The United States Army's Full-Spectrum Training Strategy Challenge

2012 ◽  
Author(s):  
Michael J. Lawson
2018 ◽  
Vol 46 (07) ◽  
pp. 1387-1419 ◽  
Author(s):  
Haiyi Wang ◽  
Guanhu Yang ◽  
Shaobai Wang ◽  
Xin Zheng ◽  
Wei Zhang ◽  
...  

Acupuncture has been a popular alternative medicine in the United States for several decades. Its therapeutic effects on pain have been validated by both basic and clinical researches, and it is currently emerging as a unique non-pharmaceutical choice for pain against opioid crisis. However, the full spectrum of acupuncture indications remains unexplored. In this study, we conducted a cross-sectional survey among 419 acupuncturists nation-wide to investigate the top 10 and top 99 acupuncture indications in private clinics in the United States. We found the top 10 indications to be: lower back pain, depression, anxiety, headache, arthritis, allergies, general pain, female infertility, insomnia, neck pain and frozen shoulder. Among the top 99 indications, pain represents the largest category; and mental health management, especially for mood disorders, is in greatest demand. The following popular groups are: immune system dysfunctions, gastrointestinal diseases, gynecology and neurology. In addition, specialty index, commonality index, and the potential to become medical specialties were estimated for each indication. Demographic analysis suggests that China trained acupuncturists tend to have broader indication spectrums, but the top conditions treated are primarily decided by local needs. Also, gender, resident states, age and clinical experience all affect indication distributions. Our data for the first time outlines the profile of acupuncture treatable conditions in the US and is valuable for strategic planning in acupuncture training, healthcare administration and public education.


2020 ◽  
Vol 35 (6) ◽  
pp. 599-603 ◽  
Author(s):  
Colton Margus ◽  
Ritu R. Sarin ◽  
Michael Molloy ◽  
Gregory R. Ciottone

AbstractIntroduction:In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US). Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system preparedness and conventional care standards when available resources become scarce. Despite the availability of this framework, in the years since and despite repeated large-scale domestic events, implementation remains mixed.Problem:Coronavirus disease 2019 (COVID-19) rejuvenates concern for how health systems can maintain quality care when faced with unrelenting burden. This study seeks to outline which states in the US have developed CSC and which areas of care have thus far been addressed.Methods:An online search was conducted for all 50 states in 2015 and again in 2020. For states without CSC plans online, state officials were contacted by email and phone. Public protocols were reviewed to assess for operational implementation capabilities, specifically highlighting guidance on ventilator use, burn management, sequential organ failure assessment (SOFA) score, pediatric standards, and reliance on influenza planning.Results:Thirty-six states in the US were actively developing (17) or had already developed (19) official CSC guidance. Fourteen states had no publicly acknowledged effort. Eleven of the 17 public plans had updated within five years, with a majority addressing ventilator usage (16/17), influenza planning (14/17), and pediatric care (15/17), but substantially fewer addressing care for burn patients (9/17).Conclusion:Many states lacked publicly available guidance on maintaining standards of care during disasters, and many states with specific care guidelines had not sufficiently addressed the full spectrum of hazard to which their health care systems remain vulnerable.


2010 ◽  
Vol 109 (725) ◽  
pp. 91-98 ◽  
Author(s):  
Andrew Moravcsik

There are, and will remain for the foreseeable future, two global superpowers: the United States and Europe. Only these two actors are consistently able to project a full spectrum of ‘smart power’ internationally.


Author(s):  
Daniel Byman

On the morning of September 11, 2001, the entire world was introduced to Al Qaeda and its enigmatic leader, Osama bin Laden. But the organization that changed the face of terrorism forever and unleashed a whirlwind of counterterrorism activity and two major wars had been on the scene long before that eventful morning. In Al Qaeda, the Islamic State, and the Global Jihadist Movement: What Everyone Needs to Know, Daniel L. Byman, an eminent scholar of Middle East terrorism and international security who served on the 9/11 Commission, provides a sharp and concise overview of Al Qaeda, from its humble origins in the mountains of Afghanistan to the present, explaining its perseverance and adaptation since 9/11 and the limits of U.S. and allied counterterrorism efforts. The organization that would come to be known as Al Qaeda traces its roots to the anti-Soviet jihad in Afghanistan in the 1980s. Founded as the Soviets withdrew from Afghanistan, Al Qaeda achieved a degree of international notoriety with a series of spectacular attacks in the 1990s; however, it was the dramatic assaults on the World Trade Center and the Pentagon on 9/11 that truly launched Al Qaeda onto the global stage. The attacks endowed the organization with world-historical importance and provoked an overwhelming counterattack by the United States and other western countries. Within a year of 9/11, the core of Al Qaeda had been chased out of Afghanistan and into a variety of refuges across the Muslim world. Splinter groups and franchised offshoots were active in the 2000s in countries like Pakistan, Iraq, and Yemen, but by early 2011, after more than a decade of relentless counterterrorism efforts by the United States and other Western military and intelligence services, most felt that Al Qaeda's moment had passed. With the death of Osama bin Laden in May of that year, many predicted that Al Qaeda was in its death throes. Shockingly, Al Qaeda has staged a remarkable comeback in the last few years. In almost every conflict in the Muslim world, from portions of the Xanjing region in northwest China to the African subcontinent, Al Qaeda franchises or like-minded groups have played a role. Al Qaeda's extreme Salafist ideology continues to appeal to radicalized Sunni Muslims throughout the world, and it has successfully altered its organizational structure so that it can both weather America's enduring full-spectrum assault and tailor its message to specific audiences. Authoritative and highly readable, Byman's account offers readers insightful and penetrating answers to the fundamental questions about Al Qaeda: who they are, where they came from, where they're going-and, perhaps most critically-what we can do about it.


