scholarly journals Housing Needs of Ageing Veterans Who Have Experienced Limb Loss

2020 ◽  
Vol 17 (5) ◽  
pp. 1791
Author(s):  
Gemma Wilson ◽  
Gill McGill ◽  
Alison Osborne ◽  
Matthew D. Kiernan
Keyword(s):  
Life Story ◽  
Military Veterans ◽  
Armed Forces ◽  
Limb Loss ◽  
Direct Result ◽  
Housing Needs ◽  
Life Story Interviews ◽  
Additional Support ◽  
The Impact

Military veterans can experience limb loss as a direct result of conflict, an accident, illness or injury. Whatever the cause, there is a need to recognise the long-term consequences and challenges of limb loss on maintaining independence in one’s home. This study aimed to examine the housing needs of veterans experiencing limb loss, and the impact of limb loss on housing needs and home adaptations of ageing military veterans. Thirty-two military veterans (aged 43–95) participated in this study and up to three life-story interviews were carried out with each participant. Two themes were generated: availability of support and changing housing needs. It is evident from the findings that military veterans are unique in various ways, specifically due to military culture, geographical relocation and the additional support that is available to the Armed Forces Community. This must be considered in long-term support to maintain independence in the home.

scholarly journals Ageing, limb-loss and military veterans: a systematic review of the literature

2018 ◽  
Vol 39 (8) ◽  
pp. 1582-1610 ◽  
Author(s):  
NICK CADDICK ◽  
HELEN CULLEN ◽  
AMANDA CLARKE ◽  
MATT FOSSEY ◽  
MICHAEL HILL ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Military Service ◽  
Military Veterans ◽  
Limb Loss ◽  
Cochrane Library ◽  
Term Care ◽  
Long Term Impact ◽  
The Impact

ABSTRACTThe impact of losing a limb in military service extends well beyond initial recovery and rehabilitation, with long-term consequences and challenges requiring health-care commitments across the lifecourse. This paper presents a systematic review of the current state of knowledge regarding the long-term impact of ageing and limb-loss in military veterans. Key databases were systematically searched including: ASSIA, CINAHL, Cochrane Library, Medline, Web of Science, PsycArticles/PsychInfo, ProQuest Psychology and ProQuest Sociology Journals, and SPORTSDiscus. Empirical studies which focused on the long-term impact of limb-loss and/or health-care requirements in veterans were included. The search process revealed 30 papers relevant for inclusion. These papers focused broadly on four themes: (a) long-term health outcomes, prosthetics use and quality of life; (b) long-term psycho-social adaptation and coping with limb-loss; (c) disability and identity; and (d) estimating the long-term costs of care and prosthetic provision. Findings present a compelling case for ensuring the long-term care needs and costs of rehabilitation for older limbless veterans are met. A dearth of information on the lived experience of limb-loss and the needs of veterans’ families calls for further research to address these important issues.

scholarly journals Gender differences in barriers to mental healthcare for UK military veterans: a preliminary investigation

2021 ◽  
pp. bmjmilitary-2020-001754
Author(s):  
Lauren Rose Godier-McBard ◽  
G Cable ◽  
A D Wood ◽  
M Fossey
Keyword(s):  
Gender Differences ◽  
Help Seeking ◽  
Online Survey ◽  
Mental Health Problems ◽  
Military Veterans ◽  
Preliminary Investigation ◽  
Mental Healthcare ◽  
Armed Forces ◽  
Free Text ◽  
The Impact

IntroductionLimited UK research focuses on female military veterans’ gender-related experiences and issues when accessing civilian mental healthcare support. This study sought to illuminate a preliminary understanding of any gender differences in barriers that may discourage them accessing mental healthcare support.MethodsA total of 100 participants completed an open online survey of UK triservice veterans who identified as having experienced postmilitary mental health problems. They completed a 30-item Barriers to Access to Care Evaluation scale and were asked to elaborate using free-text questions. Resulting quantitative data were analysed for gender-related differences, while the qualitative text was thematically explored.ResultsWhile stigma, previous poor experience of mental healthcare and a lack of trust in civilian providers were found to act as barriers to postmilitary support for both men and women, significantly more women reported that their gender had also impacted on their intention to seek help. Women also commented on the impact of gender-related discrimination during service on their help-seeking experiences.ConclusionsWhile efforts are being made by the UK Ministry of Defence to reduce barriers to mental healthcare for those still serving in the Armed Forces, it has been more difficult to provide a similar level of support to the veteran population. With little veteran research focusing on the specific experiences of women, this study suggests that female veterans encounter specific access barriers and issues related to their gender. Further research is therefore needed to ensure these findings are addressed.

