Virtual reality Post Traumatic Stress Disorder (PTSD) exposure therapy results with active duty Iraq war combatants

Post Traumatic Stress Disorder (PTSD) is reported to be caused by traumatic events that are outside the range of usual human experience including (but not limited to) military combat, violent personal assault, being kidnapped or taken hostage and terrorist attacks. Initial data suggests that at least 1 out of 6 Iraq War veterans are exhibiting symptoms of depression, anxiety and PTSD. Virtual Reality (VR) delivered exposure therapy for PTSD has been used with reports of positive outcomes. The aim of the current paper is to present the rationale and brief description of a Virtual Iraq PTSD VR therapy application and present initial findings from its use with PTSD patients. Thus far, Virtual Iraq consists of a series of customizable virtual scenarios designed to represent relevant Middle Eastern VR contexts for exposure therapy, including a city and desert road convoy environment. User-centered design feedback needed to iteratively evolve the system was gathered from returning Iraq War veterans in the USA and from a system deployed in Iraq and tested by an Army Combat Stress Control Team. Results from an open clinical trial at San Diego Naval Medical Center of the first 18 treatment completers indicate that 14 no longer meet PTSD diagnostic criteria at post-treatment, with only one not maintaining treatment gains at 3 month follow-up. Clinical tests are also currently underway at Ft. Lewis, Emory University, Weill Cornell Medical College, Walter Reed Army Medical Center and 10 other sites. Other sites are preparing to use the application for a variety of PTSD and VR research purposes.

The evolution of strategy: thinking war from antiquity to the present

Latin had no word for "strategy", but the East Romans, whom we call the Byzantines, did. This book tracks the evolution of the concept of warfare being subjected to higher political aims from Antiquity to the Present, using Greek, Latin, French, Spanish, Italian, English and German sources. It tracks the rise, fall, and resurrection of the belief in the Roman and later the medieval and early modern world that warfare was only legitimate if it pursued the higher goal of a just peace, which in the 19th century gave way to a blinkered concentration on military victory as only war aim. It explains why one school of thought, from Antiquity to the present, emphasised eternal principles of warfare, while others emphasised, in Clausewitz's term, the "changing character of war". It tracks ideas from land warfare to naval warfare to air power and nuclear thinking, but it also stresses great leaps and discontinuities in thinking about strategy. It covers asymmetric wars both from the point of view of the weaker power seeking to overthrow a stronger power, and from the stronger power dealing with insurgents and other numerically inferior forces. It concludes with a commentary of the long-known problems of bureaucratic politics, non-centralised command and inter-service rivalry, which since the 16th century or earlier has created obstacles to coherent strategy making.

Virtual reality Post Traumatic Stress Disorder (PTSD) exposure therapy results with active duty OIF/OEF service members

Posttraumatic stress disorder (PTSD) is reported to be caused by exposure to traumatic events including (but not limited to) military combat, violent personal assault, being kidnapped or taken hostage and terrorist attacks. Initial data suggest that at least 1 out of 6 Iraq War veterans are exhibiting symptoms of depression, anxiety and PTSD. Virtual reality (VR) delivered exposure therapy for PTSD has been used with reports of positive outcomes. The aim of the current paper, is to present the rationale and brief description of a Virtual Iraq/Afghanistan PTSD VR therapy application and present initial findings from its use with PTSD patients. Thus far, Virtual Iraq/Afghanistan consists of a series of customizable virtual scenarios designed to represent relevant Middle Eastern VR contexts for exposure therapy, including a city and desert road convoy environment. User-centered design feedback, needed to iteratively evolve the system, was gathered from returning Iraq War veterans in the USA and from a system deployed in Iraq and tested by an Army Combat Stress Control Team. Results from an open clinical trial at San Diego Naval Medical Center of the first 20 treatment completers indicate that 16 no longer met PTSD screening criteria at post-treatment, with only one not maintaining treatment gains at 3 month follow-up.

A national security strategy for England: Matthew Sutcliffe, the Earl of Essex, and the Cadiz Expedition of 1596

The English cleric Matthew Sutcliffe arguably produced the first comprehensive security concept in history. It had at its centre the war between England and Spain (1585-1604), and Sutcliffe advocated taking the war to the Iberian Peninsula to seize Philip II's main Atlantic ports, rather than remaining satisfied with the indirect combat of Spain in Flanders, defensive action against naval attacks on England and the guerre de course on Spanish shipping at sea. This approach seems to be at the heart of Essex's 1596 naval campaing against Spanish ports, which foundered on the bureaucratic politics of the Elizabethan government.

