifer L

    2012-12-01

    Long-term acute care hospitals (LTACHs) have emerged for patients requiring medical care beyond a short stay. Minimal data have been reported on functional outcomes in this setting. The purposes of this study were: (1) to measure the clinical utility of the Functional Status Score for the Intensive Care Unit (FSS-ICU) in an LTACH setting and (2) to explore the association between FSS-ICU score and discharge setting. Data were obtained from 101 patients (median age=70 years, interquartile range [IQR]=61-78; 39% female, 61% male) who were admitted to an LTACH. Participants were categorized into 1 of 5 groups by discharge setting: (1) home (n=14), (2) inpatient rehabilitation facility (n=26), (3) skilled nursing facility (n=23), (4) long-term care/hospice/expired (n=13), or (5) transferred to a short-stay hospital (n=25). Data were prospectively collected from a 38-bed LTACH in the United States over 8 months beginning in September 2010. Functional status was scored using the FSS-ICU within 4 days of admission and every 2 weeks until discharge. The FSS-ICU consists of 5 categories: rolling, supine-to-sit transfers, unsupported sitting, sit-to-stand transfers, and ambulation. Each category was rated from 0 to 7, with a maximum cumulative FSS-ICU score of 35. Cumulative FSS-ICU scores significantly improved from a median (IQR) of 9 (3-17) to 14 (5-24) at discharge. Median (IQR) cumulative discharge FSS-ICU scores were significantly different among the discharge categories: home=28 (22-32), inpatient rehabilitation facility=21 (15-24), skilled nursing facility=14 (8-21), long-term care/hospice/expired=5 (0-11), and transfer to a short-stay hospital=4 (0-7). Patients receiving therapy at an LTACH demonstrate significant improvements from admission to discharge using the FSS-ICU. This outcome tool discriminates among discharge settings and successfully documents functional improvements of patients in an LTACH setting.

  16. Military Hybrid Vehicle Optimization and Control

    Science.gov (United States)

    2012-08-14

    and energy security, as well as reduce overall energy u ’C the concept of a microgrid has been introduced [7 ]. A microgricl is defined as an...vehicle-to-grid (V2G) technology has been show to have the ability to upport the microgrid ru a source, but also a storage device for excess energy [9...understood. The scope of this proposal includes introducing the concept of regarding a military hybrid vehicle as a microgrid and utilizing battery state

  17. United Utilities может продать акции Tallinna Vesi / Лаура Раус

    Index Scriptorium Estoniae

    Раус, Лаура

    2009-01-01

    Ettevõte United Utilities omab 35,5% Tallinna Vee aktsiatest. Briti ajalehe andmetel võib ettevõte müüa oma allüksused, mille üle ei teosta järelevalvet Briti veeteenuste turu regulaator Ofwat

  18. The Threat of Convergence of Terror Groups with Transnational Criminal Organizations in Order to Utilize Existing Smuggling Routes and Techniques to Aid in the Covert Entry of Operatives into the United States

    Science.gov (United States)

    2015-06-12

    THE THREAT OF CONVERGENCE OF TERROR GROUPS WITH TRANSNATIONAL CRIMINAL ORGANIZATIONS IN ORDER TO UTILIZE EXISTING SMUGGLING ROUTES AND......contraband into the United States since its existence. Terror groups have explicitly stated their intent to target the citizens, infrastructure, and

  19. United Utilities может продать акции Tallinna Vesi / Лаура Раус

    Index Scriptorium Estoniae

    Раус, Лаура

    2009-01-01

    Ettevõte United Utilities omab 35,5% Tallinna Vee aktsiatest. Briti ajalehe andmetel võib ettevõte müüa oma allüksused, mille üle ei teosta järelevalvet Briti veeteenuste turu regulaator Ofwat

  20. A physical function test for use in the intensive care unit: validity, responsiveness, and predictive utility of the physical function ICU test (scored).

    Science.gov (United States)

    Denehy, Linda; de Morton, Natalie A; Skinner, Elizabeth H; Edbrooke, Lara; Haines, Kimberley; Warrillow, Stephen; Berney, Sue

    2013-12-01

    Several tests have recently been developed to measure changes in patient strength and functional outcomes in the intensive care unit (ICU). The original Physical Function ICU Test (PFIT) demonstrates reliability and sensitivity. The aims of this study were to further develop the original PFIT, to derive an interval score (the PFIT-s), and to test the clinimetric properties of the PFIT-s. A nested cohort study was conducted. One hundred forty-four and 116 participants performed the PFIT at ICU admission and discharge, respectively. Original test components were modified using principal component analysis. Rasch analysis examined the unidimensionality of the PFIT, and an interval score was derived. Correlations tested validity, and multiple regression analyses investigated predictive ability. Responsiveness was assessed using the effect size index (ESI), and the minimal clinically important difference (MCID) was calculated. The shoulder lift component was removed. Unidimensionality of combined admission and discharge PFIT-s scores was confirmed. The PFIT-s displayed moderate convergent validity with the Timed "Up & Go" Test (r=-.60), the Six-Minute Walk Test (r=.41), and the Medical Research Council (MRC) sum score (rho=.49). The ESI of the PFIT-s was 0.82, and the MCID was 1.5 points (interval scale range=0-10). A higher admission PFIT-s score was predictive of: an MRC score of ≥48, increased likelihood of discharge home, reduced likelihood of discharge to inpatient rehabilitation, and reduced acute care hospital length of stay. Scoring of sit-to-stand assistance required is subjective, and cadence cutpoints used may not be generalizable. The PFIT-s is a safe and inexpensive test of physical function with high clinical utility. It is valid, responsive to change, and predictive of key outcomes. It is recommended that the PFIT-s be adopted to test physical function in the ICU.

  1. Study of the impacts of regulations affecting the acceptance of Integrated Community Energy Systems: public utility, energy facility siting and municipal franchising regulatory programs in the United States. Preliminary background report

    Energy Technology Data Exchange (ETDEWEB)

    Feurer, D.A.; Weaver, C.L.; Gallagher, K.C.; Hejna, D.; Rielley, K.J.

    1980-01-01

    This report is one of a series of preliminary reports describing the laws and regulatory programs of the United States and each of the 50 states affecting the siting and operation of energy generating facilities likely to be used in Integrated Community Energy Systems (ICES). Public utility regulatory statutes, energy facility siting programs, and municipal franchising authority are examined to identify how they may impact on the ability of an organization, whether or not it be a regulated utility, to construct and operate an ICES. This report describes laws and regulatory programs in the United States. Subsequent reports will (1) describe public utility rate regulatory procedures and practices as they might affect an ICES, (2) analyze each of the aforementioned regulatory programs to identify impediments to the development of ICES, and (3) recommend potential changes in legislation and regulatory practices and procedures to overcome such impediments.

  2. Sustaining and Enhancing the US Militarys Technology Edge

    Science.gov (United States)

    2016-01-01

    acquisition-reform study written in the last several decades has em- phasized the importance of increasing performance measures and accountability ...military with a signifi- cant technological advantage , if not superiority, over its competitors and adversaries. The Department of Defense’s (DOD...been a distinct advantage that makes the US military the best in the world. But, the United States can no longer take for granted its decisive tech

  3. Reintegration of the Iraqi Military in Post-Conflict Era

    Science.gov (United States)

    2005-03-01

    NAVAL POSTGRADUATE SCHOOL THESIS Approved for public release; distribution is unlimited REINTEGRATION OF THE IRAQI MILITARY IN POST...DATES COVERED Master’s Thesis 4. TITLE AND SUBTITLE: Reintegration of the Iraqi Military in Post-Conflict Era. 6. AUTHOR(S) Ertürk, Sait 5...process of the United States led coalition is to be successful . The fulcrum of power in Iraq has always been the internecine ethnic, religious, and

  4. The Native American: Warriors in the U.S. Military

    Science.gov (United States)

    2011-03-10

    Skeleton Canyon in 1886 by Apache Scouts in the service of the U.S. Cavalry.ൠ , Effective employment of Indians on a campaign often dictated the success...the United States military. Sports teams who attempt to use Indians as symbols receive a different response from Native Americans. Indian s)’mbols...in the military are generally looked at as honorable recognition of Native American heritage, while Indian symbols in sports are often seen as

  5. Coastal Fortifications and National Military Policy, 1815-1835

    Science.gov (United States)

    2015-05-21

    military policy . However, before the other projects, such as the expansion of the navy, could receive the monetary attention from Congress, coastal...Coastal Fortifications and National Military Policy , 1815-1835 A Monograph by MAJ Clinton W. Brown United States Army...MM-YYYY) 07-04-2015 2. REPORT TYPE Master’s Thesis 3. DATES COVERED (From - To) JUN 2014 – MAY 2015 4. TITLE AND SUBTITLE Coastal

  6. Stigma as a barrier to seeking health care among military personnel with mental health problems.

    Science.gov (United States)

    Sharp, Marie-Louise; Fear, Nicola T; Rona, Roberto J; Wessely, Simon; Greenberg, Neil; Jones, Norman; Goodwin, Laura

    2015-01-01

    Approximately 60% of military personnel who experience mental health problems do not seek help, yet many of them could benefit from professional treatment. Across military studies, one of the most frequently reported barriers to help-seeking for mental health problems is concerns about stigma. It is, however, less clear how stigma influences mental health service utilization. This review will synthesize existing research on stigma, focusing on those in the military with mental health problems. We conducted a systematic review and meta-analysis of studies between 2001 and 2014 to examine the prevalence of stigma for seeking help for a mental health problem and its association with help-seeking intentions/mental health service utilization. Twenty papers met the search criteria. Weighted prevalence estimates for the 2 most endorsed stigma concerns were 44.2% (95% confidence interval: 37.1, 51.4) for "My unit leadership might treat me differently" and 42.9% (95% confidence interval: 36.8, 49.0) for "I would be seen as weak." Nine studies found no association between anticipated stigma and help-seeking intentions/mental health service use and 4 studies found a positive association. One study found a negative association between self-stigma and intentions to seek help. Counterintuitively, those that endorsed high anticipated stigma still utilized mental health services or were interested in seeking help. We propose that these findings may be related to intention-behavior gaps or methodological issues in the measurement of stigma. Positive associations may be influenced by modified labeling theory. Additionally, other factors such as self-stigma and negative attitudes toward mental health care may be worth further attention in future investigation.

  7. Dismounted complex blast injuries: patterns of injuries and resource utilization associated with the multiple extremity amputee.

