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Operational processes and cognitive mapping.

Military operations involve human cognition at every level, from the front line soldier making life and death decisions on the battlefield, to the rear echelon making logistical and tactical decisions affecting divisions and armies. This section focuses on the performance of individuals and teams in the midst of extreme, hazardous environments--times and places when cognitive processes are most likely to be highly challenged and compromised. While active military operations do not lend themselves to the rigor of science, surrogate environments can simulate actual operational environments and allow mapping of military battle-relevant operational processes to research laboratory and analogue paradigms. Several current laboratory, analogue, and modeling endeavors are mentioned. Sleep-related fatigue and cognitive decrements have been studied extensively and countermeasures are showing promise in preventing and restoring cognitive declines. Future deliverables should include a prediction of an individual's overall cognitive performance state based on that person's individual baseline, the use of operationally robust metrics that can accompany the individual into extreme environments without adding an extra burden, and the provision of feedback to the operator as well as to decision-makers who make battlefield decisions. The area of intra- and inter-team cognition has direct relevance to military units working in complex, hazardous environments, and future research must include this larger, more complex concept of cognition in the development of risk mitigation aids. Papers in this section present the effects of combat-like stress on cognitive performance and mood of special operations personnel during rigorous training exercises, and the extent of psychiatric casualties as the reason for medical evacuations during recent combat operations.

Cognition↗

[Advances in passive OP-FTIR].

As an OP-FTIR(Open Path FTIR) technology, passive OP-FTIR not only has the advantages of OP-FTIR, but also has the ability to collect data from any direction without prior background information. This technology allows mobile, fast, man-held and stand-off detection of hazardous chemical cloud.The present paper presents some developments of passive OP-FTIR, including high altitude atmospheric pollution detection, auto-detection of toxic cloud, hot gases detection (such as the determination of major combustion products in aircraft exhausts, remote sensing of smoke plumes, and remote sensing of volcano emissions), temperature and combustion products determination (including cloud temperature determination). The present paper also gives the application of passive OP-FTIR in the military. With the development of FTIR and computer science, more and more applications of OP-FTIR to environment supervision, aviation and space flight, engine exhausts, combustion and military will be fulfilled.

English Abstract↗

[Military medical statistics: the status, problems and outlook].

The reform of medical service of the RF Armed Forces has objectively required the conduction of quite definite changes and military and medical statistics as an applied science, the teaching subject and field of practical activity of medical service. The results obtained during analysis of experience of the Armed Forces personnel medical support for the last years have shown that it is necessary to widen the scope of military and medical statistics applications by military physicians, medical specialists of medical service head-quarters in the form of their informative and statistic activity which is one of the integrated part of medical service in military men. The article presents the main results of military and medical statistics reformation, as well as principal trends of its further improvement.

Data Collection↗

Combat casualty care research: from bench to the battlefield.

Hemorrhagic shock is the leading cause of death in civilian and combat trauma. Effective hemorrhage control and better resuscitation strategies have the potential of saving lives. The Trauma Readiness and Research Institute for Surgery (TRRI-Surg) was established to address the core mission of the Uniformed Services University, "Learning to Care for Those in Harm's Way," by conducting research to improve the outcome of combat casualties. This article highlights the salient achievements of this research effort in the areas of hemorrhage control, resuscitation, design and testing of devices, and some novel concepts such as the use of profound hypothermia. The impact of these basic science research findings on changes in military medical care and outcome of injured soldiers is also described.

Humans↗

C3: information science in uniform.

This contribution explores an aspect of information science, which is little treated in the literature, but on which enormous sums of money are spent annually. This is the subject of information and the prosecution of war. What follows may be considered as a kind of tutorial on this huge, but poorly understood realm of information science applications. My objective at the workshop was to acquaint the participants with an overview of how information has been woven into the fabric of conflict. At present, information is so tightly woven with combat that the term information warfare has been coined. It may come as a surprise to think in these terms about information science.

Information Science↗

CD-ROM nutrient analysis database assists self-monitoring behavior of active duty Air Force personnel receiving nutrition counseling for weight loss.

This study observed the effect of using a computerized vs manual method of self-monitoring among Air Force personnel receiving nutrition counseling for weight loss. Subjects who enrolled during the first 2 weeks of the 4-week recruitment period completed food records for 6 weeks using a CD-ROM nutrient database (intervention group) whereas those who enrolled during the last 2 weeks used a food record booklet (comparison group). Of the 42 subjects (n = 23 intervention group and n = 19 comparison group), only 113 intervention and 11 comparison group subjects (57% of study enrollees) submitted at least 1 food record during the study and were included in the analysis, which included review of pre- and poststudy questionnaires, food records, and focus group data. There were no significant differences between the number of days per week documented or average number of items recorded daily. All 9 intervention as compared to 2 comparison group subjects who completed a poststudy questionnaire searched for lower-energy and lower-fat items and reported changing their dietary intake as a result. All intervention group subjects who participated in a focus group (n=6) had favorable comments about using the CD-ROM for monitoring and changing eating habits, indicating that it is a beneficial self-monitoring tool. Participants enjoyed the immediate dietary feedback, and computerized food records may be easier to interpret by nutrition counselors. A number of computerized nutrient databases are available to assist patients and consumers in managing nutritional concerns.

Adult↗

Colorado plans bold move to create $5 billion health sciences "city".

The University of Colorado Health Sciences Center has decided to relocate its entire campus six miles away and, collaborating with local government and private industry, create a futuristic new health sciences "city" from an old, abandoned military base.

Academic Medical Centers↗

U.S. Army dietitians deploy in support of Cobra Gold: a humanitarian mission.

Dietitians are multifunctional and play an important role in humanitarian missions as educators, planners, and consultants. Three dietitians deployed to Thailand in support of the 16th Annual Joint and Combined Exercise, Cobra Gold 1997. The goal of the Medical Civic Assistance Program (MEDCAP) was to promote long-term public health improvements in rural Thai villages. The dietitians counseled 140 patients and taught an additional 5,300 individuals during nutrition classes. The primary nutrition-related clinical diagnoses included malnutrition, anemia, diabetes, hypertension, goiter, and poor appetite. The dietitian who deployed as the medical planner and MEDCAP executive officer facilitated coordination and planning for all phases of the MEDCAP operation. The teams were made up of U.S. and Thai military forces and Thai civilian medical personnel. The mission requirements were established with the Royal Thai Supreme Command, Thai governors, Ministry of Public Health officers, military and medical officers, and veterinarians of the three provinces.

Dietetics↗

Nutrition knowledge and supplement use among elite U.S. army soldiers.

A U.S. Army Special Forces (SF) unit was studied to determine characteristics of supplement users, assess nutrition knowledge, and identify nutrition information sources. SF-qualified (n = 119) and non-SF, support soldiers (n = 38) participated. Most soldiers (87%) reported current supplement use with more SF (90%) than non-SF, support soldiers (76%) using supplements (p < or = 0.05). Supplements SF reported using most were multivitamins, sports bars/drinks, and vitamin C. The mean nutrition knowledge score for all soldiers was 48.5 +/- 15.2% correct responses. Most soldiers incorrectly believe protein is used for energy for short-term athletic events (64%) and that vitamins provide energy (58%). The most common information sources reportedly used were popular magazines/books (75%), friends/teammates (55%), physicians/nurses, radio/television (34%), and the Internet (31%).

Adult↗