Operational Law Handbook 2002

DTIC Science & Technology

2002-03-26

medication? ( 4 ) Did it affect his or her driving? ( 5 ) Get specifics on amount taken, when, and whether the driver had used it before. 9 . Diagrams...various combatant commanders. The current UCP describes 9 combatant commands— 5 with geographic responsibility, and 4 with functional responsibility...endangers civilian population. Articles 4 and 5 , Protocol II of the 1980 Conventional Weapons Treaty, restrict placement of mines and booby traps in

32 CFR 179.2 - Applicability and scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) § 179.2 Applicability and scope. (a) This part... ordnance (UXO), discarded military munitions (DMM), or munitions constituents (MC), and (3) That are... munitions results from combat operations, (5) Currently operating military munitions storage and...

32 CFR 179.2 - Applicability and scope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) § 179.2 Applicability and scope. (a) This part... ordnance (UXO), discarded military munitions (DMM), or munitions constituents (MC), and (3) That are... munitions results from combat operations, (5) Currently operating military munitions storage and...

32 CFR 179.2 - Applicability and scope.

Code of Federal Regulations, 2014 CFR

2014-07-01

... MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) § 179.2 Applicability and scope. (a) This part... ordnance (UXO), discarded military munitions (DMM), or munitions constituents (MC), and (3) That are... munitions results from combat operations, (5) Currently operating military munitions storage and...

32 CFR 179.2 - Applicability and scope.

Code of Federal Regulations, 2011 CFR

2011-07-01

... MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) § 179.2 Applicability and scope. (a) This part... ordnance (UXO), discarded military munitions (DMM), or munitions constituents (MC), and (3) That are... munitions results from combat operations, (5) Currently operating military munitions storage and...

32 CFR 179.2 - Applicability and scope.

Code of Federal Regulations, 2013 CFR

2013-07-01

... MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) § 179.2 Applicability and scope. (a) This part... ordnance (UXO), discarded military munitions (DMM), or munitions constituents (MC), and (3) That are... munitions results from combat operations, (5) Currently operating military munitions storage and...

The AFIT of Today is the Air Force of Tomorrow

DTIC Science & Technology

2012-05-11

Engineering • Operations Research • Space Systems • Systems Engineering • Air Mobility • Combating Weapons of Mass Destruction • Cost Analysis • Cyber...Fight - Win Graduate Certificate Programs • Systems Engineering • Space Systems • Advanced Geospatial Intelligence • Combating Weapons of Mass ...over five years • Critical enabler for SSA: extending the satellite catalog to small objects Current Works: • Converting satellite catalog to KAM Tori

Women in Combat Compendium

DTIC Science & Technology

2008-01-01

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

Joint Interagency Coordination Group - Cyber: Empowering the Combatant Commanders against the no-borders threat

DTIC Science & Technology

2009-05-04

inconvenience and denial of Internet service, CNAs pose a threat to national security, if the right computer is hacked , to every day operations, if baking...expert J3: Current Operations Rep Private Sector/Civilian: cyber/CNA SME J5 Future Operations Rep Private Sector/Civilian: cyber/CND SME Table 2

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

PubMed Central

2012-01-01

Background Among military personnel alcohol consumption and binge-drinking have increased but cigarette smoking has declined in the recent past. Although there is a strong association between smoking and PTSD the association between combat exposure and smoking is not clear. Methods This cross sectional study was carried out among representative samples of SLN Special Forces and regular forces deployed in combat areas. Both Special Forces and regular forces were selected using simple random sampling. Only personnel who had served continuously in combat areas during the one year period prior to end of combat operations were included in the study. Females were not included in the sample. The study assessed several mental health outcomes as well as alcohol use, smoking and cannabis use. Sample was classified according to smoking habits as never smokers, past smokers (those who had smoked in the past but not within the past year) and current smokers (those smoking at least one cigarette within the past 12 months). Results Sample consisted of 259 Special Forces and 412 regular navy personnel. Prevalence of current smoking was 17.9% (95% CI 14.9-20.8). Of the sample 58.4% had never smoked and 23.7% were past smokers. Prevalence of current smoking was significantly higher among Special Forces personnel compared to regular forces. (OR 1.90 (95% CI 1.20-3.02). Personnel aged ≥35 years had the lowest prevalence of smoking (14.0%). Commissioned officers had a lower prevalence (12.1%) than non commissioned officers or other ranks. After adjustment for demographic variables and service type there was significant association between smoking and combat experiences of seeing dead or wounded [OR 1.79 (95%CI 1.08-2.9)], handling dead bodies [OR 2.47(95%CI 1.6-3.81)], coming under small arms fire [OR 2.01(95%CI 1.28-3.15)] and coming under mortar, missile and artillery fire [OR 2.02(95%CI 1.29-3.17)]. There was significant association between the number of risk events and current smoking [OR 1.22 (95%CI1.11-1.35)]. Conclusions There was significant association between current smoking and combat experiences. Current smoking was strongly associated with current alcohol use. Prevalence of current smoking was less among military personnel than in the general population. Prevalence of smoking was significantly higher among Special Forces personnel. PMID:22776004

Operation Parenting Edge: Promoting Resiliency through Prevention

ERIC Educational Resources Information Center

Yeary, Julia

2007-01-01

With current U.S. combat operations in Afghanistan and Iraq, military families are facing an unprecedented level of stress because of repeated and lengthy separations. The impact on children of these separations from one or both parents depends to a large extent on the remaining caregiver's ability to respond to the needs of the children. By…

Future Combat System Spinout 1 Technical Field Test - Establishing and Implementing Models and Simulations System of Systems Verification, Validation and Accreditation Practices, Methodologies and Procedures

DTIC Science & Technology

2009-11-24

assisted by the Brigade Combat Team (BCT) Modernization effort, the use of Models and Simulations ( M &S) becomes more crucial in supporting major...in 2008 via a slice of the Current Force (CF) BCT structure. To ensure realistic operational context, a M &S System-of- Systems (SoS) level...messages, and constructive representation of platforms, vehicles, and terrain. The M &S federation also provided test control, data collection, and live

A Further Look at Technologies and Capabilities for Stabilization and Reconstruction Operations

DTIC Science & Technology

2007-09-01

in current S&R operations in Iraq and Afghanistan due to the infrequency of major combat operations. However, other ABCS sub- systems are vital to S&R...complex environments. In terms of the need for an integrated S&R operational planning and execution C2 system , there continues to be a challenge in ... systems (which speaks to the over-reliance on cell phones as a means of

Networked sensors for the combat forces

NASA Astrophysics Data System (ADS)

Klager, Gene

2004-11-01

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

Training for Three Wars Ago: Antiquated C-130H Pilot Training

DTIC Science & Technology

2015-10-01

Computers/Air Operations Center] integration .14 The purpose of continuation training is to ensure pilots are current, qualified, and proficient in the...Historical Operational Missions ................................................................ 4 C-130 PILOT CONTINUATION TRAINING PROGRAM...together watching movies or TV. Without you, all this work is for naught. vi ABSTRACT Being one of the longest continually produced combat

Warrior Resilience Training in Operation Iraqi Freedom: combining rational emotive behavior therapy, resiliency, and positive psychology.

PubMed

Jarrett, Thomas

2008-01-01

Warrior Resilience Training (WRT) is an educational class designed to enhance Warrior resilience, thriving, and posttraumatic growth for Soldiers deployed in Operation Iraqi Freedom. Warrior Resilience Training uses rational emotive behavior therapy (REBT), Army leadership principles, and positive psychology as a vehicle for students to apply resilient philosophies derived from Army Warrior Ethos, Stoic philosophy, and the survivor and resiliency literature. Students in WRT are trained to focus upon virtue, character, and emotional self-regulation by constructing and maintaining a personal resiliency philosophy that emphasizes critical thinking, rationality, virtue, and Warrior Ethos. The author, an Army licensed clinical social worker, executive coach, REBT doctoral fellow, and former Special Forces noncommissioned officer, describes his initial experience teaching WRT during Operation Iraqi Freedom to combat medics and Soldiers from 2005 to 2006, and his experience as a leader of a combat stress control prevention team currently in Iraq offering mobile WRT classes in-theater. Warrior Resilience Training rationale, curriculum, variants (like Warrior Family Resilience Training), and feedback are included, with suggestions as to how behavioral health providers and combat stress control teams might better integrate their services with leaders, chaplains, and commands to better market combat stress resiliency, reduce barriers to care, and promote force preservation. Informal analysis of class feedback from 1168 respondents regarding WRT reception and utilization is examined.

Combat musculoskeletal wounds in a US Army Brigade Combat Team during operation Iraqi Freedom.

PubMed

Belmont, Philip J; Thomas, Dimitri; Goodman, Gens P; Schoenfeld, Andrew J; Zacchilli, Michael; Burks, Rob; Owens, Brett D

2011-07-01

A prospective, longitudinal analysis of musculoskeletal combat injuries sustained by a large combat-deployed maneuver unit has not previously been performed. A detailed description of the musculoskeletal combat casualty care statistics, distribution of wounds, and mechanisms of injury incurred by a US Army Brigade Combat Team during "The Surge" phase of Operation Iraqi Freedom was performed using a centralized casualty database and an electronic medical record system. Among the 4,122 soldiers deployed, there were 242 musculoskeletal combat wounds in 176 combat casualties. The musculoskeletal combat casualty rate for the Brigade Combat Team was 34.2 per 1,000 soldier combat-years. Spine, pelvis, and long bone fractures comprised 55.9% (33 of 59) of the total fractures sustained in combat. Explosions accounted for 80.7% (142 of 176) of all musculoskeletal combat casualties. Musculoskeletal combat casualty wound incidence rates per 1,000 combat-years were as follows: major amputation, 2.1; minor amputation, 0.6; open fracture, 5.0; closed fracture, 6.4; and soft-tissue/neurovascular injury, 32.8. Among musculoskeletal combat casualties, the likelihood of a gunshot wound causing an open fracture was significantly greater (45.8% [11 of 24]) when compared with explosions (10.6% [15 of 142]) (p = 0.0006). Long bone amputations were more often caused by explosive mechanisms than gunshot wounds. A large burden of complex orthopedic injuries has resulted from the combat experience in Operation Iraqi Freedom. This is because of increased enemy reliance on explosive devices, the use of individual and vehicular body armor, and improved survivability of combat-injured soldiers.

76 FR 11216 - Notice of Public Meetings for the Draft Environmental Impact Statement for Land Acquisition and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-01

... full integration of MEB-sized Aviation Combat Element operations and both air- and ground-delivered...-scale MEB Exercise conducted twice per year for 24 continuous days each. Current levels of proficiency...

Combined Arms Warfare in the 21st Century: Maximizing the Capability of U.S. Army Future Combat System Equipped Brigade Combat Teams to Conduct Combined Arms Operations

DTIC Science & Technology

2008-06-13

caliber howitzers and mortars (pieces of 300 mm or more) were not always kept in an army’s inventory . One way the Central Powers attempted to initially...missions as these arise. Lift helicopters (primarily the UH-60 Blackhawks and CH-47 Chinooks in the Army’s current inventory ) can potentially...serve many functions at the BCT level, to include: troop transport, medical evacuation, and aerial resupply. In today’s operatio environment, if all

Aviator's night vision system (ANVIS) in Operation Enduring Freedom (OEF): user acceptability survey

NASA Astrophysics Data System (ADS)

Hiatt, Keith L.; Trollman, Christopher J.; Rash, Clarence E.

2010-04-01

In 1973, the U.S. Army adopted night vision devices for use in the aviation environment. These devices are based on the principle of image intensification (I2) and have become the mainstay for the aviator's capability to operate during periods of low illumination, i.e., at night. In the nearly four decades that have followed, a number of engineering advancements have significantly improved the performance of these devices. The current version, using 3rd generation I2 technology is known as the Aviator's Night Vision Imaging System (ANVIS). While considerable experience with performance has been gained during training and peacetime operations, no previous studies have looked at user acceptability and performance issues in a combat environment. This study was designed to compare Army Aircrew experiences in a combat environment to currently available information in the published literature (all peacetime laboratory and field training studies) and to determine if the latter is valid. The purpose of this study was to identify and assess aircrew satisfaction with the ANVIS and any visual performance issues or problems relating to its use in Operation Enduring Freedom (OEF). The study consisted of an anonymous survey (based on previous validated surveys used in the laboratory and training environments) of 86 Aircrew members (64% Rated and 36% Non-rated) of an Aviation Task Force approximately 6 months into their OEF deployment. This group represents an aggregate of >94,000 flight hours of which ~22,000 are ANVIS and ~16,000 during this deployment. Overall user acceptability of ANVIS in a combat environment will be discussed.

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

PubMed

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

2017-12-01

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

Evaluation of the Operational Stress Control and Readiness (OSCAR) Program

DTIC Science & Technology

2015-01-01

Responding to Combat Stress Reactions . . . . . . . . . . . . . . . . . . . . 33 4.4. Team Leaders’ View of Stigma Associated with Combat Stress...leaders’ perceptions of OSCAR’s impact on attitudes toward stress response and recovery; unit cohesion and morale; stigma around mental health and...Continuum, a tool for identi- fying combat stress problems of varying severity, and Combat and Operational Stress First Aid (COSFA), a psychological

Affordable multisensor digital video architecture for 360° situational awareness displays

NASA Astrophysics Data System (ADS)

Scheiner, Steven P.; Khan, Dina A.; Marecki, Alexander L.; Berman, David A.; Carberry, Dana

2011-06-01

One of the major challenges facing today's military ground combat vehicle operations is the ability to achieve and maintain full-spectrum situational awareness while under armor (i.e. closed hatch). Thus, the ability to perform basic tasks such as driving, maintaining local situational awareness, surveillance, and targeting will require a high-density array of real time information be processed, distributed, and presented to the vehicle operators and crew in near real time (i.e. low latency). Advances in display and sensor technologies are providing never before seen opportunities to supply large amounts of high fidelity imagery and video to the vehicle operators and crew in real time. To fully realize the advantages of these emerging display and sensor technologies, an underlying digital architecture must be developed that is capable of processing these large amounts of video and data from separate sensor systems and distributing it simultaneously within the vehicle to multiple vehicle operators and crew. This paper will examine the systems and software engineering efforts required to overcome these challenges and will address development of an affordable, integrated digital video architecture. The approaches evaluated will enable both current and future ground combat vehicle systems the flexibility to readily adopt emerging display and sensor technologies, while optimizing the Warfighter Machine Interface (WMI), minimizing lifecycle costs, and improve the survivability of the vehicle crew working in closed-hatch systems during complex ground combat operations.

Extending the Phase Zero Campaign Mindset

DTIC Science & Technology

2007-01-01

activities would automatically take U.S. forces out of the fight in current operations. Instead, it would improve the calculus of the Government’s...ndu.edu Liaison officer  for U.S. State  Department  training Iraqi  police Fleet Combat Camera, Pacific (Martin Anton Edgil) Extending the Phase

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

PubMed

Clark, Susz; Van Steenvort, Jon K

2008-01-01

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

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

PubMed

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

2009-10-01

To examine the relationship between posttraumatic stress disorder, combat injury, and headache in Operation Iraqi Freedom and Operation Enduring Freedom veterans at the VA San Diego Healthcare System. Previous investigations suggest that a relationship between posttraumatic stress disorder and primary headache disorders exists and could be complicated by the contribution of physical injury, especially one that results in loss of consciousness. These associations have not been systematically examined in Operation Iraqi Freedom and Operation Enduring Freedom veterans. In this observational cross-sectional study, a battery of self-report, standardized questionnaires was completed by 308 newly registered veterans between March and October 2006. The Davidson Trauma Scale was used to determine the degree of posttraumatic stress disorder symptoms and combat-related physical injury was assessed by self-report. The presence of headache was based on a symptom checklist measure and self-reported doctor diagnoses. Logistic regression analysis was performed to predict presence of headache and determine odds ratios and 95% confidence intervals associated with demographic, military, in-theatre, and mental health characteristics. About 40% of the veterans met the criteria for posttraumatic stress disorder; 40% self-reported current headache, 10% reported a physician diagnosis of migraine, 12% a physician diagnosis of tension-type headache, and 6% reported both types of headache. Results from the logistic regression model indicated that combat-related physical injury (odds ratio: 2.25; 95% confidence interval: 1.17-4.33) and posttraumatic stress disorder (odds ratio: 4.13; 95% confidence interval: 2.44-6.99) were independent predictors of self-reported headache. Additional analyses found that veterans with both tension and migraine headache had higher rates of posttraumatic stress disorder (chi-square [d.f. = 3] = 15.89; P = .001) whereas veterans with migraine headache alone had higher rates of combat-related physical injury (chi-square [d.f. = 9] = 22.00; P = .009). Posttraumatic stress disorder and combat-related physical injury were related to higher rates of self-reported headache in newly returning veterans. Our finding that posttraumatic stress disorder and injury during combat are differentially related to migraine and tension-type headache, point to a complex relationship between physical and psychological trauma and headache. These findings have implications for a comprehensive approach to interventions for headache and the physical and psychological sequelae of trauma.

Sections. March Air Force Base, Riverside, California, Combat Operations Center, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Sections. March Air Force Base, Riverside, California, Combat Operations Center, Combat Operations Building. By Moffatt and Nichol, Engineers, 122 West Fifth Street, Long Beach, California; for the Corps of Engineers, U.S. Army, Office of the District Engineer, Los Angeles, California. Drawing no. AW-60-02-03, sheet no. 14, approved March, 1962; specifications no. ENG-04-353-62-66; D.O. series AW 1596/15, Rev. "A"; file drawer 1290. Last revised 3 October 1966. Scale one-eighth inch to one foot. 30x36 inches. pencil on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

The Adequacy of Current Interagency Doctrine

DTIC Science & Technology

2007-06-15

proposed new initiatives, the CSIS model calls for the establishment of an Interagency Task Force ( IATF ) to achieve unity of effort at the tactical...level, specifically 15 for reconstruction and stability operations. The IATF would assume the lead from the COCOM once major combat operations were...complete in a given area or region. The IATF would be civilian-led, directly control full interagency resources, and have dedicated funding authority

From National to Theater: Developing Strategy

DTIC Science & Technology

2013-01-01

operational planning as it guides the development of the Theater Campaign Plan ( TCP ). Theater strategy, and the TCP that operationalizes it, should offer...doctrine or other guidance on developing it. Perhaps this is a contributing factor in Charles Bouchat’s observation that “No two combatant commands...approach to TCPs and country-level planning that considers ongoing security cooperation efforts, current operations, the Phase 0 component of con

The Distributed Air Wing

DTIC Science & Technology

2014-06-01

Cruise Missile LCS Littoral Combat Ship LEO Low Earth Orbit LER Loss-Exchange-Ration LHA Landing Helicopter Assault LIDAR Laser Imaging Detection and...Ranging LOC Lines of Communication LP Linear Programming LRASM Long Range Anti-Ship Missile LT Long Ton MANA Map-Aware Non-uniform Automata ME...enemy’s spy satellites. Based on open source information, China currently has 25 satellites operating in Low Earth Orbit ( LEO ), each operates at an

Utilizing Telehealth to Support Treatment of Acute Stress Disorder in a Theater of War: Prolonged Exposure via Clinical Videoconferencing.

PubMed

Pelton, Dan; Wangelin, Bethany; Tuerk, Peter

2015-05-01

Posttraumatic stress disorder (PTSD) and acute stress disorder are prevalent mental health diagnoses associated with the military operations in Iraq and Afghanistan and are especially significant in service members returning from combat. Prolonged exposure (PE) therapy is a highly effective behavioral treatment for these symptoms, and providing this treatment as soon as possible, even in the midst of a soldier's combat deployment, has strong potential benefits. In the current case study, telehealth technology was used to support the delivery of PE therapy to treat a service member diagnosed with acute stress disorder in a war zone. PE was conducted face-to-face on the relatively secure Forward Operating Base for the first half of therapy and via clinical videoconferencing (CV) to the service member's remote combat outpost during the later stages of therapy. The service member exhibited marked improvements in symptoms over 10 sessions. Results are consistent with previous empirical findings and highlight the potential benefits of using telehealth to deliver evidenced-based treatment for traumatic stress disorders in a war zone. This case study provides a preliminary working model for delivering PE in a combat environment using multiple delivery systems. Benefits and clinical utility of CV-delivered exposure therapy are discussed, particularly for providers pending future operational deployments (e.g., including members of the military, independent government agencies, and first responders) and for those treating patients in remote locations.

Situation assessment in the Paladin tactical decision generation system

NASA Technical Reports Server (NTRS)

Mcmanus, John W.; Chappell, Alan R.; Arbuckle, P. Douglas

1992-01-01

Paladin is a real-time tactical decision generator for air combat engagements. Paladin uses specialized knowledge-based systems and other Artificial Intelligence (AI) programming techniques to address the modern air combat environment and agile aircraft in a clear and concise manner. Paladin is designed to provide insight into both the tactical benefits and the costs of enhanced agility. The system was developed using the Lisp programming language on a specialized AI workstation. Paladin utilizes a set of air combat rules, an active throttle controller, and a situation assessment module that have been implemented as a set of highly specialized knowledge-based systems. The situation assessment module was developed to determine the tactical mode of operation (aggressive, defensive, neutral, evasive, or disengagement) used by Paladin at each decision point in the air combat engagement. Paladin uses the situation assessment module; the situationally dependent modes of operation to more accurately represent the complex decision-making process of human pilots. This allows Paladin to adapt its tactics to the current situation and improves system performance. Discussed here are the details of Paladin's situation assessment and modes of operation. The results of simulation testing showing the error introduced into the situation assessment module due to estimation errors in positional and geometric data for the opponent aircraft are presented. Implementation issues for real-time performance are discussed and several solutions are presented, including Paladin's use of an inference engine designed for real-time execution.

Roster of NSAP (Navy Science Assistance Program) Field Team Members, Fiscal Years 1971-1986

DTIC Science & Technology

1985-08-05

CAPTOR Evaluation Program, NSWC. Current Job/Position: Operational Requirements Analyst for a new generation of mines. Current Address: Officer in...to NSAP Field Assignment: General Engineer; combat systems engineering on new ship design concepts, NSWC. Current Job/Position: Electronic Engineer...ADDRESS 12. REPORT DATE Naval Surface Weapons Center (Code D23) 5 August 1985 10901 New Hampshire Avenue 13. NUMBER OF PAGES Silver Spring, MD 20910

Predicting Resource Needs for Multiple and Mass Casualty Events in Combat: Lessons Learned From Combat Support Hospital Experience in Operation Iraqi Freedom

DTIC Science & Technology

2009-04-01

from rocket attack near a forward operating base (Photo courtesy of Tommy A. Brown). Predicting Resource Needs for Mass Casualty in Combat Volume 66...combat support hospital. J Trauma 2008; 64(2 suppl):S79–S85. 19. Wedmore I, McManus JG, Pusateri AE, et al. A special report on the chitosan -based

Modeling the Information Age Combat Model: An Agent-Based Simulation of Network Centric Operations

NASA Technical Reports Server (NTRS)

Deller, Sean; Rabadi, Ghaith A.; Bell, Michael I.; Bowling, Shannon R.; Tolk, Andreas

2010-01-01

The Information Age Combat Model (IACM) was introduced by Cares in 2005 to contribute to the development of an understanding of the influence of connectivity on force effectiveness that can eventually lead to quantitative prediction and guidelines for design and employment. The structure of the IACM makes it clear that the Perron-Frobenius Eigenvalue is a quantifiable metric with which to measure the organization of a networked force. The results of recent experiments presented in Deller, et aI., (2009) indicate that the value of the Perron-Frobenius Eigenvalue is a significant measurement of the performance of an Information Age combat force. This was accomplished through the innovative use of an agent-based simulation to model the IACM and represents an initial contribution towards a new generation of combat models that are net-centric instead of using the current platform-centric approach. This paper describes the intent, challenges, design, and initial results of this agent-based simulation model.

Management of combat-related urological trauma in the modern era.

PubMed

Williams, Molly; Jezior, James

2013-09-01

Complex genitourinary injuries--associated with lower-extremity amputation as well as pelvic and abdominal wounding--have emerged as common occurrences in current military combat operations. The nature of combat injuries of the genitourinary tract is varied, as are the strategies used in their management. For example, 5% of all combat injuries include wounds of the urinary system or genitalia. For injuries that are predominantly penetrating in nature, immediate care requires the judicious preservation of viable tissue. Once the patient is stable, urethral, corporal and testicular lacerations are closed primarily, whereas soft tissue injuries are re-approximated in a delayed fashion. Negative-pressure dressings have been a useful aid in wound management; wound coverage is most commonly completed with split-thickness skin grafts and local flaps. Complex penile and urethral reconstructions are often delayed so orthopaedic injuries can heal and the patient can manage activities of daily living. Final reconstruction requires a urologist with a full understanding of reconstructive techniques.

Spine-area pain in military personnel: a review of epidemiology, etiology, diagnosis, and treatment.

PubMed

Cohen, Steven P; Gallagher, Rollin M; Davis, Shelton A; Griffith, Scott R; Carragee, Eugene J

2012-09-01

Nonbattle illnesses and injuries are the major causes of unit attrition in modern warfare. Spine-area pain is a common disabling injury in service members associated with a very low return-to-duty (RTD) rate. To provide an overview of the current understanding of epidemiology, possible causes, and relative prognosis of spine-area pain syndromes in military personnel, including a discussion of various treatment options available in theaters of operation. Literature review. Search focusing on epidemiology, etiology and associative factors, and treatment of spinal pain using electronic databases, textbooks, bibliographic references, and personal accounts. Spine-area pain is the most common injury or complaint "in garrison" and appears to increase during training and combat deployments. Approximately three-quarters involve low back pain, followed by cervical and midback pain syndromes. Some predictive factors associated with spine-area pain are similar to those observed in civilian cohorts, such as psychosocial distress, heavy physical activity, and more sedentary lifestyle. Risk factors specific to military personnel include concomitant psychological trauma, g-force exposure in pilots and airmen, extreme shock and vibration exposure, heavy combat load requirements, and falls incurred during airborne, air assault, and urban dismounted ground operations. Effective forward-deployed treatment has been difficult to implement, but newer strategies may improve RTD rates. Spine-area pain syndromes comprise a major source of unit attrition and are often the result of duty-related burdens incurred during combat operations. Current strategies in theaters of operation that may improve the low RTD rates include individual and unit level psychological support, early resumption of at least some forward-area duties, multimodal treatments, and ergonomic modifications. Published by Elsevier Inc.

Improved representation of situational awareness within a dismounted small combat unit constructive simulation

NASA Astrophysics Data System (ADS)

Lee, K. David; Colony, Mike

2011-06-01

Modeling and simulation has been established as a cost-effective means of supporting the development of requirements, exploring doctrinal alternatives, assessing system performance, and performing design trade-off analysis. The Army's constructive simulation for the evaluation of equipment effectiveness in small combat unit operations is currently limited to representation of situation awareness without inclusion of the many uncertainties associated with real world combat environments. The goal of this research is to provide an ability to model situation awareness and decision process uncertainties in order to improve evaluation of the impact of battlefield equipment on ground soldier and small combat unit decision processes. Our Army Probabilistic Inference and Decision Engine (Army-PRIDE) system provides this required uncertainty modeling through the application of two critical techniques that allow Bayesian network technology to be applied to real-time applications. (Object-Oriented Bayesian Network methodology and Object-Oriented Inference technique). In this research, we implement decision process and situation awareness models for a reference scenario using Army-PRIDE and demonstrate its ability to model a variety of uncertainty elements, including: confidence of source, information completeness, and information loss. We also demonstrate that Army-PRIDE improves the realism of the current constructive simulation's decision processes through Monte Carlo simulation.

76 FR 49650 - Private Security Contractors (PSCs) Operating in Contingency Operations, Combat Operations or...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-11

...] Private Security Contractors (PSCs) Operating in Contingency Operations, Combat Operations or Other..., ``Contractor Personnel Authorized to Accompany the U.S. Armed Forces,'' which provides guidance for all DoD contractors operating in contingency operations. This Rule was published as an Interim Final Rule on July 17...

The effect of enemy combat tactics on PTSD prevalence rates: A comparison of Operation Iraqi Freedom deployment phases in a sample of male and female veterans.

PubMed

Green, Jonathan D; Bovin, Michelle J; Erb, Sarah E; Lachowicz, Mark; Gorman, Kaitlyn R; Rosen, Raymond C; Keane, Terence M; Marx, Brian P

2016-09-01

Research suggests that the nature of combat may affect later development of posttraumatic stress disorder (PTSD) in combat veterans. Studies comparing rates of PTSD across different conflicts indicate that the use of asymmetric or guerilla-style tactics by enemy fighters may result in higher rates of PTSD among U.S. military personnel than the use of symmetric tactics, which mirror tactics used by U.S. forces. Investigations of the association between enemy combat tactics and PTSD across conflicts were limited because of cohort effects and a focus on male veterans. The current study examined rates of PTSD diagnosis in a sample of male and female veterans deployed to Operation Iraqi Freedom (OIF), a conflict with 3 distinct phases marked by varying enemy tactics. Participants were 738 veterans enrolled in Project VALOR (Veterans' After-Discharge Longitudinal Registry) who deployed once to OIF. Participants completed a clinician interview as well as self-report measures. Male veterans deployed during the OIF phase marked by asymmetric tactics were more than twice as likely to be diagnosed with PTSD as those deployed during the other 2 phases, even after controlling for extent of combat exposure, demographic characteristics, and other deployment-related risk factors for PTSD. Differing rates of PTSD across the 3 OIF phases were not observed among female participants. The nature of combat (specifically, asymmetric enemy tactics) may be a risk factor for the development of PTSD among males. Factors other than enemy tactics may be more important to the development of PTSD among females. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Elevations. March Air Force Base, Riverside, California, Combat Operations Center, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Elevations. March Air Force Base, Riverside, California, Combat Operations Center, Combat Operations Building. By Moffatt and Nichol, Engineers, 122 West Fifth Street, Long Beach, California; for the Corps of Engineers, U.S. Army, Office of the District Engineer, Los Angeles, California. Drawing no. AW-60-02-03, sheet no. 14, approved March, 1962; specifications no. ENG-04-353-62-66; D.O. series AW 1596/14, Rev. "B"; file drawer 77-1/102. Last revised 3 October 1966. Scale one-eighth inch to one foot. 30x36 inches. photocopy on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

A Computer Based Educational Aid for the Instruction of Combat Modeling

DTIC Science & Technology

1992-02-27

representation (36:363-370), and, as Knuth put it, "An algorithm must be seen to be believed" (23:4). Graphics not only aid in achieving instructional...consisted primarily of research, identification and use of existing combat model computer algorithms , interviews, and use of operation research...to-air combat models’ operating manuals provided valuable insight into pro- gram structure and algorithms used to represent the combat. From these

Roof plan, Combat Operations Center, Building No. 2605. (Also includes ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Roof plan, Combat Operations Center, Building No. 2605. (Also includes a typical roof section, with new fiberglass and urethane insulation layers.) By Federal Builders, 575 Carreon Drive, Colton, California. Sheet 1 of 1, dated 18 May 1992. Scale one-eighth inch to one foot. 24x36 inches. ink on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

The Combat Cloud: Enabling Multi-Domain Command and Control Across the Range of Military Operations

DTIC Science & Technology

2017-03-01

and joint by their very nature.3 The Combat Cloud architecture will enable MDC2 by increasing the interoperability of existing networks...order to provide operating platforms with a robust architecture that communicates with relevant players, operates at reduced levels of connectivity...responsibility or aircraft platform, and a Combat Cloud architecture helps focus thought toward achieving efficient MDC2 and effects rather than

Bio-Inspired Innovation and National Security

DTIC Science & Technology

2010-01-01

legal and illegal, to enhance athlete performance. While legality is not a critical issue for combat soldiers, safety is. Current strength...Operating critical infrastructure? How do we operate when the families of our Servicepeople are exposed to the same threat? Clearly, we are unprepared to...against their will because of the belief that Iraq would use weapons of mass destruction against American forces. After the war, it was discovered that

TARDEC's Intelligent Ground Systems overview

NASA Astrophysics Data System (ADS)

Jaster, Jeffrey F.

2009-05-01

The mission of the Intelligent Ground Systems (IGS) Area at the Tank Automotive Research, Development and Engineering Center (TARDEC) is to conduct technology maturation and integration to increase Soldier robot control/interface intuitiveness and robotic ground system robustness, functionality and overall system effectiveness for the Future Combat System Brigade Combat Team, Robotics Systems Joint Project Office and game changing capabilities to be fielded beyond the current force. This is accomplished through technology component development focused on increasing unmanned ground vehicle autonomy, optimizing crew interfaces and mission planners that capture commanders' intent, integrating payloads that provide 360 degree local situational awareness and expanding current UGV tactical behavior, learning and adaptation capabilities. The integration of these technology components into ground vehicle demonstrators permits engineering evaluation, User assessment and performance characterization in increasingly complex, dynamic and relevant environments to include high speed on road or cross country operations, all weather/visibility conditions and military operations in urban terrain (MOUT). Focused testing and experimentation is directed at reducing PM risk areas (safe operations, autonomous maneuver, manned-unmanned collaboration) and transitioning technology in the form of hardware, software algorithms, test and performance data, as well as User feedback and lessons learned.

Mental health status of Sri Lanka Navy personnel three years after end of combat operations: a follow up study.

PubMed

Hanwella, Raveen; Jayasekera, Nicholas E L W; de Silva, Varuni A

2014-01-01

The main aim of this study was to assess the mental health status of the Navy Special Forces and regular forces three and a half years after the end of combat operations in mid 2009, and compare it with the findings in 2009. This cross sectional study was carried out in the Sri Lanka Navy (SLN), three and a half years after the end of combat operations. Representative samples of SLN Special Forces and regular forces deployed in combat areas were selected using simple random sampling. Only personnel who had served continuously in combat areas during the one year period prior to the end of combat operations were included in the study. The sample consisted of 220 Special Forces and 275 regular forces personnel. Compared to regular forces a significantly higher number of Special Forces personnel had experienced potentially traumatic events. Compared to the period immediately after end of combat operations, in the Special Forces, prevalence of psychological distress and fatigue showed a marginal increase while hazardous drinking and multiple physical symptoms showed a marginal decrease. In the regular forces, the prevalence of psychological distress, fatigue and multiple somatic symptoms declined and prevalence of hazardous drinking increased from 16.5% to 25.7%. During the same period prevalence of smoking doubled in both Special Forces and regular forces. Prevalence of PTSD reduced from 1.9% in Special Forces to 0.9% and in the regular forces from 2.07% to 1.1%. Three and a half years after the end of combat operations mental health problems have declined among SLN regular forces while there was no significant change among Special Forces. Hazardous drinking among regular forces and smoking among both Special Forces and regular forces have increased.

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

PubMed Central

Liu, Yuan; Kang, Peng; Wang, Meng; Zhang, Lulu

2015-01-01

Post-traumatic stress disorder (PTSD), a complex and chronic disorder caused by exposure to a traumatic event, is a common psychological result of current military operations. It causes substantial distress and interferes with personal and social functioning. Consequently, identifying the risk factors that make military personnel and veterans more likely to experience PTSD is of academic, clinical, and social importance. Four electronic databases (PubMed, Embase, Web of Science, and PsycINFO) were used to search for observational studies (cross-sectional, retrospective, and cohort studies) about PTSD after deployment to combat areas. The literature search, study selection, and data extraction were conducted by two of the authors independently. Thirty-two articles were included in this study. Summary estimates were obtained using random-effects models. Subgroup analyses, sensitivity analyses, and publication bias tests were performed. The prevalence of combat-related PTSD ranged from 1.09% to 34.84%. A total of 18 significant predictors of PTSD among military personnel and veterans were found. Risk factors stemming from before the trauma include female gender, ethnic minority status, low education, non-officer ranks, army service, combat specialization, high numbers of deployments, longer cumulative length of deployments, more adverse life events, prior trauma exposure, and prior psychological problems. Various aspects of the trauma period also constituted risk factors. These include increased combat exposure, discharging a weapon, witnessing someone being wounded or killed, severe trauma, and deployment-related stressors. Lastly, lack of post-deployment support during the post-trauma period also increased the risk of PTSD. The current analysis provides evidence of risk factors for combat-related PTSD in military personnel and veterans. More research is needed to determine how these variables interact and how to best protect against susceptibility to PTSD. PMID:25793582

A meta-analysis of risk factors for combat-related PTSD among military personnel and veterans.

PubMed

Xue, Chen; Ge, Yang; Tang, Bihan; Liu, Yuan; Kang, Peng; Wang, Meng; Zhang, Lulu

2015-01-01

Post-traumatic stress disorder (PTSD), a complex and chronic disorder caused by exposure to a traumatic event, is a common psychological result of current military operations. It causes substantial distress and interferes with personal and social functioning. Consequently, identifying the risk factors that make military personnel and veterans more likely to experience PTSD is of academic, clinical, and social importance. Four electronic databases (PubMed, Embase, Web of Science, and PsycINFO) were used to search for observational studies (cross-sectional, retrospective, and cohort studies) about PTSD after deployment to combat areas. The literature search, study selection, and data extraction were conducted by two of the authors independently. Thirty-two articles were included in this study. Summary estimates were obtained using random-effects models. Subgroup analyses, sensitivity analyses, and publication bias tests were performed. The prevalence of combat-related PTSD ranged from 1.09% to 34.84%. A total of 18 significant predictors of PTSD among military personnel and veterans were found. Risk factors stemming from before the trauma include female gender, ethnic minority status, low education, non-officer ranks, army service, combat specialization, high numbers of deployments, longer cumulative length of deployments, more adverse life events, prior trauma exposure, and prior psychological problems. Various aspects of the trauma period also constituted risk factors. These include increased combat exposure, discharging a weapon, witnessing someone being wounded or killed, severe trauma, and deployment-related stressors. Lastly, lack of post-deployment support during the post-trauma period also increased the risk of PTSD. The current analysis provides evidence of risk factors for combat-related PTSD in military personnel and veterans. More research is needed to determine how these variables interact and how to best protect against susceptibility to PTSD.

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

PubMed

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

2018-03-02

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

Precipice of Parity: Future of the USAF Fighter Force Structure

DTIC Science & Technology

2014-04-01

573 to 487 aircraft to conduct combat operations . The total force that one can never expect to get off the ground on a given day is thus 86 of the...AD area denial ADOC Air Defense Operations Center AGM air-to- ground missile ASCM anti-ship cruise missile CAF Combat Air Force CAPES Combat...suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis

Recent Human Factors Contributions to Improve Military Operations (Human Factors and Ergonomics Society Bulletin. Volume 46, Number 12, December 2003)

DTIC Science & Technology

2003-12-01

operations run the full gamut from large-scale, theater-wide combat, as witnessed in Operation Iraqi Freedom, to small-scale operations against terrorists, to... gamut from large-scale, theater-wide combat, as witnessed in Operation Iraqi Freedom, to small-scale operations against terror- ists, to operations

An overview of LIGO and Virgo -- status and plans

NASA Astrophysics Data System (ADS)

Miller, John

2014-06-01

Interferometric gravitational-wave detectors, the most sensitive position meters ever operated, aim to detect the motion of massive bodies throughout the universe by pushing precision measurement to the standard quantum limit and beyond. A global network of these detectors is currently under construction, promising unprecedented sensitivity and the ability to determine the sky position of any detected signals. I will describe the current status and expected performance of this network with a focus on limiting noise sources and the techniques currently being developed to combat them.

Africa’s Oil Coast: How the Region’s Strategic Importance May Cause Operational Challenges for AFRICOM as Currently Constructed

DTIC Science & Technology

2014-05-22

capacity of several Oil Coast nations through building accountable institutions, 56William Brownfield , Assistant Security of State for International...Maturation of a New U.S. Combatant Command. Carlisle, PA: Strategic Studies Institute, 2013. Brownfield , William. Assistant Security of State for

Circumstances around weapon injury in Cambodia after departure of a peacekeeping force: prospective cohort study

PubMed Central

Meddings, David R; O’Connor, Stephanie M

1999-01-01

Objective To examine the circumstances surrounding weapon injury and combatant status of those injured by weapons. Design Prospective cohort study. Setting Northwestern Cambodia after departure of United Nations peacekeeping force. Subjects 863 people admitted to hospital for weapon injuries over 12 months. Main outcome measures Annual incidence of weapon injury by time period; proportions of injuries inflicted as a result of interfactional combat (combat injuries) and outside such combat (non-combat injuries) by combatant status and weapon type. Results The annual incidence of weapon injuries was higher than the rate observed before the peacekeeping operation. 30% of weapon injuries occurred in contexts other than interfactional combat. Most commonly these were firearm injuries inflicted intentionally on civilians. Civilians accounted for 71% of those with non-combat injuries, 42% of those with combat related injuries, and 51% of those with weapon injuries of either type. Conclusions The incidence of weapon injuries remained high when the disarmament component of a peacekeeping operation achieved only limited success. Furthermore, injuries occurring outside the context of interfactional combat accounted for a substantial proportion of all weapon injuries, were experienced disproportionately by civilians, and were most likely to entail the intentional use of a firearm against a civilian. Key messagesThe study took place in Cambodia after a United Nations peacekeeping operation that achieved only limited success in disarmamentA substantial proportion of weapon injuries was inflicted in contexts unrelated to interfactional combatThese injuries were most commonly firearm injuries inflicted intentionally on civiliansWidespread availability of weapons can facilitate social violence PMID:10445922

Indian Soldiers Need Eye Protection.

PubMed

Jha, Kirti Nath

2017-02-01

Combat-related eye injuries entail enormous financial, social and psychological cost. Military Combat Eye Protection (MCEP) decreases both the incidence and severity of eye injuries. Experts have recognised the need for MCEP for Indian soldiers. We aim to review the combat-related eye injuries and combat eye protection among the Indian soldiers. Global practices of MCEP are also reviewed. We also aim to offer our recommendations for Indian soldiers. We carried out Medline search for combat-related eye injuries and MCEP and separately searched for eye injuries among Indian soldiers during war and other operations. We present the findings as results. Recommendations are based on the opinions of the experts. Combat-related eye injuries increased from 3% of injured in the 1965 Indo-Pakistan War to 4.8% in 1971 war. During peace-keeping operations in Sri Lanka (1987-89) eye injuries increased to 10.5% of the injured. Statistics on eye injuries during counterinsurgency operations are not available. MCEP have shown reduction in eye injuries, and thus MCEP forms a part of personal equipment of the soldiers in developed countries. Indian soldiers do not have provision of MCEP. Combat-related eye injuries among Indian Army soldiers have been increasing. Data on eye injuries during counterinsurgency operations are not available. Indian soldiers do not have provision of MCEP. Provision of MCEP is therefore desirable. Awareness program among the commanders and the soldiers shall result in attitudinal changes and increased compliance.

Indian Soldiers Need Eye Protection

PubMed Central

2017-01-01

Combat-related eye injuries entail enormous financial, social and psychological cost. Military Combat Eye Protection (MCEP) decreases both the incidence and severity of eye injuries. Experts have recognised the need for MCEP for Indian soldiers. We aim to review the combat-related eye injuries and combat eye protection among the Indian soldiers. Global practices of MCEP are also reviewed. We also aim to offer our recommendations for Indian soldiers. We carried out Medline search for combat-related eye injuries and MCEP and separately searched for eye injuries among Indian soldiers during war and other operations. We present the findings as results. Recommendations are based on the opinions of the experts. Combat-related eye injuries increased from 3% of injured in the 1965 Indo-Pakistan War to 4.8% in 1971 war. During peace-keeping operations in Sri Lanka (1987-89) eye injuries increased to 10.5% of the injured. Statistics on eye injuries during counterinsurgency operations are not available. MCEP have shown reduction in eye injuries, and thus MCEP forms a part of personal equipment of the soldiers in developed countries. Indian soldiers do not have provision of MCEP. Combat-related eye injuries among Indian Army soldiers have been increasing. Data on eye injuries during counterinsurgency operations are not available. Indian soldiers do not have provision of MCEP. Provision of MCEP is therefore desirable. Awareness program among the commanders and the soldiers shall result in attitudinal changes and increased compliance. PMID:28384904

AH-64 IHADSS aviator vision experiences in Operation Iraqi Freedom

NASA Astrophysics Data System (ADS)

Hiatt, Keith L.; Rash, Clarence E.; Harris, Eric S.; McGilberry, William H.

2004-09-01

Forty AH-64 Apache aviators representing a total of 8564 flight hours and 2260 combat hours during Operation Iraqi Freedom and its aftermath were surveyed for their visual experiences with the AH-64's monocular Integrated Helmet and Display Sighting System (IHADSS) helmet-mounted display in a combat environment. A major objective of this study was to determine if the frequencies of reports of visual complaints and illusions reported in the previous studies, addressing mostly benign training environments, differ in the more stressful combat environments. The most frequently reported visual complaints, both while and after flying, were visual discomfort and headache, which is consistent with previous studies. Frequencies of complaints after flying in the current study were numerically lower for all complaint types, but differences from previous studies are statistically significant only for visual discomfort and disorientation (vertigo). With the exception of "brownout/whiteout," reports of degraded visual cues in the current study were numerically lower for all types, but statistically significant only for impaired depth perception, decreased field of view, and inadvertent instrumental meteorological conditions. This study also found statistically lower reports of all static and dynamic illusions (with one exception, disorientation). This important finding is attributed to the generally flat and featureless geography present in a large portion of the Iraqi theater and to the shift in the way that the aviators use the two disparate visual inputs presented by the IHADSS monocular design (i.e., greater use of both eyes as opposed to concentrating primarily on display imagery).

Temporal indiscriminateness: the case of cluster bombs.

PubMed

Cavanaugh, T A

2010-03-01

This paper argues that the current stock of anti-personnel cluster bombs are temporally indiscriminate, and, therefore, unjust weapons. The paper introduces and explains the idea of temporal indiscriminateness. It argues that to honor non-combatant immunity-in addition to not targeting civilians-one must adequately target combatants. Due to their high dud rate, cluster submunitions fail to target combatants with sufficient temporal accuracy, and, thereby, result in avoidable serious harm to non-combatants. The paper concludes that non-combatant immunity and the principle of discrimination require a moratorium on the use of current cluster munitions.

Depression in Female Veterans Returning from Deployment: The Role of Social Factors.

PubMed

Sairsingh, Holly; Solomon, Phyllis; Helstrom, Amy; Treglia, Dan

2018-03-01

Women are serving in the armed forces and deployed to areas of conflict in increasing numbers. Problems such as depressive symptoms and risks related to combat exposure can have negative effects on adjustment following service; understanding the relationship between these problems may contribute to strategies providers can use to facilitate healthy adjustment after deployment. The purpose of this study is to examine social factors as they relate to mental health adjustment, namely depressive symptoms among female veterans who served in Iraq and Afghanistan as part of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OND). We hypothesized that combat exposure would predict higher levels of depressive symptoms and that social support would moderate the relationship between combat exposure and depression. In a cross-sectional design, 128 female Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans completed an online survey about combat experience, social support, depression, demographic characteristics, and behavioral health symptom history. We conducted multiple regression analyses to examine linear and moderating relationships. There was no significant relationship between combat exposure and depression; social support did not significantly moderate the relationship between combat exposure and depression. However, higher levels of social support and financial comfort were significantly related to lower levels of depression. This study highlights the role of social factors, specifically social support and perceived financial status, as potential barriers to healthy emotional readjustment following deployment. These findings suggest that it may be beneficial for mental health providers to screen female veterans and refer them to appropriate services to reduce financial stressors and strengthen their use of social support. More research should continue to examine more fully the impact of combat exposure on female service members' mental health and work to isolate the factors most strongly related to depression.

