Psychological Aspects of Infertility Post-Injury

2016 ◽  
Author(s):  
Laura S. Covington
Keyword(s):  
Public Policy ◽  
Fertility Preservation ◽  
Insurance Coverage ◽  
Service Member ◽  
Service Members ◽  
Ethical Considerations ◽  
Post Injury ◽  
General Overview ◽  
Psychosocial Implications ◽  
The Military

This chapter explores how service members with injuries that damage sexual and reproductive functioning may experience the psychosocial implications of impaired fertility. It addresses a general overview of infertility and then describes the experience within the military context. Infertility can be an invisible, secondary wound that is not felt until one considers procreation and that may last for many years. Further, infertility is an injury that affects not only the service member but also his or her partner. Many ethical considerations and barriers, including limited insurance coverage and accessibility for treatment, make it difficult to access technologies for reproduction. Fertility preservation and sperm harvesting should be considered as options by service members before deployment. While advances in technologies can help injured service members to procreate, the challenges and emotional fallout are significant and need to be addressed in treatment, counseling, and public policy.

scholarly journals Mandating the COVID-19 Vaccine for U.S. Service Members: An Exploration of Ethical Arguments

2021 ◽  
Author(s):  
Jeanne A Krick ◽  
Tyler R Reese
Keyword(s):  
Drug Administration ◽  
Department Of Defense ◽  
Service Member ◽  
Service Members ◽  
Individual Autonomy ◽  
Mandatory Vaccination ◽  
The Military ◽  
Full Approval ◽  
Individual Service ◽  
The U.S

ABSTRACT As the COVID-19 pandemic continues across the globe, the advent of novel vaccines has created a possible path to prepandemic life for many. Still, many individuals, including those in the U.S. military, remain hesitant about getting vaccinated. The U.S. Food and Drug Administration recently granted full approval to the Pfizer-BioNTech mRNA vaccine (Comirnaty). Consistent with messaging from President Biden, the Department of Defense leadership has instructed the military to prepare for mandatory vaccination. While many have praised this declaration, others have raised concerns regarding the suppression of individual service member autonomy. This commentary explains the different ethical principles relevant to individual autonomy and how they are understood in a military context and then explores the ethical arguments both for and against mandating vaccination for all U.S. service members.

scholarly journals Career Development in the Uniformed Services of Lithuania: Wide Open Innovation Possibilities vs. Innert Hierarchical Culture

2017 ◽  
Vol 16 (3) ◽  
pp. 365-376
Author(s):  
Svajūnė Ungurytė Ragauskienė ◽  
Mantas Bileišis
Keyword(s):  
Career Development ◽  
Open Innovation ◽  
Military Service ◽  
Service Member ◽  
Institutional Factors ◽  
Service Members ◽  
Development Models ◽  
Development Paths ◽  
The Military ◽  
Service Regime

We compare career development models between two uniformed services regimes of Lithuania: military and statutory (police and penitentiary services). In this paper, we differentiate regulative and normative institutions by comparing the egzisting regulation that relates to career development and interview accounts of servicemembers regarding their understanding of career development paths and institutional factors that affect them. We find that regulations between the two regimes are similar; however, there are radical differences in how service members perceive career development. We conclude that other, non-regulatory, factors are at play: (i) considerable legacies of in statutory services since the Soviet-era, and (ii) the exposure of the military service to international practices in the context of NATO alliance. Statutory services inherited their personnel, organizational structure and, to some extent, regulations from the Soviet-era, whereas the military was built from scratch, largely based on conditionalities set by NATO accession. Although we see striking similarities in human resource management (HRM) regulations among services regimes, there are no comparable similarities with regard to how service members view career development. Career development is not regulated in detail in either service regime and serves as a good indicator of normative institutions that shape uniformed services. Service member accounts lead us to conclude that elements of career development that are applied in the military service achieves better HRM outcomes.DOI: http://dx.doi.org/10.5755/j01.ppaa.16.3.19335

scholarly journals Counseling LGBT Military Clients Using the Multicultural and Social Justice Counseling Competencies Framework

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Rebekah F Cole
Keyword(s):  
Social Justice ◽  
Best Practices ◽  
Service Member ◽  
Service Members ◽  
Self Awareness ◽  
Attitudes And Beliefs ◽  
Culturally Competent ◽  
Counseling Competencies ◽  
Counseling Relationship ◽  
The Military

When working with LGBT service member clients, counselors should use the Multicultural and Social Justice Counseling Competencies as a framework to guide their practice as they navigate the intersection between the military culture and LGBT culture. This framework addresses four domains that are foundational for multicultural and social justice competency: (a) counselor self-awareness, (b) the client worldview, (c) the counseling relationship, and (d) counseling and advocacy interventions. Included in the framework are the following aspirational competencies within each domain: attitudes and beliefs, knowledge, skills, and action. Best practices for culturally competent, social-justice-focused work with LGBT service members within each of these domains are discussed.