scholarly journals Measurement properties of the minimal disease activity criteria for psoriatic arthritis

RMD Open ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. e001002 ◽  
Author(s):  
Laura C Coates ◽  
Vibeke Strand ◽  
Hilary Wilson ◽  
Dennis Revicki ◽  
Brad Stolshek ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Disease Activity ◽  
Clinical Status ◽  
Measurement Properties ◽  
Minimal Disease Activity ◽  
Minimal Disease ◽  
Additional Support ◽  
Randomised Controlled ◽  
The Impact

ObjectiveTo comprehensively assess evidence on the measurement properties of the minimal disease activity (MDA) criteria, a composite measure of the state of disease activity in psoriatic arthritis (PsA).MethodsA targeted literature review was conducted to identify studies that informed the validity and/or ability of the MDA to detect change among patients known to have experienced a change in clinical status. The search was conducted using MEDLINE and Embase databases (published as of October 2017). Pertinent articles provided by investigators and identified from select conference proceedings were also evaluated.ResultsA total of 20 publications met the inclusion criteria. The MDA criteria were consistently associated with other indicators of disease activity/severity. The ability of the MDA criteria to detect change was supported in randomised controlled trials (n=10), with a greater percentage of patients randomised to active treatments achieving MDA relative to patients in comparator arms. Long-term observational studies (n=2) provided additional support for the ability of the MDA to detect within-subject change in the real-world settings.ConclusionEvidence supports the MDA as a valid measure of disease activity in PsA that can detect between-group and within-subject change. The MDA is a comprehensive measure and clinically meaningful endpoint to assess the impact of interventions on PsA disease activity.

The Meaning of the Future for the Oldest Old

2003 ◽  
Vol 56 (4) ◽  
pp. 345-364 ◽  
Author(s):  
Margareta Nilsson ◽  
Anneli Sarvimäki ◽  
Sirkka-Liisa Ekman
Keyword(s):  
Life Story ◽  
Oldest Old ◽  
Individual Level ◽  
Life And Death ◽  
Philosophy Of Life ◽  
The Future ◽  
Wait And See ◽  
Life Story Interviews ◽  
The Individual

The aim of the study was to highlight the oldest old people's view of their future from a perspective of philosophy of life. Data was collected by means of life story interviews with 15 persons. The analysis was performed by utilizing a phenomenological hermeneutic method and the interpretation was guided by the conceptual framework of philosophy of life as designated by Jeffner (1988). The following themes emerged: future seen as everyday life; future-oriented values; and thoughts about life and death. The oldest old were found to view their future in ways that ranged from a tangible positive approach via a wait-and-see policy to a negative approach. Their perception of their future implied two different time perspectives, their immediate future and a more long-term perspective of the future. Furthermore, the future was experienced on three different levels, the individual level, the intergenerational level, and the metaphysical level.

scholarly journals Kierunki rozwoju Sił Zbrojnych i ich implikacje szkoleniowe

2021 ◽  
pp. 145-166
Author(s):  
Zbigniew Leśniewski ◽  
Keyword(s):  
Content Analysis ◽  
Development Program ◽  
Armed Forces ◽  
Training System ◽  
Training Process ◽  
General Staff ◽  
The Impact