Longitudinal Changes in Combat-Related Posttraumatic Stress Disorder Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans With Hazardous Alcohol Use: The Role of Avoidance Coping.

PubMed

Lee, Joohyun; Possemato, Kyle; Ouimette, Paige C

2017-10-01

Military personnel who have experienced combat trauma are at risk for developing posttraumatic stress disorder (PTSD). A greater recognition of the complex array of vulnerability factors that contribute to PTSD severity has led researchers to examine other non-combat-related factors. This longitudinal study examined a number of pre-, peri-, and postdeployment factors hypothesized to contribute to PTSD symptomatology among returning Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans presenting with at least subthreshold PTSD symptoms and hazardous alcohol use in a primary care setting. Purported risk factors included childhood family environment, severity of combat exposure, postdeployment social support, alcohol dependence severity, and an avoidant coping style. At baseline, postdeployment social support and avoidant coping contributed to PTSD severity. Only avoidant coping was associated with changes in PTSD symptom at 1-year follow-up. Reducing avoidant coping may deter the maintenance of PTSD among veterans with PTSD symptoms and hazardous alcohol use.

The battalion medical platoon: a flawed scalpel.

PubMed

Cannon, M W; Stoute, J A

1992-08-01

This article discusses the current organization and doctrine for a medical platoon in an armour-heavy task force in light of experience gained in Operations Desert Shield and Desert Storm. The organization of and doctrine for the use of the platoon is covered first. This is followed by a discussion of how doctrine was modified based on field exercises, and projected, and actual, combat operations. It concludes with a presentation of lessons learned and recommendations for changes.

Command and Irregular Indigenous Combat Forces in the Middle East and Africa: A Historical Perspective on a Current Reality

DTIC Science & Technology

2016-11-21

these relationships to function. By comparing the command pathways of cases in Palestine Mandate and the Horn of Africa during the Second World War...suggest a way forward for contemporary operations. Keywords: Second World War, Israel, Ethiopia, Haganah, Palmach, Irgun (IZL), Special Operations...authority to one that stems from pathways of influence. Through the First World War, the British Empire had a tradition of work- ing with indigenous

Treatment seeking for posttraumatic stress in Israel Defense Forces veterans deployed in the Second Lebanon War (2006) and "Operation Cast Lead" in the Gaza Strip (2009): a comparative study.

PubMed

Levi, Ofir; Lubin, Gadi

2018-05-01

The goal of the study was to determine the long-term prevalence of combat-related treatment seeking and posttraumatic stress disorder (PTSD) in Israel's veterans deployed to the Second Lebanon War (2006) and "Operation Cast Lead" in the Gaza Strip (2009). The prevalence of treatment seeking and DSM-IV-TR diagnoses among Israel Defense Force (IDF) veterans was assessed using seven and five year's surveillance and records. The whereabouts and combat exposure of veterans during the war was determined based on the IDF's Operations Directorate records. Overall prevalence of treatment seeking was 1.32% and 0.38% in the Second Lebanon War and "Operation Cast Lead", respectively. The prevalence of treatment-seeking veterans from the Second Lebanon War and in "Operation Cast Lead" was significantly higher in soldiers deployed to high combat-exposure zones (2.19% and 3.1%, respectively), relative to low combat-exposure zones (0.24% and 0.06%, respectively), and relative to soldiers deployed elsewhere (0.26% and 0.02%, respectively). PTSD prevalence was similar among treatment-seeking veterans deployed in high combat-exposure zones in both combats. There is a gap of anywhere between 3% and 11% between treatment seeking by IDF veterans following war deployment and the actual prevalence of PTSD in this soldier population.

Operative treatment of new onset radiculopathy secondary to combat injury.

PubMed

Wagner, Scott C; Van Blarcum, Gregory S; Kang, Daniel G; Lehman, Ronald A

2015-02-01

We set out to describe combat-related spine trauma over a 10-year period, and thereby determine the frequency of new onset radiculopathy secondary to injuries sustained in support of combat operations. We performed a retrospective analysis of a surgical database at three military institutions. Patients undergoing spine surgery following a combat-related injury in Afghanistan or Iraq between July 2003 and July 2013 were evaluated. We identified 105 patients with combat-related (Operations Enduring and Iraqi Freedom) spine trauma requiring operative intervention. Of these, 15 (14.3%) patients had radiculopathy as their primary complaint after injury. All patients were diagnosed with herniated nucleus pulposus. The average age was 39 years, with 80% injured in Iraq and 20% in Afghanistan. The most common mechanism of injury was mounted improvised explosive device (33%). The cervical spine was most commonly involved (53%), followed by lumbar spine (40%). Average time from injury to surgery was 23.4 months; 53% of patients had continued symptoms following surgery, and two patients had at least one revision surgery. Two patients were medically retired because of their symptoms. This study is the only of its kind evaluating the operative treatment of traumatic radiculopathy following combat-related trauma. We identified a relatively high rate of radiculopathy in these patients. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

Distance Learning in Advanced Military Education: Analysis of Joint Operations Course in the Taiwan Military

ERIC Educational Resources Information Center

Tung, Ming-Chih; Huang, Jiung-yao; Keh, Huan-Chao; Wai, Shu-shen

2009-01-01

High-ranking officers require advanced military education in war tactics for future combat. However, line officers rarely have time to take such courses on campus. The conventional solution to this problem used to take the inefficient correspondence courses. Whereas Internet technologies progress, online course is the current trend for military…

Navy Irregular Warfare and Counterterrorism Operations: Background and Issues for Congress

DTIC Science & Technology

2017-03-21

appropriation account. Regarding this funding request, DOD states that The Underwater Systems line item procures dry and wet combat submersibles...modifications, and field changes to the Dry Deck Shelter (DDS), and various systems and components for Special Operations Forces (SOF) Combat Diving...environments. The Dry Combat Submersibles (DCS) will provide the capability to insert and extract SOF and/or payloads into denied areas from strategic

U.S. ARMY HUMAN FACTORS RESEARCH AND DEVELOPMENT ANNUAL CONFERENCE, INDIVIDUAL AND SMALL-UNIT TRAINING FOR COMBAT OPERATIONS (12TH, FORT BENNING, GEORGIA, OCTOBER 1966).

ERIC Educational Resources Information Center

JACOBS, T.O.; AND OTHERS

RESEARCH IN THE AREA OF MILITARY TRAINING AND TRAINING METHODS WAS REVIEWED AND ASSESSED FOR (1) ITS RELEVANCE TO MODERN COMBAT OPERATIONS (IDENTIFICATION OF COMBAT TASKS, DEVELOPMENT OF SKILL TRAINING, AND EVALUATION) AND (2) ITS EFFICIENCY (REDUCED COST AND TIME AND INCREASED TRAINEE PROFICIENCY, OR BOTH). CASES OF EFFECTIVE RESEARCH IN USE OF…

Combat and Operational Stress: Minimizing Its Adverse Effects on Service Members

DTIC Science & Technology

2008-04-18

munitions. Combat stress has received many labels since the First World War. These labels include “shell shock, war neurosis , psychoneurosis, combat...war neurosis and psychoneurosis carried an inherently negative connotation because they implied by their name that a mental illness or disorder...who became combat stress casualties. In 1916, the term war neurosis replaced shell shocked as the number of combat stress casualties continued due

Incidence and epidemiology of combat injuries sustained during "the surge" portion of operation Iraqi Freedom by a U.S. Army brigade combat team.

PubMed

Belmont, Philip J; Goodman, Gens P; Zacchilli, Michael; Posner, Matthew; Evans, Clifford; Owens, Brett D

2010-01-01

A prospective, longitudinal analysis of injuries sustained by a large combat-deployed maneuver unit has not been previously performed. A detailed description of the combat casualty care statistics, distribution of wounds, and mechanisms of injury incurred by a U.S. Army Brigade Combat Team during "The Surge" phase of Operation Iraqi Freedom was performed using a centralized casualty database and an electronic medical record system. Among the 4,122 soldiers deployed, there were 500 combat wounds in 390 combat casualties. The combat casualty rate for the Brigade Combat Team was 75.7 per 1,000 soldier combat-years. The % killed in action (KIA) was 22.1%, and the %died of wounds was 3.2%. The distribution of these wounds was as follows: head/neck 36.2%, thorax 7.5%, abdomen 6.9%, and extremities 49.4%. The percentage of combat wounds showed a significant increase in the head/neck region (p < 0.0001) and a decrease in the extremities (p < 0.03) compared with data from World War II, Korea, and Vietnam. The percentage of thoracic wounds (p < 0.03) was significantly less than historical data from World War II and Vietnam. The %KIA was significantly greater in those soldiers injured by an explosion (26.3%) compared with those soldiers injured by a gunshot wound (4.6%; p = 0.003). Improvised explosive devices accounted for 77.7% of all combat wounds. There was a significantly higher proportion of head/neck wounds compared with previous U.S. conflicts. The 22.1% KIA was comparable with previous U.S. conflicts despite improvements in individual/vehicular body armor and is largely attributable to the lethality of improvised explosive devices. The lethality of a gunshot wound in Operation Iraqi Freedom has decreased to 4.6% with the use of individual body armor.

Military Unmanned Aircraft Systems in Support of Homeland Security

DTIC Science & Technology

2007-03-30

14 CFR) part 91.1131, Right-of-Way Rules , there would be no UA flights in civil airspace.31 To meet this need, the FAA and DoD have agreed on an... rules , vice the current operations which are centered on combat operations. A step-by-step approach needs to be adopted now to introduce UAS into a...H-1. 45 Peter La Franchi , “US Industry Calls for National UAV in Controlled Airspace Initiative,” Flight International, 31 March 2006 [journal on

Hemorrhaging Her...A Capability Gap Analysis on Why the Air Force Can’t Retain Female Operators

DTIC Science & Technology

2017-04-06

Biography Lieutenant Colonel Anne-Marie Contreras is currently a student at Air War College, Air University, Maxwell AFB, AL. Before arriving at...retention of females in operations has focused on a multitude of survey analyses noting challenges in the difficulty of balancing a career and family...Even now, in 2017, of the 237 students at Air War College, there are 29 women, only two of whom are operators—one pilot (me) and one Combat Systems

Microvascular Reconstructive Surgery in Operations Iraqi and Enduring Freedom: the US Military Experience Performing Free Flaps in a Combat Zone

DTIC Science & Technology

2013-01-01

Microvascular reconstructive surgery in Operations Iraqi and Enduring Freedom: The US military experience performing free flaps in a combat zone...usually must undergo reconstructive surgery in the combat zone. While the use of microvascular free-tissue transfer (free flaps) for traumatic... reconstruction iswell documented in the literature, various complicating factors exist when these intricate surgical procedures are performed in a theater of

The Armys Armored Multi Purpose Vehicle (AMPV): Background and Issues for Congress

DTIC Science & Technology

2017-01-11

M-113 personnel carriers, which are still in service in a variety of support capacities in Armored Brigade Combat Teams (ABCTs). While M-113s no...reliability, and interoperability by mission role variant within the Heavy Brigade Combat Team (HBCT) [now known as the Armored Brigade Combat Team – ABCT... teams within complex operational environments. For example, “commanders will not allow them to leave Forward Operating Bases (FOBs) or enter

Analysis of Remote Trauma Transfers in South Central Texas with Comparison with Current US Combat Operations: Results of the RemTORN-I Study

DTIC Science & Technology

2013-01-01

product and procoagulant use by paramedical personnel, and clinical trials of freeze-dried plasma, tranexamic acid , and other intravascular...of administering tranexamic acid to bleeding trauma patients using evidence from the CRASH-2 trial. PLoS One. 2011;6(5):e18987. 3. Gonzalez RP

Inter Annual Variability of the California Current System and Associated Biochemical Characteristics from Prolonged Data Series

DTIC Science & Technology

2016-06-01

onto the eastern north Pacific circulation has been studied for years, the effect of El Nino Modoki in the region is still unclear. The CCS is...ready for combat. The main mission of Third Fleet is to provide safe, effective , relevant training to ensure Sailors have the essential skills to...Fleet. Understanding our environment and ocean currents with in the CCS improves the Navy’s ability to practice operating safely and effectively along

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

DOE Office of Scientific and Technical Information (OSTI.GOV)

Greitzer, Frank L.; Andrews, Dee H.

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

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

DOE Office of Scientific and Technical Information (OSTI.GOV)

Greitzer, Frank L.; Andrews, Dee H.

2008-04-15

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

Combat ocular trauma and systemic injury.

PubMed

Weichel, Eric D; Colyer, Marcus H

2008-11-01

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

Women in the Army - Review of the Combat Exclusion Policy

DTIC Science & Technology

2011-03-24

regarding the assignment of women to reflect how women Soldiers are serving and what women Soldiers are contributing to military operations today . In...The sub-unit will be closed to women.12 Today , the requirement to reassess the Army’s combat exclusion policy and the DOD law has never been more...direct combat operations were most likely and those area where it was unlikely. However, on the nonlinear battlefields of today with the asymmetric

Marine Tactical Command and Control System (MTACCS) Field Development System-1 (FDS-1) assessment: Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Avery, L.W.; Hunt, S.T.; Savage, S.F.

1992-04-01

The United State Marine Corps (USMC) is continuing the development and fielding of the Marine Corps Tactical Command and Control System (MTACCS), a system which exists in varying states of development, fielding, or modernization. MTACCS is currently composed of the following components: Tactical Combat Operations System (TCO) for ground command and control (C2), Intelligence Analysis System (IAS) with a Genser terminal connected to a TCO workstation for intelligence C2, Marine Integrated Personnel System (MIPS) and a TCO workstation using the Marine Combat Personnel System (MCPERS) software for personnel C2, Marine Integrated Logistics System (MILOGS) which is composed of the Landingmore » Force Asset Distribution System (LFADS), the Marine Air-Ground Task Force (MAGTF) II, and a TCO terminal using the Marine Combat Logistics System (MCLOG) for logistics C2, Marine Corps Fire Support System (MCFSS) for fire support C2, and Advanced Tactical Air Command Central (ATACC) and the Improved Direct Air Support Central for aviation C2.« less

The Limited Duty/Chief Warrant Officer Professional Guidebook

DTIC Science & Technology

1985-01-01

subsurface imaging . They plan and manage the operation of imaging commands and activities, combat camera groups and aerial reconnaissance imaging...picture and video systems used in aerial, surface and subsurface imaging . They supervise the operation of imaging commands and activities, combat camera

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

PubMed

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

2018-02-27

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

Initial experience of US Marine Corps forward resuscitative surgical system during Operation Iraqi Freedom.

PubMed

Chambers, Lowell W; Rhee, Peter; Baker, Bruce C; Perciballi, John; Cubano, Miguel; Compeggie, Michael; Nace, Michael; Bohman, Harold R

2005-01-01

Modern US Marine Corps (USMC) combat tactics are dynamic and nonlinear. While effective strategically, this can prolong the time it takes to transport the wounded to surgical capability, potentially worsening outcomes. To offset this, the USMC developed the Forward Resuscitative Surgical System (FRSS). By operating in close proximity to active combat units, these small, rapidly mobile trauma surgical teams can decrease the interval between wounding and arrival at surgical intervention with resultant improvement in outcomes. Case series. Echelon 2 surgical units during the invasion phase of Operation Iraqi Freedom. Ninety combat casualties, consisting of 30 USMC and 60 Iraqi patients, were treated in the FRSS between March 21 and April 22, 2003. Tactical surgical intervention consisting of selectively applied damage control or definitive trauma surgical procedures. Time to surgical intervention and outcome following treatment in the FRSS. Ninety combat casualties with 170 injuries required 149 procedures by 6 FRSS teams. The USMC patients were received within a median of 1 hour of wounding with the critically injured being received within a median of 30 minutes. Fifty-three USMC personnel were killed in action and 3 died of wounds for a killed in action rate of 13.5% and a died of wounds rate of 0.8% during the invasion phase of Operation Iraqi Freedom. All Marines treated in the FRSS survived. The use of the FRSS in close proximity to the point of engagement during the initial, dynamic combat phase of Operation Iraqi Freedom prevented delays in surgical intervention of USMC combat casualties with resultant beneficial effects on patient outcomes.

The Combatant Commander and Effective Operational HUMINT: Lessons From the Double Cross System of World War II and the CJ2X of Operation Joint Guard

DTIC Science & Technology

2003-05-19

www.bbc.co.uk/cgi-bin/history/renderplain.pl?file=history/war/wwtwo/spying/sis_0/> [27 March 2003]. 37 Ibid. 38 “Operation Overlord,” Saving Private Ryan Online...Security, (Washington, DC: 2002), 17; National Strategy for Combating Terrorism. Washington, DC: 2003. “Operation Overlord,” Saving Private Ryan Online

32 CFR Appendix D to Subpart M of... - Unauthorized Activities in Maneuver Training Areas

Code of Federal Regulations, 2013 CFR

2013-07-01

... Lewis: Civilian paramilitary activities and combat games. Off-pavement motorcycle riding. Off-road... of alcoholic beverages. 2. Yakima Training Center: Civilian paramilitary activities and combat games... combat games. Off-pavement motorcycle riding. Off-road vehicle operation. Hang gliding. Ultralight...

32 CFR Appendix D to Subpart M of... - Unauthorized Activities in Maneuver Training Areas

Code of Federal Regulations, 2012 CFR

2012-07-01

... Lewis: Civilian paramilitary activities and combat games. Off-pavement motorcycle riding. Off-road... of alcoholic beverages. 2. Yakima Training Center: Civilian paramilitary activities and combat games... combat games. Off-pavement motorcycle riding. Off-road vehicle operation. Hang gliding. Ultralight...

32 CFR Appendix D to Subpart M of... - Unauthorized Activities in Maneuver Training Areas

Code of Federal Regulations, 2014 CFR

2014-07-01

... Lewis: Civilian paramilitary activities and combat games. Off-pavement motorcycle riding. Off-road... of alcoholic beverages. 2. Yakima Training Center: Civilian paramilitary activities and combat games... combat games. Off-pavement motorcycle riding. Off-road vehicle operation. Hang gliding. Ultralight...

Bite Protection Analysis of Permethrin-Treated US Military Combat Uniforms

USDA-ARS?s Scientific Manuscript database

Historically, casualties from diseases have greatly outnumbered those from combat during military operations. Since 1951, US military combat uniforms have been chemically treated to protect personnel from arthropod attack. In the 1970s and 1980s, permethrin was one of several insecticides evaluate...

Bite protection analysis of permethrin-treated U.S. Military uniforms

USDA-ARS?s Scientific Manuscript database

Historically, combat casualties from diseases have greatly outnumbered battle injuries received from actual combat during military operations. Since 1951, United States military combat uniforms have been treated within insecticides to protect personnel from arthropod attack. In the 1970s and 1980s,...

Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq.

PubMed

Street, Amy E; Gradus, Jaimie L; Giasson, Hannah L; Vogt, Dawne; Resick, Patricia A

2013-07-01

The changing scope of women's roles in combat operations has led to growing interest in women's deployment experiences and post-deployment adjustment. To quantify the gender-specific frequency of deployment stressors, including sexual and non-sexual harassment, lack of social support and combat exposure. To quantify gender-specific post-deployment mental health conditions and associations between deployment stressors and posttraumatic stress disorder (PTSD), to inform the care of Veterans returning from the current conflicts. National mail survey of OEF/OIF Veterans randomly sampled within gender, with women oversampled. The community. In total, 1,207 female and 1,137 male Veterans from a roster of all Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans. Response rate was 48.6 %. Deployment stressors (including combat and harassment stress), PTSD, depression, anxiety and alcohol use, all measured via self-report. Women were more likely to report sexual harassment (OR = 8.7, 95% CI: 6.9, 11) but less likely to report combat (OR = 0.62, 95 % CI: 0.50, 0.76). Women and men were equally likely to report symptoms consistent with probable PTSD (OR = 0.87, 95 % CI: 0.70, 1.1) and symptomatic anxiety (OR = 1.1, 9 5% CI: 0.86, 1.3). Women were more likely to report probable depression (OR = 1.3, 95 % CI: 1.1, 1.6) and less likely to report problematic alcohol use (OR = 0.59, 9 5% CI: 0.47, 0.72). With a five-point change in harassment stress, adjusted odds ratios for PTSD were 1.36 (95 % CI: 1.23, 1.52) for women and 1.38 (95 % CI: 1.19, 1.61) for men. The analogous associations between combat stress and PTSD were 1.31 (95 % CI: 1.24, 1.39) and 1.31 (95 % CI: 1.26, 1.36), respectively. Although there are important gender differences in deployment stressors-including women's increased risk of interpersonal stressors-and post-deployment adjustment, there are also significant similarities. The post-deployment adjustment of our nation's growing population of female Veterans seems comparable to that of our nation's male Veterans.

Effectiveness of Psycho-Physiological Portable Devices to Analyse Effect of Ergogenic Aids in Military Population.

PubMed

Diaz-Manzano, Montaña; Robles-Pérez, José Juan; Herrera-Mendoza, Ketty; Herrera-Tapias, Beliña; Fernández-Lucas, Jesús; Aznar-Lain, Susana; Clemente-Suárez, Vicente Javier

2018-03-24

Caffeine is one of the ergogenic substances most used by warfighters in current operation areas, but the effect on the organic response and operational performed is already poor knowledge. This research aimed to study the acute effect of 400 mg of caffeine monohydrate on the psycho-physiological response and rifle marksmanship of warfighters during a close quarter combat simulation. We analysed parameter of heart rate, blood lactate, cortical arousal, state anxiety and marksmanship of 20 Spanish Army veteran warfighters before and after a close quarter combat simulation in a double-blind procedure, also a correlation analysis was conducted between all the study variables. Marksmanship of warfighters did not improve with the caffeine ingestion, but it produced an increase in blood lactate concentration (caffeine: 1.9 ± 0.5 vs. 9.2 ± 1.1 mmol.l -1 ; placebo: 1.8 ± 0.7 vs. 6.9 ± 2.2 mmol.l -1 ), cortical arousal (% of change: caffeine: 2.51; placebo: -1.96) and heart rate (caffeine: 80.0 ± 7.2 vs. 172.9 ± 28.2 bpm; placebo: 79.3 ± 6.4 vs. 154.0 ± 26.8 bpm). In addition, higher heart rate values correlated negatively with marksmanship in close quarter combat. We concluded that caffeine intake did not improve the warfighters rifle marksmanship in close quarter combat possibly due to the increase in the physiological response.

Deceptive Logistics at the Operational Level of War,

DTIC Science & Technology

1987-05-04

maintenance, transport , and other combat service support (CSS) activities with the distinct purpose of contributing to an operational headquarters’ overall...based on the exploitation of supply, maintenance, transport , and other combat service support (CSS) activities with the distinct purpose of contributing...exploitation of supply, maintenance, transport , and other CSS activities with the distinct purpose of contributing to an operational headquarters overall

Measuring Combat Logistics Force (CLF) Adequacy in Supporting Naval Operations

DTIC Science & Technology

2012-03-01

existing fuel consumption rates and the hotel services load. Because logistics planning factors for foreign carriers were not available, existing... LOGISTICS FORCE (CLF) ADEQUACY IN SUPPORTING NAVAL OPERATIONS by Philip J. Mock March 2012 Thesis Advisor: Wayne Hughes Second Reader...DATES COVERED Master’s Thesis 4. TITLE AND SUBTITLE Measuring Combat Logistics Force (CLF) Adequacy in Supporting Naval Operations 5. FUNDING

Urban Combat Advanced Training Technology (Technologie Avancee d’Entrainement au Combat Urbain)

DTIC Science & Technology

2010-04-01

JRTC Joint Readiness Training Center JRTC-MOUT-IS Joint Readiness Training Center Military Operations in Urbanised Terrain Instrumentation System...did not support or identify joint or multi-national requirements for conducting effective military operations in an urbanised environment. Very few...Requirements Document (ORD) for the Joint Readiness Training Center (JRTC) Military Operations on Urbanised Terrain (MOUT) Instrumentation System

Company Level Logistics on the Future Battlefield.

DTIC Science & Technology

1993-12-17

also expands the terrain envelope in which responsive logistics can be provided. Self diagnostic equipment is currently imbedded in many of our new ...satellite systems, improved sensors, better communications, and long range weapons systems. The combined effect of these systems creates a new ...battlefield. To support combat operations in light of these changes, logistics units must adapt to the new environment. In the past American logistics units

Defense: FY2012 Budget Request, Authorization and Appropriations

DTIC Science & Technology

2012-02-13

current counterinsurgency and dismounted operations in [Iraq and Afghanistan] place service women in direct combat action with the enemy. The ...vehicles, including the EFV and a modified version of the AAV-7. However, the provision bars any other amphibious vehicle development work until the ...would allow information technology companies other than the original developer to bid for maintenance and upgrade work on the system

Challenges to Improving Combat Casualty Survivability on the Battlefield

DTIC Science & Technology

2015-01-01

Rescue Medic in Mogadishu , Somalia, and Special Forces battalion surgeon during Operation Enduring Freedom. He is currently the Director of the Military...the CoTCCC, an organization born outside the traditional military medical establishment, exposes a void in ownership and expertise in battle - field...serve as bat- talion surgeons responsible for the resuscitation of battle casualties in the battalion aid station. This is reminiscent of how

U.S. Air Force Operational Medicine: Using the Enterprise Estimating Supplies Program to Develop Materiel Solutions for the Operational Requirements of the EMEDS Specialty Care Augmentation Team

DTIC Science & Technology

2011-06-28

EXTERNA NOS 5 075 INFECTIOUS MONONUCLEOSIS 1 864.01 LIVER HEMATOMA/CONTUSION 1 928.8 MULT CRUSHING INJURY LEG 4 817.0 MULTIPLE FX HAND-CLOSED 1 782.1...medical assets since 2004. Air Force medical modeling capabilities currently capture care and treatment of the sick and injured from the first...begins with the identification of likely patient types to be encountered by a particular type of medical treatment asset, including combat wounds

Joint Threater Trauma System: Saving Lives on the Battlefield

DTIC Science & Technology

2008-04-23

Guerre, Analysis d’observations. Bul.Med Soc.Chir. 44 (1918), 205. 30 SSG Kile , “Operational Medicine Overview,” Combat Care Casualty Course, Powerpoint...U.S. Naval Institute Proceedings 1237, no. 11 (November 2001):68-71 SSG Kile , “Operational Medicine Overview,” Combat Care Casualty Course

Modeling Operations Other Than War: Non-Combatants in Combat Modeling

DTIC Science & Technology

1994-09-01

supposition that non-combatants are an essential feature in OOTW. The model proposal includes a methodology for civilian unit decision making . The model...combatants are an essential feature in OOTW. The model proposal includes a methodology for civilian unit decision making . Thi- model also includes...numerical example demonstrated that the model appeared to perform in an acceptable manner, in that it produced output within a reasonable range. During the

Combating Terrorism: U.S. Government Strategies and Efforts to Deny Terrorists Safe Haven

DTIC Science & Technology

2011-06-03

havens—such as activities funded through State’s Peacekeeping Operations and State-funded DHS training to combat money laundering and bulk cash...Management, Committee on Homeland Security House of Representatives COMBATING TERRORISM U.S. Government Strategies and Efforts to Deny Terrorists... Combating Terrorism: U.S. Government Strategies and Efforts to Deny Terrorists Safe Haven 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT

32 CFR 813.6 - Planning and requesting combat documentation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Joint Operation Planning and Execution System, that in turn, requests support from HQ AMC. HQ USAF can... 32 National Defense 6 2010-07-01 2010-07-01 false Planning and requesting combat documentation... SALES AND SERVICES VISUAL INFORMATION DOCUMENTATION PROGRAM § 813.6 Planning and requesting combat...

Factors that affect mosquito bite prevention from permethrin-treated US military combat uniforms

USDA-ARS?s Scientific Manuscript database

Historically, casualties from diseases have greatly outnumbered those from combat during military operations. Since 1951, US military combat uniforms have been chemically treated to protect personnel from arthropod attack. In the 1970s and 1980s, permethrin was one of several insecticides evaluate...

Social Sciences Support to Military Personnel Engaged in Counter-Insurgency and Counter-Terrorism Operations (Soutien en sciences sociales apporte au personnel militaire engage dans des operations de contre-insurrection et de contre-terrorisme)

DTIC Science & Technology

2011-11-01

Aleksanin, M.D., Ph.D., Director of the Nikiforov Russian Centre of Emergency and Radiation Medicine: Dr. Aleksanin has worked as a therapist and served as a...four components of being combat ready: psychological health, physical health, combat skills and physical training. The combat potential of the...clear that participation in armed conflict affects mental and physical health adversely. Studies have shown that certain personality changes take

US Army Order of Battle 1919-1941. Volume 1. The Arms: Major Commands and Infantry Organizations, 1919-41

DTIC Science & Technology

2010-01-01

Author for the Contemporary Operations Study Team at the Combat Studies Institute . Combat Studies Institute The Combat Studies Institute (CSI) is an...organization that produces timely and relevant military history publications and contemporary operational history for the US Army. The institute’s...instructors. The Past is Prologue! AD 1979 TAB M O C T U DIE SS INSTIT U T E E ST SUGOPR O L AN TEAC TU S U.S. Army Order of Battle, 1919–1941 Unlike

Technical and operational users' opinions of a handheld device to detect directed energy.

PubMed

Boyd, Andrew D; Naiman, Melissa; Stevenson, Greer W; Preston, Richard; Valenta, Annette L

2013-05-01

Lasers, a form of directed energy (DE), are a threat to pilots and Air Force personnel. In light of this threat, a handheld medical device called the "Tricorder" is under development to improve situational awareness of DE. Current operational procedures do not include methods for recording or handling new information regarding DE. The purpose of this study was to understand Air Force personnel opinions and beliefs about desired features and operational use to enhance user acceptance of the Tricorder. Q-methodology was implemented to study opinions and beliefs related to DE. Two groups were approached, medical personnel in the Illinois Air National Guard and four active duty members of an Air Force Rescue Squadron. Both groups completed the same Q-sort of both operational and equipment concerns. Six opinion sets regarding operational concerns described 61% of the total variation in perceptions among participants. The factors were: concern over health effects, implications to individuals, combat/tactical concerns, force health protection, and theater/tactical concerns. Five opinion sets described 68% of the variation in the equipment functions perceived as most important. The participants indicated that ideally the device should measure exposure, enhance laser detection/response, support night vision and ease of use, detect threats, and enhance combat medicine. This survey revealed the complexity of equipment and the operational implications of detecting DE. Q-methodology is a unique strategy to both evaluate technology and explore users' concerns.

First floor plan. (Also includes a door schedule and door ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

First floor plan. (Also includes a door schedule and door elevations). March Air Force Base, Riverside, California, Combat Operations Center, Combat Operations Building. By Moffatt and Nichol, Engineers, 122 West Fifth Street, Long Beach, California; for the Corps of Engineers, U.S. Army, Office of the District Engineer, Los Angeles, California. Drawing no. AW-60-02-03, sheet no. 12, approved March 1962; specifications no. OCI-62-66; D.O. series AW 1596/12, Rev. "C"; file drawer 1290. Last revised 25 August 1975. Scale one-eighth inch to one foot. 28.5x 41 inches. pencil on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

Air Traffic Control Capabilities: Opportunity to Utilize Automated Dependent Surveillance-Broadcast (ADS-B) Equipment on Aircraft for Military Air Traffic Control and Command and Control in Combat and Humanitarian Operations

DTIC Science & Technology

2011-01-21

and as a result reduce aircraft fuel burn and CO2 emissions .”1 EUROCONTROL, representing 32 European nations, is implementing ADS-B under the...ELS) with possible exemptions. By 1 January 2019, they must also be equipped for ADS-B. Canada has also mandated ADS-B4, and nations currently ...based navigational systems 6 like Global Positioning System (GPS). Also, in some domestic overflight or terminal airspaces that currently have 5NM

The U.S. Armored Brigade Combat Team Versus Current Hybrid Threat: How Should the U.S. ABCT be Organized and Equipped to Address the Current Hybrid Threat

DTIC Science & Technology

2017-06-09

analysis method and focus on analyzing available documents while studying the separate but similar cases of Israel fighting Hezbollah in Lebanon and...two significant case studies will be reviewed. One deals with the conflict between Hezbollah and Israel Defense Forces (IDF) in Israel and Lebanon...Vietnam and in Operation Iraqi Freedom. Captain Houvinen in his research presented a case study from the Second Lebanon War based on the U.S. experience

Resource utilization and disability outcome assessment of combat casualties from Operation Iraqi Freedom and Operation Enduring Freedom.

PubMed

Masini, Brendan D; Waterman, Scott M; Wenke, Joseph C; Owens, Brett D; Hsu, Joseph R; Ficke, James R

2009-04-01

Injuries are common during combat operations. The high costs of extremity injuries both in resource utilization and disability are well known in the civilian sector. We hypothesized that, similarly, combat-related extremity injuries, when compared with other injures from the current conflicts in Iraq and Afghanistan, require the largest percentage of medical resources, account for the greatest number of disabled soldiers, and have greater costs of disability benefits. Descriptive epidemiologic study and cost analysis. The Department of Defense Medical Metrics (M2) database was queried for the hospital admissions and billing data of a previously published cohort of soldiers injured in Iraq and Afghanistan between October 2001 and January 2005 and identified from the Joint Theater Trauma Registry. The US Army Physical Disability Administration database was also queried for Physical Evaluation Board outcomes for these soldiers, allowing calculation of disability benefit cost. Primary body region injured was assigned using billing records that gave a primary diagnosis International Classification of Diseases Ninth Edition code, which was corroborated with Joint Theater Trauma Registry injury mechanisms and descriptions for accuracy. A total of 1333 soldiers had complete admission data and were included from 1566 battle injuries not returned to duty of 3102 total casualties. Extremity-injured patients had the longest average inpatient stay at 10.7 days, accounting for 65% of the $65.3-million total inpatient resource utilization, 64% of the 464 patients found "unfit for duty," and 64% of the $170-million total projected disability benefit costs. Extrapolation of data yields total disability costs for this conflict, approaching $2 billion. Combat-related extremity injuries require the greatest utilization of resources for inpatient treatment in the initial postinjury period, cause the greatest number of disabled soldiers, and have the greatest projected disability benefit costs. This study highlights the need for continued or increased funding and support for military orthopaedic surgeons and extremity trauma research efforts.

The mental health of the UK Armed Forces: where facts meet fiction

PubMed Central

Hunt, Elizabeth J. F.; Wessely, Simon; Jones, Norman; Rona, Roberto J.; Greenberg, Neil

2014-01-01

A substantial amount of research has been conducted into the mental health of the UK military in recent years. This article summarises the results of the various studies and offers possible explanations for differences in findings between the UK and other allied nations. Post-traumatic stress disorder (PTSD) rates are perhaps surprisingly low amongst British forces, with prevalence rates of around 4% in personnel who have deployed, rising to 6% in combat troops, despite the high tempo of operations in recent years. The rates in personnel currently on operations are consistently lower than these. Explanations for the lower PTSD prevalence in British troops include variations in combat exposures, demographic differences, higher leader to enlisted soldier ratios, shorter operational tour lengths and differences in access to long-term health care between countries. Delayed-onset PTSD was recently found to be more common than previously supposed, accounting for nearly half of all PTSD cases; however, many of these had sub-syndromal PTSD predating the onset of the full disorder. Rates of common mental health disorders in UK troops are similar or higher to those of the general population, and overall operational deployments are not associated with an increase in mental health problems in UK regular forces. However, there does appear to be a correlation between both deployment and increased alcohol misuse and post-deployment violence in combat troops. Unlike for regular forces, there is an overall association between deployment and mental health problems in Reservists. There have been growing concerns regarding mild traumatic brain injury, though this appears to be low in British troops with an overall prevalence of 4.4% in comparison with 15% in the US military. The current strategies for detection and treatment of mental health problems in British forces are also described. The stance of the UK military is that psychological welfare of troops is primarily a chain of command responsibility, aided by medical advice when necessary, and to this end uses third location decompression, stress briefings, and Trauma Risk Management approaches. Outpatient treatment is provided by Field Mental Health Teams and military Departments of Community Mental Health, whilst inpatient care is given in specific NHS hospitals. PMID:25206948

An Examination of Family Adjustment among Operation Desert Storm Veterans

ERIC Educational Resources Information Center

Taft, Casey T.; Schumm, Jeremiah A.; Panuzio, Jillian; Proctor, Susan P.

2008-01-01

This study examined interrelationships among combat exposure, symptoms of posttraumatic stress disorder (PTSD), and family adjustment in a sample of male and female Operation Desert Storm veterans (N = 1,512). In structural equation models for both male and female veterans, higher combat exposure was associated with higher PTSD symptoms, which in…

Effectiveness of the Combat Operational Stress Control Training Program: Expectations of the U.S. Marine Corps

ERIC Educational Resources Information Center

Sipko, Marek M.

2010-01-01

This study evaluated the effectiveness of the U.S. Marine Corps combat operational stress preventive training program to determine whether the program meets the training effectiveness criteria of the Marine Corps. This evaluation entailed both qualitative and quantitative inquiries to answer the subject matter research questions. The…

The Role of Sleep in the Military: Implications for Training and Operational Effectiveness

DTIC Science & Technology

2011-01-01

current knowledge that they are vital to our physical and mental health and well-being. In his autobiographical account of the first nonstop, trans...effect of sleep deprivation on a wide range of human cognitive functions such as attention, memory , mood, and decision making (Broughton & Ogilvie...attention, memory and judgment, alterations in mood, and degraded decision-making also have far-reaching consequences for combat effectiveness

Designing Assessments of Microworld Training for Combat Service Support Staff

DTIC Science & Technology

2003-01-01

training for distribution management skills as a part of a larger project that entailed making changes to the current structure, content, and methods...of CSS training. Microworld models are small-scale simulations of organizations and operations. They are useful for training distribution management processes...pilot studies using a microworld model for U.S. Army Reserve (USAR) soldiers in Distribution Management Centers. The degree to which trainees learned

Developing Qualified Logistics Readiness Officers (LROs) Within Air Combat Command (ACC): A Delphi Study

DTIC Science & Technology

2009-06-01

today face ( Lovewell , 2007). Although the model equips LROs with the understanding of most basic logistics processes, it falls short to deliver a...areas to the degree the operations tempo requires ( Lovewell , 2007). Due to recent changes in mission requirements and organizational re-structuring...the current CFETP appears to be outdated ( Lovewell , 2007). 6 Base-Level Training Guiding the officer to fulfill their training

An Effective Strategy for Colombia: A Potential End to the Current Crisis

DTIC Science & Technology

2004-03-19

within Colombian civilian leaders and its society. When the violent struggle between the two political parties during La Violencia period challenged...factor has been human intelligence (HUMINT) because the guerrillas exploited their familiarity with the terrain and with local networks of social...combat experience and are more familiar with operational areas and the local communities. Increase in Public Force 2002-2004. Strengthening of the

Improving Operational Readiness through Total Quality Management

DTIC Science & Technology

1991-06-21

DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

Mental health care use by soldiers conducting counterinsurgency operations.

PubMed

Applewhite, Larry; Keller, Nathan; Borah, Adam

2012-05-01

Counterinsurgency (COIN) has become the cornerstone of the military's strategy to combat terrorist threats. COIN operations are complex and often expose soldiers to unfamiliar stressors as they fight the enemy while developing and maintaining rapport with the local populace. Utilizing a retrospective record review protocol, we examined 282 mental health files of soldiers assigned to a brigade combat team that operated from a large forward operating base in Iraq during the counterinsurgency campaign. Most reported sleep disturbance, depression, anxiety, irritability, and conflict with supervisors related to either operational stress, exposure to direct combat, or home front concerns. Most received brief individual supportive therapy or attended solution-focused group counseling emphasizing life skills training, post-traumatic stress treatment, women's support, or relationship skills. Psychopharmacologic treatment was an essential adjunct to the counseling program. Results indicate that supporting a COIN deployment requires a comprehensive mental health program that can respond to a wide range of mental health problems.

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

PubMed

Daxon, Eric G; Parkhurst, Mary Ann; Melanson, Mark A; Roszell, Laurie E

2009-03-01

Risks to personnel engaged in military operations include not only the threat of enemy firepower but also risks from exposure to other hazards such as radiation. Combatant commanders of the U.S. Army carefully weigh risks of casualties before implementing battlefield actions using an established paradigm that takes these risks into consideration. As a result of the inclusion of depleted uranium (DU) anti-armor ammunition in the conventional (non-nuclear) weapons arsenal, the potential for exposure to DU aerosols and its associated chemical and radiological effects becomes an element of the commanders' risk assessment. The Capstone DU Aerosol Study measured the range of likely DU oxide aerosol concentrations created inside a combat vehicle perforated with a DU munition, and the Capstone Human Health Risk Assessment (HHRA) estimated the associated doses and calculated risks. This paper focuses on the development of a scientific approach to adapt the risks from DU's non-uniform dose distribution within the body using the current U.S. Department of Defense radiation risk management approach. The approach developed equates the Radiation Exposure Status categories to the estimated radiological risks of DU and makes use of the Capstone-developed Renal Effects Group as a measure of chemical risk from DU intake. Recommendations are provided for modifying Army guidance and policy in order to better encompass the potential risks from DU aerosol inhalation during military operations.

Preliminary assessment of the impact of incorporating a detailed algorithm for the effects of nuclear irradiation on combat crew performance into the Janus combat simulation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Warshawsky, A.S.; Uzelac, M.J.; Pimper, J.E.

The Crew III algorithm for assessing time and dose dependent combat crew performance subsequent to nuclear irradiation was incorporated into the Janus combat simulation system. Battle outcomes using this algorithm were compared to outcomes based on the currently used time-independent cookie-cutter'' assessment methodology. The results illustrate quantifiable differences in battle outcome between the two assessment techniques. Results suggest that tactical nuclear weapons are more effective than currently assumed if performance degradation attributed to radiation doses between 150 to 3000 rad are taken into account. 6 refs., 9 figs.

Agent-based human-robot interaction of a combat bulldozer

NASA Astrophysics Data System (ADS)

Granot, Reuven; Feldman, Maxim

2004-09-01

A small-scale supervised autonomous bulldozer in a remote site was developed to experience agent based human intervention. The model is based on Lego Mindstorms kit and represents combat equipment, whose job performance does not require high accuracy. The model enables evaluation of system response for different operator interventions, as well as for a small colony of semiautonomous dozers. The supervising human may better react than a fully autonomous system to unexpected contingent events, which are a major barrier to implement full autonomy. The automation is introduced as improved Man Machine Interface (MMI) by developing control agents as intelligent tools to negotiate between human requests and task level controllers as well as negotiate with other elements of the software environment. Current UGVs demand significant communication resources and constant human operation. Therefore they will be replaced by semi-autonomous human supervisory controlled systems (telerobotic). For human intervention at the low layers of the control hierarchy we suggest a task oriented control agent to take care of the fluent transition between the state in which the robot operates and the one imposed by the human. This transition should take care about the imperfections, which are responsible for the improper operation of the robot, by disconnecting or adapting them to the new situation. Preliminary conclusions from the small-scale experiments are presented.

Energy requirements of US Army Special Operation Forces during military training.

PubMed

Margolis, Lee M; Crombie, Aaron P; McClung, Holly L; McGraw, Susan M; Rood, Jennifer C; Montain, Scott J; Young, Andrew J

2014-05-12

Special Operations Forces (SOF) regularly engage in physically demanding combat operations and field training exercises, resulting in high daily energy expenditure, and thus increased energy requirements. However, the majority of studies assessing energy requirements of SOF have been conducted on soldiers going through intense SOF initiation training. The objective of the current investigation was to determine the energy expenditure of SOF conducting military training operations. Thirty-one soldiers taking part in Pre-Mission Training (PMT n = 15) and Combat Diver Qualification Courses (CDQC n = 16) volunteered to participate in this observational study. Energy expenditure was determined using doubly labeled water. Body weight (83 ± 7 kg) remained stable during both training periods. Overall energy expenditure adjusted for body composition was 17,606 ± 2326 kJ·day(-1). Energy expenditure was 19,110 ± 1468 kJ·day(-1) during CDQC and 16,334 ± 2180 kJ·day(-1) during PMT, with physical activity levels of 2.6 ± 0.2 and 2.2 ± 0.3 during CDQC and PMT, respectively. Compared to the Military Dietary Reference Intakes for energy (13,598 kJ·day(-1)), these data are in agreement with previous reports that energy requirement for SOF Soldiers exceed that of the average soldier.

Energy Requirements of US Army Special Operation Forces During Military Training

PubMed Central

Margolis, Lee M.; Crombie, Aaron P.; McClung, Holly L.; McGraw, Susan M.; Rood, Jennifer C.; Montain, Scott J.; Young, Andrew J.

2014-01-01

Special Operations Forces (SOF) regularly engage in physically demanding combat operations and field training exercises, resulting in high daily energy expenditure, and thus increased energy requirements. However, the majority of studies assessing energy requirements of SOF have been conducted on soldiers going through intense SOF initiation training. The objective of the current investigation was to determine the energy expenditure of SOF conducting military training operations. Thirty-one soldiers taking part in Pre-Mission Training (PMT n = 15) and Combat Diver Qualification Courses (CDQC n = 16) volunteered to participate in this observational study. Energy expenditure was determined using doubly labeled water. Body weight (83 ± 7 kg) remained stable during both training periods. Overall energy expenditure adjusted for body composition was 17,606 ± 2326 kJ·day−1. Energy expenditure was 19,110 ± 1468 kJ·day−1 during CDQC and 16,334 ± 2180 kJ·day−1 during PMT, with physical activity levels of 2.6 ± 0.2 and 2.2 ± 0.3 during CDQC and PMT, respectively. Compared to the Military Dietary Reference Intakes for energy (13,598 kJ·day−1), these data are in agreement with previous reports that energy requirement for SOF Soldiers exceed that of the average soldier. PMID:24824290

Exploration of the resilience construct in posttraumatic stress disorder severity and functional correlates in military combat veterans who have served since September 11, 2001.

PubMed

Green, Kimberly T; Calhoun, Patrick S; Dennis, Michelle F; Beckham, Jean C

2010-07-01

This study evaluated the relationship between resilience and psychological functioning in military veterans deployed to a region of military conflict in support of Operation Enduring Freedom or Operation Iraqi Freedom. 497 military veterans completed a structured psychiatric interview and questionnaires measuring psychological symptoms, resiliency, and trauma exposure. The study had 2 primary aims: (1) to examine whether the association between trauma exposure and PTSD was moderated by resilience and (2) to examine whether resilience was uniquely associated with functional outcomes after accounting for PTSD. Measures included the Structured Clinical Interview for DSM-IV-TR Axis I Disorders (for PTSD diagnosis), the Connor-Davidson Resilience Scale, and the Traumatic Life Events Questionnaire. Data were collected between June 2005 and February 2009. Evaluating the association of resilience and trauma exposure with PTSD revealed main effects for combat exposure, lifetime trauma exposure, and resilience. Additionally, there was a significant (P < .05) interaction between combat exposure and resilience such that higher levels of resilience were particularly protective among individuals with high combat exposure. After controlling for age, gender, minority status, trauma exposure, and PTSD diagnosis, resilience was uniquely associated with decreased suicidality, reduced alcohol problems, lower depressive symptom severity, and fewer current health complaints and lifetime and past-year medical problems. These results suggest that resilience is a construct that may play a unique role in the occurrence of PTSD and severity of other functional correlates among deployed veterans. Future studies in this area would benefit from a prospective design, the evaluation of other possible protective processes (e.g., social support), and specific examination of particular aspects of resilience and how resilience may be increased. (c) Copyright 2010 Physicians Postgraduate Press, Inc.