    Science.gov (United States)

    Fleming, Mark; Waterman, Scott; Dunne, James; D'Alleyrand, Jean-Claude; Andersen, Romney C

    2012-01-01

    The objective of this report is to analyze the resource utilization and injury patterns of complex dismounted blast injuries. A retrospective review of U.S. service members injured in combat between 2007 and 2010 was conducted. Data analyzed included age, injury mechanism, amputated limbs, number and type of associated injuries, blood products utilized, intensive care unit length of stay (ILOS), hospital length of stay (HLOS) and the Injury Severity Score (ISS). Patients were stratified based on the number of amputations. Sixty-three patients comprised the multiple extremity amputation (MEA) group. Ninety-eight percent sustained injuries from an improvised explosive device (IED) and 96% were dismounted. The ISS, number of surgical encounters, blood products utilized and ILOS were all clinically significantly different than controls. Care of multiple extremity amputees involves the utilization of significant resources. This knowledge may better help surgeons and administrators allocate assets at hospitals, both military and civilian, who care for this complex and challenging patient population.

  8. Teaching Three-Dimensional Structural Chemistry Using Crystal Structure Databases. 2. Teaching Units that Utilize an Interactive Web-Accessible Subset of the Cambridge Structural Database

    Science.gov (United States)

    Battle, Gary M.; Allen, Frank H.; Ferrence, Gregory M.

    2010-01-01

    A series of online interactive teaching units have been developed that illustrate the use of experimentally measured three-dimensional (3D) structures to teach fundamental chemistry concepts. The units integrate a 500-structure subset of the Cambridge Structural Database specially chosen for their pedagogical value. The units span a number of key…

  9. Drug Abuse in the Military. Hearing before the Subcommittee on Children, Family, Drugs and Alcoholism of the Committee on Labor and Human Resources. United States Senate, Ninety-Ninth Congress, First Session on Reviewing the Problem of Drug Abuse in the Military.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This document contains transcripts of testimonies and prepared statements from the Congressional hearing called to examine the effects of illicit drug use and alcoholism on military personnel. Following statements by Senators Hawkins, Grassley, and Kerry, testimonies from representatives of the Army, Navy, Marines, Air Force, and Coast Guard are…

  10. General Military Training: Standardization and Reduction Options

    Science.gov (United States)

    2012-01-01

    Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 This product is part of the RAND Corporation technical report series. Reports may include...and suicide pre- Table 4.1 Service Estimates of the Cost of Preparing Computer-Based General Military Training Product Cost ($) Ten one-hour training...allow members to telecommute to complete training, and then it is left up to the unit commander to decide whether to allow telecommuting . ANG officials

  11. Dynamic Spectrum Management for Military Wireless Networks

    Science.gov (United States)

    2010-09-01

    information society . The term “dynamic spectrum management” (DSM) covers a range of different subjects areas like dynamic channel allocation (DCA...the potential for the military to share spectrum spatially and temporally with multiple devices, 2003 (European Union) Information Society Technologies...E2ER) Project initiated in Information Society Technologies, 2005 (United States): DARPA XG and NSF projects complete a series of spectrum occupancy

  12. Sleep Disturbance Implications for Modern Military Operations

    Science.gov (United States)

    2012-01-01

    Academy (USMA) and the United States Air Force Academy (USAFA). Using a combination of sleep diaries, self report, and actigraphy ( wrist worn devices that...considerations must be made in order to examine what is meant by sleep loss. The first consideration involves examining how sleep loss is measured . One way in... measure sleep duration), researchers are attempting to determine the actual sleep demographics of future military members in a demanding environment

  13. Japan: Implications of an Expanded Military Role,

    Science.gov (United States)

    1985-07-03

    Unfortunately... protectionism and expansionist militarism have often come as parts of one terrible package.’ That package is labeled OPandora’ and they’re...welcome an end to isolationism by the United States and they’d like to see U.S. military influence return to their region. They * ’ are somewhat concerned...that over the longer term this isolationism may fade, especially as perception of a Soviet threat become more widespread. A major buildup of the

  14. Exporting Democracy to Haiti: A Military Perspective

    Science.gov (United States)

    2010-05-22

    agencies, including customs tariff-collecting agencies in the coastal towns. A Marine officer who was a veteran of other Banana Wars noted in his diary...source for the term Banana Wars. United was so successful in Haiti that they exploited the graft system and 79 Paul W. Drake, Money Doctors, Foreign...the shell of government institutions created by American specialists from the State Department and Haiti now fielded the most professional military

  15. Democratic Control of Military Forces

    National Research Council Canada - National Science Library

    Smail Ostrakovic

    2011-01-01

    The transition requirement for post communism countries, especially the part that is about military forces is to establish those civil-military relation that will have prepared projects for awareness...

  16. Western Military Culture and Counterinsurgency:

    African Journals Online (AJOL)

    francois

    large-scale battles using massive force.4 According to well-known military ... a conflict, he could therefore take advantage of all elements of Western military .... development of industrial total warfare had led to a rigid attitude towards conflicts.

  17. Topical medication utilization and health resources consumption in adult patients affected by psoriasis: findings from the analysis of administrative databases of local health units

    Science.gov (United States)

    Perrone, Valentina; Sangiorgi, Diego; Buda, Stefano; Degli Esposti, Luca

    2017-01-01

    Aim The objectives of this study were to: 1) analyze the drug utilization pattern among adult psoriasis patients who were newly prescribed with topical medication; and 2) assess their adherence to topical therapy and the possibility of switching to other strategies in the treatment process. Methods An observational retrospective analysis was conducted based on administrative databases of two Italian local health units. All adult subjects who were diagnosed with psoriasis or who were newly prescribed for topical medication with at least one prescription between January 1, 2010, and December 31, 2014, were screened. Only patients who were “non-occasional users of topical drugs” (if they had at least two prescriptions of topical drugs in a time space of 2 years) were considered for the first and second objectives in the analysis. The date of the first prescription of topical agents was identified as the index date (ID), which was then followed for all time available from ID (follow-up period). The adherence to therapy was assessed on the basis of cycles of treatment covered in the 6 months before the end of the follow-up period. The mean health care costs in patients who switched to disease-modifying antirheumatic drugs (DMARDs) or biologics after the ID were evaluated. Results A total of 17,860 patients with psoriasis who were newly prescribed for topical medication were identified. A total of 2,477 were identified as “non-occasional users of topical drugs”, of whom 70.2% had a prescription for a topical fixed combination regimen at ID. Around 19% adhered to their medication, whereas 6% switched to other options of psoriasis treatment. Multivariable logistic regression model shows that patients on fixed combination treatment were less likely to be non-adherent to treatment and less likely to switch to other treatments. The annual mean pharmaceutical costs were €567.70 and €10,606.10 for patients who switched to DMARDs and biologics, respectively

  18. 收获机组作业时间分析与建模%Analysis and Modeling of Operation Time Items and Times Utilization Rate of Harvest Unit

    Institute of Scientific and Technical Information of China (English)

    乔金友; 韩兆桢; 李传磊; 陈海涛; 衣佳忠; 姜岩; 黄超; 张东光

    2016-01-01

    收获作业是粮食生产过程关键环节之一,选择适宜的收获机械适时完成收获作业是粮食丰产丰收的重要保障,因此提高农业收获机组效率已成为收获作业的重要组成部分。依据收获机组实际作业测得数据进行分析,明确了典型联合收获机作业时间项目构成,建立了纯作业、转弯、卸粮等各个时间项目的数学计算模型。针对3种卸粮方式—单侧卸粮、双侧卸粮、满箱卸粮分别建立数学模型,对3种不同的卸粮方式时间利用率进行了分析比较,同时选择约翰迪尔9660进行试验研究。%Harvesting operation is one of the key links in the process of grain production, choosing the appropriate har-vesting machine to finish the harvest is an important guarantee for the harvest of grain yield, so it is important to improve the efficiency of agricultural harvest unit.According to the data model analysis of the actual operation of the harvester, the typical combines harvest machine operation time is defined, and the mathematical model of the operation, turning and unloading is established.For three kinds of unloading ways:unilateral unloading , bilateral unloading grain, trunkful un-loading grain mathematical models are established respectively, for three different unloading grain pattern time utilization rate through the analysis and comparison, and John Deere 9660 was studied.

  19. Utilization of 134Cs/137Cs in the environment to identify the reactor units that caused atmospheric releases during the Fukushima Daiichi accident

    Science.gov (United States)

    Chino, Masamichi; Terada, Hiroaki; Nagai, Haruyasu; Katata, Genki; Mikami, Satoshi; Torii, Tatsuo; Saito, Kimiaki; Nishizawa, Yukiyasu

    2016-08-01

    The Fukushima Daiichi nuclear power reactor units that generated large amounts of airborne discharges during the period of March 12-21, 2011 were identified individually by analyzing the combination of measured 134Cs/137Cs depositions on ground surfaces and atmospheric transport and deposition simulations. Because the values of 134Cs/137Cs are different in reactor units owing to fuel burnup differences, the 134Cs/137Cs ratio measured in the environment was used to determine which reactor unit ultimately contaminated a specific area. Atmospheric dispersion model simulations were used for predicting specific areas contaminated by each dominant release. Finally, by comparing the results from both sources, the specific reactor units that yielded the most dominant atmospheric release quantities could be determined. The major source reactor units were Unit 1 in the afternoon of March 12, 2011, Unit 2 during the period from the late night of March 14 to the morning of March 15, 2011. These results corresponded to those assumed in our previous source term estimation studies. Furthermore, new findings suggested that the major source reactors from the evening of March 15, 2011 were Units 2 and 3 and that the dominant source reactor on March 20, 2011 temporally changed from Unit 3 to Unit 2.

  20. US Military Logistics Management, Privatization, and Contractors on the Battlefield. What Does This All Mean?

    Science.gov (United States)

    2002-01-01

    MILITARY LOGISTICS MANAGEMENT, PRIVATIZATION, AND CONTRACTORS ON THE BATTLEFIELD. WHAT DOES THIS ALL MEAN? BY LIEUTENANT COLONEL DAVE McKENNA United States...PA 17013-5050 L020 USAWC STRATEGY RESEARCH PROJECT US MILITARY LOGISTICS MANAGEMENT, PRIVATIZATION, AND CONTRACTORS ON THE BATTLEFIELD. WHAT DOES THIS...ABSTRACT AUTHOR: LTC Dave McKenna TITLE: US Military Logistics Management, Privatization, and Contractors on the Battlefield. What Does This All Mean

  1. US–China Military Technological Competition and the Making of Chinese Weapons Development Strategies and Plans

    OpenAIRE

    CHEUNG, Tai Ming

    2017-01-01

    How do Chinese decision-makers and strategists view the United States todayas a military strategic competitor especially in light of the US Third Offset Strategy? This brief examines the nature, dynamics, and direction of intensifying US–China military strategic technology competition and how the Third Offset Strategy may influence implementation of Chinese strategies and plans for long-termdevelopment of its military technological and war-fighting capabilities.

