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

DTIC Science & Technology

2016-03-01

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

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 Revolutionary Approach for the Development of Future Ground Combat System Specifications

DTIC Science & Technology

2013-09-01

35 B. PHYSICAL PROPERTIES FOR BLUE AGENTS .............................. 38 1. Bradley M2A3 ...available, Wikipedia. B. PHYSICAL PROPERTIES FOR BLUE AGENTS 1. Bradley M2A3 The main ground combat vehicle for the scenario is the Bradley M2A3 ...Total Men Men per Agent MANA Agents 4 x Bradley M2A3 12 3 4 4 x Bradley infantry 28 1 28 Platoon Abrams SEP M1A2 16 4 4 2 x AH64-D attack

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.

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

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

The PLA’s Combat Leadership System: Time for a Change?

DTIC Science & Technology

2008-04-01

REQUIREMENTS FOR THE DEGREE OF MASTER OF MILITARY STUDIES AUTHOR : Major Keolani W. Bailey, AKANG AY 07-08 Mentor and Ora~seC m,mB~~ Approved...SUBTITLE The PLA’s Combat Leadership System: Time for a Change? 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR (S) 5d...PLA’s Combat Leadership System: Time for a Change? Author : Major Keolani W. Bailey, Alaska Air National Guard Thesis: China’s political work system

Combat Agility Management System (CAMS)

NASA Technical Reports Server (NTRS)

Skow, Andrew; Porada, William

1994-01-01

The proper management of energy becomes a complex task in fighter aircraft which have high angle of attack (AOA) capability. Maneuvers at high AOA are accompanied by high bleed rates (velocity decrease), a characteristic that is usually undesirable in a typical combat arena. Eidetics has developed under NASA SBIR Phase 1 and NAVAIR SBIR Phase 2 contracts a system which allows a pilot to more easily and effectively manage the trade-off of energy (airspeed or altitude) for turn rate while not imposing hard limits on the high AOA nose pointing capability that can be so important in certain air combat maneuver situations. This has been accomplished by incorporating a two-stage angle of attack limiter into the flight control laws. The first stage sets a limit on AOA to achieve a limit on the maximum bleed rate (selectable) by limiting AOA to values which are dependent on the aircraft attitude and dynamic pressure (or flight path, velocity, and altitude). The second stage sets an AOA limit near the AOA for C(sub l max). One of the principal benefits of such a system is that it enables a low-experience pilot to become much more proficient at managing his energy. The Phase 2 simulation work is complete, and an exploratory flight test on the F-18 HARV is planned for the Fall of 1994 to demonstrate/validate the concept.

Training Aids for Basic Combat Skills: A Video Feedback System

DTIC Science & Technology

2011-05-01

U.S. Army Research Institute for the Behavioral and Social Sciences Research Report 1945 Training Aids for Basic Combat...Training Aids for Basic Combat Skills: A Video Feedback System 5a. CONTRACT OR GRANT NUMBER W74V8H-04-D-0045 (DO #0034) 5b. PROGRAM ELEMENT...Subject Matter POC: Martin L. Bink 14. ABSTRACT (Maximum 200 words): The overarching goal was to develop a training aid that could be used by

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.

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.

Death on the battlefield (2001-2011): implications for the future of combat casualty care.

PubMed

Eastridge, Brian J; Mabry, Robert L; Seguin, Peter; Cantrell, Joyce; Tops, Terrill; Uribe, Paul; Mallett, Olga; Zubko, Tamara; Oetjen-Gerdes, Lynne; Rasmussen, Todd E; Butler, Frank K; Kotwal, Russ S; Kotwal, Russell S; Holcomb, John B; Wade, Charles; Champion, Howard; Lawnick, Mimi; Moores, Leon; Blackbourne, Lorne H

2012-12-01

toward injury prevention. To significantly impact the outcome of combat casualties with PS injury, strategies must be developed to mitigate hemorrhage and optimize airway management or reduce the time interval between the battlefield point of injury and surgical intervention.Understanding battlefield mortality is a vital component of the military trauma system. Emphasis on this analysis should be placed on trauma system optimization, evidence-based improvements in Tactical Combat Casualty Care guidelines, data-driven research, and development to remediate gaps in care and relevant training and equipment enhancements that will increase the survivability of the fighting force.

Information technologies for Marine Corps combat medicine.

PubMed

Carey, N B; Rattelman, C R; Nguyen, H Q

1998-09-01

Future Marine Corps warfighting concepts will make it more difficult to locate casualties, which will complicate casualty evacuation, lengthen casualty wait times, and require infantrymen or corpsmen to provide more extensive treatment. In these future scenarios, information flow and communications will be critical to medical functions. We asked, for Navy medical support to the Marines, what information will future combat medicine require and what technologies should supply those information needs? Based on analyses of patient data streams, focus groups of Navy medical personnel, and our estimates of the cost and feasibility of communications systems, we recommend the following: (1) increase medical training for some fraction of Marines, especially in hemorrhage control; (2) augment corpsmen's training; (3) furnish data systems for evacuation and supply that would provide in-transit visibility and simplify requests; (4) provide all ground medical personnel with access to treatment information systems and limited voice communications; and (5) exploit e-mail systems to reduce reliance on voice communications. Implementation time frames are discussed.

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.

Utilizing a Trauma Systems Approach to Benchmark and Improve Combat Casualty Care

DTIC Science & Technology

2010-07-01

modern battlefield utilizing evidence - based medicine . The development of injury care benchmarks enhanced the evolution of the combat casualty care performance improvement process within the trauma system.

Augmented Reality for Close Quarters Combat

ScienceCinema

None

2018-01-16

Sandia National Laboratories has developed a state-of-the-art augmented reality training system for close-quarters combat (CQB). This system uses a wearable augmented reality system to place the user in a real environment while engaging enemy combatants in virtual space (Boston Dynamics DI-Guy). Umbra modeling and simulation environment is used to integrate and control the AR system.

Combat Wound Initiative program.

PubMed

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

2010-07-01

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

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

Cost Estimation of Post Production Software Support in Ground Combat Systems

DTIC Science & Technology

2007-09-01

request, year of the request, EINOMEN (a word description of the system), and a PRON (a unique identifier containing the year and weapons system...variance. The fiscal year of request, descriptive name (coded as EINOMEN), unique program identifier ( PRON ), amount funded, and total amount requested...entire data set loses this sophistication. Most of the unique PRONs in the database map to a specific ground combat system, as described in the

2010 Combat Vehicles Conference

DTIC Science & Technology

2010-11-09

7 The Tactical Wheeled Vehicle Challenge… Performance ProtectionPayload Weight Mobility Transportability Cost / Benefit The fully burdened cost of...employment of robotic systems 10 Ground Combat Vehicle… Versatility – Configuration and employment options – Employed across full range of military...Synchronization 11-12 13-14 15-16 17-18 19-20 21-22 23-24 25-26 = Increment Point STOP STOP ~ 2034 Developing a Combat Vehicle Strategy… 11 “… robotics

The Integration of the Naval Unmanned Combat Aerial System (N-UCAS) into the Future Naval Air Wing

DTIC Science & Technology

2009-12-01

5 Table 1. Aircraft Combat Radius from World War II (WWII) Through 1990s6 Period  Airframe  Distance  WW2   F6F  400nm     TBF  400nm     SB2C...override the computers, take control, and guide his two bombs to target by infrared video imagery. Otherwise, our auto piloted computer was programmed

Intelligently interactive combat simulation

NASA Astrophysics Data System (ADS)

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

2001-09-01

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

Combat Stories Map: A Historical Repository and After Action Tool for Capturing, Storing, and Analyzing Georeferenced Individual Combat Narratives

DTIC Science & Technology

2016-06-01

of technology and near-global Internet accessibility, a web -based program incorporating interactive maps to record personal combat experiences does...not exist. The Combat Stories Map addresses this deficiency. The Combat Stories Map is a web -based Geographic Information System specifically designed...iv THIS PAGE INTENTIONALLY LEFT BLANK v ABSTRACT Despite the proliferation of technology and near-global Internet accessibility, a web

Improving the Future of the Army’s Future Combat Systems Program

DTIC Science & Technology

2009-06-01

that the Army will not be able to afford to focus on both its needs in Iraq and Afghanistan and its long-term vision of the future as if they were...and conventional fights. ‘After receiving situational awareness reports from the FCS network, the NLOS-C will be able to put precision fires on...defuse mines. 17 • Small Unmanned Ground Vehicle (SUGV), which is a lightweight robot designed to be man-portable and to be able to scout ahead of

Automated Information System (AIS) Support for FMF Units When Deployed or in Combat (1985-1995).

DTIC Science & Technology

1982-04-13

1995 ) MAJOR T. J. DUNN DEPUTY CHIEF OF STAFF FOR DEVELOPMENTAL COORDINATION DEVELOPMENT CENTER MARINE CORPS DEVELOPMENT AND EDUCATION COMMAND...Support for FMF Units When Deployed or in Combat (1985- 1995 ) (Deployed AIS-88) Study (SCN: 60-81-02) 1. The objectives of the study were: a. To...S. TYPE OF REPORT 6 PERIOD COVERED Automated Information System (AIS) Support for Final Report FMF Units When Deployed or in Combat (1985- 1995 ) 6

Preliminary Evidence for the Impact of Combat Experiences on Gray Matter Volume of the Posterior Insula

PubMed Central

Clausen, Ashley N.; Billinger, Sandra A.; Sisante, Jason-Flor V.; Suzuki, Hideo; Aupperle, Robin L.

2017-01-01

Background: Combat-exposed veteran populations are at an increased risk for developing cardiovascular disease. The anterior cingulate cortex (ACC) and insula have been implicated in both autonomic arousal to emotional stressors and homeostatic processes, which may contribute to cardiovascular dysfunction in combat veteran populations. The aim of the present study was to explore the intersecting relationships of combat experiences, rostral ACC and posterior insula volume, and cardiovascular health in a sample of combat veterans. Method: Twenty-four male combat veterans completed clinical assessment of combat experiences and posttraumatic stress symptoms. Subjects completed a magnetic resonance imaging scan and autosegmentation using FreeSurfer was used to estimate regional gray matter volume (controlling for total gray matter volume) of the rostral ACC and posterior insula. Flow-mediated dilation (FMD) was conducted to assess cardiovascular health. Theil-sen robust regressions and Welch's analysis of variance were used to examine relationships of combat experiences and PTSD symptomology with (1) FMD and (2) regional gray matter volume. Results: Increased combat experiences, deployment duration, and multiple deployments were related to smaller posterior insula volume. Combat experiences were marginally associated with poorer cardiovascular health. However, cardiovascular health was not related to rostral ACC or posterior insula volume. Conclusion: The present study provides initial evidence for the relationships of combat experiences, deployment duration, and multiple deployments with smaller posterior insula volume. Results may suggest that veterans with increased combat experiences may exhibit more dysfunction regulating the autonomic nervous system, a key function of the posterior insula. However, the relationship between combat and cardiovascular health was not mediated by regional brain volume. Future research is warranted to further clarify the cardiovascular

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

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.

Web 2.0 Systems in the Brigade Combat Team as an Enabler of Mission Command: A Dialectic in Information Discourse

DTIC Science & Technology

2016-06-10

WEB 2.0 SYSTEMS IN THE BRIGADE COMBAT TEAM AS AN ENABLER OF MISSION COMMAND: A DIALECTIC IN INFORMATION DISCOURSE A thesis......This qualitative research in the field of information science aims to examine the use of Web 2.0 systems in the Brigade Combat Team as an enabler of

Reinforcement Sensitivity and Social Anxiety in Combat Veterans

PubMed Central

Kimbrel, Nathan A.; Meyer, Eric C.; DeBeer, Bryann B.; Mitchell, John T.; Kimbrel, Azure D.; Nelson-Gray, Rosemery O.; Morissette, Sandra B.

2017-01-01

Objective The present study tested the hypothesis that low behavioral approach system (BAS) sensitivity is associated with social anxiety in combat veterans. Method Self-report measures of reinforcement sensitivity, combat exposure, social interaction anxiety, and social observation anxiety were administered to 197 Iraq/Afghanistan combat veterans. Results As expected, combat exposure, behavioral inhibition system (BIS) sensitivity, and fight-flight-freeze system (FFFS) sensitivity were positively associated with both social interaction anxiety and social observation anxiety. In contrast, BAS sensitivity was negatively associated with social interaction anxiety only. An analysis of the BAS subscales revealed that the Reward Responsiveness subscale was the only BAS subscale associated with social interaction anxiety. BAS-Reward Responsiveness was also associated with social observation anxiety. Conclusion The findings from the present research provide further evidence that low BAS sensitivity may be associated with social anxiety over and above the effects of BIS and FFFS sensitivity. PMID:28966424

Reinforcement Sensitivity and Social Anxiety in Combat Veterans.

PubMed

Kimbrel, Nathan A; Meyer, Eric C; DeBeer, Bryann B; Mitchell, John T; Kimbrel, Azure D; Nelson-Gray, Rosemery O; Morissette, Sandra B

2016-08-01

The present study tested the hypothesis that low behavioral approach system (BAS) sensitivity is associated with social anxiety in combat veterans. Self-report measures of reinforcement sensitivity, combat exposure, social interaction anxiety, and social observation anxiety were administered to 197 Iraq/Afghanistan combat veterans. As expected, combat exposure, behavioral inhibition system (BIS) sensitivity, and fight-flight-freeze system (FFFS) sensitivity were positively associated with both social interaction anxiety and social observation anxiety. In contrast, BAS sensitivity was negatively associated with social interaction anxiety only. An analysis of the BAS subscales revealed that the Reward Responsiveness subscale was the only BAS subscale associated with social interaction anxiety. BAS-Reward Responsiveness was also associated with social observation anxiety. The findings from the present research provide further evidence that low BAS sensitivity may be associated with social anxiety over and above the effects of BIS and FFFS sensitivity.

Combat games

NASA Technical Reports Server (NTRS)

Ardema, M. D.; Heymann, M.; Rajan, N.

1985-01-01

A mathematical formulation is proposed of a combat game between two opponents with offensive capabilities and offensive objective is proposed. Resolution of the combat involves solving two differential games with state constraints. Depending on the game dynamics and parameters, the combat can terminate in one of four ways: the first player wins; the second player wins; a draw (neither wins); or joint capture. In the first two cases, the optimal strategies of the two players are determined from suitable zero-sum games, whereas in the latter two the relevant games are nonzero-sum. Further, to avoid certain technical difficulties, the concept of a delta-combat game is introduced.

Holistic actions are essential to combat the global public health burden of non-viral sexually transmitted infections: challenges and future perspectives.

PubMed

Unemo, Magnus

2014-06-01

Sexually transmitted infections (STIs) represent a significant international public health burden. These infections result in substantial morbidity, mortality and economic costs globally, and require more attention and resources internationally. This special focus issue of Expert Review of Anti Infective Therapy invited key opinion leaders to review and discuss the challenges associated with the diagnosis and treatment of non-viral STIs. The issue also elucidates the future perspectives, ways forward and holistic actions imperative to effectively combat these STIs.

Mercy Killings in Combat: Ending the Suffering of Gravely Wounded Combatants -- A Brief History, Applicable Law, Recent Prosecutions, and Proposals for Much Needed Change

DTIC Science & Technology

2006-04-01

Recent combat-related mercy killings 10 D. Roadmap for change 10 II. Survey of the history of combat-related mercy killings 14 A. General reports of...part of armed conflict for thousands of years ,4 and since the United States is currently engaged in multiple military operations that require long...Defense Authorization Request for Fiscal Year 2007 and the Future Years Defense Program: Hearing Before the S. Comm. on Armed Svcs., 109th Cong., 2d Sess

A two-dimensional air-to-air combat game - Toward an air-combat advisory system

NASA Technical Reports Server (NTRS)

Neuman, Frank

1987-01-01

Air-to-air combat is modeled as a discrete differential game, and by constraining the game to searching for the best guidance laws from the sets of those considered for each opponent, feedback and outcome charts are obtained which can be used to turn one of the automatic opponents into an intelligent opponent against a human pilot. A one-on-one two-dimensional fully automatic, or manned versus automatic, air-to-air combat game has been designed which includes both attack and evasion alternatives for both aircraft. Guidance law selection occurs by flooding the initial-condition space with four simulated fights for each initial condition, depicting the various attack/evasion strategies for the two opponents, and recording the outcomes. For each initial condition, the minimax method from differential games is employed to determine the best choice from the available strategies.

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 Acquisition: Cost, Schedule, and Performance of New Submarine Combat Systems

DTIC Science & Technology

1990-01-01

1985). Page 8 GAO/NSIAD-90-72 Submarine Combat Systems Chapter 1 Introduction In December 1983 the Navy awarded the International Business Machines...contracts to the General Electric Com- pany and the International Business Machines. In December 1987 the Navy selected General Electric as the prime...contractor and International Business Machines as the "follower" contractor. On March 31, 1988. the Navy awarded General Electric a $1.84 billion fixed

An Analysis of the Psychological Necessity of Censorship in Combat Zones

DTIC Science & Technology

1970-01-01

combat actions, the Tet Offensive and Ap Bia Mo-mtain (commonly referred to as Hamburger Hill), as reported in The New York Times , San Francisco...future or to the past, to a time when thought is free, when men are different from one another and do not live alone--to a time wh’n truth exists and... manageable system of world order unless we accept the fact that occasionally violent internal and social upheavals abroad are inevitable and cannot

Combat Leadership

DTIC Science & Technology

1990-05-01

concern that the Army and other services will breed managers instead of leaders, and they will lack the leadership skills necessary for combat. Colonel...AD-A 2 4 1 101 AiL WAR COLLEGE COMBAT LEADERSHIP LIEUTENANT COLONEL J.kyMES M. FISHER, USA 1990 i 91-12129 -. ROVED F R PUBLIC AIR UNIVERSPL" A...tELEASE; 01IRBUIBiMA UN. D STATES AIR FORCE MAXWELL AIR FORCE BASE, ALABAA UF7 AIR WAR COLLEGE AIR UNIVERSITY COMBAT LEADERSHIP by James M. Fisher

Mechanical, physical, and physiological analysis of symmetrical and asymmetrical combat.

PubMed

Clemente-Suárez, Vicente J; Robles-Pérez, José J

2013-09-01

In current theaters of operation, soldiers had to face a different situation as symmetrical (defined battlefield) and asymmetrical combat (non-defined battlefield), especially in urban areas. The mechanical and organic responses of soldiers in these combats are poorly studied in specific literature. This research aimed to analyze physical, mechanical, and physiological parameters during symmetrical and asymmetrical combat simulations. We analyzed 20 soldiers from the Spanish Army and Spanish Forces and Security Corps (34.5 ± 4.2 years; 176.4 ± 8.4 cm; 74.6 ± 8.7 kg; 63.3 ± 8.0 kg muscular mass; 7.6 ± 3.2 kg fat mass) during a symmetric combat (traditional combat simulation) and during an asymmetrical combat (urban combat simulation). Heart rate (HR), speed, sprints, distances, impact, and body load parameters were measured by a GPS system and a HR belt. Results showed many differences between symmetrical and asymmetrical combat. Asymmetrical combat presented higher maximum velocity movement, number of sprints, sprint distance, and average HR. By contrary, symmetric combat presented higher number of impact and body load. This information could be used to improve specific training programs for each type of combat.

Enhancing self-efficacy improves episodic future thinking and social-decision making in combat veterans with posttraumatic stress disorder.

PubMed

Brown, Adam D; Kouri, Nicole A; Rahman, Nadia; Joscelyne, Amy; Bryant, Richard A; Marmar, Charles R

2016-08-30

Posttraumatic Stress Disorder (PTSD) is associated with maladaptive changes in self-identity, including impoverished perceived self-efficacy. This study examined if enhancing perceptions of self-efficacy in combat veterans with and without symptoms of PTSD promotes cognitive strategies associated with positive mental health outcomes. Prior to completing a future thinking and social problem-solving task, sixty-two OEF/OIF veterans with and without symptoms of PTSD were randomized to either a high self-efficacy (HSE) induction in which they were asked to recall three autobiographical memories demonstrating self-efficacy or a control condition in which they recalled any three autobiographical events. An interaction between HSE and PTSD revealed that individuals with symptoms of PTSD in the HSE condition generated future events with more self-efficacious statements than those with PTSD in the control condition, whereas those without PTSD did not differ in self-efficacy content across the conditions. In addition, individuals in the HSE condition exhibited better social problem solving than those in the control condition. Increasing perceptions of self-efficacy may promote future thinking and problem solving in ways that are relevant to overcoming trauma and adversity. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Navy Acquisition. SUBACS (Submarine Advanced Combat System) Problems May Adversely Affect Navy Attack Submarine Programs.

DTIC Science & Technology

1985-11-01

also the combat system design for the proposed new attack submarine class, SSN 21. In December 1983, the Navy awarded the International Business Machines...VI: Comments From International Business 35 Machines Corporation Abbreviations DNSARC Department of the Navy Systems Acquisition Review Council DSARC...Defense Systems Acquisition Review Council GAO General Accounting Office IBM International Business Machines Corporation NAVsEA Naval Sea Systems

A piloted simulation of helicopter air combat to investigate effects of variations in selected performance and control response characteristics

NASA Technical Reports Server (NTRS)

Lewis, Michael S.; Mansur, M. Hossein; Chen, Robert T. N.

1987-01-01

A piloted simulation study investigating handling qualities and flight characteristics required for helicopter air to air combat is presented. The Helicopter Air Combat system was used to investigate this role for Army rotorcraft. Experimental variables were the maneuver envelope size (load factor and sideslip), directional axis handling qualities, and pitch and roll control-response type. Over 450 simulated, low altitude, one-on-one engagements were conducted. Results from the experiment indicate that a well damped directional response, low sideforce caused by sideslip, and some effective dihedral are all desirable for weapon system performance, good handling qualities, and low pilot workload. An angular rate command system was favored over the attitude type pitch and roll response for most applications, and an enhanced maneuver envelope size over that of current generation aircraft was found to be advantageous. Pilot technique, background, and experience are additional factors which had a significant effect on performance in the air combat tasks investigated. The implication of these results on design requirements for future helicopters is presented.

Hand to Hand Combatives in the US Army

DTIC Science & Technology

2008-12-12

the streets of Baqubah and Kandahar, will always be one of uncertainty, chaos, and violence . Soldiers will have to react instinctively towards...combatives. His inquiry caused the Air Force’s Training Command to establish a working group to look into the best combatives system for the Air Force’s...

Task Force 62 Medical Brigade combat healthcare support system in the mature Iraq theater of operations.

PubMed

Sargent, Patrick D

2008-01-01

Leading a deployed combat healthcare system is a very complex task and requires a command and control structure that is a unique blend of technical and tactical expertise to efficaciously deliver world-class medical care to America's sons and daughters. The medical task force in Iraq has successfully managed the transformation of the medical footprint from a tactically arrayed set of disparate medical units to a nascent integrated healthcare system with many features similar to the best healthcare systems in the United States. The American public demands, and Soldiers, Marines, Sailors, Airmen, and Coast Guardsmen deserve US quality medical care, whether they are being treated at a military medical center in the US, or a US medical facility in Iraq. This article presents an overview of the 62nd Medical Brigade's development of the combat healthcare support system during its tenure leading the US medical task force in Iraq.

Lightweight Combat Vehicle S&T Initiatives

DTIC Science & Technology

2015-08-01

1 U.S. ARMY TANK AUTOMOTIVE RESEARCH, DEVELOPMENT AND ENGINEERING CENTER Lightweight Combat Vehicle S &T Initiatives Dr. Richard Gerth Ground Systems...00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Lightweight Combat Vehicle S &T Initiatives Global Automotive Lightweight Materials 2015 - August...18-20 2015 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) Richard Gerth 5d. PROJECT NUMBER 5e. TASK NUMBER 5f

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

Service-Oriented Architecture (SOA) Instantiation within a Hard Real-Time, Deterministic Combat System Environment

ERIC Educational Resources Information Center

Moreland, James D., Jr

2013-01-01

This research investigates the instantiation of a Service-Oriented Architecture (SOA) within a hard real-time (stringent time constraints), deterministic (maximum predictability) combat system (CS) environment. There are numerous stakeholders across the U.S. Department of the Navy who are affected by this development, and therefore the system…

ARV robotic technologies (ART): a risk reduction effort for future unmanned systems

NASA Astrophysics Data System (ADS)

Jaster, Jeffrey F.

2006-05-01

The Army's ARV (Armed Robotic Vehicle) Robotic Technologies (ART) program is working on the development of various technological thrusts for use in the robotic forces of the future. The ART program will develop, integrate and demonstrate the technology required to advance the maneuver technologies (i.e., perception, mobility, tactical behaviors) and increase the survivability of unmanned platforms for the future force while focusing on reducing the soldiers' burden by providing an increase in vehicle autonomy coinciding with a decrease in the total number user interventions required to control the unmanned assets. This program will advance the state of the art in perception technologies to provide the unmanned platform an increasingly accurate view of the terrain that surrounds it; while developing tactical/mission behavior technologies to provide the Unmanned Ground Vehicle (UGV) the capability to maneuver tactically, in conjunction with the manned systems in an autonomous mode. The ART testbed will be integrated with the advanced technology software and associated hardware developed under this effort, and incorporate appropriate mission modules (e.g. RSTA sensors, MILES, etc.) to support Warfighter experiments and evaluations (virtual and field) in a military significant environment (open/rolling and complex/urban terrain). The outcome of these experiments as well as other lessons learned through out the program life cycle will be used to reduce the current risks that are identified for the future UGV systems that will be developed under the Future Combat Systems (FCS) program, including the early integration of an FCS-like autonomous navigation system onto a tracked skid steer platform.

Combating atherosclerosis with targeted nanomedicines: recent advances and future prospective

PubMed Central

Nakhlband, Ailar; Eskandani, Morteza; Saeedi, Nazli; Ghaffari, Samad; Garjani, Alireza

2018-01-01

Introduction: Cardiovascular diseases (CVDs) is recognized as the leading cause of mortality worldwide. The increasing prevalence of such disease demands novel therapeutic and diagnostic approaches to overcome associated clinical/social issues. Recent advances in nanotechnology and biological sciences have provided intriguing insights to employ targeted Nanomachines to the desired location as imaging, diagnosis, and therapeutic modalities. Nanomedicines as novel tools for enhanced drug delivery, imaging, and diagnosis strategies have shown great promise to combat cardiovascular diseases. Methods: In the current study, we intend to review the most recent studies on the nano-based strategies for improved management of CVDs. Results: A cascade of events results in the formation of atheromatous plaque and arterial stenosis. Furthermore, recent studies have shown that nanomedicines have displayed unique functionalities and provided de novo applications in the diagnosis and treatment of atherosclerosis. Conclusion: Despite some limitations, nanomedicines hold considerable potential in the prevention, diagnosis, and treatment of various ailments including atherosclerosis. Fewer side effects, amenable physicochemical properties and multi-potential application of such nano-systems are recognized through various investigations. Therefore, it is strongly believed that with targeted drug delivery to atherosclerotic lesions and plaque, management of onset and progression of disease would be more efficient than classical treatment modalities. PMID:29713603

Combat Identification Systems COMO Integrated Air Defense Model Evaluation (CISE) Study

DTIC Science & Technology

1989-02-01

use K or IR , whichever one applies) E-6 CAA-SR-89- 3 Subroutine PDECLR 1/21/88 Before label 1000 Insert: IF (IR.GT.10) IR a 10 These changes were made...Internal Distribution: Unclassified Library 2 F-2 CAA-SR-89- 3 GLOSSARY 1. ABBREVIATIONS, ACRONYMS, AND SHORT TERMS ADM2 Air Defense Models Modification...STUDY REPORT ’ , CAA-Sn-89- 3 i , .- CD o COMBAT IDENTIFICATION SYSTEMS N COMO INTEGRATED AIR DEFENSE MODEL EVALUATION (CISE) STUDY FEBRUARY 1989

Infrared imaging-based combat casualty care system

NASA Astrophysics Data System (ADS)

Davidson, James E., Sr.

1997-08-01

A Small Business Innovative Research (SBIR) contract was recently awarded to a start up company for the development of an infrared (IR) image based combat casualty care system. The company, Medical Thermal Diagnostics, or MTD, is developing a light weight, hands free, energy efficient uncooled IR imaging system based upon a Texas Instruments design which will allow emergency medical treatment of wounded soldiers in complete darkness without any type of light enhancement equipment. The principal investigator for this effort, Dr. Gene Luther, DVM, Ph.D., Professor Emeritus, LSU School of Veterinary Medicine, will conduct the development and testing of this system with support from Thermalscan, Inc., a nondestructive testing company experienced in IR thermography applications. Initial research has been done with surgery on a cat for feasibility of the concept as well as forensic research on pigs as a close representation of human physiology to determine time of death. Further such studies will be done later as well as trauma studies. IR images of trauma injuries will be acquired by imaging emergency room patients to create an archive of emergency medical situations seen with an infrared imaging camera. This archived data will then be used to develop training material for medical personnel using the system. This system has potential beyond military applications. Firefighters and emergency medical technicians could directly benefit from the capability to triage and administer medical care to trauma victims in low or no light conditions.

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...

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

PubMed

Ashley, Wendy; Brown, Jodi Constantine

2015-01-01

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

Military Combat Deployments and Substance Use: Review and Future Directions

PubMed Central

LARSON, MARY JO; WOOTEN, NIKKI R.; ADAMS, RACHEL SAYKO; MERRICK, ELIZABETH L.

2012-01-01

Iraq and Afghanistan veterans experience extreme stressors and injuries during deployments, witnessing and participating in traumatic events. The military has organized prevention and treatment programs as a result of increasing suicides and posttraumatic stress disorder among troops; however, there is limited research on how to intervene with alcohol misuse and drug use that accompany these problems. This review presents statistics about post-deployment substance use problems and comorbidities, and discusses the military’s dual role in 1) enforcing troop readiness with its alcohol and drug policies and resiliency-building programs, and 2) seeking to provide treatment to troops with combat-acquired problems including substance abuse. PMID:22496626

Improved characterization of combat injury.

PubMed

Champion, Howard R; Holcomb, John B; Lawnick, Mary M; Kelliher, Timothy; Spott, Mary Ann; Galarneau, Michael R; Jenkins, Donald H; West, Susan A; Dye, Judy; Wade, Charles E; Eastridge, Brian J; Blackbourne, Lorne H; Shair, Ellen Kalin

2010-05-01

Combat injury patterns differ from civilian trauma in that the former are largely explosion-related, comprising multiple mechanistic and fragment injuries and high-kinetic-energy bullets. Further, unlike civilians, U.S. armed forces combatants are usually heavily protected with helmets and Kevlar body armor with ceramic plate inserts. Searchable databases providing actionable, statistically valid knowledge of body surface entry wounds and resulting organ injury severity are essential to understanding combat trauma. Two tools were developed to address these unique aspects of combat injury: (1) the Surface Wound Mapping (SWM) database and Surface Wound Analysis Tool (SWAT) software that were developed to generate 3D density maps of point-of-surface wound entry and resultant anatomic injury severity; and (2) the Abbreviated Injury Scale (AIS) 2005-Military that was developed by a panel of military trauma surgeons to account for multiple injury etiology from explosions and other high-kinetic- energy weapons. Combined data from the Joint Theater Trauma Registry, Navy/Marine Combat Trauma Registry, and the Armed Forces Medical Examiner System Mortality Trauma Registry were coded in AIS 2005-Military, entered into the SWM database, and analyzed for entrance site and wounding path. When data on 1,151 patients, who had a total of 3,500 surface wounds and 12,889 injuries, were entered into SWM, surface wounds averaged 3.0 per casualty and injuries averaged 11.2 per casualty. Of the 3,500 surface wounds, 2,496 (71%) were entrance wounds with 6,631 (51%) associated internal injuries, with 2.2 entrance wounds and 5.8 associated injuries per casualty (some details cannot be given because of operational security). Crude deaths rates were calculated using Maximum AIS-Military. These new tools have been successfully implemented to describe combat injury, mortality, and distribution of wounds and associated injuries. AIS 2005-Military is a more precise assignment of severity to

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.

IVTS-CEV (Interactive Video Tape System-Combat Engineer Vehicle) Gunnery Trainer.

DTIC Science & Technology

1981-07-01

video game technology developed for and marketed in consumer video games. The IVTS/CEV is a conceptual/breadboard-level classroom interactive training system designed to train Combat Engineer Vehicle (CEV) gunners in target acquisition and engagement with the main gun. The concept demonstration consists of two units: a gunner station and a display module. The gunner station has optics and gun controls replicating those of the CEV gunner station. The display module contains a standard large-screen color video monitor and a video tape player. The gunner’s sight

Combating terrorism : how five foreign countries are organized to combat terrorism

DOT National Transportation Integrated Search

2000-04-01

In fiscal year 1999, the federal government spent about $10 billion to combat terrorism. Over 40 federal departments, agencies, and bureaus have a role in combating terrorism. Recognizing that other governments have had more experience dealing with t...

Meta-path based heterogeneous combat network link prediction

NASA Astrophysics Data System (ADS)

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

2017-09-01

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

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

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

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.

Abductive networks applied to electronic combat

NASA Astrophysics Data System (ADS)

Montgomery, Gerard J.; Hess, Paul; Hwang, Jong S.

1990-08-01

A practical approach to dealing with combinatorial decision problems and uncertainties associated with electronic combat through the use of networks of high-level functional elements called abductive networks is presented. It describes the application of the Abductory Induction Mechanism (AIMTM) a supervised inductive learning tool for synthesizing polynomial abductive networks to the electronic combat problem domain. From databases of historical expert-generated or simulated combat engagements AIM can often induce compact and robust network models for making effective real-time electronic combat decisions despite significant uncertainties or a combinatorial explosion of possible situations. The feasibility of applying abductive networks to realize advanced combat decision aiding capabilities was demonstrated by applying AIM to a set of electronic combat simulations. The networks synthesized by AIM generated accurate assessments of the intent lethality and overall risk associated with a variety of simulated threats and produced reasonable estimates of the expected effectiveness of a group of electronic countermeasures for a large number of simulated combat scenarios. This paper presents the application of abductive networks to electronic combat summarizes the results of experiments performed using AIM discusses the benefits and limitations of applying abductive networks to electronic combat and indicates why abductive networks can often result in capabilities not attainable using alternative approaches. 1. ELECTRONIC COMBAT. UNCERTAINTY. AND MACHINE LEARNING Electronic combat has become an essential part of the ability to make war and has become increasingly complex since

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.

