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In 2012, Headquarters 17 Combat Service Support Brigade (HQ 17 CSS Bde) implemented a clinical governance framework. The framework is intended as a quality improvement tool through which excellence in deployed healthcare is achieved. The purpose of this paper is to describe the implementation of this clinical governance framework to 17 CSS Bde and present feedback provided by users on their application of the clinical governance framework.

An electronic survey was disseminated to the four 17 CSS Bde deployable health battalions (n=1,061). Qualitative data were analysed using descriptive statistics and qualitative data using thematic analysis.

In total, there were 105 responses providing valid data for analysis. The data identified mixed understanding and awareness of clinical governance amongst participants, and pinpointed aspects of the framework that needed refinement.

The results highlight important challenges implementing a clinical governance framework for deployable health units. The authors propose embedding clinical governance education in all army soldier and officer health courses to remedy deficits in knowledge and understanding. Recommendations for further development of the clinical governance framework are also made with particular emphasis on education, clinical risk and clinical evaluation.

This paper offers unique insight into the implementation of a clinical governance framework to the 17 CSS Bde, Australian Army. The results suggest that levels of understanding and awareness of clinical governance are stalling its translation through the military hierarchy. The data identify that implementation of a clinical governance framework is not easy, even within a military environment where the culture is to follow orders and obey the chain of command.

Study samples, having responded to similar survey content, allowed examination of suicide risk factors for deployed soldiers relative to nondeployed or home station soldiers. Specific research questions addressed by this study are: First, what is the prevalence of suicidal behaviors among Army National Guard (ARNG) soldiers – deployed or not, and how do these rates compare with known US national and international rates? Second, what are stressful life events associated with suicidal risk? How do these compare between deployed and nondeployed soldiers? Third, what specifically about combat exposure makes soldiers at risk for suicide? And fourth, is there any evidence of stress-buffering effect between risk factors and suicidal behaviors? The paper aims to discuss these issues.

Three data sources were used. First, the responding sample for the Unit Risk Inventory consisted of 180 company-sized units with a total of 12,567 responding soldiers. Second, the responding sample for the Unit Risk Inventory-Reintegration consisted of 50 company-sized units with a total of 4,567 soldiers. The third data source was all ARNG suicides for calendar years 2007 through 2012. For each calendar year, a random sample of 1,000 ARNG soldiers was drawn to represent nonsuicides. This resulted in a study sample size of 6,523, including the 523 suicides for the years 2007 through 2012 plus 1,000 nonsuicide cases for each calendar year.

Prevalence of suicidal behaviors among soldiers was higher (for thoughts, plans, and attempts, respectively, 4-6, 1.3-2.2, and 0.7-0.08 percent) than among civilian populations (respectively, 2.6, 0.7, and 0.4 percent). Risk was highest among home station than deployed soldiers. Stressful life events associated with suicide risk included personal feelings of loneliness, anger, and frustration, followed by interpersonal behavioral problems, such as aggressive behavior toward a significant other and having committed a crime. Also evident are the beneficial effects (as a main effect and buffering effect) of feelings of cohesiveness, quality leaderships, and job satisfaction on suicidal behaviors.

Findings here were consistent with the stressor-strain hypothesis. Stressful life events were associated with suicide risk, especially, personal feelings of loneliness, anger, and frustration, followed by interpersonal behavioral problems, such as aggressive behavior toward a significant other and having committed a crime. Evident, too, were the beneficial effects of feelings of cohesiveness, quality leaderships, and job satisfaction on suicidal behaviors. Soldiers reporting these events were less likely to report suicidal behaviors and social support lessened the cumulative effect of risk factors on suicidal behaviors. Given these findings, it seems that suicide risk in the military is not uniquely different from that observed in civilian populations. The higher prevalence of suicides in the military likely has to do with proportionally more individuals who have historically shown to be at risk for suicide, namely, young males.

Strong association of individual-level attributes with suicidal behaviors, such as age, gender, and race, suggest individual-level vulnerability to suicidal behaviors. This expectation is consistent with the stress/suicide vulnerability theory (Bryan, 2014; Nock et al., 2013). Such vulnerabilities may include negative affectivity (one of the Big Five personality dimensions) and early childhood trauma to suicidal behaviors (Griffith, 2012a, 2014).

Suicide, related constructs, and their underlying processes need to be further examined in future research. Their understanding would be useful in screening individuals most at risk for suicidal behaviors, with referral and treatment, if needed. Practically, such vulnerabilities in relation to what specific experiences could be determined, potentially describing which individuals are suited best to adapt to which environments.

