scholarly journals B-74 Using Rates of Low Scores to Assess Agreement between ANAM4 TBI-MIL and a Traditional Battery of Neuropsychological Tests

2019 ◽  
Vol 34 (6) ◽  
pp. 1022-1022
Author(s):  
B Ivins ◽  
J Arrieux ◽  
W Cole ◽  
K Schwab
Keyword(s):  
Traumatic Brain Injury ◽  
Neuropsychological Tests ◽  
Poor Performance ◽  
The Other ◽  
Neurological Assessment ◽  
Us Military ◽  
The Us ◽  
Valid Data ◽  
Overall Performance ◽  
Assessment Metrics

Abstract Objective The Automated Neurological Assessment Metrics (Version 4) Traumatic Brain Injury Military (ANAM4 TBI-MIL) battery is widely used by the US military to assess cognitive function. We compare intra-individual agreement between ANAM4 TBI-MIL and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered ANAM4 TBI-MIL and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~≥10th %ile) to the worst overall performance (i.e. ~≤10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 88.1% from ANAM and 100% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 58.3% from ANAM and 50.0% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.

scholarly journals A-248 Using Rates of Low Scores to Assess Agreement between CNSVS and a Traditional Battery of Neuropsychological Tests

2020 ◽  
Vol 35 (6) ◽  
pp. 1043-1043
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K
Keyword(s):  
Cognitive Function ◽  
Neuropsychological Tests ◽  
Poor Performance ◽  
Base Rate ◽  
Test Battery ◽  
The Other ◽  
Mild Tbi ◽  
Valid Data ◽  
Overall Performance ◽  
Standard Deviations

Abstract Objective CNSVS is a brief computerized test battery used to assess cognitive function. We compare intra-individual agreement between CNSVS and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered CNSVS and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 95.9% from CNSVS and 80.0% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 38.8% from CNSVS and 63.3% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.

scholarly journals A-232 Using Rates of Low Scores to Assess Agreement between ImPACT and a Traditional Battery of Neuropsychological Tests

2020 ◽  
Vol 35 (6) ◽  
pp. 1027-1027
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K
Keyword(s):  
Cognitive Function ◽  
Neuropsychological Tests ◽  
Poor Performance ◽  
Base Rate ◽  
Test Battery ◽  
The Other ◽  
Mild Tbi ◽  
Sports Concussion ◽  
Valid Data ◽  
Overall Performance

Abstract Objective ImPACT is a brief computerized test battery used to assess cognitive function most often following sports concussion. We compare intra-individual agreement between ImPACT and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered ImPACT and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 100.0% from ImPACT and 73.1% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 42.9% from ImPACT and 34.6% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.

scholarly journals A-231 Using Rates of Low Scores to Assess Agreement between CogState and a Traditional Battery of Neuropsychological Tests

2020 ◽  
Vol 35 (6) ◽  
pp. 1026-1026
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K
Keyword(s):  
Cognitive Function ◽  
Neuropsychological Tests ◽  
Poor Performance ◽  
Base Rate ◽  
Test Battery ◽  
The Other ◽  
Mild Tbi ◽  
Valid Data ◽  
Overall Performance ◽  
Standard Deviations

Abstract Objective CogState is a brief computerized test battery used to assess cognitive function. We compare intra-individual agreement between CogState and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered CogState and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 95.1% from CogState and 70.6% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 31.7% from CogState and 38.2% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.

scholarly journals La industria española de defensa ante los nuevos conflictos: capacidades a aportar

2021 ◽  
Vol 7 (2) ◽  
pp. 63-81
Author(s):  
Christian Villanueva
Keyword(s):  
The Other ◽  
Republic Of China ◽  
The Third ◽  
Us Military ◽  
Knowing That ◽  
The Us ◽  
Revolution In Military Affairs ◽  
The Russian Federation ◽  
Military Revolution ◽  
Criminal Groups

Conflicts such as Nagorno-Karabakh, the Donbas, Libya, Syria and Yemen have shown that even in such different scenarios, the diffusion of the key advances that were at the heart of the Revolution in Military Affairs is a fact. Moreover, most of these advances are so well established that they are now in daily use not only by many states, but also by their proxies and even by transnational terrorist and criminal groups. This phenomenon is intimately associated with the erosion of US military superiority, a country that is seeing how the People's Republic of China or the Russian Federation, but also North Korea or Iran, are capable of challenging the former superpower. In this scenario, aware of the need to compensate for the advances made by the other players, the US has launched a series of initiatives, such as the Third Offset Strategy, aimed at achieving new technological and arms developments that could lead to a new Revolution in Military Affairs or, perhaps, a full-fledged Military Revolution. In this complex context, in which conflicts fought with inherited means will converge with new weapons, systems and platforms and with the entry into service of developments that we cannot yet imagine, the Spanish defence industry will have to struggle to survive, knowing that its main customer - the Spanish Ministry of Defence - is in a very delicate situation in terms of facing this new stage.