Resurrected Bodies

2010 ◽  
Vol 39 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Arlene Macdonald
Keyword(s):  
Public Policy ◽  
Lived Experience ◽  
Organ Transplant ◽  
Transplant Recipients ◽  
Ethical Considerations ◽  
The Public ◽  
Professional Activities ◽  
Faith Traditions ◽  
Anthropological Literature ◽  
Religious Actors

The anthropological literature on transplant, though theoretically and ethnographically rich, does not address religion in any substantial way. And while bio-ethical considerations of transplant regularly address religion, treatments are generally circumscribed to a list of various faith traditions and their stance toward organ transplant. Such a presentation reduces “religion” to the world’s recognized faith traditions, “religious actors” to the official spokespersons of these traditions, and “religious belief” to moral injunctions. The objective of the thesis was to illuminate the prominent place of religion in the lived experience of transplant recipients and donors, in the public policy and professional activities of transplant officials, and in the transplant discourses of North America

Health and Service-related Impact of Sexual and Stalking Victimization During United States Military Service on LGBT Service Members

2020 ◽  
pp. 088626052097031
Author(s):  
Cary Leonard Klemmer ◽  
Ashley C. Schuyler ◽  
Mary Rose Mamey ◽  
Sheree M. Schrager ◽  
Carl Andrew Castro ◽  
...  
Keyword(s):  
United States ◽  
Military Service ◽  
The United States ◽  
Active Duty ◽  
Service Members ◽  
United States Military ◽  
Service Outcomes ◽  
Study Participants ◽  
The Military ◽  
Stalking Victimization

Prior research among military personnel has indicated that sexual harassment, stalking, and sexual assault during military service are related to negative health sequelae. However, research specific to LGBT U.S. service members is limited. The current study aimed to explore the health, service utilization, and service-related impact of stalking and sexual victimization experiences in a sample of active-duty LGBT U.S. service members ( N = 248). Respondent-driven sampling was used to recruit study participants. U.S. service members were eligible to participate if they were 18 years or older and active-duty members of the U.S. Army, U.S. Navy, U.S. Marine Corps, or U.S. Air Force. This study included a sizeable portion of transgender service members ( N = 58, 23.4%). Sociodemographic characteristics, characteristics of military service, health, and sexual and stalking victimization in the military were assessed. Regression was used to examine relationships between health and service outcomes and sexual and stalking victimization during military service. Final adjusted models showed that experiencing multiple forms of victimization in the military increased the odds of visiting a mental health clinician and having elevated somatic symptoms, posttraumatic stress disorder symptomatology, anxiety, and suicidality. Sexual and stalking victimization during U.S. military service was statistically significantly related to the mental and physical health of LGBT U.S. service members. Interventions to reduce victimization experiences and support LGBT U.S. service members who experience these types of violence are indicated. Research that examines the role of LGBT individuals’ experiences and organizational and peer factors, including social support, leadership characteristics, and institutional policies in the United States military is needed.

Blood Biomarkers Relate to Cognitive Performance Years after Traumatic Brain Injury in Service Members and Veterans

2020 ◽  
pp. 1-7
Author(s):  
Sara M. Lippa ◽  
Jessica Gill ◽  
Tracey A. Brickell ◽  
Louis M. French ◽  
Rael T. Lange
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Outcome ◽  
Service Members ◽  
Neurocognitive Performance ◽  
Blood Biomarkers ◽  
Post Injury ◽  
Blood Draw ◽  
Neurofilament Light ◽  
History Of

Abstract Objective: This study examines the relationship of serum total tau, neurofilament light (NFL), ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), and glial fibrillary acidic protein (GFAP) with neurocognitive performance in service members and veterans with a history of traumatic brain injury (TBI). Method: Service members (n = 488) with a history of uncomplicated mild (n = 172), complicated mild, moderate, severe, or penetrating TBI (sTBI; n = 126), injured controls (n = 116), and non-injured controls (n = 74) prospectively enrolled from Military Treatment Facilities. Participants completed a blood draw and neuropsychological assessment a year or more post-injury. Six neuropsychological composite scores and presence/absence of mild neurocognitive disorder (MNCD) were evaluated. Within each group, stepwise hierarchical regression models were conducted. Results: Within the sTBI group, increased serum UCH-L1 was related to worse immediate memory and delayed memory (R2Δ = .065–.084, ps < .05) performance, while increased GFAP was related to worse perceptual reasoning (R2Δ = .030, p = .036). Unexpectedly, within injured controls, UCH-L1 and GFAP were inversely related to working memory (R2Δ = .052–.071, ps < .05), and NFL was related to executive functioning (R2Δ = .039, p = .021) and MNCD (Exp(B) = 1.119, p = .029). Conclusions: Results suggest GFAP and UCH-L1 could play a role in predicting poor cognitive outcome following complicated mild and more severe TBI. Further investigation of blood biomarkers and cognition is warranted.