  2. The rise of Chinese military medicine: opportunity for mercy ship, not gunboat, diplomacy.

    Science.gov (United States)

    Chambers, James A

    2011-09-01

    Recent exchanges between the United States and China at the presidential and cabinet level have emphasized the need for an enhanced military-to-military relationship to further mutual understanding and promote cooperation. This article explores the historic context of military medical relations between the two nations as well as the rationale and opportunities for increased interaction through medical diplomacy. Specific areas for potential collaboration are discussed with recommendations for future action.

  3. Cultural self-awareness as a crucial component of military cross-cultural competence.

    Science.gov (United States)

    Pappamihiel, Constantine J; Pappamihiel, Eleni

    2013-01-01

    The military forces in the United States represent a unique culture that includes many subcultures within their own military society. Acculturation into the military often deemphasizes the influence of personal narrative and thereby establishes the primacy of military culture over personal cultural influences. The authors make the argument that military personnel need to further develop an understanding and appreciation of personal cultural narrative as well as organizational culture. The increased integration of military personnel with interagency partners, along with cooperative efforts between relief organizations, and nongovernmental organizations in politically/economically unstable areas around the globe serves to make cross-cultural interaction unavoidable in the future. Military medical personnel are especially likely to interact with others who have culturally different values. These interactions can occur between organizations as easily as they can during patient care. They must be able to step outside of their military culture and develop cross-cultural competence that is grounded in cultural self-awareness. Without an appropriate level of cultural self-awareness, military and medical personnel run the risk of being unable to communicate across dissimilar cultures or worse, alienating key stakeholders in collaborative operations between military services, coalition partners, and nonmilitary organizations. It is the authors? contention that unless military personnel, especially those in the medical arena, are able to appropriately self-assess situations that are impacted by culture, both their own and the other personnel involved, the resulting cultural dissonance is more likely to derail any significant positive effect of such collaborations.

  4. Family Housing Metering Test. A Test Program to Determine the Feasibility of Installing Utility Meters in Military Family Housing, Developing Energy Ceilings, and Operating a Penalty Billing System for Occupants Who Overconsume Energy. Volume II. Appendices.

    Science.gov (United States)

    1980-03-01

    0026 RALW (30., M 1900)) IY, DDUlA( 1) 4002? IF( IY RIE. IMRE) GO TO 1050 00028 ICVE I 90029 Z CWLE I 00030 I-(DDUPI( 1) .EQ. UI’) ICqE z 90031 GO TO 9990...Govermnent Cost Above Energy Norm 12. This Is A Test. Do Not Pay. )Q MOCK UTILITY BILL Name John R. Smith Date of Current Reading 15 Feb 78 - Address 13

  5. Academic and Military Instructional Technology.

    Science.gov (United States)

    Branson, Robert K.

    This paper examines the practices and accomplishments of the military in the area of instructional technology. An examination of historical background is used to increase the precision of the definition of instructional technology. Specific contributions of the military are described and then uses of instructional technology in the military and…

  6. Military Construction: FY2017 Appropriations

    Science.gov (United States)

    2016-10-04

    and reserve components of the armed forces, military family housing construction and operations, the U.S. contribution to the NATO Security Investment...Appropriations Congressional Research Service 1 Introduction Military construction for active and reserve components of the armed forces, military...Rescinded appropriations may be applied against current year appropriations to reduce the new budget authority needed to satisfy requirements . The net

  7. Syria’s Military Capabilities and Options for Military Intervention

    DEFF Research Database (Denmark)

    Pradhan-Blach, Flemming

    2012-01-01

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

  8. Syria’s Military Capabilities and Options for Military Intervention

    DEFF Research Database (Denmark)

    Pradhan-Blach, Flemming

    2012-01-01

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

  9. Autonomous military robotics

    CERN Document Server

    Nath, Vishnu

    2014-01-01

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

  10. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... South' or utilising new technologies to overcome the prohibitive costs of current systems. Analysing the philosophical, strategic and budgetary underpinnings of these alternatives, he concludes that a more radical break from current military organisational practices is needed which would allow them...

  11. Pareto utility

    NARCIS (Netherlands)

    Masako, I.; Laeven, R.J.A.; Magnus, J.R.; Muris, C.

    2013-01-01

    In searching for an appropriate utility function in the expected utility framework, we formulate four properties that we want the utility function to satisfy. We conduct a search for such a function, and we identify Pareto utility as a function satisfying all four desired properties. Pareto utility

  12. Cultural intelligence support for military operations

    Energy Technology Data Exchange (ETDEWEB)

    Guthormsen, Amy M. [Los Alamos National Laboratory; MacKerrow, Edward P [Los Alamos National Laboratory; Merritt, Terence M [Los Alamos National Laboratory; Morgart, Ruth E [INTERNATIONAL ATOMIC ENERGY

    2010-04-08

    It has long been recognized that military success relies on knowledge of the enemy. In the context of standard warfare, adequate knowledge of the enemy may be gained by analyzing observable, measurable data. In the context of modern counterinsurgency operations and the global war on terror, the task of predicting the behavior of the enemy is vastly more complex and difficult. Without an understanding of the ways individuals in the host nation interpret and react to events, no amount of objective information can provide the insight required to accurately predict behavior. US military doctrine has begun to recognize the importance of the many ways that local culture can affect operation success. Increasingly military decision makers use cultural information in the service of operation planning, and troops are provided with pre-deployment cultural training. However, no amount of training can cover the breadth and depth of potentially useful cultural information, and no amount of careful planning can avoid the need to adapt as situations develop. Therefore, a critical challenge is to provide useful tools to US personnel in their efforts to collect, analyze, and utilize cultural information. Essential functions for cultural support tools include the following: (1) to narrow down a broad range of available data and focus the user's attention on context-relevant information, (2) to present cultural information in an easily understood form, (3) to prompt the user to seek relevant information in the environment, (4) to synthesize information, and (5) to predict outcomes based on possible courses of operation. In this paper, we begin by reviewing the ways in which military operations can benefit from cultural intelligence. We then discuss frameworks for analyzing cultural information in the context of a military operation. We conclude with a demonstration of our current efforts to develop a tool that meets the aforementioned functional challenges.

  13. Impact of the Manning, Training, and Utilization of Black Combat Units during World War II on the Racial Integration of the Army

    Science.gov (United States)

    2010-12-10

    ability, schooling and education, socioeconomic class and cultural background. The AGCT classified personnel into five groups based on score...permission to station black soldiers within their borders. These governments included the British West Indies, Australia, Chile , Venezuela and Panama...soldiers for valor and the platoon received the Distinguished Unit Citation, becoming the first black unit to achieve this recognition.119 In December

  14. Investigation of colorectal cancer screening in people over 40 at a military unit%某部40岁以上1208例体检人群大肠癌筛查结果分析

    Institute of Scientific and Technical Information of China (English)

    李金平; 宫宁; 赵宗禹

    2012-01-01

    目的 探索与体检相结合的大肠癌筛查工作的可行性.方法 选择某部40岁以上人群1208例,通过宣传手段使其了解大肠癌的危险因素,发放便潜血标本收集器,对便潜血试验阳性和有危险因素的高危人群进行肠镜检查.结果 在1208例筛查人员中,同时行便潜血检查和参加危险因素调查者1045例,筛查的总应答率86.5%,肠镜检查的应答率72.7%,均高于国内几次大型筛查的应答率(P<0.05).潜血阳性组行肠镜检查21例,危险因素调查阳性组行肠镜检查83例;两组的肠镜检查应答率、肠镜检查阳性率、癌的检出率、伴不典型增生的检出率相比差异无统计学意义,潜血阳性组绒毛状腺瘤、多发管状腺瘤的检出率高于危险因素调查阳性组(P<0.05),危险因素调查阳性组单发管状腺瘤的检出率高于潜血阳性组(P<0.05).结论 与单位体检相结合的大肠癌筛查方案人群应答率高,危险因素调查是大肠癌筛查的有效手段.%Objective To evaluate the feasibility of colorectal cancer screening being combined with the annual physical examination in a military unit. Methods A total of 1208 people aged 40 and above received fecal occult blood test and questionnaires. Those tested positive and at risk underwent colonoscopy. Results 1045 of these people received both FOBT and the risk factor survey, the response rate being 86. 5% . 25 people got positive results in FOBT, 21 underwent colonoscopy, 118 people got positive results in the risk factor survey and 83 people underwent colonoscopy. There was no statistical difference between the two groups in the response rate of colonoscopy,positive rate of colonoscopy, detection rate of cancer,or detection rate of ademoma with atypical hyperplasia. The detection rate of villous adenoma and multiple tubular adenoma was higher in FOBT positive group than in survey group(P < 0. 05) while the detection rate of solitary adenoma was higher in survey

  15. Final Environmental Assessment for the Update and Implementation of the Total Force Training Mission for Visiting Units (Operation Snowbird, Multi-Service, and Foreign Military Sales), Davis-Monthan Air Force Base, Arizona

    Science.gov (United States)

    2015-05-14

    conducted by our own government’s military against us and depriving us of our health , safety, property, and happiness . Sincerely, s/Kathleen G...quality, socioeconomics (including property values), public health and safety, and cultural resources, as identified below. The Arizona State Historic...would also be no additional disproportional impacts regarding the protection of children. Public Health and Safety: Public safety risks would not

  16. A Study of Insect Pollinators Associated With DoD TER-S Flowering Plants, Including Identification of Habitat Types Where They Co-Occur by Military Installation in the Southeastern United States

    Science.gov (United States)

    2010-12-01

    Epicauta strigosa Camp Blanding G2, S2 Carex impressinervia (AL) (Impressed-nerved sedge ) wind pollinated R. B. Woodruff Lake G1G2, S1...Fort Benning Military Reservation, GA and Lake Seminole, GA; autogamous). • Carex impressinervia (R. B. Woodruff Lake, AL; wind pollinated...sp. • Carex sp. • Eriogonum sp. • Helianthus sp. • Lupinus sp. • Phacelia sp. • Symphyotrichum sp. It is rare for any flowering plant

  17. Civil–military cooperation in crisis management in Africa

    DEFF Research Database (Denmark)

    Olsen, Gorm Rye

    2011-01-01

    Cooperation between civilian and military actors has become a catchphrase in international crisis management and development policy in the 21st century. This paper examines the crisis management policies adopted in Africa by the United States and the European Union (EU), respectively...... with the persistent predominance of the Pentagon and of the military instruments in US Africa policy. It illustrates the conspicuous institutional path dependency of US Africa policy, which by some is described as ‘militarised’. The EU has been able to apply both civilian and military instruments in crisis management...... in Africa, suggesting the policy is not path dependent. The European situation is arguably attributable to the widespread consensus among European actors that it is necessary to combine civilian and military instruments in crisis management....