Deploying Jim Crow

2021 ◽  
pp. 297-343
Author(s):  
Thomas A. Guglielmo
Keyword(s):  
White Supremacy ◽  
Jim Crow ◽  
Black Americans ◽  
Home Front ◽  
The Other ◽  
Multiple Forms ◽  
Us Military ◽  
The Us ◽  
The World ◽  
The One

Chapter 8 explores what happened to the US military’s black-white lines as American troops moved overseas. On the one hand, the US military transplanted these lines all around the world. While not identical to those on the home front, they also took multiple forms, involving everything from jobs and dances to courts-martial and minstrel performances. They also stemmed from the military’s paradoxical goals of winning a war for democracy while at the same time protecting white supremacy. On the other hand, fully achieving this latter goal became more difficult overseas because of locals’ warm relations with black Americans, the black-white comradeship of some American GIs, and the activism of black troops. Taken together, these developments chipped away at the black-white divide. At war’s end, Jim Crow in uniform was far from dead, but it lay moderately wounded just the same.

scholarly journals Positionality in Embodied War Imaginaries: American Snipers

2018 ◽  
Vol 3 (1) ◽  
pp. 43-64
Author(s):  
Benjamin Schrader
Keyword(s):  
Human Rights ◽  
Military History ◽  
Active Duty ◽  
The Other ◽  
Wilderness Programs ◽  
Us Military ◽  
The Us ◽  
Embodied Experiences ◽  
The Military ◽  
Eventual Death

This paper maps the positionality of two soldiers embodied experiences as snipers for the US military. One, Chris Kyle who is labeled as “the most lethal sniper in US military history,” wrote a book uncritically glorifying his experiences, which was later turned into the Oscar nominated film American Sniper. His attempt to help veterans heal from PTSD by taking them shooting was a possible trigger that reignited the traumas of war, which can be traced to his eventual death. The other, Garett Reppenhagen, who was the first active duty member of the antiwar group Iraq Veterans Against the War, and currently works to help others heal from the traumas of war by getting them engaged in wilderness programs and environmental activism. Both stories expose a range of traumas of war, both within wartime and in peacetime, and we see the ways in which their narratives of war have different reflections of what it means to heal during times of peace. This paper juxtaposes these two stories, their war imaginaries, and how one works to reinforce the military dispositif, while the other works to impede it in favor of human rights.

scholarly journals Rereading Empire, Rethinking History: Rehabilitation of the Vietcong in Lan Cao’s Monkey Bridge

2021 ◽  
Vol 58 (2) ◽  
pp. 78-94
Author(s):  
Yuan Shu
Keyword(s):  
Cold War ◽  
Military Intervention ◽  
Early Stage ◽  
American Exceptionalism ◽  
The State ◽  
The Other ◽  
American Novel ◽  
Us Military ◽  
Vietnamese American ◽  
The Us

Throughits reading of Lan Cao’s Monkey Bridge, credited as the first Vietnamese American novel, this article seeksto investigate the discourse of reconciliation or refugee settlement in the context of the changing US master narratives from Empire to Cold War 2.0. Itarguesthat Cao’s novel in its effort to register a South Vietnamese perspective reorients modern Vietnamese experiences in relation to the US sense of democracy and freedom and in the process challenges what Donald Pease calls the state fantasy of American exceptionalism in the US military intervention in Vietnam. What Cao’s novel achieves is to blur the boundary between nationalism and communism in its representation of the Vietnamese struggle for independence in its early stage and to humanize and rehabilitate the Vietcong soldier as a possibly assimilable “us” rather than as simply “them” in the realm of the other.

Pain and chronic mild traumatic brain injury in the US military population: a Chronic Effects of Neurotrauma Consortium study

Brain Injury ◽  
2018 ◽  
Vol 32 (10) ◽  
pp. 1169-1177 ◽  
Author(s):  
Michelle R. Hoot ◽  
Harvey S. Levin ◽  
Austin N. Smith ◽  
Gary Goldberg ◽  
Elisabeth A. Wilde ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Population ◽  
Us Military ◽  
Chronic Effects ◽  
The Us

Trump uncertainty impedes NATO's Afghan strategy

2017 ◽  
Keyword(s):  
United States ◽  
The United States ◽  
The Other ◽  
Economic Decline ◽  
Content Type ◽  
Us Military ◽  
The Us

Subject NATO plans in Afghanistan. Significance The United States has nearly 7,000 troops in Afghanistan, spread across two separate but complementary missions. One is led by the US military and the other by NATO, but both are commanded by US General John W Nicholson. Uncertainty about US President Donald Trump’s policy looms over NATO’s plans for the country. Impacts Afghanistan’s economic decline will accelerate if US aid falls markedly. The Taliban have no incentive to talk peace at present. Direct Chinese security involvement in Afghanistan may deepen.

scholarly journals Continuum of the United States military’s traumatic brain injury care: adjusting to the changing battlefield

2018 ◽  
Vol 45 (6) ◽  
pp. E15 ◽  
Author(s):  
Rachel Lazarus ◽  
Katherine Helmick ◽  
Saafan Malik ◽  
Emma Gregory ◽  
Yll Agimi ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Clinical Practice ◽  
Brain Injury ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Clinical Care ◽  
The United States ◽  
Us Military ◽  
Combat Casualty ◽  
The Us

Over the past 8 years, advances in the US Military Health System (MHS) have led to extensive changes in the way combat casualty care is provided to deployed service members with a traumatic brain injury (TBI). Changes include the application of cutting-edge Clinical Practice Guidelines, use of pioneering technologies, and advances in evacuation procedures. Compared with previous engagements, current operations occur on a much smaller scale, and more frequently in austere environments, such that effective medical support is increasingly challenging. In this paper, the authors describe key aspects of the current continuum of TBI care in the US military, from the point of injury through rehabilitation, with an emphasis on how emerging technologies and evidence-based Clinical Practice Guidelines assist MHS clinicians with providing the best clinical care possible in the changing battlefield.

Sign in / Sign up

Export Citation Format

Share Document