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

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.

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.

Digital control of highly augmented combat rotorcraft

NASA Technical Reports Server (NTRS)

Tischler, Mark B.

1987-01-01

Proposed concepts for the next generation of combat helicopters are to be embodied in a complex, highly maneuverable, multiroled vehicle with avionics systems. Single pilot and nap-of-the-Earth operations require handling qualities which minimize the involvement of the pilot in basic stabilization tasks. To meet these requirements will demand a full authority, high-gain, multimode, multiply-redundant, digital flight-control system. The gap between these requirements and current low-authority, low-bandwidth operational rotorcraft flight-control technology is considerable. This research aims at smoothing the transition between current technology and advanced concept requirements. The state of the art of high-bandwidth digital flight-control systems are reviewed; areas of specific concern for flight-control systems of modern combat are exposed; and the important concepts are illustrated in design and analysis of high-gain, digital systems with a detailed case study involving a current rotorcraft system. Approximate and exact methods are explained and illustrated for treating the important concerns which are unique to digital systems.

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.

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

DTIC Science & Technology

2018-01-01

REPORT TR-MSG-098 Urban Combat Advanced Training Technology Architecture (Architecture de technologie avancée pour l’entraînement au combat urbain...REPORT TR-MSG-098 Urban Combat Advanced Training Technology Architecture (Architecture de technologie avancée pour l’entraînement au combat...3 1-2 1.3 Illustration of the Need for UCATT by Contemporary Example Situations 1-3 1.3.1 RNLA: Connection of NLD Mobile Combat Training Centre to

Trust and reliance on an automated combat identification system.

PubMed

Wang, Lu; Jamieson, Greg A; Hollands, Justin G

2009-06-01

We examined the effects of aid reliability and reliability disclosure on human trust in and reliance on a combat identification (CID) aid. We tested whether trust acts as a mediating factor between belief in and reliance on a CID aid. Individual CID systems have been developed to reduce friendly fire incidents. However, these systems cannot positively identify a target that does not have a working transponder. Therefore, when the feedback is "unknown", the target could be hostile, neutral, or friendly. Soldiers have difficulty relying on this type of imperfect automation appropriately. In manual and aided conditions, 24 participants completed a simulated CID task. The reliability of the aid varied within participants, half of whom were told the aid reliability level. We used the difference in response bias values across conditions to measure automation reliance. Response bias varied more appropriately with the aid reliability level when it was disclosed than when not. Trust in aid feedback correlated with belief in aid reliability and reliance on aid feedback; however, belief was not correlated with reliance. To engender appropriate reliance on CID systems, users should be made aware of system reliability. The findings can be applied to the design of information displays for individual CID systems and soldier training.

Internet Enabled Remote Driving of a Combat Hybrid Electric Power System for Duty Cycle Measurement

DTIC Science & Technology

2007-06-01

INTERNET ENABLED REMOTE DRIVING OF A COMBAT HYBRID ELECTRIC POWER SYSTEM FOR DUTY CYCLE MEASUREMENT Jarrett Goodell1 Marc Compere , Ph.D.2...Orlando, FL, April 2006. 2. Compere , M.; M.; Goodell, J.; Simon, M; Smith, W.; Brudnak, M, “Robust Control Techniques Enabling Duty Cycle...2006-01-3077, SAE Power Systems Conference, Nov. 2006. 3. Compere , M.; Simon, M.; Kajs, J.; Pozolo, M., “Tracked Vehicle Mobility Load Emulation for a

Systems medicine and integrated care to combat chronic noncommunicable diseases

PubMed Central

2011-01-01

We propose an innovative, integrated, cost-effective health system to combat major non-communicable diseases (NCDs), including cardiovascular, chronic respiratory, metabolic, rheumatologic and neurologic disorders and cancers, which together are the predominant health problem of the 21st century. This proposed holistic strategy involves comprehensive patient-centered integrated care and multi-scale, multi-modal and multi-level systems approaches to tackle NCDs as a common group of diseases. Rather than studying each disease individually, it will take into account their intertwined gene-environment, socio-economic interactions and co-morbidities that lead to individual-specific complex phenotypes. It will implement a road map for predictive, preventive, personalized and participatory (P4) medicine based on a robust and extensive knowledge management infrastructure that contains individual patient information. It will be supported by strategic partnerships involving all stakeholders, including general practitioners associated with patient-centered care. This systems medicine strategy, which will take a holistic approach to disease, is designed to allow the results to be used globally, taking into account the needs and specificities of local economies and health systems. PMID:21745417

Sleep quality affects cognitive functioning in returning combat veterans beyond combat exposure, PTSD, and mild TBI history.

PubMed

Martindale, Sarah L; Morissette, Sandra B; Rowland, Jared A; Dolan, Sara L

2017-01-01

The purpose of this study was to determine how sleep quality affects cognitive functioning in returning combat veterans after accounting for effects of combat exposure, posttraumatic stress disorder (PTSD), and mild traumatic brain injury (mTBI) history. This was a cross-sectional assessment study evaluating combat exposure, PTSD, mTBI history, sleep quality, and neuropsychological functioning. One hundred and nine eligible male Iraq/Afghanistan combat veterans completed an assessment consisting of a structured clinical interview, neuropsychological battery, and self-report measures. Using partial least squares structural equation modeling, combat experiences and mTBI history were not directly associated with sleep quality. PTSD was directly associated with sleep quality, which contributed to deficits in neuropsychological functioning independently of and in addition to combat experiences, PTSD, and mTBI history. Combat experiences and PTSD were differentially associated with motor speed. Sleep affected cognitive function independently of combat experiences, PTSD, and mTBI history. Sleep quality also contributed to cognitive deficits beyond effects of PTSD. An evaluation of sleep quality may be a useful point of clinical intervention in combat veterans with cognitive complaints. Improving sleep quality could alleviate cognitive complaints, improving veterans' ability to engage in treatment. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

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

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.

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.

Spring 2008 Industry Study. Land Combat Systems Industry

DTIC Science & Technology

2008-01-01

fabrication and deployment of wheeled and tracked vehicles with a focus on the increase production requirements consequent to the conflicts in Iraq...industry. The paper first looks at issues of globalization and of the increased demand for military vehicles during wartime. After a brief assessment of...tracked combat vehicles with UDLP’s expertise in light and medium-weight vehicles , was created to ensure the survival of these two remaining military

A formulation and analysis of combat games

NASA Technical Reports Server (NTRS)

Heymann, M.; Ardema, M. D.; Rajan, N.

1985-01-01

Combat is formulated as a dynamical encounter between two opponents, each of whom has offensive capabilities and objectives. With each opponent is associated a target in the event space in which he endeavors to terminate the combat, thereby winning. If the combat terminates in both target sets simultaneously or in neither, a joint capture or a draw, respectively, is said to occur. Resolution of the encounter is formulated as a combat game; namely, as a pair of competing event-constrained differential games. If exactly one of the players can win, the optimal strategies are determined from a resulting constrained zero-sum differential game. Otherwise the optimal strategies are computed from a resulting non-zero-sum game. Since optimal combat strategies frequencies may not exist, approximate of delta-combat games are also formulated leading to approximate or delta-optimal strategies. To illustrate combat games, an example, called the turret game, is considered. This game may be thought of as a highly simplified model of air combat, yet it is sufficiently complex to exhibit a rich variety of combat behavior, much of which is not found in pursuit-evasion games.

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.

Combat Trauma -- Placing Surgeons to Save the Most Lives

DTIC Science & Technology

2007-11-06

principles, and contradicts common beliefs passed down through generations of military personnel. The approach is to first discuss the...to get the patient to the right care in the shortest amount of time. For example, taking a patient with penetrating head trauma to a general ...The volume and synergy facilitate good outcomes and develop future generations of combat surgeons. Another counter intuitive concept of

A formulation and analysis of combat games

NASA Technical Reports Server (NTRS)

Heymann, M.; Ardema, M. D.; Rajan, N.

1984-01-01

Combat which is formulated as a dynamical encounter between two opponents, each of whom has offensive capabilities and objectives is outlined. A target set is associated with each opponent in the event space in which he endeavors to terminate the combat, thereby winning. If the combat terminates in both target sets simultaneously, or in neither, a joint capture or a draw, respectively, occurs. Resolution of the encounter is formulated as a combat game; as a pair of competing event constrained differential games. If exactly one of the players can win, the optimal strategies are determined from a resulting constrained zero sum differential game. Otherwise the optimal strategies are computed from a resulting nonzero sum game. Since optimal combat strategies may frequently not exist, approximate or delta combat games are also formulated leading to approximate or delta optimal strategies. The turret game is used to illustrate combat games. This game is sufficiently complex to exhibit a rich variety of combat behavior, much of which is not found in pursuit evasion games.

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.

Physiological stress and performance analysis to karate combat.

PubMed

Chaabene, Helmi; Hellara, Ilhem; Ghali, Faten B; Franchini, Emerson; Neffati, Fedoua; Tabben, Montassar; Najjar, Mohamed F; Hachana, Younés

2016-10-01

This study aimed to evaluate the relationship between physiological, and parameters of performance analysis during karate contest. Nine elite-level karate athletes participated in this study. Saliva sample was collected pre- and post-karate combat. Salivary cortisol (sC) post-combat 2 raised significantly compared to that recorded at pre-combat 1 (Δ%=105.3%; P=0.04; dz=0.78). The largest decrease of the salivary T/C ratio (sR) compared to pre-combat 1 was recorded post-combat 2 (Δ%=-43.5%; P=0.03). Moreover, blood lactate concentration post-combat 1 correlated positively to sCpost-combat 1 (r=0.66; P=0.05) and negatively to both salivary testosterone (sT) (r=-0.76; P=0.01) and sRpost-combat 1 (r=-0.76; P=0.01). There was no significant relationship between hormonal measures and parameters of match analysis. Although under simulated condition, karate combat poses large physiological stress to the karateka. Additionally, physiological strain to karate combat led to a catabolic hormonal response.

Combat Stress Decreases Memory of Warfighters in Action.

PubMed

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

2017-08-01

The present research aimed to analyze the effect of combat stress in the psychophysiological response and attention and memory of warfighters in a simulated combat situation. Variables of blood oxygen saturation, heart rate, blood glucose, blood lactate, body temperature, lower body muscular strength manifestation, cortical arousal, autonomic modulation, state anxiety and memory and attention through a postmission questionnaire were analyzed before and after a combat simulation in 20 male professional Spanish Army warfighters. The combat simulation produces a significant increase (p < 0.05) in explosive leg strength, rated perceived exertion, blood glucose, blood lactate, somatic anxiety, heart rate, and low frequency domain of the HRV (LF) and a significant decrease of high frequency domain of the heart rate variability (HF). The percentage of correct response in the postmission questionnaire parameters show that elements more related with a physical integrity threat are the most correctly remembered. There were significant differences in the postmission questionnaire variables when participants were divided by the cortical arousal post: sounds no response, mobile phone correct, mobile phone no response, odours correct. The correlation analysis showed positive correlations: LF post/body temperature post, HF post/correct sound, body temperature post/glucose post, CFFTpre/lactate post, CFFT post/wrong sound, glucose post/AC pre, AC post/wrong fusil, AS post/SC post and SC post/wrong olfactory; and negative correlations: LF post/correct sound, body temperature post/lactate post and glucose post/lactate post. This data suggest that combat stress actives fight-flight system of soldiers. As conclusion, Combat stress produces an increased psychophysiological response that cause a selective decrease of memory, depending on the nature, dangerous or harmless of the objects.

The Pros And Cons Of Various Optical Media For The Soldier's Interfacility Radiographic Record (SIRR) In The Combat Casualty Care System

NASA Astrophysics Data System (ADS)

Kerlin, Barbara D.; Johnson, William P.

1989-05-01

Ongoing research and evaluation projects sponsored by the Army Medical Research and Development Command are leading towards filmless radiography in the combat casualty care system of the 1990s. With the elimination of film, the question arises as to the most appropriate medium for archiving and transporting x-ray images and related patient data with the wounded between facilities. This paper considers the pros and cons of the various candidate media in relation to their specifications, availability, and appropriateness under simulated combat casualty care conditions.

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.

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.

[A comparison of self assessment of dental status regarding dental anxiety among combat and non-combat soldiers].

PubMed

Levin, A; Zini, A

2014-01-01

The objective of the study was to evaluate the difference in the level of self dental assessment between different groups of soldiers: 115 combats and 115 non-combats. All the solders in this study where male, Jewish, with a service record of 12-48 months, ages 18-22 and born in Israel. The data was summarized, evaluated and tested by x2 - chi square and logistic regressions analysis. In the following parameters no significant differences were found regarding time past from last visit to the dentist, self assessment of dental condition, self assessment of need of dental treatment and the frequency of tooth brushing and sugar consumption. Significant differences were found in the percentage of smokers (59.1% among non-combat vs. 31.9% among combat), and in the dental anxiety level (55.3% among non-combat vs. 38% among combat). The main difference between these two groups is the nature of the social support and society surrounding them, a society that strengthens them and gives the feeling they can deal with fears and difficulties. An additional study should be done in which the soldiers self assessment should be compared to clinical examination. The importance of this study is that the non-combat group should be defined as a high risk population regarding dental anxiety.

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

Epidemiology of dermatophytosis in junior combat and non-combat sports participants.

PubMed

Döğen, Aylin; Gümral, Ramazan; Oksüz, Zehra; Kaplan, Engin; Serin, Mehmet Sami; Ilkit, Macit

2013-03-01

Participation in competitive sports is popular and widely encouraged worldwide. Herein, we investigated 252 male and 67 female sports players, aged 16.4 ± 1.3 years, active in 15 different types of combat (n = 143) and non-combat (n = 176) sports. Of the 319 participants in this study, 11 (3.5%) players, including six wrestlers, four football players and one handball player, all of whom were men, harboured dermatophytic fungi. Briefly, Trichophyton tonsurans was present in three athletes, who were scalp carriers of the fungus. Furthermore, T. rubrum (4), T. interdigitale (3) and Arthroderma simii (1) were recovered from eight participants with tinea inguinalis (4), tinea pedis (2) or both (1). One patient was a trunk carrier of concomitant tinea pedis. All dermatophytic fungi were identified using both direction sequence of the rDNA regions spanning the internal transcribed spacers (ITS1 and ITS2) and 5.8 rRNA gene. Although sports-active individuals are active and sweat more, we observed a low prevalence of dermatophytosis, both in combat (5.2%) and non-combat sports participants (3.4%) (P > 0.05). However, dermatophyte infections require more attention and appropriate management to eradicate the infection and to prevent possible outbreaks. This study also documents the first case of zoophilic A. simii in Turkey. © 2012 Blackwell Verlag GmbH.

Adoptive cell therapy: past, present and future.

PubMed

Cohen, Jonathan E; Merims, Sharon; Frank, Stephen; Engelstein, Roni; Peretz, Tamar; Lotem, Michal

2017-01-01

The immune system is a potent inhibitor of tumor growth with curative potential, constituting in many eyes the future of antineoplastic therapy. Adoptive cell therapy (ACT) is a form of immunotherapy in which autologous cancer-cognate lymphocytes are expanded and modified ex vivo and re-infused to combat the tumor. This review follows the evolvement of ACT and treatment protocols, focusing on unresolved dilemmas regarding this treatment while providing evidence for its effectiveness in refractory patients. Future directions of ACT are discussed, in particular with regard to genetic engineering of autologous cells, and the role of ACT in the era of checkpoint inhibitors is addressed.

The Combat-Exclusion Policy for Military Women.

ERIC Educational Resources Information Center

Schneider, Dorothy; Schneider, Carl J.

1986-01-01

Reviews the history and meaning of the combat exclusion policy for United States servicewomen. Noting that combat duty is often essential to career advancement in the military, this article describes several cases of discrimination resulting from the effects of the combat exclusion. (JDH)

Analysis of a combat problem - The turret game

NASA Technical Reports Server (NTRS)

Ardema, M.; Heymann, M.; Rajan, N.

1987-01-01

The turret game is defined and solved to illustrate the nature of games of combat. This game represents a highly simplified version of air combat, yet it is sufficiently complex so as to exhibit a rich variety of combat phenomena. A review of the formulation of delta-combat games is included.

Amputation: Not a failure for severe lower extremity combat injury.

PubMed

van Dongen, Thijs T C F; Huizinga, Eelco P; de Kruijff, Loes G M; van der Krans, Arie C; Hoogendoorn, Jochem M; Leenen, Luke P H; Hoencamp, Rigo

2017-02-01

that amputation is not a failure for casualty and surgeon, and strengthen a life before limb (damage control surgery) mindset in the initial phase. For future research, we recommend the use of adequate coding and injury scoring systems to predict outcome and give insight in the attributes that are supportive for the resilience that is needed to cope with a serious battle injury. Copyright © 2016 Elsevier Ltd. All rights reserved.

Incidence and morbidity of concomitant spine fractures in combat-related amputees.

PubMed

Bevevino, Adam J; Lehman, Ronald A; Tintle, Scott M; Kang, Daniel G; Dworak, Theodora C; Potter, Benjamin K

2014-04-01

spine fractures in combat-related amputees is 13%. The results suggest that combat-related amputees with spine fractures are more likely to sustain severe injuries to other body systems, as indicated by the significantly higher ISS and rates of ICU admission. This group also had a significantly higher rate of HO formation, which may be attributable to the greater local and/or systemic injuries sustained by these patients. Published by Elsevier Inc.

Optics detection and laser countermeasures on a combat vehicle

NASA Astrophysics Data System (ADS)

Sjöqvist, Lars; Allard, Lars; Pettersson, Magnus; Börjesson, Per; Lindskog, Nils; Bodin, Johan; Widén, Anders; Persson, Hâkan; Fredriksson, Jan; Edström, Sten

2016-10-01

Magnifying optical assemblies used for weapon guidance or rifle scopes may possess a threat for a combat vehicle and its personnel. Detection and localisation of optical threats is consequently of interest in military applications. Typically a laser system is used in optics detection, or optical augmentation, to interrogate a scene of interest to localise retroreflected laser radiation. One interesting approach for implementing optics detection on a combat vehicle is to use a continuous scanning scheme. In addition, optics detection can be combined with laser countermeasures, or a laser dazzling function, to efficiently counter an optical threat. An optics detection laser sensor demonstrator has been implemented on a combat vehicle. The sensor consists of a stabilised gimbal and was integrated together with a LEMUR remote electro-optical sight. A narrow laser slit is continuously scanned around the horizon to detect and locate optical threats. Detected threats are presented for the operator within the LEMUR presentation system, and by cueing a countermeasure laser installed in the LEMUR sensor housing threats can be defeated. Results obtained during a field demonstration of the optics detection sensor and the countermeasure laser will be presented. In addition, results obtained using a dual-channel optics detection system designed for false alarm reduction are also discussed.

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

PubMed Central

Odenwald, Michael; Lingenfelder, Birke; Schauer, Maggie; Neuner, Frank; Rockstroh, Brigitte; Hinkel, Harald; Elbert, Thomas

2007-01-01

Background In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of ex-combatants. Methods We adapted the Posttraumatic Diagnostic Scale (PDS) to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI) and the Self-Report Questionnaire (SRQ-20). Results The screening instrument showed good internal consistency (Cronbach's α = .86), convergent validity with the CIDI (sensitivity = .90; specificity = .90) as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multi-criteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. Conclusion The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify ex-combatants with special psycho-social needs. PMID:17822562

Rescinding the Ground Combat Exclusion Policy

DTIC Science & Technology

2011-04-07

restrict women from assignment to ground combat roles. 2 Clearly, women have been in combat in Iraq and Afghanistan, though both the Defense Department...but were not required to, restrict the assignment of women "where units and positions are doctrinally required to physically collocate and remain...with direct ground combat units that are closed to women .Ŝ This statement was likely a nod to the Army’s 1992 assignment policy, which restricts

[Neurophysiologic mechanisms of combat post-extreme state of health].

PubMed

Tsygan, V N

2014-10-01

The effects of ecological and occupational stress (EOS) on brain neurodynamics of Soviet and Afghanistan servicemen have been studied. The investigations have been made in Afghanistan. Neurophysiological characteristics of traumatic stress and consequences of combat trauma were studied in patients wounded in Afghanistan, in the acute phase as well as since 0.5-3 years after leaving the battlefield. The combined effect of combat situation, hot climate, highlands and desert forms EOS. It does not cause an adaptation process in servicemen. EOS is characterized by changes in bioelectrical indices of brain in interhemispheric relations both as a whole and in isolated rhythm components of EEG, by activating the stress limiting system. It exhibits pathopsychological and autonomic components which remain significant during 3 years after leaving the combat conditions. The formation of a general adaptation syndrome is prevented in explosion trauma under the influence of EOS.

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

PubMed

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

2009-12-01

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

Stochastic Lanchester-type Combat Models I.

DTIC Science & Technology

1979-10-01

necessarily hold when the attrition rates become non- linear in b and/or r. 13 iL 4. OTHER COMBAT MODELS In this section we briefly describe how other...AD-A092 898 FLORIDA STATE UNIV TALLAHASSEE DEPT OF STATISTICS F/6 12/2 STOCHASTIC LANCHESTER-TYPE COMBAT MODELS I.(U) OCT 79 L BILLARD N62271-79-M...COMBAT MODELS I by L. BILLARD October 1979 Approved for public release; distribution unlimited. Prepared for: Naval Postgraduate School Monterey, CA 93940

Identifying and Combating Sexism in EFL Textbooks--With a Case Study into China

ERIC Educational Resources Information Center

Tao, Baiqiang

2008-01-01

This paper explores methodologies of identifying and combating sexism in EFL (English as a Foreign Language) textbooks. The writer of this paper has found out there exists sexism or gender inequality in the Chinese high school EFL textbooks. The writer hopes that future EFL curriculum designers, EFL textbook writers, textbook censors in textbook…

Why Does Military Combat Experience Adversely Affect Marital Relations?

ERIC Educational Resources Information Center

Gimbel, Cynthia; Booth, Alan

1994-01-01

Describes investigation of ways in which combat decreases marital quality and stability. Results support three models: (1) factors propelling men into combat also make them poor marriage material; (2) combat causes problems that increase marital adversity; and (3) combat intensifies premilitary stress and antisocial behavior which then negatively…

Revaluating US Land Ownership and Management in Order to Effectively Combat Soil Degradation

NASA Astrophysics Data System (ADS)

Drohan, Patrick

2017-04-01

Land privatization has resulted throughout history in: a variety of governance types; wealth imbalances; fluctuating degrees of food production; industrialization; and the privatization of intellectual ideas/property. USA government strategies to combat soil degradation have in large been reactive and driven by land privatization and the entrepreneurial nature of the US economy, especially agriculture. This has led to boom and bust cycles of agriculture and soil resilience. Further straining the capability to combat soil degradation are weaknesses in land management legislation due to separation of federal and state law and unfunded mandates. Last, the sheer size of the United States may be its greatest weakness in effectively developing a coherent national soil degradation policy. The recent failure of the European Soil Directive emphasizes the continual struggle between land privatization, food production, and the generation of wealth. We suggest several new strategies to combat USA soil degradation based on existing and new land management schemes, which have the potential to more effectively buffer the unpredictable future of increasing population and climate change.

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

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.

Artificial intelligence and its impact on combat aircraft

NASA Technical Reports Server (NTRS)

Ott, Lawrence M.; Abbot, Kathy; Kleider, Alfred; Moon, D.; Retelle, John

1987-01-01

As the threat becomes more sophisticated and weapon systems more complex to meet the threat, the need for machines to assist the pilot in the assessment of information becomes paramount. This is particularly true in real-time, high stress situations. The advent of artificial intelligence (AI) technology offers the opportunity to make quantum advances in the application of machine technology. However, if AI systems are to find their way into combat aircraft, they must meet certain criteria. The systems must be responsive, reliable, easy to use, flexible, and understandable. These criteria are compared with the current status used in a combat airborne application. Current AI systems deal with nonreal time applications and require significant user interaction. On the other hand, aircraft applications require real time, minimum human interaction systems. In order to fill the gap between where technology is now and where it must be for aircraft applications, considerable government research is ongoing in NASA, DARPA, and three services. The ongoing research is briefly summarized. Finally, recognizing that AI technology is in its embryonic stage, and the aircraft needs are very demanding, a number of issues arise. These issues are delineated and findings are provided where appropriate.

MARSnet: Mission-aware Autonomous Radar Sensor Network for Future Combat Systems

DTIC Science & Technology

2009-03-23

15 , , L x(s)x*(s) ds WdB = lOlog Jo Y ; ; (19) In addition, the sidelobe structure is changed because of the Dop])ler shift...Synchro- nous CDMA Systems.’’ IEICE Trans.Fundamentals. E832A(11): 1 16, 2000. 24 [10] P. Z. Fan. "New Direction in Spreading Sequence Design and the...Suehiro , N Kuroyanagi and P Z Fan. "Two types of polyphase sequence set. for approximately synchronized CDMA systems." IEICE Trans. Fundamentals. E862A

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.

Historical Group Debriefing Following Combat

DTIC Science & Technology

1991-12-01

support, appraisal of combat event, and ensuing psychological rumination of stressful events were administered to all the participants before and after... psychological rumination of stressful events were administered to all the participants before and after each debriefing session. The sessions were recorded...combat. C. To identify individual traits (such as coping style, denial and social desirability) which might modulate the psychological effects of

Combating immunosuppression in glioma

PubMed Central

Vega, Eleanor A; Graner, Michael W; Sampson, John H

2012-01-01

Despite maximal therapy, malignant gliomas have a very poor prognosis. Patients with glioma express significant immune defects, including CD4 lymphopenia, increased fractions of regulatory T cells in peripheral blood and shifts in cytokine profiles from Th1 to Th2. Recent studies have focused on ways to combat immunosuppression in patients with glioma as well as in animal models for glioma. We concentrate on two specific ways to combat immunosuppression: inhibition of TGF-β signaling and modulation of regulatory T cells. TGF-β signaling can be interrupted by antisense oligonucleotide technology, TGF-β receptor I kinase inhibitors, soluble TGF-β receptors and antibodies against TGF-β. Regulatory T cells have been targeted with antibodies against T-cell markers, such as CD25, CTLA-4 and GITR. In addition, vaccination against Foxp3 has been explored. The results of these studies have been encouraging; combating immunosuppression may be one key to improving prognosis in malignant glioma. PMID:18518768

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.

Pediatric inpatient humanitarian care in combat: Iraq and Afghanistan 2002 to 2012.

PubMed

Edwards, Mary J; Lustik, Michael; Burnett, Mark W; Eichelberger, Martin

2014-05-01

The purpose of this study was to define the scope of combat- and noncombat-related inpatient pediatric humanitarian care provided from 2002 to 2012 by the United States (US) Military in Iraq and Afghanistan. A review of the Patient Administration Systems and Biostatistics Activity (PASBA) database for all admissions from 2002 to 2012 by US military hospitals in Afghanistan and Iraq for children 14 years of age and younger provided data to analyze the use of medical care. North Atlantic Treaty Organization Standardization Agreement (STANAG) injury codes provided injury cause and the ICD-codes provided diagnosis. In-hospital mortality, blood usage, number of invasive procedures, and hospital stay were analyzed by country and injury category. There were 6,273 admissions that met inclusion criteria. In Afghanistan, there were more than twice as many pediatric noncombat-related admissions (2,197) as pediatric combat-related admissions (1,095). In Iraq, the difference was minimal (1,391 noncombat vs 1,590 combat). The most common cause of noncombat-related admission in both countries was injury: primarily motor vehicle related and burns, which varied significantly by age. Older patients (older than 8 years in Afghanistan and older than 4 years in Iraq) were more likely combat victims. Mortality was highest for combat trauma in Iraq (11%) and noncombat trauma in Afghanistan (8%). The in-hospital mortality in both countries was 5% for admissions unrelated to trauma. Resource use was highest for combat trauma in both countries. Noncombat-related medical care was the primary reason for pediatric humanitarian admissions to United States military combat hospitals in Iraq and Afghanistan from 2002 to 2012. Combat-related injuries have a higher mortality than noncombat injuries or other admissions. Published by Elsevier Inc.

Combat Leadership Styles: Empowerment versus Authoritarianism

DTIC Science & Technology

1990-12-01

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

Etiology of Depression Comorbidity in Combat-Related PTSD: A Review of the Literature

DTIC Science & Technology

2014-01-01

release: distribution is unlimited. This research was conducted in compliance with all applicable federal regulations governing the protection of...VeteransPosttraumatic stress disorder is often diagnosed with other mental health problems, particularly depression. Although PTSD comorbidity has been...of military deployment and combat exposure is emphasized. Implications of our results for clinical practice and future research are discussed

Integrated Assessment of Prevention and Restoration Actions to Combat Desertification

NASA Astrophysics Data System (ADS)

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

2009-12-01

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

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

Groundwork for a Theory of the Combatant

DTIC Science & Technology

2017-01-03

AIR WAR COLLEGE AIR UNIVERSITY GROUNDWORK FOR A THEORY OF THE COMBATANT by Robert P. Vicars IV, Lt Col, USAF A Research Report...and synthesize them in a way that captures the fullness of the combatant’s moral reality. Such a synthesis would be a theory of the combatant. This...frame a broader theory of the combatant. 3 On Killing in War In surveying the literature on killing in war, one finds that commentators bring

A new virtual instrument for estimating punch velocity in combat sports.

PubMed

Urbinati, K S; Scheeren, E; Nohama, P

2013-01-01

For improving the performance in combat sport, especially percussion, it is necessary achieving high velocity in punches and kicks. The aim of this study was to evaluate the applicability of 3D accelerometry in a Virtual Instrumentation System (VIS) designed for estimating punch velocity in combat sports. It was conducted in two phases: (1) integration of the 3D accelerometer with the communication interface and software for processing and visualization, and (2) applicability of the system. Fifteen karate athletes performed five gyaku zuki type punches (with reverse leg) using the accelerometer on the 3rd metacarpal on the back of the hand. It was performed nonparametric Mann-Whitney U-test to determine differences in the mean linear velocity among three punches performed sequentially (p <0.05). The maximum velocities measured varied in the range of 10 and 10.2 m/s and the mean velocities from 6 to 6.8 m/s. There was no difference on the mean velocity for the tested punches. The VIS demonstrated regularity and proper functionality for assessing punches in combat sport.

Alternative Futures: United States Air Force Security Police in the Twenty-First Century

DTIC Science & Technology

1988-04-01

34What policies should today’s Air Force leadership be pursuing to prepare for tomorrow’s combat support and security police roles?’ The monograph...Further, it addresses the capability of the Air Force to respond to its future combat support and security police missions and their integration into the...security police organizations. His most recent assignments were as the deputy commander of a combat support group and the commander of a security police

A Metrics-Based Approach to Intrusion Detection System Evaluation for Distributed Real-Time Systems

DTIC Science & Technology

2002-04-01

Based Approach to Intrusion Detection System Evaluation for Distributed Real - Time Systems Authors: G. A. Fink, B. L. Chappell, T. G. Turner, and...Distributed, Security. 1 Introduction Processing and cost requirements are driving future naval combat platforms to use distributed, real - time systems of...distributed, real - time systems . As these systems grow more complex, the timing requirements do not diminish; indeed, they may become more constrained

A wireless-sensor scoring and training system for combative sports

NASA Astrophysics Data System (ADS)

Partridge, Kane; Hayes, Jason P.; James, Daniel A.; Hill, Craig; Gin, Gareth; Hahn, Allan

2005-02-01

Although historically among the most popular of sports, today, combative sports are often viewed as an expression of our savage past. Of primary concern are the long term effects of participating in these sports on the health of participants. The scoring of such sports has also been the subject of much debate, with a panel of judges making decisions about very quick events involving large sums of prize money. This paper describes an electronic system for use primarily in the sport of boxing, though it is suitable for martial arts such as karate and taekwondo. The technology is based on a previously described sensor platform and integrates a network of sensors on the athlete"s head, body and hands. Using a Bluetooth network, physical contacts are monitored in near real-time or post event on a remote computer to determine legal hits and hence derivative measures like scoring and final outcomes. It is hoped that this system can be applied to reduce the need for full contact contests as well as provide a more reliable method of determining the outcome of a bout. Other benefits presented here include the ability to analyse an athlete's performance post match or training session, such as assessing the efficacy of training drills and effects of fatigue.

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

NASA Astrophysics Data System (ADS)

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

2009-05-01

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

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.

An Introduction to Human Factors and Combat Models

DTIC Science & Technology

1989-03-01

Combat Models by Timothy F. Schroth Captain, United States Army B . A., Temple University, 1982 Submitted in partial fulfillment of the requirements for...INTRODUCTION .......... ................. 4 B . DEFINING HUMAN FACTORS - AN HISTORICAL APPROACH 4 C. BEFORE/AFTER THE BATTLE ...... ........... 8 1. Culture...16 III. COMBAT MODELS ....... .................. 18 A. INTRODUCTION ....... ................. 18 B . PURPOSE OF COMBAT MODELS ... ........... 20 1

Trade Study: A Two- Versus Three-Soldier Crew for the Mounted Combat System (MCS) and Other Future Combat System Platforms

DTIC Science & Technology

2003-09-01

Powers, J.; Tillman, B.; Davilla, D.; Hutchins, C. Crew Reduction in Armored Vehicles Ergonomie Study (CRA VES); Report No. ARL-CR-80; U.S. Army...Rucker, AL, 1984. Nachreiner, F. Standards for Ergonomie Principles Relating to the Design of Work Systems and to Mental Workload. Applied Ergonomics

A survey on the measure of combat readiness

NASA Astrophysics Data System (ADS)

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

2014-09-01

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

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.

Stakeholder Analysis of Integrating Women Into Ground Combat Units

DTIC Science & Technology

2014-06-01

article posted on SaukValley.com titled “Sources: Pentagon Rules Shift on Women in Combat,” Lolita C. Baldor cites Bhagwati regarding news about plans...Jan-13 AP Sources: Pentagon Open Combat Roles to Women Lolita C. Baldor Associated Press 17-Jan-14 Military Women in Combat Nancy Carol Squidoo...Security Journal 9-Feb-12 Sources: Pentagon rules shift on women in combat Lolita C. Baldor SaukValley.com 24-Oct-13 A Voice for Men None named

A modern combat trauma.

