3,713 research outputs found

    Information Operations and the Conduct of Land Warfare

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    This paper focuses on the implications of information operations (IO) on the U.S. Army\u27s conduct of land warfare over the next decade. This transitional period from the experimental Force XXI to the digitized Army XXI offers many promises, potentials and even pitfalls for the world\u27s predominant land power force. BG James M. Dubik, USA, has recognized this in his earlier Institute of Land Warfare paper Creating Combat Power for the 21st Century

    Science Fiction No More: Cyber Warfare and the United States

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    Emergency Management Training and Exercises for Transportation Agency Operations, MTI Report 09-17

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    Training and exercises are an important part of emergency management. Plans are developed based on threat assessment, but they are not useful unless staff members are trained on how to use the plan, and then practice that training. Exercises are also essential for ensuring that the plan is effective, and outcomes from exercises are used to improve the plan. Exercises have been an important part of gauging the preparedness of response organizations since Civil Defense days when full-scale exercises often included the community. Today there are various types of exercises that can be used to evaluate the preparedness of public agencies and communities: seminars, drills, tabletop exercises, functional exercises, facilitated exercises and full-scale exercises. Police and fire agencies have long used drills and full-scale exercises to evaluate the ability of staff to use equipment, protocols and plans. Transit and transportation agencies have seldom been included in these plans, and have little guidance for their participation in the exercises. A research plan was designed to determine whether urban transit systems are holding exercises, and whether they have the training and guidance documents that they need to be successful. The main research question was whether there was a need for a practical handbook to guide the development of transit system exercises

    Rising Tide in the Gulf: The First Gulf War and Its Impact Upon Chinese Strategy

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    Observing Chinese foreign policy means looking through a clouded lens. A foggy image can be made out, yet specific details are left undefined. The Chinese reaction to the 1990s First Gulf War is a case in point. The perspective is opaque, yet we can still gather an understanding of important changes in China’s policies. The author provides insights not only into China’s foreign and military policy but also on Chinese-Arab relations. In analyzing China’s reaction to the war, we can see it was indeed a transformative period for China’s strategy in the Arab world. China reacted to the Gulf War in a substantial way, and there has been little scholarship exploring how these changes impacted Chinese ideology. This study will focus on the two decades surrounding the First Gulf War. This was a watershed moment for Chinese military, United Nations involvement, and arms sales, but it further demonstrated a shifting ideology in Chinese government and politics. At the First Gulf War’s onset, the “technocratic turnover” in the Communist Party leadership had already begun, and Maoist communism was dying. The war marked the final abandonment of Maoist-era principles in favor of more pragmatic, Technocrat-era principles

    Preventing “a virological Hiroshima”: Cold War press coverage of biological weapons disarmament

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    This article examines representations of biological weapons during a crucial period in the recent history of this form of warfare. The study draws on a corpus of newspaper articles from the US New York Times and the UK Times and Guardian written around the time of the negotiation period of the 1972 Biological Weapons Convention, the international treaty banning this form of warfare. We argue that a conventional discourse can be found wherein biological weapons are portrayed as morally offensive, yet highly effective and militarily attractive. Interwoven with this discourse, however, is a secondary register which depicts biological weapons as ineffective, unpredictable and of questionable value for the military. We finish with a somewhat more speculative consideration of the significance of these discourses by asking what might have been at stake when journalists and other writers deployed such differing representations of biological warfare

    Human brain evolution and the "Neuroevolutionary Time-depth Principle:" Implications for the Reclassification of fear-circuitry-related traits in DSM-V and for studying resilience to warzone-related posttraumatic stress disorder.