Regina Maris and the command of the sea: the sixteenth century origins of modern maritime strategy

The concept of the command of the sea has its roots in medieval notions of the sovereignty of coastal waters, as claimed by several monarchs and polities of Europe. In the sixteenth century, a surge of intellectual creativity, especially in Elizabethan England, fused this notion with the Thucydidean term ‘thalassocracy’ – the rule of the sea. In the light of the explorations of the oceans, this led to a new conceptualisation of naval warfare, developed in theory and then put into practice. This falsifies the mistaken but widespread assumption that there was no significant writing on naval strategy before the nineteenth century.

Ontogenetic Changes in the Bell Morphology and Kinematics and Swimming Behavior of Rowing Medusae: the Special Case of the Limnomedusa Liriope tetraphylla

Swimming animals may experience significant changes in the Reynolds number (Re) of their surrounding fluid flows throughout ontogeny. Many medusae experience Re environments with significant viscous forces as small juveniles but inertially dominated Re environments as adults. These different environments may affect their propulsive strategies. In particular, rowing, a propulsive strategy with ecological advantages for large adults, may be constrained by viscosity for small juvenile medusae. We examined changes in the bell morphology and swimming kinematics of the limnomedusa Liriope tetraphylla at different stages of development. L. tetraphylla maintained an oblate bell (fineness ratio approximate to 0.5-0.6), large velar aperture ratio (R(v) approximate to 0.5-0.8), and rapid bell kinematics throughout development. These traits enabled it to use rowing propulsion at all stages except the very smallest sizes observed (diameter = 0.14 cm). During the juvenile stage, very rapid bell kinematics served to increase Re sufficiently for rowing propulsion. Other taxa that use rowing propulsion as adults, such as leptomedusae and scyphomedusae, typically utilize different propulsive strategies as small juveniles to function in low Re environments. We compared the performance values of the different propulsive modes observed among juvenile medusae.

Cloning and characterization of a zebrafish homologue of human AQP1: a bifunctional water and gas channel

Chen LM, Zhao J, Musa-Aziz R, Pelletier MF, Drummond IA, Boron WF. Cloning and characterization of a zebrafish homologue of human AQP1: a bifunctional water and gas channel. Am J Physiol Regul Integr Comp Physiol 299: R1163-R1174, 2010. First published August 25, 2010; doi:10.1152/ajpregu.00319.2010.-The mammalian aquaporins AQP1, AQP4, and AQP5 have been shown to function not only as water channels but also as gas channels. Zebrafish have two genes encoding an AQP1 homologue, aqp1a and aqp1b. In the present study, we cloned the cDNA that encodes the zebrafish protein Aqp1a from the 72-h postfertilization (hpf) embryo of Danio rerio, as well as from the swim bladder of the adult. The deduced amino-acid sequence of aqp1a consists of 260 amino acids and is 59% identical to human AQP1. By analyzing the genomic DNA sequence, we identified four exons in the aqp1a gene. By in situ hybridization, aqp1a is expressed transiently in the developing vasculature and in erythrocytes from 16 to 48 h of development. Later, at 72 hpf, aqp1a is expressed in dermal ionocytes and in the swim bladder. Western blot analysis of adult tissues reveals that Aqp1a is most highly expressed in the eye and swim bladder. Xenopus oocytes expressing aqp1a have a channel-dependent (*) osmotic water permeability (P(f)*) that is indistinguishable from that of human AQP1. On the basis of the magnitude of the transient change in surface pH (Delta pHS) that were recorded as the oocytes were exposed to either CO(2) or NH(3), we conclude that zebrafish Aqp1a is permeable to both CO(2) and NH(3). The ratio (Delta pHS*)CO2/P(f)* is about half that of human AQP1, and the ratio (Delta pHS*)NH3/P(f)* is about one-quarter that of human AQP1. Thus, compared with human AQP1, zebrafish Aqp1a has about twice the selectivity for CO(2) over NH(3).

Optimization Of Groundwater Remediation With New Efficient Parallel Algorithm For Global Optimization