There has been much research on the increased suicides in the military, and to date, studies have focussed primarily on traumatic events, such as, deployments and combat exposure associated with suicidal behaviors. Yet, studies have almost exclusively examined the combat-suicide connection without reference to suicide risk factors among nondeployed or home station soldiers. This study fills this gap by examining survey responses to standardized questionnaires administered to ARNG soldiers during calendar year 2010 – one sample of deployed units either to Iraq or to Afghanistan and another sample of nondeployed or home station units.

The natural control, feedback, stimuli and protection of these subsequent principles founded this project. Via properly conducted experiments, a multilayer computer rehabilitation system was created that integrated natural interaction assisted by electroencephalogram (EEG), which enabled the movements in the virtual environment and real wheelchair. For blind wheelchair operator patients, this paper involved of expounding the proper methodology. For educating the value of life and independence of blind wheelchair users, outcomes have proven that virtual reality (VR) with EEG signals has that potential.

Individuals face numerous challenges with many disorders, particularly when multiple dysfunctions are diagnosed and especially for visually effected wheelchair users. This scenario, in reality, creates in a degree of incapacity on the part of the wheelchair user in terms of performing simple activities. Based on their specific medical needs, confined patients are treated in a modified method. Independent navigation is secured for individuals with vision and motor disabilities. There is a necessity for communication which justifies the use of VR in this navigation situation. For the effective integration of locomotion besides, it must be under natural guidance. EEG, which uses random brain impulses, has made significant progress in the field of health. The custom of an automated audio announcement system modified to have the help of VR and EEG for the training of locomotion and individualized interaction of wheelchair users with visual disability is demonstrated in this study through an experiment. Enabling the patients who were otherwise deemed incapacitated to participate in social activities, as the aim was to have efficient connections.

To protect their life straightaway and to report all these disputes, the military system should have high speed, more precise portable prototype device for nursing the soldier health, recognition of solider location and report about health sharing system to the concerned system. Field programmable gate array (FPGA)-based soldier’s health observing and position gratitude system is proposed in this paper. Reliant on heart rate which is centered on EEG signals, the soldier’s health is observed on systematic bases. By emerging Verilog hardware description language (HDL) programming language and executing on Artix-7 development FPGA board of part name XC7ACSG100t the whole work is approved in a Vivado Design Suite. Classification of different abnormalities and cloud storage of EEG along with the type of abnormalities, artifact elimination, abnormalities identification based on feature extraction, exist in the segment of suggested architecture. Irregularity circumstances are noticed through developed prototype system and alert the physically challenged (PHC) individual via an audio announcement. An actual method for eradicating motion artifacts from EEG signals that have anomalies in the PHC person’s brain has been established, and the established system is a portable device that can deliver differences in brain signal variation intensity. Primarily the EEG signals can be taken and the undesirable artifact can be detached, later structures can be mined by discrete wavelet transform these are the two stages through which artifact deletion can be completed. The anomalies in signal can be noticed and recognized by using machine learning algorithms known as multirate support vector machine classifiers when the features have been extracted using a combination of hidden Markov model (HMM) and Gaussian mixture model (GMM). Intended for capable declaration about action taken by a blind person, these result signals are protected in storage devices and conveyed to the controller. Pretending daily motion schedules allows the pretentious EEG signals to be caught. Aimed at the validation of planned system, the database can be used and continued with numerous recorded signals of EEG. The projected strategy executes better in terms of re-storing theta, delta, alpha and beta complexes of the original EEG with less alteration and a higher signal to noise ratio (SNR) value of the EEG signal, which illustrates in the quantitative analysis. The projected method used Verilog HDL and MATLAB software for both formation and authorization of results to yield improved results. Since from the achieved results, it is initiated that 32% enhancement in SNR, 14% in mean squared error (MSE) and 65% enhancement in recognition of anomalies, hence design is effectively certified and proved for standard EEG signals data sets on FPGA.

The proposed system can be used in military applications as it is high speed and excellent precise in terms of identification of abnormality, the developed system is portable and very precise. FPGA-based soldier’s health observing and position gratitude system is proposed in this paper. Reliant on heart rate which is centered on EEG signals the soldier health is observed in systematic bases. The proposed system is developed using Verilog HDL programming language and executing on Artix-7 development FPGA board of part name XC7ACSG100t and synthesised using in Vivado Design Suite software tool.

Ex‐service personnel face numerous and significant problems upon discharge from the forces. The purpose of this paper is to explore experiences of the transition from military to civilian life and to identify some of the barriers and facilitators to re‐employment.

In‐depth interviews were carried out with 11 ex‐servicemen who had previously served in the UK armed forces and analysed using interpretative phenomenological analysis (IPA).