The author of the article wants to show the impact of the document Polish Armed Forces development directions, issued by the Chief of the Polish Army General Staff, General Rajmund Tomasz Andrzejczak, on the Polish Armed Forces training, using documents content analysis as well as the biographical and autobiographical method. Therefore, the author starts by listing the constitutional tasks of the Polish. Further, the author characterizes this training management and functions in this area. Then, due to article topic, author focuses on this training long-term planning, and here he assigns an outstanding role to The Polish Armed Forces development program for 2017-2026 and its derivatives. The Polish Armed Forces development directions are such a derivative and are analyzed in detail here. The strategic concept of the Polish Armed Forces for 2019-2021 and its derivatives are part of this document. These arrangements have an impact on elements of the Polish Armed Forces training system, in particular on the content, objectives, supply, and organization of the training process.

scholarly journals MODEL OF ALLOCATION OF BUDGET AND BORROWED FUNDS FOR THE ARMED FORCES OF UKRAINE DEVELOPMENT PROGRAMS IN COMPLIANCE WITH NATO STANDARDS

2018 ◽  
pp. 455-476
Author(s):  
Vasyl Porokhnya ◽  
Oleksandr Ostapenko
Keyword(s):  
Cognitive Model ◽  
Armed Forces ◽  
Budget Process ◽  
Development Programs ◽  
Risk Levels ◽  
Process Execution ◽  
Development Levels ◽  
The Impact ◽  
Defense Reform

The AFU support budget policy does not have any sufficient modern mechanism for the best budget planning, which would predict the possible state of budget items execution and resolve the alignment of financial processes to NATO standards. And this is caused by the lack of application of particular mathematical tools for budgetary processes prediction and optimization to carry out the evaluation and analysis of the budget use considering the probability factor. A model for managing the use of budget and borrowed funds for the Armed Forces of Ukraine development programs according to NATO standards, considering the levels of long-term development of programs and the probability of their implementation, is developed. The result of the evaluation of the Armed Forces of Ukraine effectiveness based on the utility function and cognitive model was the management model for the processes of budget and borrowed funds use for the AFU development programsin compliance with NATO standards. The model takes into account the long-term programs development levels and the probability of their implementation, affecting the interaction between the indicators of the AFU planning and budget process execution and increasing the effectiveness of defense reform in Ukraine. Its practical use helps to approach NATO standards in budgetary sphere and provides an opportunity to forecast budget under expenditures under the risk of its use. The cognitive model of the impact of interaction between the planning and the AFU budget process execution indicators on the effectiveness of defense reform in Ukraine establishes the links in the contours of the defense reform effectiveness management, which can be defined as critical, i. e. risky and provides an opportunity to assess the risk levels of each contour and to model scenarios and options for improving the processes of planning and use of budget funds for defense reform. The decrease of the Armed Forces of Ukraine budget underfunding initially leads to a vibrational process of impacts on the target vertex, but then the process stabilizes. In order to study the dynamics of influence of the factors, acting as instruments of the AFU budget resources management on the target vertex, apply the method of impulse processes. This method is used for scenario modeling of alternative decisions.

scholarly journals A comparison of direct macrofaunal mortality using three types of clam dredges

2003 ◽  
Vol 60 (4) ◽  
pp. 733-742 ◽  
Author(s):  
M.B Gaspar ◽  
F Leitão ◽  
M.N Santos ◽  
L Chícharo ◽  
M.D Dias ◽  
...  
Keyword(s):  
Benthic Communities ◽  
Direct Result ◽  
Physical Damage ◽  
Gear Efficiency ◽  
Short And Long Term ◽  
Points Of View ◽  
By Catch ◽  
The Impact ◽  
The Relationship

Abstract The white clam Spisula solida is harvested along the entire coast of Portugal using mechanical dredges. In this study, the total direct mortality of the macrobenthic community caused by three types of clam dredges (north dredge—ND, traditional dredge—TD, and the metallic grid dredge—GD) used in the S. solida fishery was determined and compared. The relationship between mortality and catching efficiency for each type of dredge was also assessed. Our results showed significant differences for total direct mortality between the ND and both the GD and TD dredges. This difference was largely attributed to the mortality of animals that died in the dredge track as a direct result of the physical damage inflicted by the dredge passing. It was also found that the damage to uncaught individuals is directly related to gear efficiency. The lower catching efficiency of the ND (64%) led to a higher proportion of damaged individuals being left in the dredge path, when compared with the more efficient GD (98%) and TD (90%) dredges. Short and long-term implications of the impact of dredging on the composition of benthic communities are discussed. From fisheries management and ecological points of view, there are obvious advantages to introduce into the bivalve dredge fisheries more efficient and selective dredges in order to reduce the number of damaged individuals and by-catch, and consequently decreasing the impact on the macrobenthic communities.