  18. Conceptual and Empirical Themes regarding the Design of Technology Transfer Programs: A Review of Wood Utilization Research in the United States

    OpenAIRE

    Ellefson, Paul V.; Kilgore, Michael A.; Skog, Kenneth E.; Risbrudt, Christopher D.

    2011-01-01

    Transfer of technologies produced by research is critical to innovation within all organizations. The intent of this paper is to take stock of the conceptual underpinnings of technology transfer processes as they relate to wood utilization research and to identify conditions that promote the successful transfer of research results. Conceptually, research utilization can be viewed from multiple perspectives, including the haphazard diffusion of knowledge in response to vague and imprecise dema...

  19. Modernization of the Military

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    China’s armed forces emphasize development and transformation,says national defense white paper China issued a white paper on national defense on March 31.The document,the seventh of its kind the Chinese Government has issued since 1998,says China will never seek hegemony or adopt the approach of military expansion

  20. Resilience among Military Youth

    Science.gov (United States)

    Easterbrooks, M. Ann; Ginsburg, Kenneth; Lerner, Richard M.

    2013-01-01

    In this article, the authors present their approach to understanding resilience among military connected young people, and they discuss some of the gaps in their knowledge. They begin by defining resilience, and then present a theoretical model of how young people demonstrate resilient functioning. Next they consider some of the research on…

  1. The Military Instructor's Handbook

    DEFF Research Database (Denmark)

    Sjøstedt, Peter; Grønlund, Thomas

    The Military Instructor's handbook was written for the basic professional training of instructors in the danish defence. The book describes the work of instructors and their areas of responsibility, and it offers guidance and direction on how to plan, conduct and evaluate learning activities...

  2. USSR Report, Military Affairs.

    Science.gov (United States)

    2007-11-02

    blunders of Hitler as a political and military leader, now by our country’s climatic and weather conditions.which were "unfavorable" for the German...Portugal, over Gibraltar and the Mediterranean Sea. (According to other data, including the French press, American aircraft "cut short" this route by a

  3. USSR Report Military Affairs

    Science.gov (United States)

    2007-11-02

    good job of selecting cadets and to avoid errors. For example, a group of scientists at the Donetsk Higher Military Political School of Engineer...Troops and Signal Troops imenl Army General A.A. Yepishev, together with colleagues from the Donetsk State Medical Institute imeni Maxim Gorkiy, did a

  4. Military Forces in Transition

    Science.gov (United States)

    1991-01-01

    families of military professionals withdrawn from East- em Europe are living in hostels , prefabricated barracks, or tents. In some cases, conscripts...Technological Capabilities: USSR/US Semiconductor Materials and Microelectronic C ircuils Software Producibility Parallel Computer Architectures ^ r...underground leadership bunker adjacent to Moscow State University . These fa- cilities are intended for the national command authority in wartime

  5. On Military Theory

    Science.gov (United States)

    2011-07-01

    sciences and philosophies are based on dubious premises or are in fact pseudosciences. Modern military theory was heavily influenced by empiricism and...determinism. Empiricism is described as a logical process based on pursuing knowledge through observation and experiments. One can make sensible

  6. Soviet Union, Military Affairs.

    Science.gov (United States)

    1987-06-17

    subordinates of officers V. Nazarenko and A. Labunets who, together with the personnel of the pipeline subunit under the command of Lieutenant Colonel A...collaboration is played by the joint "Soyuz," "Shchit," and " Druzhba " exercises and the systematic exchange of experience, military-technical

  7. 75 FR 31505 - Bureau of Political-Military Affairs: Directorate of Defense Trade Controls; Notifications to the...

    Science.gov (United States)

    2010-06-03

    ... for the manufacture and sale of the Goalkeeper Gun Mount. The United States Government is prepared to... components for Turbine Engines and Auxiliary Power Units related to various military aircraft, helicopters... services for the manufacture of military aircraft engine hot section components specifically,...

  8. Study of the impacts of regulations affecting the acceptance of Integrated Community Energy Systems: public utility, energy facility siting and municipal franchising regulatory programs in the United States. Preliminary background report

    Energy Technology Data Exchange (ETDEWEB)

    Feurer, D.A.; Weaver, C.L.; Gallagher, K.C.; Hejna, D.; Rielley, K.J.

    1980-01-01

    This report is a summary of a series of preliminary reports describing the laws and regulatory programs of the United states and each of the 50 states affecting the siting and operation of energy generating facilities likely to be used in Integrated Community Energy Systems (ICES). A brief summary of public utility regulatory programs, energy facility siting programs, and municipal franchising authority is presented in this report to identify how such programs and authority may impact on the ability of an organization, whether or not it be a regulated utility, to construct and operate an ICES. Subsequent reports will (1) describe public utility rate regulatory procedures and practices as they might affect an ICES, (2) analyze each of the aforementioned regulatory programs to identify impediments to the development of ICES, and (3) recommend potential changes in legislation and regulatory practices and procedures to overcome such impediments.

  9. Military vehicle trafficking impacts vegetation and soil bulk density at Fort Benning, Georgia

    Science.gov (United States)

    Potential increases in wind erosion that might be brought about by military vehicles travelling off-road during training are of concern to the United States military. Field studies were conducted in the summer of 2012 at Fort Benning, Georgia. The objective of the experiment was to assess the traffi...

  10. 48 CFR 3052.209-71 - Reserve Officer Training Corps and military recruiting on campus.

    Science.gov (United States)

    2010-10-01

    ... following clause: Reserve Officer Training Corps and Military Recruiting on Campus (DEC 2003) (a... military department from maintaining, establishing, or operating a unit of the Senior Reserve Officer... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Reserve Officer...

  11. 29 CFR 36.210 - Military and merchant marine educational institutions.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Military and merchant marine educational institutions. 36... merchant marine educational institutions. These Title IX regulations do not apply to an educational institution whose primary purpose is the training of individuals for a military service of the United...

  12. 用预期效用理论单位三角形解释共同比率效应%RE-EXPLORING THE COMMON RATIO EFFECT IN THE UNIT TRIANGLE FOR ANTICIPATED UTILITY THEORY

    Institute of Scientific and Technical Information of China (English)

    张顺明

    2009-01-01

    本文提供一个新的视角来观察共同比率效应.这个悖论可以用期望效用理论和预期效用理论来解释.特别地,Machina(1987)在期望效用理论单位三角形比较一对彩票,共同比率效应形成一个悖论.在预期效用理论单位三角形中,效用函数无差异曲线保持平行,但是彩票的连线向内收敛,从而说明共同比率效应在预期效用理论可能是合理的,而不再是一个悖论.%This paper provides a new viewpoint to observe the contain ratio effect.This paradox can be explained from both the expected utility theory and the anticipated utility theory.In particular,we use the unit triangle approach in Machina (1987)to compare pairs of prospects.In the unit triangle diagram for the anticipated utility theory,the indifference curves maintain parallel,but lines of the compared prospect pairs fan in.Then this paradox is rational under the anticipated utility theory.

  13. Military Children's Difficulty With Reintegration After Deployment: A Relational Turbulence Model Perspective.

    Science.gov (United States)

    Knobloch, Leanne K; Knobloch-Fedders, Lynne M; Yorgason, Jeremy B; Ebata, Aaron T; McGlaughlin, Patricia C

    2017-02-16

    This study drew on the relational turbulence model to investigate how the interpersonal dynamics of military couples predict parents' reports of the reintegration difficulty of military children upon homecoming after deployment. Longitudinal data were collected from 118 military couples once per month for 3 consecutive months after reunion. Military couples reported on their depressive symptoms, characteristics of their romantic relationship, and the reintegration difficulty of their oldest child. Results of dyadic growth curve models indicated that the mean levels of parents' depressive symptoms (H1), relationship uncertainty (H2), and interference from a partner (H3) were positively associated with parents' reports of military children's reintegration difficulty. These findings suggest that the relational turbulence model has utility for illuminating the reintegration difficulty of military children during the postdeployment transition. (PsycINFO Database Record

  14. Tactical Utility of Tailored Systems

    Science.gov (United States)

    2015-07-10

    www.popsci.com/ cars /article/2011-06/how-first- crowdsourced-military- car -can-remake-future-defense- manufacturing Tactical Utility of Tailored Systems...year lead time to develop a piece of equipment, if we were able to collapse the pace of which that manufacturing takes place, that would save taxpayers...within budget. This paper hopes to explore the idea of combining virtual environments and rapid manufacturing to create tailored materiel specific

  15. [New in the biography of a military doctor A. G. Peredelsky].

    Science.gov (United States)

    Savinova, T N

    2014-11-01

    The history of activity of the Orenburg department of the Kazan society of adherents of military and sanitary knowledge is shown in article. The department existed in 1912-1914 and united officers and medical officers of the Orenburg garrison and military educational institutions. Members of Department tried to resolve the vital issues of a sanitary condition of Totsky military camp, regiments of the Orenburg military of the garrison. The department managed to publish two releases of the works. On these materials we can judge its activity. In article new data from A.G.Peredelsky's biography (1876-1940) in the period of his life in Orenburg are reported.

  16. E.R. Fidell, E.L. Hillman, D.H. Sullivan, Military Justice: Cases and Materials, Lexis/Nexis, 2006, 1076 pages.

    Directory of Open Access Journals (Sweden)

    Stanislaw Romanov

    2008-07-01

    Full Text Available Eugene R. Fidell (President of the National Institute of Military Justice, Elizabeth L. Hillman (Professor of Law at Rutgers University, and Dwight H. Sullivan (Colonel of the United States Marine Corps, Reserve have published a comprehensive study of military justice in the United States.As the United States is currently involved in a number of armed conflicts around the world, in recent years there has been growing global interest in American military law and justice. Generally speaking,...