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

PubMed

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

2018-05-01

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

The effect of shower/bath frequency on the health and operational effectiveness of soldiers in a field setting

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hall, L.C.; Daniels, J.I.

1991-01-31

Dermal disease can be a significant cause of morbidity among soldiers in a combat setting. For example, among American combat troops in Vietnam, disability from skin disease was one of the single most important medical causes of man-days lost from combat. Currently, the US Army makes shower or bath facilities available to soldiers in the field on a weekly basis. US Army after-action reports and anecdotal descriptions from the field indicate that this may not be an optimal regimen for the maintenance of personal hygiene, especially with respect to diseases of the skin. Determination of the optimal frequency of showeringmore » or bathing for soldiers in an combat setting is complicated by the fact that soldiers in the US Army may be involved in field exercises or combat in many different areas of the world with a variety of climatic conditions. Although certain aspects of the role of environmental factors in the incidence and severity of dermal disease have been documented, the role of hygiene in the potential mitigation of these effects has not been evaluated. The present project entails a comprehensive review and analysis of available literature in order to determine the health impact of shower/bath frequency for soldiers in a combat setting. An integral component of this work is an evaluation of the impact of climate, and microclimate produced by clothing, on the type, frequency, and severity of skin disease. A separate but related area of interest involves evaluating whether the use of antimicrobial soaps or similar products minimize the incidence of skin infections by decreasing populations of disease-causing microorganisms on the skin. 13 refs., 2 figs., 2 tabs.« less

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

PubMed

O'Toole, Brian I; Catts, Stanley V

2017-02-01

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

Integrated Electronic Warfare Systems Aboard the United States Navy 21st Century Warship

DTIC Science & Technology

2009-12-01

automated operation using a Human-In-the-Loop that could be integrated into existing and future combat systems. A model was developed that demonstrates...complete range of automated operation using a Human-In-the-Loop that could be integrated into existing and future combat systems. A model was developed...44 1. Base Case Model

Combat-related facial burns: analysis of strategic pitfalls.

PubMed

Johnson, Benjamin W; Madson, Andrew Q; Bong-Thakur, Sarah; Tucker, David; Hale, Robert G; Chan, Rodney K

2015-01-01

Burns constitute approximately 10% of all combat-related injuries to the head and neck region. We postulated that the combat environment presents unique challenges not commonly encountered among civilian injuries. The purpose of the present study was to determine the features commonly seen among combat facial burns that will result in therapeutic challenges and might contribute to undesired outcomes. The present study was a retrospective study performed using a query of the Burn Registry at the US Army Institute of Surgical Research Burn Center for all active duty facial burn admissions from October 2001 to February 2011. The demographic data, total body surface area of the burn, facial region body surface area involvement, and dates of injury, first operation, and first facial operation were tabulated and compared. A subset analysis of severe facial burns, defined by a greater than 7% facial region body surface area, was performed with a thorough medical record review to determine the presence of associated injuries. Of all the military burn injuries, 67.1% (n = 558) involved the face. Of these, 81.3% (n = 454) were combat related. The combat facial burns had a mean total body surface area of 21.4% and a mean facial region body surface area of 3.2%. The interval from the date of the injury to the first operative encounter was 6.6 ± 0.8 days and was 19.8 ± 2.0 days to the first facial operation. A subset analysis of the severe facial burns revealed that the first facial operation and the definitive coverage operation was performed at 13.45 ± 2.6 days and 31.9 ± 4.1 days after the injury, respectively. The mortality rate for this subset of patients was 32% (n = 10), with a high rate of associated inhalational injuries (61%, n = 19), limb amputations (29%, n = 9), and facial allograft usage (48%, n = 15) and a mean facial autograft thickness of 10.5/1,000th in. Combat-related facial burns present multiple challenges, which can contribute to suboptimal long-term outcomes. These challenges include prolonged transport to the burn center, delayed initial intervention and definitive coverage, and a lack of available high-quality color-matched donor skin. These gaps all highlight the need for novel anti-inflammatory and skin replacement strategies to more adequately address these unique combat-related obstacles. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. All rights reserved.

Approval of System MANPRINT Management Plan (SMMP) for the Modernized Demolitions Initiators (MDI) Set

DTIC Science & Technology

1990-07-01

at the different skill levels are: C-1 a. MOSC 12B10. Assists combat engineers by performing combat construction, combat demolitions, and related...duties. b. MOSC 12B20. Performs as team leader and assistant squad leader in combat construction, demolition, and duties. c. MOSC 12B30. Serves as squad...instructor. d. MOSC 12B40. Serves as platoon sergeant; as operations sergeant; as construction inspector; as advisor to supported units, allied forces

Ergonomic assessment of enhanced protection under body armour combat shirt neck collars.

PubMed

Breeze, John; Granger, C J; Pearkes, T D; Clasper, J C

2014-03-01

Combat neck injury due to explosively propelled fragments is a significant cause of mortality and long-term morbidity in UK soldiers deployed on current operations. Reinforcing the collar of the existing under body armour combat shirt (UBACS) has been suggested as a potential method for reducing the incidence of combat neck injury. 20 soldiers serving in Afghanistan objectively compared three designs of enhanced protection UBACS (EP-UBACS) using 10 representative military tasks against a baseline of a standard UBACS. Each EP-UBACS design was trialled using three constituent materials: two layers of para-aramid felt, one layer of ultra high molecule weight polyethylene (UHMWPE) felt or two layers of a silk fabric. Subjective assessment of these nine configurations in terms of comfort, heat dissipation and overall acceptability were compared with the standard UBACS using a χ² test. All military tasks could be performed with all nine configurations of EP-UBACS. Although silk was the most comfortable material, it was not functionally practical in any of the three designs. Crossover collars incorporating UHMWPE or para-aramid were the only two of the nine configurations to demonstrate similar user acceptability to a standard UBACS. The EP-UBACS has the potential to provide neck protection without reducing performance incorporating materials analogous to either of the felts assessed in this study. The collar should provide stand-off from the skin to improve heat dissipation and comfort, which can be maximised by changing the current UBACS collar shape to one that crosses over at the front. Should a zip be desired, it should be moved to one side of the midline to reduce rubbing on the chin and be covered with ballistic protective material. Additional semi-circles of silk beneath the collar at the front and back would improve protection without affecting comfort.

The effect of shower/bath frequency on the health and operational effectiveness of soldiers in a field setting

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hall, L.C.; Daniels, J.I.

1990-11-01

Dermal disease is significant cause of morbidity among soldiers in a combat setting. For example, among American combat troops in Vietnam, disability from skin disease was one of the single most important medical causes of man-days lost from combat. Currently, the US Army makes shower or bath facilities available to soldiers in the field on a weekly basis. US Army after-action reports and anecdotal descriptions from the field indicate that this may not be an optimal regimen for the maintenance of personal hygiene, especially with respect to diseases of the skin. Determination of the optimal frequency of showering of bathingmore » for soldiers in a combat setting is complicated by the fact of showering or bathing for soldiers in a combat setting is complicated by the fact that soldiers in the US Army may be involved in field exercise or combat in many different areas of the world with a variety of climatic conditions. Although certain aspects of the role of environmental factors in the incidence and severity of dermal disease have been documented, the role of hygiene in the potential mitigation of these effects has not been evaluated. The present project entails a comprehensive review and analysis of available literature in order to determine the health impact of shower/bath frequency for soldiers in a combat setting. An integral component of this work is an evaluation of the impact of climate, and microclimate produced by clothing, on the type, frequency, and severity of skin disease. There is relatively large body of information concerning the effectiveness of antimicrobial soaps in minimizing the incidence and severity of dermal disease. This data will be evaluated to determine whether use of these soaps, or an increase in the use of cleansing agents in general, will result in a decrease in the severity and incidence of diseases of the skin for soldiers in the field. 32 refs., 2 figs., 1 tab.« less

Effective Use of Females to Support Nation Building Operations in Afghanistan

DTIC Science & Technology

2009-04-01

Building. Santa Monica, CA: RAND Corporation, 2008. Donini , Antonio, et al,eds. Nation-Building Unraveled? Aid, Peace and Justice in Afghanistan...Conflict, and Peacekeeping, ed. Mazurana et al. Lanham, MD: Rowman and Littlefield Publishers, 2005. Frels, M . “Women Warriors: Oxymoron or Reality...MD: Rowman and Littlefield Publishers, 2005. McSally, M . “Women in Combat: Is the Current Policy Obsolete?” Master’s Thesis, Maxwell AFB, AL: Air

MANPRINT Methods Monograph: Aiding the Development of Manned System Performance Criteria

DTIC Science & Technology

1989-06-01

the need for the new system. It may be necessary co derive these requirements from combat models. By modeling the capabilities of the current force ...FORMAT The O&O Plan describes how a system will be integrated into the force structure, deployed, operated, and supported in peacetime and wartime...for evaluation during OT I. 9. MANPOWER/ FORCE STRUCTURE ASSESSMENT. Estimate manpower require- ments per system, using unit, and total Army by

U. S.-Thailand Combatant Commander Considerations for the Asia-Pacific Rebalance

DTIC Science & Technology

2015-05-01

ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER Joint Military Operations Department Naval War ...paper submitted to the Naval War College faculty in partial satisfaction of the requirements of the Joint Military Operations Department. The contents...Standard Form 298 (Rev. 8-98) NAVAL WAR COLLEGE Newport, R.I. U.S. – Thailand: Combatant Commander Considerations for the Asia

Air Force Handbook. 109th Congress

DTIC Science & Technology

2009-01-01

FY06 Combat Survivor Evader Locator (CSEL) Acquisition Status Capabilities/Profile Functions /Performance Parameters 38 • Air Force’s primary source for...Broadcast Service (GBS) Capabilities/Profile Acquisition Status Functions /Performance Parameters • Purchase Requirements (Phase 2): • 3 primary ...Operations (AF CONOPS) that support the CSAF and joint vision of combat operations. • AF CONOPS describe key Air Force mission and/or functional areas

Enabling Rapid Integration of Combined Arms Teams into a Brigade Combat Team Organizational Structure

DTIC Science & Technology

2017-06-01

organizational structure , fixed vs. mobile forward operating base (FOB) synchronization, prior preparation, and unit capabilities. 5. Ideas to Improve...Technical Report 1356 Enabling Rapid Integration of Combined Arms Teams into a Brigade Combat Team Organizational Structure ...2012 - May 2014 4. TITLE AND SUBTITLE Enabling Rapid Integration of Combined Arms Teams into a Brigade Combat Team Organizational Structure

Negative Pressure Wound Therapy in the Management of Combat Wounds: A Critical Review

PubMed Central

Maurya, Sanjay; Bhandari, Prem Singh

2016-01-01

Significance: Wounds sustained in a combat trauma often result in a composite tissue loss. Combat injuries, due to high energy transfer to tissues, lead to trauma at multiple anatomical sites. An early wound cover is associated with lower rate of infections and a faster wound healing. The concept of negative pressure wound therapy (NPWT) in the management of combat-related wounds has evolved from the civilian trauma and the wounds from nontraumatic etiologies. Recent Advances: Encouraged by the results of NPWT in noncombat-related wounds, the military surgeons during Operation Iraqi Freedom and Operation Enduring Freedom used this novel method in a large percentage of combat wounds, with gratifying results. The mechanism of NPWT in wound healing is multifactorial and often complex reconstructive procedure can be avoided in a combat trauma setting. Critical Issues: Wounds sustained in military trauma are heavily contaminated with dirt, patient clothing, and frequently associated with extensive soft tissue loss and osseous destruction. Delay in evacuation during an ongoing conflict carries the risk of systemic infection. Early debridement is indicated followed by delayed closure of wounds. NPWT helps to provide temporary wound cover during the interim period of debridement and wound closure. Future Directions: Future area of research in combat wounds is related to abdominal trauma with loss of abdominal wall. The concept of negative pressure incisional management system in patients with a high risk of wound breakdown following surgery is under review, and may be of relevance in combat wounds. PMID:27679749

Negative Pressure Wound Therapy in the Management of Combat Wounds: A Critical Review.

PubMed

Maurya, Sanjay; Bhandari, Prem Singh

2016-09-01

Significance: Wounds sustained in a combat trauma often result in a composite tissue loss. Combat injuries, due to high energy transfer to tissues, lead to trauma at multiple anatomical sites. An early wound cover is associated with lower rate of infections and a faster wound healing. The concept of negative pressure wound therapy (NPWT) in the management of combat-related wounds has evolved from the civilian trauma and the wounds from nontraumatic etiologies. Recent Advances: Encouraged by the results of NPWT in noncombat-related wounds, the military surgeons during Operation Iraqi Freedom and Operation Enduring Freedom used this novel method in a large percentage of combat wounds, with gratifying results. The mechanism of NPWT in wound healing is multifactorial and often complex reconstructive procedure can be avoided in a combat trauma setting. Critical Issues: Wounds sustained in military trauma are heavily contaminated with dirt, patient clothing, and frequently associated with extensive soft tissue loss and osseous destruction. Delay in evacuation during an ongoing conflict carries the risk of systemic infection. Early debridement is indicated followed by delayed closure of wounds. NPWT helps to provide temporary wound cover during the interim period of debridement and wound closure. Future Directions: Future area of research in combat wounds is related to abdominal trauma with loss of abdominal wall. The concept of negative pressure incisional management system in patients with a high risk of wound breakdown following surgery is under review, and may be of relevance in combat wounds.

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

NASA Astrophysics Data System (ADS)

Hiatt, Keith L.; Rash, Clarence E.

2011-06-01

Background: Army Aviators rely on the ANVIS for night operations. Human factors literature notes that the ANVIS man-machine interface results in reports of visual and spinal complaints. This is the first study that has looked at these issues in the much harsher combat environment. Last year, the authors reported on the statistically significant (p<0.01) increased complaints of visual discomfort, degraded visual cues, and incidence of static and dynamic visual illusions in the combat environment [Proc. SPIE, Vol. 7688, 76880G (2010)]. In this paper we present the findings regarding increased spinal complaints and other man-machine interface issues found in the combat environment. Methods: A survey was administered to Aircrew deployed in support of Operation Enduring Freedom (OEF). Results: 82 Aircrew (representing an aggregate of >89,000 flight hours of which >22,000 were with ANVIS) participated. Analysis demonstrated high complaints of almost all levels of back and neck pain. Additionally, the use of body armor and other Aviation Life Support Equipment (ALSE) caused significant ergonomic complaints when used with ANVIS. Conclusions: ANVIS use in a combat environment resulted in higher and different types of reports of spinal symptoms and other man-machine interface issues over what was previously reported. Data from this study may be more operationally relevant than that of the peacetime literature as it is derived from actual combat and not from training flights, and it may have important implications about making combat predictions based on performance in training scenarios. Notably, Aircrew remarked that they could not execute the mission without ANVIS and ALSE and accepted the degraded ergonomic environment.

Dual loyalties: Everyday ethical problems of registered nurses and physicians in combat zones.

PubMed

Lundberg, Kristina; Kjellström, Sofia; Sandman, Lars

2017-01-01

When healthcare personnel take part in military operations in combat zones, they experience ethical problems related to dual loyalties, that is, when they find themselves torn between expectations of doing caring and military tasks, respectively. This article aims to describe how Swedish healthcare personnel reason concerning everyday ethical problems related to dual loyalties between care and military tasks when undertaking healthcare in combat zones. Abductive qualitative design. Participants and research context: Individual interviews with 15 registered nurses and physicians assigned for a military operation in Mali. Ethical considerations: The participants signed up voluntarily, and requirements for informed consent and confidentiality were met. The research was approved by the Regional Ethics Review Board in Gothenburg (D no. 816-14; 24 November 2014). Three main categories emerged: reasons for not undertaking combat duties, reasons for undertaking combat duties and restricted loyalty to military duties, and 14 subcategories. Reasons for not undertaking combat duties were that it was not in their role, not according to ethical codes or humanitarian law or a breach towards patients. Reasons for undertaking combat duties were that humanitarian law does not apply or has to be treated pragmatically or that it is a case of force protection. Shortage of resources and competence were reasons for both doing and not doing military tasks. Under some circumstances, they could imagine undertaking military tasks: when under threat, if unseen or if not needed for healthcare duties. These discrepant views suggest a lack of a common view on what is ethically acceptable or not, and therefore we suggest further normative discussion on how these everyday ethical problems should be interpreted in the light of humanitarian law and ethical codes of healthcare personnel and following this, further training in ethical reflection before going on military operations.

Second floor plan. (Also includes a roof plan and finish ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Second floor plan. (Also includes a roof plan and finish schedule.) March Air Force Base, Riverside, California, Combat Operations Center, Combat Operations Building. By Moffatt and Nichol, Engineers, 122 West Fifth Street, Long Beach, California; for the Corps of Engineers, U.S. Army, Office of the District Engineer, Los Angeles, California. Drawing no. AW-60-02-03, sheet no. 13, approved March, 1962; specifications no. OCI-62-66; D.O. series AW 1596/13, Rev. "C"; file drawer 1290. Last revised 7 February 1984. Roof plan scale one-sixteenth inch to one foot; second floor plan scale one-eighth inch to one foot. 28.75x41 inches. pencil on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

Comparison of combat and non-combat burns from ongoing U.S. military operations.

PubMed

Kauvar, David S; Cancio, Leopoldo C; Wolf, Steven E; Wade, Charles E; Holcomb, John B

2006-05-15

Military burns result from either combat or non-combat causes. We compared these etiologies from patients involved in ongoing conflicts to evaluate their impact and provide prevention recommendations. All military patients with significant burns treated at the United States Army Institute of Surgical Research from April 2003 to May 2005 were reviewed. Injuries were categorized as having resulted from combat or non-combat causes. Demographics, burn severity and pattern, mortality, and early outcomes were compared. There were 273 burn patients seen with 63% injured in combat. A high early rate of non-combat injuries was noted. Feedback on non-combat burn prevention was provided to the combat theater, and the incidence of non-combat burns decreased. Mean age and time from injury to admission did not differ. The majority of combat injuries resulted from explosive device detonation. Waste burning, ammunition handling, and gasoline caused most non-combat injuries. Combat casualties had more associated and inhalation injuries and greater full-thickness burn size; total body surface area burned was equivalent. The hands and the face were the most frequently burned body areas. Mortality was 5% in combat and 2% in non-combat patients. The majority of survivors in both groups returned to military duty. The disparity in full-thickness burn size and incidence of inhalation and associated injuries resulted from differing mechanisms of injury, with explosions and penetrating trauma more common in combat wounds. Despite the severity of combat burns, mortality was low and outcomes generally good. Non-combat burns are preventable and have decreased in incidence.

Post-traumatic Stress Disorder Among Navy Health Care Personnel Following Combat Deployment.

PubMed

MacGregor, Andrew J; Dougherty, Amber L; Mayo, Jonathan A; Han, Peggy P; Galarneau, Michael R

2015-08-01

U.S. Navy health care personnel are exposed to an array of psychological stressors during combat deployment. This study compared rates of post-traumatic stress disorder (PTSD) among Navy health care personnel with nonhealth care personnel following single and repeated combat deployments. The study sample was identified from electronic records indicating deployment to Iraq, Kuwait, or Afghanistan, and included 3,416 heath care and 4,648 nonhealth care personnel. Health care personnel had higher PTSD rates and an increasing trend in PTSD rates across repeated deployments. After adjusting for combat exposure and other covariates, health care compared with nonhealth care personnel were more likely to be diagnosed with PTSD after one (odds ratio [OR] 2.02; 95% confidence interval [CI] 1.45-2.80), two (OR 2.27; 95% CI 1.26-4.08), and three deployments (OR 4.37; 95% CI 1.25-15.28). Exposure to wounded/dead friendly forces was associated with higher PTSD rates in health care personnel (OR 1.53; 95% CI 1.13-2.07). Health care personnel occupy a unique and essential role in current wartime operations, and are a high-risk group for PTSD. These findings suggest that further research is needed on the effects of caregiver stress, and refinements to postdeployment screening for health care personnel should be pursued. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

Women in Combat- A Policy Paradox for Commanders

DTIC Science & Technology

2010-03-01

Women’s Studies Home Page at, http:// feminism ,eserver.org/ workplace /professions/ women -in-the-military.txt. (accessed March 16, 2010) 61 Women in...serving in combat, the Secretary of Defense’s combat exclusion policy restricts the use of women in the military. Commanders are at risk of violating...current combat exclusion policy restricts the effective use of women in the military. Specifically Title 10, U.S.C. 85491 was repealed in 1991 that

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission.

PubMed

Ziemba, Radosław

2012-03-01

The Afghan military theatre is specifically marked by guerilla operations and massive use of IEDs (improvised explosive devices) that pose new types of threats for their victims. At the same time, the relevant literature contains only a single, fragmentary analysis on injuries suffered by soldiers serving in the Afghan mission. This is a review of medical reports of the Polish Military Contingent deployed within Operation Enduring Freedom, from 1 January 2010 to 31 December 2011; the analysis includes all cases of combat and non-combat injuries in terms of their causes. In the period under analysis, 380 Polish soldiers were reported injured; 87.1% of cases were combat and 12.9% non-combat injuries. The structure of injuries caused as a result of IED explosions was dominated by multiple limb injuries, associated most frequently with severe body cavities/spine injuries. In the case of other incidents, both combat and non-combat, the predominant consequences were single and, most commonly, less severe injuries. The average number of injuries suffered from IED attacks (3.37) was significantly higher than the number of injuries from other attacks (1.16), and higher than the number of non-combat injuries (1.43). IED attacks pose a serious medical problem, considering their high number and the severity of injuries they cause.

Enhanced Night Vision Goggle Customer Test

DTIC Science & Technology

2006-08-01

TASK NUMBER 6. AUTHOR(S) Christian B. Carstens, Charles C. Bonnett, and Elizabeth S. Redden ( all of ARL) 5f. WORK UNIT NUMBER 7...Soldier’s ability to engage and execute close combat, combat support, and combat service support operations in all levels of illumination, adverse...participation: copies of the consent form were provided to all participating subjects. They were given an opportunity to review the experiment

Task Force Butler: A Case Study in the Employment of an Ad Hoc Unit in Combat Operations, During Operation Dragoon, 1-30 August 1944

DTIC Science & Technology

2007-12-14

13 It was not until 2 July 1944, that General Sir Henry Maitland Wilson, the Supreme Allied Commander, Mediterranean Theater, was ordered to launch...John. I Remember, Stories of a Combat Infantrymen in World War II. Livermore: Camino Press, 1993. Summer, Ian . The French Army 1939-45 (1). Men-at

Deployed Analyst History Report, Volume 2. Analytic Support to Combat Operations in the Philippines (2011-2014)

DTIC Science & Technology

2015-12-01

Army Training and Doctrine Command (TRADOC) Analysis Center (TRAC) to the Philippines for Operation ENDURING FREEDOM – Philippines (OEF-P). PROJECT...management, doctrine and force development, training management, system testing, system acquisition, decision analysis, and resource management, as...influenced procurement decisions and reshaped Army doctrine . Additionally, CAA itself has benefited in numerous ways. Combat experience provides analysts

Postconcussive symptoms (PCS) following combat-related traumatic brain injury (TBI) in Veterans with posttraumatic stress disorder (PTSD): Influence of TBI, PTSD, and depression on symptoms measured by the Neurobehavioral Symptom Inventory (NSI).

PubMed

Porter, Katherine E; Stein, Murray B; Martis, Brian; Avallone, Kimberly M; McSweeney, Lauren B; Smith, Erin R; Simon, Naomi M; Gargan, Sean; Liberzon, Israel; Hoge, Charles W; Rauch, Sheila A M

2018-07-01

Mild traumatic brain injury (mTBI) is commonly reported in recent combat Veterans. While the majority resolve, some Veterans develop postconcussive symptoms (PCS). Previous research suggests these symptoms are not specific to head injury and are often associated with psychiatric symptoms. The current study examines the relative contributions of posttraumatic stress, depressive symptoms, and TBI on postconcussive symptoms, and explores whether the relationship remains after controlling for symptom overlap. Two hundred eighteen combat Veterans from Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND) provided the data for this study as part of a baseline evaluation for inclusion into larger treatment study for posttraumatic stress disorder (PTSD). Participants completed the Brief Traumatic Brain Injury Screen (BTBIS), Neurobehavioral Symptom Inventory (NSI), PTSD Checklist-Stressor Version (PCL-S), Beck Depression Inventory-II (BDI-II). Significant differences in NSI total score between individuals with and without history of TBI were not found. A series of regression analyses demonstrated that Depression and PTSD were significant predictors of NSI score even after removal of NSI symptoms that overlap with PTSD or depression. TBI status was also a significant predictor of PCS in most models, but its relative contribution was much smaller than that of depression and PTSD. Within PTSD symptoms, hyperarousal cluster was a significant predictor of NSI scores. Findings demonstrate that depression and PTSD are related to PCS beyond similarities in construct. Further, within a primarily PTSD treatment-seeking population, these psychiatric symptoms appear to be a stronger contributor than TBI. Copyright © 2018. Published by Elsevier Ltd.

Improving Forest Wildfire Suppression Using Penetrating Reconnaissance And Real Time Data Transfer

NASA Astrophysics Data System (ADS)

Greer, Jerry D.

1990-02-01

The suppression of a wildfire is analogous to a combat action. Fires, like battles, spread fast and suppression forces must be highly mobile. The enemy, (in this case) the wildfire, is lethal in that it kills or destroys forces, equipment, and natural resources left in its path. The suppression action must be carried on day and night until the "enemy" is contained. Both air operations and ground forces are used. Just as in a combat situation, wildfire suppression forces need penetrating reconnaissance with real time data transfer. This paper presents a review of the current system of intelligence gathering on a wildfire where aerial observers, infrared detectors, and ground intelligence officers gather data and either radio or carry the data to the command center. It then attempts to show how some current military reconnaissance systems might be applied to wildfire control processes. The payoffs would include improved safety for both air and ground forces and faster containment of the wildfire which would reduce forest resources lost and decrease the total monetary cost of the containment action.

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

DOE Office of Scientific and Technical Information (OSTI.GOV)

Daxon, Eric G.; Parkhurst, MaryAnn; Melanson, Mark A.

2009-03-01

Risks to personnel engaged in military operations include not only the threat of enemy firepower but also risks from exposure to other hazards such as radiation. Combatant commanders of the U. S. Army carefully weigh risks of casualties before implementing battlefield actions using an established paradigm that take these risks into consideration. As a result of the inclusion of depleted uranium (DU) anti-armor ammunition in the conventional (non-nuclear) weapons arsenal, the potential for exposure to DU aerosols and its associated chemical and radiological effects becomes an element of the commanders’ risk assessment. The Capstone DU Aerosol Study measured the rangemore » of likely DU oxide aerosol concentrations created inside a combat vehicle perforated with a DU munition, and the Capstone Human Health Risk Assessment (HHRA) estimated the associated doses and calculated risks. This paper focuses on the development of a scientific approach to adapt the risks from DU’s non uniform dose distribution within the body using the current U.S. Department of Defense (DoD) radiation risk management approach. The approach developed equates the Radiation Exposure Status (RES) categories to the estimated radiological risks of DU and makes use of the Capstone-developed Renal Effects Group (REG) as a measure of chemical risk from DU intake. Recommendations are provided for modifying Army guidance and policy in order to better encompass the potential risks from DU aerosol inhalation during military operations.« less

Deployment stressors and physical health among OEF/OIF veterans: the role of PTSD.

PubMed

Nillni, Yael I; Gradus, Jaimie L; Gutner, Cassidy A; Luciano, Matthew T; Shipherd, Jillian C; Street, Amy E

2014-11-01

There is a large body of literature documenting the relationship between traumatic stress and deleterious physical health outcomes. Although posttraumatic stress disorder (PTSD) symptoms have been proposed to explain this relationship, previous research has produced inconsistent results when moderating variables such as gender or type of traumatic stressor are considered. Within a large sample of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans, the current study examined if deployment stressors (i.e., combat stress, harassment stress) contributed unique variance to the prediction of physical health symptoms (i.e., pain, nonpain) beyond the effects of PTSD symptoms. A total of 2,332 OEF/OIF Veterans, with equal representation of women and men, completed a series of self-report measures assessing deployment stressors, PTSD symptoms, and physical health symptoms. RESULTS revealed that harassment, but not combat stress, added unique variance in the prediction of pain and nonpain symptoms after accounting for PTSD symptoms. This study extends the existing literature by demonstrating the unique influence of harassment stress on physical health outcomes. Specifically, the relationship between combat stress and physical health symptoms appears to be explained mainly by an individual's experience of PTSD symptoms, whereas the relationship between harassment stress and physical health symptoms is not fully explained by PTSD symptoms, suggesting that other variables may be involved in the pathway from harassment stress to physical health symptoms. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Workshop on Critical ORI Issues Held in Bordeaux, France on OCtober 27 - 29, 1992. Program and Abstracts.

DTIC Science & Technology

1992-10-29

These people try to make their robotic vehicle as intelligent and autonomous as possible with the current state of technology. The robot only interacts... Robotics Peter J. Burt David Sarnoff Research Center Princeton, NJ 08543-5300 U.S.A. The ability of an operator to drive a remotely piloted vehicle depends...RESUPPLY - System which can rapidly and autonomously load and unload palletized ammunition. (18) AUTONOMOUS COMBAT EVACUATION VEHICLE - Robotic arms

The Future of the Brigade Combat Team: Air-Ground Integration and the Operating Environment

DTIC Science & Technology

2017-06-09

Attack Controllers (JTACs) at each level.15 There is no requirement for JTAC support at the company level or to non - maneuver battalions. However...experienced non -commissioned officer or officer. Theater Air Control System (TACS): It includes all of the command and control related capabilities...information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM

The comparative behaviour of two combat boots under impact.

PubMed

Newell, Nicolas; Masouros, Spyros D; Pullen, Andy D; Bull, Anthony M J

2012-04-01

Improvised explosive devices have become the characteristic weapon of conflicts in Iraq and Afghanistan. While little can be done to mitigate against the effects of blast in free-field explosions, scaled blast simulations have shown that the combat boot can attenuate the effects on the vehicle occupants of anti-vehicular mine blasts. Although the combat boot offers some protection to the lower limb, its behaviour at the energies seen in anti-vehicular mine blast has not been documented previously. The sole of eight same-size combat boots from two brands currently used by UK troops deployed to Iraq and Afghanistan were impacted at energies of up to 518 J, using a spring-assisted drop rig. The results showed that the Meindl Desert Fox combat boot consistently experienced a lower peak force at lower impact energies and a longer time-to-peak force at higher impact energies when compared with the Lowa Desert Fox combat boot. This reduction in the peak force and extended rise time, resulting in a lower energy transfer rate, is a potentially positive mitigating effect in terms of the trauma experienced by the lower limb. Currently, combat boots are tested under impact at the energies seen during heel strike in running. Through the identification of significantly different behaviours at high loading, this study has shown that there is rationale in adding the performance of combat boots under impact at energies above those set out in international standards to the list of criteria for the selection of a combat boot.

Can We Facilitate Posttraumatic Growth in Combat Veterans?

ERIC Educational Resources Information Center

Tedeschi, Richard G.; McNally, Richard J.

2011-01-01

The Comprehensive Soldier Fitness program, currently under development for the U.S. Army, will include a component designed to increase the possibilities for posttraumatic growth in the aftermath of combat. In this article, we briefly review studies that provide evidence for this phenomenon in combat veterans, and we suggest elements that such a…

FELIN: tailored optronics and systems solutions for dismounted combat

NASA Astrophysics Data System (ADS)

Milcent, A. M.

2009-05-01

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

The combat experience of military surgical assets in Iraq and Afghanistan: a historical review.

PubMed

Schoenfeld, Andrew J

2012-09-01

The Forward Surgical Team and Combat Support Hospital have been used extensively only during the past decade in Iraq and Afghanistan. The scope of their operational experience and historical development remain to be described. The literature was searched to obtain publications regarding the historical development of Forward Surgical Teams and Combat Support Hospitals, as well as their surgical experiences in Iraq and Afghanistan. Relevant publications were reviewed in full and their results summarized. The doctrine behind the use of modern military surgical assets was not well developed at the start of the Iraq and Afghanistan conflicts. The Forward Surgical Team and Combat Support Hospital were used in practice only over the past decade. Because of the nature of these conflicts, both types of modern military surgical assets have not been used as intended and such units have operated in various roles, including combat support elements and civilian medical treatment facilities. As more research comes to light, a better appreciation for the future of American military medicine and surgery will develop. Published by Elsevier Inc.

Battlefield casualties treated at Camp Rhino, Afghanistan: lessons learned.

PubMed

Bilski, Tracy R; Baker, Bruce C; Grove, Jay R; Hinks, Robert P; Harrison, Michael J; Sabra, John P; Temerlin, Steven M; Rhee, Peter

2003-05-01

Operation Enduring Freedom is an effort to combat terrorism after an attack on the United States. The first large-scale troop movement (> 1,300) was made by the U.S. Marines into the country of Afghanistan by establishing Camp Rhino. Data were entered into a personal computer at Camp Rhino, using combat casualty collecting software. Surgical support at Camp Rhino consisted of two surgical teams (12 personnel each), who set up two operating tables in one tent. During the 6-week period, a total of 46 casualties were treated, and all were a result of blast or blunt injury. One casualty required immediate surgery, two required thoracostomy tube, and the remainder received fracture stabilization or wound care before being transported out of Afghanistan. The casualties received 6 major surgical procedures and 11 minor procedures, which included fracture fixations. There was one killed in action and one expectant patient. The major problem faced was long delay in access to initial surgical care, which was more than 5 hours and 2 hours for two of the casualties. Smaller, more mobile surgical teams will be needed more frequently in future military operations because of inability to set up current larger surgical facilities, and major problems will include long transport times. Future improvements to the system should emphasize casualty evacuation, en-route care, and joint operations planning between services.

Complexity of the Relationships of Pain, Posttraumatic Stress, and Depression in Combat-Injured Populations: An Integrative Review to Inform Evidence-Based Practice.

PubMed

Giordano, Nicholas A; Bader, Christine; Richmond, Therese S; Polomano, Rosemary C

2018-04-01

Understanding the complex interrelationships between combat injuries, physical health, and mental health symptoms is critical to addressing the healthcare needs of wounded military personnel and veterans. The relationship between injury characteristics, pain, posttraumatic stress disorder (PTSD), and depression among combat-injured military personnel is unique to modern conflicts and understudied in the nursing literature. This integrative review synthesizes clinical presentations and relationships of combat injury, PTSD, depression, and pain in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) United States military service members and veterans. A literature search was conducted using relative key terms across databases to identify peer-reviewed publications between 2001 and 2016 that examined health outcomes of combat-injured persons in OEF and OIF. The quality of evidence was evaluated and results synthesized to examine the association of combat injury as a risk factor for PTSD, the relationship of PTSD and depression pre- and postinjury, and pain management throughout care. Twenty-two articles were included in this review. Greater injury and pain severity poses risks for developing PTSD following combat injury, while early symptom management lessens risks for PTSD. Depression appears to be both a contributing risk factor to postinjury PTSD, as well as a comorbidity. Findings demonstrate a compelling need for improvements in standardized assessment of pain and mental health symptoms across transitions in care. This integrative review informs nurse researchers and providers of the clinical characteristics of pain, PTSD, and depression following combat injury and offers implications for future research promoting optimal surveillance of symptoms. © 2018 Sigma Theta Tau International.

Littoral Combat Ship: Is it a Blue-Green Asset?

DTIC Science & Technology

2010-04-02

to Mission Package Inventories , Homeports, and Installation Sites, by Brien Alkire, John ·Birkler, Lisa Dolan, James Dryden, Bryce Mason, Gordon T...Littoral Combat Ship Concept of Operations, V3.1 (February 2003), http:/ /www.global security .org/m ilitary /Library /report/2003/LCSCONO PS. htm# Operatio ...www.proquest.com/. US Navy. Littoral Combat Ships: Relating Performance to Mission Package Inventories , Homeports, and Installation Sites, by Brien Alkire

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

DTIC Science & Technology

2017-05-25

Systems , 30MM 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON Walter C. Gray II...Facilities- Policy FCS Future Combat System FM Field Manual FMTV Family of Medium Tactical Vehicles GCV Ground Combat Vehicle GWOT...Vehicle MGS Mobile Gun System MPF Mobile Protected Firepower NATO North Atlantic Treaty Organization ONS Operational Needs Statement RPG

Modeling Conventional Land Combat in a Multi-Agent System Using Generalization of the Different Combat Entities and Combat Operations

DTIC Science & Technology

2001-09-01

Blue and Red Death Rates for Red Lethality = 1 ..........................66 xi Figure 23 Blue and Red Death Rates for Red Lethality = 2...67 Figure 24 Blue and Red Death Rates for Red Lethality = 3 ..........................67 Figure 25 Blue and Red Casualties...vs. Red Lethality....................................68 Figure 26 Blue and Red Death Rates for Blue Training = 100%...................69 Figure

A Concept for Directing Combat Air Operations

DTIC Science & Technology

2014-08-01

the OV-10 Bronco , en- tered combat. From that time the OV-10 has repeatedly justified its worth as a specially designed combat aircraft. The airborne...Historical Highlight to reequip. Until the Bronco arrived, the aircraft which filled the requirement had been hand-me-down or off-the-shelf commercial...Journal | 168 Historical Highlight provement in the mobility and quality of the TACS ground ele - ments. This program is evolutionary and requires

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

PubMed

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

2013-06-01

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

Combating terrorism : issues to be resolved to improve counterterrorism operations

DOT National Transportation Integrated Search

1999-01-01

Terrorist attacks against U.S. personnel and interests domestically and abroad highlight the need for effective U.S. efforts to combat terrorism. As requested, the General Accounting Office (GAO) prepared this unclassified summary of their February 1...

The Marine Engineers in Today’s MAGTF: Historical Perspective, Consequences and Alternatives

DTIC Science & Technology

2013-04-15

Inhibited Flexibility for Resource Leveling ...........................................................................17 Mission and Capability...21 Inhibited Flexibility for Resource Leveling ...ground combat element ( GCE ); an engineer support battalion (ESB) supports the logistics combat element (LCE); and engineer operations divisions

Navy Irregular Warfare and Counterterrorism Operations: Background and Issues for Congress

DTIC Science & Technology

2016-05-27

ordnance disposal (counter- IED), combat construction engineering , cargo handling, combat logistics, maritime security, detainee operations, customs...Rutherford, “Navy’s Maritime Domain Awareness System ‘Up And Running’,” Defense Daily, September 4, 2008; and Dan Taylor , “New Network Allows Navy To...with twin diesel engines and water jets. It has a range of 600 nautical miles. 34 Other Organizational Initiatives Other Navy initiatives in recent

The Realities of War: Assessing the Operational Risk of Revoking the Combat Exclusion Policy

DTIC Science & Technology

2013-05-23

Grenade RSOI Reception , Staging, and Onward Integration SEAD Suppression of Enemy Air Defenses SOF Special Operations Forces vii TAA Tactical Assembly...Diego Garcia[,] brought rations, cots, tents, blankets, and medical supplies, as well as refrigerated trailers , reverse-osmosis water- purification...78 In all, Desert Dragon II enabled the reception , staging, and onward integration (RSOI) of such a significant amount of combat power that the

Evolution of the U.S. Army aviation during Operation Enduring Freedom in Afghanistan

DTIC Science & Technology

2015-06-12

my chair, thank you for your continued support and dedicated persistent efforts to guide me through from the beginning till the end of this...ADAM Air Defense and Airspace Management AGI Air Ground Integration AI Air Interdiction AO Area of Operation AVCATT Aviation Combined Arms...Tactical Trainer AW Army Warrior BAE Brigade Aviation Element BAO Brigade Aviation Officer BCT Brigade Combat Team CAB Combat Aviation Brigade

Law enforcement and the long gun: do we need a new face in the fight?

PubMed

Cannon, Mark

2013-11-01

The threat of rifles in the hands of criminals is now well recognized within law enforcement. Current emergency response systems are not equipped to operate in this combat-like environment. Growing statistics indicate that of the peace officers that were killed in the line of duty in the United States nearly half died by gunfire evidence. As Emergency Medical Services ("EMS") training and standards evolve, the lessons learned from the Tactical Combat Casualty Care doctrine should be incorporated to improve the safety and outcomes of injured law enforcement officers. Statistics show that deaths by gunfire have the highest average percentage of all officer deaths. Although new weapons, armor, and tactics are continually evolving to meet the challenge of officer safety, in the past decade, little has changed in how our EMS system responds to a critically wounded officer. Combat data from the US military leads us to believe that to save a wounded officer, emergency care must start immediately, regardless of the ongoing gun battle. It is time for the emergency medical system to evolve to meet the critical needs of today's law enforcement environment. Copyright © 2013 Elsevier Inc. All rights reserved.

Triage in military settings.

PubMed

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. Copyright © 2016 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

Peritraumatic dissociation and physiological response to trauma-relevant stimuli in Vietnam combat veterans with posttraumatic stress disorder.

PubMed

Kaufman, Milissa L; Kimble, Matthew O; Kaloupek, Danny G; McTeague, Lisa M; Bachrach, Peter; Forti, Allison M; Keane, Terence M

2002-03-01

A recent study found that female rape victims with acute posttraumatic stress disorder (PTSD) who received a high score on the Peritraumatic Dissociative Experiences Questionnaire exhibited suppression of physiological responses during exposure to trauma-related stimuli. The goal of our present study was to test whether the same relationship holds true for male Vietnam combat veterans with chronic PTSD, using secondary analyses applied to data derived from a Veteran's Affairs Cooperative Study. Vietnam combat veterans (N = 1238) completed measures to establish combat-related PTSD diagnostic status, extent of PTSD-related symptomatic distress, and presence of dissociative symptoms during their most stressful combat-related experiences. Extreme subgroups of veterans with current PTSD were classified as either low dissociators (N = 118) or high dissociators (N = 256) based on an abbreviated version of the Peritraumatic Dissociative Experiences Questionnaire. Dependent variables reflected subjective distress along with heart rate, skin conductance, electromyographic, and blood pressure data when responding to neutral and trauma-related audiovisual and imagery presentations. Veterans in the current PTSD group had significantly higher dissociation scores than did veterans in the lifetime and never PTSD groups. Among veterans with current PTSD, high dissociators reported greater PTSD-related symptomatic distress than did low dissociators, but the groups did not differ with respect to physiological reactivity to the trauma-related laboratory presentations. Our results replicate the previously reported relationship between peritraumatic dissociation and PTSD status in Vietnam combat veterans. However, we found no association between peritraumatic dissociation and the extent of physiological responding to trauma-relevant cues in male veterans with chronic combat-related PTSD.

The Role 1 capability review: mitigation and innovation for Op HERRICK 18 and into contingency.

PubMed

Wheatley, Robert J

2014-09-01

The Role 1 orientated JRAMC of September 2012 was a welcome addition to the body of Role 1 literature. In particular, the Role 1 capability review by Hodgetts and Findlay detailed both current issues and future aspirations for Role 1 provision. This personal view considers issues still prevalent during Op HERRICK 18 namely the provision of primary healthcare by combat medical technicians on operations and the organisational issues that contribute to historical structural and attitudinal obstructions to the employment of combat medical technicians in firm base primary healthcare. It also considers a dynamically updating dashboard capable of displaying risk across the Role 1 network with the implied move to a model of continuous healthcare assurance. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Military Occupations Most Affected by Head/Sensory Injuries and the Potential Job Impact of Those Injuries.

PubMed

Lawson, Ben D; Kass, Steven J; Dhillon, Kieran K; Milam, Lana S; Cho, Timothy H; Rupert, Angus H

2016-08-01

Identifying Department of Defense (DoD) occupations affected by injuries to the head and sensory systems. We explored the Defense Medical Epidemiology Database to identify occupations with the highest incidence of injured personnel, then ranked how frequently they occurred in a top 10 list for each of four injury categories (head/brain, visual, auditory, vestibular) encompassing 25 injury codes. Across all four categories, the most affected occupations were identified, among which we chose three Army combat-related military occupational specialties (MOSs) for detailed study. We identified skills needed to perform these MOSs and explored whether MOS-critical deficits could be expected following the injuries. Some DoD occupations are more likely to suffer from these injuries, including Infantry, Combat Operations Control, Artillery/Gunnery, Motor Vehicle Operator, Combat Engineering, and Armor/Amphibious. Within these DoD occupations, we explored three Army combatant MOSs: Infantry (11B), Cavalry Scout (19D), and Artillery (13B), confirming that these jobs are likely to be disrupted by injuries within the four categories. Head and sensory injuries disproportionately affect certain military occupations. Relatively few injuries disrupt combat-related abilities that are job critical (e.g., firearms operation) and job specific (e.g., Artillery gunnery problems); these should be the focus of efforts to improve rehabilitation and RTD outcomes. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

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

PubMed

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

2015-08-01

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

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

PubMed Central

Ziemba, Radosław

2012-01-01

Summary Background The Afghan military theatre is specifically marked by guerilla operations and massive use of IEDs (improvised explosive devices) that pose new types of threats for their victims. At the same time, the relevant literature contains only a single, fragmentary analysis on injuries suffered by soldiers serving in the Afghan mission. Material/Methods This is a review of medical reports of the Polish Military Contingent deployed within Operation Enduring Freedom, from 1 January 2010 to 31 December 2011; the analysis includes all cases of combat and non-combat injuries in terms of their causes. Results In the period under analysis, 380 Polish soldiers were reported injured; 87.1% of cases were combat and 12.9% non-combat injuries. The structure of injuries caused as a result of IED explosions was dominated by multiple limb injuries, associated most frequently with severe body cavities/spine injuries. In the case of other incidents, both combat and non-combat, the predominant consequences were single and, most commonly, less severe injuries. The average number of injuries suffered from IED attacks (3.37) was significantly higher than the number of injuries from other attacks (1.16), and higher than the number of non-combat injuries (1.43). Conclusions IED attacks pose a serious medical problem, considering their high number and the severity of injuries they cause. PMID:22367143

Optimizing the US Navy’s Combat Logistics Force

DTIC Science & Technology

2008-01-01

Optimizing the US Navy’s Combat Logistics Force Gerald G. Brown, W. Matthew Carlyle Operations Research Department, Naval Postgraduate School...Wiley InterScience (www.interscience.wiley.com). Abstract: We study how changes to the composition and employment of the US Navy combat logistic force...evaluate new CLF ship designs, advise what number of ships in a new ship class would be needed, test concepts for forward at-sea logistics bases in lieu

Defense Environmental Restoration Program Annual Report to Congress for Fiscal Year 1989

DTIC Science & Technology

1990-02-01

Sioux Falls 8 Air Force Ellsworth AFB 17 4 11 1 2 Joe Foss 6 2 2 South Dakota Totals 39 0 4 11 3 0 0) 4 Army AEDC Tullahoma 1 AFRC Johnson City 6...industrial applications. an Sl ** *. aion The Army has made several important advances in combat- Mobile Dioxin ing ground water and soil con...when operational. will treat ground water from all area drinking u ecovery water production wells and will meet all current health-baseda AFB

SMART Fires: A COTS Approach to Tactical Fire Support Using a Smartphone

DTIC Science & Technology

2011-09-01

Battalion Landing Team C2 Command and Control C2PC Command and Control Personal Computer CAC Common Access Card COC Combat Operation Center COIN...functionality to way-points. It is currently available on the iTunes App Store for $5.99 (Tactical NAV, 2010). 11 MILS are a unit...download on both the iTunes App Store and the Android Marketplace. Apps for the Army (A4A) also created a repository for the applications submitted, along

Enhancing Combat Effectiveness, The Evolution of the United States Army Infantry Rifle Squad Since the End of World War II

DTIC Science & Technology

2002-05-01

some officers continued to search for better solutions. In 1994, Colonel Galen B. Jackman , the Director of the Infantry School’s Combined Arms and...to an analysis of the changing operational environment and the US Army’s current trend toward force reduction. Colonel Jackman believed that his...recommended organization would return to the infantry rifle squad the capability to conduct fire and maneuver. Colonel Jackman advocated smaller fire

Heat Stress Illness in a Mechanized Infantry Brigade During Simulated Combat at Fort Irwin

DTIC Science & Technology

1994-05-01

this expanded concept of risk measurement and tracking, at least partly, feasible. Year(s) # heat Primary (Sumncr only) illnesses/10.000/week Activity...operations. Inibntly 28-34, May-June 1992. Clowes, G.H.A., and O’Donnell, T.F. Jr. Current concepts : heat stroke. New England Journal of Medicine 291(11...V.M.. Role of dehydration in heat stress-induced variations in mental performance. Archives of Environmental Healh 43: 15-17, 1988. Halbertstadt, Hans

Virtual Employment Test Bed Operational Research and Systems Analysis to Test Armaments Designs Early in the Life Cycle

DTIC Science & Technology

2014-06-01

motion capture data used to determine position and orientation of a Soldier’s head, turret and the M2 machine gun • Controlling and acquiring user/weapon...data from the M2 simulation machine gun • Controlling paintball guns used to fire at the GPK during an experimental run • Sending and receiving TCP...Mounted, Armor/Cavalry, Combat Engineers, Field Artillery Cannon Crewmember, or MP duty assignment – Currently M2 .50 Caliber Machine Gun qualified

National Commission on the Structure of the Air Force: Report to the President and Congress of the United States

DTIC Science & Technology

2014-01-30

August 20, 2013, with public hearing in Oklahoma City Alpena CRTC, Mich., September 13, 2013 Selfridge ANGB, Mich., September 14, 2013, with public...Colonel Bryan Teff (ANG), Commander, Alpena Combat Readiness Training Center, Michigan Colonel Sean Southworth (ANG), Commander, 217th Air Operations...Group, W.K. Kellogg ANGB, Michigan Lieutenant Colonel Matt Trumble (ANG), Director of Operations, Grayling Air Gunnery Range, Alpena Combat Readiness

The radar eye blinded: The USAF and electronic warfare, 1945-1955

NASA Astrophysics Data System (ADS)

Kuehl, Daniel T.