Application of optimization algorithm to PDE modeling groundwater remediation can greatly reduce remediation cost. However, groundwater remediation analysis requires a computational expensive simulation, therefore, effective parallel optimization could potentially greatly reduce computational expense. The optimization algorithm used in this research is Parallel Stochastic radial basis function. This is designed for global optimization of computationally expensive functions with multiple local optima and it does not require derivatives. In each iteration of the algorithm, an RBF is updated based on all the evaluated points in order to approximate expensive function. Then the new RBF surface is used to generate the next set of points, which will be distributed to multiple processors for evaluation. The criteria of selection of next function evaluation points are estimated function value and distance from all the points known. Algorithms created for serial computing are not necessarily efficient in parallel so Parallel Stochastic RBF is different algorithm from its serial ancestor. The application for two Groundwater Superfund Remediation sites, Umatilla Chemical Depot, and Former Blaine Naval Ammunition Depot. In the study, the formulation adopted treats pumping rates as decision variables in order to remove plume of contaminated groundwater. Groundwater flow and contamination transport is simulated with MODFLOW-MT3DMS. For both problems, computation takes a large amount of CPU time, especially for Blaine problem, which requires nearly fifty minutes for a simulation for a single set of decision variables. Thus, efficient algorithm and powerful computing resource are essential in both cases. The results are discussed in terms of parallel computing metrics i.e. speedup and efficiency. We find that with use of up to 24 parallel processors, the results of the parallel Stochastic RBF algorithm are excellent with speed up efficiencies close to or exceeding 100%.

Estudo de caso da evolução organizacional da Escola Técnica do Arsenal de Marinha do Rio de Janeiro(ETAM) em relação à viabilidade do atingimento simultâneo de requisitos fomentados pelo Ministério da Educação e pelo Arsenal de Marinha do Rio de Janeiro

The present study treats of an historical analysis of the organizational evolution of School Technique of Arsenal of Navy of Rio de Janeiro (ETAM) and your contribution to the establishment of the current managerial model. This school is the one of national institution of teaching, turned to the area of the industry naval, what else contributed in the country, in the century 20, to the formation qualified of hand of work, having activities since 1923. The Arsenal of Navy of Rio de Janeiro, counting with 239 years of experience, since your foundation, stimulates the professional qualification of Brazilians workers , on the area of the industry naval, since 1823.

Caracterização de remanescentes de aglomerados abertos na galáxia

o presente trabalho busca ampliar o conhecimento das relações entre aglomerados abertos de estrelas e seus remanescentes. Do ponto de vista observacional, um remanescente pode ser definido como uma concentração pouco povoada de estrelas resultante da evolução dinâmica de um sistema inicialmente mais massivo. Apesar do avanços no conhecimento teórico a respeito desses objetos e, nos últimos anos, da busca pela identificação observacional dos mesmos ter aumep.tado, muitas questões permanecem em aberto. Assim, no presente estudo serão analisados 23 candidatos a remanescentes através de dados fotométricos, espectroscópicos e de movimentos próprios. Esses dados fornecem informações sobre os objetos e seus campos. Por meio destas, buscam-se estabelecer critérios de definição de remanescentes de aglomerados abertos, levando-se em conta incertezas observacionais. Os dados fotométricos no infravermelho oriundos do catálogo The Two Micron Ali sky Survey possibilitam, nesse estudo, (i) estudar as propriedades estruturais dos objetos por meio dos perfis de densidade radial de estrelas; (ii) testar a semelhanças entre objetos e campos através de um método estatístico de comparação entre distribuições de estrelas no plano do diagrama cor-magnitude e, (iii) obter idades, avermelhamentos e distâncias com o uso de diagramas cor-magnitude, além de distinguir os objetos em função de um índice de ajuste de isócronas. Os dados espectroscópicos obtidos através de observações óticas no Complejo Astronómico EI Leoncito (Argentina) fornecem para 12 objetos da amostra informações adicionais de avermelhamentos e idades. Os dados cinemáticos extraídos do The Second U. S. Naval Observatory CCD Astrograph Catalog permitem, por sua vez, uma comparação objetiva entre a distribuição de movimentos próprios dos objetos e campos próximos de grande ângulo sólido O emprego desses métodos complementares se mostra essencial no estudo em função da carência de dados completos para os candidatos a remanescentes. No que diz respeito à amostra, em geral não é possível afirmar individualmente qual objeto caracteriza-se de forma definitiva como um remanescente de aglomerado aberto devido à incompleteza dos dados, às incertezas observacionais e à baixa estatística. Entretanto, os métodos desenvolvidos permitem uma análise objetiva e sugerem a presença de remanescentes de aglomerados abertos na amostra. Além disso, há evidência da presença de binarismo, o que é esperado para sistemas evoluídos dinamicamente. Portanto, pode-se inferir sobre estágios evolutivos para remanescentes a partir das distribuições de movimento próprio de suas estrelas e de seu mapeamento no diagrama cor-magnitude.