  17. Improving Human Papillomavirus Vaccinations in Military Women.

    Science.gov (United States)

    Wedel, Sarah; Navarrete, Rebecca; Burkard, Joseph F; Clark, Mary Jo

    2016-10-01

    The purpose of this evidence-based project was to provide patient education to increase human papillomavirus (HPV) vaccination rates in military women. Despite the availability of a vaccine, HPV continues to be the most common sexually transmitted infection in the United States. The goal of this program was to increase patient knowledge and HPV vaccination rates by providing education and a verbal recommendation for vaccination during regularly scheduled well-woman exams. The project resulted in a 65% increase in vaccination rates, raising the preprogram vaccination rate of 55% to a postintervention vaccine percentage of 91%. The results demonstrate the importance of patient education and provider recommendation in vaccine acceptance. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  18. Applications of Miniaturized Atomic Magnetic Sensors in Military Systems

    Science.gov (United States)

    2012-10-01

    exercising flight operations ( brushless DC motor running, tail avionics actuated, telemetry systems transmitting). We utilized a simple linear model to...80021 USA ABSTRACT A new generation of miniaturized ultra-high sensitivity atomic magnetometers is being developed and integrated into military...low frequency magnetometry are investigated through preliminary experimental data in addition to modeling and simulations. In particular, we discuss

  19. Programmed Instruction in Military Training in the NATO Nations.

    Science.gov (United States)

    Nagay, John A.

    The state of programed instruction utilization in military training within the separate North Atlantic Treaty Organization (NATO) nations is briefly assessed in this report. Only the programs of NATO countries which have not been covered in detail elsewhere are included: Netherlands, Federal Republic of Germany, Italy, Canada, France, Belgium,…

  20. Sino-U. S. Military Transparency in a New Security Concept

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Military transparency is a complicated and sensitive issue in the Sino-U. S. relations and also a touchstone testing the degree of their interest coincidence. One can hardly gain a full and profound insight into the essential implication of military transparency if he is dominated by the realist logic and putting undue emphasis on the importance of it in the bilateral military relation.Given the fact that China and the United States are two important powers shouldering critical responsibilities for maintaining global peace and security, this article argues that only by adopting a new security concept toward military transparency could the two countries forge a consensus on the international security situation and remove misunderstanding, misgivings and distrust in their military contacts and cooperation. Only by actively seeking and constructing a new security regime could the two sides strengthen the institutional base for their military cooperation.

  1. [The value of surgical experience gained during the Great Patriotic War for the modern military surgery].

    Science.gov (United States)

    Efimenko, N A; Samokhvalov, L M

    2015-05-01

    The surgical experience gained during the Great Patriotic War (1941-1945) is a basis of the modern Russian military surgery, which allows providing any options for surgical care to the wounded. The article describes the main achievements of the military surgeons in our country during the Great Patriotic War, which helped the Soviet (Russian) military field surgery to achieve a leading position in the world of military medicine. The role of the united martial medical doctrine, three editions of "Guidelines for the military surgery", the qualified surgical assistance as a mean that helped to deliver surgical care to the wounded, the introduction of specialized medical care, technology development of medical triage, as well as the origins of the tactics of a multi-stage surgical treatment of combat trauma and special treatment of minimally wounded during the war. The problems in establishing registers of combat injuries. and training military surgeons are analysed.

  2. New Generation of Military Members Provides Opportunity to Reform Military Benefits

    Science.gov (United States)

    2013-03-01

    NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Colonel Stephen C. Sobotta Department of Command...military to remain competitive requires a comprehensive approach. The generational characteristics of the Millennial generation should be considered when...proposing benefit reform. The values of the Millennial generational provide an opportunity to sustain front-loaded, family focused programs in exchange

  3. A Model for Valuing Military Talents

    Institute of Scientific and Technical Information of China (English)

    LIU Hong-sheng

    2002-01-01

    The method of collocating military talents is a difficult problem. It is different from other talents, for the characteristic of military talents. This paper presents a model for valuing military talents,which can assists the military leaders to collocate military talents properly.

  4. 14 CFR 61.73 - Military pilots or former military pilots: Special rules.

    Science.gov (United States)

    2010-01-01

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

  5. Perfil e distribuição da síndrome cólica em eqüinos em três unidades militares do Estado do Rio de Janeiro, Brasil Profile and distribution of equine colic syndrome in three military units in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Paula Vieira Evans Hossell Laranjeira

    2009-07-01

    Full Text Available Este estudo teve como objetivo avaliar o perfil e a distribuição da síndrome cólica em eqüinos de três unidades militares no Estado do Rio de Janeiro, o Regimento Escola de Cavalaria (REsC, a Academia Militar das Agulhas Negras (AMAN e o Esquadrão Escola de Cavalaria (EEC. No período entre 2003 e 2004, 770 eqüinos foram acompanhados para a ocorrência de casos clínicos de cólica. Realizou-se análise descritiva dos dados, e foram calculadas a taxa de incidência de cólica e a proporção de eqüinos acometidos. O teste do χ2 foi utilizado para avaliar a associação entre síndrome cólica e variáveis relativas às características dos eqüinos e do manejo. A incidência variou entre as unidades militares, 0,12 na AMAN, 0,21 no EEC e 0,95 casos/eqüino-ano no REsC, sendo acometidos 15% dos eqüinos da AMAN, 30% do EEC e 69% do REsC. A maior incidência foi de episódios de origem gástrica, 76,5%. Casos de reincidência foram elevados, sendo 62,5% no REsC, 36,7% na AMAN e 29,0% no EEC. A síndrome cólica estava significativamente associada às variáveis unidade militar, sistema de criação, quantidade de grãos ingerido e suplemento mineral-vitamínico. As altas incidências, reincidências e proporção de animais acometidos observadas ocorreram de forma diferenciada nas três unidades, indicando que, apesar de possuírem como característica comum pertencerem a unidades militares, os eqüinos formam um grupo heterogêneo no que diz respeito à ocorrência de síndrome cólica, provavelmente devido às diferentes condições de manejo.This research aimed to verify the profile and distribution of colic syndrome in horses of three military units in Rio de Janeiro, Brazil, which were Regimento Escola de Cavalaria (REsC, Academia Militar das Agulhas Negras (AMAN, and Esquadrão Escola de Cavalaria (EEC. From 2003 to 2004, 770 horses were followed up for the incidence of colic cases. A descriptive analysis of clinical data

  6. USSR Report, Military Affairs

    Science.gov (United States)

    2007-11-02

    and leading seaman and honor student. The brothers Giya and Guliver Nikolaishvili of Sukhumi, Dato Metreveli of Kutaisi, who is at the Kiev higher...policy is closely related to its domestic and foreign policy and the strategy of accelerating social and economic development based on scientific...and special informational publications and become acquainted with patent materials. There is yet one more important concept in our military lexicon

  7. Military Psychology for Africa

    CSIR Research Space (South Africa)

    Van Heerden, Adelaide

    2016-12-01

    Full Text Available in trauma therapy is highlighted. 181 Chapter 8 follows on the previous chapter, as Loubsher emphasises the body in the context of trauma, providing the reader with insight into the importance of instinctual bodily responses to the process of healing... influence on the effectiveness of the military as well as the psychological consequences of the disease on factors like combat readiness. An explanation of African traditional approaches to healing provides valuable insight into how African individuals...

  8. Military display performance parameters

    Science.gov (United States)

    Desjardins, Daniel D.; Meyer, Frederick

    2012-06-01

    The military display market is analyzed in terms of four of its segments: avionics, vetronics, dismounted soldier, and command and control. Requirements are summarized for a number of technology-driving parameters, to include luminance, night vision imaging system compatibility, gray levels, resolution, dimming range, viewing angle, video capability, altitude, temperature, shock and vibration, etc., for direct-view and virtual-view displays in cockpits and crew stations. Technical specifications are discussed for selected programs.

  9. Soviet Union, Military Affairs.

    Science.gov (United States)

    2007-11-02

    18 Mar 87 p 2 [Editorial on "Measures Taken" in the "Answers, Responses, Results" section: "False Chords "] [Text] The correspondence entitled...34False Chords " that was. published on 3 January told about violations allowed while dismissing a group of military construction workers into the reserves...which hinder our movement forward are also especially noticeable. It is impossible not to see that INDIVIDUAL OFFICERS, WHO VOCALLY COME OUT FOR

  10. USSR Report, Military Affairs.

    Science.gov (United States)

    2007-11-02

    was due in part also to the fact that the class was con- ducted by someone other than the individual indicated in the schedule. Inci- dentally , the...Col V. Filatov, KRASNAYA ZVEZDA special correspondent, Chernobyl AES-Kiev-Moscow, under the rubric "Military Character": "At a Time of Trial"] [Text...1. He learned about the accident at the Chernobyl AES almost as soon as it happened, but he did not know and could not imagine how it would

  11. Soviet Military Power

    Science.gov (United States)

    1984-04-01

    vaned uber -as copoiteprpelans, lsofo imroingth.e.e.i.ees of dis.*~’ - "- .. ’ Soviet industrial modernization programs quire computer technology...Greenland C 1 NORTH , S ATLANTIC OCEAN Mexicos oU.. 3 OOCEAN Gas NOITMLTRPRONLARA * Lt~ Aeula InludngCua).......................A Svit nn Trantr 117I...are larger than those of Canada, island neighbors have little or no armed Brazil or Mexico . With Soviet assistance forces of their own. Cuban military

  12. Sound Military Decision

    Science.gov (United States)

    1942-01-01

    out its continuance. Habitual and studied adherence to the chain of com- mand in administrative matters, in consultation, in the ex- change of...each other. The Fundamental Military Principie , as a va!id guide, encounters no exception in the field it purports to cover. As a practical guide, it...do with the characteristic operations of the command, rather thhan of the commander; they there- fore relate to such matters as routine administration

  13. Social inclusion of individuals with intellectual disabilities in the military.

    Science.gov (United States)

    Werner, Shirli; Hochman, Yael

    2017-06-01

    Despite policies advocating the social inclusion of persons with disabilities in all settings that are a part of everyday life within society, individuals with intellectual disabilities (ID) are usually excluded from service in the military. This study examined the meaning of service in the military for individuals with ID from the perspective of various stakeholder groups. Semi-structured qualitative interviews were conducted with 31 individuals with ID, 36 relatives, and 28 commanders. The recent model for social inclusion developed by Simplican et al. (2015) served as the basis for analyses. Findings suggest a successful social inclusion process for individuals with ID, which resulted in them feeling as an integral part and as contributing members of the military unit and of society at large. Social inclusion in the military was described with reference to two overlapping and interacting domains of interpersonal relationships and community participation. The interaction between interpersonal relationships within the military and community participation has led to positive outcomes for soldiers with ID. Recommendations are provided for the continued inclusion of individuals with ID in the military and in other everyday settings. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. [The cradle of military medicine].