Outcomes and Processes at a Camp for Youth With HIV/AIDS

2011 ◽  
Vol 21 (11) ◽  
pp. 1508-1526 ◽  
Author(s):  
Ann Gillard ◽  
Peter A. Witt ◽  
Clifton E. Watts
Keyword(s):  
Informal Education ◽  
Summer Camp ◽  
Youth Programs ◽  
Skill Learning ◽  
Developmental Role ◽  
Additional Support ◽  
The Impact ◽  
Hiv Aids

The impact of HIV/AIDS on the lives of youth with this chronic illness suggests the need for additional support as youth develop. Summer camp can serve as a therapeutic intervention for youth with HIV/AIDS. Using a case study employing observations, focus groups, and interviews, we examined outcomes associated with participation in a camp for youth with HIV/AIDS, and program processes that influenced outcomes. Findings showed that camp played a major developmental role for youth. Three outcomes of camp emerged: (a) forming caring connections (awareness of commonalities, lack of isolation); (b) feeling reprieve and recreation (fun activities, anticipation of and reflection on camp, sense of freedom); and (c) increasing knowledge, attitudes, and skills (conflict management, disclosure, skill learning and education, medication adherence). Processes included formal and informal education, staff–camper interactions, long-term relationships, outside-of-camp support, activities, planning for camper needs, accessibility, and freedom from worry. We discuss implications for youth programs.

Iron is iron 'til it is rust: Trade and Ecology in the Decline of West African Iron-Smelting

1981 ◽  
Vol 22 (2) ◽  
pp. 179-189 ◽  
Author(s):  
Candice L. Goucher
Keyword(s):  
Technological Innovation ◽  
Environmental Changes ◽  
West African ◽  
Direct Result ◽  
Iron Smelting ◽  
Coastal Exploitation ◽  
Historical Accounts ◽  
The Impact ◽  
Term Response

Archaeological evidence and historical accounts have been used to examine the impact of trade and ecology on the decline of West African iron industries. Environmental changes including an increasingly desiccating climatic shift and widespread deforestation as a direct result of fuel procurement over centuries of iron-smelting and European coastal exploitation, seriously affected the survivability of these industries. While the increasing importation of European iron bars and other manufactured goods necessitated a certain amount of technological innovation, the only viable long-term response and adaptation to the ecological devastation became the increased reliance on imported supplies of iron.

scholarly journals Technical and economic aspects of starting a selected power unit at low ambient temperatures

2021 ◽  
Vol 11 (1) ◽  
pp. 606-616
Author(s):  
Wojciech Lewicki
Keyword(s):  
Ambient Temperature ◽  
Power Unit ◽  
Armed Forces ◽  
Transport Sector ◽  
Compression Ignition Engine ◽  
Ambient Temperatures ◽  
Start Up ◽  
Cylinder Liners ◽  
The Impact

Abstract The article presents research on the impact of a 359 compression-ignition engine starting at low ambient temperatures. This engine is used in vehicles such as STAR 200, 244, and 226. The purpose of these tests was to determine the amount of wear depending on the ambient temperature and the number of starts, as well as to compare the wear at start-up with the wear occurring during tests on the dynamometer (long-term test for reliability) and wear occurring during the operation of the engine in the vehicle, and the impact of the number of starts and ambient temperature on diesel engine for the life of the vehicle to be repaired. The results of the author’s research showed that a minimum of the number of starts at low ambient temperatures has an impact on the number of kilometers driven by the car during operation to replace the cylinder liners (engine repair). Apart from the Polish armed forces and armies of other countries in which this type of vehicle is still used, the direct recipients of the research results are also other entities from the logistics transport sector for which further use of this power unit especially at low ambient temperatures is of fundamental economic importance.

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