PubMed

Popivanov, Georgi; Mutafchiyski, V M; Belokonski, E I; Parashkevov, A B; Koutin, G L

2014-03-01

The world remains plagued by wars and terrorist attacks, and improvised explosive devices (IED) are the main weapons of our current enemies, causing almost two-thirds of all combat injuries. We wished to analyse the pattern of blast trauma on the modern battlefield and to compare it with combat gunshot injuries. Analysis of a consecutive series of combat trauma patients presenting to two Bulgarian combat surgical teams in Afghanistan over 11 months. Demographics, injury patterns and Injury Severity Scores (ISS) were compared between blast and gunshot-injured casualties using Fisher's Exact Test. The blast victims had significantly higher median ISS (20.54 vs 9.23) and higher proportion of ISS>16 (60% vs 33.92%, p=0.008) than gunshot cases. They also had more frequent involvement of three or more body regions (47.22% vs 3.58%, p<0.0001). A significantly higher frequency of head (27.27% vs 3.57%), facial (20% vs 0%) and extremities injuries (85.45% vs 42.86%) and burns (12.72% vs 0%) was noted among the victims of explosion (p<0.0001). Based on clinical examination and diagnostic imaging, primary blast injury was identified in 24/55 (43.6%), secondary blast injury in 37 blast cases (67.3%), tertiary in 15 (27.3%) and quaternary blast injury (all burns) in seven (12.72%). Our results corroborate the 'multidimensional' injury pattern of blast trauma. The complexity of the blast trauma demands a good knowledge and a special training of the military surgeons and hospital personnel before deployment.

Army Transformation and the Future Combat System

DTIC Science & Technology

2008-03-01

never left Germany following World War II, instead continuing a preventive attack against the Soviet Union immediately after defeating Nazi Germany...Mifflin, 2002). 123 FM 3-24 Counterinsurgency, foreword. 35 publication, Wear and Appearance of Army Uniforms and Insignia , was released during the...and Appearance of Army Uniforms and Insignia is sometimes updated several times per year. It is 362 pages long, compared to the 242-page manual on

Scavenging nucleic acid debris to combat autoimmunity and infectious disease

NASA Astrophysics Data System (ADS)

Holl, Eda K.; Shumansky, Kara L.; Borst, Luke B.; Burnette, Angela D.; Sample, Christopher J.; Ramsburg, Elizabeth A.; Sullenger, Bruce A.

2016-08-01

Nucleic acid-containing debris released from dead and dying cells can be recognized as damage-associated molecular patterns (DAMPs) or pattern-associated molecular patterns (PAMPs) by the innate immune system. Inappropriate activation of the innate immune response can engender pathological inflammation and autoimmune disease. To combat such diseases, major efforts have been made to therapeutically target the pattern recognition receptors (PRRs) such as the Toll-like receptors (TLRs) that recognize such DAMPs and PAMPs, or the downstream effector molecules they engender, to limit inflammation. Unfortunately, such strategies can limit the ability of the immune system to combat infection. Previously, we demonstrated that nucleic acid-binding polymers can act as molecular scavengers and limit the ability of artificial nucleic acid ligands to activate PRRs. Herein, we demonstrate that nucleic acid scavengers (NASs) can limit pathological inflammation and nucleic acid-associated autoimmunity in lupus-prone mice. Moreover, we observe that such NASs do not limit an animal’s ability to combat viral infection, but rather their administration improves survival when animals are challenged with lethal doses of influenza. These results indicate that molecules that scavenge extracellular nucleic acid debris represent potentially safer agents to control pathological inflammation associated with a wide range of autoimmune and infectious diseases.

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

PubMed

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

2018-04-01

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

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

UNEQUAL RISK: COMBAT OCCUPATIONS IN THE VOLUNTEER MILITARY

PubMed Central

MacLEAN, ALAIR; PARSONS, NICHOLAS L.

2011-01-01

This study evaluates the characteristics of the men who served in the volunteer military in combat occupations. It examines whether these characteristics stem from supply-side or demand-side decisions, or reflect class bias. The findings suggest that, on the supply side, men who had greater academic abilities were more likely to go to college, thereby avoiding military service and the possibility of serving in a combat occupation. On the demand side, the armed forces were more likely to exclude men with lower academic abilities but were more likely to assign such men in the military to combat occupations. Net of the impacts of these supply-side and demand-side decisions, men who served in combat occupations still differed from those who did not in terms of their family background. The impact of family background was stronger on entering the military than on being assigned to combat occupations once in the military. PMID:21691446

[Hand injuries from combat sports].

PubMed

Hanna, W A; Laier, P

2015-06-01

Each year 3.1% of German adults suffer from accidents related to sports and 75% of the injured athletes are male between 20 and 29 years old. The upper limbs are affected in more than 20% of cases and one third of these injuries involve the hands and fingers. More than half a million athletes are organized in combat sport associations in Germany with an increasing trend. Combat sports are commonly said to have a high risk of injuries to the hand. The aim of this study was to test this hypothesis as well as to describe typical hand injuries associated with combat sports. A systematic review of literature (up to January 2015) in PubMed/Medline and The Cochrane Library as well as a secondary search in the reference lists were carried out. Conclusive comparative studies on the incidence and severity of hand injuries directly related to combat sports action could not be found in the currently available literature. The overall risk of suffering from a sports injury seems to be relatively low in combat sports compared to other sports. Boxing, however, seems to be the most dangerous sport for injuries to the upper extremities and especially the hand. The injury pattern after punching (emergency patients and professional boxers) shows that more than half of these fractures affect the 5th metacarpal and 25% of these are the classical boxer's fracture. This differs significantly from the fracture distribution generally associated with sports, where fractures of the phalanges are the most common. Two rare conditions that may occur as a result of repeated punching are referred to as carpal bossing and boxer's knuckle and excellent results are described for both injury forms after surgical therapy.

Indirect associations of combat exposure with post-deployment physical symptoms in U.S. soldiers: roles of post-traumatic stress disorder, depression and insomnia.

PubMed

Quartana, Phillip J; Wilk, Joshua E; Balkin, Thomas J; Hoge, Charles W

2015-05-01

To characterize the indirect associations of combat exposure with post-deployment physical symptoms through shared associations with post-traumatic stress disorder (PTSD), depression and insomnia symptoms. Surveys were administered to a sample of U.S. soldiers (N = 587) three months after a 15-month deployment to Iraq. A multiple indirect effects model was used to characterize direct and indirect associations between combat exposure and physical symptoms. Despite a zero-order correlation between combat exposure and physical symptoms, the multiple indirect effects analysis did not provide evidence of a direct association between these variables. Evidence for a significant indirect association of combat exposure and physical symptoms was observed through PTSD, depression, and insomnia symptoms. In fact, 92% of the total effect of combat exposure on physical symptoms scores was indirect. These findings were evident even after adjusting for the physical injury and relevant demographics. This is the first empirical study to suggest that PTSD, depression and insomnia collectively and independently contribute to the association between combat exposure and post-deployment physical symptoms. Limitations, future research directions, and potential policy implications are discussed. Published by Elsevier Inc.

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.

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

The alpha1-adrenergic antagonist prazosin ameliorates combat trauma nightmares in veterans with posttraumatic stress disorder: a report of 4 cases.

PubMed

Raskind, M A; Dobie, D J; Kanter, E D; Petrie, E C; Thompson, C E; Peskind, E R

2000-02-01

Central nervous system (CNS) adrenergic hyperresponsiveness may be involved in the pathophysiology of posttraumatic stress disorder (PTSD). Two Vietnam combat veterans with PTSD prescribed the centrally active alpha1-adrenergic antagonist prazosin for symptoms of benign prostatic hypertrophy unexpectedly reported elimination of combat trauma nightmares. This observation prompted an open-label feasibility trial of prazosin for combat trauma nightmares in chronic combat-induced PTSD. Four consecutively identified combat veterans with chronic DSM-IV PTSD and severe intractable combat trauma nightmares participated in an 8-week open trial of escalating-dose prazosin. Nightmare severity response was rated using the nightmare item of the Clinician Administered PTSD Scale and the Clinical Global Impressions-Change scale. The 2 patients who achieved a daily prazosin dose of at least 5 mg were markedly improved, with complete elimination of trauma nightmares and resumption of normal dreaming. The 2 subjects limited to 2 mg of prazosin to avoid excessive blood pressure reduction were moderately improved with at least 50% reduction in nightmare severity. These clinical observations, together with neurobiological evidence for alpha1-adrenergic regulation of CNS neurobiological systems relevant to PTSD, provide rationale for placebo-controlled trials of prazosin for PTSD combat trauma nightmares.

Problems and Alternatives in the Combat Rescue of Navy Aircrewmen

DTIC Science & Technology

1980-11-01

33 Objectives for an Improved Combat Rescue System ................................. 33 Decrease Injury Rate...altitudes as low as 50 feet above ground level. Extremity rest aint systems, constantly being improved, are reducing the number of injuries resulting...These analyses established causal factors associated with the injuries and problems occurring during the ejection-through.survival sequence. Later

Phase change thermal energy storage methods for combat vehicles, phase 1

NASA Astrophysics Data System (ADS)

Lynch, F. E.

1986-06-01

Three alternative cooling methods, based on latent heat absorption during phase changes, were studied for potential use in combat vehicle microclimate temperature control. Metal hydrides absorb heat as they release hydrogen gas. Plastic crystals change from one solid phase to another, absorbing heat in the process. Liquid air boils at cryogenic temperature and absorbs additional sensible heat as the cold gas mixes with the microclimate air flow. System designs were prepared for each of the three microclimate cooling concepts. These designs provide details about the three phase change materials, their containers and the auxiliary equipment needed to implement each option onboard a combat vehicle. The three concepts were compared on the basis of system mass, system volume and the energy required to regenerate them after use. Metal hydrides were found to be the lightest and smallest option by a large margin. The energy needed to regenerate a hydride thermal storage system can be extracted from the vehicle's exhaust gases.

Impact of Cumulative Combat Stress on Learning in an Academic Environment

ERIC Educational Resources Information Center

Shea, Kevin Peter; Fishback, Sarah Jane

2012-01-01

The stress of multiple combat tours has created a combat-tested but combat-weary Army. While most soldiers have coped successfully with combat stress, many return home with problems that include posttraumatic stress disorder (PTSD), depression, anxiety, aggressive behavior, insomnia, and reduced memory and concentration skills. Education is…

The Quest for a Helicopter Suitable for Combat Rescue, 1967-1983.

DTIC Science & Technology

1985-04-01

the war draqged on" (2:7). From this need came the development of the helicopter as a - ascue -,hicle, a development that came late in World War 11. Even...question of future conflicts and the coming jet age forced policy makers to consider the reorganization and expansion of a rescue force capable of...to existing aging H-3s" (6:92). The inadequacies of the USAF’s combat rescue helicopter force, both in terms of mission capabiitic: and number of

Neurologic injuries in boxing and other combat sports.

PubMed

Zazryn, Tsharni R; McCrory, Paul R; Cameron, Peter A

2009-02-01

Many sports have neurologic injury from incidental head contact; however, combat sports allow head contact, and a potential exists for acute and chronic neurologic injuries. Although each combat sport differs in which regions of the body can be used for contact, they are similar in competitor exposure time. Their acute injury rates are similar; thus their injuries can appropriately be considered together. Injuries of all types occur in combat sports, with injuries in between one fifth to one half of all fights in boxing, karate, and tae kwon do. Most boxing injuries are to the head and neck region. In other combat sports, the head and neck region are the second (after the lower limbs) or the first most common injury site.

Neurologic injuries in boxing and other combat sports.

PubMed

Zazryn, Tsharni R; McCrory, Paul R; Cameron, Peter A

2008-02-01

Many sports have neurologic injury from incidental head contact; however, combat sports allow head contact, and a potential exists for acute and chronic neurologic injuries. Although each combat sport differs in which regions of the body can be used for contact, they are similar in competitor exposure time. Their acute injury rates are similar; thus their injuries can appropriately be considered together. Injuries of all types occur in combat sports, with injuries in between one fifth to one half of all fights in boxing, karate, and tae kwon do. Most boxing injuries are to the head and neck region. In other combat sports, the head and neck region are the second (after the lower limbs) or the first most common injury site.

War and remembrance: Combat exposure in young adulthood and memory function sixty years later.

PubMed

Nevarez, Michael D; Malone, Johanna C; Rentz, Dorene M; Waldinger, Robert J

2017-01-01

Identifying adaptive ways to cope with extreme stress is essential to promoting long-term health. Memory systems are highly sensitive to stress, and combat exposure during war has been shown to have deleterious effects on cognitive processes, such as memory, decades later. No studies have examined coping styles used by combat veterans and associations with later-life cognitive functioning. Defenses are coping mechanisms that manage difficult memories and feelings, with some more closely related to memory processes (e.g., suppression, repression). Utilizing a longitudinal database, we assessed how reliance on certain defense mechanisms after World War II combat exposure could affect cognitive health 60years later. Data spanning 75years were available on 71 men who had post-war assessment of combat exposure, defense mechanism ratings (ages 19-50), and late-life neuropsychological testing. Interaction models of combat exposure with defenses predicting late-life memory were examined. In bivariate analyses, greater reliance on suppression correlated with worse memory performance (r=-0.30, p=.01), but greater reliance on repression did not. Greater reliance on suppression strengthened the link between combat exposure and worse memory in late life (R 2 =0.24, p<.001). In contrast, greater reliance on repression attenuated the link between combat exposure and poorer late-life memory (R 2 =0.19, p<.001). Results suggest that coping styles may affect the relationship between early-adult stress and late-life cognition. Findings highlight the importance of understanding how coping styles may impact cognitive functioning as people move through adult life. Copyright © 2016 Elsevier Inc. All rights reserved.

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.

Trauma Informed Guilt Reduction Therapy With Combat Veterans

PubMed Central

Norman, Sonya B.; Wilkins, Kendall C.; Myers, Ursula S.; Allard, Carolyn B.

2014-01-01

Guilt related to combat trauma is highly prevalent among veterans returning from Iraq and Afghanistan. Trauma-related guilt has been associated with increased risk for posttraumatic psychopathology and poorer response to treatment. Trauma Informed Guilt Reduction (TrIGR) therapy is a 4-module cognitive-behavioral psychotherapy designed to reduce guilt related to combat trauma. The goals of this study were to describe the key elements of TrIGR and report results of a pilot study with 10 recently deployed combat veterans. Ten combat veterans referred from a VA Posttraumatic Stress Disorder (PTSD) or mental health clinic completed TrIGR over 4 to 7 sessions. Nine veterans completed the posttreatment assessment. This initial pilot suggests that TrIGR may help to reduce trauma-related guilt severity and associated distress. Changes in trauma-related guilt were highly correlated with reductions in PTSD and depression symptoms over the course of treatment, suggesting a possible mechanistic link with severity of posttraumatic psychopathology. TrIGR warrants further evaluation as an intervention for reducing guilt related to traumatic experiences in combat. PMID:25404850

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

Cytokine production as a putative biological mechanism underlying stress sensitization in high combat exposed soldiers.

PubMed

Smid, Geert E; van Zuiden, Mirjam; Geuze, Elbert; Kavelaars, Annemieke; Heijnen, Cobi J; Vermetten, Eric

2015-01-01

Combat stress exposed soldiers may respond to post-deployment stressful life events (SLE) with increases in symptoms of posttraumatic stress disorder (PTSD), consistent with a model of stress sensitization. Several lines of research point to sensitization as a model to describe the relations between exposure to traumatic events, subsequent SLE, and symptoms of PTSD. Based on previous findings we hypothesized that immune activation, measured as a high in vitro capacity of leukocytes to produce cytokines upon stimulation, underlies stress sensitization. We assessed mitogen-induced cytokine production at 1 month, SLE at 1 year, and PTSD symptoms from 1 month up to 2 years post-deployment in soldiers returned from deployment to Afghanistan (N=693). Exploratory structural equation modeling as well as latent growth models were applied. The data demonstrated significant three-way interaction effects of combat stress exposure, cytokine production, and post-deployment SLE on linear change in PTSD symptoms over the first 2 years following return from deployment. In soldiers reporting high combat stress exposure, both high mitogen-stimulated T-cell cytokine production and high innate cytokine production were associated with increases in PTSD symptoms in response to post-deployment SLE. In low combat stress exposed soldiers as well as those with low cytokine production, post-deployment SLE were not associated with increases in PTSD symptoms. High stimulated T-cell and innate cytokine production may contribute to stress sensitization in recently deployed, high combat stress exposed soldiers. These findings suggest that detecting and eventually normalizing immune activation may potentially complement future strategies to prevent progression of PTSD symptoms following return from deployment. Copyright © 2014 Elsevier Ltd. All rights reserved.

Architecture for an integrated real-time air combat and sensor network simulation

NASA Astrophysics Data System (ADS)

Criswell, Evans A.; Rushing, John; Lin, Hong; Graves, Sara

2007-04-01

An architecture for an integrated air combat and sensor network simulation is presented. The architecture integrates two components: a parallel real-time sensor fusion and target tracking simulation, and an air combat simulation. By integrating these two simulations, it becomes possible to experiment with scenarios in which one or both sides in a battle have very large numbers of primitive passive sensors, and to assess the likely effects of those sensors on the outcome of the battle. Modern Air Power is a real-time theater-level air combat simulation that is currently being used as a part of the USAF Air and Space Basic Course (ASBC). The simulation includes a variety of scenarios from the Vietnam war to the present day, and also includes several hypothetical future scenarios. Modern Air Power includes a scenario editor, an order of battle editor, and full AI customization features that make it possible to quickly construct scenarios for any conflict of interest. The scenario editor makes it possible to place a wide variety of sensors including both high fidelity sensors such as radars, and primitive passive sensors that provide only very limited information. The parallel real-time sensor network simulation is capable of handling very large numbers of sensors on a computing cluster of modest size. It can fuse information provided by disparate sensors to detect and track targets, and produce target tracks.

Neurologic Health in Combat Sports.

PubMed

Seifert, Tad

2017-08-01

Neurologic injuries of both an acute and chronic nature have been reported in the literature for various combat sport styles; however, reports of the incidence and prevalence of these injury types vary greatly. Combat sports clinicians must continue to strive for the development, implementation, and enforcement of uniform minimum requirements for brain safety. These health care providers must also seize on the honor to provide this oft-underserved population with the health care advocacy they very much deserve, but often do not receive. Copyright © 2017 Elsevier Inc. All rights reserved.

Combat Stress and Substance Abuse Intervention

DTIC Science & Technology

2015-10-01

SUBTITLE Combat Stress and Substance Abuse Intervention 5a. CONTRACT NUMBER W81XWH-11-2-0197 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S...SUBJECT TERMS Combat stress, substance abuse , alcohol, brief intervention, military personnel 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF...reduce stress reactions and substance abuse . These data are vital to understanding additional steps the military might take in addressing issues of

Attention to Threats and Combat-Related Posttraumatic Stress Symptoms

PubMed Central

Wald, Ilan; Degnan, Kathryn A.; Gorodetsky, Elena; Charney, Dennis S.; Fox, Nathan A.; Fruchter, Eyal; Goldman, David; Lubin, Gad; Pine, Daniel S.; Bar-Haim, Yair

2015-01-01

Importance Combat places soldiers at risk for post-traumatic stress disorder (PTSD). The excessive rates of PTSD and other adjustment disorders in soldiers returning home make it imperative to identify risk and resilience factors that could be targeted by novel therapeutic treatments. Objective To investigate the interplay among attention to threat, combat exposure, and other risk factors for PTSD symptoms in soldiers deployed to combat. Design and Setting Longitudinal prospective study of Israeli Defense Force infantry soldiers carried out in 2008 through 2010. Repeated measurements during a 1-year period included baseline and predeployment data collected in training camps and deployment data collected in the combat theater. Participants Infantry soldiers (1085 men; mean age,18.8 years). Main Outcome Measures Postcombat PTSD symptoms. Results Soldiers developed threat vigilance during combat deployment, particularly when they were exposed to high-intensity combat, as indicated by faster response times to targets appearing at the location of threat relative to neutral stimuli (P < .001). Threat-related attention bias also interacted with combat exposure to predict risk for PTSD (P <.05). Bias toward threat at recruitment (P <.001) and bias away from threat just before deployment (P < .05) predicted postcombat PTSD symptoms. Moreover, these threat-related attention associations with PTSD were moderated by genetic and environmental factors, including serotonin transporter (5-HTTLPR) genotype. Conclusions and Relevance Combat exposure interacts with threat-related attention to place soldiers at risk for PTSD, and interactions with other risk factors account for considerable variance in PTSD vulnerability. Understanding these associations informs research on novel attention bias modification techniques and prevention of PTSD. PMID:23407816

Proceedings of the Ship Control Systems Symposium (9th) Held in Bethesda, Maryland on 10-14 September 1990. Theme: Automation in Surface Ship Control Systems, Today’s Applications and Future Trends. Volume 3

DTIC Science & Technology

1990-09-14

expectations tend to follow a set pattern as he sets out an the learning curve for the aplication of distributed processor systems, 3.149 those "new" systems...do the job more efficiently. Another example is the use of aplication software to replace the perfectly adequate Wilt-in logic involved with...combat system survivability. The probability of kill, Pk, of the combat system is shown decreasing from current firepower kill levels to that of mobility

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

PubMed

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

2014-12-01

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

Etiology of depression comorbidity in combat-related PTSD: a review of the literature.

PubMed

Stander, Valerie A; Thomsen, Cynthia J; Highfill-McRoy, Robyn M

2014-03-01

Posttraumatic stress disorder is often diagnosed with other mental health problems, particularly depression. Although PTSD comorbidity has been associated with more severe and chronic symptomology, relationships among commonly co-occurring disorders are not well understood. The purpose of this study was to review the literature regarding the development of depression comorbid with combat-related PTSD among military personnel. We summarize results of commonly tested hypotheses about the etiology of PTSD and depression comorbidity, including (1) causal hypotheses, (2) common factor hypotheses, and (3) potential confounds. Evidence suggests that PTSD may be a causal risk factor for subsequent depression; however, associations are likely complex, involving bidirectional causality, common risk factors, and common vulnerabilities. The unique nature of PTSD-depression comorbidity in the context of military deployment and combat exposure is emphasized. Implications of our results for clinical practice and future research are discussed. Published by Elsevier Ltd.

Blended Training for Combat Medics

NASA Technical Reports Server (NTRS)

Fowlkes, Jennifer; Dickinson, Sandra; Lazarus, Todd

2010-01-01

Bleeding from extremity wounds is the number one cause of preventable death on the battlefield and current research stresses the importance of training in preparing every Soldier to use tourniquets. HapMed is designed to provide tourniquet application training to combat medics and Soldiers using a blended training solution encompassing information, demonstration, practice, and feedback. The system combines an instrumented manikin arm, PDA, and computer. The manikin arm provides several training options including stand-alone, hands-on skills training in which soldiers can experience the actual torque required to staunch bleeding from an extremity wound and be timed on tourniquet application. This is more realistic than using a block of wood to act as a limb, which is often how training is conducted today. Combining the manikin arm with the PDA allows instructors to provide scenario based training. In a classroom or field setting, an instructor can specify wound variables such as location, casualty size, and whether the wound is a tough bleed. The PDA also allows more detailed feedback to be provided. Finally, combining the manikin arm with game-based technologies, the third component, provides opportunities to build knowledge and to practice battlefield decision making. Not only do soldiers learn how to apply a tourniquet, but when to apply a tourniquet in combat. The purpose of the paper is to describe the learning science underlying the design of HapMed, illustrate the training system and ways it is being expanded to encompass other critical life-saving tasks, and report on feedback received from instructors and trainees at military training and simulation centers.

The Black Community Perspective: Recruiting Blacks into Combat Arms

DTIC Science & Technology

2013-03-01

relevant data and discusses reasons for the racial imbalance in Combat Arms branches. It also summarizes a qualitative research study involving interviews...racial imbalance in Combat Arms branches. It also summarizes a qualitative research study involving interviews of ten African-American leaders in...representation among general officers, as more than 59% of the Army’s generals are selected from the combat arms. This research study reviews

Air Combat Training: Good Stick Index Validation. Final Report for Period 3 April 1978-1 April 1979.

ERIC Educational Resources Information Center

Moore, Samuel B.; And Others

A study was conducted to investigate and statistically validate a performance measuring system (the Good Stick Index) in the Tactical Air Command Combat Engagement Simulator I (TAC ACES I) Air Combat Maneuvering (ACM) training program. The study utilized a twelve-week sample of eighty-nine student pilots to statistically validate the Good Stick…

Combat Experience and Mental Health in the Israel National Health Survey.

PubMed

Lubin, Gadi; Barash, Igor; Levinson, Daphna

2016-01-01

To compare the mental health status of those who participated in combat related activities during their service with that of soldiers whose army service did not include combat related activities Method: A representative sample extracted from the National Population Register of non-institutionalized residents aged 21 or older of Israel was used in this crosssectional survey. Data on mental health disorders, sociodemographic background and army service were collected using face-to-face computer-assisted interviews. Combat experience per se was not associated with lifetime diagnosis of PTSD. Former combat soldiers had significantly lower lifetime prevalence and 12 months prevalence of any mood or anxiety disorders including PTSD. This work is in line with previous literature showing that combat exposure, as such, has limited contribution to lifetime PTSD in some groups of veterans. The inverse relationship between combat exposure and PTSD might be explained by the selection of potential combatants among all recruits and by the heightened preparedness to military life stressors.

Role of novel delivery systems in developing topical antioxidants as therapeutics to combat photoageing.

PubMed

Kaur, Indu P; Kapila, Meenakshi; Agrawal, Rumjhum

2007-12-01

Ageing proceeds by highly complicated biochemical processes, in which the involvement of the reactive oxygen species (ROS) and free radicals has been implicated. Reactive oxygen species are dramatically enhanced by exposure to the ultraviolet radiation. Free radical scavengers and antioxidants can thus provide a long-term protection against these changes. Currently, dermaceutical and cosmetic industry is growing immensely with its main focus on packaging the active into a suitable/novel delivery system. This not only enhances the customer acceptance but offers better targeting to the upper skin layer, with faster onset, at a lower concentration of the active. Later also counter toxic or adverse effects observed with large doses especially when administered orally. Several of the antioxidant molecules are labile to degradation in the presence of oxygen, water and light, hence it becomes all the more appropriate to use a delivery system which will augment their stability and hence enhance the performance. In the present review, we focus on the pioneering research on novel delivery systems which can promote the therapeutic value of antioxidants for combating UV-induced photoageing.

On the Lulejian-I Combat Model

DTIC Science & Technology

1976-08-01

possible initial massing of the attacking side’s resources, the model tries to represent in a game -theoretic context the adversary nature of the...sequential game , as outlined in [A]. In principle, it is necessary to run the combat simulation once for each possible set of sequentially chosen...sequential game , in which the evaluative portion of the model (i.e., the combat assessment) serves to compute intermediate and terminal payoffs for the

Combat-related headache and traumatic brain injury.

PubMed

Waung, Maggie W; Abrams, Gary M

2012-12-01

Post-traumatic headache is a commonly described complication of traumatic brain injury. Recent studies highlight differences between headache features of combat veterans who suffered traumatic brain injury compared to civilians. Not surprisingly, there is a higher rate of associated PTSD and sleep disturbances among veterans. Factors of lower socioeconomic status, rank, and multiple head injuries appear to have a similar effect on post-traumatic headache in combat-related traumatic brain injury. Areas of discordance in the literature include the effect of prolonged loss of consciousness and the prevalence of specific headache phenotypes following head trauma. To date, there have been no randomized trials of treatment for post-traumatic headache. This may be related to the variability of headache features and uncertainty of pathophysiologic mechanisms. Given this lack of data, many practitioners follow treatment guidelines for primary headaches. Additionally, because of mounting data linking PTSD to post-traumatic headache in combat veterans, it may be crucial to choose multimodal agents and take a multidisciplinary approach to combat-related headache.

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

Strategies and Systems-Level Interventions to Combat or Prevent Drug Counterfeiting: A Systematic Review of Evidence Beyond Effectiveness.

PubMed

Fadlallah, Racha; El-Jardali, Fadi; Annan, Farah; Azzam, Hayat; Akl, Elie A

2016-01-01

A recent systematic review suggested that drug registrations and onsite quality inspections may be effective in reducing the prevalence of counterfeit and substandard drugs. However, simply replicating the most effective interventions is problematic, as it denotes implementing the intervention without further adaptation. The aim was to systematically review the evidence beyond effectiveness for systems-level interventions to combat or prevent drug counterfeiting. We conducted an extensive search, including an electronic search of 14 databases. We included studies examining the efficiency, feasibility, reliability, and economic outcomes of the interventions, as well as barriers and facilitators to their implementation. Two reviewers selected eligible studies and abstracted data in duplicate and independently. We synthesized the results narratively, stratified by type of intervention. Of 10,220 captured citations, 19 met our inclusion criteria. The findings suggest that the following may strengthen regulatory measures (e.g., registration): minimizing drug diversion, enhancing lines of communications, ensuring feedback on drug quality, and promoting strict licensing criteria. There is evidence that onsite quality surveillance and inspection systems may be efficient and cost-effective for preliminary testing of large samples of drugs. Laws and legislation need to be specific to counterfeit drugs, include firm penalties, address online purchasing of drugs, and be complemented by education of judges and lawyers. Public awareness and education should rely on multiple platforms and comprehensive and dedicated content. While product authentication technologies may be efficient and reliable in detecting counterfeit drugs in the supply chain, they require a strong information system infrastructure. As for pharmacovigilance systems, it is critical to tackle the issue of underreporting, to enhance their chances of success. Several factors are critical to the successful design

Reliability and validity of a combat exposure index for Vietnam era veterans.

PubMed

Janes, G R; Goldberg, J; Eisen, S A; True, W R

1991-01-01

The reliability and validity of a self-report measure of combat exposure are examined in a cohort of male-male twin pairs who served in the military during the Vietnam era. Test-retest reliability for a five-level ordinal index of combat exposure is assessed by use of 192 duplicate sets of responses. The chance-corrected proportion in agreement (as measured by the kappa coefficient) is .84. As a measure of criterion-related validity, the combat index is correlated with the award of combat-related military medals ascertained from the military records. The probability of receiving a Purple Heart, Bronze Star, Commendation Medal and Combat Infantry Badge is associated strongly with the combat exposure index. These results show that this simple index is a reliable and valid measure of combat exposure.

Combat cueing

NASA Astrophysics Data System (ADS)

Kachejian, Kerry C.; Vujcic, Doug

1998-08-01

The combat cueing (CBT-Q) research effort will develop and demonstrate a portable tactical information system that will enhance the effectiveness of small unit military operations by providing real-time target cueing information to individual warfighters and teams. CBT-Q consists of a network of portable radio frequency (RF) 'modules' and is controlled by a body-worn 'user station' utilizing a head mounted display . On the battlefield, CBT-Q modules will detect an enemy transmitter and instantly provide the warfighter with an emitter's location. During the 'fog of battle', CBT-Q would tell the warfighter, 'Look here, right now individuals into the RF spectrum, resulting in faster target engagement times, increased survivability, and reduce the potential for fratricide. CBT-Q technology can support both mounted and dismounted tactical forces involved in land, sea and air warfighting operations. The CBT-Q system combines robust geolocation and signal sorting algorithms with hardware and software modularity to offer maximum utility to the warfighter. A single CBT-Q module can provide threat RF detection. Three networked CBT-Q modules can provide emitter positions using a time difference of arrival (TDOA) technique. The TDOA approach relies on timing and positioning data derived from a global positioning systems. The information will be displayed on a variety of displays, including a flat-panel head mounted display. The end results of the program will be the demonstration of the system with US Army Scouts in an operational environment.

The mental health of UK ex-servicemen with a combat-related or a non-combat-related visual impairment: does the cause of visual impairment matter?

PubMed

Stevelink, Sharon A M; Malcolm, Estelle M; Gill, Pashyca C; Fear, Nicola T

2015-08-01

Since the start of the conflicts in Iraq and Afghanistan, the numbers of young service personnel who have sustained a combat-related visual impairment have increased. This cross-sectional study examined the mental well-being of ex-servicemen (aged 22-55 years) with a visual impairment and determined if the mental health of those with a combat-related visual impairment differed from those whose visual impairment is not combat-related. Male ex-service personnel with a visual impairment completed a telephone interview assessing the presence of depressive symptomatology, probable anxiety disorder, post-traumatic stress disorder (PTSD) symptomatology and alcohol misuse. Data were analysed using descriptive statistics. 77 participants were included in the study, reflecting a response rate of 76.2%. Of those with complete data (n=74), 20 ex-servicemen had a combat-related visual impairment. Among ex-service personnel with a combat-related visual impairment, 10.0% (95% CI 0 to 23.2) screened positive for a probable depression, 25.0% (95% CI 6.0 to 44.0) for probable anxiety and 10.0% (95% CI 0 to 23.2) for probable PTSD. The prevalence of probable depression and probable PTSD differed among those with a non-combat-related visual impairment, namely 18.5% (95% CI 8.1 to 28.9) and 16.7% (95% CI 6.8 to 26.7), respectively. Probable anxiety was 18.5% (95% CI 8.1 to 28.9) among non-combat-related visually impaired ex-service personnel. 45.0% (95% CI 23.2 to 66.8) of combat-related visually impaired personnel reported hazardous drinking, compared with 20.4% (95% CI 9.7 to 31.2) of those with a non-combat-related visual impairment. Mental health problems were prevalent among visually impaired younger ex-servicemen. No statistically significant differences were found in the prevalence of mental health problems among ex-servicemen with a combat-related visual impairment compared with those with a non-combat-related visual impairment. Published by the BMJ Publishing Group Limited

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

PubMed

Lawrence, Mark; Wingrove, Kate; Naude, Celeste; Durao, Solange

2016-09-08

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

Combating healthcare corruption and fraud with improved global health governance.

PubMed

Mackey, Tim K; Liang, Bryan A

2012-10-22

Corruption is a serious threat to global health outcomes, leading to financial waste and adverse health consequences. Yet, forms of corruption impacting global health are endemic worldwide in public and private sectors, and in developed and resource-poor settings alike. Allegations of misuse of funds and fraud in global health initiatives also threaten future investment. Current domestic and sectorial-level responses are fragmented and have been criticized as ineffective. In order to address this issue, we propose a global health governance framework calling for international recognition of "global health corruption" and development of a treaty protocol to combat this crucial issue.

Simulation-Based Acquisition of the Future Air-Land Combat System (acquisition par la simulation des systemes futurs de combat aeroterresire)

DTIC Science & Technology

2003-11-01

de défense sur des matériels, des hommes et des doctrines préexistants, mais part au contraire d’une analyse des menaces et du... hommes et les doctrines. Comme on le verra ultérieurement, cette nouvelle démarche d’ingénierie du système de défense, qui se veut proactive et non...résolvent sous des contraintes de zéro mort ou tout au moins de pertes minimales, dont l ’« acceptabilité » est essentiellement facteur de

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.