    Science.gov (United States)

    Tsygan, V N

    2013-12-01

    The Kirov Military Medical Academy, included into the State Code of Particularly Valuable Objects of Cultural Heritage of the Peoples of the Russian Federation, plays an important role in national military-medical science and education during XVIII and XIX centuries. Today the Kirov Military Medical Academy consists of 7 faculties, 63 departments (52 military departments and 11 civil departments), 31 clinics (17 surgical clinics and 14 therapeutic clinics), center of extracorporeal detoxification, 3 departments, taking part in treatment and diagnostic process, 11 clinical subdivisions, research center consisting of 4 research subdivisions and 2 laboratories, and also 14 research laboratories, 32 supply subdivisions and publications department. Glorious staff and graduates of the Academy took part in all russian wars. All famous medical schools were founded in the Academy in XIX-XX centuries. At the present time the Kirov Military Medical Academy is the main military medical university, leading research center and treatment facility of the Armed Forces of the Russian Federation.

  15. Treatment for posttraumatic stress disorder in military and veteran populations: initial assessment

    National Research Council Canada - National Science Library

    Committee on the Assessment of Ongoing Effects in the Treatment of Posttraumatic Stress Disorder; Institute of Medicine

    2012-01-01

    .... However, the signature injuries sustained by United States military personnel in these most recent conflicts are blast wounds and the psychiatric consequences to combat, particularly posttraumatic stress disorder (PTSD...

  16. Triage in military settings.

    Science.gov (United States)

    Falzone, E; Pasquier, P; Hoffmann, C; Barbier, O; Boutonnet, M; Salvadori, A; Jarrassier, A; Renner, J; Malgras, B; Mérat, S

    2017-02-01

    Triage, a medical term derived from the French word "trier", is the practical process of sorting casualties to rationally allocate limited resources. In combat settings with limited medical resources and long transportation times, triage is challenging since the objectives are to avoid overcrowding medical treatment facilities while saving a maximum of soldiers and to get as many of them back into action as possible. The new face of modern warfare, asymmetric and non-conventional, has led to the integrative evolution of triage into the theatre of operations. This article defines different triage scores and algorithms currently implemented in military settings. The discrepancies associated with these military triage systems are highlighted. The assessment of combat casualty severity requires several scores and each nation adopts different systems for triage on the battlefield with the same aim of quickly identifying those combat casualties requiring lifesaving and damage control resuscitation procedures. Other areas of interest for triage in military settings are discussed, including predicting the need for massive transfusion, haemodynamic parameters and ultrasound exploration.

  17. Military Healthcare Battlefield Immunity.

    Science.gov (United States)

    Kelly, J C

    2012-12-01

    The combatant soldier on the battlefield remains protected from any claim in negligence by the doctrine of combat immunity for any negligent act or omission they may make when fighting. In other words, the combatant soldier does not owe a fellow soldier a duty of care on the battlefield, as the duty of care is non-justiciable. However, the non-combatant Military Healthcare Professional, although sometimes operating in the same hostile circumstances as the fighting soldier, is unlikely to benefit from combat immunity for any clinical negligence on the battlefield. This is because they continue to owe their patient a duty of care, although this has not been tested in the courts. This paper considers if any military healthcare professional could ever benefit from combat immunity, which is unlikely due to their non-combatant status. Instead, this paper suggests that a modified form of immunity; namely, Military Healthcare Battlefield Immunity could be a new, unique and viable doctrine, however, this could only be granted in rare circumstances and to a much lesser degree than combat immunity.

  18. Long-term consequences of selected competitive strategies during deregulation of the United States electric utility industry: System dynamics modeling and simulation

    Science.gov (United States)

    Khalil, Yehia Fahim

    Currently, U.S. investor-owned utilities (IOUs) are facing major reforms in their business environment similar to the airlines, telecommunications, banking, and insurance industries. As a result, IOUs are gearing up for fierce price competition in the power generation sector, and are vying for electricity customers outside their franchised service territories. Energy experts predict that some IOUs may suffer fatal financial setbacks (especially those with nuclear plants), while others may thrive under competition. Both federal and state energy regulators anticipate that it may take from five to ten years to complete the transition of America's electric utility industry from a regulated monopoly to a market-driven business. During this transition, utility executives are pursuing aggressive business strategies to confront the upcoming price wars. The most compelling strategies focus on cutting operation and maintenance (O&M) costs of power production, downsizing the work force, and signing bilateral energy agreements with large price-sensitive customers to retain their business. This research assesses the impact of the three pivotal strategies on financial performance of utilities during transition to open market competition. A system-dynamics-based management flight simulator has been developed to predict the dynamic performance of a hypothetical IOU organization preparing for market competition. The simulation results show that while the three business strategies lead to short-lived gains, they also produce unanticipated long-term consequences that adversely impact the organization's operating revenues. Generally, the designed flight simulator serves as a learning laboratory which allows management to test new strategies before implementation.

  19. Military Construction: Process and Outcomes

    Science.gov (United States)

    2016-12-14

    barracks, schools, hospitals , child development centers, and other facilities needed to support U.S. military forces at home and overseas. This military...Atlantic Treaty Organization (NATO) Security Investment Program The 28 member states of NATO share the expense of common-use facilities by a formula...programs for the acquisition and construction of military facilities and installations and for related expenses for the collective defense of the

  20. LOYALTY AND THE MILITARY PROFESSION

    Science.gov (United States)

    2017-04-06

    loyalty, though, is that it invites unfairness , asks one to put aside reliance on good reason, and encourages irresponsibility. Baron explores...loyalty to fellow brethren in another. If the value of military loyalty were based solely on the quantity of advantages to disadvantages, there... advantage of military operational loyalty, enabling 27 service members to fight to the death, which is an advantage of military loyalty whose

  1. The Engagement of Military Voice

    Science.gov (United States)

    2010-01-01

    valuable, rare, inimitable, and or- ganizationally integrated ( VRIO ) capabilities of the firm are necessary for competitive advantage.4 Transferring...challenging for any large organization.5 This ex- pertise is developed through education and deliberate practice in the appli- cation of military force to...the military to the nation can be captured in the term SMART power.7 Some scholars are concerned that these VRIO competencies give the military undue

  2. 海军某部舰艇官兵腰痛流行病学调查%An epidemiological investigation of low back pain in the military personnel of a naval unit

    Institute of Scientific and Technical Information of China (English)

    任东风; 谭小云; 吴闻文; 侯树勋; 刘计鲁; 刘侃

    2014-01-01

    Objective To carry out an epidemiological investigation of low back pain in the military personnel of a naval unit. Methods An investigation of the disease state of low back pain was conducted in 1266 ofifcers and soldiers in a naval unit using a questionnaire about low back pain designed by ourselves, and relative data were collected. According to their service lives, all the respondents were divided into 3 groups, including the group of 1-5 years, the group of 6-9 years and the group of more than 10 years. The incidence of low back pain, the disability degree based on the Advanced Oswestry Low Back Pain Disability Index ( OSW ) and the Body Mass Index ( BMI ) were measured in each group, and the differences among the 3 groups were analyzed. At the same time, the age, service time on the naval ship and BMI between the respondents with or without low back pain was comparatively studied. Results All the 1266 ofifcers and soldiers were divided into 2 groups, including the group with low back pain ( n=880 ) and the group without low back pain ( n=386 ). The incidence was 69.51%in the group with low back pain, whose age was ( 37.4±9.3 ) years old, service time was ( 9.4±8.7 ) years and BMI was ( 23.98±7.75 ) kg/m2. In the group without low back pain, their age was ( 27.6±10.3 ) years old, service time was ( 6.3±7.9 ) years and BMI was ( 22.42±10.34 ) kg/m2. The service time was signiifcantly longer ( P0.05 ). In the group of 1-5 years ( n=727 ), 455 ofifcers and soldiers had low back pain, whose service time was ( 3.1±1.7 ) years, OSW score was 8.63±4.71 and BMI was ( 23.43±13.11 ) kg/m2, with the incidence of 62.59%. In the group of 6-9 years ( n=356 ), 263 ofifcers and soldiers had low back pain, whose service time was ( 6.8±1.2 ) years, OSW score was 13.17±6.36 and BMI was ( 24.23±10.58 ) kg/m2, with the incidence of 73.88%. In the group of more than 10 years ( n=183 ), 162 ofifcers and soldiers had low back pain, whose service time was ( 11.8±1

  3. Conversion of Abbandoned Military Areas

    Directory of Open Access Journals (Sweden)

    Daiva Marcinkevičiūtė

    2011-03-01

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

  4. Evaluating the Impacts of Technology Education on Military Maintenance Students

    Science.gov (United States)

    Jordan, Jeremy D.; Curtis, Christopher

    2010-01-01

    The United States Air Force (USAF) provides career and technical education (CTE) to a wide variety of specialty career fields. Training airmen to carry out the mission while honoring the USAF core values of integrity first, service before self, and excellence in all we do is the top priority of military leaders and trainers. Vehicle maintenance is…

  5. How Military Service Affects Student Veteran Success at Community Colleges

    Science.gov (United States)

    O'Rourke, Patrick C., Jr.

    2013-01-01

    Increasingly more service members are separating from the military as the United States draws down the force and moves towards a post-war era. Tens of thousands of these veterans will leverage their GI Bill tuition and housing benefits in an attempt to access Southern California community colleges and bolster their transition into mainstream…

  6. Developing Intuitive Decision-Making In Modern Military Leadership

    Science.gov (United States)

    2010-10-27

    1. Center for the Study of Professional Military Ethics , " Ethical Challenges in Contemporary Conflict: The...Afghanistan and Iraq Cases," United States Naval Academy, February 23, 2006, http://www.usna.edu/ Ethics /Publications/MattisPg1-28_Final.pdf (accessed...over six hundred North Vietnamese Army (NVA) soldiers while suffering only 37. Immanual Kant , " The

  7. How Military Service Affects Student Veteran Success at Community Colleges

    Science.gov (United States)

    O'Rourke, Patrick C., Jr.