This study concentrates on the doctrinal and operational elements of the Air Force's use of ECM to support offensive combat operations. It does not directly address such factors as intelligence gathering or technology development except as they pertain to the primary topic. As a result, the study focuses closely on the activities of the Air Force's two primary combat commands, the Strategic Air Command (SAC), and Tactical Air Command (TAC).

Combat Readiness for the Modern Military Surgeon: Data from a Decade of Combat Operations

DTIC Science & Technology

2012-01-01

93 (68%) have been deployed two or more times. More than 18,500 operative procedures were reported , with abdominal and soft tissue cases predominating...Illinois, in September 2011. Address for reprints: Joshua A. Tyler, MD, Department of General Surgery, San Antonio Military Medical Center, MCHE- SDG , 3851...Wilkins. Unauthorized reproduction of this article is prohibited. Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for

Perceived demands during modern military operations.

PubMed

Boermans, Sylvie M; Kamphuis, Wim; Kamhuis, Wim; Delahaij, Roos; Korteling, J E Hans; Euwema, Martin C

2013-07-01

Using a cross-sectional design, this study explored operational demands during the International Security Assistance Force for Afghanistan (2009-2010) across distinct military units. A total of 1,413 Dutch soldiers, nested within four types of units (i.e., combat, combat support, service support, and command support units) filled out a 23-item self-survey in which they were asked to evaluate the extent to which they experienced operational characteristics as demanding. Exploratory factor analysis identified six underlying dimensions of demands. Multivariate analysis of variance revealed that distinct units are characterized by their own unique constellation of perceived demands, even after controlling for previous deployment experience. Most notable findings were found when comparing combat units to other types of units. These insights can be used to better prepare different types of military units for deployment, and support them in the specific demands they face during deployment. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

Culture: what is its effect on stress in the military?

PubMed

Langston, Victoria; Gould, Matthew; Greenberg, Neil

2007-09-01

Culture provides the unwritten rules that inform and shape expected behaviors. To date, little research has been conducted into the attitudes or opinions that service personnel hold toward mental health issues. This article examines current literature and research into the recognition of mental health problems in the military and potential organizational barriers to care including stigma and the specific characteristics of a military culture such as the significant reliance on buddy support. We conclude that the barriers to care which operate in both military and civilian populations are not insignificant. Western militaries in fact currently face an uphill struggle to combat the substantial barriers to care that exist.

Women in the Military. More Military Jobs Can Be Opened under Current Statutes. Report to Congressional Requesters.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of National Security and International Affairs.

A study determined how service policies implementing the combat exclusion provisions affect the number and assignment of military women and whether service procedures unrelated to the combat exclusion limit job opportunities for women. Based on the combat exclusion and related program needs, about 1.1 million of 2.2 million military jobs were…

Women in Combat: Framing the Issues of Health and Health Research for America's Servicewomen.

PubMed

McGraw, Kate; Koehlmoos, Tracey Perez; Ritchie, Elspeth Cam

2016-01-01

Although women have served in the U.S. military officially since 1901, the medical needs of women in combat have historically been poorly understood. Recent expansion of the opportunities females may now play in combat roles has created an urgent need for a review of how Department of Defense supports females as they transition into these new roles, as well as current science related to key aspects of the health of female warriors. There is currently no systematic institutional structure in place to regularly and methodically examine gaps in policy, research, and treatment for issues related to women in combat. This article serves as a brief overview and introduction to some of the critical topics related to the health of women in combat roles, to include women's health issues research and treatment efforts, physiological differences between sexes, and leadership and unit factors. The Department of Defense should continue to explore and address policy, research, and practice related to the complex ongoing needs of military females in combat roles, and ensures sufficient staffing, resources and support from senior military leaders. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

Combat casualty care: the Alpha Surgical Company experience during Operation Iraqi Freedom.

PubMed

Marshall, Thomas J

2005-06-01

Operation Iraqi Freedom was the first large-scale combat operation involving the U.S. Marine Corps since the Persian Gulf War in 1991. Data from a combat surgical company are presented. Records of all U.S. and Iraqi combat casualties admitted to the surgical company were reviewed. Fifty-three (57%) of 93 patients suffered penetrating injuries. Most wounds were produced by high-explosive munitions (mines, hand grenades, and rocket-propelled grenades), and the majority (51%) of wounds were to the extremities. The time to surgical care averaged 4.7 hours (range, 1.5-48 hours), and 98% of the patients seen at our facility survived. The time from injury to surgical care was considered long by civilian standards; however, this did not appear to affect outcomes substantially. A small percentage (5.2%) of injuries were to the torso. Hypothermia was commonly present. Because of the nature of their wounds, all patients required additional surgery after evacuation to rear area facilities. The outcomes of individual patients are not known, although it is known that only one Marine died after reaching medical care and, to date, no Marines have subsequently died of their wounds.

Combat injury coding: a review and reconfiguration.

PubMed

Lawnick, Mary M; Champion, Howard R; Gennarelli, Thomas; Galarneau, Michael R; D'Souza, Edwin; Vickers, Ross R; Wing, Vern; Eastridge, Brian J; Young, Lee Ann; Dye, Judy; Spott, Mary Ann; Jenkins, Donald H; Holcomb, John; Blackbourne, Lorne H; Ficke, James R; Kalin, Ellen J; Flaherty, Stephen

2013-10-01

The current civilian Abbreviated Injury Scale (AIS), designed for automobile crash injuries, yields important information about civilian injuries. It has been recognized for some time, however, that both the AIS and AIS-based scores such as the Injury Severity Score (ISS) are inadequate for describing penetrating injuries, especially those sustained in combat. Existing injury coding systems do not adequately describe (they actually exclude) combat injuries such as the devastating multi-mechanistic injuries resulting from attacks with improvised explosive devices (IEDs). After quantifying the inapplicability of current coding systems, the Military Combat Injury Scale (MCIS), which includes injury descriptors that accurately characterize combat anatomic injury, and the Military Functional Incapacity Scale (MFIS), which indicates immediate tactical functional impairment, were developed by a large tri-service military and civilian group of combat trauma subject-matter experts. Assignment of MCIS severity levels was based on urgency, level of care needed, and risk of death from each individual injury. The MFIS was developed based on the casualty's ability to shoot, move, and communicate, and comprises four levels ranging from "Able to continue mission" to "Lost to military." Separate functional impairments were identified for injuries aboard ship. Preliminary evaluation of MCIS discrimination, calibration, and casualty disposition was performed on 992 combat-injured patients using two modeling processes. Based on combat casualty data, the MCIS is a new, simpler, comprehensive severity scale with 269 codes (vs. 1999 in AIS) that specifically characterize and distinguish the many unique injuries encountered in combat. The MCIS integrates with the MFIS, which associates immediate combat functional impairment with minor and moderate-severity injuries. Predictive validation on combat datasets shows improved performance over AIS-based tools in addition to improved face, construct, and content validity and coding inter-rater reliability. Thus, the MCIS has greater relevance, accuracy, and precision for many military-specific applications. Over a period of several years, the Military Combat Injury Scale and Military Functional Incapacity Scale were developed, tested and validated by teams of civilian and tri-service military expertise. MCIS shows significant promise in documenting the nature, severity and complexity of modern combat injury.

Remote operation of the Black Knight unmanned ground combat vehicle

NASA Astrophysics Data System (ADS)

Valois, Jean-Sebastien; Herman, Herman; Bares, John; Rice, David P.

2008-04-01

The Black Knight is a 12-ton, C-130 deployable Unmanned Ground Combat Vehicle (UGCV). It was developed to demonstrate how unmanned vehicles can be integrated into a mechanized military force to increase combat capability while protecting Soldiers in a full spectrum of battlefield scenarios. The Black Knight is used in military operational tests that allow Soldiers to develop the necessary techniques, tactics, and procedures to operate a large unmanned vehicle within a mechanized military force. It can be safely controlled by Soldiers from inside a manned fighting vehicle, such as the Bradley Fighting Vehicle. Black Knight control modes include path tracking, guarded teleoperation, and fully autonomous movement. Its state-of-the-art Autonomous Navigation Module (ANM) includes terrain-mapping sensors for route planning, terrain classification, and obstacle avoidance. In guarded teleoperation mode, the ANM data, together with automotive dials and gages, are used to generate video overlays that assist the operator for both day and night driving performance. Remote operation of various sensors also allows Soldiers to perform effective target location and tracking. This document covers Black Knight's system architecture and includes implementation overviews of the various operation modes. We conclude with lessons learned and development goals for the Black Knight UGCV.

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

PubMed Central

Golub, Andrew; Price, Matthew; Bennett, Alexander

2015-01-01

Abstract This article examines recent combat veterans' experiences of “first-person shooter” (FPS) gaming and its relationship to posttraumatic stress disorder (PTSD). Current PTSD treatment approaches increasingly use virtual reality (VR) technologies, which have many similarities with FPS games. To explore these similarities, this article presents six case studies from recently separated veterans in New York City who reported both current PTSD symptoms and regular use of combat-themed FPS games. In open-ended interviews, participants discussed a range of benefits as well as the importance of regulating use and avoiding particular contextual dimensions of gaming to maintain healthy gaming habits. Findings demonstrate the need for more comprehensive study and dissemination of best-practices information about FPS gaming in the context of combat-related PTSD symptomatology. PMID:26182214

The role of the Pompidou Group of the Council of Europe in combating drug abuse and illicit drug trafficking.

PubMed

Brulé, C

1983-01-01

The Pompidou Group, a co-operation group to combat drug abuse and illicit trafficking in drugs, has functioned at the Council of Europe since 1980 as a section of the Directorate of Economic and Social Affairs. Owing to its specific features, it is the only organization of its kind in Europe that deals with all areas of drug control, including the work of police and customs authorities, as well as work on prevention, treatment, rehabilitation, epidemiology and research. It also deals with fellowship programmes. The political and technical activities of the Pompidou Group are described in this article, illustrating how it operates in the area of combating drug abuse at the international level.

A Review of Engine Seal Performance and Requirements for Current and Future Army Engine Platforms

NASA Technical Reports Server (NTRS)

Delgado, Irebert R.; Proctor, Margaret P.

2008-01-01

Sand ingestion continues to impact combat ground and air vehicles in military operations in the Middle East. The T-700 engine used in Apache and Blackhawk helicopters has been subjected to increased overhauls due to sand and dust ingestion during desert operations. Engine component wear includes compressor and turbine blades/vanes resulting in decreased engine power and efficiency. Engine labyrinth seals have also been subjected to sand and dust erosion resulting in tooth tip wear, increased clearances, and loss in efficiency. For the current investigation, a brief overview is given of the history of the T-700 engine development with respect to sand and dust ingestion requirements. The operational condition of labyrinth seals taken out of service from 4 different locations of the T-700 engine during engine overhauls are examined. Collaborative efforts between the Army and NASA to improve turbine engine seal leakage and life capability are currently focused on noncontacting, low leakage, compliant designs. These new concepts should be evaluated for their tolerance to sand laden air. Future R&D efforts to improve seal erosion resistance and operation in desert environments are recommended

FY2012 Annual Report for Director Operational Test & Evaluation (DOT&E)

DTIC Science & Technology

2012-01-01

The JLTV FoV consists of two vehicle categories: the JLTV Combat Tactical Vehicle (CTV), designed to seat four passengers ; and the JLTV Combat...Support Vehicle (CSV), designed to seat two passengers . • The JLTV CTV has a 3,500-pound payload and three mission package configurations: - Close...For example, a previous ground combat vehicle had KPPs that only required it seat nine passengers , be transportable by a C-130, and have a

Thoracic Injuries in US Combat Casualties: A 10-Year Review of Operation Enduring Freedom and Iraqi Freedom

DTIC Science & Technology

2012-01-01

explosive devices were the most common cause of injury (61.9%). Of 6,030 thoracic injuries identified, pneumothorax and pulmonary contusions were most...1890s and was used to treat pulmonary edema in combat ca- sualties during WWI.1 Transfusions with whole blood were also performed in combat hospitals...received prehospital cardio- pulmonary resuscitation (CPR), and 53 patients (2.6%) under- went CPR after arrival to the treatment facility. Complications

32 CFR 159.4 - Policy.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Policy. 159.4 Section 159.4 National Defense...) Geographic Combatant Commanders will provide tailored PSC guidance and procedures for the operational... standards set forth by the geographic Combatant Commander in accordance with paragraph (b) of this section...

2009 Defense Supply Center Columbus Land and Maritime Supply Chains: Business Conference and Exhibition

DTIC Science & Technology

2009-08-19

DSN: 388-7453 CSCASSIG@CSD.DISA.MIL  DFAS eCommerce web site http://www.dfas.mil/contractorpay/electroniccommerce.html  DFAS Customer Service...M-ATV is a separate category within the MRAP family of vehicles. ►Mission: Small-unit combat operations in highly restricted rural , mountainous...vehicles. ►Mission: Small-unit combat operations in highly restricted rural , mountainous and urban environments. ► Troop Transport: Carry up to five

2009 Defense Supply Center Columbus Land and Maritime Supply Chains Business Conference and Exhibition

DTIC Science & Technology

2009-08-19

DSN: 388-7453 CSCASSIG@CSD.DISA.MIL  DFAS eCommerce web site http://www.dfas.mil/contractorpay/electroniccommerce.html  DFAS Customer Service...M-ATV is a separate category within the MRAP family of vehicles. ►Mission: Small-unit combat operations in highly restricted rural , mountainous...vehicles. ►Mission: Small-unit combat operations in highly restricted rural , mountainous and urban environments. ► Troop Transport: Carry up to five

Assessing the Operational Effectiveness of a Small Surface Combat Ship in an Anti-Surface Warfare Environment

DTIC Science & Technology

2013-06-01

realistically representing the world in a simulation environment. A screenshot of the combat model used for this research is shown below. There are six...changes in use of technology (Ryan & Jons, 1992). Cost effectiveness and operational effectiveness are important, and it is extremely hard to achieve...effectiveness of ships using simulation and analytical models, to create a ship synthesis model, and most importantly, to develop decision making tools

Regionalization of the C-17A Home Station Check to Minimize Costs

DTIC Science & Technology

2014-06-13

flexibility, and impact to combat operations. The goal of this research is to provide an analysis to determine if there are benefits to C-17 HSC...of the flight and 310 knots or 0.74 Mach for the cruise portion, and used standard Instrument Flight Rules ( IFR ) routes of flight to each base...maintenance flexibility, and possible impact to combat operations. Thus, despite the savings potential, there are a few limitations worth mentioning in

Relation between coping and posttrauma cognitions on PTSD in a combat-trauma population.

PubMed

Sheerin, Christina M; Chowdhury, Nadia; Lind, Mackenzie J; Kurtz, Erin D; Rappaport, Lance M; Berenz, Erin C; Brown, Ruth C; Pickett, Treven; McDonald, Scott D; Danielson, Carla Kmett; Amstadter, Ananda B

2018-01-01

Individual differences in cognitive processes and coping behaviors play a role in the development and maintenance of posttraumatic stress disorder (PTSD). Given the large numbers of combat-exposed service members returning from the Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) conflicts, exploring individual differences in cognitive-affective processes is important for informing our understanding of PTSD etiology and early intervention in military samples. The present study examined the unique main and interactive effects of negative posttrauma cognitions (i.e., negative beliefs about self [NS], the world [NW], and self-blame [SB]) and coping strategies (i.e., positive behavioral, positive cognitive, avoidant coping, and social and emotional coping) on PTSD diagnosis within 155 ( M age = 30.7, SD = 4.48) OEF/OIF/OND combat trauma-exposed veterans recruited from an ongoing study examining the effects of combat trauma and stress reactivity. In the final, stepwise logistic regression analysis, avoidant coping, but no other coping strategy, was significantly positively related to PTSD diagnosis in the initial step. Higher levels of NS, but not NW, were significantly associated with having a PTSD diagnosis, while SB was associated with decreased likelihood of PTSD, above and beyond coping strategies. A significant interaction effect was found between NS and positive cognitive coping, such that greater positive cognitive coping weakened the relationship between NS and PTSD. Examining and addressing coping behaviors and negative thoughts of self jointly may benefit assessment and intervention approaches in a combat-trauma population.

Combat Trauma Lessons Learned from Military Operations of 2001 - 2013

DTIC Science & Technology

2015-03-09

and fentanyl citrate lozenges as described in the TCCC “triple-option analgesia” plan. - Documentation of care by using TCCC Casualty Cards and TCCC...o Meloxicam/acetaminophen o Oral transmucosal fentanyl citrate o Ketamine  Modified tactical combat casualty care (TCCC) measures to optimize

Breaching Around Corners: Engineer Operations in Urban Environments

DTIC Science & Technology

2003-09-01

determine what combinations of resources are available to accomplish the mission. The combat engineer vehicle (CEV) no longer provides rubble removal under ... armor . It is questionable whether the M9 armored combat earthmover (ACE) has the mass and traction to push rubble. Therefore, we need to explore

Posttraumatic stress disorder and traumatic brain injury in current military populations: a critical analysis.

PubMed

Wall, Pamela L Herbig

2012-01-01

The use of unconventional weaponry combined with decreased mortality rates and servicemembers being exposed to intense ground combat during multiple deployments has increased the risk of servicemembers living with the consequences of traumatic brain injuries (TBI) and combat operational stress. The purpose of this article is to perform a critical analysis of the literature to identify current rates of comorbid posttraumatic stress disorder (PTSD) and TBI in military and veteran populations who have served in Iraq or Afghanistan and their combined effects on persistent postconcussive symptoms. A search of the literature with military and veteran populations published after 2001 in Pubmed, OVID/Medline, Cochran Database, Embase, Scopus, CINAHL, and PsychInfo was conducted using keywords. Twenty studies met inclusion criteria. The literature search yielded mixed results for rates of PTSD, TBI, and comorbid conditions. There is some evidence that comorbid PTSD and TBI result in greater reports of postconcussive symptomology than either condition alone. Limitations include lack of consistency of measurements, sampling biases, and lack of experimental design, and these warrant further exploration. Future research is needed to decrease variability in study findings and elucidate relationships between these disorders and their effects on persistent postconcussive symptomology.

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

DTIC Science & Technology

2010-03-01

child .13 The destruction of Baghdad after the surrender of the “last Abbasid caliph”, and the subsequent “killing of 800,000 [Muslim] men, women, and...locations of those combatants.59 Predator “ Porn ” – Immoral, or Just “Freaking Cool” Air Force RPA combatant operators and those around them will likely...accessed February 4, 2010). Predator “feeds” have been renamed in military circles to Predator “ porn ”. For reference see Mockenhaupt, “We’ve Seen the

Models of Information Aggregation Pertaining to Combat Identification: A Review of the Literature (Modele du Regroupement de L’information Concernant L’identification au Combat: Une Analyse Documentaire)

DTIC Science & Technology

2007-04-01

communication from the gunner who is able to offer enhanced visual information about the entity (e.g., insignia, type of weaponry) or radio contact may...1999 (Fuzzy Logic); Clemen & Winkler, in press (Bayes Theorem); Sentz & Ferson, 2002 (Dempster-Shafer)). Humansystems® Combat Identification...incidents when other units get lost and appear in unexpected locations. The formation radios for additional information from the operations officer

Update on combat psychiatry: from the battle front to the home front and back again.

PubMed

Ritchie, Elspeth Cameron

2007-12-01

The U.S. military has long emphasized the principles of prevention and early intervention in preparing for and treating those afflicted by the psychological wounds of war. This article opens with lessons learned by the U.S. military through wartime during the past century. Current practice in the military's employment of stress control teams is reviewed. Updates in the military efforts in Operation Iraqi Freedom and Operation Enduring Freedom to prevent and to limit psychological casualties are stressed. Misconduct has occurred in this conflict; future steps to reduce aberrant behavior by soldiers are discussed. The challenges of reintegration at home, by both healthy and wounded soldiers, are highlighted.

Force level EW in the Australian Defence Force

NASA Astrophysics Data System (ADS)

Finn, Anthony; Chalmers, Greg; Pincombe, Adrian

2001-08-01

The Australian Defence Force is a small force, dependent upon a few high value assets that act as force multipliers. Consequently, it cannot afford to sustain high attrition. The current Concept of Operations for these platforms is to operate them outside the threat envelope. Organic sensors and data links are used to maintain Situational Awareness, Combat Air Patrol is used to intercept hostile missile launch platforms, and Electronic Warfare self-protection is used as a last resort. Unfortunately, it is common for such high value assets to be slowly, non-stealthy, low agility, physically large platforms that follow predictable trajectories. Consequently, they are easy to target and track from a long range and have a high `sitting duck' factor.

Combating terrorism : selected challenges and related recommendations

DOT National Transportation Integrated Search

2001-01-01

This General Accounting Office (GAO) report was already scheduled for release before the events of September 11. The report summarizes federal efforts to combat terrorism prior to these events. This report assesses (1) the current framework for leade...

The Influence of International Law Upon Military Operation on Urbanized Terrain (MOUT) During Romanian Revolution, December 1989

DTIC Science & Technology

2001-01-01

The Use of Military Force in Combating Urban Crime Using British Royal Marines in Northern Ireland as a Model .” MMS Thesis. Quantico, VA: USMC...to capture armaments and to destabilize command and control functions. Solid intelligence networks were required to operate efficiently in the urban ...Force in Combating Urban Crime Using British Royal Marines in Northern Ireland as a Model .” MMS Thesis. Quantico, VA: USMC Command and Staff College

How Thin Is the Ice?: The Potential for Collapse in Today’s Army

DTIC Science & Technology

2010-05-21

Army now skates ? An examination of some historical examples of military collapse leads to the conclusion that early warnings are frequently seen...have voiced concerns about impact of sustained combat operations on the Army. How thin, really, is the ice upon the U.S. Army now skates ? An...have voiced concerns about the impact of sustained combat operations on the Army. How thin, really, is the ice upon the U.S. Army now skates ? The

The Vital Presence: The Generalship of Field Marshal Viscount William Slim General Officer Commanding XIV Army in the Burma Theater 1943-1945

DTIC Science & Technology

2013-03-25

for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and...Nationalist Forces operating in Southern China.10 To do so, the Allies were reliant upon the uncertain flow of combat supplies and equipment across the...Burma, could allow the Allies to maintain a major road link for combat supplies and heavy equipment into Southern China. Over the course of the war

Air Traffic Control and Combat Control Team Operations, AFS 272X0/D.

DTIC Science & Technology

1980-12-01

LN4LASSIFXED DE 8.NuAD.___ UNITED STATES AIR FORCE A-’IR TRAFFIC CONTROL AND COMBAT/ . _ ) ~E: ;ONTROLIEAM OPERATIONS E’.. . --.ET E AFS 272xG/D,) O...Occupational Measurement Center, Randolph AFB, Texas 78148. Computer programs for analyzing the occupational data were designed by Dr. Raymond E...remained relatively the same in terms of numerical designation and tasks performed. Formal training for both 272X0 and 272XOD entry-level personnel consists

Showtime: An Analysis of the Embedded News Media Program During the Pre-Combat and the Combat Phases of Operation Iraqi Freedom

DTIC Science & Technology

2005-05-26

program, but that did not affect the effectiveness of the program in the United States. Though the program was effective during Operation Iraqi...Their collective opinion is that it was a “good thing.” In the international environment, the program was not as effective as it was in the United...in the international environment did not affect the effectiveness of the program in the United States. The embedded program proved to be effective

How the USAF Can Lose the Next War Losing Air Superiority

DTIC Science & Technology

2009-04-01

Richard Hawley, then commander of ACC, said in 1998 that “the F-15 will not be able to operate effectively against upcoming threats such as four...Budge Battle” 37 LockheedMartin.com 38 Dougherty, “Defense Suppression”, 18 39 Vallance , “RAF Operations in the Gulf War”, 31 40 GAO Report, “Combat...Accounting Office, “Combat Air Power: Funding Priority for Suppression of Enemy Air Defenses May be Too Low”, October 1996 Vallance , Group Capt

An Analysis of Hospitalization Length of Stay Within a Multi-Echelon System of Care During Combat Operations

DTIC Science & Technology

1999-09-22

Respiratory system Bronchitis 3107 660 5.2% 1.1% 7.0 8.0 13.2 20.1 20.7 28.2 Digestive system Gastroenteritis and colitis exc. ulcer , of noninf...distribution is unlimited. Summary Problem The medical resources needed to support combat operations are dependent upon the time patients spend within...of patients seen at each level of care is an essential component of efficient resource planning. Objective To obtain summary length of stay

Navy Acquisition: Development of the AN/BSY-1 Combat System

DTIC Science & Technology

1992-01-01

AN/BSY-1, a computer-based combat system, is designed to detect, classify, track, and launch weapons at enemy surface, subsurface, and land targets. The Navy expects the AN/BSY-1 system to locate targets sooner than previous systems, allow operators to perform multiple tasks and address multiple targets concurrently, and reduce the time between detecting a target and launching weapons. The Navy has contracted with the International Business Machines (IBM) Corporation for 23 AN/BSY-1 systems, maintenance and operational trainers, and a software

Risk Management Analysis of Air Ambulance Blood Product Administration in Combat Operations

DTIC Science & Technology

2014-11-01

examining pre-hospital blood product use substantiated that re- mote transfusion programs can deliver life-saving ther- apy without waste. In a series...combat casualty patients . J Trauma 2008 ; 64 : S57 – 63 . 15. Nunez TC, Voskresensky IV, Dossett LA, Shinall R, Dutton WD, Cotton

Discussion paper on possible actions to combat substandard shipping by involving players other than the shipowner in the shipping market

DOT National Transportation Integrated Search

1998-07-09

While there is no single solution to prevent the operation of substandard vessels, there is certainly a sufficient number of international rules and regulations available to combat the phenomenon. The real problem lies with ensuring adherence to thes...

Combat Ready Clamp Addition to the Tactical Combat Casualty Care Guidelines

DTIC Science & Technology

2011-09-23

Combat Gauze™ is currently the onl ( CoTCCC-endorsed intervention for bleeding in areas not amenable to a tourniquet. L Research and anecdotal evidence...them effectively as a battlefield trauma care research , development, test and evaluation (RDT&E) project. 17 In anticipation of this recommendation...the United States Army Medical Research and Materiel Command (USAMRMC) posted a Request for Information (RFI) for devices that could potentially stop

Effects of training and simulated combat stress on leg tourniquet application accuracy, time, and effectiveness.

PubMed

Schreckengaust, Richard; Littlejohn, Lanny; Zarow, Gregory J

2014-02-01

The lower extremity tourniquet failure rate remains significantly higher in combat than in preclinical testing, so we hypothesized that tourniquet placement accuracy, speed, and effectiveness would improve during training and decline during simulated combat. Navy Hospital Corpsman (N = 89), enrolled in a Tactical Combat Casualty Care training course in preparation for deployment, applied Combat Application Tourniquet (CAT) and the Special Operations Forces Tactical Tourniquet (SOFT-T) on day 1 and day 4 of classroom training, then under simulated combat, wherein participants ran an obstacle course to apply a tourniquet while wearing full body armor and avoiding simulated small arms fire (paint balls). Application time and pulse elimination effectiveness improved day 1 to day 4 (p < 0.005). Under simulated combat, application time slowed significantly (p < 0.001), whereas accuracy and effectiveness declined slightly. Pulse elimination was poor for CAT (25% failure) and SOFT-T (60% failure) even in classroom conditions following training. CAT was more quickly applied (p < 0.005) and more effective (p < 0.002) than SOFT-T. Training fostered fast and effective application of leg tourniquets while performance declined under simulated combat. The inherent efficacy of tourniquet products contributes to high failure rates under combat conditions, pointing to the need for superior tourniquets and for rigorous deployment preparation training in simulated combat scenarios. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

Correlates of pain symptoms among Iraq and Afghanistan military personnel following combat-related blast exposure.

PubMed

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

2014-01-01

Pain complaints are highly prevalent among military servicemembers and Veterans of the recent combat operations in Iraq and Afghanistan. The high comorbidity of pain with conditions such as posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) underscores the importance of a greater understanding of factors associated with complex polytraumatic injuries among military personnel. The present study aimed to identify correlates of current pain among 201 U.S. military personnel who reported at least one blast experience during combat deployment (age [mean +/– standard deviation]: 27.20 +/– 7.58 yr). Theoretically derived subsets of variables were analyzed in successive hierarchical regression models to determine correlates of self-reported pain symptoms. Preliminary models evaluated demographic features, medical and injury characteristics (e.g., TBI classification), psychosocial history (e.g., trauma exposure), and psychiatric variables. A final model was then derived, in which older age, possible or probable mild TBI, depression symptoms, and PTSD re-experiencing symptoms emerged as significant correlates of pain. The findings further the understanding of polytrauma symptoms among military personnel by identifying specific patient characteristics and comorbidity patterns related to pain complaints. Increased awareness of demographic, psychiatric, or medical factors implicated in pain will enhance comprehensive clinical assessment and intervention efforts.

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

PubMed

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

2008-12-01

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

High operating temperature IR-modules with reduced pitch for SWaP sensitive applications

NASA Astrophysics Data System (ADS)

Breiter, R.; Wendler, J.; Lutz, H.; Rutzinger, S.; Ihle, T.; Ziegler, J.; Rühlich, I.

2011-06-01

Low size, weight and power (SWaP) are the most critical requirements for portable thermal imagers like weapon sights or handheld observations devices. On the other hand due to current asymmetrical conflicts there are high requirements for the e/o performance of these devices providing the ability to distinguish between combatants and non-combatants in adequate ranges. Despite of all the success with uncooled technology, such requirements usually still require cooled detectors. AIM has developed a family of thermal weapon sights called HuntIR and RangIR based on high performance cooled IR-modules which are used e.g. in the infantryman of the future program of the German army (IdZ). The specific capability of these devices is a high ID range >1500m for tank targets being suitable in use as thermal sights for .50 cal rifles like the G82, targeting units for the 40mm AGL or for night observation. While such ranges sound far beyond the operational needs in urban operations, the a.m. specific needs of asymmetric warfare require sometimes even more range performance. High operating temperature (HOT) is introduced in the AIM MCT 640x512/15μm MWIR or LWIR modules for further reduction of cooler power consumption, shorter cooldown times and higher MTTF. As a key component to keep performance while further reducing SWaP AIM is developing a new cooled MCT IR-module with reduced pitch of 12 μm operating at a temperature >120 K. The module will provide full TV format with 640x480 elements sensitive in the MWIR spectral band. The paper will show recent results of AIM IR-modules with high operating temperature and the impact of design regarding the IR-module itself and thermal sights making use of it.

Training the combat and operational stress control dog: an innovative modality for behavioral health.

PubMed

Krol, William

2012-01-01

Combat and operational stress control (COSC) dogs represent a new category of military working dog. America's VetDogs, a nongovernmental, not-for-profit organization, trains and provides therapy dogs to work with the US Army's combat and operational stress control teams deployed to Afghanistan or Iraq. By taking the therapy/service dog concept to the next level, these dogs have become an important modality in the Army's initiative to safeguard Soldiers' behavioral health while deployed, allowing COSC unit members to break down stigmas that are still present when dealing with behavioral health issues. The training process begins by choosing a pool of dogs, exposing them to different sensory experiences over several months, and training the primary and secondary handlers who will be responsible for the dogs while deployed in theater. After their deployment ends, the dogs are retrained by America's VetDogs to further serve in military or Veterans Administration medical centers as physical, occupational, or behavioral therapy dogs.

Former combatants in Liberia: the burden of possible traumatic brain injury among demobilized combatants.

PubMed

Johnson, Kirsten; Asher, Jana; Kisielewski, Michael; Lawry, Lynn

2012-05-01

To provide a better understanding of any associations between Disarmament, Demobilization, and Reintegration, previous head injury, and mental health symptoms among former combatants in Liberia. A cluster-sampled national survey of the adult household-based Liberian population. Former combatants with reported head injury were more likely to experience major depressive disorder symptoms, suicidal ideation and attempts, and current substance abuse. Former combatants with head injury are 2.83 times more likely to have major depressive disorder symptoms, and those with suspected traumatic brain injury are five times more likely to have post-traumatic stress disorder. The poor mental health of former combatants in Liberia, both child and adult, might be mitigated if Disarmament, Demobilization, and Reintegration programming assessed participants for head trauma and traumatic brain injury using simple screening methods. The specific health and mental health needs of ex-combatants--a highly vulnerable group--will need to be addressed by Liberia. If left untreated, ex-combatants with high rates of suicidal ideation and post-traumatic stress disorder might be susceptible to re-recruitment into new conflicts in the region.

An OEF/OIF study of close combat missions using small unmanned aircraft systems

NASA Astrophysics Data System (ADS)

Lifschitz, Gabriel; Tierney, Richard J.; Vitali, Juan A.

2007-04-01

The Small Unmanned Aircraft System (SUAS) is a rucksack portable aerial observation vehicle designed to supplement reconnaissance, surveillance and target acquisition tasks of an infantry company. The Raven is an earlier version of the SUAS. Raven is an Urgent Material Release (UMR) acquisition and has been used for the past two years by selected Army units in Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). Army Test and Evaluation Command-led surveys were used to assess the capabilities and limitations of the Raven in OEF/OIF. Results and analyses of the surveys indicate that Raven enhances situational awareness of a small unit in urban areas and in selected close combat missions. Users of the Raven state it is easy to use, although there are major issues with frequency de-confliction, airspace management, short endurance, and sensor performance. The SUAS is a program of record and completed developmental and operational testing in preparation for full rate production. This paper addresses the SUAS effectiveness, suitability, and survivability evaluation strategy based on actual testing of the system. During the Initial Operational Test (IOT), the SUAS was found to be effective with limitations in a set of 21 closed combat missions and two call for fire tests for which it was tested. Low Mean Time Between Operational Mean Failure (MTBOMF) and human factors issues make the system suitable with limitations. Acoustic (audible to the human ear) and electronic vulnerabilities make the system non-survivable in most combat scenarios. The SUAS was found to be useful as an extra asset usable in certain infantry company close combat missions where terrain and visual line of sight give the system an advantage over traditional reconnaissance patrols. Army aviation and infantry units uncover new ways every day to use this portable "eye in the sky", especially when unmanned aerial reconnaissance assets are in premium demand. A discussion on changes in doctrine with the SUAS and how it will be integrated into future combat systems for the Army completes the evaluation analysis and its likely benefits to the Soldier.

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

PubMed

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

2017-01-01

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

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

PubMed

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

2017-03-01

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

Neural response to errors in combat-exposed returning veterans with and without post-traumatic stress disorder: a preliminary event-related potential study.

PubMed

Rabinak, Christine A; Holman, Alexis; Angstadt, Mike; Kennedy, Amy E; Hajcak, Greg; Phan, Kinh Luan

2013-07-30

Post-traumatic stress disorder (PTSD) is characterized by sustained anxiety, hypervigilance for potential threat, and hyperarousal. These symptoms may enhance self-perception of one's actions, particularly the detection of errors, which may threaten safety. The error-related negativity (ERN) is an electrocortical response to the commission of errors, and previous studies have shown that other anxiety disorders associated with exaggerated anxiety and enhanced action monitoring exhibit an enhanced ERN. However, little is known about how traumatic experience and PTSD would affect the ERN. To address this gap, we measured the ERN in returning Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans with combat-related PTSD (PTSD group), combat-exposed OEF/OIF veterans without PTSD [combat-exposed control (CEC) group], and non-traumatized healthy participants [healthy control (HC) group]. Event-related potential and behavioral measures were recorded while 16 PTSD patients, 18 CEC, and 16 HC participants completed an arrow version of the flanker task. No difference in the magnitude of the ERN was observed between the PTSD and HC groups; however, in comparison with the PTSD and HC groups, the CEC group displayed a blunted ERN response. These findings suggest that (1) combat trauma itself does not affect the ERN response; (2) PTSD is not associated with an abnormal ERN response; and (3) an attenuated ERN in those previously exposed to combat trauma but who have not developed PTSD may reflect resilience to the disorder, less motivation to do the task, or a decrease in the significance or meaningfulness of 'errors,' which could be related to combat experience. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Postdischarge Cause-of-Death Analysis of Combat-Related Burn Patients

PubMed Central

Escolas, Sandra M.; Orman, Jean A.; Chung, Kevin K.; Renz, Evan M.

2017-01-01

Combat operations in Iraq and Afghanistan have resulted in up to 8.8% of combat-related casualties suffering burns. From World War I through Desert Storm, burns have been associated with approximately 4% of the combat-related deaths. Experiencing a blast injury and exposure to killing and death while deployed has been shown to increase suicide risk. Although several studies of military populations have investigated risk factors for death among burn patients during the acute phase, no studies have reported mortality rates, cause-of-death, or the prevalence of suicide after hospital discharge. This study examined the case fatality rate, causes of death, and the prevalence of suicide among 830 combat burn patients discharged from the sole burn center in the U.S. Department of Defense, between March 7, 2003 and March 6, 2013. Cause-of-death was determined through the Armed Forces Medical Examiner’s Office and the Office of the Secretary of Defense’s National Death Index. A total of 11 deaths occurred among the 830 burn survivors, for an overall case fatality rate of 1.3%. Of the 11 who died, five deaths were related to accidental poisoning by exposure to drugs; three were related to operations of war (two after returning to the war zone), and the remaining three died from other accidental causes (one explosion and two vehicle crashes). There was no indication of suicide or suspicion of suicide as a cause-of-death for the former patients included in this study, suggesting that combat burn injury did not appear to increase the risk of death by suicide in our study population. Further research is needed to understand the factors that contribute to the apparent resilience of combat burn survivors. PMID:26629656

Femme Fatale: An Examination of the Role of Women in Combat and the Policy Implications for Future American Military Operations

DTIC Science & Technology

2008-06-01

Major Kristal Alfonso is a KC-135 pilot and maintenance officer. She is currently a student at the School of Advanced Air and Space Studies at Maxwell...violence can be “moralized as a structured activity—war—and thus be depersonalized and idealized,” a cultural aspect 1 Jane Slaughter, Women and the...Palestinian Territories. A student at the University of Nablus explained that their oppression did not derive from Islam but instead flowed from Israeli

Talking in the Ranks: Gender and Military Discourse

DTIC Science & Technology

2005-04-29

argue that women’s performance and the military’s reliance upon women in the current conflict are reasons to reconsider some of the restrictions placed...masculinity. The proximity to combat can be key to analysis of language and gender in a military environment due to restrictions placed upon women in the...combat positions. Some restrictions , however, are not driven by proximity to combat, notably women’s restriction from service aboard submarines. Women

Non-battle injury among repatriated UK armed forces since cessation of combat operations: a prospective observational study.

PubMed

Toman, Emma; Beaven, A; Naumann, D N; Myatt, R W; Parker, P J; Kay, A R

2018-02-01

To describe the mechanisms, burden of injury, inpatient management and rehabilitation requirements of wounded military personnel at the UK Role 4 (R4) facility within the first 12 months following cessation of combat operations in Afghanistan. All aeromedical evacuations were recorded prospectively between October 2014 and October 2015. Demographic, logistical and clinical data were derived manually from referring medical unit and patient movement requests in addition to host nation and R4 medical records. Ninety-five patients were repatriated to R4 following traumatic injury: 98.9% (n=94) were male, and median age was 27 years (IQR 25-36 years). The most common mechanisms of injury (MOIs) were sports 26.3% (n=25), falls <2 m 11.6% (n=11) and road traffic collisions 9.8% (n=9). The most common anatomical regions of injury were isolated lower limb 24.1% (n=22), isolated hand 20.0% (n=19) and polytrauma 14.7% (n=14). Median Injury Severity Score was 4 (IQR 4-9), mean 8 (range 1-41). Eleven patients (11.6%) were discharged to rehabilitation units, of whom 7 (63.6%) required neurorehabilitation. Although service personnel sustain civilian-type injuries, the specific rehabilitation goals and shift in the acute rehabilitation requirements for military personnel must be considered in the absence of enduring combat operations. It is notable that permanent medical downgrading secondary to trauma still occurs outside of warfare. The colocation of civilian major trauma services and R4 has ensured a mutually beneficial partnership that contributes to institutional memory and improves the coordination of patient pathways. The importance of relevant resource allocation, training, support and logistical considerations remain, even during the current scale of military activity overseas. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Extreme compression for extreme conditions: pilot study to identify optimal compression of CT images using MPEG-4 video compression.

PubMed

Peterson, P Gabriel; Pak, Sung K; Nguyen, Binh; Jacobs, Genevieve; Folio, Les

2012-12-01

This study aims to evaluate the utility of compressed computed tomography (CT) studies (to expedite transmission) using Motion Pictures Experts Group, Layer 4 (MPEG-4) movie formatting in combat hospitals when guiding major treatment regimens. This retrospective analysis was approved by Walter Reed Army Medical Center institutional review board with a waiver for the informed consent requirement. Twenty-five CT chest, abdomen, and pelvis exams were converted from Digital Imaging and Communications in Medicine to MPEG-4 movie format at various compression ratios. Three board-certified radiologists reviewed various levels of compression on emergent CT findings on 25 combat casualties and compared with the interpretation of the original series. A Universal Trauma Window was selected at -200 HU level and 1,500 HU width, then compressed at three lossy levels. Sensitivities and specificities for each reviewer were calculated along with 95 % confidence intervals using the method of general estimating equations. The compression ratios compared were 171:1, 86:1, and 41:1 with combined sensitivities of 90 % (95 % confidence interval, 79-95), 94 % (87-97), and 100 % (93-100), respectively. Combined specificities were 100 % (85-100), 100 % (85-100), and 96 % (78-99), respectively. The introduction of CT in combat hospitals with increasing detectors and image data in recent military operations has increased the need for effective teleradiology; mandating compression technology. Image compression is currently used to transmit images from combat hospital to tertiary care centers with subspecialists and our study demonstrates MPEG-4 technology as a reasonable means of achieving such compression.

Posttraumatic stress disorder symptoms in Korean conflict and World War II combat veterans seeking outpatient treatment.

PubMed

McCranie, E W; Hyer, L A

2000-07-01

Given important differences in the Korean conflict and World War II, samples of treatment-seeking combat veterans from these wars (30 Korea, 83 World War II) were compared on the prevalence and severity of posttraumatic stress disorder (PTSD). With age, ethnicity, and combat exposure taken into account, the Korean veterans reported significantly more severe symptoms on both interview and self-report PTSD measures. Group differences in the prevalence of current PTSD were in a similar direction but not significant. These results are generally consistent with other studies that have found Korean combat veterans to exhibit higher rates of psychosocial maladjustment than World War II combat veterans. Based on related research with Vietnam veterans, one direction for future investigation is to examine what role stressful postmilitary homecoming experiences may have played in influencing the development and course of combat-related PTSD in the aging cohort of "forgotten" Korean conflict veterans.

Military Aerospace. Aerospace Education II.

ERIC Educational Resources Information Center

Smith, J. C.

This book is a revised publication in the series on Aerospace Education II. It describes the employment of aerospace forces, their methods of operation, and some of the weapons and equipment used in combat and combat support activities. The first chapter describes some of the national objectives and policies served by the Air Force in peace and…

From the battlefields to the states: the road to recovery. The role of Landstuhl Regional Medical Center in US military casualty care.

PubMed

Tenuta, Joachim J

2006-01-01

The transformation of the modern battlefield with respect to weaponry, modes of transportation, enemy capabilities and location, as well as technological advances, has greatly altered the tactical approach to the mission. Combat casualty care must continually evolve in response to the differences in types of injury, the number and triage of casualties, timing of treatment, and location of care. These battlefield changes have been demonstrated on a large scale in the global war on terrorism, which includes the military operations in Afghanistan and Iraq. The medical response has kept pace with this 21st-century conflict. Even in the new environment of armed conflict and with the advent of new technologies, the principles of managing orthopaedic combat casualties remain clear: preservation of life and limb, skeletal stabilization, and aggressive wound débridement. For United States service members wounded in the current conflicts, Landstuhl Regional Medical Center is a crucial stop along the road to recovery.

Current Challenges in Female Veterans' Health

PubMed Central

Resnick, Eileen M.; Mallampalli, Monica

2012-01-01

Abstract Women in the U.S. military are technically barred from serving in combat specialties, positions, or units; however, since Operation Desert Storm, women have served in forward positions in greater numbers. This increased involvement in combat zones has resulted in exposures to trauma, injury, and a myriad of environmental hazards associated with modern war. Some of these hazards present new health risks specifically relevant to women who have been deployed to or recently returned from Iraq or Afghanistan or both. To address this evolving public health concern, the Society for Women's Health Research (SWHR) convened a 1-day interdisciplinary scientific conference, with speakers and attendees from civilian, military, and veteran settings. The purpose of the conference was to reveal the state-of-the-science on the health of the female veteran and to focus attention on recent advances in biomedical research related to female veterans' health. The following topics were discussed: mental health (posttraumatic stress disorder [PTSD] and depression), urogenital health, musculoskeletal health, and traumatic brain injury (TBI). PMID:22876756

Evaluation and management of combat-related spinal injuries: a review based on recent experiences.