Resiliency in Future Cyber Combat

DTIC Science & Technology

2016-04-04

including the Internet , telecommunications networks, computer systems, and embed- ded processors and controllers.”6 One important point emerging from the...definition is that while the Internet is part of cyberspace, it is not all of cyberspace. Any computer processor capable of communicating with a...central proces- sor on a modern car are all part of cyberspace, although only some of them are routinely connected to the Internet . Most modern

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.

Combat veterans: impressions of an analytic observer in a non-analytic setting.

PubMed

Stein, Herbert H

2007-01-01

The hallmark presentation of combat trauma-nightmares, waking hallucinations, intrusive traumatic memories, and extreme affective reactions to environmental triggers-may best be conceptualized as part of an adaptive mechanism intended to protect the individual against a repetition of trauma. Combat veterans continuously must cope with the extreme affects that combat induced. Fear, rage, guilt, and grief predominate. Their mental and emotional life is complicated by a conscience split between war zone and civilian morality and by the special group dynamics of combat. Optimal clinical understanding of combat-related trauma, whether in a psychoanalytic or general mental health setting, requires an awareness of the interaction of the personal dynamics of each individual with the specific characteristics of their combat situation.

Prevalence Estimates of Combat-Related PTSD: A Critical Review

PubMed Central

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

2010-01-01

Objective To provide a critical review of prevalence estimates of combat-related PTSD among military personnel and veterans, and of the relevant factors that may account for the variability of estimates within and across cohorts, including methodological and conceptual factors accounting for differences in prevalence rates across nations, conflicts/wars, and studies. Method We examined MEDLINE and PsycINFO databases for literature on combat-related PTSD. The following terms were used independently and in combinations in this search: PTSD, combat, veterans, military, epidemiology, prevalence. Results The point prevalence of combat-related PTSD in US military veterans since the Vietnam War ranges from about 2 – 17%. Studies of recent conflicts suggest that combat-related PTSD afflicts between 4 – 17% of US Iraq War veterans, but only 3 – 6% of returning UK Iraq War veterans. Thus, the prevalence range is narrower and tends to have a lower ceiling among combat veterans of non-US Western nations. Variability in prevalence is likely due to differences in sampling strategies; measurement strategies; inclusion and measurement of the DSM-IV clinically significant impairment criterion; timing and latency of assessment and potential for recall bias; and combat experiences. Prevalence rates are also likely affected by issues related to PTSD course, chronicity, and comorbidity; symptom overlap with other psychiatric disorders; and sociopolitical and cultural factors that may vary over time and by nation. Conclusions The disorder represents a significant and costly illness to veterans, their families, and society as a whole. However, further carefully conceptualized research is needed to advance our understanding of disorder prevalence, as well as associated information on course, phenomenology, protective factors, treatment, and economic costs. PMID:20073563

Prehospital burn management in a combat zone.

PubMed

Lairet, Kimberly F; Lairet, Julio R; King, Booker T; Renz, Evan M; Blackbourne, Lorne H

2012-01-01

The purpose of this article is to provide a descriptive study of the management of burns in the prehospital setting of a combat zone. A retrospective chart review was performed of U.S. casualties with >20% total-body-surface-area thermal burns, transported from the site of injury to Ibn Sina Combat Support Hospital (CSH) between January 1, 2006, and August 30, 2009. Ibn Sina CSH received 225 burn casualties between January 2006 and August 2009. Of these, 48 met the inclusion criteria. The mean Injury Severity Score was 31.7 (range 4 to 75). Prehospital vascular access was obtained in 24 casualties (50%), and 20 of the casualties received fluid resuscitation. Out of the 48 casualties enrolled, 28 (58.3%) did not receive prehospital fluid resuscitation. Of the casualties who received fluid resuscitation, nearly all received volumes in excess of the guidelines established by the American Burn Association and those recommended by the Committee for Tactical Combat Casualty Care. With regard to pain management in the prehospital setting, 13 casualties (27.1%) received pain medication. With regard to the prehospital fluid resuscitation of primary thermal injury in the combat zone, two extremes were noted. The first group did not receive any fluid resuscitation; the second group was resuscitated with fluid volumes higher than those expected if established guidelines were utilized. Pain management was not uniformly provided to major burn casualties, even in several with vascular access. These observations support improved education of prehospital personnel serving in a combat zone.

Two-target game model of an air combat with fire-and-forget all-aspect missiles

NASA Technical Reports Server (NTRS)

Davidovitz, A.; Shinar, J.

1989-01-01

An air combat duel between similar aggressive fighter aircraft, both equipped with the same type of guided missiles, is formulated as a two-target differential game using the dynamic model of the game of two identical cars. Each of the identical target sets represents the effective firing envelope of an all-aspect fire-and-forget air-to-air missile. The firing range limits depend on the target aspect angle and are approximated by analytical functions. The maximum range, computed by taking into account the optimal missile avoidance maneuver of the target, determines the no-escape firing envelope. The solution consists of the decomposition of the game space into four regions: the respective winning zones of the two opponents, the draw zone, and the region where the game terminates by a mutual kill. The solution provides a new insight for future air combat analysis.

SPARTAN II: An Instructional High Resolution Land Combat Model

DTIC Science & Technology

1993-03-01

93M-09 SPARTAN II: AN INSTRUCTIONAL HIGH RESOLUTION LAND COMBAT MODEL THESIS DWquALfl’ 4 Presented to the Faculty of the School of Engineering of the...ADVISOR NAJ Edward Negrelli/ENS REALDER MAJ Bruce Marl an/MA LD1 { The goal of this thesis was to improve SPARTAN, a high resolution land combat model...should serve as a useful tool for learning about the advantages and disadvantages of high resolution combat modeling. I wish to thank I4AJ Edward

The MAGIC (Manually Assisted Gaming of Integrated Combat) Model,

DTIC Science & Technology

1982-05-01

IP -6 7 6 7 Zo - A O - ?G O 6 7 9 N L mhhhhh1h8I 1-I THE MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner May 1982 L io...Corporation Santa Monica, California 90406 - - ~-. - - -i 77 THE MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner May 1982 THE... MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner The Rand Corporation, Santa Monica, California The MAGIC model isn’Vt

Predictors of Psychiatric Disorders in Combat Veterans

DTIC Science & Technology

2013-05-07

Naval Health Research Center Predictors of Psychiatric Disorders in Combat Veterans Stephanie Booth-Kewley Emily A. Schmied Robin M...ARTICLE Open Access Predictors of psychiatric disorders in combat veterans Stephanie Booth-Kewley1*, Emily A Schmied1, Robyn M Highfill-McRoy1, Gerald E...examined predictors of actual mental health diagnoses. The objective of this longitudinal investigation was to identify predictors of psychiatric disorders

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.

Some Stochastic-Duel Models of Combat.

DTIC Science & Technology

1983-03-01

AD-R127 879 SOME STOCHASTIC- DUEL MODELS OF CONBAT(U) NAVAL - / POSTGRADUATE SCHOOL MONTEREY CA J S CHOE MAR 83 UNCLASSiIED FC1/Ehhh1; F/ 12/ ,iE...SCHOOL Monterey, California DTIC ELECTE :MAY 10 1983 "T !H ES IS SOME STOCHASTIC- DUEL MODELS OF COMBAT by Jum Soo Choe March 1983 Thesis Advisor: J. G...TYPE OF RETORT a PERIOD COVIOCe Master’s Thesis Some Stochastic- Duel Models of Combat March 1983 S. PERFORINGi *no. 44POOi umet 7. AUTHORW.) a

The stratification of military service and combat exposure, 1934–1994*

PubMed Central

MacLean, Alair

2010-01-01

Previous research has suggested that men who were exposed to combat during wartime differed from those who were not. Yet little is known about how selection into combat has changed over time. This paper estimates sequential logistic models using data from the Panel Study of Income Dynamics to examine the stratification of military service and combat exposure in the US during the last six decades of the twentieth century. It tests potentially overlapping hypotheses drawn from two competing theories, class bias and dual selection. It also tests a hypothesis, drawn from the life course perspective, that the processes by which people came to see combat have changed historically. The findings show that human capital, institutional screening, and class bias all determined who saw combat. They also show that, net of historical change in the odds of service and combat, the impact of only one background characteristic, race, changed over time. PMID:21113325

Australia’s Submarine Design Capabilities and Capacities: Challenges and Options for the Future Submarine

DTIC Science & Technology

2011-01-01

stealth features requiring specialised noise and vibra- tion skills and propulsion plants requiring other unique skill sets. Personnel with these...analysis Acoustic, wake , thermal, electromagnetic, and other signature analysis Combat systems and ship control Combat system integration, combat system...to-diagnose flow-induced radiated noise Own-sensor performance degradation Note: Risks can be reduced for given designs using scale models

Understanding Systems Theory for U.S. Marines

DTIC Science & Technology

2007-01-01

Combat Development Command Quantico, Virginia 22134-5068 FUTURE WAR Understanding Systems Theory for U.S. Marines SUBMITTED IN...Systems Theory for U.S. Marines 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f...attached as Appendix C). Developing solutions requires understanding the problem( s ). In complex situations, some behavior of the target system

Evaluation of Role 2 (R2) Medical Resources in the Afghanistan Combat Theater: Past, Present and Future

DTIC Science & Technology

2017-10-01

casualty care using descriptive statistical analysis and modeling techniques. Aim 2: Identify the ideal provider training and competency assessment... Methodologies , Course  Type,  Course  Availability,  Assessment  Criteria,  Requirements,  Funding,  Alignment  with Clinical  Practice  Guidelines  (CPGs...Aim 1:  Descriptive study of all available information for combat casualties in Afghanistan.  Specific Tasks:  1) who – patients treated; clinician mix

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…

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

PubMed

Wansink, Brian; Wansink, Craig S

2013-09-01

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

Influence of maneuverability on helicopter combat effectiveness

NASA Technical Reports Server (NTRS)

Falco, M.; Smith, R.

1982-01-01

A computational procedure employing a stochastic learning method in conjunction with dynamic simulation of helicopter flight and weapon system operation was used to derive helicopter maneuvering strategies. The derived strategies maximize either survival or kill probability and are in the form of a feedback control based upon threat visual or warning system cues. Maneuverability parameters implicit in the strategy development include maximum longitudinal acceleration and deceleration, maximum sustained and transient load factor turn rate at forward speed, and maximum pedal turn rate and lateral acceleration at hover. Results are presented in terms of probability of skill for all combat initial conditions for two threat categories.

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…

At the Forefront: The Role of Women's Community Education in Combating Poverty and Disadvantage in the Republic of Ireland.

ERIC Educational Resources Information Center

University Coll. Dublin (Ireland). Women's Education, Research and Resource Centre.

In this report, the role of women's community education in combating poverty and disadvantage in Ireland over the past 10 years was examined, and future directions for policy and practice were suggested. The following data collection approaches were used: literature and policy document reviews; case studies involving regional workshops with…

Combating healthcare corruption and fraud with improved global health governance

PubMed Central

2012-01-01

Corruption is a serious threat to global health outcomes, leading to financial waste and adverse health consequences. Yet, forms of corruption impacting global health are endemic worldwide in public and private sectors, and in developed and resource-poor settings alike. Allegations of misuse of funds and fraud in global health initiatives also threaten future investment. Current domestic and sectorial-level responses are fragmented and have been criticized as ineffective. In order to address this issue, we propose a global health governance framework calling for international recognition of “global health corruption” and development of a treaty protocol to combat this crucial issue. PMID:23088820

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.

Chapter 3 innovations in the en route care of combat casualties.

PubMed

Hatzfeld, Jennifer J; Dukes, Susan; Bridges, Elizabeth

2014-01-01

The en route care environment is dynamic and requires constant innovation to ensure appropriate nursing care for combat casualties. Building on experiences in Iraq and Afghanistan, there have been tremendous innovations in the process of transporting patients, including the movement of patients with spinal injuries. Advances have also been made in pain management and noninvasive monitoring, particularly for trauma and surgical patients requiring close monitoring of their hemodynamic and perfusion status. In addition to institutionalizing these innovations, future efforts are needed to eliminate secondary insults to patients with traumatic brain injuries and technologies to provide closed-loop sedation and ventilation.

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

Evaluation of a Job Aid System for Combat Leaders: Rifle Platoon and Squad

DTIC Science & Technology

1988-02-01

the Behavioral and Social Sciences February 1988 Approved for public release: distribution...of difficulty, there are no effective , standardized job performance aids available to help the leader accomplish his job . A need therefore ex- ists...and effective as a job aid for combat leaders. The evaluations suggest that most personnel who have seen and used the CLG are very much in favor

A Big Bang versus a Small Bang Approach: A Case Study of the Expeditionary Combat Support System (ECSS) and the Maintenance, Repair, and Overhaul Initiative (MROi)

DTIC Science & Technology

resource planning (ERP) solution called the Expeditionary Combat Support System (ECSS), a big - bang approach. In early 2012, the ECSS program was cancelled...Repair, and Overhaul initiative (MROi), a small- bang approach, to increase enterprise visibility and efficiency across all three Air Logistics

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

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.

Combating Training-Stress Syndromes.

ERIC Educational Resources Information Center

Voight, Mike

2002-01-01

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

Future Air Transportation System Breakout Series Report

NASA Technical Reports Server (NTRS)

2001-01-01

This presentation discusses: AvSTAR Future System Effort Critically important; Investment in the future; Need to follow a systems engineering process; and Efforts need to be worked in worldwide context

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.

3 CFR - Blue Ribbon Commission on America's Nuclear Future

Code of Federal Regulations, 2011 CFR

2011-01-01

... America's Nuclear Future Memorandum for the Secretary of Energy Expanding our Nation's capacity to generate clean nuclear energy is crucial to our ability to combat climate change, enhance energy security... safe, secure, and responsible use of nuclear energy. These efforts are critical to accomplishing many...

DETAIL OF DOORWAY INTO COMBAT INTELLIGENCE ROOM. view TO WEST. ...

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

DETAIL OF DOORWAY INTO COMBAT INTELLIGENCE ROOM. view TO WEST. - Plattsburgh Air Force Base, Target Intelligence Training Building-Combat Center, Off Connecticut Road, east of Idaho Avenue, Plattsburgh, Clinton County, NY

A piloted simulation investigation of yaw dynamics requirements for turreted gun use in low-level helicopter air combat

NASA Technical Reports Server (NTRS)

Decker, William A.; Morris, Patrick M.; Williams, Jeffrey N.

1988-01-01

A piloted, fixed-base simulation study was conducted to investigate the handling qualities requirements for helicopter air-to-air combat using turreted guns in the near-terrain environment. The study used a version of the helicopter air combat system developed at NASA Ames Research Center for one-on-one air combat. The study focused on the potential trade-off between gun angular movement capability and required yaw axis response. Experimental variables included yaw axis response frequency and damping and the size of the gun-movement envelope. A helmet position and sighting system was used for pilot control of gun aim. Approximately 340 simulated air combat engagements were evaluated by pilots from the Army and industry. Results from the experiment indicate that a highly-damped, high frequency yaw response was desired for Level I handling qualities. Pilot preference for those characteristics became more pronounced as gun turret movement was restricted; however, a stable, slow-reacting platform could be used with a large turret envelope. Most pilots preferred to engage with the opponent near the own-ship centerline. Turret elevation restriction affected the engagement more than azimuth restrictions.

Women in Combat Pros and Cons

DTIC Science & Technology

1988-04-01

and Cons . Major Thomas H. Cecil 88-0490 "--"insights into tomorrou,"’ ..v- A A 0 PtY-i f(.> i’I,-:::x:’~ --pcr~ j.~ ~~* --. -- iiV • DISCLAIMER The...k. r- r,’ I’. REPORT NUMBER 88-0490 TITLE WOMEN IN COMBAT-PROS AND CONS AUTHOR(S) MAJOR THOMAS H. CEC-IL, USAF -% FACULTY ADVISOR CH, LT COL DAVID W...NUMBERS 11 TITLE (include Security Classification) WOMEN IN COMBAT--PROS AND CONS 12. PERSON4AL AUTHOR(S) Cecil, Thomas H1., Major, USAF 9a YýOF REPORT

Do inflammatory markers portend heterotopic ossification and wound failure in combat wounds?

PubMed

Forsberg, Jonathan A; Potter, Benjamin K; Polfer, Elizabeth M; Safford, Shawn D; Elster, Eric A

2014-09-01

After a decade of war in Iraq and Afghanistan, we have observed an increase in combat-related injury survival and a paradoxical increase in injury severity, mainly because of the effects of blasts. These severe injuries have a devastating effect on each patient's immune system resulting in massive upregulation of the systemic inflammatory response. By examining inflammatory mediators, preliminary data suggest that it may be possible to correlate complications such as wound failure and heterotopic ossification (HO) with distinct systemic and local inflammatory profiles, but this is a relatively new topic. We asked whether systemic or local markers of inflammation could be used as an objective means, independent of demographic and subjective factors, to estimate the likelihood of (1) HO and/or (2) wound failure (defined as wounds requiring surgical débridement after definitive closure, or wounds that were not closed or covered within 21 days of injury) in patients sustaining combat wounds. Two hundred combat wounded active-duty service members who sustained high-energy extremity injuries were prospectively enrolled between 2008 and 2012. Of these 200 patients, 189 had adequate followups to determine the presence or absence of HO, and 191 had adequate followups to determine the presence or absence of wound failure. In addition to injury-specific and demographic data, we quantified 24 cytokines and chemokines during each débridement. Patients were followed clinically for 6 weeks, and radiographs were obtained 3 months after definitive wound closure. Associations were investigated between these markers and wound failure or HO, while controlling for known confounders. The presence of an amputation (p < 0.001; odds ratio [OR], 6.1; 95% CI. 1.63-27.2), Injury Severity Score (p = 0.002; OR, 33.2; 95% CI, 4.2-413), wound surface area (p = 0.001; OR, 1.01; 95% CI, 1.002-1.009), serum interleukin (IL)-3 (p = 0.002; OR, 2.41; 95% CI, 1.5-4.5), serum IL-12p70 (p = 0.01; OR, 0

Does Combat Hearing Preservation Equipment Affect Balance?

PubMed

Ambrosio, Art; Hoffer, Ali N; Hoffer, Michael

2017-03-01

(1) To investigate whether the occlusion effect and hearing attenuation produced by 3M Combat Arms Ear Plugs (CAEP) affects balance when compared to no hearing protection and (2) to investigate whether the occlusion effect and noise-canceling capabilities of the Nacre QuietPro system affects balance when compared to no hearing protection. This prospective study collected pilot data for investigation of mechanisms of balance. 20 subjects with normal hearing and no vestibular dysfunction were tested with blackened goggles in three conditions-no hearing protection, CAEP, and with the Nacre QuietPro. A static posturogrpahy forceplate was used to measure center of gravity angular acceleration for a period of 20 seconds. The order of the conditions tested was randomized for each individual. Mean angular acceleration and standard deviation (degrees/second) of the three conditions were: (1) no hearing protection (control), 0.65 + 0.19, (2) CAEP, 0.69 + 0.23, and (3) QuietPro, 0.70 + 0.20 (one-way analysis of variance [ANOVA], df = 2, F = 0.38, p = 0.706). The components of an intact balance system include a variety of neural inputs, to include vesitbuloocular, vestibulospinal, and labyrinthine afferents. Both the CAEP and Nacre QuietPro are hearing preservation devices utilized during Operation Iraqi Freedom and Operation Enduring Freedom in Afghanistan. Our pilot data show no decrement in balance with utilization of these combat hearing preservation devices. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

Recruiting, Retention, and Future Levels of Military Personnel

DTIC Science & Technology

2006-10-01

analysis. Nabeel Alsalam, David Moore, Matthew Schmit, and Roberton Williams provided comments. Stanley A. Horowitz of the Institute for Defense Analyses...afps04.htm. 8. See Congressional Budget Office, The Army’s Future Combat Sys - tem and Alternatives (August 2006), Table 2-1, p. 18. 9. See the Ronald W

3 CFR - Combating Noncompliance With Recovery Act Reporting Requirements

Code of Federal Regulations, 2011 CFR

2011-01-01

... 3 The President 1 2011-01-01 2011-01-01 false Combating Noncompliance With Recovery Act Reporting Requirements Presidential Documents Other Presidential Documents Memorandum of April 6, 2010 Combating Noncompliance With Recovery Act Reporting Requirements Memorandum for the Heads of Executive Departments and Agencies My Administration is...

Future sensor system needs for staring arrays

NASA Astrophysics Data System (ADS)

Miller, John Lester

2011-05-01

This is a systems application paper regarding how sensor systems may use future technology FPAs. A historical perspective is discussed along with lessons learned from previous technologies. Future system requirements for strained super-lattice (SLS), quantum dots (QDOT) and traditional quantum well infrared photo-diodes (QWIP) arrays will be presented from both a commercial and military perspective. New potential markets will open up in the future if certain FPA technologies can reduce cost and provide higher sensitivities at higher operating temperatures.

Combating substance misuse: competences and preparation of special education department students.

PubMed

Al-Zboon, Eman

2017-01-14

This study examines Jordanian special education department students' competences and preparation relating to combating substance misuse (SM). Thematic analysis was performed on data from interviews with 150 students. Some participants denied the possibility of addiction among students with disabilities, and presented negative attitudes toward their role in combating SM. In general, the participants displayed low levels of professionalism relating to combating SM, and the results revealed that they felt that their preparation programme had been inadequate and they desired more courses that related to combating SM. These results suggest that Jordanian Universities should emphasise the role of teachers in a preventive approach to SM.

Mixed-Handedness in Identical Twins Discordant for Combat Exposure in Vietnam: Relationship to Posttraumatic Stress Disorder.

PubMed

Goetz, Jared M; Pitman, Seth R; Tanev, Kaloyan S; Pitman, Roger K; Chemtob, Claude M

2016-01-01

This study evaluated the degree of mixed-handedness in predominantly right-handed Vietnam combat veteran twins and their identical, combat-unexposed cotwins. The "high-risk" cotwins of combat veterans with combat-related posttraumatic stress disorder (PTSD) had more mixed-handedness (i.e., less right-handedness) than the "low-risk" cotwins of combat veterans without PTSD. Self-reported combat exposure in combat-exposed twins was a mediator of the association between handedness in their unexposed cotwins and PTSD in the twins themselves. We conclude that mixed-handedness is a familial risk factor for combat-related PTSD. This risk may be mediated in part by a proclivity for mixed-handed soldiers and Marines to experience heavier combat.

2005 NDIA Combat Vehicles Conference. Volume 2- Thursday Presentations and Videos

DTIC Science & Technology

2005-09-22

Mounted Combat System MULE: (Countermine) MULE: (Transport) Class II Class III Class IV Armed Robotic Vehicle ARV RSTA ARV Assault FCS Recovery and...Vehicles – Infantry Carrier Vehicle (ICV) – Armed Robotic Vehicle - Assault (ARV (A)) – Recon & Surveillance Vehicle (RSV)  Training Ammo for AP & AB...Holtz and Mr. Dick Williams, Boeing Mr. Dean Vanderstelt, General Dynamics Land Systems ( GDLS ) Mr. Mike Zoltoski, TARDEC Mr. Peter DeMasi, Program

Development of etofenprox-treated U.S. military combat uniforms

USDA-ARS?s Scientific Manuscript database

Historically, the loss of personnel from death and disease has greatly outnumbered the corresponding loss due to combat during military conflict. In 1951, the U.S. military elected to treat combat uniforms with a blend known as M-1960 for the purpose of personal protection from arthropods that tran...

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

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

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.

Proceedings of the Conference on Fleet Marine Force Combat Casualty Information System Held at San Diego, California on 2-4 April 1984

DTIC Science & Technology

1984-10-01

Ryack Sub~marine Medlical Researchl ILahOratorv tiehlavioral Scxences C De ~partment Naval Submarinte base New London Groton, CT 06349 Dr. William J. Sacco...Computer- Based Patient Management System 1 to Fleet Marine Force Medical Care George Moeller, Ph.D., Naval Submarine Medical Research Laboratory, Groton...combat casualty1 medical record, develop soitware tailor-ed aor cach echelon at casualty care, and ] identity applopridate hardware based on the most

Prehospital Medicine and the Future Will ECMO Ever Play a Role?

PubMed

Macku, David; Hedvicak, Pavel; Quinn, John; Bencko, Vladimir

Due to the hybrid warfare currently experienced by multiple NATO coalition and NATO partner nations, the tactical combat casualty care (TCCC) paradigm is greatly challenged. One of the major challenges to TCCC is the ad hoc extension phase in resource-poor environments, referred to as prolonged field care (PFC) and forward resuscitative care (FRC). The nuanced clinical skills with limited resources required by warfighters and auxiliary health care professionals to mitigate death on the battlefield and prevent morbidity and mortality in the PFC phase represent a balance that is still under review. The aim of our article is to describe the connection between extracorporeal membrane oxygenation (ECMO) or the extracorporeal life support (ECLS) treatment and its possible improvement in prehospital trauma care, at a Role 1 or 2 facility and, more provocatively, in the PFC phase of care in the future through innovative technology and how it connects with FRC. We report and describe here the primary components of ECMO/ECLS and present the main concept of a human extracorporeal circulation cocoon as a transitional living form for the cardiopulmonary stabilization of wounded combatants on the battlefield and their transportation to higher echelons of care and treatment facilities (to include damage control resuscitation [DCR] and damage control surgery [DCS]). As clinical governance, these matters would fall within the remit of the Committee on Surgical Combat Casualty Care (CoSCCC) and the Committee on Enroute Combat Casualty Care (CoERCCC), and it is within this framework that we propose this concept piece of ECMO in the prehospital space. We caution that this report is a proposed innovation to TCCC but also serves to push the envelope of the PFC and FRC paradigm. What we propose will not change the practice this year, but as ECMO technology progresses, it may change our practice within the next decade. We conclude with proposed novel future research to save life on the

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

A Deeper Level of Network Intelligence: Combating Cyber Warfare

DTIC Science & Technology

2010-04-01

A Deeper Level of Network Intelligence: Combating Cyber Warfare This information is provided for your review only and is not for any distribution...A Deeper Level of Network Intelligence: Combating Cyber Warfare 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d

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

Objective Versus Subjective Measurement of Stress and Social Support: Combat-Related Reactions.

ERIC Educational Resources Information Center

Solomon, Zahava; And Others

1987-01-01

Studied combat intensity, social support, and related stress reactions among soldiers who fought in the 1982 Israeli-Lebanon War, comparing those who experienced combat stress reaction (N=382) and those who did not (N=344). Subjective indicators were found to be stronger predictors than were objective indicators. Combat stress reaction was clearly…

Phylogeny of Courtship and Male-Male Combat Behavior in Snakes

PubMed Central

Senter, Phil; Harris, Shannon M.; Kent, Danielle L.

2014-01-01

Background Behaviors involved in courtship and male-male combat have been recorded in a taxonomically broad sample (76 species in five families) of snakes in the clade Boidae + Colubroidea, but before now no one has attempted to find phylogenetic patterns in such behaviors. Here, we present a study of phylogenetic patterns in such behaviors in snakes. Methodology/Principal Findings From the literature on courtship and male-male combat in snakes we chose 33 behaviors to analyze. We plotted the 33 behaviors onto a phylogenetic tree to determine whether phylogenetic patterns were discernible. We found that phylogenetic patterns are discernible for some behaviors but not for others. For behaviors with discernible phylogenetic patterns, we used the fossil record to determine minimum ages for the addition of each behavior to the courtship and combat behavioral repertoire of each snake clade. Conclusions/Significance The phylogenetic patterns of behavior reveal that male-male combat in the Late Cretaceous common ancestors of Boidae and Colubridae involved combatants raising the head and neck and attempting to topple each other. Poking with spurs was added in Boidae. In Lampropeltini the toppling behavior was replaced by coiling without neck-raising, and body-bridging was added. Phylogenetic patterns reveal that courtship ancestrally involved rubbing with spurs in Boidae. In Colubroidea, courtship ancestrally involved chin-rubbing and head- or body-jerking. Various colubroid clades subsequently added other behaviors, e.g. moving undulations in Natricinae and Lampropeltini, coital neck biting in the Eurasian ratsnake clade, and tail quivering in Pantherophis. The appearance of each group in the fossil record provides a minimum age of the addition of each behavior to combat and courtship repertoires. Although many gaps in the story of the evolution of courtship and combat in snakes remain, this study is an important first step in the reconstruction of the evolution of these

Phylogeny of courtship and male-male combat behavior in snakes.

PubMed

Senter, Phil; Harris, Shannon M; Kent, Danielle L

2014-01-01

Behaviors involved in courtship and male-male combat have been recorded in a taxonomically broad sample (76 species in five families) of snakes in the clade Boidae + Colubroidea, but before now no one has attempted to find phylogenetic patterns in such behaviors. Here, we present a study of phylogenetic patterns in such behaviors in snakes. From the literature on courtship and male-male combat in snakes we chose 33 behaviors to analyze. We plotted the 33 behaviors onto a phylogenetic tree to determine whether phylogenetic patterns were discernible. We found that phylogenetic patterns are discernible for some behaviors but not for others. For behaviors with discernible phylogenetic patterns, we used the fossil record to determine minimum ages for the addition of each behavior to the courtship and combat behavioral repertoire of each snake clade. The phylogenetic patterns of behavior reveal that male-male combat in the Late Cretaceous common ancestors of Boidae and Colubridae involved combatants raising the head and neck and attempting to topple each other. Poking with spurs was added in Boidae. In Lampropeltini the toppling behavior was replaced by coiling without neck-raising, and body-bridging was added. Phylogenetic patterns reveal that courtship ancestrally involved rubbing with spurs in Boidae. In Colubroidea, courtship ancestrally involved chin-rubbing and head- or body-jerking. Various colubroid clades subsequently added other behaviors, e.g. moving undulations in Natricinae and Lampropeltini, coital neck biting in the Eurasian ratsnake clade, and tail quivering in Pantherophis. The appearance of each group in the fossil record provides a minimum age of the addition of each behavior to combat and courtship repertoires. Although many gaps in the story of the evolution of courtship and combat in snakes remain, this study is an important first step in the reconstruction of the evolution of these behaviors in snakes.

Casualties of War: Combat Trauma and the Return of the Combat Veteran

ERIC Educational Resources Information Center

Kiely, Denis O.; Swift, Lisa

2009-01-01

The experience of the combat soldier and the road back to civilian life are recurrent themes in American literature and cinema. Whether the treatment is tragic (Stephen Crane's "Red Badge of Courage", Tim O'Brien's "The Things They Carried", or Tony Scott's "Blackhawk Down"), satirical (Joseph Heller's "Catch Twenty-Two" and Robert Altman's…

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

Marital Relations and Combat Stress Reaction: The Wives' Perspective.

ERIC Educational Resources Information Center

Solomon, Zahava; And Others

1992-01-01

Examined changes over time in marital relations of Israeli combat veterans who sustained combat stress reaction (CSR) during 1982 Lebanon War. Interviewed wives of CSR veterans and non-CSR veterans. CRS couples were characterized at four points in time by more conflict, less intimacy, less consensus, less cohesion, and less expressiveness that…

Technologies to Combat Aedes Mosquitoes: A Model Based on Smart City.

PubMed

de Souza Silva, Geovanna Cristine; Peltonen, Laura-Maria; Pruinelli, Lisiane; Yoshikazu Shishido, Henrique; Jacklin Eler, Gabrielle

2018-01-01

Aedes aegypti and Aedes albopictus mosquitoes are responsible for the transmission of diseases such as dengue fever, yellow fever, chikungunya fever, zika virus fever, some of which can cause irreversible central nervous system problems and death. This study investigates what technologies are being used for combatting and monitoring the Aedes mosquitoes and to propose joining these technologies into a single and complete solution using the Smart Cities concept. A search for newscasts on Google and mobile apps in app stores were performed to identify technological solutions for combat to Aedes mosquitoes. Also, a model for joint technology was proposed. Results identified the following technologies: 170 software, two sensors, two drones, one electronic device, ten mosquito traps/lures, seven biological tools, six biotechnologies, and eight chemical formulations. Technological resources and adoption of preventive measures by the population could be a useful method for the mosquito control. Examples include a georeferenced model for identification and examination of larvae, application of chemical/biological products, real-time mapping, sending of educational materials via email or social media for the population, and alerts to health professionals in the zones of combat/risk. In combination, these technologies may indicate a better solution to the current problem.

The neurophysiological and evolutionary considerations of close combat: A modular approach.

PubMed

Dervenis, Kostas; Tsialogiannis, Evangelos

2017-01-01

Close Combat may be identified as a physical confrontation involving armed or unarmed fighting, lethal and/or non-lethal methods, or even simply escape from and/or de-escalation of the confrontation. Our model hypothesizes that distinct areas of the brain are utilized for specific levels of violence, based on evolutionary criteria, and that these levels of violence bring into effect distinct physiological criteria and kinesiology. This model is outlined similar to Paul D. MacLean's triune brain theory, but incorporates distinct processes inherent to the autonomic nervous system (i.e. a "quadrune brain"), and correlates the observed level of violence to a particular response to a specific neural complex associated with very specific reactive kinesiology in the body. Our hypothesis is that the reverse also holds true: specific movements, scenarios and breathing will "activate" corresponding neural centres that in turn correlate to a respective level of violence. Moreover, socio-historic records bear out the premise that specific behavioural violations of social protocols act as "triggers" for assaultive and lethal force involving weapons, and it is very likely that these triggers (and the concomitant decision to engage in assault or lethal force) are processed through neural centres in what McLean has described as his "limbic system." A modular system of close combat is being researched and developed in accord with the above, readily adaptable to the level of violence professional peacekeepers and law enforcement officers may encounter in the course of their duties, but also directly relevant to the self-protection needs of civilians and youth. Distinct modular training regimes have been identified and developed for situations involving escape from a threat, submission of an adversary, and assaultive/lethal force, with the hope of strengthening neural bridges between the four neural complexes postulated in our model, and therefore via these bridges limiting adverse

Combat Injuries: Providing Medical Care for all Veterans

DTIC Science & Technology

2012-04-19

disturbance (resulting in the PTSD) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.”9...injury (in regards to benefits) as “ hospitalized for treatment from a wound, illness, or injury you received in a combat zone, hostile fire area, or from...definitions complement one another by requiring hospitalization and allowing time for dormant medical issues to develop when 9 referencing combat injuries

WSTIAC Quarterly, Volume 7, Number 2. Naval Ship and Ship Systems Needs for Early 21st Century

DTIC Science & Technology

2007-01-01

Radar Suite Navy Enterprise Warfare System Affordable Future Fleet 2 Intergrated Scalable Modular Open C4I Common Core B/L’s Command & Combatant Ship...discussed. System constraints, which force trade -offs in sensor design and in ultimate performance, are also covered. Time permitting, a projection of

Personality Traits and Combat Exposure as Predictors of Psychopathology Over Time

PubMed Central

Koffel, Erin; Kramer, Mark D.; Arbisi, Paul A.; Erbes, Christopher R.; Kaler, Matthew; Polusny, Melissa A.