    2013-01-01

    Increasingly more service members are separating from the military as the United States draws down the force and moves towards a post-war era. Tens of thousands of these veterans will leverage their GI Bill tuition and housing benefits in an attempt to access Southern California community colleges and bolster their transition into mainstream…

  8. 77 FR 74546 - Determination Concerning the Bolivian Military and Police

    Science.gov (United States)

    2012-12-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Determination Concerning the Bolivian Military and Police Pursuant to the authority vested in the Secretary of... police are in the national security interest of the United States. This Determination shall...

  9. The Training and Employment of Area Specialists in the Military

    Science.gov (United States)

    1989-06-01

    Syria, United Arab Emerates, Yeman Arab Republic ITO YLG South Asia Afghanistan. sh, Bhutan , India, Nepal. Pakistan, Sri Lanka ITH OYLH...i.e., survive in the country using the language, know military terms, etc. We spent too much time learning bird names, parts of the car. etc. 161

  10. 32 CFR 637.4 - Military Police and the USACIDC.

    Science.gov (United States)

    2010-07-01

    ... in Charge (SAC) or unit commander. (c) The control and processing of a crime scene and the collection... in charge of the crime scene when the military police have investigative responsibility. To prevent the possible loss or destruction of evidence, the investigator or supervisor in charge of the crime...

  11. The U.S. Military and Social Media

    Science.gov (United States)

    2015-04-01

    OPSEC in regards to social media use, the DOD launched an education campaign utilizing scenario based computer training, which describes what...i    AU/ACSC/WALINSKI, R/AY15 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE U.S. MILITARY AND SOCIAL MEDIA By Ryan G. Walinski...number. 1. REPORT DATE APR 2015 2. REPORT TYPE 3. DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE The U.S. Military And Social Media

  12. Utilization of the chromogenic agar MRSA ID in the surveillance of methicillin-resistant Staphylococcus aureus in a low endemic unit for MRSA

    Directory of Open Access Journals (Sweden)

    Laura Squarzon

    2008-06-01

    Full Text Available Methicillin-resistant Staphylococcus aureus (MRSA is one of the most common pathogen responsible for nosocomial infections.Approximately 20% of patients undergoing surgical operations acquires at least one nosocomial infection. Nasal carriers of S. aureus have been identified as one of the populations at major risk to develop this type of infection, particularly, after operations, dialysis, transplants and admission in intensive care unit. Our study was conducted on patients who came from a Neurosurgery Intensive Care Unit, where the incidence of MRSA is very low (8% and where it is very important to identify MRSA carriers in order to adopt measures to avoid transmission.The use of chromogenic agar MRSA ID allowed us to identify green colonies of MRSA within 24 hours and to make a timely and careful diagnosis.

  13. Military display market segment: wearable and portable

    Science.gov (United States)

    Desjardins, Daniel D.; Hopper, Darrel G.

    2003-09-01

    The military display market (MDM) is analyzed in terms of one of its segments, wearable and portable displays. Wearable and portable displays are those embedded in gear worn or carried by warfighters. Categories include hand-mobile (direct-view and monocular/binocular), palm-held, head/helmet-mounted, body-strapped, knee-attached, lap-born, neck-lanyard, and pocket/backpack-stowed. Some 62 fielded and developmental display sizes are identified in this wearable/portable MDM segment. Parameters requiring special consideration, such as weight, luminance ranges, light emission, viewing angles, and chromaticity coordinates, are summarized and compared. Ruggedized commercial versus commercial off-the-shelf designs are contrasted; and a number of custom displays are also found in this MDM category. Display sizes having aggregate quantities of 5,000 units or greater or having 2 or more program applications are identified. Wearable and portable displays are also analyzed by technology (LCD, LED, CRT, OLED and plasma). The technical specifications and program history of several high-profile military programs are discussed to provide a systems context for some representative displays and their function. As of August 2002 our defense-wide military display market study has documented 438,882 total display units distributed across 1,163 display sizes and 438 weapon systems. Wearable and portable displays account for 202,593 displays (46% of total DoD) yet comprise just 62 sizes (5% of total DoD) in 120 weapons systems (27% of total DoD). Some 66% of these wearable and portable applications involve low information content displays comprising just a few characters in one color; however, there is an accelerating trend towards higher information content units capable of showing changeable graphics, color and video.

  14. Utility of Flexible Bronchoscopy in Intensive Care Unit: Experience of Türkiye Yüksek İhtisas Education and Research Hospital

    Directory of Open Access Journals (Sweden)

    Sema Turan

    2010-12-01

    Full Text Available Objective: Fiberoptic bronchoscopy (FOB is the most frequently used tool for invasive pulmonary evaluation with high diagnostic yield and low incidence of major complications. These advantages led to increasing use of FOB in intensive care units. In this article, we discussed our experiences of FOB applications in mechanical ventilated critically ill patients. Materials and Methods: We investigated FOB procedures of 118 patients on mechanical ventilation for respiratory failure in intensive care unit retrospectively. All patients’ demographic data, indications, complications and arterial blood gas analyses belong to before and after bronchoscopy were evaluated. Results: FOB indications of the patients were 55.1% for mucoid plug clearance, 9.3% for treatment of atelectasia, 7.6% for identifying hemorrhagic foci, 17.8% for tracheostomy management, 6.8% for bronchoalveolar lavage and 3.4% for exploratory purposes. Overall complication rate of FOB was 11.9%. Arterial blood gas analyses statistically improved after FOB. Conclusion: In this study, we observed that FOB is being performed with many different indications and acceptable complication rates in our intensive care unit and also contributes to diagnose and treatment of intensive care patients. (Journal of the Turkish Society of Intensive Care 2010; 8: 48-53

  15. 76 FR 68609 - Military Family Month, 2011

    Science.gov (United States)

    2011-11-04

    ... Proclamation 8746--National Diabetes Month, 2011 Proclamation 8747--National Entrepreneurship Month, 2011... dedicated to doing more for our military families by enhancing learning opportunities for our military...

  16. Military Review. Volume 58, Number 9

    Science.gov (United States)

    1978-09-01

    accurately appreciated· and judiciously managed by national MILITARY REVIEW policymakers if senous complication of Braz11’s reg1onal secunty...Geopof,[Ica e as Pro,efOes do Poder Llvrana Jose Olympro Ed•tora Rm de Janmro Braz 1977 p 100 9 Stepan op Cit pp 15·17 10 for ellampte, the rncreas•ng...go with what is available. It is judicious to use CSS units as the main RAS force if the primary threat emanated from harassment-type activity

  17. The Civil-Military Gap and Women in Combat: The Elite’s Attitude Transformation, 1991-2013

    Science.gov (United States)

    2015-02-12

    AIR WAR COLLEGE AIR UNIVERSITY THE CIVIL-MILITARY GAP AND WOMEN IN COMBAT: THE ELITE’S ATTITUDE TRANSFORMATION, 1991-2013 by Charles G...2015 to 00-00-2015 4. TITLE AND SUBTITLE The Civil-Military Gap And Women In Combat: The Elite’s Attitude Transformation, 1991-2013 5a. CONTRACT...United States is that the space between the values or attitudes of civilian society and the military may become so wide that it threatens civil

  18. Beyond Kotters Leading Change: A Broad Perspective on Organizational Change for Senior U.S. Military Leaders

    Science.gov (United States)

    2015-07-16

    organization. Military writers have long called for the adoption of a culture of innovation to encourage such bottom-up behaviors.6 Second...military culture of authority associated with being a unit commander (whether brigade, battalion, ship, or squadron). Urgency and resistance, however, take...change. Section E (“Crafting the Change Effort”) constitutes the meat of this paper. For change efforts in the military, this section offers ideas on

  19. Subtotal Nasal Reconstruction: Military-civilian Collaboration in Care of an Afghan-American Woman’s Plight

    OpenAIRE

    Latham, Kerry P.; Valerio, Ian; Martin, Barry D.; Burget, Gary; VanderKolk, Craig

    2015-01-01

    Summary: Military plastic surgeons perform reconstructive surgeries for various congenital, oncologic, and traumatic craniofacial injuries or deformities. Recently, our Walter Reed National Military Medical Center Plastic Surgery team was tasked to care for a woman who bravely sought a new and better life in the United States after she suffered amputation of her nose and bilateral ears while in her home country of Afghanistan. A military-civilian team collaborated throughout her reconstructiv...

  20. A cross-sectional study of emergency care utilization and associated costs of violent-related (assault) injuries in the United States.

    Science.gov (United States)

    Monuteaux, Michael C; Fleegler, Eric W; Lee, Lois K

    2017-08-01

    Violent-related (assault) injuries are a leading cause of death and disability in the United States. Many violent injury victims seek treatment in the emergency department (ED). Our objectives were to (1) estimate rates of violent-related injuries evaluated in United States EDs, (2) estimate linear trends in ED visits for violent-related injuries from 2000 to 2010, and (3) to determine the associated health care and work-loss costs. We examined adults 18 years and older from a nationally representative survey (the National Hospital Ambulatory Medical Care Survey) of ED visits, from 2000 to 2010. Violent injury was defined using International Classification of Diseases-9th Rev.-Clinical Modification, diagnosis and mechanism of injury codes. We calculated rates of ED visits for violent injuries. Medical and work-loss costs accrued by these injuries were calculated for 2005, inflation-adjusted to 2011 dollars using the WISQARS Cost of Injury Reports. An annual average of 1.4 million adults were treated for violent injuries in EDs from 2000 to 2010, comprising 1.6% (95% confidence interval, 1.5%-1.6%) of all US adult ED visits. Young adults (18-25 years), men, nonwhites, uninsured or publically insured patients, and those residing in high poverty urban areas were at increased risk for ED visits for violent injury. The 1-year, inflation-adjusted medical and work-loss cost of violent-inflicted injuries in adults in the United States was US $49.5 billion. Violent injuries account for over one million ED visits annually among adults, with no change in rates over the past decade. Young black men are at especially increased risk for ED visits for violent injuries. Overall, violent-related injuries resulted in substantial financial and societal costs. Epidemiological study, level III.