PubMed

Schoenfeld, Andrew J; Lehman, Ronald A; Hsu, Joseph R

2012-09-01

The current approach to the evaluation and treatment of military casualties in the Global War on Terror is informed by medical experience from prior conflicts and combat encounters from the last 10 years. In an effort to standardize the care provided to military casualties in the ongoing conflicts, the Department of Defense (DoD) has published Clinical Practice Guidelines (CPGs) that deal specifically with the combat casualty sustaining a spinal injury. However, the combat experience with spine injuries in the present conflicts remains incompletely described. To describe the CPGs for the care of the combat casualty with suspected spine injuries and discuss them in light of the published military experience with combat-related spinal trauma. Literature review. A literature review was conducted regarding published works that discussed the incidence, epidemiology, and management of combat-related spinal trauma. The CPGs, established by the DoD, are discussed in light of actual military experiences with spine trauma, the present situation in the forward surgical teams and combat support hospitals treating casualties in theater, and recent publications in the field of spine surgery. In the conventional wars fought by the United States between 1950 and 1991 (Korea, Vietnam, Gulf War I), the incidence of spine injuries remained close to 1% of all combat casualties. However, in the Global War on Terror, the enemy has relied on implements of asymmetric warfare, including sniper attacks, ambush, roadside bombs, and improvised explosive devices. The increase in explosive mechanisms of injury has elevated the number of soldiers exposed to blunt force trauma and, consequently, recent publications reported the highest incidence of combat-related spinal injuries in American military history. Wounded soldiers are expeditiously evacuated through the echelons of care but typically do not receive surgical management in theater. The current CPGs for the care of soldiers with combat-related spinal injuries should be re-examined in light of data regarding the increasing number of spine injuries, new injury patterns, such as lumbosacral dissociation and low lumbar burst fractures, and recent reports within the field of spine surgery as a whole. American and coalition forces are sustaining the highest spine combat casualty rates in recorded history and previously unseen injuries are being encountered with increased frequency. While the CPGs provide useful direction in terms of the evaluation and management of combat casualties with spine injuries, such recommendations may warrant periodic re-evaluation in light of recent combat experiences and evolving scientific evidence within the spine literature. Published by Elsevier Inc.

Advanced protection technology for ground combat vehicles.

PubMed

Bosse, Timothy G

2012-01-01

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

Femme Fatale 2010

DTIC Science & Technology

2010-01-01

opposition to the issue of women in combat. The Way Backward Although the US military currently uti - lizes female Soldiers in Iraq and Afghani- stan to...57 At the heart of the debate over women in combat remain three basic propositions. First, female physical capabilities, including pregnancy issues

LG based decision aid for naval tactical action officer's (TAO) workstation

NASA Astrophysics Data System (ADS)

Stilman, Boris; Yakhnis, Vladimir; Umanskiy, Oleg; Boyd, Ron

2005-05-01

In the increasingly NetCentric battlespace of the 21st century, Stilman Advanced Strategies Linguistic Geometry software has the potential to revolutionize the way that the Navy fights in two key areas: as a Tactical Decision Aid and for creating a relevant Common Operating Picture. Incorporating STILMAN's software into a prototype Tactical Action Officers (TAO) workstation as a Tactical Decision Aid (TDA) will allow warfighters to manage their assets more intelligently and effectively. This prototype workstation will be developed using human-centered design principles and will be an open, component-based architecture for combat control systems for future small surface combatants. It will integrate both uninhabited vehicles and onboard sensors and weapon systems across a squadron of small surface combatants. In addition, the hypergame representation of complex operations provides a paradigm for the presentation of a common operating picture to operators and personnel throughout the command hierarchy. In the hypergame technology there are game levels that span the range from the tactical to the global strategy level, with each level informing the others. This same principle will be applied to presenting the relevant common operating picture to operators. Each operator will receive a common operating picture that is appropriate for their level in the command hierarchy. The area covered by this operating picture and the level of detail contained within it will be dependent upon the specific tasks the operator is performing (supervisory vice tactical control) and the level of the operator (or command personnel) within the command hierarchy. Each level will inform the others to keep the picture concurrent and up-to-date.

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

PubMed

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

2015-07-01

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

Navy Littoral Combat Ship (LCS) Program: Oversight Issues and Options for Congress

DTIC Science & Technology

2007-07-18

including unmanned vehicles (UVs). The basic version of the LCS, without any mission packages, is referred to as the LCS sea frame. The first LCS was...Littoral Combat Ship (LCS). The LCS is a small, fast ship that uses modular “plug-and- fight” mission packages, including unmanned vehicles (UVs). The...fight” mission packages, including unmanned vehicles (UVs). Rather than being a multimission ship like the Navy’s current large surface combatants

Navy Littoral Combat Ship (LCS) Program: Oversight Issues and Options for Congress

DTIC Science & Technology

2007-06-11

Summary The Littoral Combat Ship (LCS) is a small, fast ship that uses modular “plug- and-fight” mission packages, including unmanned vehicles (UVs). The...small, fast ship that uses modular “plug-and- fight” mission packages, including unmanned vehicles (UVs). The basic version of the LCS, without any...including unmanned vehicles (UVs). Rather than being a multimission ship like the Navy’s current large surface combatants, the LCS is a focused-mission ship

Psychodynamic Treatment of Combat Veterans with PTSD at Risk for Suicide.

PubMed

Hendin, Herbert

2017-01-01

Posttraumatic stress disorder is a condition associated with suicide in both military personnel and combat veterans. Most veterans with PTSD, however, are not at risk of suicide. The major factor distinguishing those who attempted or were preoccupied with suicide is persistent severe guilt over behavior in combat while emotionally out of control. A 12-session short-term, psychodynamic psychotherapy, presented here, showed promise of success in dissipating the guilt from combat-related actions in veterans of the war in Vietnam. Preliminary work with combat veterans of the wars in Iraq and Afghanistan indicates it may be equally successful in treating them. Basic aspects of the psychodynamic approach could also be incorporated into current therapies and should improve their ability to treat veterans with PTSD at risk for suicide. Case examples are provided.

Women in war: operational issues of menstruation and unintended pregnancy.

PubMed

Christopher, Leslie A; Miller, Leslie

2007-01-01

With rapid and frequent deployments around the world, the current high level of military operations demands combat readiness of every military member. In the U.S. Armed Forces, women represent 15% of active duty troops and 17% of reserve and Guard troops and are a critical component for mission accomplishment. The operational issues of menstruation and unintended pregnancy, unique to this population, can decrease a female member's military readiness and affect her ability to deploy. Strategies to mitigate and even eliminate these concerns include the optional use of hormonal medications to induce reversible menstrual cycle suppression. These medications, traditionally indicated for contraception, should be considered essential for female troops during training and deployment. This article, tailored specifically for military women, provides valuable information regarding the risks and benefits, as well as the various options available for menstrual cycle suppression.

Dimensions of operational stress and forms of unacceptable risk taking with small arms and munitions.

PubMed

Ben-Shalom, Uzi

2015-01-01

Accidents with small arms and munitions during deployment is a significant safety concern for leaders and safety specialists in combat units. Operational stress may lead to forms of unacceptable risk taking with small arms that may underlie some of these accidents. The present research studied the correlation between two dimensions of operational stress, two forms of risk taking with small arms among combat unit soldiers and possible mediators. The dimensions of operational threat, negative affect and personality profile from the EPQ-R-S were predictors; "exaggerated preparedness" and "risky games with small arms and munitions" were dependent variables; safety climate of the platoon served as a mediator variable. The participants were 461 compulsory service combat soldiers in 31 companies. This field study was conducted during period of top security alert. The results reveal that perceived threat is indeed correlated with exaggerated operational preparedness whereas general emotional state was correlated with risky games with small arms. Safety climate mediated only the correlation between general emotional state and risky games with small arms and munitions. Preparedness and risky games were predicted by the interaction of Psychoticism and the Lie Scale from the EPQ-R-S. The results may enhance the efforts in reducing risk taking and prevention of accidents with small arms and munitions during and following deployment.

Infectious disease complications of combat-related injuries.

PubMed

Murray, Clinton K

2008-07-01

: Strategies currently used to prevent morbidity and mortality associated with combat-related injuries include better training of frontline medical personnel, improved personal protective equipment, and deployment of fast-forward surgical assets with state-of-the-art equipment. These strategies allow patients to survive near-catastrophic injuries, placing a greater emphasis on the medical infrastructure to mitigate short- and long-term complications associated with these injuries. : Wounds have certain characteristics that promote the development of infections: the presence of devitalized tissue, foreign bodies, clots, fluid collections, and contamination of wounds with bacteria from the casualty's skin, the environment, and the hospital. All of these factors culminate in placing the casualty at risk of developing an infection. : This article reviews the lessons learned from combat-related wound infections throughout history and in the current conflicts in Iraq and Afghanistan. Many of the management strategies used to prevent infections of combat-related injuries are applicable to the management of civilian trauma, whether associated with small arms fire or related to natural disasters such as earthquakes or tornadoes.

Lessons of War: Combat-related Injury Infections during the Vietnam War and Operation Iraqi and Enduring Freedom

PubMed Central

Blyth, Dana M.; Yun, Heather C.; Tribble, David R.; Murray, Clinton K.

2015-01-01

Summary In over a decade of war, numerous advancements have been made to improve overall combat-related mortality, but infectious complications remain a leading cause of both morbidity and mortality in combat-related injured personnel. Here we will attempt to compare the challenges and lessons of combat-related injuries and infections from the Vietnam War with those of OIF/OEF. Throughout the Vietnam War and OIF/OEF, there have been similar infection-related challenges faced in caring for combat-related trauma patients. Both conflicts reinforced the importance of rapid medical evacuation and definitive surgical management of war wounds. They revealed the constant evolution of infecting organisms and the challenge of increasing antimicrobial resistance. We have also seen that with decreased mortality of severely injured personnel new morbidities must be addressed. Using the foundation of fragmented research from the Vietnam War, previously successful models were assembled into joint service research institutions which have allowed these questions to be addressed. However, many questions regarding measures to reduce infectious complications in our combat-injured personnel remain unanswered. Continued research building on established knowledge is critical for continued improvements in the care of combat-related trauma patients. PMID:26406435

Evaluating GPA and Satisfaction Rates for Veteran Populations Transitioning from Combat to College Classrooms

ERIC Educational Resources Information Center

Lemos, Fernando Fuentes, Jr.

2013-01-01

Nationwide, colleges and universities are bracing for an influx of military veterans returning to their hometowns after having served their country, many after serving in combat operations. Regional universities have long prepared for this anticipated increase in college attendance by men and women who have served the country during times of war.…

Effectiveness and Efficiencies of Private Military Corporations

DTIC Science & Technology

2008-06-01

generalize. While some private military corporations provide direct combat services , others provide ancillary services —such as laundry and food...collection of information, including suggestions for reducing this burden, to Washington headquarters Services , Directorate for Information...for traditional military forces. The PMC consists of a for profit firm that provides military services that range from combat operations to training

Mindfullness-Based Cognitive Therapy as a Complementary Treatment for Combat/Operational Stress and Combat Post-Traumatic Stress Disorder

DTIC Science & Technology

2008-01-01

FROM, OR REPRODUCTION OF ALL OR ANY PART OF THIS DOCUMENT IS PERMITTED PROVIDED PROPER ACKNOWLEDGEMENT IS MADE. 111 Table ofContents Page EXECUTIVE...to a threat of toxicity. Hypnotic and sedative medications12 are the final class of drugs to be considered. These decrease anxiety and agitation

A Review of the Performance of AFFF Systems Serving Helicopter Decks on U.S. Navy Surface Combatants

DTIC Science & Technology

2001-04-23

The AFFF systems serving the helo decks on surface combatants are designed for rapid control and extinguishment of JP-5 pool fires. Based on the...add 15-30 seconds to the above times. This estimate also assumes that the AFFF systems are adequately maintained and operationally ready and that

2006 Combat Vehicles Conference

DTIC Science & Technology

2006-10-25

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

Defense Strategy for the Next Decade: Joint Security Cooperation and AirSea Battle Operations

DTIC Science & Technology

2012-05-07

10 April 2012). 36 Lolita C. Baldor, “Army restructuring includes cuts to combat brigades,” The Associated Press, 26 January 2012, http://www.post... Lolita C. “Army Restructuring Includes Cuts To Combat Brigades.” The Associated Press, 26 January 2012. http://www.postgazette.com/pg/12026/1206081-84

Cumulative trauma and midlife well-being in American women who served in Vietnam: effects of combat exposure and postdeployment social support.

PubMed

Park, Crystal L; Wachen, Jennifer Schuster; Kaiser, Anica Pless; Mager Stellman, Jeanne

2015-01-01

Research increasingly demonstrates that trauma exposure can have cumulative effects, yet much remains to be learned about effects of cumulative trauma, particularly regarding longer term adjustment. One such trauma, combat exposure, is insufficiently understood, especially for women, who are increasingly engaged in professional combat activities. The study comprised a cross-sectional survey assessing multiple aspects of current well-being in women approximately 25 years after their service in Vietnam during the Vietnam War. Participants were 1374 women (78% military and 22% nonmilitary; mean age = 59.7). This study investigated the relations between three separate categories of trauma exposure (childhood, adulthood, and combat) and well-being and examined whether perceived social support at return from Vietnam moderated the association between combat exposure and well-being. While both childhood and adulthood trauma exposure related to midlife well-being, combat exposure still uniquely predicted outcomes. Further, postdeployment perceived social support moderated the association of combat and well-being: recollected higher perceived social support at homecoming buffered participants from the links between combat exposure and well-being. These results may have important implications for interventions to reduce the impact of traumatic experiences, particularly in light of the increasing exposure of women to direct combat events.

Improving global health governance to combat counterfeit medicines: a proposal for a UNODC-WHO-Interpol trilateral mechanism.

PubMed

Mackey, Tim K; Liang, Bryan A

2013-10-31

Perhaps no greater challenge exists for public health, patient safety, and shared global health security, than fake/falsified/fraudulent, poor quality unregulated drugs, also commonly known as "counterfeit medicines", now endemic in the global drug supply chain. Counterfeit medicines are prevalent everywhere, from traditional healthcare settings to unregulated sectors, including the Internet. These dangerous medicines are expanding in both therapeutic and geographic scope, threatening patient lives, leading to antimicrobial resistance, and profiting criminal actors. Despite clear global public health threats, surveillance for counterfeit medicines remains extremely limited, with available data pointing to an increasing global criminal trade that has yet to be addressed appropriately. Efforts by a variety of public and private sector entities, national governments, and international organizations have made inroads in combating this illicit trade, but are stymied by ineffectual governance and divergent interests. Specifically, recent efforts by the World Health Organization, the primary international public health agency, have failed to adequately incorporate the broad array of stakeholders necessary to combat the problem. This has left the task of combating counterfeit medicines to other organizations such as UN Office of Drugs and Crime and Interpol in order to fill this policy gap. To address the current failure of the international community to mobilize against the worldwide counterfeit medicines threat, we recommend the establishment of an enhanced global health governance trilateral mechanism between WHO, UNODC, and Interpol to leverage the respective strengths and resources of these organizations. This would allow these critical organizations, already engaged in the fight against counterfeit medicines, to focus on and coordinate their respective domains of transnational crime prevention, public health, and law enforcement field operations. Specifically, by forming a global partnership that focuses on combating the transnational criminal and patient safety elements of this pre-eminent global health problem, there can be progress against counterfeit drugs and their purveyors.

Improving global health governance to combat counterfeit medicines: a proposal for a UNODC-WHO-Interpol trilateral mechanism

PubMed Central

2013-01-01

Background Perhaps no greater challenge exists for public health, patient safety, and shared global health security, than fake/falsified/fraudulent, poor quality unregulated drugs, also commonly known as “counterfeit medicines”, now endemic in the global drug supply chain. Counterfeit medicines are prevalent everywhere, from traditional healthcare settings to unregulated sectors, including the Internet. These dangerous medicines are expanding in both therapeutic and geographic scope, threatening patient lives, leading to antimicrobial resistance, and profiting criminal actors. Discussion Despite clear global public health threats, surveillance for counterfeit medicines remains extremely limited, with available data pointing to an increasing global criminal trade that has yet to be addressed appropriately. Efforts by a variety of public and private sector entities, national governments, and international organizations have made inroads in combating this illicit trade, but are stymied by ineffectual governance and divergent interests. Specifically, recent efforts by the World Health Organization, the primary international public health agency, have failed to adequately incorporate the broad array of stakeholders necessary to combat the problem. This has left the task of combating counterfeit medicines to other organizations such as UN Office of Drugs and Crime and Interpol in order to fill this policy gap. Summary To address the current failure of the international community to mobilize against the worldwide counterfeit medicines threat, we recommend the establishment of an enhanced global health governance trilateral mechanism between WHO, UNODC, and Interpol to leverage the respective strengths and resources of these organizations. This would allow these critical organizations, already engaged in the fight against counterfeit medicines, to focus on and coordinate their respective domains of transnational crime prevention, public health, and law enforcement field operations. Specifically, by forming a global partnership that focuses on combating the transnational criminal and patient safety elements of this pre-eminent global health problem, there can be progress against counterfeit drugs and their purveyors. PMID:24228892

Selecting Candidates for Key Leadership Positions in Program Executive Offices Ground Combat Systems and Combat Service and Combat Service Support

DTIC Science & Technology

2016-10-14

the quantitative and qualitative data for this study . This study focuses on determining how well the current process for selecting candidates... Research Design This study is structured as a mixed methods survey, incorporating qualitative and quantitative questions. Mixed method was selected to...Management Command (LCMC) on the Detroit Arsenal in Warren, MI. At the time of the study , PEO GCS and PEO CS&CSS did not have a specific policy for

METHODOLOGICAL NOTES: Computer viruses and methods of combatting them

NASA Astrophysics Data System (ADS)

Landsberg, G. L.

1991-02-01

This article examines the current virus situation for personal computers and time-sharing computers. Basic methods of combatting viruses are presented. Specific recommendations are given to eliminate the most widespread viruses. A short description is given of a universal antiviral system, PHENIX, which has been developed.

Radiology corner. Answer to last month's radiology case and image: gun shot wound to the chest of a military working dog.

PubMed

Galer, Meghan; Magid, Donna; Folio, Les

2009-06-01

This Military Working Dog (MWD) was shot in the chest during combat operations in Iraq. Military Working Dogs are critical to the safety and well-being of deployed troops in combat operations and, as such, they are triaged and treated in our combat hospitals just like any other soldier; their speciation is not a factor in their triage status. This case familiarizes military physicians with the basic canine anatomy, positioning, and radiological technique they should be aware of before deploying. We also strive to raise awareness of the vital roles that these MWDs play for our forces, counterany concerns that may arise over the issue of treating these dogs in human facilities, and leave the reader feeling better prepared to handle the situation should they ever find themselves poised to save one of our four-legged warriors.

Current test results for the Athena radar responsive tag

NASA Astrophysics Data System (ADS)

Ormesher, Richard C.; Martinez, Ana; Plummer, Kenneth W.; Erlandson, David; Delaware, Sheri; Clark, David R.

2006-05-01

Sandia National Laboratories has teamed with General Atomics and Sierra Monolithics to develop the Athena tag for the Army's Radar Tag Engagement (RaTE) program. The radar-responsive Athena tag can be used for Blue Force tracking and Combat Identification (CID) as well as data collection, identification, and geolocation applications. The Athena tag is small (~4.5" x 2.4" x 4.2"), battery-powered, and has an integral antenna. Once remotely activated by a Synthetic Aperture Radar (SAR) or Moving Target Indicator (MTI) radar, the tag transponds modulated pulses to the radar at a low transmit power. The Athena tag can operate Ku-band and X-band airborne SAR and MTI radars. This paper presents results from current tag development testing activities. Topics covered include recent field tests results from the AN/APY-8 Lynx, F16/APG-66, and F15E/APG-63 V(1) radars and other Fire Control radars. Results show that the Athena tag successfully works with multiple radar platforms, in multiple radar modes, and for multiple applications. Radar-responsive tags such as Athena have numerous applications in military and government arenas. Military applications include battlefield situational awareness, combat identification, targeting, personnel recovery, and unattended ground sensors. Government applications exist in nonproliferation, counter-drug, search-and-rescue, and land-mapping activities.

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

PubMed

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

2015-08-30

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

What drives the relationship between combat and alcohol problems in soldiers? The roles of perception and marriage.

PubMed

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

2018-04-01

While the relationship between combat exposure and alcohol problems is well-established, the role of perceptions of trauma is less understood. The goal of this study was to explore associations between National Guard (NG) and reserve soldiers' perceptions of combat experiences as traumatic and alcohol problems, and to examine marital satisfaction as a possible protective factor. The Operation: SAFETY study recruited US Army Reserve and NG soldiers and their partners to complete a questionnaire covering many physical and mental health, military service, and substance use topics. Negative binomial regression models examined the impact of perceived trauma of combat experiences on alcohol problems (N = 198). The potential role of marital satisfaction as a resiliency factor was also examined. The perception of combat experiences as traumatic was associated with increased risk of alcohol problems (risk ratio [RR] = 1.06, 95% confidence interval [CI] 1.01, 1.12; p = 0.024). Combat exposure itself showed no relationship. Marital satisfaction had a significant interaction with perceived combat trauma on alcohol problems (RR = 0.90, 95% CI 0.81, 0.99, p = 0.046), such that soldiers who perceived combat exposure as moderately-highly traumatic were less likely to have alcohol problems when they rated their marital satisfaction highly. Our results demonstrate that the perception of combat experiences as traumatic may be a greater contributor to adverse outcomes, such as alcohol problems, than mere combat exposure. They also demonstrate the importance of marital satisfaction as a resiliency factor, particularly at the highest levels of trauma.

Defense.gov Special Report: National Native American Heritage Month -

Science.gov Websites

non-combat situation), Bronze Star - Operation DESERT STORM Campaign, Defense Meritorious Service Medal - Operation IRAQI FREEDOM, Defense Meritorious Service Medal - Operation ENDURING FREEDOM, and Campaign Medals - Operation IRAQI FREEDOM / Operation ENDURING FREEDOM. Maj. Maureen A. Trujillo U.S. Air

Nutritional Status and Physical and Mental Performance of Special Operations Soldiers Consuming the Ration, Lightweight, or the Meal, Ready-to-Eat Military Field Ration during a 30-Day Field Training Exercise

DTIC Science & Technology

1987-03-23

relationship of diet to the performance of the combat soldier. Minimal calorie intake during combat patrols in a hot humid environment. Presidio of San...endurance-trained subjects to caloric deficits induced by diet or exercise. Med. Sci. Sports Exercise 17:574-579, 1985. 8. Crowdy, J.P.. M.F. Haisman. and H...McGavock. Combat nutrition. The effects of a restricted diet on the performance of hard and proloneged shysical work. Army personnel Research

Cognitive Performance in Operational Environments

NASA Technical Reports Server (NTRS)

Russo, Michael; McGhee, James; Friedler, Edna; Thomas, Maria

2005-01-01

Optimal cognition during complex and sustained operations is a critical component for success in current and future military operations. "Cognitive Performance, Judgment, and Decision-making" (CPJD) is a newly organized U.S. Army Medical Research and Materiel Command research program focused on sustaining operational effectiveness of Future Force Warriors by developing paradigms through which militarily-relevant, higher-order cognitive performance, judgment, and decision-making can be assessed and sustained in individuals, small teams, and leaders of network-centric fighting units. CPJD evaluates the impact of stressors intrinsic to military operational environments (e.g., sleep deprivation, workload, fatigue, temperature extremes, altitude, environmental/physiological disruption) on military performance, evaluates noninvasive automated methods for monitoring and predicting cognitive performance, and investigates pharmaceutical strategies (e.g., stimulant countermeasures, hypnotics) to mitigate performance decrements. This manuscript describes the CPJD program, discusses the metrics utilized to relate militarily applied research findings to academic research, and discusses how the simulated combat capabilities of a synthetic battle laboratory may facilitate future cognitive performance research.

The effect of shower/bath frequency on the health and operational effectiveness of soldiers in a field setting: Recommendation of showering frequencies for reducing performance-degrading nonsystemic microbial skin infections

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hall, L.C.; Daniels, J.I.; Aly, R.

Historically, military personnel deployed in the field, particularly in hot, humid environments, have suffered disabling microbial infections of the skin severe enough to contribute to significant reductions in combat-troop strength. Currently, the US Army makes facilities available to field personnel for showering on a weekly basis to prevent infestations of the body louse and the subsequent spread of louse-borne disease. However, a weekly showering frequency has never been evaluated for its efficacy in preventing microbial infections of the skin -- a significant cause of man-days lost from combat in modern-day military conflicts. Consequently, field showers may be more important formore » maintaining combat effectiveness of military personnel than previously thought; however, providing such facilities requires tremendous logistical support. Therefore, we developed shower frequencies for troops in field environments that should minimize or prevent microbial skin infections. According to our calculations, the optimum showering frequency can range from as often as four times per day to as little as once every seven days, depending on skin integrity, environmental conditions, and cleansing agent. We also reviewed the scientific and regulatory information concerning the efficacy and safety of skin-cleansing products; the antimicrobial and antiseptic compounds, triclocarban and chlorhexidine, may be the most suitable for routine use by US military personnel.« less

The implicit rules of combat.

PubMed

Romero, Gorge A; Pham, Michael N; Goetz, Aaron T

2014-12-01

Conspecific violence has been pervasive throughout evolutionary history. The current research tested the hypotheses that individuals implicitly categorize combative contexts (i.e., play fighting, status contests, warfare, and anti-exploitative violence) and use the associated contextual information to guide expectations of combative tactics. Using U.S. and non-U.S. samples, Study 1 demonstrated consistent classification of combative contexts from scenarios for which little information was given and predictable shifts in the acceptability of combative tactics across contexts. Whereas severe tactics (e.g., eye-gouging) were acceptable in warfare and anti-exploitative violence, they were unacceptable in status contests and play fights. These results suggest the existence of implicit rules governing the contexts of combat. In Study 2, we explored the reputational consequences of violating these implicit rules. Results suggest that rule violators (e.g., those who use severe tactics in a status contest) are given less respect. These are the first studies to implicate specialized mechanisms for aggression that use contextual cues of violence to guide expectations and behavior.

Natural Medicine: Wilderness Experience Outcomes for Combat Veterans

ERIC Educational Resources Information Center

Dietrich, Zachary Clayborne; Joye, Shauna Wilson; Garcia, Joseph Amos

2015-01-01

Wilderness Experience Programs (WEPs) have been shown to enhance psychological well-being for numerous populations. However, among veteran populations, these studies have historically evaluated programs that are short-term experiences, usually less than 1 week. The current research sought to evaluate a WEP for post-9/11 combat veterans engaging in…

A Review of Combat Support Training.

ERIC Educational Resources Information Center

Montague, Ernest K.; Showel, Morris

This report presents a review of current training practices and problems as they relate to the broad spread of individual ability among soldiers, and to the increasing need for functionalization of training. Combat support training was observed at four army training centers, with particular reference to training objectives, methods, and student…

The Petsamo-Kirkenes Operation: Soviet Breakthrough and Pursuit in the Arctic, October 1944 (Leavenworth Papers, Number 17)

DTIC Science & Technology

1989-09-01

Roschmann , "Small Unit Tactics, Combats in Taiga and Tundra," Foreign Military Studies no. MS P-060m (Historical Division, U.S. Army, Europe, 1952), 148...Brockelmann, Klaus, and Hans Roschmann . "Small Unit Tactics, Combats in Taiga and Tundra." Foreign Military Studies no. MS P-060m. Historical Division

The future of resuscitative endovascular balloon occlusion in combat operations.

PubMed

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

2017-08-09

Damage control resuscitation and early thoracotomy have been used to increase survival after severe injury in combat. There has been a renewed interest in resuscitative endovascular balloon occlusion of the aorta (REBOA) in both civilian and military medical practices. REBOA may result in visceral and limb ischaemia that could be harmful if use of REBOA is premature or prolonged. The purpose of this paper is to align our experience of combat injuries with the known capability of REBOA to suggest an implementation strategy for the use of REBOA in combat care. It may replace the resuscitative effect of thoracotomy; can provide haemostasis of non-compressible torso injuries such as the junctional and pelvic haemorrhage caused by improvised explosive devices. However, prehospital use of REBOA must be in the context of an overall surgical plan and should be restricted to deployment in the distal aorta. Although REBOA is technically easier than a thoracotomy, it requires operator training and skill to add to the beneficial effect of damage control resuscitation and surgery. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Dust Plume Modeling at Fort Bliss: Move-Out Operations, Combat Training and Wind Erosion

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chapman, Elaine G.; Rishel, Jeremy P.; Rutz, Frederick C.

2006-09-29

The potential for air-quality impacts from heavy mechanized vehicles operating in the training ranges and on the unpaved main supply routes at Fort Bliss was investigated. This report details efforts by the staff of Pacific Northwest National Laboratory for the Fort Bliss Directorate of Environment in this investigation. Dust emission and dispersion from typical activities, including move outs and combat training, occurring on the installation were simulated using the atmospheric modeling system DUSTRAN. Major assumptions associated with designing specific modeling scenarios are summarized, and results from the simulations are presented.

Life satisfaction and quality in Korean War veterans five decades after the war.

PubMed

Ikin, J F; Sim, M R; McKenzie, D P; Horsley, K W A; Wilson, E J; Harrex, W K; Moore, M R; Jelfs, P L; Henderson, S

2009-05-01

Military service is considered to be a hidden variable underlying current knowledge about well-being in the elderly. This study aimed to examine life satisfaction and quality of life in Australia's surviving male Korean War veterans and a community comparison group, and to investigate any association with war deployment-related factors. Participants completed a postal questionnaire which included the Life Satisfaction Scale, the brief World Health Organization Quality of Life (WHOQOL-Bref) questionnaire and the Combat Exposure Scale. Korean War veterans reported significantly lower Percentage Life Satisfaction (PLS) and quality of life scores on four WHOQOL-Bref domains, compared with similarly aged Australian men (each p value <0.001). These outcomes were most strongly associated with severity of combat exposure and low rank. Mean PLS was approximately 15% lower in veterans who reported heavy combat compared with those reporting no combat, and approximately 12% lower in enlisted ranked veterans compared with officers. Fifty years after the Korean War, life satisfaction and quality in Australian veterans is poor relative to other Australian men, and is associated with deployment-related factors including combat severity and low rank. In order to respond effectively to current and projected population health needs, nations with large veteran populations may need to consider the impact of military service on well-being in later life.

Femme Fatale: An Examination of the Role of Women in Combat and the Policy Implications for Future American Military Operations (Drew Paper Number 5, August 2009)

DTIC Science & Technology

2009-08-01

subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE...NUMBER OF PAGES 137 19a. NAME OF RESPONSIBLE PERSON a . REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form...298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 Air University Allen G. Peck, Lt Gen, Commander Air Force Research Institute John A . Shaud, Gen, PhD

Operation Noble Eagle and the Use of Combat Air Patrols for Homeland Defense

DTIC Science & Technology

2008-12-01

aviation security , together with the absence of terrorist attacks on the homeland and of no actionable intelligence indicating an imminent air threat in America. The following sub-areas were researched to help evaluate and recommend changes to the current ONE CAP policy: the history of air defense in America; U.S. air defense mistakes on 9/11 and the evolution of ONE; improvements in the intelligence community and aviation security since 9/11; specific threats to aviation and the risk of another 9/11-style attack in the United States; and the cost and

Outcomes of internal fixation in a combat environment.

PubMed

Stinner, Daniel J; Keeney, James A; Hsu, Joseph R; Rush, Jeremy K; Cho, Mickey S; Wenke, Joseph C; Ficke, James R

2010-01-01

Due to the nature of the wounds and environment, internal fixation in battlefield treatment facilities is discouraged despite the lack of data. The purpose of this review is to describe the outcomes of fractures that were internally fixed in the combat environment. The records of patients who had internal fixation performed in the theater of combat operations were reviewed. Demographics, injury characteristics, procedure history, and outcomes were recorded and analyzed. Forty-seven patients had internal fixation performed on 50 fractures in a combat theater hospital. Hip, forearm, and ankle fractures made up the majority of cases with 14 (28%), 14 (28%), and 10 (20%), respectively. Sixteen (32%) fractures were open. The average Injury Severity Score was 11.4 +/- 1.1 (range, 4-34). Thirty-nine fractures (78%) healed without incidence. There was one (2%) infection and one (2%) acute surgical complication. Ten (20%) fractures, including the one infection, required additional procedures. Because internal fixation in the combat environment was used judiciously, complications were not higher than previously reported.

C/sup 3/ and combat simulation - a survey

DOE Office of Scientific and Technical Information (OSTI.GOV)

Erickson, S.A. Jr.

1983-01-04

This article looks at the overlap between C/sup 3/ and combat simulation, from the point of view of the developer of combat simulations and models. In this context, there are two different questions. The first is: How and to what extent should specific models of the C/sup 3/ processes be incorporated in simulations of combat. Here the key point is the assessment of impact. In which types or levels of combat does C/sup 3/ play a role sufficiently intricate and closely coupled with combat performance that it would significantly affect combat results. Conversely, when is C/sup 3/ a known factormore » or modifier which can be simply accommodated without a specific detailed model being made for it. The second question is the inverse one. In the development of future C/sup 3/ systems, what rule should combat simulation play. Obviously, simulation of the operation of the hardware, software and other parts of the C/sup 3/ system would be useful in its design and specification, but this is not combat simulation. When is it necessary to encase the C/sup 3/ simulation model in a combat model which has enough detail to be considered a simulation itself. How should this outer combat model be scoped out as to the components needed. In order to build a background for answering these questions a two-pronged approach will be taken. First a framework for C/sup 3/ modeling will be developed, in which the various types of modeling which can be done to include or encase C/sup 3/ in a combat model are organized. This framework will hopefully be useful in describing the particular assumptions made in specific models in terms of what could be done in a more general way. Then a few specific models will be described, concentrating on the C/sup 3/ portion of the simulations, or what could be interpreted as the C/sup 3/ assumptions.« less

Spectrum and impact of health problems during deployment: a prospective, multicenter study of French soldiers operating in Afghanistan, Lebanon and Côte d'Ivoire.

PubMed

Aoun, Olivier; Roqueplo, Cédric; Rapp, Christophe

2014-01-01

More than 15 000 French soldiers are continuously deployed abroad. Along with combat-related injuries, they are exposed to non-combat-related diseases with an underestimated burden. Our objectives were to assess the incidence and impact of health problems on their operating capacity. A prospective multicenter study was conducted over more than three months in Lebanon, Côte d'Ivoire and Afghanistan including exclusively French soldiers. We collected 4349 consultations (Afghanistan {n = 719}, Lebanon {n = 1401} and Côte d'Ivoire {n = 2229}) encompassing 4600 health problems. Injuries (21%), diarrhea (19%), dermatoses (17.5%) and respiratory tract infections (10.45%) were the most frequent health issues. Infectious diseases represented 41% of all health problems. Almost nine out of ten patients were managed as outpatients. Ten combat-related deaths were observed. We reported 68 (1.5%) medical repatriations of which 28 and 26 were psychiatric and trauma cases respectively. Partial or complete incapacity was estimated 724 days/1000 men/month. Etiological spectrum was similar in all three countries however, the incidence of diarrhea (p < 0.05) as well as inpatient management and medical evacuation rates were higher (p < 0.0001) in Afghanistan. There was a wide spectrum of health problems occurring during military deployments with a predominance of common infections. Non-combat-related pathology represented an important burden for the loss of operating capacity. Copyright © 2014 Elsevier Ltd. All rights reserved.

Identifying Military and Combat Specific Risk Factors for Child Adjustment: Comparing High and Low Risk Military Families and Civilian Families

DTIC Science & Technology

2016-06-01

Award Number: W81XWH-12-2-0034 TITLE: Identifying Military and Combat-Specific Risk Factors for Child Adjustment: Comparing High and Low Risk...2. REPORT TYPE Annual 3. DATES COVERED (From - To) 15 May - 2013 - 14 May 2014. Identifying Military and Combat-Specific Risk Factors for Child ...parents (N=200) whose spouse/partner is currently in a “low perceived risk” deployment and has a child between the age of 3 and 7 and comparison

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

PubMed

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

2017-10-01

The aim of this short review was to summarize data pertaining to the rating of perceived exertion (RPE) methods (RPE value and session-RPE) during combat sport-specific activities (i.e., competition and training) based on many factors, including contest type (i.e., official vs. simulated vs. training), combat rounds, age of participants and muscle groups, and their correlation with physiological variables (i.e., blood lactate concentration [La] and heart rate [HR]). The current review shows higher RPE in a match of mixed martial arts (MMAs) than Brazilian jiu-jitsu and kickboxing matches and during the competitive period compared with the precompetitive period. This could be explained by the longer duration of bouts, the higher percentage contribution of aerobic metabolism in MMA than other combat sports and contest type differences (simulated vs. official matches). Thus, this review found significant correlations between RPE or session-RPE, [La] and HR. Particularly, there was a stronger correlation between RPE and [La] during official striking (r = 0.81) than grappling combat sports matches (r = 0.53). In addition, a variation of correlation (moderate to large) between session-RPE and HR-based methods has been reported (i.e., Edwards' training load [r ranged between 0.58 and 0.95] and Banister training impulse [r ranged between 0.52 and 0.86]). Specifically, stronger correlation was apparent in combat sport competition that required a much higher percentage contribution of aerobic metabolism (e.g., karate) and in adult athletes than anaerobic-based combat sports (e.g., taekwondo) and young athletes, respectively. Indeed, the current review highlights that the correlations between session-RPE and HR-based methods were higher during official competition than training sessions. Session-RPE was affected by participants' competitive level, the intensity of session (high vs. low), the training modalities (tactical-technical vs. technical-development vs. simulated competition), and the training volume in combat sports athletes. Rating of perceived exertion is a valid tool for quantifying internal training and combat loads during short- and long-term training and simulated and official competitions in novice and elite combat sport athletes. Furthermore, both RPE methods may be a more reliable measure of intensity or effort when both anaerobic and aerobic systems are appreciably activated. Coaches, sports scientists, and athletes can use session-RPE method to quantify short-term training and combat loads in adult athletes during precompetitive period much more than long-term training and in young athletes during the competitive period. They can also use RPE to monitor combat and short- and long-term training loads to better plan and assist training programs and competitions.

Family support, family stress, and suicidal ideation in a combat-exposed sample of Operation Enduring Freedom/Operation Iraqi Freedom veterans.

PubMed

Gradus, Jaimie L; Smith, Brian N; Vogt, Dawne

2015-01-01

Deployment-related risk factors for suicidal ideation among Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans have received a great deal of attention. Studies show that mental health symptoms mediate the association between most deployment stressors and suicidal ideation; however, family-related factors during deployment are largely unexplored. We examined posttraumatic stress disorder (PTSD) and depression symptoms as mediators of the associations between deployment family support and stress and post-deployment suicidal ideation in combat-exposed OEF/OIF veterans. National cross-sectional mail survey. 1046 veterans responded to the survey. The sample for this study was 978 veterans who experienced combat. Regression-based path analyses were conducted. Family support and stress had direct associations with suicidal ideation. When PTSD and depression symptoms were examined as mediators of these associations, results revealed significant indirect paths through these symptoms. This study contributes to the literature on suicidal ideation risk factors among OEF/OIF veterans. Deployment family support and family stress are associated with suicidal ideation; however these associations occur primarily through mental health symptomatology, consistent with findings observed for other deployment factors. This research supports ongoing efforts to treat mental health symptomatology as a means of suicide prevention.

Combating Climate Change through Quality Education. Policy Brief 2010-03

ERIC Educational Resources Information Center

Anderson, Allison

2010-01-01

Climate change threatens to undo and even reverse the progress made toward meeting the Millennium Development Goals (MDGs) and poses one of the most serious challenges to reducing global poverty for the international community. However, the education sector offers a currently untapped opportunity to combat climate change. There is a clear…

Supporting Young Children in Combat-Injured Families: Call to Action

ERIC Educational Resources Information Center

Arata-Maiers, Teresa L.; Stafford, Elisabeth M.

2010-01-01

Military families are currently facing the longest period of combat in the history of the nation, along with the attendant challenges of prolonged or repeated deployment. With the return of 36,000-plus service members wounded in action, including nearly 11,000 requiring medical evacuation and those with additional "invisible injuries," there are…

Factors that affect the mosquito repellency of permethrin-treated U.S. military uniforms

USDA-ARS?s Scientific Manuscript database

In the late 1970s, the USDA-ARS explored permethrin treatment of US Military combat uniforms as a means to protect personnel from the arthropod bites. Permethrin became the standard uniform impregnate in 1991 and is currently the only approved insecticide for use in U.S. military combat uniforms. ...

From the laboratory to the soldier: providing tactical behaviors for Army robots

NASA Astrophysics Data System (ADS)

Knichel, David G.; Bruemmer, David J.

2008-04-01

The Army Future Combat System (FCS) Operational Requirement Document has identified a number of advanced robot tactical behavior requirements to enable the Future Brigade Combat Team (FBCT). The FBCT advanced tactical behaviors include Sentinel Behavior, Obstacle Avoidance Behavior, and Scaled Levels of Human-Machine control Behavior. The U.S. Army Training and Doctrine Command, (TRADOC) Maneuver Support Center (MANSCEN) has also documented a number of robotic behavior requirements for the Army non FCS forces such as the Infantry Brigade Combat Team (IBCT), Stryker Brigade Combat Team (SBCT), and Heavy Brigade Combat Team (HBCT). The general categories of useful robot tactical behaviors include Ground/Air Mobility behaviors, Tactical Mission behaviors, Manned-Unmanned Teaming behaviors, and Soldier-Robot Interface behaviors. Many DoD research and development centers are achieving the necessary components necessary for artificial tactical behaviors for ground and air robots to include the Army Research Laboratory (ARL), U.S. Army Research, Development and Engineering Command (RDECOM), Space and Naval Warfare (SPAWAR) Systems Center, US Army Tank-Automotive Research, Development and Engineering Center (TARDEC) and non DoD labs such as Department of Energy (DOL). With the support of the Joint Ground Robotics Enterprise (JGRE) through DoD and non DoD labs the Army Maneuver Support Center has recently concluded successful field trails of ground and air robots with specialized tactical behaviors and sensors to enable semi autonomous detection, reporting, and marking of explosive hazards to include Improvised Explosive Devices (IED) and landmines. A specific goal of this effort was to assess how collaborative behaviors for multiple unmanned air and ground vehicles can reduce risks to Soldiers and increase efficiency for on and off route explosive hazard detection, reporting, and marking. This paper discusses experimental results achieved with a robotic countermine system that utilizes autonomous behaviors and a mixed-initiative control scheme to address the challenges of detecting and marking buried landmines. Emerging requirements for robotic countermine operations are outlined as are the technologies developed under this effort to address them. A first experiment shows that the resulting system was able to find and mark landmines with a very low level of human involvement. In addition, the data indicates that the robotic system is able to decrease the time to find mines and increase the detection accuracy and reliability. Finally, the paper presents current efforts to incorporate new countermine sensors and port the resulting behaviors to two fielded military systems for rigorous assessing.

Microvascular reconstructive surgery in Operations Iraqi and Enduring Freedom: the US military experience performing free flaps in a combat zone.

PubMed

Klem, Christopher; Sniezek, Joseph C; Moore, Brian; Davis, Michael R; Coppit, George; Schmalbach, Cecelia

2013-08-01

Local nationals with complex wounds resulting from traumatic combat injuries during Operations Iraqi Freedom and Enduring Freedom usually must undergo reconstructive surgery in the combat zone. While the use of microvascular free-tissue transfer (free flaps) for traumatic reconstruction is well documented in the literature, various complicating factors exist when these intricate surgical procedures are performed in a theater of war. The microvascular experiences of six military surgeons deployed during a 30-month period between 2006 and 2011 in Iraq and Afghanistan were retrospectively reviewed. Twenty-nine patients presented with complex traumatic wounds. Thirty-one free flaps were performed for the 29 patients. Location of tissue defects included the lower extremity (15), face/neck (8), upper extremity (6). Limb salvage was successful in all but one patient. Six of eight patients with head and neck wounds were tolerating oral intake at the time of discharge. There were three flap losses in 3 patients; two patients who experienced flap loss underwent a successful second free or regional flap. Minor complications occurred in six patients. Microvascular free tissue transfer for complex tissue defects in a combat zone is a critically important task and can improve quality of life for host-nation patients. Major US combat hospitals deployed to a war zone should include personnel who are trained and capable of performing these complex reconstructive procedures and who understand the many nuances of optimizing outcomes in this challenging environment.

Connecting the Spots: Combating Transnational Terrorist Groups Through Leveraging Indigenous Security Forces

DTIC Science & Technology

2009-04-01

terrorist social networks are quite vulnerable to penetration and exploitation by indigenous personnel working in the communities where the groups operate...LEVERAGING INDIGENOUS SECURITY FORCES by Mack-Jan H. Spencer, Maj, USAF A Research Report Submitted to the Faculty In Partial Fulfillment of the...4. TITLE AND SUBTITLE Connecting the Spots: Combating Transnational Terrorist Groups Through Leveraging Indigenous Security Forces 5a. CONTRACT

Tactics, Techniques, and Procedures (TTP) for Migrant Camp Operations

DTIC Science & Technology

1995-04-15

interchangeable and, therefore, usually do not degrade a combat unit if tasked to deploy independently. Also, the Air Force frequently tasks composite...Prime BEEF teams from multiple bases rather than degrade a combat unit’s capabilities. (2) Horizontal construction capabilities, usually airfield or...special understanding and sympathy. They should receive all necessary assistance, and they should not be subject to cruel , inhumane, or degrading

Information Analysis Centers in the Department of Defense. Revision

DTIC Science & Technology

1987-07-01

Combat Data Information Center (CDIC) and the Aircraft Survivability Model Repository ( ASMR ) into the Survivability/Vulnerability Information Analysis...Information Center (CDIC) and the Aircraft Survivability Model Respository ( ASMR ). The CDIC was a central repository for combat and test data related to...and ASMR were operated under the technical monitorship of the Flight Dynamics Laboratory at Wright-Patterson AFB, Ohio and were located in Flight

Longitudinal assessment of gender differences in the development of PTSD among US military personnel deployed in support of the operations in Iraq and Afghanistan.

PubMed

Jacobson, Isabel G; Donoho, Carrie J; Crum-Cianflone, Nancy F; Maguen, Shira

2015-09-01

Divergent findings from previous research examining gender differences in the development of posttraumatic stress disorder (PTSD) among US military members deployed to the operations in Iraq or Afghanistan (recent operations) prompted this study utilizing a matching approach to examine whether risk for new-onset PTSD and PTSD severity scores differed by gender. US military members from the Millennium Cohort Study deployed in support of the recent operations were followed for approximately 7 years from baseline through 2 follow-up periods between 2001 and 2008. Propensity score matching was used to match 1 male to each female using demographic, military, and behavioral factors including baseline sexual assault. Analyses were stratified by combat experience defined as reporting at least one of five exposures during follow-up. Outcome measures included a positive screen for PTSD and severity scores measured by the PTSD Patient Checklist-Civilian Version. Discrete-time survival analysis quantified the association between gender and incident PTSD. Among 4684 matched subjects (2342 women and men), 6.7% of women and 6.1% of men developed PTSD during follow-up. Results showed no significant gender differences for the likelihood of developing PTSD or for PTSD severity scores among women and men who reported combat experience and among those who did not. This study is the first of its kind to match a large population of male and female service members on important baseline characteristics including sexual assault. Findings suggest that while combat deployed personnel develop PTSD, women do not have a significantly different risk for developing PTSD than men after experiencing combat. Published by Elsevier Ltd.