2016-01-01

Background Research suggests that personality traits have both direct and indirect effects on the development of psychological symptoms, with indirect effects mediated by stressful or traumatic events. This study models the direct influence of personality traits on residualized changes in internalizing and externalizing symptoms following a stressful and potentially traumatic deployment, as well as the indirect influence of personality on symptom levels mediated by combat exposure. Method We utilized structural equation modeling with a longitudinal prospective study of 522 US National Guard soldiers deployed to Iraq. Analyses were based on self-report measures of personality, combat exposure, and internalizing and externalizing symptoms. Results Both pre-deployment Disconstraint and externalizing symptoms predicted combat exposure, which in turn predicted internalizing and externalizing symptoms. There was a significant indirect effect for pre-deployment externalizing symptoms on post-deployment externalizing via combat exposure (p < .01). Negative Emotionality and pre-deployment internalizing symptoms directly predicted post-deployment internalizing symptoms, but both were unrelated to combat exposure. No direct effects of personality on residualized changes in externalizing symptoms were found. Conclusions Baseline symptom dimensions had significant direct and indirect effects on post-deployment symptoms. Controlling for both pre-exposure personality and symptoms, combat experiences remained positively related to both internalizing and externalizing symptoms. Implications for diagnostic classification are discussed. PMID:26347314

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

Wireless Sensor Network Applications for the Combat Air Forces

DTIC Science & Technology

2006-06-13

WIRELESS SENSOR NETWORK APPLICATIONS FOR THE COMBAT AIR FORCES GRADUATE RESEARCH PROJECT...Government. AFIT/IC4/ENG/06-05 WIRELESS SENSOR NETWORK APPLICATIONS FOR THE COMBAT AIR FORCES GRADUATE RESEARCH PROJECT Presented to the...Major, USAF June 2006 APPROVED FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED AFIT/IC4/ENG/06-05 WIRELESS SENSOR NETWORK APPLICATIONS

Validation of the Impact of Event Scale for Psychological Sequelae of Combat.

ERIC Educational Resources Information Center

Schwarzwald, Joseph; And Others

1987-01-01

Attempted to validate the Impact of Event Scale (IES) with a large sample of males who had been exposed to combat trauma. The IES was shown to be sensitive to differences between and within the three subject groups (combat stress reaction group, combat control group, noncombat control group). Four basic patterns of intrusion and avoidance were…

Airland Battle Combat Airdrop Doctrine and Requirement

DTIC Science & Technology

1988-04-11

ample. One the most demanding and interse combat scenerioc . the Army faces in the world today, it will also be the st demanding for airl ift forces...Secoind, we will =surn,. hat U.S. ?nd NATO armed forces are engaced it) combat in this .-gion against forces from the Union of Soviet Sociali t...theater ended on. Back in Europe, the f i r-st a i r bore rip opei at -n iti..ERLORC" , ca code named ’ RUGBY -. The Rujgb- f c. 42 a- ’ ’ i i IIIIS

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

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...

Imagining intergroup contact can combat mental health stigma by reducing anxiety, avoidance and negative stereotyping.

PubMed

Stathi, Sofia; Tsantila, Katerina; Crisp, Richard J

2012-01-01

Research has demonstrated widespread negative attitudes held toward people with mental health problems. Our study investigated whether a new prejudice reduction technique, imagined intergroup contact (Crisp & Turner, 2009), could combat stigma against people with mental illness, and the mediating processes through which it may exert this beneficial effect. We found that compared to a control condition, participants who imagined a positive encounter with a schizophrenic person reported weakened stereotypes and formed stronger intentions to engage in future social interactions with schizophrenic people in general. Importantly, these intentions were formed due to reduced feelings of anxiety about future interactions. We discuss the implications of these findings for improving the social inclusion of people with mental health problems.

Advanced Multifunctional Materials for High Speed Combatant Hulls

DTIC Science & Technology

2015-11-25

Combatant Hulls 5a. CONTRACT NUMBER 5b. GRANT NUMBER N00014-14-1-0269 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Mark S. Mirotznik 5d. PROJECT...High Speed Combatant Hulls ’ PI Information: Mark S. Mirotznik, Associate Professor Tel: (302) 831 -4241 Department of Electrical and Computer... HULLS FINAL TECHNICAL REPORT 1.0 Abstract In this ONR funded project investigators at the University of Delaware’s Department of Electrical

Women Warriors: Why the Robotics Revolution Changes the Combat Equation

DTIC Science & Technology

2015-01-01

combat fight due in large part to advances in robotics and autonomous systems. From exoskeletons to robotic mules, technology is reducing the...kick-started innovation in this area in 2001 by funding labs, industry, and universities under the Exoskeletons for Human Performance Augmentation...and fledgling programs of record. The Human Load Carrier (HULC), for example, is a hydraulic- powered exoskeleton made of titanium that allows

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.

75 FR 5485 - Blue Ribbon Commission on America's Nuclear Future

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-03

... Commission on America's Nuclear Future Memorandum for the Secretary of Energy Expanding our Nation's capacity to generate clean nuclear energy is crucial to our ability to combat climate change, enhance energy... the safe, secure, and responsible use of nuclear energy. These efforts are critical to accomplishing...

Simulation technology - A key to effective man-machine integration for future combat rotorcraft systems

NASA Technical Reports Server (NTRS)

Kerr, Andrew W.

1990-01-01

The utilization of advanced simulation technology in the development of the non-real-time MANPRINT design tools in the Army/NASA Aircrew-Aircraft Integration (A3I) program is described. A description is then given of the Crew Station Research and Development Facilities, the primary tool for the application of MANPRINT principles. The purpose of the A3I program is to develop a rational, predictive methodology for helicopter cockpit system design that integrates human factors engineering with other principles at an early stage in the development process, avoiding the high cost of previous system design methods. Enabling technologies such as the MIDAS work station are examined, and the potential of low-cost parallel-processing systems is indicated.

Air-to-air combat analysis - Review of differential-gaming approaches

NASA Technical Reports Server (NTRS)

Ardema, M. D.

1981-01-01

The problem of evaluating the combat performance of fighter/attack aircraft is discussed, and the mathematical nature of the problem is examined. The following approaches to air combat analysis are reviewed: (1) differential-turning differential game and (2) coplanar differential game. Selected numerical examples of these approaches are presented. The relative advantages and disadvantages of each are analyzed, and it is concluded that air combat analysis is an extremely difficult mathematical problem and that no one method of approach is best for all purposes. The paper concludes with a discussion of how the two approaches might be used in a complementary manner.

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.

Interventions to combat or prevent drug counterfeiting: a systematic review.

PubMed

El-Jardali, Fadi; Akl, Elie A; Fadlallah, Racha; Oliver, Sandy; Saleh, Nadine; El-Bawab, Lamya; Rizk, Rana; Farha, Aida; Hamra, Rasha

2015-03-18

Drug counterfeiting has serious public health and safety implications. The objective of this study was to systematically review the evidence on the effectiveness of interventions to combat or prevent drug counterfeiting. We searched multiple electronic databases and the grey literature up to March 2014. Two reviewers completed, in duplicate and independently, the study selection, data abstraction and risk of bias assessment. We included randomised trials, non-randomised studies, and case studies examining any intervention at the health system-level to combat or prevent drug counterfeiting. Outcomes of interest included changes in failure rates of tested drugs and changes in prevalence of counterfeit medicines. We excluded studies that focused exclusively on substandard, degraded or expired drugs, or that focused on medication errors. We assessed the risk of bias in each included study. We reported the results narratively and, where applicable, we conducted meta-analyses. We included 21 studies representing 25 units of analysis. Overall, we found low quality evidence suggesting positive effects of drug registration (OR=0.23; 95% CI 0.08 to 0.67), and WHO-prequalification of drugs (OR=0.06; 95% CI 0.01 to 0.35) in reducing the prevalence of counterfeit and substandard drugs. Low quality evidence suggests that licensing of drug outlets is probably ineffective (OR=0.66; 95% CI 0.41 to 1.05). For multifaceted interventions (including a mix of regulations, training of inspectors, public-private collaborations and legal actions), low quality evidence suggest they may be effective. The single RCT provided moderate quality evidence of no effect of 'two extra inspections' in improving drug quality. Policymakers and stakeholders would benefit from registration and WHO-prequalification of drugs and may also consider multifaceted interventions. Future effectiveness studies should address the methodological limitations of the available evidence. PROSPERO CRD42014009269

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

PubMed

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

2011-09-03

Breakdowns in the ethical conduct of soldiers towards non-combatants on the battlefield are of grave concern in war. Evidence-based training approaches to prevent unethical conduct are scarce. We assessed the effectiveness of battlefield-ethics training and factors associated with unethical battlefield conduct. The training package, based on movie vignettes and leader-led discussions, was administered 7 to 8 months into a 15-month high-intensity combat deployment in Iraq, between Dec 11, 2007, and Jan 30, 2008. Soldiers from an infantry brigade combat team (total population about 3500) were randomly selected, on the basis of company and the last four digits of each soldier's social security number, and invited to complete an anonymous survey 3 months after completion of the training. Reports of unethical behaviour and attitudes in this sample were compared with a randomly selected pre-training sample from the same brigade. The response patterns for ethical behaviour and reporting of ethical violations were analysed with chi-square analyses. We developed two logistic regression models using self-reported unethical behaviours as dependent variables. Factors associated with unethical conduct, including combat experiences and post-traumatic stress disorder (PTSD), were assessed with validated scales. Of 500 randomly selected soldiers 421 agreed to participate in the anonymous post-training survey. A total of 397 soldiers of the same brigade completed the pre-training survey. Training was associated with significantly lower rates of unethical conduct of soldiers and greater willingness to report and address misconduct than in those before training. For example, reports of unnecessary damage or destruction of private property decreased from 13·6% (54 of 397; 95% CI 10·2-17·0) before training to 5·0% (21 of 421; 2·9-7·1) after training (percent difference -63·2%; p<0·0001), and willingness to report a unit member for mistreatment of a non-combatant increased from

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.

Nonoperative Management of Splenic Injury in Combat: 2002-2012

DTIC Science & Technology

2015-03-01

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

Using Hierarchical Virtual Screening To Combat Drug Resistance of the HIV-1 Protease.

PubMed

Li, Nan; Ainsworth, Richard I; Ding, Bo; Hou, Tingjun; Wang, Wei

2015-07-27

Human immunodeficiency virus (HIV) protease inhibitors (PIs) are important components of highly active anti-retroviral therapy (HAART) that block the catalytic site of HIV protease, thus preventing maturation of the HIV virion. However, with two decades of PI prescriptions in clinical practice, drug-resistant HIV mutants have now been found for all of the PI drugs. Therefore, the continuous development of new PI drugs is crucial both to combat the existing drug-resistant HIV strains and to provide treatments for future patients. Here we purpose an HIV PI drug design strategy to select candidate PIs with binding energy distributions dominated by interactions with conserved protease residues in both wild-type and various drug-resistant mutants. On the basis of this strategy, we have constructed a virtual screening pipeline including combinatorial library construction, combinatorial docking, MM/GBSA-based rescoring, and reranking on the basis of the binding energy distribution. We have tested our strategy on lopinavir by modifying its two functional groups. From an initial 751 689 candidate molecules, 18 candidate inhibitors were selected using the pipeline for experimental validation. IC50 measurements and drug resistance predictions successfully identified two ligands with both HIV protease inhibitor activity and an improved drug resistance profile on 2382 HIV mutants. This study provides a proof of concept for the integration of MM/GBSA energy analysis and drug resistance information at the stage of virtual screening and sheds light on future HIV drug design and the use of virtual screening to combat drug resistance.

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

PubMed

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

2017-08-01

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

Close Quarters Combat Shooting

DTIC Science & Technology

2010-04-14

I came into this research with my own thesis as to which method works best in close quarters combat and aimed to provide the evidence to confirln...when research has shovm. that a great majority of gunfights occur at close distances that physiologically don’t allow an officer to focus on his gun’s

75 FR 1446 - Future Systems Technology Advisory Panel Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-11

... SOCIAL SECURITY ADMINISTRATION [Docket No. SSA-2010-0001] Future Systems Technology Advisory Panel... systems technology and electronic services at the agency five to ten years into the future. The Panel will recommend a road map to aid SSA in determining what future systems technologies may be developed to assist...

Combating Trafficking in Persons > Home

Science.gov Websites

? Training Combined Course General Awareness Investigative Professionals Additional Resources Contracting Investigative Professionals Training Trailer Investigative Professionals Training Trailer Investigative professionals are one of the first lines of defense in combating human trafficking. CTIP training for

Combating corruption in global health.

PubMed

Mackey, Tim K; Kohler, Jillian; Lewis, Maureen; Vian, Taryn

2017-08-09

Corruption is a critical challenge to global health efforts, and combating it requires international action, advocacy, and research. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

The mental health of U.S. military women in combat support occupations.

PubMed

Lindstrom, Krista E; Smith, Tyler C; Wells, Timothy S; Wang, Linda Z; Smith, Besa; Reed, Robert J; Goldfinger, Wendy E; Ryan, Margaret A K

2006-03-01

The proportion of women in the U.S. military is increasing, and they are being selected into jobs that are more combat related. However, the mental health effects of working in combat support occupations among military women have not been previously evaluated. Active-duty enlisted Navy and Marine Corps women in combat support (n = 10,299) and noncombat support (n = 63,478) occupations were followed for 2 years between January 1, 1994, and August 31, 2001. Hospitalization diagnoses were examined and organized into eight categories of mental disorders; Cox proportional hazards modeling was used to describe these outcomes. Women in combat support occupations were found to be significantly less likely to be hospitalized for a mental disorder than women in all other military occupations. These results are reassuring but may be confounded by a healthy worker selection effect. Further studies are needed to assess how service in combat support occupations affects the long-term health of U.S. military women.

Hearing Protection Evaluation for the Combat Arms Earplug at Idaho National Laboratory

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

James Lovejoy

2007-03-01

The Idaho National Laboratory (INL) is managed by Battelle Energy Alliance, LLC (BEA) for the Department of Energy. The INL Protective Security Forces (Pro Force) are involved in training exercises that generate impulse noise by small arms fire. Force-on-force (FOF) training exercises that simulate real world scenarios require the Pro Force to engage the opposition force (OPFOR) while maintaining situational awareness through verbal communications. The Combat Arms earplug was studied to determine if it provides adequate hearing protection in accordance with the requirements of MIL-STD-1474C/D. The Combat Arms earplug uses a design that allows continuous noise through a critical orificemore » while effectively attenuating high-energy impulse noise. The earplug attenuates noise on a non linear scale, as the sound increases the attenuation increases. The INL studied the effectiveness of the Combat Arms earplug with a Bruel & Kjaer (B&K) head and torso simulator used with a selection of small arms to create impulse sound pressures. The Combat Arms earplugs were inserted into the B&K head and torso ears, and small arms were then discharged to generate the impulse noise. The INL analysis of the data indicates that the Combat Arms earplug does provide adequate protection, in accordance with MIL-STD-1474C/D, when used to protect against impulse noise generated by small arms fire using blank ammunition. Impulse noise generated by small arms fire ranged from 135–160 dB range unfiltered un-weighted. The Combat Arms earplug attenuated the sound pressure 10–25 dB depending on the impulse noise pressure. This assessment is consistent with the results of previously published studies on the Combat Arms earplug (see Section 5, “References”). Based upon these result, the INL intends to use the Combat Arms earplug for FOF training exercises.« less

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

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

National Center for Combating Terrorism Strategic Plan, September 2003

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

Bechtel Nevada

2003-09-01

National Center for Combating Terrorism Strategic Plan is to document the mission, vision, and goals for success; define the build plan; and describe initiatives that support the U.S. Department of Homeland Security, U.S. Department of Defense, U.S. Department of Energy, U.S. Department of Justice, intelligence community, National Governors Association, and other organizations or departments with combating terrorism training, testing, and technology responsibilities.

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

PubMed

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

2010-01-01

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

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

DTIC Science & Technology

2015-01-01

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

Systemic Change: Touchstones for the Future School.

ERIC Educational Resources Information Center

Jenlink, Patrick, Ed.

Given the current social and economic changes, American education must change in order to connect students to the future. This book is comprised of a collection of essays on the topic of systemic change in education. The book focuses on reform for the future by bringing together systems theory with detailed examples of strategies and cases that…

Prevention and management of infections associated with combat-related extremity injuries.

PubMed

Murray, Clinton K; Hsu, Joseph R; Solomkin, Joseph S; Keeling, John J; Andersen, Romney C; Ficke, James R; Calhoun, Jason H

2008-03-01

Orthopedic injuries suffered by casualties during combat constitute approximately 65% of the total percentage of injuries and are evenly distributed between upper and lower extremities. The high-energy explosive injuries, environmental contamination, varying evacuation procedures, and progressive levels of medical care make managing combat-related injuries challenging. The goals of orthopedic injury management are to prevent infection, promote fracture healing, and restore function. It appears that 2% to 15% of combat-related extremity injuries develop osteomyelitis, although lower extremity injuries are at higher risk of infections than upper extremity. Management strategies of combat-related injuries primarily focus on early surgical debridement and stabilization, antibiotic administration, and delayed primary closure. Herein, we provide evidence-based recommendations from military and civilian data to the management of combat-related injuries of the extremity. Areas of emphasis include the utility of bacterial cultures, antimicrobial therapy, irrigation fluids and techniques, timing of surgical care, fixation, antibiotic impregnated beads, wound closure, and wound coverage with negative pressure wound therapy. Most of the recommendations are not supported by randomized controlled trials or adequate cohorts studies in a military population and further efforts are needed to answer best treatment strategies.

Episodic and semantic components of autobiographical memories and imagined future events in post-traumatic stress disorder.

PubMed

Brown, Adam D; Addis, Donna Rose; Romano, Tracy A; Marmar, Charles R; Bryant, Richard A; Hirst, William; Schacter, Daniel L

2014-01-01

Individuals with post-traumatic stress disorder (PTSD) tend to retrieve autobiographical memories with less episodic specificity, referred to as overgeneralised autobiographical memory. In line with evidence that autobiographical memory overlaps with one's capacity to imagine the future, recent work has also shown that individuals with PTSD also imagine themselves in the future with less episodic specificity. To date most studies quantify episodic specificity by the presence of a distinct event. However, this method does not distinguish between the numbers of internal (episodic) and external (semantic) details, which can provide additional insights into remembering the past and imagining the future. This study employed the Autobiographical Interview (AI) coding scheme to the autobiographical memory and imagined future event narratives generated by combat veterans with and without PTSD. Responses were coded for the number of internal and external details. Compared to combat veterans without PTSD, those with PTSD generated more external than internal details when recalling past or imagining future events, and fewer internal details were associated with greater symptom severity. The potential mechanisms underlying these bidirectional deficits and clinical implications are discussed.

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).

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.

Effect of Uniform Design on the Speed of Combat Tourniquet Application: A Simulation Study.

PubMed

Higgs, Andrew R; Maughon, Michael J; Ruland, Robert T; Reade, Michael C

2016-08-01

Tourniquets are issued to deployed members of both the United States (U.S. military and the Australian Defence Force (ADF). The ease of removing the tourniquet from the pocket of the combat uniform may influence its time to application. The ADF uniform uses buttons to secure the pocket, whereas the U.S. uniform uses a hook and loop fastener system. National differences in training may influence the time to and effectiveness of tourniquet application. To compare the time taken to retrieve and apply a tourniquet from the pocket of the Australian and the U.S. combat uniform and compare the effectiveness of tourniquet application. Twenty participants from both nations were randomly selected. Participants were timed on their ability to remove a tourniquet from their pockets and then apply it effectively. The U.S. personnel removed their tourniquets in shorter time (median 2.5 seconds) than Australians (median 5.72 seconds, p < 0.0001). ADF members (mean 41.36 seconds vs. 58.87 seconds, p < 0.037) applied the tourniquet more rapidly once removed from the pocket and trended to apply it more effectively (p = 0.1). The closure system of pockets on the combat uniform might influence the time taken to apply a tourniquet. Regular training might also reduce the time taken to apply a tourniquet effectively. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

Narrative approach in understanding the drivers for resilience of military combat medics.

PubMed

Russell, Cristel Antonia; Gibbons, S W; Abraham, P A; Howe, E R; Deuster, P; Russell, D W

2017-12-10

Qualitative insights may demonstrate how combat medics (CM) deal with stressors and identify how resilience can potentially develop. Yet, qualitative research is scant in comparison to the many quantitative studies of health outcomes associated with military service. Semistructured qualitative interviews were used to collect personal narratives of US Army CMs who had previously served in Iraq or Afghanistan. Thematic analysis revealed three key driving forces for how resilience develops in the context of combat and war. The first was patriotism, which captures loyalty and full commitment to the military and its missions. The second was commitment to their family, reflecting the balance of responsibility to family of origin with the obligation one feels towards their military family. The last driving force was faith, or the drive to reach towards the transcendent to provide a moral compass and develop empathy in the face of difficult situations. An individual's commitment to country, military family and faith strengthens their resilience, and this can be used to inform future research efforts as well as current clinical practice. © 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.

Structures Technology for Future Aerospace Systems

NASA Technical Reports Server (NTRS)

Noor, Ahmed K.; Venneri, Samuel L.; Paul, Donald B.; Hopkins, Mark A.

2000-01-01

An overview of structures technology for future aerospace systems is given. Discussion focuses on developments in component technologies that will improve the vehicle performance, advance the technology exploitation process, and reduce system life-cycle costs. The component technologies described are smart materials and structures, multifunctional materials and structures, affordable composite structures, extreme environment structures, flexible load bearing structures, and computational methods and simulation-based design. The trends in each of the component technologies are discussed and the applicability of these technologies to future aerospace vehicles is described.

Close the Book on Hate: 101 Ways To Combat Prejudice.

ERIC Educational Resources Information Center

Barnes & Noble, Inc., New York, NY.

This pamphlet, which is part of the Close the Book on Hate Campaign, provides definitions, resources, and suggested readings on combating prejudice. The premise of the campaign is the belief that through reading and discussion, children will be better able to counter prejudice and hate. The pamphlet begins with suggestions for combatting prejudice…

IA and PA network-based computation of coordinating combat behaviors in the military MAS

NASA Astrophysics Data System (ADS)

Xia, Zuxun; Fang, Huijia

2004-09-01

In the military multi-agent system every agent needs to analyze the dependent and temporal relations among the tasks or combat behaviors for working-out its plans and getting the correct behavior sequences, it could guarantee good coordination, avoid unexpected damnification and guard against bungling the change of winning a battle due to the possible incorrect scheduling and conflicts. In this paper IA and PA network based computation of coordinating combat behaviors is put forward, and emphasize particularly on using 5x5 matrix to represent and compute the temporal binary relation (between two interval-events, two point-events or between one interval-event and one point-event), this matrix method makes the coordination computing convenience than before.

Project CHECO Southeast Asia Report. Pave Mace/Combat Rendezvous

DTIC Science & Technology

1972-12-26

deficiencies in the APQ-133 radar, the LWL was generally satisfied with the results and.certified the system for use in combat provided all airborne...offset 5 35 firing confirmed a deficiency noted in earlier test results: the AWG-13 FCC was unreliable at long ranges. On 2 May the 14th SOW informed...Lockbourne, SEA, and Puerto 3 Rico tests of 1969-1970. These tests had shown a number of deficiencies in the SST-201X miniponder, the AWG-13 Fire Control

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

Power systems for future missions

NASA Technical Reports Server (NTRS)

Gill, S. P.; Frye, P. E.; Littman, Franklin D.; Meisl, C. J.

1994-01-01

A comprehensive scenario of future missions was developed and applicability of different power technologies to these missions was assessed. Detailed technology development roadmaps for selected power technologies were generated. A simple methodology to evaluate economic benefits of current and future power system technologies by comparing Life Cycle Costs of potential missions was developed. The methodology was demonstrated by comparing Life Cycle Costs for different implementation strategies of DIPS/CBC technology to a selected set of missions.

Transforming Mechanized Reconnaissance: How the Armored Brigade Combat Team (ABCT) Cavalry Squadron Should be Structured for Reconnaissance and Security Operations in the Near Future

DTIC Science & Technology

2014-06-13

Squadron ( BFV /HMMWV, Current) .................................................. 93 Description...Evaluation Criteria ........................................................ 106 Comparison to Validation Criteria: ABCT Cavalry Squadron ( BFV /HMMWV...Brigade Combat Team BFV Bradley Fighting Vehicle BRT Brigade Reconnaissance Troop CAB Combined Arms Battalion CFV Cavalry Fighting Vehicle FM

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

The Army’s Future Combat System (FCS): Background and Issues for Congress

DTIC Science & Technology

2008-05-12

Operational Capability 2017 The full attainment of the capability to employ the system, including a fully manned, equipped, trained, and logistically...readiness crisis ,” and that “how FCS funding fits into that equation is yet to be determined.”24 Representative Murtha, Chairman of the House Appropriations...Oversight,” InsideDefense.com, May 7, 2008. 52 Ibid. 53 Ann Roosevelt, “FCS Incurs Schedule Breach, Operational Capability Slips to 2017 ,” Defense Daily

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

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.

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

PubMed

Fontana, A; Litz, B; Rosenheck, R

2000-03-01

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

COMBAT: Initial experience with a randomized clinical trial of plasma-based resuscitation in the field for traumatic hemorrhagic shock

PubMed Central

Chapman, Michael P.; Moore, Ernest E.; Chin, Theresa L; Ghasabyan, Arsen; Chandler, James; Stringham, John; Gonzalez, Eduardo; Moore, Hunter B.; Banerjee, Anirban; Silliman, Christopher C; Sauaia, Angela

2015-01-01

The existing evidence shows great promise for plasma as the first resuscitation fluid in both civilian and military trauma. We embarked on the Control of Major Bleeding After Trauma (COMBAT) trial with the support of the Department of Defense, in order to determine if plasma-first resuscitation yields hemostatic and survival benefits. The methodology of the COMBAT study represents not only three years of development work, but the integration of nearly two-decades of technical experience with the design and implementation of other clinical trials and studies. Herein, we describe the key features of the study design, critical personnel and infrastructural elements, and key innovations. We will also briefly outline the systems engineering challenges entailed by this study. COMBAT is a randomized, placebo controlled, semi-blinded prospective Phase IIB clinical trial, conducted in a ground ambulance fleet based at a Level I trauma center, and part of a multicenter collaboration. The primary objective of COMBAT is to determine the efficacy of field resuscitation with plasma first, compared to standard of care (normal saline). To date we have enrolled 30 subjects in the COMBAT study. The ability to achieve intervention with a hemostatic resuscitation agent in the closest possible temporal proximity to injury is critical and represents an opportunity to forestall the evolution of the “bloody vicious cycle”. Thus, the COMBAT model for deploying plasma in first response units should serve as a model for RCTs of other hemostatic resuscitative agents. PMID:25784527

Managed access technology to combat contraband cell phones in prison: Findings from a process evaluation.

PubMed

Grommon, Eric

2018-02-01

Cell phones in correctional facilities have emerged as one of the most pervasive forms of modern contraband. This issue has been identified as a top priority for many correctional administrators in the United States. Managed access, a technology that utilizes cellular signals to capture transmissions from contraband phones, has received notable attention as a promising tool to combat this problem. However, this technology has received little evaluative attention. The present study offers a foundational process evaluation and draws upon output measures and stakeholder interviews to identify salient operational challenges and subsequent lessons learned about implementing and maintaining a managed access system. Findings suggest that while managed access captures large volumes of contraband cellular transmissions, the technology requires significant implementation planning, personnel support, and complex partnerships with commercial cellular carriers. Lessons learned provide guidance for practitioners to navigate these challenges and for scholars to improve future evaluations of managed access. Copyright © 2017 Elsevier Ltd. All rights reserved.

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.

PTSD in active combat soldiers: to treat or not to treat.

PubMed

Wangelin, Bethany C; Tuerk, Peter W

2014-01-01

In this paper, we consider ethical issues related to the treatment of posttraumatic stress disorder (PTSD) in combat zones, via exposure therapy. Exposure-oriented interventions are the most well-researched behavioral treatments for PTSD, and rigorous studies across contexts, populations, and research groups provide robust evidence that exposure therapy for PTSD is effective and can be widely disseminated. Clinical procedures for Prolonged Exposure therapy, a manualized exposure-oriented protocol for PTSD, are reviewed, and we illustrate the potential benefits, as well as the potential difficulties, associated with providing this treatment in combat zones. Several ethical considerations are identified: (1) Assuming successful treatment, is it ethical to send individuals with a known risk of developing PTSD back into combat? (2) If treatment is unsuccessful in theater (perhaps due to the confounding factor of ongoing danger), could that impact treatment effectiveness for soldiers who attempt therapy again post-deployment? (3) If the military finds combat-zone treatment effective and useful in maintaining an efficient work force, will treatment become mandatory for those diagnosed with PTSD? (4) What unintended consequences might be associated with large-scale dissemination of exposure therapy in or near combat, outside of mental health care infrastructures? (5) How would genetic variations known to be associated with PTSD risk influence decisions regarding who receives treatment or returns to combat? We conclude with a review of the personal and societal costs associated with not providing evidence-based PTSD treatments wherever possible. © 2014 American Society of Law, Medicine & Ethics, Inc.

Using agility to combat cyber attacks.

PubMed

Anderson, Kerry

2017-06-01

Some incident response practitioners feel that they have been locked in a battle with cyber criminals since the popular adoption of the internet. Initially, organisations made great inroads in preventing and containing cyber attacks. In the last few years, however, cyber criminals have become adept at eluding defence security technologies and rapidly modifying their exploit strategies for financial or political gains. Similar to changes in military combat tactics, cyber criminals utilise distributed attack cells, real-time communications, and rapidly mutating exploits to minimise the potential for detection. Cyber criminals have changed their attack paradigm. This paper describes a new incident response paradigm aimed at combating the new model of cyber attacks with an emphasis on agility to increase the organisation's ability to respond rapidly to these new challenges.

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

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

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

Combating Stagefright: Selected Vocal Exercises.

ERIC Educational Resources Information Center

Ratliff, Gerald Lee

Noting that stagefright has been the subject of intensive analysis and subjected to almost every conceivable test or measurement without revealing either its "cause" or its "cure," this paper presents vocal exercises to help combat the performance malady. After listing four principles concerning the nature of stagefright (it is…

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

Littoral Combat Ship (LCS)

DTIC Science & Technology

2015-12-01

Selected Acquisition Report ( SAR ) RCS: DD-A&T(Q&A)823-374 Littoral Combat Ship (LCS) As of FY 2017 President’s Budget Defense Acquisition...Management Information Retrieval (DAMIR) UNCLASSIFIED LCS December 2015 SAR UNCLASSIFIED 2 Table of Contents Common Acronyms and Abbreviations for...and Support PAUC - Program Acquisition Unit Cost LCS December 2015 SAR UNCLASSIFIED 3 PB - President’s Budget PE - Program Element PEO - Program

The Future Combat System: Minimizing Risk While Maximizing Capability

DTIC Science & Technology

2000-05-01

ec /W hl Co nv /T ra ck Co nv /W hl El ec /T rac El ec /W hl Crew &Misc Power Mgt Propulsion Lethality Structure /Surviv Conv / ETC Lethality Missile...also examines the wheeled versus tracked debate. The paper concludes by recommending some of the technologies for further development under a parallel...versus tracked debate. The paper concludes by recommending some of the technologies for further development under a parallel acquisition strategy

Vehicle Armor Structure and Testing for Future Combat System

DTIC Science & Technology

2013-06-03

Attached Hose ........................................................................ 45  Figure 2.9-4: Time-Temperature Results for Test 3 in Table 2.9...is within t at allow the er to perform h hoses that ed hoses is Figure 2. he chamber chamber to the enviro attach to the shown in Fig 9-1...nd Attache stron Mach d Hose ine UNCLASSIFIED UNCLASSIFIED 46 Thermal studies were conducted to determine the time required to subject

The food and weight combat. A problematic fight for the elite combat sports athlete.

PubMed

Pettersson, Stefan; Pipping Ekström, Marianne; Berg, Christina M

2012-10-01

Weight reduction in athletes is motivated by optimisation of performance, aesthetic reasons or to achieve a pre-designated weight. Previous research has shown that dietary restraint and short term weight regulation frequently takes place among combat sports athletes such as wrestlers and judokas. The aim of this study was to explore negative experiences related to dietary strategies and weight-making practises used by elite combat sports athletes. Using semi-structured interviews, 14 Swedish national team athletes in wrestling, judo and taekwondo were asked about their dietary intake and their engagement in both long- and short-term weight regulation practises. Content analysis of the transcribed interviews, display a constant struggle regarding nutritional standpoints. Sport demands such as achieving an optimal weight and nutritional intake were considered as central in order for excellent performance. Adhering to these demands was found to be problematic however, primarily because of; (1) negative physiological responses and (2) opposing ideals of a non-sport related nature, such as the importance of the athletes to be healthy and social in their everyday lives. Copyright © 2012 Elsevier Ltd. All rights reserved.

Posttraumatic Stress in U.S. Marines: The Role of Unit Cohesion and Combat Exposure

ERIC Educational Resources Information Center

Armistead-Jehle, Patrick; Johnston, Scott L.; Wade, Nathaniel G.; Ecklund, Christofer J.

2011-01-01

Combat exposure is a consistent predictor of posttraumatic stress (PTS). Understanding factors that might buffer the effects of combat exposure is crucial for helping service members weather the stress of war. In a study of U.S. Marines returning from Iraq, hierarchical multiple regression analyses revealed that unit cohesion and combat exposure…

597 Days: A Division’s Morale During Sustained Combat

DTIC Science & Technology

2014-05-22

Republic (Chicago: University of Illinois Press, 1948), 35. 20 David H. Marlowe , Psychological and Psychosocial Consequences of Combat and Deployment...Marshall, Men Against Fire: The problem of Battle Command, 138; Marlowe , Psychological and Psychosocial Consequences of Combat and Deployment, 51; Vessey...ret), interview. 25 Dave Grossman, On Killing (New York: Little, Brown and Company, 1995), 90, 143. 26 Marlowe , Psychological and Psychosocial

Executive Functioning of Combat Mild Traumatic Brain Injury.