  1. Transformation - Revolution in Military Logistics

    Science.gov (United States)

    2007-11-02

    adopted by the logistics community as part of the Army’s Revolution in Military Logistics ....operations." To support this vision, Army logistics requires a quantum leap in strategic responsiveness. This change is called "Revolution in Military ... Logistics ," to know what the customer, the Warfighter, needs before he requests it. This study examines proposed improvements in automation

  2. Organizational Culture and the Military

    Science.gov (United States)

    2007-11-02

    This project reviews key concepts of organizational culture and examines how our military culture may change as a result of various social and...of the society it is sworn to defend. This study examined the military’s organizational culture through the use of an organizational culture /climate

  3. Burns and military clothing.

    Science.gov (United States)

    McLean, A D

    2001-02-01

    Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under

  4. Soviet Military Power

    Science.gov (United States)

    1983-03-01

    military lpresence. To cite just one example, a Soviet Navy task force operated in the Caribbean and Gulf of Mexico from November 1982 to February 1985...year, Other Surface Combatants: Additionally, the Mi Prduction Naval Ship Cmo itlfon. . USSR and NATO USSR and NATO MI.l T6ype 1976’ 1979’ 1m, 101I...the Caribbean, Gulf of Soviet assistance to Grenada has taken the • Mexico and nearby portions of the Atlantic form of supplying weapons, construction

  5. Military Deception Reconsidered

    Science.gov (United States)

    2008-06-01

    There is a sucker born every day.1 P.T. Barnum A. THESIS OVERVIEW –PROBLEM DEFINITION This thesis explores the elements of military deception and...of war through the ages . In recent times, however, deception has often been undervalued, as evidenced by the removal of Field Manual (FM) 90-2...beliefs and values. In psychology, a “motivated bias” or rather the enemy reads into a situation what he wants to and chooses to see what he wants

  6. Military Mail Radio

    Directory of Open Access Journals (Sweden)

    Bîlbîie Răduţ

    2015-12-01

    Full Text Available Cultural and scientific personalities from the army, military experts and creators of the doctrine have collaborated with the radio from the beginnings of radiophony, the educational role of this new, persuasive communication channel being evident not only for Romania or the Romanian army but also for all the countries that had radiophony services. This happens in the context of the end of the crisis and the start of economic and social development, promoting culture, creating a solid class of peasants with a certain social status, in villages, together with the priest, teacher and gendarme, increasing of the number of subscriptions and development of the Romanian radiophony.

  7. Characterization of Metacarpal Fractures in a Military Population.

    Science.gov (United States)

    Dichiera, Robert; Dunn, John; Bader, Julia; Bulken-Hoover, Jamie; Pallis, Mark

    2016-08-01

    The purpose of this study was to investigate the incidence and type of metacarpal (MC) fractures in a military population, and whether these fractures are related to age, military occupational specialty, aggression, or accidental injury. A retrospective record-based review was conducted at a single military center over a 5-year period. Service members with index finger through small finger MC fracture were identified. Data were collected utilizing Armed Forces Health Longitudinal Technology Application and electronic profile (e-profile) databases. Data collected included demographic information, mechanism of injury, nature of injury, total number of visits, and estimated time on physical restriction. 400 patients met inclusion criteria. Males accounted for 94% of the study population, 75% of fractures were of the small finger MC, 54% of patients were between 20 and 24 years, 90% were sustained by junior enlisted personnel, and most occurred by punching. Men aged readiness.

  8. The Importance of Military Cultural Competence.

    Science.gov (United States)

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

    2016-03-01

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

  9. Private security and military contractors: A troubling oversight

    DEFF Research Database (Denmark)

    Swed, Ori; Crosbie, Thomas Alexander

    2017-01-01

    Though private military and security companies (PMSCs) have been addressed extensively in the literature, little research has been done on the contractors themselves, leaving us in the dark as to who these individuals are. In this article, we focus on the critical case of the United States armed...... and concomitant evolution of the security sector, while noting a new trend that points to the need for moving from the macrosocial to the microsocial level of inquiry. Second, we indicate the challenges contractors pose to the sociological paradigm of military professionalism: These suggest a need to move from...

  10. Utilization of the arbitration in contracts of unitization in a petroleum industry; Utilizacao da arbitragem nos contratos de unitizacao na industria do petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Franca Junior, Carlos Antonio de [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil)

    2008-07-01

    The present work has like goal to show some controversies generated for the only paragraph of article 27 of the Law of the Oil. The legal device admits when it will not have the celebration of an agreement of unitization between the concessionaires, the use of an arbitral decision as instrument for ANP to solve the conflict. On this term - arbitral decision - we will find a lot of interpretations. To accept a mere literal interpretation is to attack the proper characteristics of the Arbitration - as way of solution of conflicts -, as well as infringing our constitutional and legal text. But, the best exit is not this; therefore using an interpretation in conformity with the constitution we obtain to adapt the norm to our constitutional system, in a rational way. Thus, the object of this work is to search elements to adjust the norm referred to our legal system. For this, we will see a examination concerning the Arbitration, as well as of Contracts of Unitization, for at a second moment discerning on the quarrels between these two subjects, in view of the Law of the Oil and the doctrine of the Oil Law. (author)

  11. Residential, Commercial, and Utility-Scale Photovoltaic (PV) System Prices in the United States: Current Drivers and Cost-Reduction Opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Goodrich, A.; James, T.; Woodhouse, M.

    2012-02-01

    The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has dropped precipitously in recent years, led by substantial reductions in global PV module prices. However, system cost reductions are not necessarily realized or realized in a timely manner by many customers. Many reasons exist for the apparent disconnects between installation costs, component prices, and system prices; most notable is the impact of fair market value considerations on system prices. To guide policy and research and development strategy decisions, it is necessary to develop a granular perspective on the factors that underlie PV system prices and to eliminate subjective pricing parameters. This report's analysis of the overnight capital costs (cash purchase) paid for PV systems attempts to establish an objective methodology that most closely approximates the book value of PV system assets.

  12. Sexual Assault and Sexual Harassment in the U.S. Military: Volume 2. Estimates for Department of Defense Service Members from the 2014 RAND Military Workplace Study

    Science.gov (United States)

    2016-01-01

    restoring good order and discipline within the member’s unit. We believe it would be wise to assess service members’ sexual orientation in future studies...demographics, psychological state, command climate, attitudes and beliefs about sexual assault in the military and the nation, and other related issues. 2...for sexual assault that have been identified in prior research on civilian and military samples, with the exception of sexual orientation . We also

  13. The Enduring Grand Strategy of the United States Represented as a Mirror Strategy

    Science.gov (United States)

    2016-04-06

    diplomacy , information power, military power, and economic power, known by the acronym DIME: Diplomatic- promote democratic values and human rights...21 Military : Defending the United States, and Democracy Abroad ................................. 24 Economic: Free market economy and...security, and national values. Yarger’s perspective is important because of its application to military doctrine. Following Yarger, and echoing

  14. Osteoporosis-Related Health Services Utilization Following First Hip Fracture Among a Cohort of Privately-Insured Women in the United States, 2008-2014: An Observational Study.

    Science.gov (United States)

    Gillespie, Catherine W; Morin, Pamela E

    2017-02-23

    Timely identification and treatment of osteoporosis following hip fracture is recommended to mitigate future fracture risk, yet prior work has demonstrated a disconnect between evidence-based recommendations and real-world implementation. We sought to describe contemporary patterns of osteoporosis screening and initiation of pharmacotherapy following hip fracture based on medical and pharmacy claims in the OptumLabs™ Data Warehouse. From a national sample, we identified 8349 women aged 50+ years enrolled in private commercial or Medicare Advantage plans with no prior history of osteoporosis diagnosis, osteoporosis pharmacotherapy, or hip fracture who experienced a hip fracture between 2008 and 2013. Just 17.1% and 23.1% of these women had evidence of osteoporosis assessment and/or treatment within 6 or 12 months of their fractures, respectively. Women aged 80+ years were one-third less likely to utilize recommended services within 6 months, compared to those aged 50 to 79 years (13.8% versus 20.8%; p measurement increased significantly among women aged 65+ years over the study period (p Accounting for differences in all measured characteristics, receipt of primary care was the strongest and most consistent predictor of osteoporosis assessment or treatment following fracture. © 2017 American Society for Bone and Mineral Research.

  15. The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004–2006

    Science.gov (United States)

    Moeller, John F.; St Clair, Patricia A.; Schimmel, Jody; Chen, Haiyan; Pepper, John V.

    2011-01-01

    Objectives. We examined dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status. Methods. We used data from the Health and Retirement Study for persons aged 51 years and older to estimate a multivariable model of dental care use transitions with controls for dental coverage and retirement transitions and other potentially confounding covariates. Results. We found that Americans aged 51 years and older who lost dental coverage between the 2004 and 2006 survey periods were more likely to stop dental care use between periods, and those who gained coverage were more likely to start dental care use between periods, than those without coverage in both periods. Conclusions. Dental coverage transitions and status have a strong effect on transitions in dental care use. Given that retirement is a time when many experience a loss of dental coverage, older adults may be at risk for sporadic dental care and even stopping use, leading to worse dental and potentially overall health. PMID:21852656

  16. The Association of Gasoline Prices With Hospital Utilization and Costs for Motorcycle and Nonmotorcycle Motor Vehicle Injuries in the United States.

    Science.gov (United States)

    Zhu, He; Wilson, Fernando A; Stimpson, Jim P; Araz, Ozgur M; Kim, Jungyoon; Chen, Baojiang; Wu, Li-Tzy

    2016-09-01

    This study examined the association between gasoline prices and hospitalizations for motorcycle and nonmotorcycle motor vehicle crash (MVC) injuries. Data on inpatient hospitalizations were obtained from the 2001 to 2010 Nationwide Inpatient Sample. Panel feasible generalized least squares models were used to estimate the effects of monthly inflation-adjusted gasoline prices on hospitalization rates for MVC injuries and to predict the impact of increasing gasoline taxes. On the basis of the available data, a $1.00 increase in the gasoline tax was associated with an estimated 8348 fewer annual hospitalizations for nonmotorcycle MVC injuries, and reduced hospital costs by $143 million. However, the increase in the gasoline tax was also associated with an estimated 3574 more annual hospitalizations for motorcycle crash injuries, and extended hospital costs by $73 million. This analysis of some existing data suggest that the increased utilization and costs of hospitalization from motorcycle crash injuries associated with an increase in the price of gasoline are likely to substantially offset reductions in nonmotorcycle MVC injuries. A policy decision to increase the gasoline tax could improve traffic safety if the increased tax is paired with public health interventions to improve motorcycle safety.

  17. On Military Innovation: Toward an Analytical Framework

    OpenAIRE

    Ross, Andrew L

    2010-01-01

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

  18. On Military Innovation: Toward an Analytical Framework

    OpenAIRE

    Ross, Andrew L.

    2010-01-01

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

  19. The Military and the Transition to Adulthood

    Science.gov (United States)

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

    2010-01-01

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

  20. The Ambiguity of Foreign Military Assistance

    DEFF Research Database (Denmark)

    Laugesen, Henrik

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