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    The DSM-III, DSM-IV, DSM-IV-TR and ICD-10 have judiciously minimized discussion of etiologies to distance clinical psychiatry from Freudian psychoanalysis. With this goal mostly achieved, discussion of etiological factors should be reintroduced into the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). A research agenda for the DSM-V advocated the "development of a pathophysiologically based classification system". The author critically reviews the neuroevolutionary literature on stress-induced and fear circuitry disorders and related amygdala-driven, species-atypical fear behaviors of clinical severity in adult humans. Over 30 empirically testable/falsifiable predictions are presented. It is noted that in DSM-IV-TR and ICD-10, the classification of stress and fear circuitry disorders is neither mode-of-acquisition-based nor brain-evolution-based. For example, snake phobia (innate) and dog phobia (overconsolidational) are clustered together. Similarly, research on blood-injection-injury-type-specific phobia clusters two fears different in their innateness: 1) an arguably ontogenetic memory-trace-overconsolidation-based fear (hospital phobia) and 2) a hardwired (innate) fear of the sight of one's blood or a sharp object penetrating one's skin. Genetic architecture-charting of fear-circuitry-related traits has been challenging. Various, non-phenotype-based architectures can serve as targets for research. In this article, the author will propose one such alternative genetic architecture. This article was inspired by the following: A) Nesse's "Smoke-Detector Principle", B) the increasing suspicion that the "smooth" rather than "lumpy" distribution of complex psychiatric phenotypes (including fear-circuitry disorders) may in some cases be accounted for by oligogenic (and not necessarily polygenic) transmission, and C) insights from the initial sequence of the chimpanzee genome and comparison with the human genome by the Chimpanzee Sequencing and Analysis Consortium published in late 2005. Neuroevolutionary insights relevant to fear circuitry symptoms that primarily emerge overconsolidationally (especially Combat related Posttraumatic Stress Disorder) are presented. Also introduced is a human-evolution-based principle for clustering innate fear traits. The "Neuroevolutionary Time-depth Principle" of innate fears proposed in this article may be useful in the development of a neuroevolution-based taxonomic re-clustering of stress-triggered and fear-circuitry disorders in DSM-V. Four broad clusters of evolved fear circuits are proposed based on their time-depths: 1) Mesozoic (mammalian-wide) circuits hardwired by wild-type alleles driven to fixation by Mesozoic selective sweeps; 2) Cenozoic (simian-wide) circuits relevant to many specific phobias; 3) mid Paleolithic and upper Paleolithic (Homo sapiens-specific) circuits (arguably resulting mostly from mate-choice-driven stabilizing selection); 4) Neolithic circuits (arguably mostly related to stabilizing selection driven by gene-culture co-evolution). More importantly, the author presents evolutionary perspectives on warzone-related PTSD, Combat-Stress Reaction, Combat-related Stress, Operational-Stress, and other deployment-stress-induced symptoms. The Neuroevolutionary Time-depth Principle presented in this article may help explain the dissimilar stress-resilience levels following different types of acute threat to survival of oneself or one's progency (aka DSM-III and DSM-V PTSD Criterion-A events). PTSD rates following exposure to lethal inter-group violence (combat, warzone exposure or intentionally caused disasters such as terrorism) are usually 5-10 times higher than rates following large-scale natural disasters such as forest fires, floods, hurricanes, volcanic eruptions, and earthquakes. The author predicts that both intentionally-caused large-scale bioevent-disasters, as well as natural bioevents such as SARS and avian flu pandemics will be an exception and are likely to be followed by PTSD rates approaching those that follow warzone exposure. During bioevents, Amygdala-driven and locus-coeruleus-driven epidemic pseudosomatic symptoms may be an order of magnitude more common than infection-caused cytokine-driven symptoms. Implications for the red cross and FEMA are discussed. It is also argued that hospital phobia as well as dog phobia, bird phobia and bat phobia require re-taxonomization in DSM-V in a new "overconsolidational disorders" category anchored around PTSD. The overconsolidational spectrum category may be conceptualized as straddling the fear circuitry spectrum disorders and the affective spectrum disorders categories, and may be a category for which Pitman's secondary prevention propranolol regimen may be specifically indicated as a "morning after pill" intervention. Predictions are presented regarding obsessive-compulsive disorder (OCD) (e.g., female-pattern hoarding vs. male-pattern hoarding) and "culture-bound" acute anxiety symptoms (taijin-kyofusho, koro, shuk yang, shook yong, suo yang, rok-joo, jinjinia-bemar, karoshi, gwarosa, Voodoo death). Also discussed are insights relevant to pseudoneurological symptoms and to the forthcoming Dissociative-Conversive disorders category in DSM-V, including what the author terms fright-triggered acute pseudo-localized symptoms (i.e., pseudoparalysis, pseudocerebellar imbalance, psychogenic blindness, pseudoseizures, and epidemic sociogenic illness). Speculations based on studies of the human abnormal-spindle-like, microcephaly-associated (ASPM) gene, the microcephaly primary autosomal recessive (MCPH) gene, and the forkhead box p2 (FOXP2) gene are made and incorporated into what is termed "The pre-FOXP2 Hypothesis of Blood-Injection-Injury Phobia." Finally, the author argues for a non-reductionistic fusion of "distal (evolutionary) neurobiology" with clinical "proximal neurobiology," utilizing neurological heuristics. It is noted that the value of re-clustering fear traits based on behavioral ethology, human-phylogenomics-derived endophenotypes and on ontogenomics (gene-environment interactions) can be confirmed or disconfirmed using epidemiological or twin studies and psychiatric genomics