Participants described their experiences in terms of three broad themes: characteristics of a military life; loss as experienced upon return to civilian life; and the attempt to bridge the gap between these two lives. Transcending these themes was the notion of identity, illustrating that the transition from military to civilian life can be viewed as a shift in sense of self from soldier to civilian.

The current study only recruited male ex‐service personnel and therefore the findings may not accurately represent the experiences of female service leavers.

The military needs to ensure that not only is support provided for all service personnel, but that it goes beyond basic vocational advice. Although the needs of ex‐service personnel are defined by factors other than unemployment, such as trauma or the sudden loss of security, they do relate back to unemployment in some capacity. Methodological changes to the discharge process could help this population to achieve a more continuous trajectory rather than a fragmented one.

The present study has provided further insight into the identity experiences of ex‐service personnel along their journey from soldier to civilian. Breakwell's Identity Process Theory provided a valuable framework for understanding the experiences of ex‐service personnel.

Addresses the question of whether military expenditures in the Arab world have been at the expense of human capital development. Mainly finds that countries in the Arab world have experienced increases in human capital development associated with increased rates of military participation (armed forces per capita). This phenomenon is in sharp contrast with that found in non‐Arab countries. Also this phenomenon appears to be relatively recent, increasing in strength during the period after 1980. In part Arab governments have chosen to subsidize the education of increased numbers of civilians during periods of steppedup military expenditures with the understanding that upon completion of training those individuals will serve some time in the military.

Most of the studies in the field of homesickness are confined to students; this study aims to explore the feeling of homesickness among working professionals. Also, it tends to examine individual differences in the experience of homesickness across employees of different gender, ages, experience, family type, etc. The study also aspires to compare homesickness among military and civil employees.

The study explores five dimensions of homesickness, namely, missing family, missing friend, rumination about home, feeling lonely and adjustment problems. The collected data is subjected to reliability, validity and confirmatory factor analysis. Further, t-test and analysis of variance are used to explore homesickness differences across soldiers and corporate employees.

The study reveals that homesickness is significantly higher for employees in the male, unmarried, nuclear family, above the age of 45 years, and below the graduation category. Also, defense people experience more homesickness than civilian employees.

This study is one of the pioneer studies that compare homesickness among defense and civilian employees. Also, variables such as type of family, the experience of employees and marital status have hardly been explored in the literature of homesickness.

The purpose of this paper is to bring together the history of war, the universities and the professions. It examines the case of dentistry in New South Wales, detailing its divided pre-war politics, the role of the university, the formation and work of the Dental Corps during the First World War, and the process of professionalization in the 1920s.

The paper draws on documentary and archival sources including those of the University of Sydney, contemporary newspapers, annual reports and publication of various dental associations, and on secondary sources.

The paper argues that both the war and the university were central to the professionalization of dentistry in New South Wales. The war transformed the expertise of dentists, shifted their social status and cemented their relationship with the university.

This study is the first to examine dentistry in the context of the histories of war, universities and professionalization. It highlights the need to re-evaluate the changing place of the professions in interwar Australia in the light both of the First World War and of the university’s involvement in it.

At a meeting of the Council of the Royal Borough of Kensington on June 5th Councillor A. J. RICE‐OXLEY, M.D., Chairman of the Public Health Committee, brought up a report as follows:—

The purpose of this paper is to understand how Agfa, a division of IG Farben and Germany's leading producer of photographic equipment, adapted its marketing strategy to the new political environment created by the Nazi regime. This was a time when many consumer goods manufacturers suffered from the state‐driven reallocation of resources favoring the armament industry. Agfa, however, expanded its production well into the war.

This case study is based on archival records of Agfa's sales department.

This paper shows that Hitler's armament drive left room for non‐essential consumer goods such as cameras, film, and photographic paper as they fitted the regime's consumption policy, as well as its import and foreign exchange policy. A pioneer in marketing, Agfa was able to secure its growth strategy and its room to maneuver by focusing its product and promotion program on the socioeconomic needs of the “Volksgemeinschaft” and the “Four Year Plan”.

This paper sheds new light on the often‐underestimated role of consumption during the “Third Reich.” Furthermore, it supports the evolutionary – rather than revolutionary – nature of the history of marketing practice in Germany, as Agfa's interwar marketing policy features many sophisticated modern elements prior to the “Marketing Revolution” of the 1960s.

At the turn of the year, the US R&D Forecast for 2003, a joint effort of Battelle and R&D Magazine, highlighted that outside factors, including the creation of the Department of Homeland Security, were deeply impacting the levels of funding for scientific research. According to that forecast a 10.5 percent increase in federal spending, compared to 0.13 percent for industry, would be shaping the near future, with government priorities related to defense seeing significant increases in the 2003 budget, and beyond.