PubMed

Gaines, Katy D; Soper, Henry V; Berenji, Gholam R

2016-01-01

This study investigates neuropsychological deficits in recently deployed veterans with mild traumatic brain injury (mTBI). Veterans discharged from 2007 to 2012 were recruited from Veterans Affairs clinics. Independent groups of participants with mTBI (n = 57) and those without TBI (n = 57) were administered the Beck Depression Inventory-II, Combat Exposure Scale, Word Memory Test, and the Self-Awareness of Deficits Interview. Neuropsychological instruments included the Rey-Osterrieth Complex Figure Test, Letter and Category Fluency, Trail-Making Test-Parts A and B, Christiansen H-abbreviated, Soper Neuropsychology Screen, Wechsler Memory Scale subtests Logical Memory I and II, and the Street Completion Test. The mTBI group performed significantly worse on all of the executive and nonexecutive measurements with the exception of Category Fluency, after controlling for age, depression effort, and combat exposure. Depression and combat exposure were greater for the mTBI group. The mTBI group scored poorer on effort, but only the Multiple Choice subtest was significant. The mTBI group had good awareness of their deficits.

Proinflammatory milieu in combat-related PTSD is independent of depression and early life stress.

PubMed

Lindqvist, Daniel; Wolkowitz, Owen M; Mellon, Synthia; Yehuda, Rachel; Flory, Janine D; Henn-Haase, Clare; Bierer, Linda M; Abu-Amara, Duna; Coy, Michelle; Neylan, Thomas C; Makotkine, Iouri; Reus, Victor I; Yan, Xiaodan; Taylor, Nicole M; Marmar, Charles R; Dhabhar, Firdaus S

2014-11-01

Chronic inflammation may be involved in combat-related post-traumatic stress disorder (PTSD) and may help explain comorbid physical diseases. However, the extent to which combat exposure per se, depression, or early life trauma, all of which are associated with combat PTSD, may confound the relationship between PTSD and inflammation is unclear. We quantified interleukin (IL)-6, IL-1β, tumor necrosis factor (TNF)-α, interferon (IFN)-γ, and C-reactive protein (CRP) in 51 combat-exposed males with PTSD and 51 combat-exposed males without PTSD, and assessed PTSD and depression severity as well as history of early life trauma. To decrease the possibility of Type I errors, we summed standardized scores of IL-1β, IL-6, TNFα, IFNγ and CRP into a total "pro-inflammatory score". PTSD symptom severity was assessed with the Clinician Administered PTSD Scale (CAPS) rating scale. Subjects with PTSD had significantly higher pro-inflammatory scores compared to combat-exposed subjects without PTSD (p=0.006), and even after controlling for early life trauma, depression diagnosis and severity, body mass index, ethnicity, education, asthma/allergies, time since combat and the use of possibly confounding medications (p=0.002). Within the PTSD group, the pro-inflammatory score was not significantly correlated with depressive symptom severity, CAPS total score, or with the number of early life traumas. Combat-related PTSD in males is associated with higher levels of pro-inflammatory cytokines, even after accounting for depression and early life trauma. These results, from one of the largest studies of inflammatory cytokines in PTSD to date, suggest that immune activation may be a core element of PTSD pathophysiology more so than a signature of combat exposure alone. Copyright © 2014. Published by Elsevier Inc.

Mosquito bite protection evaluation of permethrin-treated US military combat uniforms

USDA-ARS?s Scientific Manuscript database

Historically, the loss of personnel from death and disease has greatly outnumbered the corresponding loss due to combat during military conflict. In 1951, the US military elected to treat their combat uniforms with a blend known as M-1960 for the purpose of personal protection from arthropods that ...

Maintaining the All Volunteer Army to Meet Future Land Force Challenges

DTIC Science & Technology

2009-03-25

NIC ) Global Trends report5, or the source documents for the Army’s most recently published strategy forecast the future security environment and how the...Forces and others conducting combat operations against Al Qaeda.”32 Tom Ricks later quotes Stephen Biddle , an occasional advisor to General Petreaus – he

Combat Neurosis in the Battered Teacher.

ERIC Educational Resources Information Center

Science News, 1978

1978-01-01

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

Modeling the effectiveness of oil combating from an ecological perspective--a Bayesian network for the Gulf of Finland; the Baltic Sea.

PubMed

Helle, Inari; Lecklin, Tiina; Jolma, Ari; Kuikka, Sakari

2011-01-15

Maritime traffic poses a major threat to marine ecosystems in the form of oil spills. The Gulf of Finland, the easternmost part of the Baltic Sea, has witnessed a rapid increase in oil transportation during the last 15 years. Should a spill occur, the negative ecological impacts may be reduced by oil combating, the effectiveness of which is, however, strongly dependent on prevailing environmental conditions and available technical resources. This poses increased uncertainty related to ecological consequences of future spills. We developed a probabilistic Bayesian network model that can be used to assess the effectiveness of different oil combating strategies in minimizing the negative effects of oil on six species living in the Gulf of Finland. The model can be used for creating different accident scenarios and assessing the performance of various oil combating actions under uncertainty, which enables its use as a supportive tool in decision-making. While the model is confined to the western Gulf of Finland, the methodology is adaptable to other marine areas facing similar risks and challenges related to oil spills. Copyright © 2010 Elsevier B.V. All rights reserved.

An Investigation of Combat Knowledge and Attitudes of Women in the United States Air Force

DTIC Science & Technology

1989-09-01

66 How well are military. women educated on their combat role? . . . . . . 66 What are the attitudes of military women toward the...military women educated on their combat role? 5 , H . . ., I I I 2. What are the attitudes of military women toward the physical, psychological and...activities do not include actual combat, as a chaplain; any civilian in iýartime. B L.i Womeli in Combat; The- -Ia This chapter focuses on the history of the

Gender Differences Among Military Combatants: Does Social Support, Ostracism, and Pain Perception Influence Psychological Health?

PubMed

McGraw, Kate

2016-01-01

The literature on gender differences related to psychological health among in-theater service members who are deployed in a combatant role is limited. Much focuses on retrospective reports of service members who have returned from deployment. Potential key factors that contribute to gender differences in psychological health among combatants are found in literature across several topic areas, but integration of findings across disciplines is lacking. A growing body of literature on gender differences related to psychological health of postdeployment military populations suggests males and females respond differently to perceived levels of social support pre-and postdeployment. One study on service members who were deployed suggested no significant gender differences related to reported psychological health symptoms, but did appear to find significant gender differences related to reported perception of unit morale. In another related area, research explores how ostracism impacts physical and psychological health of individuals and organizations, and can result in perceptions of physical pain, although research on gender differences related to the impact of ostracism is scarce. Research has also begun to focus on sex differences in pain responses, and has identified multiple biopsychosocial, genetic, and hormonal factors that may contribute as potential underlying mechanisms. In this brief review, we focus on and begin to integrate relevant findings related to the psychological health of females in combat roles, gender differences in the impact of perception of social support on psychological health, the psychological and physical impact of ostracism on individuals and organizations, and the current literature on sex differences in pain perception. We conclude with a synthesis and discussion of research gaps identified through this review, implications for clinical practice, and potential future research directions. In conclusion, there appear to be gender

Effects of combat training on visuomotor performance in children aged 9 to 12 years - an eye-tracking study.

PubMed

Ju, Yan-Ying; Liu, Yen-Hsiu; Cheng, Chih-Hsiu; Lee, Yu-Lung; Chang, Shih-Tsung; Sun, Chi-Chin; Cheng, Hsin-Yi Kathy

2018-02-07

Data on visuomotor performance in combat training and the effects of combat training on visuomotor performance are limited. This study aimed to investigate the effects of a specially designed combat sports (CS) training program on the visuomotor performance levels of children. A pre-post comparative design was implemented. A total of 26 students aged 9-12 years underwent 40-min CS training sessions twice a week for 8 weeks during their physical education classes. The CS training program was designed by a karate coach and a motor control specialist. The other 30 students continued their regular activities and were considered as a control group. Each student's eye movement was monitored using an eye tracker, whereas the motor performance was measured using a target hitting system with a program-controlled microprocessor. The measurements were taken 8 weeks before (baseline), 1 day before (pretest), and 1 week after (posttest) the designated training program. The task used for evaluating these students was hitting or tracking random illuminated targets as rapidly as possible. A two-way analysis of variance [group(2) × time(3)] with repeated measures of time was performed for statistical analysis. For the children who received combat training, although the eye response improvement was not significant, both the primary and secondary saccade onset latencies were significantly earlier compared to the children without combat training. Both groups of students exhibited improvement in their hit response times during the target hitting tasks. The current finding supported the notion that sports training efforts essentially enhance visuomotor function in children aged 9-12 years, and combat training facilitates an earlier secondary saccade onset.

Assessment of combating-desertification strategies using the linear assignment method

NASA Astrophysics Data System (ADS)

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

2016-04-01

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

Systems Integration Analysis for Future Tower Cab Configurations/Systems

DOT National Transportation Integrated Search

1978-06-01

This report presents the results of the analysis of various aspects of the integration of future ATC systems into the tower cab. The impact on the tower cab environment is analyzed from several points of view: how the systems information and displays...

Teaching Combative Sports through Tactics

ERIC Educational Resources Information Center

Kozub, Francis M.; Kozub, Mary L.

2004-01-01

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

Facing the future: Memory as an evolved system for planning future acts

PubMed Central

Klein, Stanley B.; Robertson, Theresa E.; Delton, Andrew W.

2013-01-01

All organisms capable of long-term memory are necessarily oriented toward the future. We propose that one of the most important adaptive functions of long-term episodic memory is to store information about the past in the service of planning for the personal future. Because a system should have especially efficient performance when engaged in a task that makes maximal use of its evolved machinery, we predicted that future-oriented planning would result in especially good memory relative to other memory tasks. We tested recall performance of a word list, using encoding tasks with different temporal perspectives (e.g., past, future) but a similar context. Consistent with our hypothesis, future-oriented encoding produced superior recall. We discuss these findings in light of their implications for the thesis that memory evolved to enable its possessor to anticipate and respond to future contingencies that cannot be known with certainty. PMID:19966234

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.

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

PubMed

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

2017-12-28

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

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

PubMed

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

2017-05-01

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

Combating illiteracy

NASA Astrophysics Data System (ADS)

A science course for nonscientists at Columbia University's Columbia College that was created in 1981 as an experiment to combat “the national crisis of scientific illiteracy” has received major new foundation support and has achieved a permanent place in the college's curriculum.The course, The Theory and Practice of Science, has received a $240,000 grant from the Andrew W. Mellon Foundation, according to Robert E. Pollack, college dean, professor of biological sciences, and originator of the course. The grant will be used for the preparation and publication in 1985 of a textbook, titled The Scientific Experience, which will permit the course to be taught at other schools around the country.

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

PubMed

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

2018-07-01

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

Cockpit resource management skills enhance combat mission performance in a B-52 simulator

NASA Technical Reports Server (NTRS)

Povenmire, H. Kingsley; Rockway, Marty R.; Bunecke, Joseph L.; Patton, Mark W.

1989-01-01

A cockpit resource management (CRM) program for mission-ready B-52 aircrew is developed. The relationship between CRM performance and combat mission performance is studied. The performances of six crew members flying a simulated high workload mission in a B-52 weapon system trainer are evaluated. The data reveal that CRM performance enhances tactical maneuvers and bombing accuracy.

Economic Impact of Combat Related Injuries from the Wars in Iraq and Afghanistan

DTIC Science & Technology

2017-04-01

AWARD NUMBER: W81XWH-16-2-0005 TITLE: Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan PRINCIPAL INVESTIGATOR...TITLE AND SUBTITLE 5a. CONTRACT NUMBER Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan 5b. GRANT NUMBER W81XWH-16-2...59,000 US military have been wounded, with 6,800+ dying. The economic impact of these injuries is not well quantified. Hypothesis: Innovations in combat

Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan

DTIC Science & Technology

2017-04-01

AWARD NUMBER: W81XWH-16-2-0005 TITLE: Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan PRINCIPAL INVESTIGATOR...TITLE AND SUBTITLE 5a. CONTRACT NUMBER Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan 5b. GRANT NUMBER W81XWH-16-2...59,000 US military have been wounded, with 6,800+ dying. The economic impact of these injuries is not well quantified. Hypothesis: Innovations in combat

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 Impact of Human Factors on Decision Making in Combat

DTIC Science & Technology

1990-06-01

positive attitude and intellectual reach speak volumes for the aggressive approach necessary for progress in human factors research. * Professor Glenn...stimuli, while the third focuses on the change in combat potential/combat power resulting from stimuli on factors related to either the individual...predict the behavior of a member of this society, all possible combina- tions of variables must be tested. At the point where every variable combination

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.

The Art of Wing Leadership: Exploring the Influences of Aircrew Morale in Combat

DTIC Science & Technology

2000-06-01

air combat. This study answers the question: Is it possible to identify those characteristics of leadership that are able to sustain aircrew morale in...1 Leadership and Morale in Air Combat ......................................................................... 1 Methodology

Art Therapy for Combat-Related PTSD: Recommendations for Research and Practice

ERIC Educational Resources Information Center

Collie, Kate; Backos, Amy; Malchiodi, Cathy; Spiegel, David

2006-01-01

With a new generation of American combat veterans returning from Iraq, the nation has an obligation to do everything possible to improve care for posttraumatic stress disorder (PTSD). Although art therapy has been understudied in this context, it shows promise as a means of treating hard-to-treat symptoms of combat-related PTSD, such as avoidance…

26 CFR 49.4253-4 - Exemption for servicemen in combat zone.

Code of Federal Regulations, 2010 CFR

2010-04-01

... originating at (Point of origin) within a combat zone from (Name) a member of the Armed Forces of the United... zone, as defined in section 112, from a member of the Armed Forces of the United States performing... which Armed Forces of the United States are or have engaged in combat, and only if it is performed on or...

EphB1 as a Novel Drug Target to Combat Pain and Addiction

DTIC Science & Technology

2017-09-01

AWARD NUMBER: W81XWH-14-1-0220 TITLE: EphB1 as a Novel Drug Target to Combat Pain and Addiction PRINCIPAL INVESTIGATOR: Mark Henkemeyer...as a Novel Drug Target to Combat Pain and Ad 5a. CONTRACT NUMBER EphB1 as a Novel Drug Target to Combat Pain and Addiction 5b. GRANT NUMBER W81XWH...identify small molecular weight drug -like compounds from a >200,000 complex library that antagonize EphB1 protein-protein interactions. While we

Reintegration of Former Combatants in Sri Lanka

DTIC Science & Technology

2013-06-13

2 Importance of the Study .................................................................................................. 6 Research Question... Importance of the Study The reintegration of former combatants becomes a prime requirement of a government at the termination of a conflict. With the...

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

Weight loss in combat sports: physiological, psychological and performance effects.

PubMed

Franchini, Emerson; Brito, Ciro José; Artioli, Guilherme Giannini

2012-12-13

The present article briefly reviews the weight loss processes in combat sports. We aimed to discuss the most relevant aspects of rapid weight loss (RWL) in combat sports. This review was performed in the databases MedLine, Lilacs, PubMed and SciELO, and organized into sub-topics: (1) prevalence, magnitude and procedures, (2) psychological, physiological and performance effects, (3) possible strategies to avoid decreased performance (4) organizational strategies to avoid such practices. There was a high prevalence (50%) of RWL, regardless the specific combat discipline. Methods used are harmful to performance and health, such as laxatives, diuretics, use of plastic or rubber suits, and sauna. RWL affects physical and cognitive capacities, and may increase the risk of death. Recommendations during different training phases, educational and organizational approaches are presented to deal with or to avoid RWL.

Weight loss in combat sports: physiological, psychological and performance effects

PubMed Central

2012-01-01

Background The present article briefly reviews the weight loss processes in combat sports. We aimed to discuss the most relevant aspects of rapid weight loss (RWL) in combat sports. Methods This review was performed in the databases MedLine, Lilacs, PubMed and SciELO, and organized into sub-topics: (1) prevalence, magnitude and procedures, (2) psychological, physiological and performance effects, (3) possible strategies to avoid decreased performance (4) organizational strategies to avoid such practices. Results There was a high prevalence (50%) of RWL, regardless the specific combat discipline. Methods used are harmful to performance and health, such as laxatives, diuretics, use of plastic or rubber suits, and sauna. RWL affects physical and cognitive capacities, and may increase the risk of death. Conclusion Recommendations during different training phases, educational and organizational approaches are presented to deal with or to avoid RWL. PMID:23237303

Women in Combat: Issues for Congress

DTIC Science & Technology

2016-12-13

also consider issues such as equal opportunity, equal responsibility (such as selective service registration), and the overall manpower needs of the...have become increasingly blurred and as a result DOD’s combat exclusion policies have been called into question. On January 24, 2013, then

Legislations combating counterfeit drugs in Hong Kong.

PubMed

Lai, C W; Chan, W K

2013-08-01

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

Stability Characteristics of a Combat Aircraft with Control Surface Failure

DTIC Science & Technology

1989-11-01

I TI l ’ ’- ELECT 71 JAN 0 219903 ~OF S STABILITY CHARACTERISTICS OF A COMBAT AIRCRAFT WITH CONTROL SURFACE FAILURE Thesis Captain Stephen M. Zaiser...CONTROL SURFACE FAILURE Thesis Captain Stephen M. Zaiser AFIT/GAEIENY/89D-42 Approved for Public Release; Distribution unlimited DTIC ELECTE JAN0 2 19901...m m mm m m mm immmmm m D - STABILITY CHARACTERISTICS OF A COMBAT AIRCRAFT WITH CONTROL SURFACE FAILURE Thesis Presented to the

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

Transitioning from Combat to College: The Impact of Risk and Resilience Factors on Student Veterans

ERIC Educational Resources Information Center

Young, Sharon L.

2012-01-01

Thousands of combat veterans have transitioned to college since the passing of the Post-9/11 GI Bill in 2008. The transition from combat to college is a challenge for veterans, as the demands and structure of college differ so greatly from military life. Additionally, exposure to combat often has long lasting psychological repercussions on…

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

PubMed

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

2013-01-01

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

Study on the Future Internet System through Analysis of SCADA Systems

NASA Astrophysics Data System (ADS)

Song, Jae-Gu; Jung, Sungmo; Kim, Seoksoo

Research on the future Internet is focused on establishing standards by solving problems through various projects and accepting various requirements. In this study, the SCADA (Supervisory Control And Data Acquisition) environment, closely related with national infrastructure, is analyzed in order to explore requirements of the future Internet and then those of the SCADA network. Also, this study provides SCADA system environments for the future Internet.

All Electric Combat Vehicles (AECV) for Future Applications

DTIC Science & Technology

2004-07-01

includes the very high-speed travels. The Super Speed Maglev System (GE Trans-rapid RTO-TR-AVT-047 8 - 3 STANDARDIZATION AND DUAL USE International GmbH...Germany). [25] Super Speed Maglev System: Dipl Ing Gerhard Wahl (WEC, 19-21 June 2000). [26] Development of Dual Use Technologies and a Strategy for

Indirect Relations Between Transgressive Acts and General Combat Exposure and Moral Injury.

PubMed

Frankfurt, Sheila B; Frazier, Patricia; Engdahl, Brian

2017-11-01

Moral injury describes the deleterious effects of acts of commission (e.g., killing noncombatants), omission (e.g., failing to prevent a massacre), or betrayal (i.e., by a trusted authority figure) during military service that transgress accepted behavioral boundaries and norms. Transgressive acts are proposed to lead to a guilt- and shame-based syndrome consisting of post-traumatic stress disorder (PTSD) symptoms, demoralization, self-handicapping, and self-injury. In this study, we tested a frequently cited model of moral injury and assessed the associations between potentially transgressive acts, moral injury outcomes, and guilt and fear. Additionally, we sought to clarify the relative contribution of transgressive and nontransgressive/general combat exposure to moral injury. On the basis of previous research and theory, we anticipated that the transgressive acts would be related to outcomes through guilt and that nontransgressive combat exposure would be related to outcomes through fear. Secondary analysis was conducted on data from a sample of combat-exposed male veterans at a Midwestern Veterans Affairs (VA) medical center (N = 190) who participated in a larger parent study on postdeployment readjustment. Structural equation modeling was used to test the pathways from transgressive and nontransgressive combat exposure to PTSD symptoms and suicidality through combat-related guilt and combat-related fear. The institutional review boards of the Midwestern VA medical center and the university of the affiliated researchers approved the study. In total, 38% (n = 72) of the sample reported a potentially transgressive act as one of their three worst traumatic events. The most common potentially transgressive act was killing an enemy combatant (17%; n = 32). In structural equation modeling analyses. potentially transgressive acts were indirectly related to both suicidality (β = 0.09, p < 0.01) and PTSD symptoms (β = 0.06, p < 0.05) through guilt. General combat

An Evaluation of an Attitudinal Model to Measure the Potential for Combat Effectiveness of U.S. Air Force Organizations.

DTIC Science & Technology

1982-09-01

Fight Combat Effectiveness Organizational Assessment Package Morale Combat Effectiveness Model Cohesion Leadership 20. AIISTRACT (COe/Mie do ,eae aide If...of combat readiness. The major psychosocial dimensions which contribute to combat effectiveness of a military unit (morale leadership , cohesion, and...psychosocial dimensions in the combat effectiveness model (morale, leadership , and cohesion) in addition to training, logistics, alienation, and work group

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

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

Needle Decompression of Tension Pneumothorax Tactical Combat Casualty Care Guideline Recommendations

DTIC Science & Technology

2012-07-06

SUBJECT: Needle Decompression of Tension Pneumothorax Tactical Combat Casualty Care Guideline Recommendations 2012-05 2 demonstrating the...Decompression of Tension Pneumothorax Tactical Combat Casualty Care Guideline Recommendations 2012-05 3 needle may be too short to reliably reach the...at the AAL as the preferred site for needle decompression of a presumed tension pneumothorax . Further, studies evaluating chest wall thickness are

A Placebo-Controlled Augmentation Trial of Prazosin for Combat Trauma PTSD

DTIC Science & Technology

2013-08-01

sleep disturbance, and other hyperarousal symptoms typical of PTSD (11). Specific stimulation of CNS alpha-1 adreno- receptors disrupts REM sleep (36...result from excessive brain responsiveness to released norepinephrine disrupting rapid eye movement ( REM ) and other sleep stages (Mellman, Kumar, Kulick...in 2006, sought help for distressing combat trauma night- mares, sleep disruption, and daytime intrusive ruminations about previous combat events. He

Associations between Types of Combat Violence and the Acquired Capability for Suicide

ERIC Educational Resources Information Center

Bryan, Craig J.; Cukrowicz, Kelly C.

2011-01-01

Research suggests that combat exposure might increase risk for suicide. The interpersonal-psychological theory of suicide (IPTS) proposes that exposure to painful and provocative experiences such as combat contribute to fearlessness about death and increased pain tolerance, which serve to enhance the individual's capability to attempt suicide.…

Soldier Dimensions in Combat Models

DTIC Science & Technology

1990-05-07

and performance. Questionnaires, SQTs, and ARTEPs were often used. Many scales had estimates of reliability but few had validity data. Most studies...pending its validation . Research plans were provided for applications in simulated combat and with simulation devices, for data previously gathered...regarding reliability and validity . Lack of information following an instrument indicates neither reliability nor validity information was provided by the

Wound outcome in combat injuries is associated with a unique set of protein biomarkers

PubMed Central

2013-01-01

Background The ability to forecast whether a wound will heal after closure without further debridement(s), would provide substantial benefits to patients with severe extremity trauma. Methods Wound effluent is a readily available material which can be collected without disturbing healthy tissue. For analysis of potential host response biomarkers, forty four serial combat wound effluent samples from 19 patients with either healing or failing traumatic- and other combat-related wounds were examined by 2-D DIGE. Spot map patterns were correlated to eventual wound outcome (healed or wound failure) and analyzed using DeCyder 7.0 and differential proteins identified via LC-MS/MS. Results This approach identified 52 protein spots that were differentially expressed and thus represent candidate biomarkers for this clinical application. Many of these proteins are intimately involved in inflammatory and immune responses. Furthermore, discriminate analysis further refined the 52 differential protein spots to a smaller subset of which successfully differentiate between wounds that will heal and those that will fail and require further surgical intervention with greater than 83% accuracy. Conclusion These results suggest candidates for a panel of protein biomarkers that may aid traumatic wound care prognosis and treatment. We recommend that this strategy be refined, and then externally validated, in future studies of traumatic wounds. PMID:24192341

Combating desertification in Iran over the last 50 years: an overview of changing approaches.

PubMed

Amiraslani, Farshad; Dragovich, Deirdre

2011-01-01

Desertification in Iran was recognized between the 1930s and 1960s. This paper traces Iran's attempts to reclaim desertified areas, evaluates the anti-desertification approaches adopted, and identifies continuing challenges. Iran has areas vulnerable to desertification due to extensive areas of drylands and increasing population pressure on land and water resources. Over-grazing of rangelands is a particular problem. Initially desertification was combated mainly at the local level and involved dune stabilization measures, especially the use of oil mulch, re-vegetation and windbreaks. Insufficient technical planning in the early years has led to changed approaches to plant densities and species diversity in plantations, and increased on-going management of existing plantations. Since the late 1980s forage and crop production has increased in areas where runoff control techniques are practiced. The social and economic aspects of anti-desertification programs have assisted in poverty reduction by providing off-season employment in rural areas. In 2004 a national plan to combat desertification was ratified and this placed an emphasis on community participation. Continuing challenges include managing existing desertified areas as well as taking into account potential future problems associated with rapidly depleting groundwater supplies and a predicted reduction in the plant growth period accompanying climate change. Copyright © 2010 Elsevier Ltd. All rights reserved.

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

PubMed

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

2017-06-01

The study of organic and psychological response during combat situations has been poorly reported despite its importance for soldiers training and specific instruction, so it was proposed as aim of the present investigation to analyze the effect of a tactical parachute simulated jump in psycho-physiological response of paratroopers' warfighters during an urban combat simulation. 19 male paratroopers (31.9 ± 6.2 year old; 173.6 ± 5.3 cm; 73.8 ± 8.3 Kg) of the Spanish Army were divided in two groups: parachute jump group (n:11) that conducted a simulated parachute jump and a urban combat maneuver and a non-parachute jump group (n:8) that only conducted an urban combat maneuver. We analyzed before and after the maneuver the rated perceived exertion, legs strength manifestation, blood lactate, cortical activation, heart rate variability, blood oxygen saturation and pressure, skin temperature, fine motor skills, and anxiety state. A tactical parachute simulated jump prior to an urban combat maneuver produce significantly (p < 0.05) higher heart rate and decrease in specific fine motor skills in comparison with no jump situation in professional Army paratroopers. Independently of the parachute jump, an urban combat maneuver produces a significant increase in rated perceived exertion, blood lactate, heart rate, legs strength, sympathetic modulation and anxiety response as well as a significant decrease in blood oxygen saturation and parasympathetic modulation.

NASA's Radioisotope Power Systems Planning and Potential Future Systems Overview

NASA Technical Reports Server (NTRS)

Zakrajsek, June F.; Woerner, Dave F.; Cairns-Gallimore, Dirk; Johnson, Stephen G.; Qualls, Louis

2016-01-01

The goal of NASA's Radioisotope Power Systems (RPS) Program is to make RPS ready and available to support the exploration of the solar system in environments where the use of conventional solar or chemical power generation is impractical or impossible to meet the needs of the missions. To meet this goal, the RPS Program, working closely with the Department of Energy, performs mission and system studies (such as the recently released Nuclear Power Assessment Study), assesses the readiness of promising technologies to infuse in future generators, assesses the sustainment of key RPS capabilities and knowledge, forecasts and tracks the Program's budgetary needs, and disseminates current information about RPS to the community of potential users. This process has been refined and used to determine the current content of the RPS Program's portfolio. This portfolio currently includes an effort to mature advanced thermoelectric technology for possible integration into an enhanced Multi-Mission Radioisotope Generator (eMMRTG), sustainment and production of the currently deployed MMRTG, and technology investments that could lead to a future Stirling Radioisotope Generator (SRG). This paper describes the program planning processes that have been used, the currently available MMRTG, and one of the potential future systems, the eMMRTG.

NASA's Radioisotope Power Systems Planning and Potential Future Systems Overview

NASA Technical Reports Server (NTRS)

Zakrajsek, June F.; Woerner, Dave F.; Cairns-Gallimore, Dirk; Johnson, Stephen G.; Qualis, Louis

2016-01-01

The goal of NASA's Radioisotope Power Systems (RPS) Program is to make RPS ready and available to support the exploration of the solar system in environments where the use of conventional solar or chemical power generation is impractical or impossible to meet the needs of the missions. To meet this goal, the RPS Program, working closely with the Department of Energy, performs mission and system studies (such as the recently released Nuclear Power Assessment Study), assesses the readiness of promising technologies to infuse in future generators, assesses the sustainment of key RPS capabilities and knowledge, forecasts and tracks the Programs budgetary needs, and disseminates current information about RPS to the community of potential users. This process has been refined and used to determine the current content of the RPS Programs portfolio. This portfolio currently includes an effort to mature advanced thermoelectric technology for possible integration into an enhanced Multi-Mission Radioisotope Generator (eMMRTG), sustainment and production of the currently deployed MMRTG, and technology investments that could lead to a future Stirling Radioisotope Generator (SRG). This paper describes the program planning processes that have been used, the currently available MMRTG, and one of the potential future systems, the eMMRTG.

Machine learning: novel bioinformatics approaches for combating antimicrobial resistance.

PubMed

Macesic, Nenad; Polubriaginof, Fernanda; Tatonetti, Nicholas P

2017-12-01

Antimicrobial resistance (AMR) is a threat to global health and new approaches to combating AMR are needed. Use of machine learning in addressing AMR is in its infancy but has made promising steps. We reviewed the current literature on the use of machine learning for studying bacterial AMR. The advent of large-scale data sets provided by next-generation sequencing and electronic health records make applying machine learning to the study and treatment of AMR possible. To date, it has been used for antimicrobial susceptibility genotype/phenotype prediction, development of AMR clinical decision rules, novel antimicrobial agent discovery and antimicrobial therapy optimization. Application of machine learning to studying AMR is feasible but remains limited. Implementation of machine learning in clinical settings faces barriers to uptake with concerns regarding model interpretability and data quality.Future applications of machine learning to AMR are likely to be laboratory-based, such as antimicrobial susceptibility phenotype prediction.

Innovative contracting strategies for combating climate change.

DOT National Transportation Integrated Search

2011-11-01

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

Transition and Transformation--From Military Combat to College Classroom: Strategies for Success

ERIC Educational Resources Information Center

Brewer, Charles Mark

2016-01-01

Research shows that faculty, staff, and administrators at institutions of higher learning have a fundamental responsibility to create a safe and effective learning environment for returning military combat veterans. Studies of student veterans have shown that combat veterans have both unique strengths and barriers that must be taken into account…

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

ERIC Educational Resources Information Center

Pearrow, Melissa; Cosgrove, Lisa

2009-01-01

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

Combating adolescent obesity: an integrated physiological and psychological perspective.

PubMed

ten Hoor, Gill A; Plasqui, Guy; Schols, Annemie M W J; Kok, Gerjo

2014-11-01

Optimizing the approach to combat childhood obesity, we emphasize the importance of combining both biological and psychological knowledge. In such an approach, strength exercises might be an important aspect in the treatment and prevention of childhood obesity. Recent evidence indicates plausible effects of the role of resistance exercise in combating the negative health effects of childhood obesity. When looking at body composition, overweight youngsters do not only have a higher fat mass, but also a higher muscle mass compared with their normal-weight counterparts. With that, they are also stronger and better in exercises wherein the focus is on absolute strength, making them - under the right circumstances - more motivated to engage in resistance exercise and ultimately maintain a physically active lifestyle. More and more children are obese, and obese children become obese adults. One reason that overweight youngsters are not physically active is that they are outperformed by normal-weight youngsters, and one reason they are overweight is because they are not physically active. To combat childhood obesity, strength exercise might be a solution to break the vicious cycle.

Gene-environment interaction of ApoE genotype and combat exposure on PTSD.

PubMed

Lyons, Michael J; Genderson, Margo; Grant, Michael D; Logue, Mark; Zink, Tyler; McKenzie, Ruth; Franz, Carol E; Panizzon, Matthew; Lohr, James B; Jerskey, Beth; Kremen, William S

2013-10-01

Factors determining who develops PTSD following trauma are not well understood. The €4 allele of the apolipoprotein E (apoE) gene is associated with dementia and unfavorable outcome following brain insult. PTSD is also associated with dementia. Given evidence that psychological trauma adversely affects the brain, we hypothesized that the apoE genotype moderates effects of psychological trauma on PTSD pathogenesis. To investigate the moderation of the relationship between PTSD symptoms and combat exposure, we used 172 participants with combat trauma sustained during the Vietnam War. PTSD symptoms were the dependent variable and number of combat experiences, apoE genotype, and the combat experiences × apoE genotype interaction were predictors. We also examined the outcome of a diagnosis of PTSD (n = 39) versus no PTSD diagnosis (n = 131). The combat × apoE genotype interaction was significant for both PTSD symptoms (P = .014) and PTSD diagnosis (P = .009). ApoE genotype moderates the relationship between combat exposure and PTSD symptoms. Although the pathophysiology of PTSD is not well understood, the €4 allele is related to reduced resilience of the brain to insult. Our results are consistent with the €4 allele influencing the effects of psychological trauma on the brain, thereby affecting the risk of PTSD. © 2013 Wiley Periodicals, Inc.

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

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.

The Future of Pediatric Obesity.

PubMed

Hutchinson, Jeff; Emerick, Jill; Saxena, Harshita

2016-03-01

The National Health and Nutrition Examination Survey from the Centers for Disease Control and Prevention reports a steady increase in obesity over the last 30 years. The greatest increase was seen in 15 to 19 year olds, whose obesity prevalence almost doubled from 10.5% to 19.4%. The solution to pediatric obesity requires a multidisciplinary approach addressing cultural norms, technologic advances, and family engagement. Future treatment strategies to combat the obesity epidemic will have to extend beyond the health care provider's office. Behavior modification remains the key component to pediatric obesity prevention and treatment. Published by Elsevier Inc.