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    The medical management of casualties in a chemical contaminated environment : a start for the CBRNE defence research program for clinicians

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    The main objective of this research program was to assess the status of clinical knowledge and evidence-based practice in the medical management of mass casualties, contaminated by exposure to a chemical weapon, during a medical evacuation, which is defined as from the incident site of a contaminated environment up-to a clean zone. First, in our published systematic review, we assessed past medical responses during a chemical attack. The lack of clinical data and intervention-related information, such as protection and decontamination capabilities, stresses not only the need to study acute or prehospital settings, but also a set of integrated competences in the contaminated environment (i.e.: protection, decontamination and clinical interventions) (Prospero registered CRD42019104473). Second, a method paper which presents an ongoing international retro-prospective observational study on the medical responses during a chemical attack has been submitted for publication. The goal of this study is to describe the acute clinical management of patients in the contaminated zone (1970-2036; US Clinical trial registered NCT05026645). Data gathering is currently ongoing with the use of a comprehensive online registry programmed by the Quebec Respiratory Health Research Network. In the third and fourth, we started the development of two technological innovations to improve the medical management of mass casualties, caused by a chemical weapon, in contaminated environments. The first is the creation of a mobile laboratory for the continuity of our work in both indoor and outdoor settings. The other is the launch of a research program, named VIMY Multi-System, which includes: (1) An electronic casualty card system integrating the United Kingdom National Early Warning System; (2) a forward-deployable telemedicine capability prototype – currently undergoing integration testing – that incorporates drone technology to monitor patients being clinically managed in a simulated chemically contaminated environment. Our fifth published paper, on the methods of oxygen conservation with an automated titration system (n= 60; US Clinical trial registered NCT02782936 and NCT02809807), showed that such an automated system may constitute a viable medical solution for interventions in a contaminated environment and also constitutes one of the possible solutions to improve therapeutic interventions. The system studied allows the maintenance of adequate oxygenation while reducing the use of oxygen in patients, making it possible to extend their treatment duration even under conditions of limited logistical resources in oxygen. The oxygen flow provided by the automated system allows a mean reduction in administered oxygen quantities of more than six-fold when decreasing the prescribed SpO2 target from 98 to 90% (5 L/min to1 L/min, p <0.001) in hospitalized patients with respiratory disorders. The comparison was conducted on the basis of conservative flow rate targets reported in the literature (2.5, 5.0, 10.0 and 15.0 l/min). When it comes to the automated correction of a hypoxemic condition in sick patients and healthy subjects wearing a gas mask, the prescribed SpO2 target resulted in maximum administered oxygen flow rates of 0.2 L/min and 2.9 L/min respectively. These results show a possible logistic and therapeutic optimization in the use of oxygen. Finally, these initial advances will be integrated as our research work progresses in order to improve clinical evidence-based practices in contaminated environments due to the use of chemical weapons.L’objectif principal de cette recherche Ă©tait d’évaluer l’état des connaissances et le