1985 ◽  
Vol 38 (1) ◽  
pp. 173-199 ◽  
Author(s):  
Kenneth A. Oye

The late interwar years encompass a full spectrum of international monetary conflict and cooperation. Why did Great Britain, France, and the United States cooperate in some periods and not in others? First, the transience of monetary cooperation and conflict is explained in part by inherent characteristics of gold exchange and floating monetary systems. Second, environmental changes—swings between prosperity and depression, between peace and the threat of war, and between monetary orthodoxy and inflationist heresy—altered the strategic setting confronting the central monetary powers. Third, the actions of governments both followed from and shaped the circumstances that they confronted. Through strategies of composition across issues and decomposition across time and actors, nations deliberately fostered the emergence of cooperation by altering the context of monetary diplomacy.


1985 ◽  
Vol 94 (6) ◽  
pp. 542-546 ◽  
Author(s):  
Warren S. Line ◽  
Robert B. Stanley ◽  
Joseph H. Choi

Strangulation accounts for up to 10% of violent or criminally related deaths in the United States annually. Strangulation techniques include hanging, throttling, garrotting, and chokeholds. These methods are thought to cause unconsciousness or death by compression of either the airway or the major vessels of the neck. A review of the records of 112 nonsurvivors and 59 survivors of strangulation revealed that hyoid bone and laryngotracheal fractures occurred in both groups, particularly in throttling victims. The laryngeal injuries themselves could not be implicated as the cause of death, and survivors usually presented without airway compromise. However, failure to appreciate such injuries in survivors may lead to permanent voice complications. A full understanding of the spectrum of strangulation is also required if the otolaryngologist is called to testify as an expert witness in such cases.


2018 ◽  
Author(s):  
Sonia Lee ◽  
Bill G. Kapogiannis ◽  
Susannah Allison

BACKGROUND Epidemiologic and clinical information in the United States indicate that HIV transmission and acquisition among adolescents and young adults (youth) remain unchanged, without improvement. Interventions to prevent HIV transmission among youth are critically needed, as are interventions to improve adherence to all components of the continuum of care for youth living with HIV. OBJECTIVE The primary mission of the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) is to conduct both independent and collaborative research that explores promising behavioral, microbicidal, prophylactic, therapeutic, and vaccine modalities in HIV-infected and at-risk youth aged between 12 and 24. METHODS Through the ATN, the National Institutes of Health is supporting HIV interventional research for youth in the United States. RESULTS The ATN comprises 3 cooperative multiproject research programs and a coordinating center. Each program is led by a network hub and has well-defined research themes to assist, guide, and coordinate HIV research project activities. CONCLUSIONS ATN activities encompass the full spectrum of research needs for youth, from HIV primary prevention for at-risk youth in the community to secondary and tertiary prevention with clinical management of HIV infection among youth living with HIV experiencing adherence challenges. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/12050


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Nicholas Khoo

The longstanding post-1972 consensus supporting a US policy of engagement with China has been eroded by increasing dissatisfaction with developments in China’s domestic and foreign policies. As a consequence, a policy of near full-spectrum US engagement has been replaced by a more conditional posture where conflict increasingly outweighs cooperation. This article describes the relationship’s breakdown during the Trump administration. It then evaluates two major competing explanations for the deterioration. These emphasise either the role of the concept of identity, or aspects of power politics, specifically, state interests and the distribution of capabilities. In a concluding section, the implications of a more confrontational Sino-US relationship for New Zealand are discussed.


2020 ◽  
Vol 4 (2) ◽  
pp. 1-13
Author(s):  
Michael Raska

AbstractPyongyang sees the Korean Peninsula as entrenched in a geopolitical deadlock among great powers, with the United States continuing to employ what the North Korean regime sees as a “hostile policy” detrimental to its survival, its ability to shape relevant events, and the country’s political and economic development. While the core security concerns of South Korea and the United States are North Korea’s growing nuclear weapons and ballistic missile capabilities, the alliance must increasingly also prioritize the continuous development of North Korea’s cyber capabilities, both offensive and defensive. North Korea aims to gain strategic advantage by pursuing cost-effective, asymmetric military capabilities, including cyber strategies, to gather intelligence, coerce its rivals, financially extort others, and otherwise exert influence in ways that are resistant to traditional deterrence and defense countermeasures. Seoul and Washington need a full-spectrum military readiness posture against the full range of potential North Korean provocations, while European democracies need to strengthen their cyber readiness posture to effectively track and counter North Korea’s evolving global cyber operations.


2013 ◽  
Vol 79 (13) ◽  
pp. 4164-4165 ◽  
Author(s):  
Musafiri Karama ◽  
Carlton L. Gyles

ABSTRACTShiga toxin-producingEscherichia coli(STEC) O111:NM is an important serotype that has been incriminated in disease outbreaks in the United States. This study characterized cattle STEC O111:NM for virulence factors and markers by PCR. Major conclusions are that STEC O111:NM characterized in this study lacksstx2and the full spectrum ofnlegene markers, and it has an incomplete OI-122.


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