New combat laser and ballistic eye protection goggles

NASA Astrophysics Data System (ADS)

Belkin, Michael

1996-04-01

Up to 10% of all combat casualties involve eye injuries which are becoming more severe, bilateral and likely to lead to a retained intraocular foreign body. The modern battlefield is permeated with laser radiation from range finders, target designators and perhaps laser weapons aimed at producing visual incapacitation. In future wars, therefore, the likelihood of eye injuries is very high. We sought to devise means to protect the eye from military relevant injurious agents. Almost all ballistic injuries can be prevented by using polycarbonate goggles. They must not, however, interfere with the soldier's functions such as the use of binoculars or limit his visual fields. These problems are not insurmountable and we shall demonstrate new goggles design which we believe will be acceptable to the troops. The solution to laser protection is more difficult. For that purpose the goggles include outserts filters for various groups of laser wavelengths. The soldier will use the appropriate filter according to a reading from a laser detector which will indicate which filter is protective against the wavelength detected.

Microbial Profiling of Combat Wound Infection through Detection Microarray and Next-Generation Sequencing

PubMed Central

Allen, Jonathan E.; Brown, Trevor S.; Gardner, Shea N.; McLoughlin, Kevin S.; Forsberg, Jonathan A.; Kirkup, Benjamin C.; Chromy, Brett A.; Luciw, Paul A.; Elster, Eric A.

2014-01-01

Combat wound healing and resolution are highly affected by the resident microbial flora. We therefore sought to achieve comprehensive detection of microbial populations in wounds using novel genomic technologies and bioinformatics analyses. We employed a microarray capable of detecting all sequenced pathogens for interrogation of 124 wound samples from extremity injuries in combat-injured U.S. service members. A subset of samples was also processed via next-generation sequencing and metagenomic analysis. Array analysis detected microbial targets in 51% of all wound samples, with Acinetobacter baumannii being the most frequently detected species. Multiple Pseudomonas species were also detected in tissue biopsy specimens. Detection of the Acinetobacter plasmid pRAY correlated significantly with wound failure, while detection of enteric-associated bacteria was associated significantly with successful healing. Whole-genome sequencing revealed broad microbial biodiversity between samples. The total wound bioburden did not associate significantly with wound outcome, although temporal shifts were observed over the course of treatment. Given that standard microbiological methods do not detect the full range of microbes in each wound, these data emphasize the importance of supplementation with molecular techniques for thorough characterization of wound-associated microbes. Future application of genomic protocols for assessing microbial content could allow application of specialized care through early and rapid identification and management of critical patterns in wound bioburden. PMID:24829242

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

PubMed

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

2012-07-01

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

Weight Management Practices of Australian Olympic Combat Sport Athletes.

PubMed

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

2018-05-15

Combat sport athletes undertake chronic and rapid weight loss (RWL) practices to qualify for weight divisions lower than their training weight. Variation between sports in the prevalence, methods, and magnitude of weight loss as well as recovery practices may be influenced by factors including competition level and culture. Differences in methodologies of previous research in combat sports make direct comparisons difficult; thus, this study aimed to examine weight loss practices among all Olympic combat sports in Australia, using standardized methodology. High-caliber competitors in wrestling, boxing, judo, and taekwondo (n = 260) at Australian competitions were surveyed using a validated tool that provides quantification of how extreme an athlete's weight loss practices are: the rapid weight loss score (RWLS). Additional qualitative and quantitative survey data were also collected. Neither sport, sex, nor weight division group had an effect on RWLS; however, a significant effect of athlete caliber was detected (F 2,215  = 4.953, mean square error = 4.757, P = .00792). Differences between sports were also evident for most weight ever lost in order to compete (H = 19.92, P = .0002), age at which weight cutting began (H = 16.34, P = .001), and selected methods/patterns of RWL (P < .001). Weight cycling between competitions was common among all sports as were influences on athlete's behaviors. Although many similarities in weight loss practices and experiences exist between combat sports, specific differences were evident. Nuanced, context/culturally specific guidelines should be devised to assist fighters' in optimizing performance while minimizing health implications.

Exploring the Experiences of Combat Veterans' Degree Attainment in Online Higher Education: A Phenomenological Study

ERIC Educational Resources Information Center

Warren, Ester

2017-01-01

The purpose of this transcendental phenomenological study was to describe the essence of the experiences of combat veterans with significant combat exposure who successfully completed their bachelor's degree through a private online program despite the presence of challenges related and unrelated to their combat exposure. For the purpose of this…

75 FR 67804 - Future Systems Technology Advisory Panel Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-03

... SOCIAL SECURITY ADMINISTRATION [Docket No. SSA-2010-0071] Future Systems Technology Advisory Panel... recommendations on the future of systems technology and electronic services at the agency five to ten years into... technologies may be developed to assist in carrying out its statutory mission. Advice and recommendations can...

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...

Combat near-death experiences: an exploratory study.

PubMed

Goza, Tracy H; Holden, Janice M; Kinsey, Lee

2014-10-01

The purpose of this study was to add to the professional literature regarding combat near-death experiences (cNDEs) and to help clinicians and experiencers (cNDErs) recognize this phenomenon as an experience that is not indicative of mental illness. cNDErs were military personnel whose NDEs occurred during active combat or sequelae. Sixty-eight self-reported survivors of combat-related close brushes with death completed an online survey that included the Near-Death Experience Scale(1) (NDE Scale), the Life-Changes Inventory-Revised(2), and a few open-ended questions. Respondents were 20 cNDErs-participants who scored at least 7 on the NDE Scale-and 48 non-NDErs. Compared to NDErs from two methodologically similar studies, cNDErs scored lower on Bonferroni corrected t-tests than NDErs on the NDE Scale overall(3) (p < 0.0003) and on Affective and Transcendental subscales; they scored higher on the Cognitive subscale(1) (p < 0.0007). In Life-Changes Inventory-Revised total change and six of seven value clusters, cNDErs, compared to non-NDErs, scored in the same direction as numerous other studies of NDE aftereffects, but none of the differences were statistically significant and all reflected small effect sizes except total change and changes in spirituality that reflected medium effect sizes--a finding that corresponded to analysis of narrative responses. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

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…

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...

Combat sports practice favors bone mineral density among adolescent male athletes.

PubMed

Nasri, Raouf; Hassen Zrour, Saoussen; Rebai, Haithem; Neffeti, Fadoua; Najjar, Mohamed Fadhel; Bergaoui, Naceur; Mejdoub, Hafedh; Tabka, Zouhair

2015-01-01

The aim of this study was to determine the impact of combat sports practice on bone mineral density (BMD) and to analyze the relationship between bone parameters and anthropometric measurements, bone markers, and activity index (AI). In other words, to detect the most important determinant of BMD in the adolescent period among combat sports athletes. Fifty athletes engaged in combat sports, mean age 17.1±0.2 yr, were compared with 30 sedentary subjects who were matched for age, height, and pubertal stage. For all subjects, the whole-body BMD, lumbar spine BMD (L2-L4), and BMD in the pelvis, arms, and legs was measured by dual-energy X-ray absorptiometry, and anthropometric measurements were evaluated. Daily calcium intake, bone resorption, and formation markers were measured. BMD measurements were greater in the combat sports athletes than in the sedentary group (p<0.01). Weight, body mass index, and lean body mass were significantly correlated with BMD in different sites. Daily calcium consumption lower than daily calcium intake recommended in both athletes and sedentary group. AI was strongly correlated with all BMD measurements particularly with the whole body, legs, and arms. Negative correlations were observed between bone markers and BMD in different sites. The common major predictor of BMD measurements was AI (p<0.0001). AI associated to lean body mass determined whole-body BMD until 74%. AI explained both BMD in arms and L2-L4 at 25%. AI associated to height can account for 63% of the variance in BMD legs. These observations suggested that the best model predicting BMD in different sites among adolescent combat sports athletes was the AI. Children and adolescents should be encouraged to participate in combat sports to maximize their bone accrual. Copyright © 2015 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

An Educational Methodology for Enhancing Familiarity with United States Air Force Combat Logistics.

DTIC Science & Technology

1983-09-01

degree of specialization in the supply 5 system and recommended an alternative organizational struc- ture under combat conditions (29:5,9). Two needs...many sub-issues. CLASSROOM MATERIAL SOURCES: Alternatives to standard air base functions should definitely be brought out also, especially the Air Force...C . -’ , - . . . .... .-. -... . or aspects of the subject. The investigative format we use should be flexible enough that we can explore

Navy Combatives: Adjusting Course for the Future

DTIC Science & Technology

2010-12-01

Judo and Japanese Ju Jitsu as a young boy. Gracie developed a system in BJJ that allowed him to use his small frame against much larger adversaries...Defendu. Fairbairn was an instructor for the Shanghai Police teaching the styles of Chinese Boxing and Japanese Ju Jitsu . Mixing these two...refinement of Japanese Ju Jitsu and was created as a non-lethal way to subdue an attacker. Using an opponent’s enemy against it, the strength of

The US framework for understanding, preventing, and caring for the mental health needs of service members who served in combat in Afghanistan and Iraq: a brief review of the issues and the research

PubMed Central

Castro, Carl Andrew

2014-01-01

This paper reviews the psychological health research conducted in the United States in support of combat veterans from Iraq and Afghanistan, using the Military Psychological Health Research Continuum, which includes foundational science, epidemiology, etiology, prevention and screening, treatment, follow-up care, and services research. The review is limited to those studies involving combat veterans and military families. This review discusses perplexing issues regarding the impact of combat on the mental health of service members such as risk and resilience factors of mental health, biomarkers of posttraumatic stress syndrome (PTSD), mental health training, psychological screening, psychological debriefing, third location decompression, combat and suicide, the usefulness of psychotherapy and drug therapy for treating PTSD, role of advanced technology, telemedicine and virtual reality, methods to reduce stigma and barriers to care, and best approaches to the dissemination of evidence-based interventions. The mental health research of special populations such as women, National Guardsmen and reservists, and military families is also presented. The review concludes by identifying future areas of research. PMID:25206943

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

PubMed

Wortzel, Hal S; Arciniegas, David B

2010-01-01

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

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.

Combat Exposure Severity as a Moderator of Genetic and Environmental Liability to Posttraumatic Stress Disorder

PubMed Central

Wolf, Erika J.; Mitchell, Karen S.; Koenen, Karestan C.; Miller, Mark W.

2014-01-01

Background Twin studies of veterans and adults suggest that approximately 30–46% of the variance in posttraumatic stress disorder (PTSD) is attributable to genetic factors. The remaining variance is attributable to the non-shared environment, which, by definition, includes combat exposure. This study used a gene by measured environment twin design to examine if the effect of genetic and environmental factors that contribute to the etiology PTSD were dependent on level of combat exposure. Methods The sample was drawn from the Vietnam Era Twin Registry and included 620 male-male twin pairs who served in the U.S. Military in South East Asia during the Vietnam War era. Analyses were based on data from a clinical diagnostic interview of lifetime PTSD symptoms and a self-report measure of combat exposure. Results Biometric modeling revealed that the effect of genetic and non-shared environment factors on PTSD varied as a function of level of combat exposure such that the association between these factors and PTSD was stronger at higher levels of combat exposure. Conclusions Combat exposure may act as a catalyst that augments the impact of hereditary and environmental contributions to PTSD. Individuals with the greatest exposure to combat trauma were at increased risk for PTSD as a function of both genetic and other environmental factors. Additional work is needed to determine the biological and environmental mechanisms driving these associations. PMID:24001428

Visionary leadership and the future of VA health system.

PubMed

Bezold, C; Mayer, E; Dighe, A

1997-01-01

As the U.S. Department of Veterans Affairs (VA) makes the change over to Veterans Integrated Service Network (VISNs) the need for new and better leadership is warranted if VA wants to not only survive, but thrive in the emerging twenty-first century healthcare system. VA can prepare for the future and meet the challenges facing them by adopting a system of visionary leadership. The use of scenarios and vision techniques are explained as they relate to VA's efforts to move toward their new system of VISNs. The four scenarios provide snapshots of possible futures for the U.S. healthcare system as well as the possible future role and mission of VA--from VA disappearing to its becoming a premier virtual organization.

A Review of Selected Literature on Stresses Affecting Soldiers in Combat

DTIC Science & Technology

1979-05-01

frequently been shown to enhance rather than degrade performance. The foregoing sampling of stress-related concepts is by no means intended to be...sufficient water for a day’s combat. Even in tanks, there is inadequate storage for consumable liquids. Therefore, during intense combat, or during periods...made for defecation or urination while wearing protective clothing. While this will not likely prove fatal, it can result in great personal distress

Repeated Exposure to Taekwondo Combat Modulates the Physiological and Hormonal Responses to Subsequent Bouts and Recovery Periods.

PubMed

Bridge, Craig A; Sparks, Andy S; McNaughton, Lars R; Close, Graeme L; Hausen, Matheus; Gurgel, Jonas; Drust, Barry

2018-05-17

Bridge, CA, Sparks, SA, McNaughton, LR, Close, GL, Hausen, M, Gurgel, J, and Drust, B. Repeated exposure to taekwondo combat modulates the physiological and hormonal responses to subsequent bouts and recovery periods. J Strength Cond Res XX(X): 000-000, 2018-This study examined the physiological and hormonal responses to successive taekwondo combats using an ecologically valid competition time structure. Ten elite male international taekwondo competitors (age 19 ± 3 years) took part in a simulated championship event. The competitors performed 4 combats that were interspersed with different recovery intervals (63 ± 4, 31 ± 3 and 156 ± 5 minutes, respectively). Heart rate (HR) was measured during the combats and venous blood samples were obtained both before and after each combat to determine the plasma metabolite and hormone concentrations. The plasma noradrenaline (21.8 ± 12.8 vs. 15.0 ± 7.0 nmol·l) and lactate (13.9 ± 4.2 vs. 10.5 ± 3.2 mmol·l) responses were attenuated (p < 0.05) between combat 1 and 4. Higher (p < 0.05) HR responses were evident in the final combat when compared with the earlier combats. Higher (p < 0.05) resting HR (139 ± 10 vs. 127 ± 12 b·min), plasma lactate (3.1 ± 1.2 vs. 2.0 ± 0.7 mmol·l), glycerol (131 ± 83 vs. 56 ± 38 μmol·l) and nonesterified free fatty acid (0.95 ± 0.29 vs. 0.71 ± 0.28 mmol·l) concentrations were measured before combat 3 compared with combat 1. Repeated exposure to taekwondo combat using an ecologically valid time structure modulates the physiological and hormonal responses to subsequent bouts and recovery periods. Strategies designed to assist competitors to effectively manage the metabolic changes associated with the fight schedule and promote recovery between the bouts may be important during championship events.

A High-Fidelity Batch Simulation Environment for Integrated Batch and Piloted Air Combat Simulation Analysis

NASA Technical Reports Server (NTRS)

Goodrich, Kenneth H.; McManus, John W.; Chappell, Alan R.

1992-01-01

A batch air combat simulation environment known as the Tactical Maneuvering Simulator (TMS) is presented. The TMS serves as a tool for developing and evaluating tactical maneuvering logics. The environment can also be used to evaluate the tactical implications of perturbations to aircraft performance or supporting systems. The TMS is capable of simulating air combat between any number of engagement participants, with practical limits imposed by computer memory and processing power. Aircraft are modeled using equations of motion, control laws, aerodynamics and propulsive characteristics equivalent to those used in high-fidelity piloted simulation. Databases representative of a modern high-performance aircraft with and without thrust-vectoring capability are included. To simplify the task of developing and implementing maneuvering logics in the TMS, an outer-loop control system known as the Tactical Autopilot (TA) is implemented in the aircraft simulation model. The TA converts guidance commands issued by computerized maneuvering logics in the form of desired angle-of-attack and wind axis-bank angle into inputs to the inner-loop control augmentation system of the aircraft. This report describes the capabilities and operation of the TMS.

Injuries associated with combat sports, active component, U.S. Armed Forces, 2010-2013.

PubMed

2014-05-01

The practice of combat sports creates a potential for training- and sports-related injuries among military members. During the 4-year surveillance period, there were 12,108 cases of injuries associated with combat sports among active component service members; the overall incidence rate was 21.0 per 10,000 person-years (p-yrs). The rates were higher among service members who were male, Hispanic, in the youngest age groups, in the Army, junior enlisted, and in combat-specific occupations. The rate among recruit/ trainees (779.4 per 10,000 p-yrs) was more than 165 times the rate among all other active component service members (non-recruits) (4.7 per 10,000 p-yrs). Sprains, strains, and contusions accounted for more than one-half of the primary (first-listed) diagnoses associated with combat sports cases. More serious conditions such as concussions/head injuries and skull/face fractures/intracranial injuries were reported among 3.9% and 2.1% of all cases and were more common among boxing-related cases. Hand/wrist fractures were also common among boxing cases. Wrestling had comparatively greater proportions of dislocations and open wounds. Although the combat sport training provides many physical and mental benefits to the individual, safety practices should be enforced to reduce the most frequent and serious injuries.

The effects of elevated hearing thresholds on performance in a paintball simulation of individual dismounted combat.

PubMed

Sheffield, Benjamin; Brungart, Douglas; Tufts, Jennifer; Ness, James

2017-01-01

To examine the relationship between hearing acuity and operational performance in simulated dismounted combat. Individuals wearing hearing loss simulation systems competed in a paintball-based exercise where the objective was to be the last player remaining. Four hearing loss profiles were tested in each round (no hearing loss, mild, moderate and severe) and four rounds were played to make up a match. This allowed counterbalancing of simulated hearing loss across participants. Forty-three participants across two data collection sites (Fort Detrick, Maryland and the United States Military Academy, New York). All participants self-reported normal hearing except for two who reported mild hearing loss. Impaired hearing had a greater impact on the offensive capabilities of participants than it did on their "survival", likely due to the tendency for individuals with simulated impairment to adopt a more conservative behavioural strategy than those with normal hearing. These preliminary results provide valuable insights into the impact of impaired hearing on combat effectiveness, with implications for the development of improved auditory fitness-for-duty standards, the establishment of performance requirements for hearing protection technologies, and the refinement of strategies to train military personnel on how to use hearing protection in combat environments.

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.

Complex Perceptions of Identity: The Experiences of Student Combat Veterans in Community College

ERIC Educational Resources Information Center

Hammond, Shane Patrick

2016-01-01

This qualitative study illustrates how complex perceptions of identity influence the community college experience for student veterans who have been in combat, creating barriers to their overall persistence. The collective experiences of student combat veterans at two community colleges in northwestern Massachusetts are presented, and a Combat…

Resting-state functional connectivity in combat veterans suffering from impulsive aggression

PubMed Central

Heesink, Lieke; van Honk, Jack; Geuze, Elbert

2017-01-01

Abstract Impulsive aggression is common among military personnel after deployment and may arise because of impaired top-down regulation of the amygdala by prefrontal regions. This study sought to further explore this hypothesis via resting-state functional connectivity analyses in impulsively aggressive combat veterans. Male combat veterans with (n = 28) and without (n = 30) impulsive aggression problems underwent resting-state functional magnetic resonance imaging. Functional connectivity analyses were conducted with the following seed-regions: basolateral amygdala (BLA), centromedial amygdala, anterior cingulate cortex (ACC), and anterior insular cortex (AIC). Regions-of-interest analyses focused on the orbitofrontal cortex and periaqueductal gray, and yielded no significant results. In exploratory cluster analyses, we observed reduced functional connectivity between the (bilateral) BLA and left dorsolateral prefrontal cortex in the impulsive aggression group, relative to combat controls. This finding indicates that combat-related impulsive aggression may be marked by weakened functional connectivity between the amygdala and prefrontal regions, already in the absence of explicit emotional stimuli. Group differences in functional connectivity were also observed between the (bilateral) ACC and left cuneus, which may be related to heightened vigilance to potentially threatening visual cues, as well as between the left AIC and right temporal pole, possibly related to negative memory association in impulsive aggression. PMID:29040723

Physiological Responses and Performance Analysis Difference between Official and Simulated Karate Combat Conditions.

PubMed

Chaabène, Helmi; Mkaouer, Bessem; Franchini, Emerson; Souissi, Nafaa; Selmi, Mohamed Amine; Nagra, Yassine; Chamari, Karim

2014-03-01

This study aimed to compare physiological responses and time-motion analysis between official and simulated karate combat. Ten high-level karatekas participated in this study, which included official and simulated karate combat. Karatekas used more upper-limb attack techniques during official combat compared to simulated ones (6±3 vs 3±1; P=0.05, respectively). For official and simulated karate matches, the numbers of high-intensity actions (i.e. offensive and defensive fighting activity) were 14±6 and 18±5, respectively (P>0.05), lasting from <1s to 5s each. Total fighting activity phase was lower during official compared to simulated matches (21.0±8.2s vs 30.4±9.9s, P<0.01, respectively). Effort (10.0±2.8s) to rest (11.9±2.7s) ratio (E:R) was 1:1 and high-intensity actions (1.6±0.3s) to rest (11.9±2.7s) ratio was higher than 1:7 during simulated combat. During official karate match, the activity and rest duration were 10.0±3.4s and 16.2±4.1s, respectively (E:R ratio 1:1.5), while high-intensity actions were 1.5±0.3s, resulting in an E:R ratio of 1:11. Blood lactate concentration was higher during official (11.14±1.82 mmol.l(-1)) compared to simulated karate combat (7.80±2.66 mmol.l(-1)) (P<0.05). Subjective perceived exertion differed significantly between official and simulated combat (14±2 vs. 12±2; P<0.05, respectively). The majority of karatekas' perceived exertion was higher in the lower limb muscle groups irrespective of the karate combat condition. Official and simulated matches differ considerably, therefore coaches should create new strategies during training sessions to achieve the same effort and pause profile of competitive matches and/or that athletes should be submitted to frequent competitions to adapt themselves to the profile of this event.

Adding Injury to Insult: A National Analysis of Combat Sport-Related Facial Injury.

PubMed

Hojjat, Houmehr; Svider, Peter F; Lin, Ho-Sheng; Folbe, Adam J; Shkoukani, Mahdi A; Eloy, Jean Anderson; Zuliani, Giancarlo

2016-08-01

To estimate the incidence of patients presenting to emergency departments (EDs) for facial trauma sustained from participation in combat sports and evaluate injury patterns and patient demographics. The National Electronic Injury Surveillance System (NEISS) was evaluated for facial injuries from wrestling, boxing, and martial arts leading to ED visits from 2008 to 2013. Relevant entries were examined for injury mechanism, location, type, as well as other patient characteristics. There were 1143 entries extrapolating to an estimated 42 395 ED visits from 2008 to 2013. Injury rates for boxing, marital arts, and wrestling were, respectively, 44, 56, and 120 injuries per 100 000 participants. Males comprised the majority (93.7%). A plurality of injuries involved lacerations (46.0%), followed by fractures (26.2%) and contusions/abrasions (19.3%). The proportion of fractures was highest among boxers (36.9%). Overall, the most common mechanisms of injury were punching, kicking, and head butting. The significant number of ED visits resulted from combat sports facial trauma, reinforcing the importance of familiarity with injury patterns among practitioners managing facial trauma. As most injuries involve individuals younger than 19 despite guidelines suggesting children and adolescents avoid combat sports, these findings may be used for patient education and encouragement of the use of personal protective equipment. Furthermore, injury patterns reported in this analysis may serve as an adjunct for enhancing clinical history taking and physical examination. © The Author(s) 2016.

The Military Casualty with Combat Related Acute Post Traumatic Stress Disorder

DTIC Science & Technology

1984-05-01

explored. A researcher designed "Combat Fatigue Questionnaire" was mailed to 600 USAF nurses selected randomly. Three hundred sixty one USAF nurses...psychiatry noted: "Exhaustion was selected because it best described the appearance of most psychia- tric casualties" (p. xvii). Ernie Pyle, a World War II...Haber & Runyon, PL 1977), 600 (13.3% of the total USAF nurse population) names were selected . The "Combat Fatigue Questionnaire" was mailed between

Combat exposure severity as a moderator of genetic and environmental liability to post-traumatic stress disorder.

PubMed

Wolf, E J; Mitchell, K S; Koenen, K C; Miller, M W

2014-05-01

Twin studies of veterans and adults suggest that approximately 30-46% of the variance in post-traumatic stress disorder (PTSD) is attributable to genetic factors. The remaining variance is attributable to the non-shared environment, which, by definition, includes combat exposure. This study used a gene by measured environment twin design to determine whether the effects of genetic and environmental factors that contribute to the etiology of PTSD are dependent on the level of combat exposure. The sample was drawn from the Vietnam Era Twin Registry (VETR) and included 620 male-male twin pairs who served in the US Military in South East Asia during the Vietnam War era. Analyses were based on data from a clinical diagnostic interview of lifetime PTSD symptoms and a self-report measure of combat exposure. Biometric modeling revealed that the effects of genetic and non-shared environment factors on PTSD varied as a function of level of combat exposure such that the association between these factors and PTSD was stronger at higher levels of combat exposure. Combat exposure may act as a catalyst that augments the impact of hereditary and environmental contributions to PTSD. Individuals with the greatest exposure to combat trauma were at increased risk for PTSD as a function of both genetic and environmental factors. Additional work is needed to determine the biological and environmental mechanisms driving these associations.

Understanding combat casualty care statistics.

PubMed

Holcomb, John B; Stansbury, Lynn G; Champion, Howard R; Wade, Charles; Bellamy, Ronald F

2006-02-01

Maintaining good hospital records during military conflicts can provide medical personnel and researchers with feedback to rapidly adjust treatment strategies and improve outcomes. But to convert the resulting raw data into meaningful conclusions requires clear terminology and well thought out equations, utilizing consistent numerators and denominators. Our objective was to arrive at terminology and equations that would produce the best insight into the effectiveness of care at different stages of treatment, either pre or post medical treatment facility care. We first clarified three essential terms: 1) the case fatality rate (CFR) as percentage of fatalities among all wounded; 2) killed in action (KIA) as percentage of immediate deaths among all seriously injured (not returning to duty); and 3) died of wounds (DOW) as percentage of deaths following admission to a medical treatment facility among all seriously injured (not returning to duty). These equations were then applied consistently across data from the WWII, Vietnam and the current Global War on Terrorism. Using this clear set of definitions we used the equations to ask two basic questions: What is the overall lethality of the battlefield? How effective is combat casualty care? To answer these questions with current data, the three services have collaboratively created a joint theater trauma registry (JTTR), cataloging all the serious injuries, procedures, and outcomes for the current war. These definitions and equations, consistently applied to the JTTR, will allow meaningful comparisons and help direct future research and appropriate application of personnel.

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

PubMed

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

2017-07-01

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

Cockpit Resource Management (CRM) training in the 1550th combat crew training wing

NASA Technical Reports Server (NTRS)

Fiedler, Michael T.

1987-01-01

The training program the 1550th Combat Crew Training Wing at Kirtland Air Force Base, New Mexico, implemented in September 1985 is discussed. The program is called Aircrew Coordination Training (ACT), and it is designed specifically to help aircrew members work more effectively as a team in their respective aircraft and hopefully to reduce human factors-related accidents. The scope of the 1550th CCTW's training responsibilities is described, the structure of the program, along with a brief look at the content of the academic part of the course. Then the Mission-Oriented Simulator Training (MOST) program is discussed; a program similar to the Line Oriented Flight Training (LOFT) programs. Finally, the future plans for the Aircrew Coordination Training Program at the 1550th is discussed.

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.

Trial Maneuver Generation and Selection in the Paladin Tactical Decision Generation System

NASA Technical Reports Server (NTRS)

Chappell, Alan R.; McManus, John W.; Goodrich, Kenneth H.

1992-01-01

To date, increased levels of maneuverability and controllability in aircraft have been postulated as tactically advantageous, but little research has studied maneuvers or tactics that make use of these capabilities. In order to help fill this void, a real time tactical decision generation system for air combat engagements, Paladin, has been developed. Paladin models an air combat engagement as a series of discrete decisions. A detailed description of Paladin's decision making process is presented. This includes the sources of data used, methods of generating reasonable maneuvers for the Paladin aircraft, and selection criteria for choosing the "best" maneuver. Simulation results are presented that show Paladin to be relatively insensitive to errors introduced into the decision process by estimation of future positional and geometric data.

Trial maneuver generation and selection in the Paladin tactical decision generation system

NASA Technical Reports Server (NTRS)

Chappell, Alan R.; Mcmanus, John W.; Goodrich, Kenneth H.

1993-01-01

To date, increased levels of maneuverability and controllability in aircraft have been postulated as tactically advantageous, but little research has studied maneuvers or tactics that make use of these capabilities. In order to help fill this void, a real-time tactical decision generation system for air combat engagements, Paladin, has been developed. Paladin models an air combat engagement as a series of discrete decisions. A detailed description of Paladin's decision making process is presented. This includes the sources of data used, methods of generating reasonable maneuvers for the Paladin aircraft, and selection criteria for choosing the 'best' maneuver. Simulation results are presented that show Paladin to be relatively insensitive to errors introduced into the decision process by estimation of future positional and geometric data.

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

PubMed

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

2016-01-01

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

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 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.

Trauma-induced dissociative amnesia in World War I combat soldiers.

PubMed

van der Hart, O; Brown, P; Graafland, M

1999-02-01

This study relates trauma-induced dissociative amnesia reported in World War I (WW I) studies of war trauma to contemporary findings of dissociative amnesia in victims of childhood sexual abuse. Key diagnostic studies of post-traumatic amnesia in WW I combatants are surveyed. These cover phenomenology and the psychological dynamics of dissociation vis-à-vis repression. Descriptive evidence is cited for war trauma-induced dissociative amnesia. Posttraumatic amnesia extends beyond the experience of sexual and combat trauma and is a protean symptom, which reflects responses to the gamut of traumatic events.

Worldwide actions to combat abuse.

PubMed

1998-01-01

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

The Estimation of Lanchester Attrition-Rate Coefficients for an Aggregated Combat Model

DTIC Science & Technology

1976-06-01

34 This was the beginning of the war game as a serious -- miäui ..^.^.,,-..^„..-^■.■^■^-^..^■^■-^^^■-■■^^-■.^■.w^^,^^^^^.--1- ■ ■ .^.aiaaggijjMattajagaa...war games , assessments regarding tit effects of combat and other decisions were made subjectively by a control team of experienced military...single game , it is not a feasible mechanism for analyzing a broid spectrum of system alternatives in a responsive manner to meet planning cycle

Transitions: Combat Veterans as College Students

ERIC Educational Resources Information Center

Ackerman, Robert; DiRamio, David; Garza Mitchell, Regina L.

2009-01-01

The experience of war makes those who fight a special group within the general population. The purpose of this study was to investigate how combat veterans who become college students make the transition to campus life, in order to identify how administrators can acknowledge and support them. A total of six women and 19 men were interviewed; 24…

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.

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.

Beck PRIDE Center - An Effective Solution for Combat Injured Student Veterans

DTIC Science & Technology

2014-10-01

Award Number: W81XWH-11-1-0793 TITLE: Beck PRIDE Center – An Effective Solution for Combat Injured Student Veterans PRINCIPAL INVESTIGATOR: Dr...CONTRACT NUMBER Beck PRIDE Center – An Effective Solution for Combat Injured Student Veterans 5b. GRANT NUMBER W81XWH-11-1-0793 5c. PROGRAM ELEMENT...therapy including hippotherapy. Measures will be taken after each session and analyzed. 2) This study will also evaluate the impact of the Beck PRIDE

Personality Traits and Family Styles of Combat Medics in Training.

PubMed

Escolas, Hollie D; Ray, Lashawnna N; Escolas, Sandra M

2016-06-01

This descriptive study examines the relationship between four family types and five personality traits. The four family types are balanced, moderately balanced, midrange, and extreme. The five personality traits are extraversion, openness to experiences, agreeableness, emotional stability, and conscientiousness. Data were collected through anonymous questionnaires distributed to combat-naïve Soldiers at the beginning of their advanced individual training. This study utilized the Family Adaptability and Cohesion Evaluation Scale1 and the Ten-Item Personality Inventory2 as measures. Overall the analyses found that participants classified as a balanced family type scored significantly higher on the personality traits of extraversion, agreeableness, and openness to experience than those classified in the family types of extreme, midrange, and moderately balanced. It appears that family types are associated with personality traits. This study opens doors to future research including looking at how family and personality types relate to each other in military units and personnel. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

A Simple Probabilistic Combat Model

DTIC Science & Technology

2016-06-13

This page intentionally left blank. 1. INTRODUCTION The Lanchester combat model1 is a simple way to assess the effects of quantity and quality...case model. For the random case, assume R red weapons are allocated to B blue weapons randomly. We are interested in the distribution of weapons...since the initial condition is very close to the break even line. What is more interesting is that the probability density tends to concentrate at

Advanced Product Development for Combat Casualty Care at the U.S. Army Institute of Surgical Research

DTIC Science & Technology

2010-04-01

for predicting central blood volume changes to focus on the development of software algorithms and systems to provide a capability to track, and...which creatively fills this Critical Care gap. Technology in this sense means hardware and software systems which incorporate sensors, processors...devices for use in forward surgical and combat areas. Mil Med 170: 76-82, 2005. [10] Gaylord KM, Cooper DB, Mercado JM, Kennedy JE, Yoder LH, and

Future Soldiers: Analysis of Entry-Level Performance Requirements and Their Predictors

DTIC Science & Technology

2005-09-01

these future missions; "* New technology such as weapons, tools, and vehicles (e.g., robotics ) and the effect of technological change on personnel...Clusters 1. Close Combat 2. Non Line-of-Sight Fire 3. Surveillance, Intelligence, and Communications 4. Unmanned Vehicle/ Robotics Operator 5. Security...minimized with (a) new materials for ballistic protection, (b) new lethalities, and (c) exoskeletons /artificial muscles. • Infantrymen will experience better

Ground Systems Integration Domain (GSID) Materials for Ground Platforms

DTIC Science & Technology

2010-09-20

Vehicles • Heavy Brigade Combat Team • Strykers • MRAPs • Ground Combat Vehicles (Future) Tactical Vehicles • HMMWVs • Trailers • Heavy, Medium and...efficient structural material solutions • Signature management, electromagnetic shielding over potentially non-metallic surfaces • Diagnostics...Occupant-Centric Survivability Focused): 1. 4500 lbs + trailer towing capacity; 4-6 man crew compartmentPayload 2. 14,000 lb curb vehicle weightPerformance

Prevention of Infections Associated With Combat-Related Eye, Maxillofacial, and Neck Injuries

DTIC Science & Technology

2011-08-01

REVIEW ARTICLE Prevention of Infections Associated With Combat-Related Eye, Maxillofacial, and Neck Injuries Kyle Petersen, DO, FACP, FIDSA...Marcus H Colyer, MD, David K. Hayes, MD, FACS, Robert G. Hale, DDS, R. B1yan Bell, DDS, MD, FACS, and the Prevention of Combat-Related Infections ...article reviews recent data from military and civilian studies to support evidence-based recommendations for the prevention of infections associated

Tradeoff Analysis for Combat Service Support Wireless Communications Alternatives

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

Burnette, John R.; Thibodeau, Christopher C.; Greitzer, Frank L.