Combat-related blast-induced neurotrauma: a public health problem?

PubMed

Jett, Shirley

2010-01-01

The purpose of this article is to raise nurses' awareness of the significance and potential public health impact of combat-related blast-induced neurotrauma (BINT) in U.S. troops returning from Afghanistan and Iraq. A comprehensive review of the current literature on BINT was completed by the author, based primarily on combat-related blast exposure in the military population. She found that it is necessary to theorize about potential etiologies for mild traumatic brain injury in the military population since the literature suggests that neurological and psychological trauma resulting from military duty may be linked to exposure to blasts. Identification of potential risk factors for BINT in the military population provides direction for scientific inquiry into this emerging phenomenon. Gaps in current knowledge and its health implications for future scientific study in nursing are presented. © 2010 Wiley Periodicals, Inc.

There's always a villain to punish: group processes contributing to violence and its remediation.

PubMed

Thomas, Nina K

2015-01-01

This paper considers the widespread use of violent metaphors, such as "combat" and "war," to represent the current social, psychological, and political problems within the United States. I apply Lakoff and Johnson's (1980) thesis that metaphor shapes thought, policy, and behavior. I examine how use of such metaphors inclines the national consciousness toward violence and punishment for it. In addition, I discuss shame and humiliation as psychological precursors of violence, particularly as these play out in the exclusion and extrusion via group scapegoating of individuals and whole groups from active participation in an esteemed or powerful other group. Included within the concept of "violence" are those harmful social policies that invalidate the experiences of disempowered people within the United States. I consider the role of group processes in resolving the injuries wrought by violence, particularly as these operate within such restorative justice projects as the Glencree Ex-Combatants Programme in Northern Ireland. Lessons emerge from restorative justice projects installed internationally for ameliorating conflict within and between "victim" groups in the United States.

Fatigue Countermeasures: Alertness Management in Flight Operations

NASA Technical Reports Server (NTRS)

Co, E. L.; Rosekind, M. R.; Johnson, J. M.; Weldon, K. J.; Smith, R. M.; Gregory, K. G.; Miller, D. L.; Gander, P. H.; Lebacqz, J. V.; Statler, Irving C. (Technical Monitor)

1994-01-01

Since 1980, the NASA Ames Fatigue Countermeasures Program has studied the effects and impact of fatigue on flight operations . Sleep loss and circadian disruption are two of the primary physiological factors that underlie fatigue in flight operations. The Program has developed an array of fatigue countermeasure recommendations that can be used to combat the effects of fatigue and continues to research potential new countermeasures. For example, one such strategy involved a NASA/FAA study on the effects of planned cockpit rest to improve crewmember alertness and performance. Based partly on the study results, the FAA is currently reviewing a proposed Advisory Circular for controlled rest on the flight deck. Since there is no simple answer to the issue of fatigue in aviation, an Education and Training Module has been developed to provide the industry with pertinent information on sleep, circadian rhythms, how flight operations affect these physiological factors, and recommendations for fatigue countermeasures. The Module will be updated as the Program's continued research efforts uncover new information and develop new countermeasure strategies,

Historical approaches to post-combat disorders.

PubMed

Jones, Edgar

2006-04-29

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

An examination of the association between 5-HTTLPR, combat exposure, and PTSD diagnosis among U.S. veterans.

PubMed

Liu, Yutao; Garrett, Melanie E; Dennis, Michelle F; Green, Kimberly T; Ashley-Koch, Allison E; Hauser, Michael A; Beckham, Jean C; Kimbrel, Nathan A

2015-01-01

To examine the association between the 5-HTTLPR polymorphism of the serotonin transporter (SLC6A4) gene, combat exposure, and posttraumatic stress disorder (PTSD) diagnosis and among two samples of combat-exposed veterans. The first sample included 550 non-Hispanic Black (NHB) combat-exposed veterans. The second sample included 555 non-Hispanic White (NHW) combat-exposed veterans. Participants were genotyped for the 5-HTTLPR/rs25531 variants of the SLC6A4 gene. A structured clinical interview was used to diagnose PTSD. Combat and civilian trauma exposure were assessed with validated self-report instruments. Logistic regression was used to test for main effects of 5-HTTLPR on PTSD diagnosis as well as gene x environment (GxE) interactions after adjusting for sex, ancestry proportion scores, civilian trauma exposure, and combat exposure. Within the NHB sample, a significant additive effect was observed for 5-HTTLPR (OR = 1.502, p = .0025), such that the odds of having a current diagnosis of PTSD increased by 1.502 for each additional S' allele. No evidence for an association between 5-HTTLPR and PTSD was observed in the NHW sample. In addition, no evidence for combat x 5-HTTLPR effects were observed in either sample. The present study suggests that there may be an association between 5-HTTLPR genotype and PTSD diagnosis among NHB veterans; however, no evidence for the hypothesized 5-HTTLPR x combat interaction was found.

The Long War and Parental Combat Deployment: Effects on Military Children and At-Home Spouses

ERIC Educational Resources Information Center

Lester, Patricia; Peterson, Kris; Reeves, James; Knauss, Larry; Glover, Dorie; Mogil, Catherine; Duan, Naihua; Saltzman, William; Pynoos, Robert; Wilt, Katherine; Beardslee, William

2010-01-01

Objective: Given the growing number of military service members with families and the multiple combat deployments characterizing current war time duties, the impact of deployments on military children requires clarification. Behavioral and emotional adjustment problems were examined in children (aged 6 through 12) of an active duty Army or Marine…

Environmental factors, immune changes and respiratory diseases in troops during military activities.

PubMed

Korzeniewski, Krzysztof; Nitsch-Osuch, Aneta; Chciałowski, Andrzej; Korsak, Jolanta

2013-06-01

Combat operations in contemporary theaters of war, as well as combat training, are carried out in all parts of the world, typically in a harsh environment. Specific environmental conditions, such as heat, cold, high-altitudes, desert climates, as well as chemical and biological pollution of both the atmosphere and soil, together with over-exertion, food restrictions, sleep deprivation, and psychological stress can all result in changes in the immune system and the occurrence of associated diseases. Respiratory diseases are one of the most common health problems among military personnel participating in combat training or deployed to operations in areas characterized by difficult climatic and sanitary conditions. They are, therefore, one of the main reasons for military personnel requiring ambulant and hospital treatment. The aim of the study was to discuss the influence of environmental factors and the conditions in which active duty is performed on changes in the immune system and the occurrence of respiratory tract diseases in a military environment. Copyright © 2013 Elsevier B.V. All rights reserved.

Three-Dimensional Path Planning for Uninhabited Combat Aerial Vehicle Based on Predator-Prey Pigeon-Inspired Optimization in Dynamic Environment.

PubMed

Zhang, Bo; Duan, Haibin

2017-01-01

Three-dimension path planning of uninhabited combat aerial vehicle (UCAV) is a complicated optimal problem, which mainly focused on optimizing the flight route considering the different types of constrains under complex combating environment. A novel predator-prey pigeon-inspired optimization (PPPIO) is proposed to solve the UCAV three-dimension path planning problem in dynamic environment. Pigeon-inspired optimization (PIO) is a new bio-inspired optimization algorithm. In this algorithm, map and compass operator model and landmark operator model are used to search the best result of a function. The prey-predator concept is adopted to improve global best properties and enhance the convergence speed. The characteristics of the optimal path are presented in the form of a cost function. The comparative simulation results show that our proposed PPPIO algorithm is more efficient than the basic PIO, particle swarm optimization (PSO), and different evolution (DE) in solving UCAV three-dimensional path planning problems.

Behavioral health leadership: new directions in occupational mental health.

PubMed

Adler, Amy B; Saboe, Kristin N; Anderson, James; Sipos, Maurice L; Thomas, Jeffrey L

2014-10-01

The impact of stress on mental health in high-risk occupations may be mitigated by organizational factors such as leadership. Studies have documented the impact of general leadership skills on employee performance and mental health. Other researchers have begun examining specific leadership domains that address relevant organizational outcomes, such as safety climate leadership. One emerging approach focuses on domain-specific leadership behaviors that may moderate the impact of combat deployment on mental health. In a recent study, US soldiers deployed to Afghanistan rated leaders on behaviors promoting management of combat operational stress. When soldiers rated their leaders high on these behaviors, soldiers also reported better mental health and feeling more comfortable with the idea of seeking mental health treatment. These associations held even after controlling for overall leadership ratings. Operational stress leader behaviors also moderated the relationship between combat exposure and soldier health. Domain-specific leadership offers an important step in identifying measures to moderate the impact of high-risk occupations on employee health.

The Long War and Parental Combat Deployment: Effects on Military Children and At-Home Spouses

PubMed Central

Lester, Patricia; Peterson, Kris; Reeves, James; Knauss, Larry; Glover, Dorie; Mogil, Catherine; Duan, Naihua; Saltzman, William; Pynoos, Robert; Wilt, Katherine; Beardslee, William

2010-01-01

OBJECTIVE Given the growing number of military service members with families and the multiple combat deployments characterizing current war time duties, the impact of deployments on military children requires clarification. Behavioral and emotional adjustment problems were examined in children (aged 6 –12) of an active duty Army or Marine Corps parent currently deployed (CD) or recently returned (RR) from Afghanistan or Iraq. METHOD Children (N=272) and their at-home civilian (AHC) (N=163) and/or recently returned active duty (AD) parent (N=65) were interviewed. Child adjustment outcomes were examined in relation to parental psychological distress and months of combat deployment (of the AD) using mixed effects linear models. RESULTS Parental distress (AHC and AD) and cumulative length of parental combat-related deployments during the child’s lifetime independently predicted increased child depression and externalizing symptoms. Although behavioral adjustment and depression levels were comparable to community norms, anxiety was significantly elevated in children in both deployment groups. In contrast, AHC parental distress was greater in those with a CD (vs. RR) spouse. CONCLUSIONS Findings indicate parental combat deployment has a cumulative effect on children which remains even after the deployed parent returns home, and is predicted by psychological distress of both the AD and AHC parent. Such data may be informative for screening, prevention and intervention strategies. PMID:20410724

Amphibian Engineers in the Southwest Pacific

DTIC Science & Technology

2017-03-08

groups supporting Marine ground combat on small island chains. Such actions dominate the central Pacific. The ideal depiction of combat is Marine...to: first capture Tulagi and Guadalcanal in the Solomon Islands, second capture the remainder of the Solomon Islands plus Lae and Salamaua, and...air, sea, and ground operations from New Guinea through the Solomons and into the Marianas. Seizing Rabaul was critical to the allied forces in the

Land Combat Systems

DTIC Science & Technology

2002-01-01

systems many key automation and robotic technologies necessary for the autonomous operations desired of future systems. GDLS is in charge of the AAAV...TITLE AND SUBTITLE 2002 Industry Studies: Land Combat Systems 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6 . AUTHOR(S) 5d...PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) The Industrial College of the Armed Forces

Experiments in Error Propagation within Hierarchal Combat Models

DTIC Science & Technology

2015-09-01

Bayesian Information Criterion CNO Chief of Naval Operations DOE Design of Experiments DOD Department of Defense MANA Map Aware Non-uniform Automata ...ground up” approach. First, it develops a mission-level model for one on one submarine combat in Map Aware Non-uniform Automata (MANA) simulation, an... Automata (MANA), an agent based simulation that can model the different postures of submarines. It feeds the results from MANA into stochastic

A Systems Engineering Approach in Providing Air Defense Support to Ground Combat Vehicle Maneuver Forces

DTIC Science & Technology

2015-03-01

Defense DODAF Department of Defense Architecture Framework DOE design of experiment EMMI energy , mass, material wealth, information FNF fire and... energy or blast power (depending on the type of projectile). Tank munitions have significant penetrative ability and can cause serious damage to...survivability of ground combat vehicles during ground force maneuver operations. The simulation results indicated that the presence of air defense

Evaluating Effectiveness of a Frigate in an Anti-Air Warfare (AAW) Environment

DTIC Science & Technology

2016-06-01

missions to accomplish. Both studies are used in ship design to determine the ship’s required combat capabilities before finalizing the hull design. This...accomplish. Both studies are used in ship design to determine the ship’s required combat capabilities before finalizing the hull design. This...capabilities should be determined before the ship’s hull design is complete to make operational effectiveness independent from physical design considerations

Improving the Selection, CLassification and Utilization of Army Enlisted Personnel

DTIC Science & Technology

1992-11-01

installations. These jobs were grouped into one combat (11B, 13B, and 19E NOS) and three non -combat clusters [Cleri- cal (71L MOS), Operations (31C...factor contains items from the Non -delinquency, Traditional Values, Conscientiousness, Cooperative- ness, and Internal Control scales. The Adjustment...validities and success rates for various groups of cases: all males, females, graduate males, and non -graduate males. Table 3 Descriptive statistics

Prevention of Infections Associated with Combat-Related Extremity Injuries

DTIC Science & Technology

2011-08-01

benefit over NPWT alone in a complex ortho- pedic injury goat model using P. aureuginosa. Instillation of an antiseptic, hypochlorous acid solution...antispectic has not been widely assessed clinically, and data discouraged hypochlorous acid (Dakin’s) solution use during World War I.247 The use of NPWT with...Abstract: During combat operations , extremities continue to be the most common sites of injury with associated high rates of infectious complications

A Study in the Implementation of a Distributed Soldier Representation

DTIC Science & Technology

2015-03-01

psychological, or emotional aspects of Soldier’s duty performance, or professional and personal lives that could affect Soldier operational/combat...psychological state can also affect their decision making. When immersed in the emotional crises and “fog of war” of combat, the potential exists for...However, less emphasis is placed on inducing emotional stress in a manner similar to what is typically experienced under real-world training conditions

Talking to Iraq and Afghanistan war veterans about tobacco use.

PubMed

Widome, Rachel; Joseph, Anne M; Polusny, Melissa A; Chlebeck, Bernadette; Brock, Betsy; Gulden, Ashley; Fu, Steven S

2011-07-01

Our goal in this study was to examine beliefs and attitudes about tobacco use in the newest generation of combat veterans, those who served in Afghanistan (Operation Enduring Freedom [OEF]) and Iraq (Operation Iraqi Freedom [OIF]). We held 5 focus groups (n = 17) with Minnesota Army National Guard soldiers who had recently returned from combat deployment in support of OEF/OIF. Sessions were audiorecorded, transcribed, coded, and analyzed using a grounded theory approach. We found that it is common to use tobacco in the combat zone for stress and anger management and boredom relief. Tobacco was also a tool for staying alert, a way to socialize, and provided a chance to take breaks. Participants recognized the culture of tobacco use in the military. Stress, nicotine dependence, the tobacco environment at drill activities, and perceived inaccessibility of cessation tools perpetuated use at home and served as a barrier to cessation. Repeatedly, participants cited tobacco policies (such as increased taxes and smoke-free workspaces) as motivators for quitting. There are specific circumstances common to combat zones that promote tobacco use. Results suggest that environmental changes that address the prominence of tobacco in military culture, the acceptance of nonsmoking breaks, and cessation programs that address stress issues and make cessation aids available may be effective in reducing tobacco use.

Emergency Physicians at War.

PubMed

Muck, Andrew E; Givens, Melissa; Bebarta, Vikhyat S; Mason, Phillip E; Goolsby, Craig

2018-05-01

Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

Generation of Combat Power by Insurgents: An Historical Analysis

DTIC Science & Technology

2013-06-13

the concept of operations. Transportation incorporates military, commercial, and multinational assets. Transportation includes motor , rail, air...and water modes. Transportation nodes include motor , rail, air, and water terminal operations. Transportation also includes movement control and

Use of computerized neuropsychological testing to help determine fitness to return to combat operations when taking medication that can influence cognitive function.

PubMed

McLay, Robert; Spira, James; Reeves, Dennis

2010-12-01

Nowhere is it more important to maintain peek mental functioning than in a combat zone. Conditions ranging from pain to head injury to post-traumatic stress disorder can cause impairments in neuropsychological function and place service members at risk. Medications can sometimes help alleviate these problems, but also have the risk of further slowing cognitive function or impairing reaction time. Standard methods of neuropsychological testing are often not available in a combat environment. New technologies are being advanced that can allow portable, computerized neuropsychological testing to be performed at almost any location. We present a case that demonstrates how the use of such handheld technology can assist a military physician in assessing the influence of medication on reaction time and in determining if and when a service member is ready to return to combat.

The Dangerous Decline in the United States Military’s Infectious Disease Vaccine Program

DTIC Science & Technology

2010-02-17

of the 27th Special Operations Medical Group, Cannon Air Force Base, New Mexico . He has supported numerous combat operations including Operations...Japanese encephalitis.22 In addition, development of licensed vaccines for yellow fever, mumps, measles, varicella and oral polio was supervised

Friendly Combat Casualties and Operational Narratives

DTIC Science & Technology

2015-06-21

turn for the worse on March 31, 2004. On that date, insurgents ambushed a convoy operated by the private security firm Blackwater in the center of the...2011), IV-6. 95 Ibid., III-17 34 Despite its name, the term operational risk management (ORM) as used by the United States Navy reflects

Combat spectacles: military testing of a new spectacle frame.

PubMed

Rengstorff, R H

1985-09-01

An improved spectacle frame has been developed for use during periods of extreme physical activity, particularly by military personnel during combat operations, and which can be used under protective face masks and headgear. The frame has a wrap-around shape, made of nylon with a contoured, recessed bridge and safety lens groove. U-shaped bridles snap on the frame front and an adjustable, interlocking strap fits over the bridles and passes under a protective mask sealing area. Field tests were conducted with 1231 soldiers at 12 military installations. Over 90% of those tested found combat spectacles were comfortable to wear, extremely durable, compatible with headgear and superior to existing military eyewear.

Combat Exposure in Early Adulthood Interacts with Recent Stressors to Predict PTSD in Aging Male Veterans.

PubMed

Sachs-Ericsson, Natalie; Joiner, Thomas E; Cougle, Jesse R; Stanley, Ian H; Sheffler, Julia L

2016-02-01

Combat is a risk factor for posttraumatic stress disorder (PTSD); however, less is known about how exposure to combat in early adulthood may contribute to the development of PTSD as the individual ages. Prior exposure to trauma may "sensitize" people to respond more intensely to subsequent stressors. Further, aging initiates new challenges that may undermine previous coping strategies. Over the life course combat veterans may be more reactive to new stressors and thus be more vulnerable to PTSD. This study draws on the two waves of the National Comorbidity Survey (NCS-1) and NCS-2 (10-year follow-up). Participants were male (noncombat N = 620 and combat N = 107) and 50-65 years of age at Wave-2. At baseline, participants were assessed for exposure to wartime combat, number of Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnoses in the past year, and life-time PTSD. At follow-up, PTSD occurring between waves was determined. A measure of recent life stressors was also obtained. Using logistic regression analyses, combat predicted PTSD at follow-up (controlling for baseline demographics, number of DSM diagnoses in the past year, life-time PTSD). Recent life stressors were also associated with PTSD. Importantly, the effect of combat on PTSD was significant at high levels, but not low levels, of recent life stress. Veterans who have experienced combat may be more reactive to new stressors, and in turn be more vulnerable to PTSD. Combat veterans should be regularly assessed for current stressors and PTSD. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Lessons learned from modern military surgery.

PubMed

Beekley, Alec C; Starnes, Benjamin W; Sebesta, James A

2007-02-01

The era of global terrorism and asymmetric warfare heralded by the September 11, 2001 attacks on the United States have blurred the traditional lines between civilian and military trauma. The lessons learned by physicians in the theaters of war, particularly regarding the response to mass casualties, blast and fragmentation injuries, and resuscitation of casualties in austere environments, likely resonate strongly with civilian trauma surgeons in the current era. The evolution of a streamlined trauma system in the theaters of operations, the introduction of an in-theater institution review board process, and dedicated personnel to collect combat casualty data have resulted in improved data capture and realtime, on-the-scene research.

The Combat Medic Aid Bag: 2025. CoTCCC Top 10 Recommended Battlefield Trauma Care Research, Development, and Evaluation Priorities for 2015.

PubMed

Butler, Frank K; Blackbourne, Lorne H; Gross, Kirby

2015-01-01

While the list presented here is by no means a comprehensive list of all of the research areas of interest in battlefield trauma care, much less a list of research needs across the entire continuum of combat casualty care, it does provide the collective judgment of the CoTCCC about the highest priorities for RDT&E that relate to battlefield trauma care. Two additional observations should be made regarding that point: (1) As the landmark Eastridge et al. 2012 study convincingly documented, most combat fatalities occur in the prehospital phase of care, so research efforts that enable Combat medics, corpsmen, and PJs to care for their casualties more effectively will convey the highest probability of further reducing the case fatality rate and preventable deaths among US Combat casualties; and (2) inasmuch as the mission of the CoTCCC is to update the TCCC Guidelines as needed, this group has excellent visibility of the most important current research questions in battlefield trauma care.

Provision of nutrition support therapies in the recent Iraq and Afghanistan conflicts.

PubMed

Stankorb, Susan M; Ramsey, Casside; Clark, Heidi; Osgood, Tamara

2014-10-01

This article describes the experience of nutrition support practitioners, specifically dietitians, providing care to combat casualties. It provides a brief overview of dietitians' induction into armed service but focuses primarily on their role in providing nutrition support during the most recent conflicts in Iraq and Afghanistan. The current system of combat casualty care is discussed with specific emphasis on providing early and adequate nutrition support to U.S. combat casualties from injury, care in theater combat support hospitals (CSHs)/expeditionary medical support (EMEDs), and en route care during critical care air transport (CCAT) up to arrival at treatment facilities in the United States. The article also examines practices and challenges faced in the CSHs/EMEDs providing nutrition support to non-U.S. or coalition patients. Over the past decade in armed conflicts, dietitians, physicians, nurses, and other medical professionals have risen to challenges, have implemented systems, and continue working to optimize treatment across the spectrum of combat casualty care.

Analysis of Otologic Injuries Due to Blast Trauma by Handmade Explosives

PubMed Central

Aslıer, Mustafa; Aslıer, Nesibe Gül Yüksel

2017-01-01

Objective The aim of this study is to identify the otologic injuries due to handmade explosive-welded blast travma in the law enforcement officers during the combat operations in the curfew security region and to specify the disorders that Otolaryngology and Head Neck Surgery (OHNS) physicians can face during such operations. Methods Medical records of patients in law enforcement who were initially treated by OHNS physicians of Silopi State Hospital during combat operations, between December 14, 2015 and January 15, 2016 were reviewed. Twenty-five patients with otologic injuries due to blast trauma were included in the study. Trauma characteristics, physical examination findings, and beginning treatments were identified. Results Primary blast injury (PBI) was identified as the major disorder in all 24 cases. Tinnitus and hearing loss were the most frequent complaints. In physical examination, tympanic membrane perforations were found in four ears of three patients. Oral methylprednisolone in decreasing doses for 10 days was commenced as an initial treatment in patients with PBI. Secondary blast injury presented in the form of soft tissue damage in the auricular helix due to shrapnel pieces in one patient and a minor surgery was performed. Conclusion Otologic injuries due to blast trauma may often develop during this type of combat operations. Otologic symptoms should be checked, otoscopic examination should be performed, and patients should consult OHNS physicians as soon as possible after trauma. PMID:29392057

Analysis of Otologic Injuries Due to Blast Trauma by Handmade Explosives.

PubMed

Aslıer, Mustafa; Aslıer, Nesibe Gül Yüksel

2017-06-01

The aim of this study is to identify the otologic injuries due to handmade explosive-welded blast travma in the law enforcement officers during the combat operations in the curfew security region and to specify the disorders that Otolaryngology and Head Neck Surgery (OHNS) physicians can face during such operations. Medical records of patients in law enforcement who were initially treated by OHNS physicians of Silopi State Hospital during combat operations, between December 14, 2015 and January 15, 2016 were reviewed. Twenty-five patients with otologic injuries due to blast trauma were included in the study. Trauma characteristics, physical examination findings, and beginning treatments were identified. Primary blast injury (PBI) was identified as the major disorder in all 24 cases. Tinnitus and hearing loss were the most frequent complaints. In physical examination, tympanic membrane perforations were found in four ears of three patients. Oral methylprednisolone in decreasing doses for 10 days was commenced as an initial treatment in patients with PBI. Secondary blast injury presented in the form of soft tissue damage in the auricular helix due to shrapnel pieces in one patient and a minor surgery was performed. Otologic injuries due to blast trauma may often develop during this type of combat operations. Otologic symptoms should be checked, otoscopic examination should be performed, and patients should consult OHNS physicians as soon as possible after trauma.

Social Workers in Combat: Application of Advanced Practice Competencies in Military Social Work and Implications for Social Work Education

ERIC Educational Resources Information Center

Brand, Michael W.; Weiss, Eugenia L.

2015-01-01

This article illustrates the types of situations that U.S. uniformed social workers have experienced in combat deployments to Iraq and Afghanistan with the purpose of preparing current and future social workers to effectively serve military and veteran clients in either military or civilian settings. Vignettes demonstrate the application of the…

Women in Combat: Is the Current Policy Obsolete

DTIC Science & Technology

2007-02-23

gender issues were cited by fewer than 1 percent of their respondents when asked about issues that affect morale in recently gender -integrated units...37 GENDER ISSUES /POLICIES THAT EFFECT MILITARY CAPABILITY..................42 Pregnancy... Gender Issues ,” Report No. GAO/NSAID-99-7, 19 October 1998, p. 4. 2 personal experiences as a combat pilot and military commander frame my

Evaluation of the Mangled Extremity Severity Score in Combat-Related Type III Tibia Fracture

DTIC Science & Technology

2014-09-01

Return to duty rates of amputee soldiers in the current conflicts in Afghanistan and Iraq. J Trauma. 2010; 68:1476–1479. 5. Johansen K, Daines M, Howey T...severity score (MESS) in combat related type III tibia fracture. J Orthop Trauma. 2013. 4. Johansen K, Daines M, Howey T, et al. Objective criteria

Advanced helicopter cockpit and control configurations for helicopter combat missions

NASA Technical Reports Server (NTRS)

Haworth, Loran A.; Atencio, Adolph, Jr.; Bivens, Courtland; Shively, Robert; Delgado, Daniel

1987-01-01

Two piloted simulations were conducted by the U.S. Army Aeroflightdynamics Directorate to evaluate workload and helicopter-handling qualities requirements for single pilot operation in a combat Nap-of-the-Earth environment. The single-pilot advanced cockpit engineering simulation (SPACES) investigations were performed on the NASA Ames Vertical Motion Simulator, using the Advanced Digital Optical Control System control laws and an advanced concepts glass cockpit. The first simulation (SPACES I) compared single pilot to dual crewmember operation for the same flight tasks to determine differences between dual and single ratings, and to discover which control laws enabled adequate single-pilot helicopter operation. The SPACES II simulation concentrated on single-pilot operations and use of control laws thought to be viable candidates for single pilot operations workload. Measures detected significant differences between single-pilot task segments. Control system configurations were task dependent, demonstrating a need for inflight reconfigurable control system to match the optimal control system with the required task.

Emerging Technologies and MOUT

DOE Office of Scientific and Technical Information (OSTI.GOV)

YONAS,GEROLD; MOY,TIMOTHY DAVID

Operating in a potentially hostile city is every soldier's nightmare. The staggering complexity of the urban environment means that deadly threats--or non-combatants-may lurk behind every corner, doorway, or window. Urban operations present an almost unparalleled challenge to the modern professional military. The complexity of urban operations is further amplified by the diversity of missions that the military will be called upon to conduct in urban terrain. Peace-making and peace-keeping missions, urban raids to seize airports or WMD sites or to rescue hostages, and extended urban combat operations all present different sorts of challenges for planners and troops on the ground.more » Technology almost never serves as a magic bullet, and past predictions of technological miracles pile high on the ash heap of history. At the same time, it is a vital element of planning in the modern age to consider and, if possible, take advantage of emerging technologies. We believe that technologies can assist military operations in urbanized terrain (MOUT) in three primary areas, which are discussed.« less

Guidebook for Supporting Economic Development in Stability Operations

DTIC Science & Technology

2009-01-01

purpose. Gravel roads with single-lane bridges are ade- quate to connect rural villages to major roads where traffic is light. Asphalt or concrete is suit...It is updated annually and can be purchased directly from the World Bank through the inter- net site at http://publications.worldbank.org/ ecommerce ...providing grants to help ex-combatants and rural workers to start their own businesses. Most ex-combatants and unskilled civilian laborers do not have the

Options for the Navy’s Future Fleet

DTIC Science & Technology

2006-05-01

capability than most of those options by other than for inflation, how big and how capable can the most measures of capability. But even under the Navy’s...The most prominent of those vessels are fast combat support ships, which operate with carrier strike groups to resupply them with fuel, dry Supply...categories of ships-submarines and large surface Similarly, the ship construction schedule for large surface combatants-are responsible for most of the

Forging Medical Public-Private Relationships in Support of Combatant Commander Objectives-Getting Past the Vision Statement

DTIC Science & Technology

2009-04-01

non-governmental levels . The military planner faces a daunting question—in what missions are NGO partnerships appropriate? AU/ACSC/LaGrou/AY09 8...for a wide range of operations. As the illustration shows, partnerships at the cooperative level are more likely to exist (and succeed) in...Support of Combatant Commander Objectives—Getting Past the Vision Statement by Edward J. LaGrou, Major, USAF A Research Report

Fusion of Imaging and Inertial Sensors for Navigation

DTIC Science & Technology

2006-09-01

combat operations. The Global Positioning System (GPS) was fielded in the 1980’s and first used for precision navigation and targeting in combat...equations [37]. Consider the homogeneous nonlinear differential equation ẋ(t) = f [x(t),u(t), t] ; x(t0) = x0 (2.4) For a given input function , u0(t...differential equation is a time-varying probability density function . The Kalman filter derivation assumes Gaussian distributions for all random

Personnel Attrition Rates in Historical Land Combat Operations: An Annotated Bibliography

DTIC Science & Technology

1993-06-01

1986, Combat Casualties Among US Navy Personnel in Vietnam. Cochrane-1959, The 3rd Division at Chateau Thierry , July 1918. Cockrell-1974, Research Study...Chateau Thierry , July 1918. CIVIL Fox-1889, Regimental Losses in the American Civil War, 1861-1865. Livermore-1900, Numbers and Losses in the Civil War... Thierry , July 1918. Wainstein-1973b, Rates of Advance in Infantry Division Attacks in the Normandy-Northern France and Siegfried Line Campaigns. DURATION

2007 Combat Vehicles Conference - Today’s Challenges: Fighting, Sustaining, Modernizing and Transforming

DTIC Science & Technology

2007-10-24

Programs) 1 . FCS MULE .wmv format 2. FCS NLOS Crate Of Fire .wmv format 3. FCS Robotic Convoy .wmv format 4. FCS...included in these sessions will be two “back by popular demand” highlights from previous conferences: 1 ) an update on combat operations in iraq from...15 am - 11:30 am general session general sessiOn - sessiOn 1 : “today’s challenges: fighting, sustaining, modernizing and transforming

Combat Rescue Helicopter (CRH)

DTIC Science & Technology

2015-12-01

Selected Acquisition Report ( SAR ) RCS: DD-A&T(Q&A)823-479 Combat Rescue Helicopter (CRH) As of FY 2017 President’s Budget Defense Acquisition...Management Information Retrieval (DAMIR) March 17, 2016 15:16:47 UNCLASSIFIED CRH December 2015 SAR March 17, 2016 15:16:47 UNCLASSIFIED 2 Table of...Office of the Secretary of Defense O&S - Operating and Support PAUC - Program Acquisition Unit Cost CRH December 2015 SAR March 17, 2016 15:16:47

Analysis of Manning Options for Visit, Board, Search, and Seizure Teams

DTIC Science & Technology

2015-06-01

operations in urban terrain, tactical formations, and continue to advance in the Marine Corps Martial Arts Program (“Recruit Training,” n.d.). About 1100...response. Space onboard a deployed ship is in high commodity, and Marines must find space to conduct their close combat training and martial arts ...order combat training and Marine Corps Martial Arts Program could be integrated more easily with VBSS training. B. CONCLUSIONS AND RECOMMENDATIONS

Digital Gunnery: How Combat Vehicle Gunnery Training Creates a Model for Training the Mission Command System.

DTIC Science & Technology

2017-06-09

DIGITAL GUNNERY: HOW COMBAT VEHICLE GUNNERY TRAINING CREATES A MODEL FOR TRAINING THE MISSION COMMAND SYSTEM A thesis presented...Training Creates a Model for Training the Mission Command System 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S...digital systems that give commanders an unprecedented ability to understand and lead in the battlefields where they operate. Unfortunately, units

Strategic Studies Quarterly. Volume 5, Number 2, Summer 2011

DTIC Science & Technology

2011-01-01

Afghanistan. We also made progress in our support of operational planning by the combatant commanders and in building processes for them to issue...transformation of the department’s networks; • work with the combatant commands to synchronize processes and planning to deliver the joint effects...own actions and forces. Note that these and many other factors determining the process of deter- rence have as much to do with an opponent’s unique

Training and Human Factors Research in Military Systems. A Final Report

DTIC Science & Technology

1989-05-01

Combat vehicle Human factors/ identification (CVI), Operational test and evaluatio (Continued) 19. ABSTRACT (Continue on reverse if necessaty and...prepared on the management of CVI for service schools (1985). * A videotape entitled "Training for Combat" was prepared as an update for the CVI and TAATS...media, and the effects of image motion on CVI training performance. Future Developments The ART -Fort Hood TAATS program was terminated in 1987, and

Gone to Fiddler’s Green: Reconnaissance and Security for the Corps

DTIC Science & Technology

2011-05-01

based reconnaissance and security organization. A U.S. corps in major combat operations must contend with an enemy’s armored advance guard or...screen, guard, and cover. Andrew D. Goldin, “ Ruminations on Modular Cavalry,” Armor Magazine, (September-October 2006): 14. 22 Goldin, “ Ruminations ...on Modular Cavalry,” 15. 23 Goldin, “ Ruminations on Modular Cavalry,” 16. 10 capabilities compared to modular force brigade combat teams in support

Women in Combat: The Operational Impact of Meeting A National Security Necessity

DTIC Science & Technology

1991-02-11

of physical strength and emotional stamina and impai.red male -bonding: United States public opinion; and the perceptions of America’s allies and...on the main thesis p6ints of demographics and noncombatants in the changing scenario of combat, and provides the arguments on both sides of the three...9 Unit Cohesion and Male -Bonding .................. 11 United States Public Opinion ......................... 12 Perceptions or Friend and Foe

Comparative Analysis of Combat Attitudes of Air Force Administrative Personnel.

DTIC Science & Technology

1986-04-01

on mobility and readiness, the personnel in the Administrative Career Field can expect to be involved in the combat arena . Career field functional...military operations, the atomic bomb, and recognition of space as a potential military arena . Indeed, the old-fashioned garrison lifestyle and the...married to another military member. More than 77% (39.) of the officers’ spouses are employed outside the home. In the education arena , 33% of 29 II

Linking Logistics and Operations: A Case Study of World War II Air Power

DTIC Science & Technology

1991-01-01

Weapon System Evaluation Group, 1951, p. 30). The logistic innovation greatly extended the time that combat ships could remain on station and...presented. This Note was produced under the Project AIR FORCE Resource Management and System Acquisition Program in the project "Combat Support C3 Needs...maintenance workload data suggest either unacceptable system performance or excessive costs. The predictive power of these models is so poor as to

The Littoral Combat Ship: How We Got Here, and Why

DTIC Science & Technology

2014-01-01

Burke DDG, equating to a threshold (minimally acceptable) target cost of 7 $ 400 million per ship.36 However, in February 2003, with the program still...expected to provide the ship’s “Sunday punch.” As these simple calculations suggest, building a missionized LCS for $ 400 million would be challenging...was a family of fast, stealthy, 400 to 1,200-ton littoral combatants called Streetfighters which would operate in distributed groups. While the

Soldier Performance in Continuous Operations. Administrative Manual for a Briefing and Seminar for Command and Staff Personnel

DTIC Science & Technology

1985-07-01

requirements entails a coordi- nated set of activities 2. Realistic continuous combat training creates a need for integrated scheduling 3. For some...what ways might the performance degradation resulting from continuous combat create unexpected problems in Com- mand coordination? * Uneven performance...visual experiences or hallucinations after 3 since the beginning of time. Man then is the "weak days, they were unable to communicate verbally, their

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

PubMed

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

2008-01-01

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

Human Behavior and Performance as Essential Ingredients in Realistic Modeling of Combat - MORIMOC II. Proceedings of the Military Operations Research Society Mini-Symposium Held in Alexandria, Virginia on 22-24 February 1989. Volume 1

DTIC Science & Technology

1989-05-01

s , ope ra to r s and managers. Some a r e i n government --.uniformed o r civilian--and some a re i n indus t ry o r "think-tanks" o r...lan t - -- - Applications. The humah performance pos tu l a t ed during nuclear acc ident manage- ment i a compared t o t h a t i n combat and...confidence in the real system. Hard work, dedication, pride and professionalism are key trademarks of the OPFOR. Simple rules govern operations. i.e

Historical approaches to post-combat disorders

PubMed Central

Jones, Edgar

2006-01-01

Almost every major war in the last century involving western nations has seen combatants diagnosed with a form of post-combat disorder. Some took a psychological form (exhaustion, combat fatigue, combat stress reaction and post-traumatic stress disorder), while others were characterized by medically unexplained symptoms (soldier's heart, effort syndrome, shell shock, non-ulcer dyspepsia, effects of Agent Orange and Gulf War Syndrome). Although many of these disorders have common symptoms, the explanations attached to them showed considerable diversity often reflected in the labels themselves. These causal hypotheses ranged from the effects of climate, compressive forces released by shell explosions, side effects of vaccinations, changes in diet, toxic effects of organophosphates, oil-well fires or depleted-uranium munitions. Military history suggests that these disorders, which coexisted in the civilian population, reflected popular health fears and emerged in the gaps left by the advance of medical science. While the current Iraq conflict has yet to produce a syndrome typified by medically unexplained symptoms, it is unlikely that we have seen the last of post-combat disorders as past experience suggests that they have the capacity to catch both military planners and doctors by surprise. PMID:16687259

32 CFR 159.5 - Responsibilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Defense for Logistics and Materiel Readiness, shall monitor the registering, processing, and accounting of PSC personnel in an area of contingency operations. (b) The Director, Defense Procurement and... environment, in consultation with the relevant Chief of Mission in designated areas of combat operations. (2...

32 CFR 159.5 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Defense for Logistics and Materiel Readiness, shall monitor the registering, processing, and accounting of PSC personnel in an area of contingency operations. (b) The Director, Defense Procurement and... environment, in consultation with the relevant Chief of Mission in designated areas of combat operations. (2...

Research progress on combat trauma treatment in cold regions.

PubMed

Wang, Hui-Shan; Han, Jin-Song

2014-01-01

Cold regions are a special combat environment in which low temperatures have a great impact on human metabolism and other vital functions, including the nervous, motion, cardiovascular, circulatory, respiratory, and urinary systems; consequently, low temperatures often aggravate existing trauma, leading to high mortality rates if rapid and appropriate treatment is not provided. Hypothermia is an independent risk factor of fatality following combat trauma; therefore, proactive preventative measures are needed to reduce the rate of mortality. After summarizing the basic research on battlefield environments and progress in the prevention and treatment of trauma, this article concludes that current treatment and prevention measures for combat trauma in cold regions are inadequate. Future molecular biology studies are needed to elucidate the mechanisms and relevant cell factors underlying bodily injury caused by cold environment, a research goal will also allow further exploration of corresponding treatments.

M109 Family of Vehicles, Paladin Integrated Management (PIM): Operational Assessment of the Initial Operational Test and Evaluation (IOT and E)

DTIC Science & Technology

2017-01-01

procedures and Army doctrine. During pre -IOT&E training and developmental testing , the combat developer discovered that when projectiles were fired using...Director, Operational Test and Evaluation M109 Family of Vehicles, Paladin Integrated Management (PIM) Operational Assessment of the...Initial Operational Test and Evaluation October 2011 January 2017 J. Michael Gilmore Director

NATO In Africa: Ready for Action?

DTIC Science & Technology

2007-04-01

options for NATO planners who might be called upon to prepare NATO forces for the gamut of operations on the continent of Africa. vi Chapter 1...in a number of military operations running the gamut from peacekeeping/presence operations to combat operations and stability/reconstruction efforts...which run the gamut from 25 peacekeeping/humanitarian intervention to peacemaking operations.13 Some have criticized the EU for establishing its

Defense.gov - Dignity, Honor, Respect - For the Fallen

Science.gov Websites

combat operation passes through Dover Air Force Base, Del. The responsibility, and honor, of preparing Operations Center. Stories Dignified Transfer Pays Tribute to Fallen DOVER AIR FORCE BASE, Del., March 12 vehicle to the Air Force Mortuary Affairs Operations Center at Dover Air Force Base, Del. Story Center

Maximizing the Aviation Combat Element of the Future

DTIC Science & Technology

2012-05-01

35 Table 3. Logistics Footprint Assesment : Courses of Action ................................................. 36...ships operating in a reduced stability status for the full range of environmental conditions in which they were tested.20 These findings predicted that...detachment of aircraft to the LPD in COA 4. Emphasis was placed on increasing operational footprint while minimizing operational impact of

Hypovigilance Detection for UCAV Operators Based on a Hidden Markov Model

PubMed Central

Kwon, Namyeon; Shin, Yongwook; Ryo, Chuh Yeop; Park, Jonghun

2014-01-01

With the advance of military technology, the number of unmanned combat aerial vehicles (UCAVs) has rapidly increased. However, it has been reported that the accident rate of UCAVs is much higher than that of manned combat aerial vehicles. One of the main reasons for the high accident rate of UCAVs is the hypovigilance problem which refers to the decrease in vigilance levels of UCAV operators while maneuvering. In this paper, we propose hypovigilance detection models for UCAV operators based on EEG signal to minimize the number of occurrences of hypovigilance. To enable detection, we have applied hidden Markov models (HMMs), two of which are used to indicate the operators' dual states, normal vigilance and hypovigilance, and, for each operator, the HMMs are trained as a detection model. To evaluate the efficacy and effectiveness of the proposed models, we conducted two experiments on the real-world data obtained by using EEG-signal acquisition devices, and they yielded satisfactory results. By utilizing the proposed detection models, the problem of hypovigilance of UCAV operators and the problem of high accident rate of UCAVs can be addressed. PMID:24963338

Artificial Intelligence for Command and Control

DTIC Science & Technology

1988-05-15

complexity of information and are a very active current research area. Some of the important unresolved frame -related issues are control issues , such as...indepth analysis of the combat engineer’s decisio -mnaking activities. -Specificaly 3 combat engineers-stationed at Fort Bragg, North Carolina (307th...experience. The CETOOLS concept is potentially applicable in any decision- making environment, commercial or government, where plans for actions are

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

PubMed

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

2015-10-01

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

Guidebook for Providing Economic Assistance at the Tactical Level During Stability Operations

DTIC Science & Technology

2009-01-01

roads with single-lane bridges are ade- quate to connect rural villages to major roads where traffic is light. Asphalt or concrete is suit- able for...updated annually and can be purchased directly from the World Bank through the inter- net site at http://publications.worldbank.org/ ecommerce /catalog...help ex-combatants and rural workers to start their own businesses. Most ex-combatants and unskilled civilian laborers do not have the business

No Tail for the Strategic Dog: Marginalization of Logistics during Operation Torch, Invasion of North Africa

DTIC Science & Technology

2014-05-22

sustain its combat forces. iv ACKNOWLEDGMENTS I wrote this monograph in memory of my grandfather, Ralph A. Matson, who commanded a quartermaster...topic. Susan L. Fowler, also at the Combined Arms Library, provided me peace of mind by verifying that I did not violate copyrights. Steven E. Clay... minded combat arms officers in OPD, competed over limited resources. Meanwhile, SoS competed with civilian-led government organizations to control

Combat Maintenance Concepts and Repair Techniques Using Shape Memory Alloys for Fluid Lines, Control Tubes, and Drive Shafts.

DTIC Science & Technology

1983-03-01

BUREAU OF STANDARDS-1963-A ,,...:-. .-. -.’" :.- --. . 4 Iq " USAAVRADCOM-TR-82-D-37 COMBAT MAINTENANCE CONCEPTS AND REPAIR TECHNIQUES USING SHAPE MEMORY...O APPLIED TECHNOLOGY LABORATORY POSITION STATEMENT The results of this effort determined the feasibility of using the full-ring shape memory alloy...specifications, or other data are used for any purpose other than in connection with a definitely related Government procurement operation, the United

The SWATH Concept: Designing Superior Operability into a Surface Displacement Ship

DTIC Science & Technology

1975-12-01

ACKNOWLEDGMENTS 140 REFERENCES 141 —^f* • ■ " mil,. .„.. • LIST OF FIGURES Page 1 — Artist’s Concept of a 4000-Ton ", WATH Combatant 4 2 ~ The...the design process for SWATH combatants is iterative. At either the feasibility or conceptual stage, the designer starts with a "reasonable" hull...parameters, the multitude of design factors and innumerable combinations thereof constitute a difficult synthesis problem. Because they are

Littoral Combat Ship Mission Modules (LCS MM)

DTIC Science & Technology

2015-12-01

Selected Acquisition Report ( SAR ) RCS: DD-A&T(Q&A)823-443 Littoral Combat Ship Mission Modules (LCS MM) As of FY 2017 President’s Budget Defense...Acquisition Management Information Retrieval (DAMIR) March 9, 2016 08:50:12 UNCLASSIFIED LCS MM December 2015 SAR March 9, 2016 08:50:12 UNCLASSIFIED...Document OSD - Office of the Secretary of Defense O&S - Operating and Support PAUC - Program Acquisition Unit Cost LCS MM December 2015 SAR March 9

Environmental Assessment: Recapitalization of the 49th WG Combat Capabilities and Capacities, Holloman Air Force Base, New Mexico

DTIC Science & Technology

2011-07-01

of Liquid Oxygen (LOX). The new facilities would provide for the specific needs to maintain the F-16 engine, electronics , and maintenance... electronic countermeasures, and electronic counter countermeasures. 500 AGL to 40,000 MSL 0.5 to 1.0 hour Night Operations Aircraft intercepts (1...defensive maneuvering, chaff/flare, and electronic countermeasures. 2,000 AGL to 40,000 MSL 0.75 to 1.5 hour (Dissimilar) Air Combat Tactics

Analysis of Operational Pace Versus Logistical Support Rate in the Ground Combat Element of a Marine Expeditionary Brigade

DTIC Science & Technology

2006-09-01

logistical resources necessary to sustain its movement toward assigned objectives while being supported by a CSSE in an expanding maneuver warfare...thesis defines a logistics process and develops a simulation where the GCE consumes logistical resources necessary to sustain its movement toward...the MAGTF is responsible for responding to the logistics needs of the MAGTF Ground Combat Element (GCE) in order to sustain its movement. Yet

KCA drilling combats freak seas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1984-08-01

This article describes the unusual sea conditions experienced by the crew of the KCA Drilling Company's positioned drillship, the Polly Bristol. The drilling took place in 1,000 feet of Mediterranean waters off Spain. Solutions are described that were used to quickly combat the turbulence of the waters so the drillship could be operated safely and effectively. The odd condition KCA experienced was caused by what oceanographers refer to as internal wave trains - underwater waves surging against each other from opposite directions.