O Brasil e as Forças Armadas na percepção dos oficiais da Marinha

Este relatório é resultado de uma pesquisa efetuada em novembro de 1998 junto a 94 oficiais da Marinha que estavam cursando os seguintes cursos da Escola de Guerra Naval (EGN): Curso de Política e Estratégia Marítimas (CPEM), Curso de Estado Maior para Oficiais (C-EMOS) e Curso Superior (CSup). 1 A EGN, situada na Praia Vermelha, Rio de Janeiro, é o estabelecimento de ensino de mais alto nível da Marinha. Os três cursos mencionados têm as seguintes características: o C-PEM, criado em 1984, é destinado a complementar a qualificação dos oficiais, para o exercício de cargos da alta administração naval;2 o C-EMOS tem por finalidade o exercício de funções de estado-maior e de assessoria de alto nível, com ênfase em planejamento estratégico e operações navais, e o C-Sup visa ao exercício de funções de assessoria de alto nível, com ênfase em administração. O C-EMOS e o C-Sup são cursados por oficiais com a patente de capitão-de-corveta,3 e o C-PEM pelos capitães-de-mar-e-guerra, os comandantes.

A politica maritima brasileira : fator de segurança e desenvolvimento nacional

O mar foi o primeiro meio de comunicação usado entre pessoas muito distantes. Através dele os povos se visitaram mutuamente, possibilitando a troca de experiências, com o consequente progresso da humanidade. Ele sempre atraiu o homem, ávido na busca de conhecimentos, conquistas, aventuras, comércio, enfim , uma gama de propósitos quase tão extensos como sua própria imensidão. A necessidade de conseguir seu domínio absoluto se faz sentir desde as épocas mais remotas, pois seus 35 milhões de quilômetros quadrados representam 71% de nosso planeta.

An exploratory study on how to improve the economy of American Samoa

Deep in the South Pacific region about 2,300 miles southwest of the Hawaiian islands1 lies a United States territory that many Americans have never heard of nor known anything about. However, some famous Americans such as Troy Polamalu of the Pittsburgh Steelers, semi retired professional wrestler Dwayne “The Rock” Johnson, and Hawaii Congresswoman Tulsi Gabbard have genealogical roots there. More importantly, many of the Territory’s sons and daughters have served and lost their lives for the United States flag and the cause of freedom around the world. This place is called American Samoa, a collection of seven islands that if glued together would have a total landmass of approximately 76 square miles, just a tad bigger than the capital city of the United States. According to the United States Census Bureau, there were 55,519 residents of American Samoa in 2010.1 The majority of them are ethnic Samoans, a Polynesian sect that traces its history back to early migrants from Southeast Asia who settled the islands around 1500 B.C.2 3 The climate is warm all year long and the forests along the mountains are ripe with vegetation. The main island is Tutuila with its beautiful and coveted landlocked harbor that was used as a coaling station by the United States naval ships during World War II. In fact, it was the Pago Pago Harbor that diminished the impact of the 2009 Tsunami that devastated the Samoan islands by channeling the waters of the Pacific Ocean towards the end of the harbor instead of flooding many other villages surrounding the Pago Pago Bay area. Lives and property were destroyed near the end of the Harbor but it could have been worse for the entire Bay area. Locally grown foods include coconut, taro, banana, guava, sugar cane, papaya, yam, pineapple, and breadfruit. It is completely surrounded by the Pacific Ocean from which the locals obtain a variety of seafood. There is a popular saying in Samoa that goes, “In Samoa, it is impossible to starve 1 American Samoa Department of Commerce, 2012 Statistical Yearbook, http://www.doc.as/wpcontent/uploads/2011/06/2012-Statistical-Yearbook-1.pdf 2 U.S. Census Bureau News, U.S. Census Bureau Releases 2010 Census Population Counts for American Samoa, http://www.census.gov/2010census/news/releases/operations/cb11-cn177.html (Aug. 24, 2011). 3 3 J. Robert Shaffer, American Samoa: 100 Years Under the United States Flag (Honolulu, Hawaii: Island Heritage Publishing, 2000), 34. 4 because people live off of the land’s and the ocean’s abundant resources.” To the west of American Samoa lies a larger group of four islands that make up the Sovereign State of Samoa, which became independent from New Zealand in 1962. Samoa and American Samoa share the same language, culture, and religion but are divided by government and political systems. The focus of this study will be on American Samoa, which became a United States territory in 1900 when the principal chiefs of Tutuila (the largest island in American Samoa) ceded the islands to the United States.

Estratégias para publicações internacionais

Geraldo Ferrer é professor da Naval Postgraduate School, nos Estados Unidos. Seus interesses de pesquisa são operações globais, tecnologias de ratreamento da cadeia de suprimentos, tecnologias sustentáveis, gestão de produtos, logística reversa, remanufatura e projeto de sistemas de distribuição rápida para emergências. Ele esteve no Brasil em dezembro de 2013 para participar da 8th Iberoamerican Academy of Management. Nesta entrevista, Ferrer fala sobre os principais desafios de se publicar internacionalmente. As respostas refletem suas opiniões, não as de seu empregador