2002-02-28

As the Army moves toward more mobile and agile forces and continued sustainment of numerous high-cost legacy logistics management systems, the requirement for wireless connectivity and a wireless network to supporting organizations has become ever more critical. There are currently several Army communications initiatives underway to resolve this wireless connectivity issue. However, to fully appreciate and understand the value of these initiatives, a Tradeoff Analysis is needed. The present study seeks to identify and assess solutions. The analysis identified issues that impede Interim Brigade Combat Team (IBCT) communication system integration and outlined core requirements for sharing of logistics data betweenmore » the field and Army battle command systems. Then, the analysis examined wireless communication alternatives as possible solutions for IBCT logistics communications problems. The current baseline system was compared with possible alternatives involving tactical radio systems, wireless/near term digital radio, cellular satellite, and third-generation (3G) wireless technologies. Cellular satellite and 3G wireless technologies offer clear advantages and should be considered for later IBCTs.« less

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.

A qualitative analysis of the experience and impact of killing in hand-to-hand combat.

PubMed

Jensen, Peter R; Simpson, Duncan

2014-08-01

A growing body of research suggests that killing during military combat is closely associated with posttraumatic stress disorder (PTSD), as well as a number of other adverse mental health related conditions (e.g., dissociative experiences, violent behavior, functional impairment). This article provides first-person perspectives on the experiences and impact of killing by service members with the goal of expanding our understanding of the impact of taking a life during war. In audio-recorded phenomenological interviews, 9 service members described their experiences and the subsequent impact of killing during hand-to-hand combat. A description, supported by participant quotations, was constructed to represent the participants' experiences. Results suggest the experience and aftermath of taking a life in hand-to-hand combat was disturbing, psychologically stressful, and necessitated some form of coping after the event. Service members who killed in hand-to-hand combat viewed their actions as necessary to preserve their life and that killing in hand-to-hand combat was more emotionally taxing than killing by shooting. Our findings may help to improve providers' understanding of service members' first-person experiences of killing in hand-to-hand combat and thus provide the basis for the development of a connected and genuine relationship with such military clients. Copyright © 2014 International Society for Traumatic Stress Studies.

Future Orbital Power Systems Technology Requirements

NASA Technical Reports Server (NTRS)

1978-01-01

NASA is actively involved in program planning for missions requiring several orders of magnitude, more energy than in the past. Therefore, a two-day symposium was held to review the technology requirements for future orbital power systems. The purpose of the meeting was to give leaders from government and industry a broad view of current government supported technology efforts and future program plans in space power. It provided a forum for discussion, through workshops, to comment on current and planned programs and to identify opportunities for technology investment. Several papers are presented to review the technology status and the planned programs.

Feasibility of negative pressure wound therapy during intercontinental aeromedical evacuation of combat casualties.

PubMed

Fang, Raymond; Dorlac, Warren C; Flaherty, Stephen F; Tuman, Caroline; Cain, Steven M; Popey, Tracy L C; Villard, Douglas R; Aydelotte, Jayson D; Dunne, James R; Anderson, Adam M; Powell, Elisha T

2010-07-01

The objective of this study was to assess the feasibility of utilizing negative pressure wound therapy (NPWT) for the treatment of wartime soft-tissue wounds during intercontinental aeromedical evacuation. Attempts to use NPWT during early phases of overseas contingency operations resulted in occasional vacuum system failures and potentially contributed to wound complications. These anecdotal episodes led to a perception that NPWT during aeromedical evacuation carried a high risk of wound complications and limited its use. As a result, NPWT was not frequently applied in the management of soft-tissue wounds before US casualty arrival in the continental United States (CONUS) for wounds sustained in the combat theaters. Concurrently, early NPWT on the traumatic wounds of host nation casualties not requiring aeromedical evacuation seemed to provide many benefits typically associated with the therapy such as decreased infection rates, earlier wound closure, and improved pain management. On a daily basis, study investigators reviewed the trauma in-patient census at Landstuhl Regional Medical Center, Germany, to identify patient candidates with soft-tissue extremity or torso wounds that required packing. Patient demographics, injuries, and previous wound treatments were recorded. Surgeons inspected wounds in the operating room and applied a NPWT dressing if deemed appropriate. NPWT was continued throughout the remainder of the patient's hospitalization and also during aeromedical evacuation to CONUS. A study investigator escorted the patient during aeromedical evacuation to educate the flight crews, to record the impact on crew workload, and to troubleshoot the system if necessary. Thirty enrolled patients with 41 separate wounds flew from Germany to CONUS with a portable NPWT system (VAC Freedom System; Kinetic Concepts Incorporated, San Antonio, TX). All 30 patients arrived at the destination facilities with intact and functional systems. No significant in

The Application of Work Domain Analysis to Defining Australia’s Air Combat Capability

DTIC Science & Technology

2014-03-01

characteristics, for example, can be collected. Disseminate : The concept of ‘ disseminate ’ is described as to “ spread (something, especially information ... dissemination The ability of the Air Combat system to collect and disseminate information related to its environment or a specified entity. Self...Enhanced BLOS6 digital data transmission Internal voice data Imagery data Emergency signalling data Sensing Range, azimuth, and elevation information

An extended two-target differential game model for medium-range air combat game analysis

NASA Technical Reports Server (NTRS)

Shinar, J.

1985-01-01

The first phase of an investigation of a two-target game, representing an air combat with boresight limited all-aspect guided missiles is summarized. The results, obtained by using a line of sight coordinate system, are compared to a similar recently published work. The comparison indicates that improved insight, gained by using line of sight coordinates, allows to discover important new features of the game solution.

Securing the High Ground: Dominant Combat Air Force for America. 2008 Combat Air Force Strategic Plan

DTIC Science & Technology

2008-07-28

continue to be beyond our technical ability to realize aggresively pursue advanced technical solutions to stay at the leading edge of technological...inherent to each caf Way and to seek continual improvement through exploration of innovative concepts, advanced capabilities, game -changing...available online at the air force portal: https://wwwd.my.af.mil/afknprod/strat_plan COMBAT AIR FORCE STRATEGIC PLAN Points of Contact securing the high

New Equipping Strategies for Combat Support Hospitals

DTIC Science & Technology

2010-01-01

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

Physiological responses and external validity of a new setting for taekwondo combat simulation.

PubMed

Hausen, Matheus; Soares, Pedro Paulo; Araújo, Marcus Paulo; Porto, Flávia; Franchini, Emerson; Bridge, Craig Alan; Gurgel, Jonas

2017-01-01

Combat simulations have served as an alternative framework to study the cardiorespiratory demands of the activity in combat sports, but this setting imposes rule-restrictions that may compromise the competitiveness of the bouts. The aim of this study was to assess the cardiorespiratory responses to a full-contact taekwondo combat simulation using a safe and externally valid competitive setting. Twelve male national level taekwondo athletes visited the laboratory on two separate occasions. On the first visit, anthropometric and running cardiopulmonary exercise assessments were performed. In the following two to seven days, participants performed a full-contact combat simulation, using a specifically designed gas analyser protector. Oxygen uptake ([Formula: see text]), heart rate (HR) and capillary blood lactate measurements ([La-]) were obtained. Time-motion analysis was performed to compare activity profile. The simulation yielded broadly comparable activity profiles to those performed in competition, a mean [Formula: see text] of 36.6 ± 3.9 ml.kg-1.min-1 (73 ± 6% [Formula: see text]) and mean HR of 177 ± 10 beats.min-1 (93 ± 5% HRPEAK). A peak [Formula: see text] of 44.8 ± 5.0 ml.kg-1.min-1 (89 ± 5% [Formula: see text]), a peak heart rate of 190 ± 13 beats.min-1 (98 ± 3% HRmax) and peak [La-] of 12.3 ± 2.9 mmol.L-1 was elicited by the bouts. Regarding time-motion analysis, combat simulation presented a similar exchange time, a shorter preparation time and a longer exchange-preparation ratio. Taekwondo combats capturing the full-contact competitive elements of a bout elicit moderate to high cardiorespiratory demands on the competitors. These data are valuable to assist preparatory strategies within the sport.

Physiological responses and external validity of a new setting for taekwondo combat simulation

PubMed Central

2017-01-01

Combat simulations have served as an alternative framework to study the cardiorespiratory demands of the activity in combat sports, but this setting imposes rule-restrictions that may compromise the competitiveness of the bouts. The aim of this study was to assess the cardiorespiratory responses to a full-contact taekwondo combat simulation using a safe and externally valid competitive setting. Twelve male national level taekwondo athletes visited the laboratory on two separate occasions. On the first visit, anthropometric and running cardiopulmonary exercise assessments were performed. In the following two to seven days, participants performed a full-contact combat simulation, using a specifically designed gas analyser protector. Oxygen uptake (V˙O2), heart rate (HR) and capillary blood lactate measurements ([La-]) were obtained. Time-motion analysis was performed to compare activity profile. The simulation yielded broadly comparable activity profiles to those performed in competition, a mean V˙O2 of 36.6 ± 3.9 ml.kg-1.min-1 (73 ± 6% V˙O2PEAK) and mean HR of 177 ± 10 beats.min-1 (93 ± 5% HRPEAK). A peak V˙O2 of 44.8 ± 5.0 ml.kg-1.min-1 (89 ± 5% V˙O2PEAK), a peak heart rate of 190 ± 13 beats.min-1 (98 ± 3% HRmax) and peak [La-] of 12.3 ± 2.9 mmol.L–1 was elicited by the bouts. Regarding time-motion analysis, combat simulation presented a similar exchange time, a shorter preparation time and a longer exchange-preparation ratio. Taekwondo combats capturing the full-contact competitive elements of a bout elicit moderate to high cardiorespiratory demands on the competitors. These data are valuable to assist preparatory strategies within the sport. PMID:28158252

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.

Suitability of Agent Technology for Military Command and Control in the Future Combat System Environment

DTIC Science & Technology

2003-06-01

and Multi-Agent Systems 1 no. 1 (1998): 7-38. [23] K. Sycara, A. Pannu , M. Williamson, and D. Zeng, “Distributed Intelligent Agents,” IEEE Expert 11...services that include support for mobility, security, management, persistence, and naming of agents. [i] K. Sycara, A. Pannu , M. Williamson, and D

Global ring satellite communications system for future broadband network

NASA Astrophysics Data System (ADS)

Iida, Takashi; Suzuki, Yoshiaki; Arimoto, Yoshinori; Akaishi, Akira

2005-04-01

The purpose of this paper is to examine a cost model of a global ring satellite communications system as a 2G-satellite (second generation Internet satellite) for the future Internet satellite, whose capacity is around 120 Gbps. The authors proposed the future needs of research and development of communications satellite for the next 30 years and also proposed the approach of three generations for the future Internet satellites. First, the paper reviews and updates the original proposal for the future needs of communications satellite, considering the recent development of the quantum communication technology. It also examines the communications satellite applicability for bridging the digital divide in the Asia-Oceania as an example. The paper clarifies this possibility of communications satellite by showing various relationships among Internet penetration, land area, population growth, etc. Second, the cost of the global ring satellite is examined. The user terminal is considered as a combination of an earth terminal and wireless local area network for a user community. This paper shows that the global ring satellite has a possibility of a good cost-competitiveness to the terrestrial system because of the global communications system can be configured only by satellite system.

Edible vaccines against veterinary parasitic diseases--current status and future prospects.

PubMed

Jacob, Siju S; Cherian, Susan; Sumithra, T G; Raina, O K; Sankar, M

2013-04-08

Protection of domestic animals against parasitic infections remains a major challenge in most of the developing countries, especially in the surge of drug resistant strains. In this circumstance vaccination seems to be the sole practical strategy to combat parasites. Most of the presently available live or killed parasitic vaccines possess many disadvantages. Thus, expression of parasitic antigens has seen a continued interest over the past few decades. However, only a limited success was achieved using bacterial, yeast, insect and mammalian expression systems. This is witnessed by an increasing number of reports on transgenic plant expression of previously reported and new antigens. Oral delivery of plant-made vaccines is particularly attractive due to their exceptional advantages. Moreover, the regulatory burden for veterinary vaccines is less compared to human vaccines. This led to an incredible investment in the field of transgenic plant vaccines for veterinary purpose. Plant based vaccine trials have been conducted to combat various significant parasitic diseases such as fasciolosis, schistosomosis, poultry coccidiosis, porcine cycticercosis and ascariosis. Besides, passive immunization by oral delivery of antibodies expressed in transgenic plants against poultry coccidiosis is an innovative strategy. These trials may pave way to the development of promising edible veterinary vaccines in the near future. As the existing data regarding edible parasitic vaccines are scattered, an attempt has been made to assemble the available literature. Copyright © 2013 Elsevier Ltd. All rights reserved.

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

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

PubMed

Yang, Lihua; Lan, Zhiyong; Wu, Jianguo

2010-08-01

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

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

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.

Association of combatant status and sexual violence with health and mental health outcomes in postconflict Liberia.

PubMed

Johnson, Kirsten; Asher, Jana; Rosborough, Stephanie; Raja, Amisha; Panjabi, Rajesh; Beadling, Charles; Lawry, Lynn

2008-08-13

Liberia's wars since 1989 have cost tens of thousands of lives and left many people mentally and physically traumatized. To assess the prevalence and impact of war-related psychosocial trauma, including information on participation in the Liberian civil wars, exposure to sexual violence, social functioning, and mental health. A cross-sectional, population-based, multistage random cluster survey of 1666 adults aged 18 years or older using structured interviews and questionnaires, conducted during a 3-week period in May 2008 in Liberia. Symptoms of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD), social functioning, exposure to sexual violence, and health and mental health needs among Liberian adults who witnessed or participated in the conflicts during the last 2 decades. In the Liberian adult household-based population, 40% (95% confidence interval [CI], 36%-45%; n = 672/1659) met symptom criteria for MDD, 44% (95% CI, 38%-49%; n = 718/1661) met symptom criteria for PTSD, and 8% (95% CI, 5%-10%; n = 133/1666) met criteria for social dysfunction. Thirty-three percent of respondents (549/1666) reported having served time with fighting forces, and 33.2% of former combatant respondents (182/549) were female. Former combatants experienced higher rates of exposure to sexual violence than noncombatants: among females, 42.3% (95% CI, 35.4%-49.1%) vs 9.2% (95% CI, 6.7%-11.7%), respectively; among males, 32.6% (95% CI, 27.6%-37.6%) vs 7.4% (95% CI, 4.5%-10.4%). The rates of symptoms of PTSD, MDD, and suicidal ideation were higher among former combatants than noncombatants and among those who experienced sexual violence vs those who did not. The prevalence of PTSD symptoms among female former combatants who experienced sexual violence (74%; 95% CI, 63%-84%) was higher than among those who did not experience sexual violence (44%; 95% CI, 33%-53%). The prevalence of PTSD symptoms among male former combatants who experienced sexual violence was higher

Mitochondrial DNA copy number is reduced in male combat veterans with PTSD.

PubMed

Bersani, Francesco Saverio; Morley, Claire; Lindqvist, Daniel; Epel, Elissa S; Picard, Martin; Yehuda, Rachel; Flory, Janine; Bierer, Linda M; Makotkine, Iouri; Abu-Amara, Duna; Coy, Michelle; Reus, Victor I; Lin, Jue; Blackburn, Elizabeth H; Marmar, Charles; Wolkowitz, Owen M; Mellon, Synthia H

2016-01-04

Mitochondrial abnormalities may be involved in PTSD, although few studies have examined this. Mitochondrial DNA copy number (mtDNAcn) in blood cells is an emerging systemic index of mitochondrial biogenesis and function. The present study assessed mtDNAcn in male combat-exposed veterans with PTSD compared to those without PTSD as well as its correlation with clinical scales. mtDNAcn was assessed with a TaqMan multiplex assay in granulocytes of 43 male combat veterans with (n=43) or without (n=44) PTSD. Twenty of the PTSD subjects had co-morbid major depressive disorder (MDD). The Clinician Administered PTSD Scale (CAPS), the Positive and Negative Affect Schedule (PANAS), the Early Trauma Inventory (ETI) and the Beck Depression Inventory II (BDI-II) were used for the clinical assessments. All analyses were corrected for age and BMI. mtDNAcn was significantly lower in subjects with PTSD (p<0.05). Within the PTSD group, those with moderate PTSD symptom severity had relatively higher mtDNAcn than those with mild or severe symptoms (p<0.01). Within the PTSD group, mtDNAcn was positively correlated with PANAS positive subscale ratings (p<0.01) but was not significantly correlated with PANAS negative subscale, ETI or BDI-II ratings. This study provides the first evidence of: (i) a significant decrease of mtDNAcn in combat PTSD, (ii) a possible "inverted-U" shaped relationship between PTSD symptom severity and mtDNAcn within PTSD subjects, and (iii) a direct correlation of mtDNAcn with positive affectivity within PTSD subjects. Altered mtDNAcn in PTSD may reflect impaired energy metabolism, which might represent a novel aspect of its pathophysiology. Copyright © 2015 Elsevier Inc. All rights reserved.

Physiological Responses and Performance Analysis Difference between Official and Simulated Karate Combat Conditions

PubMed Central

Chaabène, Helmi; Mkaouer, Bessem; Franchini, Emerson; Souissi, Nafaa; Selmi, Mohamed Amine; Nagra, Yassine; Chamari, Karim

2013-01-01

Purpose This study aimed to compare physiological responses and time-motion analysis between official and simulated karate combat. Methods Ten high-level karatekas participated in this study, which included official and simulated karate combat. Results Karatekas used more upper-limb attack techniques during official combat compared to simulated ones (6±3 vs 3±1; P=0.05, respectively). For official and simulated karate matches, the numbers of high-intensity actions (i.e. offensive and defensive fighting activity) were 14±6 and 18±5, respectively (P>0.05), lasting from <1s to 5s each. Total fighting activity phase was lower during official compared to simulated matches (21.0±8.2s vs 30.4±9.9s, P<0.01, respectively). Effort (10.0±2.8s) to rest (11.9±2.7s) ratio (E:R) was 1:1 and high-intensity actions (1.6±0.3s) to rest (11.9±2.7s) ratio was higher than 1:7 during simulated combat. During official karate match, the activity and rest duration were 10.0±3.4s and 16.2±4.1s, respectively (E:R ratio 1:1.5), while high-intensity actions were 1.5±0.3s, resulting in an E:R ratio of 1:11. Blood lactate concentration was higher during official (11.14±1.82 mmol.l-1) compared to simulated karate combat (7.80±2.66 mmol.l-1) (P<0.05). Subjective perceived exertion differed significantly between official and simulated combat (14±2 vs. 12±2; P<0.05, respectively). The majority of karatekas’ perceived exertion was higher in the lower limb muscle groups irrespective of the karate combat condition. Conclusion Official and simulated matches differ considerably, therefore coaches should create new strategies during training sessions to achieve the same effort and pause profile of competitive matches and/or that athletes should be submitted to frequent competitions to adapt themselves to the profile of this event. PMID:24868428

On Risk: Risk and Decision Making in Military Combat and Training Environments

DTIC Science & Technology

2012-12-01

DECISION MAKING IN MILITARY COMBAT AND TRAINING ENVIRONMENTS by Matthew R. Myer Jason R. Lojka December 2012 Thesis Advisor...SUBTITLE ON RISK: RISK AND DECISION MAKING IN MILITARY COMBAT AND TRAINING ENVIRONMENTS 5. FUNDING NUMBERS 6. AUTHOR(S) Matthew R. Myer and Jason R...of the nation that has sent them abroad. It is paramount, therefore, that we utilize a decision process to reveal how emotions can affect our

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

DTIC Science & Technology

2016-02-01

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

Conforming and nonconforming personality and stress coping styles in combat athletes.

PubMed

Bernacka, Ryszarda Ewa; Sawicki, Bogusław; Mazurek-Kusiak, Anna; Hawlena, Joanna

2016-06-01

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

Conforming and nonconforming personality and stress coping styles in combat athletes

PubMed Central

Sawicki, Bogusław; Mazurek-Kusiak, Anna; Hawlena, Joanna

2016-01-01

Abstract The main objective of this study was to investigate whether the personality dimension of conformism/nonconformism was a predictor of stress coping styles in athletes training combat sports, and to present the characteristics of this personality dimension in the context of the competitors’ adaptive/innovative sport performance. Scores of 346 males practising combat sports such as kick boxing, MMA, thai boxing, boxing and wrestling were analyzed. The participants completed the Creative Behaviour Questionnaire (KANH III) measuring the conformity/nonconformity personality dimension and the Coping Inventory for Stressful Situations (CISS) measuring stress coping styles. The comparative analyses were conducted only for the groups of conformists and nonconformists. Differences in stress coping styles between conformists and nonconformists training combat sports were found as nonconformists tended to prefer the task-oriented coping style. Conclusively, a higher rate of nonconformity was associated with increasingly frequent occurrence of task-oriented coping and decreasingly frequent emotion-oriented coping. PMID:28149386

Combatives for Alienated Youth: Problems and Prospects.

ERIC Educational Resources Information Center

Hellison, Don

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

Quantitative EEG during REM and NREM sleep in combat-exposed veterans with and without Posttraumatic Stress Disorder

PubMed Central

Cohen, Daniel J.; Begley, Amy; Alman, Jennie J.; Cashmere, J. David; Pietrone, Regina N.; Seres, Robert J.; Germain, Anne

2012-01-01

Summary Sleep disturbances are a hallmark feature of posttraumatic stress disorder (PTSD), and associated with poor clinical outcomes. Few studies have examined sleep quantitative electroencephalography (qEEG), a technique able to detect subtle differences polysomnography does not capture. We hypothesized greater high-frequency qEEG would reflect “hyperarousal” in in combat veterans with PTSD (n=16) compared to veterans without PTSD (n=13). EEG power in traditional EEG frequency bands was computed for artifact-free sleep epochs across an entire night. Correlations were performed between qEEG and ratings of PTSD symptoms and combat exposure. The groups did not differ significantly in whole night qEEG measures for either REM or NREM. Non-significant medium effect sizes suggest less REM beta (opposite to our hypothesis), less REM and NREM sigma, and more NREM gamma in combat veterans with PTSD. Positive correlations were found between combat exposure and NREM beta (PTSD group only), and REM and NREM sigma (non-PTSD group only). Results did not support global hyperarousal in PTSD as indexed by increased beta qEEG activity. The correlation of sigma activity with combat exposure in those without PTSD, and the non-significant trend towards less sigma activity during both REM and NREM sleep in combat veterans with PTSD suggests that differential information processing during sleep may characterize combat-exposed military veterans with and without PTSD. PMID:22845675

Prevalence and patterns of combat sport related maxillofacial injuries.

PubMed

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

2010-10-01

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

Caffeine Ingestion Increases Estimated Glycolytic Metabolism during Taekwondo Combat Simulation but Does Not Improve Performance or Parasympathetic Reactivation.

PubMed

Lopes-Silva, João Paulo; Silva Santos, Jonatas Ferreira da; Branco, Braulio Henrique Magnani; Abad, César Cavinato Cal; Oliveira, Luana Farias de; Loturco, Irineu; Franchini, Emerson

2015-01-01

The aim of this study was to evaluate the effect of caffeine ingestion on performance and estimated energy system contribution during simulated taekwondo combat and on post-exercise parasympathetic reactivation. Ten taekwondo athletes completed two experimental sessions separated by at least 48 hours. Athletes consumed a capsule containing either caffeine (5 mg∙kg-1) or placebo (cellulose) one hour before the combat simulation (3 rounds of 2 min separated by 1 min passive recovery), in a double-blind, randomized, repeated-measures crossover design. All simulated combat was filmed to quantify the time spent fighting in each round. Lactate concentration and rating of perceived exertion were measured before and after each round, while heart rate (HR) and the estimated contribution of the oxidative (WAER), ATP-PCr (WPCR), and glycolytic (W[La-]) systems were calculated during the combat simulation. Furthermore, parasympathetic reactivation after the combat simulation was evaluated through 1) taking absolute difference between the final HR observed at the end of third round and the HR recorded 60-s after (HRR60s), 2) taking the time constant of HR decay obtained by fitting the 6-min post-exercise HRR into a first-order exponential decay curve (HRRτ), or by 3) analyzing the first 30-s via logarithmic regression analysis (T30). Caffeine ingestion increased estimated glycolytic energy contribution in relation to placebo (12.5 ± 1.7 kJ and 8.9 ± 1.2 kJ, P = 0.04). However, caffeine did not improve performance as measured by attack number (CAF: 26. 7 ± 1.9; PLA: 27.3 ± 2.1, P = 0.48) or attack time (CAF: 33.8 ± 1.9 s; PLA: 36.6 ± 4.5 s, P = 0.58). Similarly, RPE (CAF: 11.7 ± 0.4 a.u.; PLA: 11.5 ± 0.3 a.u., P = 0.62), HR (CAF: 170 ± 3.5 bpm; PLA: 174.2 bpm, P = 0.12), oxidative (CAF: 109.3 ± 4.5 kJ; PLA: 107.9 kJ, P = 0.61) and ATP-PCr energy contributions (CAF: 45.3 ± 3.4 kJ; PLA: 46.8 ± 3.6 kJ, P = 0.72) during the combat simulation were unaffected

Caffeine Ingestion Increases Estimated Glycolytic Metabolism during Taekwondo Combat Simulation but Does Not Improve Performance or Parasympathetic Reactivation

PubMed Central

2015-01-01

Objectives The aim of this study was to evaluate the effect of caffeine ingestion on performance and estimated energy system contribution during simulated taekwondo combat and on post-exercise parasympathetic reactivation. Methods Ten taekwondo athletes completed two experimental sessions separated by at least 48 hours. Athletes consumed a capsule containing either caffeine (5 mg∙kg-1) or placebo (cellulose) one hour before the combat simulation (3 rounds of 2 min separated by 1 min passive recovery), in a double-blind, randomized, repeated-measures crossover design. All simulated combat was filmed to quantify the time spent fighting in each round. Lactate concentration and rating of perceived exertion were measured before and after each round, while heart rate (HR) and the estimated contribution of the oxidative (WAER), ATP-PCr (WPCR), and glycolytic (W[La-]) systems were calculated during the combat simulation. Furthermore, parasympathetic reactivation after the combat simulation was evaluated through 1) taking absolute difference between the final HR observed at the end of third round and the HR recorded 60-s after (HRR60s), 2) taking the time constant of HR decay obtained by fitting the 6-min post-exercise HRR into a first-order exponential decay curve (HRRτ), or by 3) analyzing the first 30-s via logarithmic regression analysis (T30). Results Caffeine ingestion increased estimated glycolytic energy contribution in relation to placebo (12.5 ± 1.7 kJ and 8.9 ± 1.2 kJ, P = 0.04). However, caffeine did not improve performance as measured by attack number (CAF: 26. 7 ± 1.9; PLA: 27.3 ± 2.1, P = 0.48) or attack time (CAF: 33.8 ± 1.9 s; PLA: 36.6 ± 4.5 s, P = 0.58). Similarly, RPE (CAF: 11.7 ± 0.4 a.u.; PLA: 11.5 ± 0.3 a.u., P = 0.62), HR (CAF: 170 ± 3.5 bpm; PLA: 174.2 bpm, P = 0.12), oxidative (CAF: 109.3 ± 4.5 kJ; PLA: 107.9 kJ, P = 0.61) and ATP-PCr energy contributions (CAF: 45.3 ± 3.4 kJ; PLA: 46.8 ± 3.6 kJ, P = 0.72) during the combat simulation

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.

Firing a Weapon and Killing In Combat Are Associated with Suicidal Ideation in OEF/OIF Veterans

PubMed Central

Tripp, Jessica C.; McDevitt-Murphy, Meghan E.; Henschel, Aisling V.

2016-01-01

Objective Combat veterans are at risk for several adverse outcomes such as posttraumatic stress disorder (PTSD), depression, hazardous alcohol use, and most critically, suicidal behaviors. The high rate of suicide in veterans has been understood as a correlate of PTSD and depression, but it is possible that certain specific types of combat experiences may lead to suicidal behaviors. Acts committed by the veteran in the context of war such as killing may evoke a “moral injury,” which leads to thoughts of ending one’s life. Method The present exploratory research examined relationships between combat experiences and suicidal ideation (SI) and PTSD in a sample of 68 OEF/OIF veterans (91% male, mean age = 32.31 years) who had screened positive for alcohol misuse. We examined firing a weapon/killing in combat (Firing/Killing) and killing in combat (Killing) alone as predictors of (SI) and PTSD severity in both the full sample, and in analyses that examined men only. Results Firing/Killing were associated with SI for the full sample and men only, and Killing showed a trend towards significance in predicting SI. Hierarchical regression analyses suggested that Firing/Killing did not predict PTSD for the full sample or men only, but Killing was predictive of PTSD for both samples. Conclusions These results indicate that there may be differences in Firing/Killing and Killing alone in OEF/OIF veterans who screened positive for alcohol misuse. Thorough screening of combat experiences and addressing moral injury in returning combat veterans may help reduce high rates of suicide and PTSD. PMID:26460495

Future Automotive Systems Technology Simulator (FASTSim)

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

An advanced vehicle powertrain systems analysis tool, the Future Automotive Systems Technology Simulator (FASTSim) provides a simple way to compare powertrains and estimate the impact of technology improvements on light-, medium- and heavy-duty vehicle efficiency, performance, cost, and battery life. Created by the National Renewable Energy Laboratory, FASTSim accommodates a range of vehicle types - including conventional vehicles, electric-drive vehicles, and fuel cell vehicles - and is available for free download in Microsoft Excel and Python formats.

Role of Occupational Therapy in Combating Human Trafficking.

PubMed

Gorman, Kathleen W; Hatkevich, Beth Ann

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

System driven technology selection for future European launch systems

NASA Astrophysics Data System (ADS)

Baiocco, P.; Ramusat, G.; Sirbi, A.; Bouilly, Th.; Lavelle, F.; Cardone, T.; Fischer, H.; Appel, S.

2015-02-01

In the framework of the next generation launcher activity at ESA, a top-down approach and a bottom-up approach have been performed for the identification of promising technologies and alternative conception of future European launch vehicles. The top-down approach consists in looking for system-driven design solutions and the bottom-up approach features design solutions leading to substantial advantages for the system. The main investigations have been focused on the future launch vehicle technologies. Preliminary specifications have been used in order to permit sub-system design to find the major benefit for the overall launch system. The development cost, non-recurring and recurring cost, industrialization and operational aspects have been considered as competitiveness factors for the identification and down-selection of the most interesting technologies. The recurring cost per unit payload mass has been evaluated. The TRL/IRL has been assessed and a preliminary development plan has been traced for the most promising technologies. The potentially applicable launch systems are Ariane and VEGA evolution. The main FLPP technologies aim at reducing overall structural mass, increasing structural margins for robustness, metallic and composite containment of cryogenic hydrogen and oxygen propellants, propellant management subsystems, elements significantly reducing fabrication and operational costs, avionics, pyrotechnics, etc. to derive performing upper and booster stages. Application of the system driven approach allows creating performing technology demonstrators in terms of need, demonstration objective, size and cost. This paper outlines the process of technology down selection using a system driven approach, the accomplishments already achieved in the various technology fields up to now, as well as the potential associated benefit in terms of competitiveness factors.

Program to Combat Stereotyping in Career Choice.

ERIC Educational Resources Information Center

Harrison, Laurie R.

Divided into three sections which deal with sex, race, and handicap stereotyping in career choice, the twenty-eight programs described here attempt to combat stereotypes among students and/or staff (K-12). Most descriptions list the goals of the program, target population, staffing and management, facilities and activities, program effectiveness…

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.

Intelligent Approaches in Improving In-vehicle Network Architecture and Minimizing Power Consumption in Combat Vehicles

DTIC Science & Technology

2011-01-01

4 . TITLE AND SUBTITLE INTELLIGENT APPROACHES IN IMPROVING IN-VEHICLE NETWORK ARCHITECTURE AND MINIMIZING POWER CONSUMPTION IN COMBAT VEHICLES 5a... 4 1.3 Organization...32 CHAPTER 4 – SOFTWARE RELIABILITY PREDICTION FOR COMBAT VEHICLES . 33 4.1 Introduction

Combat-Related Heterotopic Ossification: Development of Animal Models for Identifying Mechanisms and Testing Therapeutics

DTIC Science & Technology

2015-07-01

wound debridements in addition to the systemic and perhaps local antimicrobial therapies geared towards decreasing bioburden in combat wounds...housed in clean plastic cages on a 12-hour light/dark cycle with access to food (standard chow) and water ad libitum. They were allowed to acclima...Although not yet investigated in this model, possible causes for this include the release of inflammatory neuro- peptides . For example, substance-P

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

Combat, Sexual Assault, and Post-Traumatic Stress in OIF/OEF Military Women

DTIC Science & Technology

2013-01-01

Traumatic Stress in OIF/OEF Military Women PRINCIPAL INVESTIGATOR: Anne G. Sadler, R.N., Ph.D. CONTRACTING ORGANIZATION: Iowa City VA...NUMBER Combat, Sexual Assault, and Post-Traumatic Stress in OIF/OEF Military Women 5b. GRANT NUMBER W81XWH-08-2-0080 5c. PROGRAM ELEMENT NUMBER...endpoints (e.g., post-traumatic stress disorder, traumatic brain injury) in four subgroups: 1) women deployed to combat related regions once; 2) women

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

Injury Prevention as a Combat Multiplier

DTIC Science & Technology

2008-03-24

Schools, 3624 Market Street , Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional accrediting agency recognized...Middle States Association of Colleges and Schools, 3624 Market Street , Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an...week with the fifth day either devoted to combatives or foot marching. These programs inevitably begin with a number of calisthenics and stretching

KCA drilling combats freak seas

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