Combating Terrorism Within Local Policing Through Crime Reduction: Using Real-Time, Situational Awareness Within a Distributed Common Operating Picture to Combat all Crime and Terrorism V2I2SION Process and SAFECOP Pilot Project

DTIC Science & Technology

2013-03-01

Occurred on: Jul-07-2011 (Tbu.) 248 Approved on: Jul-07-2011 (Tbu.) by: 42505 - BAXTER, ROBERT M Report submitted by: 45158 - CHARBONNEAU , PETER A...Text Page(s) Document: CASE SUM:MARY Author: 45158- CHARBONNEAU , PETER A Subject: CASE SUM:MARY Related date/time: Jul-07-2011 (Tbu.) 248 On the

Combat Policing: The Application of Selected Law Enforcement Techniques to Enhance Infantry Operations

DTIC Science & Technology

2012-05-09

time, moving closer to a point where they try to achieve peer status with the occupying force.5 The initial Iraqi insurgency was largely composed of...into the nearest shop he could observe which sold phones. After a moment of strangely tense conversation with the shopkeeper, he peered behind the...Cartels: Insurgents Defeated with a Counterinsurgency Strategy.” Marine Corps Gazette. Jan 2012. Combat Hunter Homepage. U.S. Marine Corps Mobile

Gap analysis: transition of health care from Department of Defense to Department of Veterans Affairs.

PubMed

Randall, Marjorie J

2012-01-01

This study examined the effectiveness of Public Law 110-181, "National Defense Authorization Act of Fiscal Year 2008, Title XVI-Wounded Warriors Matter," as it relates to health care for returning Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) combat veterans. Specifically, it examined the gap between the time an OEF/OIF combat service member left active service and subsequently obtained health care within the Veteran Affairs (VA) Healthcare System, and which factors influenced or impeded the veteran from obtaining health care sooner. Data were collected from 376 OEF/OIF combat veterans who sought health care at the Nashville or Murfreesboro VA Medical Centers. A questionnaire was designed exclusively for this study. The average time gap for an OEF/OIF combat veteran to transition from Department of Defense to VA health care was 3.83 months (SD 7.17). Twenty-six percent of respondents reported there were factors that impeded them from coming to the VA sooner. Factors included lack of knowledge about VA benefits, transportation/distance, perceptions of losing military career, seeking help as sign of weakness, and VA reputation. The study provided some evidence to support that Department of Defense and VA are meeting mandates for providing seamless transition of health care set forth by "Public Law 110-181, National Defense Authorization Act of Fiscal Year 2008."

Army Logistician. Volume 41, Issue 3, May-June 2009

DTIC Science & Technology

2009-06-01

analyzing, and executing multifunc- tional logistics, including transportation, food service, and acquisition, receipt, issue, and recovery of Govern...internal gun truck security for presence patrols, com- bat replenishment operations, recovery operations for damaged vehicles, or escort operations for...the next mission. During our 14-month deployment, the gun truck pla- toon provided security for 208 combat replenishment operations, 27 recovery

Command and Control for Joint Air Operations.

DTIC Science & Technology

1994-11-14

publication apply to the throughout the range of military commanders of combatant commands, operations. subunified commands, joint task forces, and...this doctrine (or operations as well as the doctrinal basis JTTP) will be followed except when, in for US military involvement in the judgment of the...commander, multinational and interagency operations. exceptional circumstances dictate It provides military guidance for the otherwise. If conflicts

Network Centric Warfare Case Study: U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraqi Freedom Combat Operations (Mar-Apr 2003). Volume 3. Network Centric Warfare Insights

DTIC Science & Technology

2003-01-01

OPSEC), military deception, psychological operations (PSYOPS), special information operations (IO), information assurance, physical security...nonlethal effects, such as operational 8 Network Centric Warfare Case Study security (OPSEC), military deception, psychological operations (PSYOP...Support Operations Group ASR Alternate Supply Route; or, Ammunition Supply Rate ATACMS Army Tactical Missile System ATARS Advanced

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

PubMed

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

2017-05-01

Post-traumatic stress disorder (PTSD) is a major health concern among the U.S. military population, affecting up to 12% to 24% of veterans returning from Iraq and Afghanistan. Sleep disturbances, neuroticism, and childhood trauma have all been associated with the development of PTSD in military populations, especially in relation to combat experiences. The effects of disrupted sleep and post-traumatic stress can affect the physical well-being of soldier and sailors in the field and impact them for years after deployment. This study aimed to evaluate the relationship between self-reported measures of combat experiences, PTSD symptoms, sleep, neuroticism, and childhood adversity in an active duty military population. 972 U.S. Navy Sailors serving in Afghanistan were given anonymous surveys that assess scales of combat stressors, PTSD symptoms, sleep problems, neuroticism, adverse child experiences (ACEs), and other covariates. Sleep disturbances were hypothesized as moderators, having an indirect effect on the relationship between combat experiences and PTSD symptoms. Neuroticism scores and ACEs were proposed as moderators of the combat-PTSD symptom relationship. Mediation and moderation models were developed and tested using logistic regressions. Increased number of combat experiences was found to be a significant predictor of PTSD, even when adjusting for all covariates (p < 0.05). Consistent with partial mediation, nightmares had an indirect effect on the relationship between combat experiences and PTSD symptoms in the final model (path coefficient = 0.233, 95% confidence interval = 0.036, 0.483). Neuroticism was an independent predictor of PTSD symptoms (p < 0.001), but the interaction of combat and neuroticism did not predict symptoms of PTSD. ACEs did not have a significant impact in the model as either an independent predictor or a moderating factor. These results indicate that the presence of nightmares may partially explain how traumatic combat experiences lead to the development of PTSD. The study also reaffirms neuroticism as risk factor for developing PTSD symptoms. These findings highlight the importance of sleep hygiene and operational stress models in combat situations and may help stress control professionals address risk factors associated with PTSD symptoms. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

The effect of self efficacy and meaning in life on posttraumatic stress disorder and depression severity among veterans.

PubMed

Blackburn, Laura; Owens, Gina P

2015-03-01

The current study examined the relationships among combat exposure, presence of and search for meaning in life, general and social self-efficacy, and both posttraumatic stress disorder (PTSD) and depression symptom severity for a Veteran sample (N = 93). Participants completed an online survey comprising the Combat Exposure Scale, Meaning in Life Questionnaire, Self-Efficacy Scale, Depression subscale of the Depression, Anxiety, Stress Scales-21, and PTSD Checklist-Specific Stressor version. The majority of participants were male and Caucasian. Participants served in various service eras To determine factors that predicted PTSD and depression severity, separate hierarchical linear regressions were performed. In the final PTSD model, rank, combat exposure, and general self-efficacy were significant predictors, with officer rank, lower combat exposure, and higher general self-efficacy associated with lower PTSD severity. The interaction between combat exposure and general self-efficacy was also significant, with self-efficacy moderating the relationship between combat exposure and PTSD severity. For depression, rank, presence of meaning in life, and general self-efficacy were significant predictors in the model, with officer rank, higher presence of meaning in life, and general self-efficacy associated with lower depression severity. A focus on strengthening self-efficacy may assist with lower levels of PTSD and depression symptomatology after combat trauma. © 2014 Wiley Periodicals, Inc.

Guilt is more strongly associated with suicidal ideation among military personnel with direct combat exposure.

PubMed

Bryan, Craig J; Ray-Sannerud, Bobbie; Morrow, Chad E; Etienne, Neysa

2013-05-15

Suicide rates in the U.S. military have been rising rapidly in the past decade. Research suggests guilt is a significant predictor of suicidal ideation among military personnel, and may be especially pronounced among those who have been exposure to combat-related traumas. The current study explored the interactive effect of direct combat exposure and guilt on suicidal ideation in a clinical sample of military personnel. Ninety-seven active duty U.S. Air Force personnel receiving outpatient mental health treatment at two military clinics completed self-report symptom measures of guilt, depression, hopelessness, perceived burdensomeness, posttraumatic stress disorder, and suicidal ideation. Generalized multiple regression analyses indicated a significant interaction of guilt and direct combat exposure (B=.124, SE=.053, p=.020), suggesting a stronger relationship of guilt with suicidal ideation among participants who had direct combat exposure as compared to those who had not. The interactions of direct combat exposure with depression (B=.004, SE=.040, p=.926), PTSD symptoms (B=.016, SE=.018, p=.382), perceived burdensomeness (B=.159, SE=.152, p=.300) and hopelessness (B=.069, SE=.036, p=.057) were nonsignificant. Although guilt is associated with more severe suicidal ideation in general among military personnel, it is especially pronounced among those who have had direct combat exposure. Copyright © 2013 Elsevier B.V. All rights reserved.

Cerebrospinal fluid neuropeptide Y in combat veterans with and without posttraumatic stress disorder.

PubMed

Sah, Renu; Ekhator, Nosakhare N; Jefferson-Wilson, Lena; Horn, Paul S; Geracioti, Thomas D

2014-02-01

Accruing evidence indicates that neuropeptide Y (NPY), a peptide neurotransmitter, is a resilience-to-stress factor in humans. We previously reported reduced cerebrospinal fluid (CSF) NPY concentrations in combat-related posttraumatic stress disorder (PTSD) subjects as compared with healthy, non-combat-exposed volunteers. Here we report CSF NPY in combat-exposed veterans with and without PTSD. We quantified NPY concentrations in morning CSF from 11 male subjects with PTSD from combat in Iraq and/or Afghanistan and from 14 combat-exposed subjects without PTSD. NPY-like immunoreactivity (NPY-LI) was measured by EIA. The relationship between CSF NPY and clinical symptoms, as measured by the Clinician-Administered PTSD Scale (CAPS) and Beck Depression Inventory (BDI), was assessed, as was the relationship between combat exposure scale (CES) scores and CSF NPY. As compared with the combat-exposed comparison subjects without PTSD, individuals with PTSD had significantly lower concentrations of CSF NPY [mean CSF NPY was 258. 6 ± 21.64 pg/mL in the combat trauma-no PTSD group but only 180.5 ± 12.62 pg/mL in PTSD patients (p=0.008)]. After adjusting for CES and BDI scores the two groups were still significantly different with respect to NPY. Importantly, CSF NPY was negatively correlated with composite CAPS score and intrusive (re-experiencing) subscale scores, but did not significantly correlate with CES or BDI scores. Our current findings further suggest that NPY may regulate the manifestation of PTSD symptomatology, and extend previous observations of low CSF NPY concentrations in the disorder. Central nervous system NPY may be a clinically important pharmacotherapeutic target, and/or diagnostic measure, for PTSD. Published by Elsevier Ltd.

Anticipating the traumatic brain injury-related health care needs of women veterans after the Department of Defense change in combat assignment policy.

PubMed

Amara, Jomana; Iverson, Katherine M; Krengel, Maxine; Pogoda, Terri K; Hendricks, Ann

2014-01-01

Female service members' presence in combat zones during Operation Enduring Freedom and Operation Iraqi Freedom is unprecedented both in terms of the number of women deployed and the nature of their involvement. In light of changing Department of Defense policy governing the deployment of women in combat zones, this article intends to set the groundwork for estimating future combat-related injuries and subsequent Veterans Health Administration (VHA) utilization while focusing on traumatic brain injury (TBI). The article summarizes and presents the results of a study that examines veterans who present to VHA for TBI evaluation. For a national sample of veterans, a dataset including information on post-screening utilization, diagnoses, and location of care was constructed. The dataset included self-reported health symptoms and other information obtained from a standardized national VHA post-screening clinical evaluation, the comprehensive TBI evaluation (CTBIE). Both women and men utilize high levels of VHA health care after a CTBIE. However, there are gender differences in the volume and types of services used, with women utilizing different services than their male counterparts and incurring higher costs, including higher overall and outpatient costs. As women veterans seek more of their health care from the VHA, there will be a need for more coordinated care to identify and manage deployment-related TBI and common comorbidities such as posttraumatic stress disorder, depression, and chronic pain. Deployment-connected injuries are likely to rise because of the rescinding of the ban on women in combat. This in turn has critical implications for VHA strategic planning and budgeting. Published by Elsevier Inc.

Analysis of the causes of medical evacuation of injured and sick soldiers of the Polish Military Contingent in the Islamic State of Afghanistan taking part in International Security Assistance Force operations.

PubMed

Ziemba, Radosław

2012-04-01

Military casualties in Afghanistan arise in part from climatic and natural conditions that are difficult for European soldiers to endure, as well as from intense guerrilla combat with mass use of IEDs (improvised explosive devices), thus posing numerous and diverse medical problems requiring evacuation to the home country. A search of the literature revealed no comprehensive studies of the causes of medical evacuation from this theater of operations. This article is a review of medical reports of the Polish Military Contingent taking part in Operation Enduring Freedom during the period from 01 January 2010 to 31 December 2011, including an analysis of causes of all ROLE 4 medical evacuations (to the military base in Germany or to the home country). As many as 565 (5.49%) of the total of 10 294 contingent soldiers were evacuated during the analyzed period. Of these, 29% of evacuation cases were due to combat injuries, 23% to complications of respiratory tract infection, 11% to mental health problems, 11% to chronic neuralgias, 12% to complications of acute gastrointestinal infections, 4% to non-combat injuries, 3% to dental and maxillofacial problems, 2% to dermatological problems and 2% to leishmaniasis. The remaining causes included chronic organic/systemic diseases manifested during service. The main causes of medical evacuations to the home country were the consequences of combat injuries, mainly due to IED attacks. Appropriate diagnosis and early treatment of infections is also an important problem in the face of a significant number of complications resulting in evacuation of soldiers to their home country.

Operational Physical Performance and Fitness in Military Women: Physiological, Musculoskeletal Injury, and Optimized Physical Training Considerations for Successfully Integrating Women Into Combat-Centric Military Occupations.

PubMed

Nindl, Bradley C; Jones, Bruce H; Van Arsdale, Stephanie J; Kelly, Karen; Kraemer, William J

2016-01-01

This article summarizes presentations from a 2014 United States Department of Defense (DoD) Health Affairs Women in Combat symposium addressing physiological, musculoskeletal injury, and optimized physical training considerations from the operational physical performance section. The symposium was held to provide a state-of-the-science meeting on the U.S. DoD's rescinding of the ground combat exclusion policy opening up combat-centric occupations to women. Physiological, metabolic, body composition, bone density, cardiorespiratory fitness, and thermoregulation differences between men and women were briefly reviewed. Injury epidemiological data are presented within military training and operational environments demonstrating women to be at a higher risk for musculoskeletal injuries than men. Physical training considerations for improved muscle strength and power, occupational task performance, load carriage were also reviewed. Particular focus of this article was given to translating physiological and epidemiological findings from the literature on these topics toward actionable guidance and policy recommendations for military leaders responsible for military physical training doctrine: (1) inclusion of resistance training with special emphasis on strength and power development (i.e., activation of high-threshold motor units and recruitment of type II high-force muscle fibers), upper-body strength development, and heavy load carriage, (2) moving away from "field expediency" as the major criteria for determining military physical training policy and training implementation, (3) improvement of load carriage ability with emphasis placed on specific load carriage task performance, combined with both resistance and endurance training, and (4) providing greater equipment resources, coaching assets, and increased training time dedicated to physical readiness training. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

The use of virtual reality in the military's assessment of service members with traumatic brain injury: recent developments and emerging opportunities.

PubMed

Edwards, Joe; Vess, James; Reger, Greg; Cernich, Alison

2014-01-01

Traumatic brain injury (TBI) is a common event in the current extended conflicts by American service members, with estimates that as many as 300,000 have sustained combat-related concussions during Operation Iraqi Freedom and Operation Enduring Freedom. The limited ecological validity of traditional neuropsychological assessment measures presents a challenge to effective postconcussion evaluation of service members in relation to fitness-for-duty decisions or rehabilitation needs. Virtual reality (VR) technology offers a promising opportunity to advance the field of functional assessment for TBI. This article reviews the current professional literature on VR applications for TBI assessment, with special emphasis on those that are particularly relevant to U.S. service members. VR affords several advantages for clinical use. These include assessment of complex sets of cognitive and behavioral functions rather than the isolated components assessed by traditional measures; more precise control over the standardized presentation of task stimuli and the recording of response data; and enhanced ecological validity that can lead to more useful assessment data in the applied contexts faced by the U.S. military.

Can an ankle-foot orthosis change hearts and minds?

PubMed

Patzkowski, Jeanne C; Blanck, Ryan V; Owens, Johnny G; Wilken, Jason M; Blair, James A; Hsu, Joseph R

2011-01-01

The current military conflicts of Operation Enduring Freedom and Operation Iraqi Freedom have been characterized by high-energy explosive wounding patterns, with the majority affecting the extremities. While many injuries have resulted in amputation, surgical advances have allowed the orthopaedic surgeon to pursue limb salvage in the face of injuries once considered unsalvageable. The military limb salvage patient is frequently highly active and motivated and expresses significant frustration with the slow nature of limb salvage rehabilitation and continued functional deficits. Inspired by these patients, efforts at this institution began to provide them with a more dynamic orthosis. Utilizing techniques and technology resulting from cerebral palsy, stroke, and amputation research, the Intrepid Dynamic Exoskeletal Orthosis was created. To date, this device has significantly improved the functional capabilities of the limb salvage wounded warrior population when combined with a high-intensity rehabilitation program. Clinical and biomechanical research is currently underway at this institution in order to fully characterize the device, its effect on patients, and what can be done to modify future generations of the device to best serve the combat-wounded limb salvage population.

Blast exposure and dual sensory impairment: an evidence review and integrated rehabilitation approach.

PubMed

Saunders, Gabrielle H; Echt, Katharina V

2012-01-01

Combat exposures to blast can result in both peripheral damage to the ears and eyes and central damage to the auditory and visual processing areas in the brain. The functional effects of the latter include visual, auditory, and cognitive processing difficulties that manifest as deficits in attention, memory, and problem solving--symptoms similar to those seen in individuals with visual and auditory processing disorders. Coexisting damage to the auditory and visual system is referred to as dual sensory impairment (DSI). The number of Operation Iraqi Freedom/Operation Enduring Freedom Veterans with DSI is vast; yet currently no established models or guidelines exist for assessment, rehabilitation, or service-delivery practice. In this article, we review the current state of knowledge regarding blast exposure and DSI and outline the many unknowns in this area. Further, we propose a model for clinical assessment and rehabilitation of blast-related DSI that includes development of a coordinated team-based approach to target activity limitations and participation restrictions in order to enhance reintegration, recovery, and quality of life.

Plastic Surgery Challenges in War Wounded II: Regenerative Medicine

PubMed Central

Valerio, Ian L.; Sabino, Jennifer M.; Dearth, Christopher L.

2016-01-01

Background: A large volume of service members have sustained complex injuries during Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF). These injuries are complicated by contamination with particulate and foreign materials, have high rates of bacterial and/or fungal infections, are often composite-type defects with massive soft tissue wounds, and usually have multisystem involvement. While traditional treatment modalities remain a mainstay for optimal wound care, traditional reconstruction approaches alone may be inadequate to fully address the scope and magnitude of such massive complex wounds. As a result of these difficult clinical problems, the use of regenerative medicine therapies, such as autologous adipose tissue grafting, stem cell therapies, nerve allografts, and dermal regenerate templates/extracellular matrix scaffolds, is increased as adjuncts to traditional reconstructive measures. Basic and Clinical Science Advances: The beneficial applications of regenerative medicine therapies have been well characterized in both in vitro studies and in vivo animal studies. The use of these regenerative medicine techniques in the treatment of combat casualty injuries has been increasing throughout the recent war conflicts. Clinical Care Relevance: Military medicine has shown positive results when utilizing certain regenerative medicine modalities in treating complex war wounds. As a result, multi-institution clinical trials are underway to further evaluate these observations and reconstruction measures. Conclusion: Successful combat casualty wound care often requires a combination of traditional aspects of the reconstructive ladder/elevator with adoption of various regenerative medicine therapies. Due to the recent OIF/OEF conflicts, a high volume of combat casualties have benefited from adoption of regenerative medicine therapies and increased access to innovative clinical trials. Furthermore, many of these patients have had long-term follow-up to report on clinical outcomes that substantiate current treatment paradigms and concepts within regenerative medicine, reconstructive, and rehabilitation care. These results are applicable to not only combat casualty care but also to nonmilitary patients. PMID:27679752

Behaviorally-inhibited temperament is associated with severity of PTSD symptoms and faster eyeblink conditioning in veterans

PubMed Central

Myers, Catherine E.; VanMeenen, Kirsten M.; McAuley, J. Devin; Beck, Kevin D.; Pang, Kevin C. H.; Servatius, Richard J.

2012-01-01

Prior studies have sometimes demonstrated facilitated acquisition of classically-conditioned responses and/or resistance to extinction in post-traumatic stress disorder (PTSD). However, it is unclear whether these behaviors are acquired as a result of PTSD or exposure to trauma, or reflect pre-existing risk factors that confer vulnerability for PTSD. Here, we examined classical eyeblink conditioning and extinction in veterans self-assessed for current PTSD symptoms, exposure to combat, and the personality trait of behavioral inhibition (BI), a risk factor for PTSD. 128 veterans were recruited (mean age 51.2 years; 13.3% female); 126 completed self-assessment, with 25.4% reporting a history of exposure to combat and 30.9% reporting severe, current PTSD symptoms (PTSS). PTSD symptom severity was correlated with current BI (R2=0.497) and PTSS status could be predicted based on current BI and combat history (80.2% correct classification). A subset of the veterans (n=87) also completed eyeblink conditioning. Among veterans without PTSS, childhood BI was associated with faster acquisition; veterans with PTSS showed delayed extinction, under some conditions. These data demonstrate a relationship between current BI and PTSS, and suggest that the facilitated conditioning sometimes observed in PTSD patients may partially reflect personality traits such as childhood BI that pre-date and contribute to vulnerability for PTSD. PMID:21790343

Combat veterans, mental health issues, and the death penalty: addressing the impact of post-traumatic stress disorder and traumatic brain injury.

PubMed

Giardino, Anthony E

2009-05-01

More than 1.5 million Americans have participated in combat operations in Iraq and Afghanistan over the past seven years. Some of these veterans have subsequently committed capital crimes and found themselves in our nation's criminal justice system. This Essay argues that combat veterans suffering from post-traumatic stress disorder or traumatic brain injury at the time of their offenses should not be subject to the death penalty.Offering mitigating evidence regarding military training, post-traumatic stress disorder, and traumatic brain injury presents one means that combat veterans may use to argue for their lives during the sentencing phase of their trials. Alternatively, Atkins v. Virginia and Roper v. Simmons offer a framework for establishing a legislatively or judicially created categorical exclusion for these offenders, exempting them from the death penalty as a matter of law. By understanding how combat service and service-related injuries affect the personal culpability of these offenders, the legal system can avoid the consequences of sentencing to death America's mentally wounded warriors, ensuring that only the worst offenders are subject to the ultimate punishment.

Next generation cooled long range thermal sights with minimum size, weight, and power

NASA Astrophysics Data System (ADS)

Breiter, R.; Ihle, T.; Wendler, J.; Rühlich, I.; Ziegler, J.

2013-06-01

Situational awareness and precise targeting at day, night and severe weather conditions are key elements for mission success in asymmetric warfare. To support these capabilities for the dismounted soldier, AIM has developed a family of stand-alone thermal weapon sights based on high performance cooled IR-modules which are used e.g. in the infantryman of the future program of the German army (IdZ). The design driver for these sights is a long ID range <1500m for the NATO standard target to cover the operational range of a platoon with the engagement range of .50 cal rifles, 40mm AGLs or for reconnaissance tasks. The most recent sight WBZG has just entered into serial production for the IdZ enhanced system of the German army with additional capabilities like a wireless data link to the soldier backbone computer. Minimum size, weight and power (SWaP) are most critical requirements for the dismounted soldiers' equipment and sometimes push a decision towards uncooled equipment with marginal performance referring to the outstanding challenges in current asymmetric warfare, e.g. the capability to distinguish between combatants and non-combatants in adequate ranges. To provide the uncompromised e/o performance with SWaP parameters close to uncooled, AIM has developed a new thermal weapon sight based on high operating temperature (HOT) MCT MWIR FPAs together with a new low power single piston stirling cooler. In basic operation the sight is used as a clip-on in front of the rifle scope. An additional eyepiece for stand-alone targeting with e.g. AGLs or a biocular version for relaxed surveillance will be available. The paper will present details of the technologies applied for such long range cooled sights with size, weight and power close to uncooled.

[Management of war orthopaedic injuries in recent armed conflicts].

PubMed

Frank, M; Mathieu, L

2013-01-01

The extremities continue to be the most frequent sites of wounding during armed conflicts despite the change of combat tactics, soldier armour and battlefield medical support. Due to the advances in prehospital care and timely transport to the hospital, orthopaedic surgeons deal with severe and challenging injuries of the limbs. In contrast to civilian extremity trauma, the most combat-related injuries are open wounds that often have infection-related complications. Data from two recent large armed conflicts (Iraq, Afghanistan) show that extremity injuries are associated with a high complication rate, morbidity and healthcare utilization. A systematic approach that consists of sequential surgical care and good transport capabilities can reduce the complication rate of these injuries. New medical technologies have been implemented in the treatment strategy during the last decade. This article reviews the published scientific data and current opinions on combat-related extremity injuries. Key words: extremity, combat, trauma, medical support system.

Combating HIV/AIDS | NIH MedlinePlus the Magazine

MedlinePlus

Skip to main content NIH MedlinePlus the Magazine NIH MedlinePlus Salud Download the Current Issue PDF [3.1 mb] Trusted Health Information from the National Institutes of Health Home Current Issue ...

Leveraging Venture Capital and Commercial Business: Enhancing Stability Operations

DTIC Science & Technology

2011-03-24

Economic Stability Operations have emerged as a new element of United States national strategic power. The creation of jobs, through commercial...examine the key strategic factors influencing long-term economic stability following the withdrawal of combat forces. This paper provides a model for

Summary of Research 1998, Department of Operations Research

DTIC Science & Technology

1999-08-01

Data System OSD PA&E, and Vince Roeske , Scientific Advisor The Joint Staff): Taylor, J.G., "Initial Theoretical Evaluation of JWARS Ground-Combat...THE ARSENAL SHIP CONCEPT: VULNERABILITIES TO SPECIAL OPERATIONS Christian A. Dunbar-Lieutenant, United States Navy B.S., University of Notre Dame

Psychological symptoms and marital satisfaction in spouses of Operation Iraqi Freedom veterans: relationships with spouses' perceptions of veterans' experiences and symptoms.

PubMed

Renshaw, Keith D; Rodrigues, Camila S; Jones, David H

2008-08-01

Much research has shown that spouses of combat veterans with posttraumatic stress disorder (PTSD) have higher rates of psychological and marital distress than do spouses of veterans without PTSD; however, very few studies have examined potential mechanisms of this increased vulnerability. The current study examined spouses of National Guard soldiers recently returned from deployments in Iraq. In addition to documenting elevated levels of psychological symptoms in these spouses, the authors found that spouses experienced greater symptom severity when they perceived high levels of symptoms in soldiers but the soldiers endorsed low levels of symptoms. Furthermore, spouses' marital satisfaction was negatively linked to soldiers' self-reported symptom severity only when spouses perceived that soldiers had experienced low levels of combat activity while deployed. When spouses perceived high levels of such activity, soldiers' self-reported symptoms had no relationship with spouses' marital satisfaction. These findings highlight the importance of interpersonal perceptions in intimate relationships and are consistent with the notion that uncontrollable attributions for a relative's mental health problems may provide a buffer against relationship distress. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Use of inpatient psychiatric services on a U.S. Army combat support post during Operations Desert Shield and Desert Storm: the stress of non-deployment.

PubMed

Koshes, R J; Rothberg, J M

1994-06-01

We studied the utilization of inpatient psychiatric services during Operations Desert Shield and Desert Storm (the Persian Gulf War of 1990-1991) on a U.S. Army combat support post. Inpatient psychiatric admissions and dispositions for the post's catchment area were tallied before, during, and after Operations Desert Shield and Desert Storm. Subjects included active duty soldiers (deployed soldiers were not studied while they were away from the post), their families, and retirees. Overall, there was no increase in psychiatric hospitalizations for active duty soldiers, their family members, or retirees. However, coincident with the return of soldiers from Operations Desert Shield and Desert Storm, the psychiatric proportion of all hospitalizations increased in the subpopulation of soldiers not deployed who had served less than 1 year. These soldiers in training may be more susceptible to increased stress levels associated with the return of soldiers from war because of their inadequate group bonding.

Soviet Special Operations: The Legacy of the Great Patriotic War.

DTIC Science & Technology

1987-04-01

most famous Soviet special operator of the Great Patriotic Wart Nikolai Ivanovich Kuznetsov . Fluent in German, Kuznetzov volunteered in 1941 to operate...a small group of specialists, Kuznetsov operated in and around Rovno and Lvov. Officially he is credited with six assassinations of members of the...Ukraine exemplify this S type of operation. Kuznetsov himself was recruited into the 11 OMSBON in 1942. Following training and some combat experience

Military Sexual Trauma, Combat Exposure, and Negative Urgency as Independent Predictors of PTSD and Subsequent Alcohol Problems among OEF/OIF Veterans

PubMed Central

Tirabassi, Christine K.; Simons, Raluca M.; Simons, Jeffrey S.

2015-01-01

This study tested a path model of relationships between military sexual trauma (MST), combat exposure, negative urgency, posttraumatic stress disorder (PTSD) symptoms, and alcohol use and related problems. The sample consisted of 86 OEF/OIF veterans who reported drinking at least one alcoholic beverage per week. PTSD mediated the relationships between MST and alcohol-related problems, negative urgency and alcohol-related problems, as well as combat exposure and alcohol-related problems. In addition, negative urgency had a direct effect on alcohol problems. These results indicate that MST, combat exposure, and negative urgency independently predict PTSD symptoms and PTSD symptoms mediate their relationship with alcohol-related problems. Findings support previous literature on the effect of combat exposure and negative urgency on PTSD and subsequent alcohol-related problems. The current study also contributes to the limited research regarding the relationship between MST, PSTD, and alcohol use and related problems. Clinical interventions aimed at reducing emotional dysregulation and posttraumatic stress symptomology may subsequently improve alcohol related outcomes. PMID:26524279

Cortical Thickness Reduction in Combat Exposed U.S. Veterans with and without PTSD

PubMed Central

Wrocklage, Kristen M.; Averill, Lynnette A.; Scott, J. Cobb; Averill, Christopher L.; Schweinsburg, Brian; Trejo, Marcia; Roy, Alicia; Weisser, Valerie; Kelly, Christopher; Martini, Brenda; Harpaz-Rotem, Ilan; Southwick, Steven M.; Krystal, John H.; Abdallah, Chadi G.

2017-01-01

We investigated the extent of cortical thinning in U.S. Veterans exposed to combat who varied in the severity of their posttraumatic stress disorder (PTSD) symptoms. In addition, we explored the neural correlates of PTSD symptom dimensions and the interactive effects of combat exposure and PTSD upon cortical thickness. Sixty-nine combat exposed Veterans completed high-resolution magnetic resonance imaging (MRI) scans to estimate cortical thickness. The Clinician Administered PTSD Scale (CAPS) and Combat Exposure Scale (CES) assessments were completed to measure current PTSD and historical combat severity, respectively. PTSD symptom dimensions (numbing, avoidance, reexperiencing, anxious arousal, and dysphoric arousal) were studied. Vertex-wise whole cerebrum analyses were conducted. We found widespread negative correlations between CAPS severity and cortical thickness, particularly within the prefrontal cortex. This prefrontal correlation remained significant after controlling for depression severity, medication status, and other potential confounds. PTSD dimensions, except anxious arousal, negatively correlated with cortical thickness in various unique brain regions. CES negatively correlated with cortical thickness in the left lateral prefrontal, regardless of PTSD diagnosis. A significant interaction between CES and PTSD diagnosis was found, such that CES negatively correlated with cortical thickness in the non-PTSD, but not in the PTSD, participants. The results underscore the severity of cortical thinning in U.S. Veterans suffering from high level of PTSD symptoms, as well as in Veterans with no PTSD diagnosis but severe combat exposure. The latter finding raises considerable concerns about a concealed injury potentially related to combat exposure in the post-9/11 era. PMID:28279623

Cortical thickness reduction in combat exposed U.S. veterans with and without PTSD.

PubMed

Wrocklage, Kristen M; Averill, Lynnette A; Cobb Scott, J; Averill, Christopher L; Schweinsburg, Brian; Trejo, Marcia; Roy, Alicia; Weisser, Valerie; Kelly, Christopher; Martini, Brenda; Harpaz-Rotem, Ilan; Southwick, Steven M; Krystal, John H; Abdallah, Chadi G

2017-05-01

We investigated the extent of cortical thinning in U.S. Veterans exposed to combat who varied in the severity of their posttraumatic stress disorder (PTSD) symptoms. In addition, we explored the neural correlates of PTSD symptom dimensions and the interactive effects of combat exposure and PTSD upon cortical thickness. Sixty-nine combat exposed Veterans completed high-resolution magnetic resonance imaging (MRI) scans to estimate cortical thickness. The Clinician Administered PTSD Scale (CAPS) and Combat Exposure Scale (CES) assessments were completed to measure current PTSD and historical combat severity, respectively. PTSD symptom dimensions (numbing, avoidance, reexperiencing, anxious arousal, and dysphoric arousal) were studied. Vertex-wise whole cerebrum analyses were conducted. We found widespread negative correlations between CAPS severity and cortical thickness, particularly within the prefrontal cortex. This prefrontal correlation remained significant after controlling for depression severity, medication status, and other potential confounds. PTSD dimensions, except anxious arousal, negatively correlated with cortical thickness in various unique brain regions. CES negatively correlated with cortical thickness in the left lateral prefrontal, regardless of PTSD diagnosis. A significant interaction between CES and PTSD diagnosis was found, such that CES negatively correlated with cortical thickness in the non-PTSD, but not in the PTSD, participants. The results underscore the severity of cortical thinning in U.S. Veterans suffering from high level of PTSD symptoms, as well as in Veterans with no PTSD diagnosis but severe combat exposure. The latter finding raises considerable concerns about a concealed injury potentially related to combat exposure in the post-9/11 era. Published by Elsevier B.V.

Alcohol Misuse in Reserve Soldiers and their Partners: Cross-Spouse Effects of Deployment and Combat Exposure.

PubMed

Vest, Bonnie M; Heavey, Sarah Cercone; Homish, D Lynn; Homish, Gregory G

2018-04-16

Military deployment and combat are associated with worse outcomes, including alcohol misuse. Less is known about how these experiences affect soldiers' spouses. The study objective was to explore relationships between deployment, combat exposure, and alcohol misuse; especially cross-spouse effects (effect of one partner's experiences/behavior on the other partner), which has been under-examined in military samples. U.S. Army Reserve/National Guard soldiers and their partners completed a questionnaire covering physical and mental health, military service and substance use. Negative binomial regression models examined number of deployments and combat exposure individually for alcohol misuse and frequent heavy drinking (FHD). In additional models, we examined combat exposure's role on alcohol outcomes, controlling for the soldiers' number of deployments, PTSD symptoms, age, and in cross-spouse models, alcohol use and FHD. We considered individuals' deployment experiences related to their alcohol outcomes and to their spouses' alcohol outcomes. The study sample included male soldiers with current/lifetime military service (n = 248) and their female partners. Combat exposure was related to FHD (RR: 1.01, p < .05, 95% CI: 1.01, 1.01) among male soldiers while controlling for PTSD symptoms, number of deployments, and age. Female partners of male soldiers were more likely to engage in FHD (RR: 1.01, p < .05, 95% CI: 1.01, 1.01) if their spouse experienced combat. Our results demonstrate that male soldiers and their spouses are at increased risk of FHD if the soldier experienced combat. This points to the need for better screening, particularly of spouses of soldiers, whose alcohol misuse may be overlooked.

Littoral Combat Ship Open Ocean Anti-Submarine Warfare

DTIC Science & Technology

2014-06-01

maintain stealth and its defense in order to properly conduct an attack on a surface vessel (Sternhell and Thorndike 2014, 102). This statement...its target, the surface combatants can counter by increasing their speed (Sternhell and Thorndike 2014). While the maximum speed of the current...120316_PS.pdf Sternhell, Charles M, and Alan M Thorndike . 2014. “Antisubmarine Warfare in World War II.” CNA Analysis & Solutions. Accessed April 14, 2014

Medical Technology Base Master Plan

DTIC Science & Technology

1990-03-01

methodologes to evaluate off ectiveness of current and new Integrated protectivb equxipment systems. The failure of the system designer to adequately consider...With animal studies to use fewer than one-tenth the nu~r~e of aniimals used In standard factorial experimental designs , and "* Preliminary development of...research and developmnent have Produced Cost savings as well as sustained and augmented combat and non -combat rniss~on effectiveness. Examples 0f the Armys

USSR Report, Political and Sociological Affairs, No. 1297, Current Political Issues.

DTIC Science & Technology

1982-08-26

Sihanouk Visits Pyongyang 9 NAT IONAL Deputy MVD Minister on Combatting Alcoholism (B. Shumilin; PRAVDA, 17 Jul 82) ............................. 10...COMBATTING ALCOHOLISM Moscow PRAVDA in Russian 17 Jul 82 p 3 [Article by B. Shumilin, USSR deputy ’Minister of -internal affairs: "And Persuadeand...work, is occupied by the struggle against alcoholism . An overwhelming majority of the Soviet people does not tolerate drunkenness and supports measures

Combat Medical Modernization: Posturing Low Supply And High Demand Assets To Meet Emerging And Future Capability Requirements

DTIC Science & Technology

2015-07-01

OFFICE OF THE AIR FORCE SURGEON GENERAL FELLOWSHIP PAPER COMBAT MEDICAL MODERNIZATION: POSTURING LOW SUPPLY AND HIGH DEMAND ASSETS TO...Maj, USAF, MSC Scott A. Baker, Capt, USAF, MSC A Research Report Submitted to HQ AF/SG35X In Partial Fulfillment of Medical Plans Fellowship...i TABLE OF FIGURES 3 I. INTRODUCTION 5 II. CURRENT MEDICAL EN-ROUTE CARE CAPABILITY

The Management of Combat Wounds: The British Military Experience

PubMed Central

Jeffery, Steven L.A.

2016-01-01

The concept of the military wound is not an easy entity to define as the wounds seen in conflict can be of many types: those caused by recognized or improvised weapon systems may have similarities to civilian wounds as well as the wounds soldiers sustain outside of battle. This article will focus on the current treatment approaches to combat wounds sustained by the deployed UK Armed Forces personnel. PMID:27785380

Soldier Capability - Army Combat Effectiveness (SCACE). Volume 3. Historical Combat Data and Analysis

DTIC Science & Technology

1980-12-01

data un Israeli experience with troops lacking literacy , elementary education, and/or psychomotor skills required for many current military occupations...overview of the relationship of cognitive skills to training and performance, with special reference to man-machine systems, (,nd the problems that...effective use of troops with low educational levels and psychomotor skills . Some IDF reports on these subjects are known to exist, and some interviews

The Strategic Bomber and Low-Intensity Conflict

DTIC Science & Technology

1990-05-01

of combat forces can be limited by current capabilities and other constraints. Aplication for Strategic Bombers Although the total United States...labeled the long-range combat aircraft. (31:1) The bomber’s characteristic of long-range provides mobility and mission flexibility which is not available...Summer 1989, pp. 46-55. 47. Ropelewski, Robert R. "Target Mobility , Arms Control Challenge SAC Modernization," Armed Forces Journo-1 £Dt~raflii~1

Surface Warfare: A Total Force. Volume 19. Number 4, July/August 1994

DTIC Science & Technology

1994-08-01

USS Puget Sound (AD 38) (AOE 1) Support USS Grasp (ARS 51) Combat Logistics (med/small) USS Mauna Lea (AE 22) COMINEWARCOM: Repair USS Acadia (AD 42...structure is Operational Reserve Carrier ( ORC ). When USS John being shaped to expand this role. In the recently P. Eznnedy (CV 67) joins the NRF in...A typical Aegis engagement sequence begins as a engineer and test the fought in the waters of Port RoyalAegis Combat System. Sound and on the adjacent

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

DTIC Science & Technology

2017-01-18

System program. 7 While it may not be realistic to have definitive design criteria for a vehicle to be fielded in 2035 established now, a clearer...is focused on fielding an existing “hard kill” APS capability in the near term for the Army’s M-1 Abrams tanks, M-2/3 Bradley fighting vehicles , and...infantry fighting vehicles (IFVs), tracked self-propelled (SP) artillery, and multiple launch rocket systems (MLRS), which constitutes the nucleus

Report to Congress on the Review of Laws, Policies and Regulations Restricting the Service of Female Members in the U.S. Armed Forces

DTIC Science & Technology

2012-02-01

of vessels on which enlisted women can serve are more limited than those of their male counterparts. Women in occupations such as yeoman, culinary ...Marine Corps training in skills necessary for managing combat trauma casualties and operating with Marine forces in a combat environment. After this...commanders in dealing [with] the management of military forces and the requirements of military discipline.” Id. at 69. In Rostker, the Court

Research on Navy-Related Combat Casualty Care Issues, Navy Operational-Related Injuries and Illnesses and Approaches to Enhance Navy/Marine Corps Personnel Combat Performance.

DTIC Science & Technology

1998-06-01

role of bone morphogenetic protein (BMP) receptors in bone regeneration in periodontal tissues . Tissue samples for these studies are in the accrual...34 Characterization of Bone Morphogenetic Protein Receptors in Oral Tissues " collection of clinical samples will proceed in preparation for assay. • Relative to the...transcribed. • Relative to the project * Characterization of Bone Morphogenetic Protein Receptors in Oral Tissues ", collection of clinical samples is

Postconcussive Symptom Reporting Among US Combat Veterans With Mild Traumatic Brain Injury From Operation Iraqi Freedom

DTIC Science & Technology

2012-01-01

memory problems (OR = 1.86; 95% CI = 1.20-2.88), tinnitus (OR = 1.63; 95% CI = 1.10-2.41), and dizziness (OR = 2.13; 95% CI = 1.06-4.29) compared with...consequences among combat veterans even when accounting for co-occurring psychological morbidity. The identification of postconcussive symptoms related to...Research Center, San Diego, California. This work was supported by the US Navy Bureau of Medicine under the Wounded, Ill and Injured/ Psychological Health

Combat Support and the Operational Commander

DTIC Science & Technology

1988-09-01

adversity" (31:64). During the 19th century , Heinrich von Treitschke wrote that: The state’s first duty was to maintain its power in its relations...beyond its own frontiers [9:271. the prevailing attitude towards combat support was still mired in the 19th century . As an example of the prevailing...Donald C. McNeeley, Jr., B.A. Lieutenant, USN AFIT/GLM/LSM/88S-48 a DTIC E’ 7CTEe DEC 2 2188 C H Approved for public release; distribution unlimited The

United States Counterinsurgency Doctrine and Implementation in Iraq

DTIC Science & Technology

2004-06-18

combat force until the host nation can stabilize the situation and that, The primary role for US military forces in combat operations is to support...they are to the insurgent as the water is to a fish . Not only does water sustain the life of the fish , it also drowns the enemy. Discipline in the...the populous by building trust and then sharing ideology. Because this process can take time, he makes the point in his Primer on Guerrilla War that

Combat aircraft noise

NASA Astrophysics Data System (ADS)

Sgarbozza, M.; Depitre, A.

1992-04-01

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

Navy DDG-1000 and DDG-51 Destroyer Programs: Background, Oversight Issues, and Options for Congress

DTIC Science & Technology

2008-09-11

July 31, 2008, hearing before the Seapower and Expeditionary Forces subcommittee of the House Armed Services Committee, Navy officials announced a major...Aegis combat system and the arming of the ship with the SM-3, a version of the Navy’s Standard Missile that is designed for BMD operations.7 The Navy has...the Navy (Ship Programs), before the Subcommittee on Seapower and Expeditionary Forces of the House Armed Services Committee, on Surface Combatant

Future Combat Systems Use of M&S for T&E

DTIC Science & Technology

2008-03-13

providing M &S for both SBA and objective operations. M &S WG Subgroup (EMS) IS&T SSEI / C4ISR / NSI Network Analysis & Modeling SoS Analysis 3CE MSO M &S...IPTs & OTPs Inter-CoP grid M &S Enterprise Management- SSEI / LRR Modeling and Simulation Implementation Strategy Approved for public release...Future Combat Systems Use of M &S for T&E DoD Modeling and Simulation Conference Acquisition and T&E M &S Practitioners Panel Phil Zimmerman, FCS M &S

Combat Search and Rescue: Searching the History; Rescuing the Doctrine

DTIC Science & Technology

2003-06-01

crew search effort KIA 23-Feb USMC Pride 16 AV-8 Capt Wilbourn none KIA 25-Feb USMC Jump 42 AV-8 Capt Walsh none Recovered by USMC in minutes USMC...61 Hallion, Richard P. Storm Over Iraq Air Power and the Gulf War. Washington, D.C.: Smithsonian Institution Press, 1992. Hampton, Lt Col Joseph C...Operation DESERT SHIELD Combat SAR Plan, 1 November 1990, in JPRA library. (Secret) Hampton, Lt Col Joseph C. Joint Universal Lessons Learned

Comparison of Three Combat Logistic Force Models

DTIC Science & Technology

1989-03-01

NAVAL POSTGRADUATE SCHOOL Monterey, California lip STATF.4 D TIC AD11S ELECTE S i MAY 3 0 1969 L P.THESIS V CO’:PARISON OF THREE COMBAT LOGISTIC...ORGAWI~ATiON Naval Postqraduante Schoo 55 Naval Postgraduate School 6( ADDRESS (City State anO Z’P C00e 7b ADDRESS (City, State, and ZIP Code) Monterey...OPERATIONS RESEARCH from the NAVAL POSTGRADUATE SCHOOL March 1989 Author: -- /S~in airi H ris Il Approved B\\:_ - (- -J. __ -__ ----- XZ p- Hughesh esis

Dietary Supplements for Musculoskeletal Pain: Science Versus Claims.

PubMed

Crawford, Cindy; Saldanha, Leila; Costello, Rebecca; Deuster, Patricia A

2018-01-01

Special Operations Forces (SOF) face unique challenges that manifest themselves both mentally and physically. The extremes of training and combat can affect the readiness to perform at peak levels, especially when confronted with musculoskeletal pain. Many SOF Operators turn to dietary supplements in hopes of gaining an edge. Although some supplements are now being marketed for pain, decisions to use these products need to be driven by information that is evidence based. We describe SOF-specific evidence-based recommendations for the use of dietary ingredients for pain that emerged from a rigorous scientific evaluation. These recommendations are compared with the label claims made in the commercial market by companies selling products to combat musculoskeletal pain. This information can be used by the SOF medical community to assist Operators in making informed decisions when considering or selecting dietary supplements for maintaining and optimizing performance. 2018.

[Principles of surgical care organization and structural characteristics of sanitary casualties in counter-terrorist operations in the Northern Caucasus (Report I)].

PubMed

Gumanenko, E K; Samokhvalov, I M; Trusov, A A; Severin, V V

2005-01-01

Two operational-and-tactical factors had the main influence on organization of the surgical care rendered to the casualties on the Northern Caucasus: the fulminant and maneuverable nature of combat operations at the beginning of both armed conflicts and rather small territory of war theatre. The main special features of organization of surgical care to the casualties were the use of Medical Squads of Special Purpose in the combat conditions and maximal approximation of the specialized surgical care to the wounded by echelonment of medical units and wide use of helicopter evacuation. The structure of sanitary losses was characterized by the increase in the frequency of mechanical traumas, thermal and combined injuries, by the high share of the casualties with head injuries. Besides the number of seriously wounded and critical casualties has increased.

