14 research outputs found

    Future Implications of Emerging Disruptive Technologies on Weapons of Mass Destruction

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    This report asks the questions: What are the future implications of Emerging Disruptive Technologies (EDTs) on the future of Weapons of Mass Destruction (WMD) warfare? How might EDTs increase the lethality and effectiveness of WMDs in kinetic warfare in 2040? How can civic leaders and public servants prepare for and mitigate projected threats? Problem  In the coming decade, state and non-state adversaries will use EDTs to attack systems and populations that may initiate and accelerate existing geopolitical conflict escalation. EDTs are expected to be used both in the initial attack or escalation as well as a part of the detection and decision-making process. Due to the speed of EDTs, expected confusion, and common lack of human oversight, attacks will also be incorrectly attributed, which has the capacity to escalate rapid geopolitical conflict to global military conflict, and ultimately, to the use of nuclear WMDs. The use of EDTs in the shadow of nuclear WMDs is also expected to create an existential threat to possible adversaries, pushing them to “lower the bar” of acceptability for using nuclear WMDs. EDTs will enable and embolden insider threats, both willing and unknowing, to effect geopolitical conflict on a global scale. In addition, the combination of multiple EDTs when used together for attacks will create WMD effects on populations and governments. Furthermore, EDTs will be used by adversaries to target and destabilize critical infrastructure systems, such as food, energy, and transportation, etc. that will have a broader effect on populations and governments. EDTs will enable adversaries to perpetrate a long-game attack, where the effect and attribution of the attack may not be detected for an extended period -- if ever. Solution  To combat these future threats, organizations will need to conduct research and intelligence gathering paired with exploratory research and development to better understand the state of EDTs and their potential impacts. With this information, organizations will need to conduct collaborative “wargaming” and planning to explore a range of possible and potential threats of EDTs. The knowledge gained from all of these activities will inform future training and best practices to prepare for and address these threats. Organizations will also need to increase their investments in EDT related domains, necessitating countries to not only change how they fight, but also evolve their thinking about deterrence. Expanded regulation, policy making, and political solidarity among members will take on an increasingly more significant and expanded role. Broader government, military, and civilian cooperation will be needed to disrupt and mitigate some of these future threats in conjunction with broader public awareness. All of these actions will place a higher value on cooperation and shared resiliency among NATO members

    Vintage Tomorrows

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    The York System: An integrated zooarchaeological database for research and teaching

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    This article presents the York System, a database used for recording animal bones. It is based on the recording protocol used at the Department of Archaeology, University of York, and incorporates that used at the former Environmental Archaeology Unit. The York System has been designed in Access 2000 and includes the commonly identified British mammal, bird, fish, reptile and amphibian species. Emphasis has been placed on database flexibility, within a framework of inter-analyst comparability. The system can be used by experienced zooarchaeologists, while an integrated help file has been included to guide students through the recording process. This article presents the recording protocol behind the database as well as a background to the database design process. A web-based demonstration is provided that replicates the actions of the database, while copies of the database and associated help files are provided for downloading

    Predictors of staging accuracy, pathologic nodal involvement, and overall survival for cT2N0 carcinoma of the esophagus

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    OBJECTIVE: Clinical T2N0 esophageal carcinoma is a heterogenous disease frequently complicated by inaccurate staging. Incorrect staging may lead to suboptimal treatment for patients with unidentified local-regionally advanced disease. Therapeutic options for these patients remain controversial. We sought to evaluate the outcomes of patients with cT2N0 who underwent esophagectomy as either primary therapy or after neoadjuvant treatment. METHODS: This was a multi-institutional collaboration of 26 high-volume esophageal centers. Patients with complete staging who underwent elective resection from 2002 to 2012 were included. Three treatment groups were identified; primary esophagectomy, preoperative chemotherapy, and preoperative chemoradiation (CXRT). Pretreatment variables were explored for independent predictors of long-term outcomes. The primary esophagectomy subgroup was evaluated for stage migration. RESULTS: In total, 767 patients were evaluated; 35% (268) had preoperative therapy (195 CXRT, 73 chemotherapy). Staging accuracy was 14% (70/499), with pT  0 in 39% (195). Preoperative treatment modality (none, CXRT, chemotherapy) was not identified as a predictor of outcome (median survival 63, 70, 71 months, respectively, P = .956). Longitudinal tumor length >3.25 cm was predictive of pN+ for the primary esophagectomy cohort as well as adenocarcinoma histology only (odds ratio 2.2 and 2.4, respectively, P < .001). CONCLUSIONS: Current treatment options for patients with cT2N0M0 do not reveal a comparative survival advantage to preoperative therapy. Pretreatment tumor length can identify a subgroup of patients at risk for understaging (pN+). The incidence of overstaging suggests that organ-sparing approaches (endoscopic resection) may play a future role in appropriately selected patients.status: publishe
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