savoir-faire de la pratique clinique dans la gestion d’un grand nombre de blessĂ©s, contaminĂ©s des suites d’une exposition Ă  l’arme chimique, pendant leur Ă©vacuation mĂ©dicale depuis le site de l’incident dans un environnement contaminĂ© jusqu’à la zone propre. PremiĂšrement, dans une revue systĂ©matique que nous avons publiĂ©e, nous avons Ă©valuĂ© les rĂ©ponses mĂ©dicales passĂ©es lors d’attaques chimiques. Le manque de donnĂ©es cliniques et d’autres informations liĂ©es Ă  l’intervention, tel que les capacitĂ©s de protection et de dĂ©contamination, souligne non seulement la nĂ©cessitĂ© d’étudier l’environnement prĂ©hospitalier, mais aussi la gamme de compĂ©tences interdĂ©pendantes en milieu contaminĂ© (c.-Ă -d. : protection, dĂ©contamination et interventions cliniques) (Prospero CRD42019104473). DeuxiĂšmement, nous avons soumis pour publication la mĂ©thodologie d’une Ă©tude rĂ©troprospective observationnelle internationale s’intĂ©ressant aux rĂ©ponses mĂ©dicales lors d’une attaque chimique. Le but consiste Ă  dĂ©crire la gestion clinique en soins aigus des blessĂ©s dans la zone contaminĂ©e (1970-2036) (ClinicalTrials.gov NCT05026645). L’acquisition de donnĂ©es est en cours Ă  l’aide d’un registre de donnĂ©es intĂ©gral en ligne qui a Ă©tĂ© programmĂ© par le RĂ©seau de recherche en santĂ© respiratoire du QuĂ©bec. En troisiĂšme et quatriĂšme lieu, nous avons entrepris le dĂ©veloppement de deux innovations technologiques afin d’amĂ©liorer la prise en charge mĂ©dicale des patients en milieu contaminĂ© Ă  la suite de l’utilisation de l’arme chimique. L’un est la crĂ©ation d’un laboratoire mobile pour poursuivre nos travaux tant Ă  l’intĂ©rieur qu’à l’extĂ©rieur. L’autre est la mise sur pied d’un programme de recherche, nommĂ© VIMY Multi-SystĂšmes, qui inclut : (1) un systĂšme de carte de blessĂ©s Ă©lectronique intĂ©grant le systĂšme national d’alerte prĂ©coce du Royaume-Uni, (2) les premiers tests d’intĂ©gration d’un prototype d’une capacitĂ© de tĂ©lĂ©mĂ©decine de dĂ©ploiement avancĂ©, incluant la technologie du drone, pour une surveillance clinique globale des patients pris en charge en milieu contaminĂ© chimique simulĂ©. Notre cinquiĂšme publication, qui porte sur les mĂ©thodes de maintien de l’oxygĂ©nation par titrage automatisĂ©e (n=60 ; ClinicalTrials.gov NCT02782936 et NCT02809807), nous a permis de dĂ©montrer qu’un systĂšme automatisĂ© peut constituer une solution mĂ©dicale intĂ©ressante qui serait applicable dans les interventions en milieu contaminĂ© et de surcroĂźt comme une solution pour amĂ©liorer les actions thĂ©rapeutiques. Le systĂšme que nous avons Ă©tudiĂ© permet de maintenir une oxygĂ©nation adĂ©quate tout en limitant la consommation d’oxygĂšne des patients, prolongeant ainsi leur durĂ©e de traitement, notamment en cas de ressources en oxygĂšne limitĂ©es. D’une part, le dĂ©bit de l’oxygĂšne fourni par le systĂšme automatisĂ© a permis une rĂ©duction moyenne des quantitĂ©s administrĂ©es de l’ordre de plus de six fois lors de la diminution de la cible de saturation en oxygĂšne (SpO2) prescrite de 98 Ă  90 % (5 L/min Ă  1 L/min, p < 0,001) chez les patients hospitalisĂ©s atteints de maladies respiratoires. La comparaison s’est faite par rapport Ă  des dĂ©bits conservateurs rapportĂ©s dans la littĂ©rature (2,5, 5,0, 10,0 et 15,0 L/min). D’autre part, la correction automatisĂ©e d’une condition hypoxĂ©mique chez les patients malades et les sujets sains portant le masque Ă  gaz, la cible SpO2 a engendrĂ© des dĂ©bits maximaux d’oxygĂšnes administrĂ©s de 2,5 et 2,9 L/min respectivement. Ainsi, nous avons dĂ©montrĂ© une optimalisation logistique et thĂ©rapeutique de la consommation de l’oxygĂšne. Finalement, ces premiĂšres avancĂ©es seront intĂ©grĂ©es au fur et Ă  mesure de l’avancement de nos recherches afin d’amĂ©liorer le processus de soins en milieu contaminĂ© issu de l’utilisation de l’arme chimique
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