Trauma centrality and PTSD in veterans returning from Iraq and Afghanistan.

PubMed

Brown, Adam D; Antonius, Daniel; Kramer, Michael; Root, James C; Hirst, William

2010-08-01

Research has demonstrated that the extent to which an individual integrates a traumatic event into their identity ("trauma centrality") positively correlates with posttraumatic stress disorder (PTSD) symptom severity. No research to date has examined trauma centrality in individuals exposed to combat stress. This study investigated trauma centrality using the abridged Centrality of Event Scale (Berntsen & Rubin, 2006) among Operation Enduring Freedom/Operation Iraqi Freedom combat veterans (n = 46). Multiple regression analyses demonstrated that trauma centrality predicted PTSD symptoms. Trauma centrality and PTSD symptoms remained significantly correlated when controlling for depression in subgroups of veterans with or without probable PTSD. This study replicates and extends findings that placing trauma at the center of one's identity is associated with PTSD symptomatology.

Special Operations, Irregular Warfare, and Operational Art: A Theory of Special Operations

DTIC Science & Technology

2013-12-10

is mostly but not wholly a land phenomenon. Naval forces have combatted maritime irregulars such as pirates for millennia, for example see: Plutarch ...SW2502SocialMediaAndUW.html (accessed June 15, 2013). Plaster, John L. SOG: Secret Wars of America’s Commandos in Vietnam. New York: Simon & Schuster, 1997. Plutarch

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

PubMed

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

2013-01-01

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

Knowing Your Partner: The Evolution of Brazilian Special Operations Forces

DTIC Science & Technology

2012-08-01

Government Palace in Port au Prince, Haiti. (Photo courtesy Brazilian Army Special Operations Brigade) Bottom left: Members from the Navy Combat Divers...States Government , Department of Defense, United States Special Operations Command, the Joint Special Operations University, or the Government of...its people, its economy, its government , and Brazilian policy toward the United States. General Pinheiro then presents a history and overview of

Ratio-driven resuscitation predicts early fascial closure in the combat wounded.

PubMed

Glaser, Jacob; Vasquez, Matthew; Cardarelli, Cassandra; Dunne, James; Elster, Eric; Hathaway, Emily; Bograd, Benjamin; Safford, Shawn; Rodriguez, Carlos

2015-10-01

Operation Iraqi Freedom and Operation Enduring Freedom have seen the highest rates of combat casualties since Vietnam. These casualties often require massive transfusion (MT) and immediate surgical attention to control hemorrhage. Clinical practice guidelines dictate ratio-driven resuscitation (RDR) for patients requiring MT. With the transition from crystalloid to blood product resuscitation, we have seen fewer open abdomens in combat casualties. We sought to determine the effect RDR has on achieving early definitive abdominal fascial closure in combat casualties undergoing exploratory laparotomy. Records of 1,977 combat casualties admitted to a single US military hospital from April 2003 to December 2011 were reviewed. Patients receiving an MT and laparotomy in theater constituted the study cohort. The cohort was divided into RDR, defined as a ratio of 0.8-U to 1.2-U packed red blood cells to 1-U fresh frozen plasma, and No-RDR groups. Age, injury patterns, mechanism of injury, injury severity, blood products, number of laparotomies, and days to fascial closure were collected. Assessed outcomes were number of days (early ≤ 2 days) and number of laparotomies to achieve fascial closure. The mean age of the study cohort (n = 172) was 24.0 years, and mean Injury Severity Score (ISS) was 24.8. Improvised explosive device blast was the most common mechanism of injury (74.4%). The cohort was divided into RDR patients (n = 73) and no RDR (n = 99). There was no difference in mean age, mean ISS, or rate of nontherapeutic exploratory laparotomies between the groups. RDR patients had a significantly lower abdominal injury rate (34.2% vs. 72.7%, p < 0.01), had fewer laparotomies (2.7 vs. 4.3, p = 0.003), and achieved primary fascial closure faster (2.4 days vs. 7.2 days, p = 0.004). On multivariate analysis, RDR (2.74; 95% confidence interval, 1.44-5.2) was an independent predictor for early fascial closure. Adherence to RDR guidelines resulted in significantly decreased number of abdominal operations and was identified as an independent predictor for early fascial closure. Further investigation is warranted to validate these findings. Therapeutic study, level III.

Sexual Healthcare for Wounded Warriors with Serious Combat-Related Injuries and Disabilities.

PubMed

Tepper, Mitchell S

2014-04-01

Short of the rich literature on sexuality in men following spinal cord injury, started largely by physicians and mental health professionals within the United States Department of Veterans Affairs (VA) system following earlier wars, little attention has been paid to the sexual healthcare of wounded warriors with other serious combat-related injuries. The recent wars in Iraq and Afghanistan-Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)-resulted in physical injuries including traumatic brain injuries (TBIs), amputations, and serious burns. There are wounded warriors who are left blind or deaf, and a significant percent of OEF/OIF/OND warriors acquire other "invisible" injuries. While the signature injury of the war in Iraq is said to be TBI, there are a substantial number of service members surviving with posttraumatic stress disorder (PTSD). Many with serious injury are struggling with co-occurring depression. Furthermore, many of our wounded warriors are surviving with polytrauma (multiple traumatic injuries, i.e., amputation plus burns). One specific constellation of injuries seen too frequently among our service members in Afghanistan is referred to as a Dismounted Complex Blast Injury (DCBI) sometimes resulting in orchiectomy and/or penile injury. As with other blast injuries, burns, shrapnel injuries, vision loss, hearing loss, TBI, and PTSD often accompany DCBIs. All of the above injuries have significant sexual, endocrine, psychological, and relationship issues that need to be addressed. This article presents an overview of the effects of serious, combat-related injuries on sexual health and provides medical and other health professionals a framework within which to address comprehensive sexual healthcare using a medical rehabilitation model. Sexual healthcare for persons with combat-related disabilities presents a complex array of biopsychosocial and relational issues that call for a coordinated interdisciplinary approach that connects physical health, psychological health, and sexual health. Tepper MS. Sexual healthcare for wounded warriors with serious combat-related injuries and disabilities. Sex Med Rev 2014;2:64-74. Copyright © 2014 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

Re-entry and reintegration: returning home after combat.

PubMed

Doyle, Michael E; Peterson, Kris A

2005-01-01

Soldier life exists on a continuum of readiness for deployment. Re-entry and reintegration-the return home and reunion with family and community-key the success of the deployment cycle. In current and projected future operations, the Army and society will both bear the burden of this re-entry and re-integration. Programs and procedures in place work towards improving communication, mitigating distress and resolving crises during reentry and reintegration. Key elements include: inclusion of families and communities early into the planning for reentry and reintegration; normalization (non-medicalization of distress); easy access to behavioral health professionals; and education of families on resources and benefits. Through broad collaboration, maximal benefit to the Soldier, family members and society be realized.

Frequent Binge Drinking After Combat-Acquired Traumatic Brain Injury Among Active Duty Military Personnel with a Past Year Combat Deployment

PubMed Central

Adams, Rachel Sayko; Larson, Mary Jo; Corrigan, John D.; Horgan, Constance M.; Williams, Thomas V.

2013-01-01

Objective To determine whether combat-acquired traumatic brain injury (TBI) is associated with post-deployment frequent binge drinking among a random sample of active duty military personnel (ADMP). Participants ADMP who returned home within the past year from deployment to a combat theater of operations and completed a survey health assessment (N = 7,155). Methods Cross-sectional observational study with multivariate analysis of responses to the 2008 Department of Defense Survey of Health Related Behaviors among Active Duty Military Personnel, an anonymous, random population-based assessment of the Armed Forces. Main Measures Frequent binge drinking: five or more drinks on the same occasion, at least once per week, in the past 30 days. TBI-AC: self-reported altered consciousness only; loss of consciousness of less than 1 minute (TBI-LOC<1); and LOC of 1 minute or greater (TBI-LOC 1+) after combat injury event exposure. Results Of ADMP who had a past year combat deployment, 25.6% were frequent binge drinkers and 13.9% reported experiencing a TBI on the deployment, primarily TBI-AC (7.5%). In regression models adjusting for demographics and positive screen for posttraumatic stress disorder, ADMP with TBI had increased odds of frequent binge drinking compared to those with no injury exposure or without TBI: TBI-AC (AOR 1.48, 95% CI, 1.18–1.84); TBI-LOC 1+ (AOR 1.67, 95% CI, 1.00–2.79). Conclusions TBI was significantly associated with past month frequent binge drinking after controlling for posttraumatic stress disorder, combat exposure, and other covariates. PMID:22955100

Occupational differences in US Army suicide rates.

PubMed

Kessler, R C; Stein, M B; Bliese, P D; Bromet, E J; Chiu, W T; Cox, K L; Colpe, L J; Fullerton, C S; Gilman, S E; Gruber, M J; Heeringa, S G; Lewandowski-Romps, L; Millikan-Bell, A; Naifeh, J A; Nock, M K; Petukhova, M V; Rosellini, A J; Sampson, N A; Schoenbaum, M; Zaslavsky, A M; Ursano, R J

2015-11-01

Civilian suicide rates vary by occupation in ways related to occupational stress exposure. Comparable military research finds suicide rates elevated in combat arms occupations. However, no research has evaluated variation in this pattern by deployment history, the indicator of occupation stress widely considered responsible for the recent rise in the military suicide rate. The joint associations of Army occupation and deployment history in predicting suicides were analysed in an administrative dataset for the 729 337 male enlisted Regular Army soldiers in the US Army between 2004 and 2009. There were 496 suicides over the study period (22.4/100 000 person-years). Only two occupational categories, both in combat arms, had significantly elevated suicide rates: infantrymen (37.2/100 000 person-years) and combat engineers (38.2/100 000 person-years). However, the suicide rates in these two categories were significantly lower when currently deployed (30.6/100 000 person-years) than never deployed or previously deployed (41.2-39.1/100 000 person-years), whereas the suicide rate of other soldiers was significantly higher when currently deployed and previously deployed (20.2-22.4/100 000 person-years) than never deployed (14.5/100 000 person-years), resulting in the adjusted suicide rate of infantrymen and combat engineers being most elevated when never deployed [odds ratio (OR) 2.9, 95% confidence interval (CI) 2.1-4.1], less so when previously deployed (OR 1.6, 95% CI 1.1-2.1), and not at all when currently deployed (OR 1.2, 95% CI 0.8-1.8). Adjustment for a differential 'healthy warrior effect' cannot explain this variation in the relative suicide rates of never-deployed infantrymen and combat engineers by deployment status. Efforts are needed to elucidate the causal mechanisms underlying this interaction to guide preventive interventions for soldiers at high suicide risk.

Occupational differences in US Army suicide rates

PubMed Central

Kessler, R. C.; Stein, M. B.; Bliese, P. D.; Bromet, E. J.; Chiu, W. T.; Cox, K. L.; Colpe, L. J.; Fullerton, C. S.; Gilman, S. E.; Gruber, M. J.; Heeringa, S. G.; Lewandowski-Romps, L.; Millikan-Bell, A.; Naifeh, J. A.; Nock, M. K.; Petukhova, M. V.; Rosellini, A. J.; Sampson, N. A.; Schoenbaum, M.; Zaslavsky, A. M.; Ursano, R. J.

2016-01-01

Background Civilian suicide rates vary by occupation in ways related to occupational stress exposure. Comparable military research finds suicide rates elevated in combat arms occupations. However, no research has evaluated variation in this pattern by deployment history, the indicator of occupation stress widely considered responsible for the recent rise in the military suicide rate. Method The joint associations of Army occupation and deployment history in predicting suicides were analysed in an administrative dataset for the 729 337 male enlisted Regular Army soldiers in the US Army between 2004 and 2009. Results There were 496 suicides over the study period (22.4/100 000 person-years). Only two occupational categories, both in combat arms, had significantly elevated suicide rates: infantrymen (37.2/100 000 person-years) and combat engineers (38.2/100 000 person-years). However, the suicide rates in these two categories were significantly lower when currently deployed (30.6/100 000 person-years) than never deployed or previously deployed (41.2–39.1/100 000 person-years), whereas the suicide rate of other soldiers was significantly higher when currently deployed and previously deployed (20.2–22.4/100 000 person-years) than never deployed (14.5/100 000 person-years), resulting in the adjusted suicide rate of infantrymen and combat engineers being most elevated when never deployed [odds ratio (OR) 2.9, 95% confidence interval (CI) 2.1–4.1], less so when previously deployed (OR 1.6, 95% CI 1.1–2.1), and not at all when currently deployed (OR 1.2, 95% CI 0.8–1.8). Adjustment for a differential ‘healthy warrior effect’ cannot explain this variation in the relative suicide rates of never-deployed infantrymen and combat engineers by deployment status. Conclusions Efforts are needed to elucidate the causal mechanisms underlying this interaction to guide preventive interventions for soldiers at high suicide risk. PMID:26190760

A Report on Deliverable Five: Evaluate Current Commercially Available Suction Pump Devices for Use in Prehospital Combat Care

DTIC Science & Technology

Develop a consumer-style report for currently available suction pump devices on the market . List parameters such as suction flow rate, pressure...evaluate whether suction devices that are currently on the market meet these requirements.

On the Home Front: Stress for Recently Deployed Army Couples

PubMed Central

Allen, Elizabeth S.; Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.

2014-01-01

Military couples who have experienced deployment and reintegration in current U.S. military operations frequently experience stress regarding the dangers and effects of such experiences. The current study evaluated a sample of 300 couples with an active duty Army husband and civilian spouse who experienced a deployment within the year prior to the survey (conducted in 2007). Wives generally reported greater levels of emotional stress compared to husbands. Overall, higher levels of stress were found for couples who reported lower income and greater economic strain, perceive the need for more support and are unsure about how to get support, have more marital conflict, and are generally less satisfied with the Army and the current mission. Husband combat exposure was also associated with more stress for husbands and wives. Additionally, for wives, stress was related to greater child behavior problems and a sense of less Army concern for families. The results suggest areas of intervention with military couples to help them cope with the challenges of military life and deployment. PMID:21564063

A war psychiatry approach to warfare in the Middle Byzantine period.

PubMed

Ntafoulis, Pavlos

2016-12-01

Combat stress cases were traced in historical texts and military manuals on warfare from the Middle Byzantine period; they were mainly labelled as cowardice. Soldiers suffered from nostalgia or exhaustion; officers looked stunned, or could not speak during the battle. Cruel punishments were often enforced. Suicide and alcohol abuse were rarely mentioned. The Byzantines' evacuation system for battle casualties was well organized. Psychological operations were conducted and prisoners-of-war were usually part of them. The Byzantine army had 'parakletores', officers assigned to encourage soldiers before combat. The leaders dealt with combat stress by using their rhetoric skills and emphasizing religious faith in eternal life. The treatment of the 'cowards' was rather similar to modern war psychiatry principles of treatment. No description of PTSD was found. © The Author(s) 2016.

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

PubMed

Nindl, Bradley C

2015-11-01

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

Evaluation of the Littoral Combat Ship (LCS) Potential for the Turkish Navy

DTIC Science & Technology

2006-09-01

THIS PAGE INTENTIONALLY LEFT BLANK v ABSTRACT Peace at home, peace in the world. Mustafa Kemal Ataturk The founder and... Yavuz , Gabya (Perry), Tepe (Knox) class frigates and Kilic, Kartal, Dogan, Ruzgar, Yildiz class Guided Missile-Fast Attack craft for littoral combat...of Turkey’s trade is realized via sea routes. The Turkish Navy currently uses: • Burak (Type A 69) • Barbaros • Yavuz • Gabya (Perry) • Tepe

Synergistic Allocation of Flight Expertise on the Flight Deck (SAFEdeck): A Design Concept to Combat Mode Confusion, Complacency, and Skill Loss in the Flight Deck

NASA Technical Reports Server (NTRS)

Schutte, Paul; Goodrich, Kenneth; Williams, Ralph

2016-01-01

This paper presents a new design and function allocation philosophy between pilots and automation that seeks to support the human in mitigating innate weaknesses (e.g., memory, vigilance) while enhancing their strengths (e.g., adaptability, resourcefulness). In this new allocation strategy, called Synergistic Allocation of Flight Expertise in the Flight Deck (SAFEdeck), the automation and the human provide complementary support and backup for each other. Automation is designed to be compliant with the practices of Crew Resource Management. The human takes a more active role in the normal operation of the aircraft without adversely increasing workload over the current automation paradigm. This designed involvement encourages the pilot to be engaged and ready to respond to unexpected situations. As such, the human may be less prone to error than the current automation paradigm.

Health hazards in areas of military operations conducted in different climatic and sanitary conditions.

PubMed

Korzeniewski, Krzysztof

2011-01-01

This paper reviews the most common health hazards occurring among personnel of peacekeeping and stabilization missions functioning within armed conflicts in the contemporary world. Military operations have been executed in diverse climatic and sanitary conditions, which are frequently unfamiliar for their participants. Some of them, e.g. the UN peacekeeping missions in the Middle East (Lebanon, the Golan Heights), have been carried out in a relatively stable geopolitical environment; whereas, stabilization missions in Iraq and Afghanistan, which are actually combat activities, undoubtedly fall into the group of the most perilous military operations in the world. Hot or cold climate, poor sanitary and hygienic conditions along with warfare facilitate the occurrence of numerous diseases and body injuries not only among the local people but also among peacekeepers, who represent the population of immigrants. Health hazards which pose major epidemiological threats in combat zones are arthropod-borne, food and water-borne, respiratory tract diseases, sexually transmitted diseases, enzootic diseases, battle injuries, and non- -battle injuries, e.g. traffic accidents. Another considerable health problem are psychiatric disorders, which can either appear directly after the occurrence of a traumatic event in a combat zone or indirectly, after some time had elapsed. In addition to the health hazards listed above, environmental factors such as changeable weather conditions and local fauna may also be life threatening.

Analyzing the Tactical Risk Decision: Does the Commander Need Help with Versatility?

DTIC Science & Technology

1993-12-17

point forward. 45 Here, too much of Clausewitz’ all important "courage and self confidence" may lead to obstinacy and undermine openmindedness . 46...an unfamiliar operational environment. This is where openmindedness is key, and the biases of conventional combat operations must be left behind. Once

The Unified Command Plan and Combatant Commands: Background and Issues for Congress

DTIC Science & Technology

2013-01-03

Forces, also known as Green Berets; Rangers ; Civil Affairs, and Military Information Support Operations (MISO)—formerly known as psychological...Soto Cano Air Base, Honduras, and operates a forward, all weather, day/night C-5 Galaxy -capable air base. JTF-Bravo organizes multilateral exercises

Joint Urban Operations Joint Integrating Concept

DTIC Science & Technology

2007-07-23

24 7. Potential Risks of Adopting this Concept...stresses that urban combat operations are conducted only when required and that built-up areas are isolated and bypassed rather than risking a...Development, Applications (New York: George Braziller , 1968). 7 media, etc., institutions that typify urban society.15 The processes include all

Network Centric Operations: Background and Oversight Issues for Congress

DTIC Science & Technology

2007-03-15

6 Overconfidence about the Effectiveness of NCO . . . . . . . . . . . . . . . . . 7 Reduced Effectiveness for Urban Counter-Insurgency...now question the effectiveness of Network Centric Operations, and its relevance to different types of conflict, including close urban combat. Others...expectations. They wonder if the DOD model for network centric operations may underestimate an enemy’s ability to deceive high technology sensors, or block the

Geronimo: Planning Considerations for Employing Airborne Forces

DTIC Science & Technology

2017-05-25

Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that... operation , a planner must adhere to joint planning considerations and understand the Air Force and Army requirements. Today the Army maintains only...one brigade and two battalions of deployable conventional airborne combat power. The special operations community also is airborne capable, and the

Lean Six Sigma in Healthcare: Combating the Military’s Escalating Pharmacy Costs

DTIC Science & Technology

2009-04-30

Management journal . Prior to his career in academia, Dr. Apte worked for over ten years in managing operations and information systems in the financial... journals including Management Science, Interfaces, Production and Operations Management , Journal of Operations Management , Decision Sciences, IIE...Telecommunication Management , Naval Logistics Quarterly, and other technical journals and conference proceedings. He has been involved in

Head-mounted display systems and the special operations soldier

NASA Astrophysics Data System (ADS)

Loyd, Rodney B.

1998-08-01

In 1997, the Boeing Company, working with DARPA under the Smart Modules program and the US Army Soldier Systems Command, embarked on an advanced research and development program to develop a wearable computer system tailored for use with soldiers of the US Special Operations Command. The 'special operations combat management system' is a rugged advanced wearable tactical computer, designed to provide the special operations soldier with enhanced situation awareness and battlefield information capabilities. Many issues must be considered during the design of wearable computers for a combat soldier, including the system weight, placement on the body with respect to other equipment, user interfaces and display system characteristics. During the initial feasibility study for the system, the operational environment was examined and potential users were interviewed to establish the proper display solution for the system. Many display system requirements resulted, such as head or helmet mounting, Night Vision Goggle compatibility, minimal visible light emissions, environmental performance and even the need for handheld or other 'off the head' type display systems. This paper will address these issues and other end user requirements for display systems for applications in the harsh and demanding environment of the Special Operations soldier.

Joint Logistics Over-the-Shore: Increasing the Speed of Response

DTIC Science & Technology

2013-03-01

military has employed amphibious operations to support its tactical, operational, and strategic objectives throughout history. According to Donald Boose...1645 are the earliest recorded amphibious operations in North America .2 U.S. interests around the world drove the Army, Navy, and Marine Corps to...employed for combat assaults onto beaches. Donald Boose describes the various 2 operations during World War II that were conducted throughout the

Military aircrew eyewear survey: operational issues.

PubMed

Capó-Aponte, José E; Hilber, David J; Urosevich, Thomas G; Lattimore, Morris R; Weaver, Jeffrey L

2013-08-01

Army aircrew are required to operate under stressful conditions within a degraded visual environment. To gain an understanding of current eyewear mission needs, we surveyed aircrew regarding operational issues associated with the current U.S. Army-issue aircrew eyewear. An anonymous online survey was completed by 976 U.S. Army aircrew personnel recruited through an invitational e-mail. Of the respondents, 34% reported wearing corrective lenses. Nearly 50% of them reported dissatisfaction with the HGU-4/P Aviator spectacles. The leading problems reported were discomfort (15%), "hot spots" around the ears (13%), and break of the earcup seal (11%). Nearly 41% of the respondents wore multifocal lenses and, of those, 16% reported that the HGU-4/P's restricted field of view (FOV) adversely affected duty performance. Of those who wore Modified HGU-4/P Apache spectacles, 79% had an unacceptable FOV with the helmet display unit. A similar number of aircrew modified the Apache eyewear to increase the FOV. In addition, wind and dust created eye discomfort or affected the vision of 46% of all respondents when performing flight duties. Over 82% expressed the need for an improved aircrew spectacles and 73% desired aviation-compatible protective eyewear. The current Army HGU-4/P Aviator and the Modified HGU-4/P Apache spectacles have significant operational deficiencies and compatibility issues. Such deficiencies have led to poor wear compliance and unauthorized modification of the Army-issue Aviator eyewear, posing readiness and safety issues. The results of this survey formally identify the need for military combat eye protection that is compatible with flight systems.

Permeation profiles of Antibiotics

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lopez Bautista, Cesar Augusto; Gnanakaran, Sandrasegaram

Presentation describes motivation: Combating bacterial inherent resistance; Drug development mainly uses brute force rather than rational design; Current experimental approaches lack molecular detail.

The expanding role of military entomologists in stability and counterinsurgency operations.

PubMed

Robert, Leon L; Rankin, Steven E

2011-01-01

Military entomologists function as part of medical civil-military operations and are an essential combat multiplier direction supporting COIN operations. They not only directly support US and coalition military forces by performing their traditional wartime mission of protecting personnel from vector-borne and rodent-borne diseases but also enhance the legitimacy of medical services by the host nation government such as controlling diseases promulgated by food, water, vectors, and rodents. These unique COIN missions demand a new skill set required of military entomologists that are not learned from existing training courses and programs. New training opportunities must be afforded military entomologists to familiarize them with how to interact with and synergize the efforts of host nation assets, other governmental agencies, nongovernmental organizations, and international military partners. Teamwork with previously unfamiliar groups and organizations is an essential component of working in the COIN environment and can present unfamiliar tasks for entomologists. This training should start with initial entry training and be a continual process throughout a military entomologist's career. Current COIN operations require greater tactical and operational flexibility and diverse entomological expertise. The skills required for today's full spectrum medical operations are different from those of the past. Counterinsurgency medical operations demand greater agility, rapid task-switching, and the ability to adequately address unfamiliar situations and challenges.

Treatment adherence in cognitive processing therapy for combat-related PTSD with history of mild TBI.

PubMed

Davis, Jeremy J; Walter, Kristen H; Chard, Kathleen M; Parkinson, R Bruce; Houston, Wes S

2013-02-01

This retrospective study examined treatment adherence in Cognitive Processing Therapy (CPT) for combat-related posttraumatic stress disorder (PTSD) in Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) with and without history of mild traumatic brain injury (mTBI). Medical record review of consecutive referrals to an outpatient PTSD clinic identified veterans diagnosed with combat-related PTSD who began treatment with CPT. The sample (N = 136) was grouped according to positive (n = 44) and negative (n = 92) mTBI history. Groups were compared in terms of presenting symptoms and treatment adherence. The groups were not different on a pretreatment measure of depression, but self-reported and clinician-rated PTSD symptoms were higher in veterans with history of mTBI. The treatment completion rate was greater than 61% in both groups. The number of sessions attended averaged 9.6 for the PTSD group and 7.9 for the mTBI/PTSD group (p = .05). Given the lack of marked group differences in treatment adherence, these initial findings suggest that standard CPT for PTSD may be a tolerable treatment for OEF/OIF veterans with a history of PTSD and mTBI as well as veterans with PTSD alone.

Level I academic trauma center integration as a model for sustaining combat surgical skills: The right surgeon in the right place for the right time.

PubMed

Hight, Rachel A; Salcedo, Edgardo S; Martin, Sean P; Cocanour, Christine S; Utter, Garth; Galante, Joseph M

2015-06-01

As North Atlantic Treaty Organization (NATO) countries begin troop withdrawal from Afghanistan, military medicine needs programs for combat surgeons to retain the required knowledge and surgical skills. Each military branch runs programs at various Level I academic trauma centers to deliver predeployment training and provide a robust trauma experience for deploying surgeons. Outside of these successful programs, there is no system-wide mechanism for nondeploying military surgeons to care for a high volume of critically ill trauma patients on a regular basis in an educational environment that promotes continued professional development. We hypothesize that fully integrated military-civilian relationship regional Level I trauma centers provide a surgical experience more closely mirroring that seen in a Role III hospital than local Level II and Level III trauma center or medical treatment facilities. We characterized the Level I trauma center practice using the number of trauma resuscitations, operative trauma/acute care surgery procedures, number of work shifts, operative density (defined as the ratio of operative procedures/days worked), and frequency of educational conferences. The same parameters were collected from two NATO Role III hospitals in Afghanistan during the peak of Operation Enduring Freedom. Data for two civilian Level II trauma centers, two civilian Level III trauma centers, and a Continental United States Military Treatment Facility without trauma designation were collected. The number of trauma resuscitations, number of 24-hour shifts, operative density, and educational conferences are shown in the table for the Level I trauma center compared with the different institutions. Civilian center trauma resuscitations and operative density were highest at the Level I trauma center and were only slightly lower than what was seen in Afghanistan. Level II and III trauma centers had lower numbers for both. The Level I trauma center provided the most frequent educational opportunities. In a Level I academic trauma center integrated program, military and civilian surgeons have the same clinical and educational responsibilities: rounding and operating, managing critical care patients, covering trauma/acute care surgery call, and mentoring surgery residents in an integrated residency program. The Level I trauma center experience most closely mimics the combat surgeon experience seen at NATO Role III hospitals in Afghanistan compared with other civilian trauma centers. At high-volume Level I trauma centers, military surgeons will have a comprehensive trauma practice, including dedicated educational opportunities. We recommend integrated programs with Level I academic trauma centers as the primary mechanism for sustaining military combat surgical skills in the future.

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

PubMed

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

2010-02-01

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

Frequent binge drinking after combat-acquired traumatic brain injury among active duty military personnel with a past year combat deployment.

PubMed

Adams, Rachel Sayko; Larson, Mary Jo; Corrigan, John D; Horgan, Constance M; Williams, Thomas V

2012-01-01

To determine whether combat-acquired traumatic brain injury (TBI) is associated with postdeployment frequent binge drinking among a random sample of active duty military personnel. Active duty military personnel who returned home within the past year from deployment to a combat theater of operations and completed a survey health assessment (N = 7155). Cross-sectional observational study with multivariate analysis of responses to the 2008 Department of Defense Survey of Health Related Behaviors Among Active Duty Military Personnel, an anonymous, random, population-based assessment of the armed forces. Frequent binge drinking: 5 or more drinks on the same occasion, at least once per week, in the past 30 days. TBI-AC: self-reported altered consciousness only; loss of consciousness (LOC) of less than 1 minute (TBI-LOC <1); and LOC of 1 minute or greater (TBI-LOC 1+) after combat injury event exposure. Of active duty military personnel who had a past year combat deployment, 25.6% were frequent binge drinkers and 13.9% reported experiencing a TBI on the deployment, primarily TBI-AC (7.5%). In regression models adjusting for demographics and positive screen for posttraumatic stress disorder, active duty military personnel with TBI had increased odds of frequent binge drinking compared with those with no injury exposure or without TBI: TBI-AC (adjusted odds ratio, 1.48; 95% confidence interval, 1.18-1.84); TBI-LOC 1+ (adjusted odds ratio, 1.67; 95% confidence interval, 1.00-2.79). Traumatic brain injury was significantly associated with past month frequent binge drinking after controlling for posttraumatic stress disorder, combat exposure, and other covariates.

Is effective mass in combat sports punching above its weight?

PubMed

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

2015-04-01

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

Comparison of Combat Gauze and TraumaStat in Two Severe Groin Injury Models

DTIC Science & Technology

2011-07-01

especially given their similarity in form to stan· dard gauze currently in use . Recently, two such prod· ucts, Combat Gauze (CBG) and TraumaStat (TMS...if acted upon imme- diately after injury. With proper compression on the wound site, use of adequate hemostatic dressing for bleeding control...be minimized. In an effort for better hemo- static control in noncompressible areas such as the neck or the groin where tourniquets cannot be used

Every Citizen a Soldier: Historic Foundations for Gender Integrated Training (GIT) and Implications for Air Force Readiness

DTIC Science & Technology

1999-04-01

masculine world. Noted military experts suggest pluralism is the desired end state for successful gender integrated service, and this concept is...book in progress, Dr. Dunivin discusses two, current U.S. 5 military culture models. The first is the Traditional Model, termed the Combat Masculine ... Masculine Warrior. Charles Moskos, cited by Dunivin, describes what the 6 Combat Masculine Warrior paradigm actually means to the military: “Thus a

Computer-automated opponent for manned air-to-air combat simulations

NASA Technical Reports Server (NTRS)

Hankins, W. W., III

1979-01-01

Two versions of a real-time digital-computer program that operates a fighter airplane interactively against a human pilot in simulated air combat were evaluated. They function by replacing one of two pilots in the Langley differential maneuvering simulator. Both versions make maneuvering decisions from identical information and logic; they differ essentially in the aerodynamic models that they control. One is very complete, but the other is much simpler, primarily characterizing the airplane's performance (lift, drag, and thrust). Both models competed extremely well against highly trained U.S. fighter pilots.

The Effect of Combat on Aircrew Subjective Readiness and LSO Grades during Operation Desert Shield/Storm.

DTIC Science & Technology

1992-05-01

hours of mission planning and briefing by the same aircrew who later fly into combat. This ’front-loading’ of naval aviators, in advance of flying, may...CaCOLLATERAL DUTIES 080OIDRILks 8,, SLEEP 0 BRIEF 11 STRIKE PLANNING ESEXERCOIE DATE MU MEALS D.DESAOF AvRECAEATIONUREST XYTESTING1 1.1 IT I I- I I 1 l I I1 I... PMCF ) were also inciuded among the TRG flights, although they do not necessarily involve training. When F-14 aircrew were not participating in TRG

The Effect of Combat on Aircrew Subjective Readiness and LSO Grades during Operation Desert Shield/Storm.

DTIC Science & Technology

1992-05-01

These periods of SUSOPS often require many hours of mission planning and briefing by the same aircrew who later fly into combat. This ’front-loading’ of...CsCOLLATERIAL OUTr. GDUTIDIES a au LE.P Sa PlKF PoSTRIKE PLANNING EXEsERCISE DATE MUEAS 0aEMMF PsMEOCEATIONIMEST XETESTING!11 11 I1illilll ii I-. II...duration and infrequent occurrence, functional check flights (FCF) and post maintenance check flights ( PMCF ) were also included among the TRG flights

Staging Options for the Air Force’s Electronic Combat Test Capability: a Cost Analysis

DTIC Science & Technology

1990-09-01

strategic in nature and completely different than daily operating decisions (20:6). Horngren , in his book Cost Accounting : A Managerial Emphasis...AFIT/GCA/LSY/90S-3 DTTC S E-191 J) C, STAGING OPTIONS FOR THE AIR FORCE’S ELECTRONIC COMBAT TEST CAPABILITY: A COST ANALYSIS THESIS Joseph J. Landino...Alternative Costs ......... 56 v AFIT/GCA/LSY/90S-3 Abstract This study’s purpose was to identify the lowest cost aircraft staging base( s ) for the Air

Combat History Analysis Study Effort (CHASE) Data Enhancement Study (CDES). Volume 1. Introductory Materials and Bioliography.

DTIC Science & Technology

1986-01-31

Operations, France and Belgium, 1914: Mons, the Retreat to the Seine , the Marne , the Aisne, August-October 1914. London, 1922. Edmonds, Brig. Gen...7-175 712 COMBAT HISTORY ANAL YSIS STUDY EFFORT (CHASE) DATA l/f ENHANCEMENT STUDY CDES (U) DATA MEMORY SYSTEMS INC FAIRFAX VA HERO DIV B R BADER ET ...Fleville 350 Noyon-Montdidier 378 Hill 212 351 Champagne- Marne 379 Bois de Boyon- 352 Aisne- Marne I Montrefagne 353 Missy aux Bois Ravine 380 Hill 272 354

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

PubMed Central

Ivanov, Iliyan; Yehuda, Rachel

2014-01-01

Background Attention deficit hyper activity disorder (ADHD) is a developmental disorder, most often diagnosed in childhood, and characterized by hyperactivity and inattention that negatively impacts one's ability to function and fulfill social and personal obligations. Individuals with past history of ADHD may enlist in the military under certain conditions, however the full impact of military training and deployment of later in life ADHD symptoms is unclear. It is of particular interest how military experience may affect ADHD in remission and if such individuals might be at elevated risk for relapse of ADHD symptoms. Method We performed a systematic review f the available literature including the Department of Defense (DOD) guidelines for both eligibility to enlist and fitness for deployment based on reported history and current symptomatology of ADHD. Results The after care for veterans with ADHD relapse is inconsistent and presents with number of challenges. We evaluate the DOD policies regarding the implications of ADHD for fitness for military service and post-combat mental health. Conclusion The full extend of the interaction between pre-existing ADHD and post-combat PTSD are not fully understood. The development of comprehensive and clear algorithms for diagnosing and treating ADHD in the military before and after deployment will have a strong positive impact on the quality of care delivered to soldiers and veterans. PMID:25206949

32 CFR 813.4 - Combat camera operations.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., historical, and other significant customers. (e) Sourcing COMCAM forces. See AFMAN 10-401 for specific... Force VI personnel who assist supported commands in determining COMCAM and VI requirements and sourcing...

Counseling the Math Anxious

ERIC Educational Resources Information Center

Tobias, Sheila; Donady, Bonnie

1977-01-01

Describes the rationale and mode of operations for a Math Clinic at Wellesley University and Wesleyan College where counselors and math specialists work together to combat "math anxiety," particularly in female students. (HMV)

Wearable Biomedical Measurement Systems for Assessment of Mental Stress of Combatants in Real Time

PubMed Central

Seoane, Fernando; Mohino-Herranz, Inmaculada; Ferreira, Javier; Alvarez, Lorena; Buendia, Ruben; Ayllón, David; Llerena, Cosme; Gil-Pita, Roberto

2014-01-01

The Spanish Ministry of Defense, through its Future Combatant program, has sought to develop technology aids with the aim of extending combatants' operational capabilities. Within this framework the ATREC project funded by the “Coincidente” program aims at analyzing diverse biometrics to assess by real time monitoring the stress levels of combatants. This project combines multidisciplinary disciplines and fields, including wearable instrumentation, textile technology, signal processing, pattern recognition and psychological analysis of the obtained information. In this work the ATREC project is described, including the different execution phases, the wearable biomedical measurement systems, the experimental setup, the biomedical signal analysis and speech processing performed. The preliminary results obtained from the data analysis collected during the first phase of the project are presented, indicating the good classification performance exhibited when using features obtained from electrocardiographic recordings and electrical bioimpedance measurements from the thorax. These results suggest that cardiac and respiration activity offer better biomarkers for assessment of stress than speech, galvanic skin response or skin temperature when recorded with wearable biomedical measurement systems. PMID:24759113

Wearable biomedical measurement systems for assessment of mental stress of combatants in real time.

PubMed

Seoane, Fernando; Mohino-Herranz, Inmaculada; Ferreira, Javier; Alvarez, Lorena; Buendia, Ruben; Ayllón, David; Llerena, Cosme; Gil-Pita, Roberto

2014-04-22

The Spanish Ministry of Defense, through its Future Combatant program, has sought to develop technology aids with the aim of extending combatants' operational capabilities. Within this framework the ATREC project funded by the "Coincidente" program aims at analyzing diverse biometrics to assess by real time monitoring the stress levels of combatants. This project combines multidisciplinary disciplines and fields, including wearable instrumentation, textile technology, signal processing, pattern recognition and psychological analysis of the obtained information. In this work the ATREC project is described, including the different execution phases, the wearable biomedical measurement systems, the experimental setup, the biomedical signal analysis and speech processing performed. The preliminary results obtained from the data analysis collected during the first phase of the project are presented, indicating the good classification performance exhibited when using features obtained from electrocardiographic recordings and electrical bioimpedance measurements from the thorax. These results suggest that cardiac and respiration activity offer better biomarkers for assessment of stress than speech, galvanic skin response or skin temperature when recorded with wearable biomedical measurement systems.

Chapter 2 evolution of burn management in the u.s. Military: impact on nursing.

PubMed

Schmidt, Patricia; Mann-Salinas, Elizabeth A

2014-01-01

As the only burn center in the Department of Defense, the U.S. Army Institute of Surgical Research is the primary location for care of service members with burn injuries. The combat operations in Iraq and Afghanistan during the past decade have caused an increase in burn patients. As a result of this increased need, advancements in care were developed. The speed and precision of transporting patients from the battlefield to the burn center has improved over previous conflicts. Technological advancements to support treating complications of burn wound healing were leveraged and are now integrated into daily practice. Clinical decision support systems were developed and deployed at the burn center as well as to combat support hospitals in combat zones. Technology advancements in rehabilitation have allowed more service members to return to active duty or live productive civilian lives. All of these advancements were developed in a patient-centered, interdisciplinary environment where the nurses are integrated throughout the research process and clinical practice with the end goal of healing combat burns in mind.

Advanced technology development for remote triage applications in bleeding combat casualties.

PubMed

Ryan, Kathy L; Rickards, Caroline A; Hinojosa-Laborde, Carmen; Gerhardt, Robert T; Cain, Jeffrey; Convertino, Victor A

2011-01-01

Combat developers within the Army have envisioned development of a "wear-and-forget" physiological status monitor (PSM) that will enhance far forward capabilities for assessment of Warrior readiness for battle, as well as for remote triage, diagnosis and decision-making once Soldiers are injured. This paper will review recent work testing remote triage system prototypes in both the laboratory and during field exercises. Current PSM prototypes measure the electrocardiogram and respiration, but we have shown that information derived from these measurements alone will not be suited for specific, accurate triage of combat injuries. Because of this, we have suggested that development of a capability to provide a metric of circulating blood volume status is required for remote triage. Recently, volume status has been successfully modeled using low-level physiological signals obtained from wearable devices as input to machine-learning algorithms; these algorithms are already able to discriminate between a state of physical activity (common in combat) and that of central hypovolemia, and thus show promise for use in wearable remote triage devices.

Current dietary supplement use of Australian military veterans of Middle East operations.

PubMed

van der Pols, Jolieke C; Kanesarajah, Jeeva; Bell, Alison; Lui, Chi-Wai

2017-12-01

To assess patterns and levels of dietary supplement use among Australian Defence Forces, previously deployed to the Middle East Area of Operations. A cross-sectional study. Participants of a large survey self-completed questions about dietary supplement use, health status, personal and job-related characteristics, and lifestyle factors. Frequency of current use of supplements was assessed in three categories (bodybuilding, energy and weight loss). Middle East Area of Operations post-deployment health survey. Current and ex-serving Australian Defence Force personnel (n 14 032) who deployed to the Middle East between 2001 and 2009. Bodybuilding supplements were used by 17·5 % of participants, energy supplements by 24·5 % and weight-loss supplements by 7·6 %. Overall, 32·3 % of participants used any of these supplements. Bodybuilding and energy supplements were more often used by men, younger persons and those in the Army, while weight-loss supplements were more commonly used by women and Navy personnel. Supplements in all three categories were more commonly used by persons in lower ranks, active service and combat roles. Users of bodybuilding supplements had healthier lifestyles and better health status, while users of energy and weight-loss supplements had less healthy lifestyles and poorer mental and physical health status. Overall, 11·7 % of participants used supplements containing caffeine and 3·6 % used a creatine-containing product. Use of dietary supplements among Australian Defence Force personnel is common, and patterned by lifestyle factors and health status.

Amygdala volume in combat-exposed veterans with and without posttraumatic stress disorder: a cross-sectional study.

PubMed

Kuo, Janice R; Kaloupek, Danny G; Woodward, Steven H

2012-10-01

Data from animal models demonstrate a link between stress exposure and hypertrophic changes in the amygdala; however, studies of adults with posttraumatic stress disorder (PTSD) have failed to find analogous structural alterations. To compare amygdala volumes between a sample of combat veterans with and without PTSD (analysis 1) and examine whether our observation of larger amygdala volume in individuals with PTSD could be accounted for by the presence of trauma exposure in childhood and the severity of combat exposure in adulthood (analysis 2). Cross-sectional magnetic resonance imaging. Veterans Affairs Palo Alto Health Care System Inpatient Trauma Recovery Program and Veterans Affairs New England Health Care System Outpatient PTSD program. Ninety-nine combat-exposed veterans from the Vietnam Conflict or the Persian Gulf War who had been exposed to substantial military operational stress. Amygdala volume adjusted for total cerebral volume, Life Events Checklist, and the Combat Exposure Scale. Analysis 1 indicated that combat-exposed individuals with PTSD exhibited larger total amygdala volume compared with their non-PTSD counterparts (99 individuals, P = .047). Analysis 2 indicated that greater severity of combat exposure (87 individuals, P = .02), as well as the interaction between the presence of early life trauma and the severity of combat exposure (87 individuals, P = .008), were significantly associated with smaller total amygdala volume. The PTSD diagnosis continued to explain larger amygdala volume (87 individuals, P = .006). Posttraumatic stress disorder is associated with enlarged amygdala volume, above the variance accounted for by a history of early life trauma and severity of adult trauma exposure. The discrepancy between our and prior findings may be explained by variability in these trauma indices in previous investigations. These findings support additional study of amygdala structure in human stress disorders and further delineation of the role of early and adult trauma on associated neurologic changes.

An improved artificial bee colony algorithm based on balance-evolution strategy for unmanned combat aerial vehicle path planning.

PubMed

Li, Bai; Gong, Li-gang; Yang, Wen-lun

2014-01-01

Unmanned combat aerial vehicles (UCAVs) have been of great interest to military organizations throughout the world due to their outstanding capabilities to operate in dangerous or hazardous environments. UCAV path planning aims to obtain an optimal flight route with the threats and constraints in the combat field well considered. In this work, a novel artificial bee colony (ABC) algorithm improved by a balance-evolution strategy (BES) is applied in this optimization scheme. In this new algorithm, convergence information during the iteration is fully utilized to manipulate the exploration/exploitation accuracy and to pursue a balance between local exploitation and global exploration capabilities. Simulation results confirm that BE-ABC algorithm is more competent for the UCAV path planning scheme than the conventional ABC algorithm and two other state-of-the-art modified ABC algorithms.

Urine specific gravity as an indicator of dehydration in Olympic combat sport athletes; considerations for research and practice.

PubMed

Zubac, Damir; Reale, Reid; Karnincic, Hrvoje; Sivric, Anamaria; Jelaska, Igor

2018-05-10

Urine specific gravity (U SG ) is the most commonly reported biochemical marker used in research and applied settings to detect fluid deficits in athletes, including those participating in combat sports. Despite the popularity of its use, there has been a growing debate regarding the diagnostic accuracy and the applicability of U SG in characterizing whole-body fluid status and fluctuations. Moreover, recent investigations report universally high prevalence of hypohydration (∼90%) via U SG assessment in combat sport athletes, often in spite of stable body-mass. Given the widespread use in both research and practice, and its use in a regulatory sense as a 'hydration test' in combat sports as a means to detect dehydration at the time of weigh-in; understanding the limitations and applicability of U SG assessment is of paramount importance. Inconsistencies in findings of U SG readings, possibly as a consequence of diverse methodological research approaches and/or overlooked confounding factors, preclude a conclusive position stand within current combat sports research and practice. Thus the primary aim of this paper is to critically review the literature regarding U SG assessment of hydration status in combat sports research and practice. When taken on balance, the existing literature suggests: the use of laboratory derived benchmarks in applied settings, inconsistent sampling methodologies, the incomplete picture of how various confounding factors affect end-point readings, and the still poorly understood potential of renal adaptation to dehydration in combat athletes; make the utility of hydration assessment via U SG measurement quite problematic, particularly when diet and training is not controlled.

A Joint Force Medical Command is Required to Fix Combat Casualty Care

DTIC Science & Technology

2017-10-05

that poses an operations security risk. Author: ☒ PA: ☒ 13. SUPPLEMENTARY NOTES Word Count: 10,665 14. ABSTRACT The Military Health System...15. SUBJECT TERMS Military Health System, Joint Trauma System, Defense Health Agency, PROFIS 16. SECURITY CLASSIFICATION OF: 17...The Military Health System (MHS) is required to provide medical operational forces for military and contingency operations while also providing

Religion and Other Cultural Variables in Modern Operational Environments

DTIC Science & Technology

2007-05-01

Contrary to Western media portrayals at the time, Babrak designed many of these programs to improve the quality of life for Afghanistan’s citizens...ammunition, advanced rocket propelled grenades, Katyusha rockets, and the particularly deadly explosive formed projectiles (EFP) designed to...trends toward insurgencies. It seemed however, that many chose to focus on major combat operations and conventional operational designs instead of truly

Social Media: Valuable Tools in Today’s Operational Environment

DTIC Science & Technology

2011-05-04

communication objectives. However, after examining several geographic combatant commanders‘ (GCCs) and operational commanders‘ social networking sites , there...The failure by theater and operational commanders to remain engaged with their audience when using social networking sites is, quite simply, a...which the president failed to lift the decades-old state of emergency laws, social networking sites quickly saw an increase in posts and comments