Informed Consent in the Military: Fighting a Losing Battle Against the Anthrax Vaccine

2002 ◽  
Vol 28 (2-3) ◽  
pp. 325-343
Author(s):  
Ruth K. Miller
Keyword(s):  
Informed Consent ◽  
Service Member ◽  
Individual Choice ◽  
Civilian Life ◽  
Medical Treatments ◽  
Employment History ◽  
Receive Treatment ◽  
The Right ◽  
The Military ◽  
To Receive

In civilian life, an individual has the right to refuse medical treatment in almost any circumstance. While a patient who refuses treatment may face adverse consequences such as prolonged illness, our society recognizes the importance of individual choice in health matters. Members of the military, however, enjoy no such right. Service members are required to submit to certain medical treatments as a part of their employment contract. Refusing such treatments is disobeying an order, and the service member then faces the prospect of a dishonorable or “other than honorable” discharge, and even imprisonment. Disobeying an order to receive treatment can thus result in the equivalent of a felony conviction on the individual's employment history forever.

Telepractice: An Overview and Best Practices

2014 ◽  
Vol 23 (1) ◽  
pp. 4-17 ◽  
Author(s):  
Jana Cason ◽  
Ellen R. Cohn
Keyword(s):  
Best Practices ◽  
Speech Therapy ◽  
Augmentative Communication ◽  
Reimbursement Policy ◽  
Ethical Considerations ◽  
Privacy And Security ◽  
Physical Location ◽  
General Overview ◽  
Alternative And Augmentative Communication

Telepractice is the use of telecommunications technology to deliver speech therapy and audiology services to a client who is in a different physical location than the practitioner. This article presents a general overview of telepractice, including terminology and definitions; ethical considerations; privacy and security; reimbursement policy and trends; considerations for client selection; and telepractice resources. It was written to provide foundational information about telepractice for practitioners who are engaged with alternative and augmentative communication (AAC).

scholarly journals Diagnostic Evaluation of Hypoglycemia Due To an Insulinoma in a Deployed Infantryman: Significance of Neuroglycopenia and the Role of the Military Health System

2021 ◽  
Author(s):  
Samuel T Olatunbosun ◽  
Ayodeji F Alaketu ◽  
Joseph H McDermott ◽  
Al M Elsayed von Bayreuth
Keyword(s):  
Health System ◽  
Rare Condition ◽  
Service Member ◽  
Hyperinsulinemic Hypoglycemia ◽  
Suspected Case ◽  
Military Health System ◽  
Military Population ◽  
Military Health ◽  
The Military

ABSTRACT Insulinoma, the prototype of endogenous hyperinsulinemic hypoglycemia, is a very rare condition, with an incidence of four cases per million person-years. Its rate of occurrence in the U.S. military population is unknown. Two cases of insulinomas involving active duty service members have been published. However, there has been no reported case of an insulinoma in a deployed service member. We report the case of a 21-year-old infantryman with clinical hypoglycemia of insidious onset, manifesting with overt neuroglycopenic symptoms during his deployment as a combatant soldier, and the ultimate diagnosis of an insulinoma as the underlying cause. The series of multiple clinical evaluations and the unique circumstances leading to the formal evaluation of the patient’s hypoglycemia and treatment are chronicled. The significance of neuroglycopenia and the diagnostic approach to any suspected case of hypoglycemia, the potential challenges and opportunities, and educational aspects of evaluation and management of the insulinoma are elaborated. The potential role of the Military Health System in facilitating the detection and treatment of this rare condition in the service member is discussed as well.

scholarly journals The Military Suicide Research Consortium Common Data Elements: An Examination of Measurement Invariance Across Current Service Members and Veterans

Assessment ◽  
2018 ◽  
Vol 26 (6) ◽  
pp. 963-975 ◽  
Author(s):  
Ian H. Stanley ◽  
Jennifer M. Buchman-Schmitt ◽  
Carol Chu ◽  
Megan L. Rogers ◽  
Anna R. Gai ◽  
...  
Keyword(s):  
Measurement Invariance ◽  
Model Fit ◽  
Service Members ◽  
Common Data Elements ◽  
Adequate Model ◽  
Increased Risk ◽  
Research Consortium ◽  
Data Elements ◽  
Military Suicide ◽  
The Military

Suicide rates within the U.S. military are elevated, necessitating greater efforts to identify those at increased risk. This study utilized a multigroup confirmatory factor analysis to examine measurement invariance of the Military Suicide Research Consortium Common Data Elements (CDEs) across current service members ( n = 2,015), younger veterans (<35 years; n = 377), and older veterans (≥35 years; n = 1,001). Strong factorial invariance was supported with adequate model fit observed for current service members, younger veterans, and older veterans. The structures of all models were generally comparable with few exceptions. The Military Suicide Research Consortium CDEs demonstrate at least adequate model fit for current military service members and veterans, regardless of age. Thus, the CDEs can be validly used across military and veteran populations. Given similar latent structures, research findings in one group may inform clinical and policy decision making for the other.

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