Dissertations / Theses on the topic 'Medici militari'
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Cardoso, Rachel Motta. "A higiene militar: um estudo comparado entre o Serviço de Saúde do Exército Brasileiro e o Cuerpo de Sanidad do Exército Argentino (1888-1930)." reponame:Repositório Institucional da FIOCRUZ, 2013. http://www.arca.fiocruz.br/handle/icict/16142.
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Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Nosso objetivo com o presente trabalho é compreender as influências dos exércitos da Alemanha e da França no processo de modernização dos Serviços de Saúde dos exércitos de dois países da América Latina: Argentina e Brasil. Além disso, procuramos entender como as influências de saberes médicos daquelas escolas europeias estiveram presentes no cenário médico militar dos serviços de saúde destes países sul americanos. Para tal, temos a higiene militar e o desenvolvimento técnico-científico das Forças Armadas como eixo de nossos estudos para identificarmos as principais mudanças sofridas no Serviço de Saúde, do Brasil, e no Cuerpo de Sanidad da Argentina, bem como suas relações/implicações políticas à época. Nosso recorte temporal está relacionado com o surgimento do Cuerpo de Sanidad, bem como o processo de modernização deste e do Serviço de Saúde do exército brasileiro. Já o ano de 1930 foi escolhido em função do seu significado na historiografia destes dois países e, principalmente, por um novo quadro político, econômico, social e militar em função de seus movimentos revolucionários . Quanto à nossa abordagem teórico-metodológica, além do estudo comparado, partimos da noção de desenvolvimento desigual e combinado desenvolvido por Trotsky. Entendemos que a busca pela adequação ao processo evolutivo dos exércitos dos países centrais se deu em diversos países da América Latina a partir da contratação de missões estrangeiras para modernizarem seus exércitos. Ao utilizar as experiências da Argentina e do Brasil na contratação de missões deste tipo, podemos generalizar o tema, ou seja, generalizar a forma como o processo de modernização e do desenvolvimento técnico-científico implica mudanças nos Corpos de Saúde destes exércitos.
This work intends to comprehend the influences of the French and Germany armies in the process of modernization of the Armies Health Services of two countries of Latin America: Argentina e Brazil. Besides, we trying to understand how such influences were incorporated in the medical military scenery of these South American countries. For such, we had the military hygiene and the technical-scientific development of the Army Forces as axis of this study, in order to identify the main changes that occurred in the Army Services of Brazil and the Cuerpo de Sanidad of Argentina, as well as the political implications of the time. The time frame is related to the emergence and modernization of the Cuerpo de Sanidad in Argentina and the modernization of the Brazilian Health Service Army. It ends in the year 1930 because of its significance in the historiography of these two countries mainly due to the "revolutionary" movements and its implications of a new political, economic, social and military order. As for the theoretical-methodological approach, the work based in the comparative method study and also, in the notion of uneven and combined development developed by Trotsky. We understand that hiring foreign military missions by Latin American countries in order to modernize their armies, were a way of adapting in these countries the evolutionary process occurred in the armies of developed countries. By utilizing the experiences of Argentina and Brazil in hiring military missions, we can imply that in the process of modernization and technical-scientific development significant changes occurs in the armies Bodies Health.
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VINCENTI, CHRISTOPHE. "Aspects juridiques et medico-legaux de la profession de medecin des armees." Nice, 1991. http://www.theses.fr/1991NICE6543.
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Fransson, Hannes. "Changes in physical capacity and body composition from military basic training." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-42168.
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Background: Military basic training is important to prepare the recruits for the physical demands that will be put on them during their service. Recruits need to be both strong and have a high aerobic capacity, which requires well-designed exercise plans. Aim: The aim of this study was to examine how lower-body power, aerobic capacity, and body composition changes during basic training, from start to end of basic military training and to the end of post training in male recruits in the Swedish Armed Forces. Methods: Recruits (n = 199; age: 18-50 years) were tested before and after basic military training, and after post training. Lower-body power was tested with loaded vertical squat jumps, performed bilaterally with a load of 30 kg in a smith machine. Aerobic capacity was tested with FM-beep test. Body composition was assessed with bioelectrical impedance analysis. Results: Lower-body power was not significantly affected during basic training. Aerobic capacity improved during both basic military training (5.4%) and post training (1.9%). Body composition improved during basic military training as body fat mass decreased (- 12.6%) while fat-free mass (2.2%) and skeletal muscle mass (2.3%) both increased. During post training, however, body composition deteriorated as body fat mass increased (10.3%) while neither fat-free mass nor skeletal muscle mass changed. Conclusion: The results indicate that physical training during post training is suboptimal, as most of the improvements in physical capacity and body composition occurred during basic military training. The lack of improvements in lower-body power suggests that more strength training is desirable for optimal physical training during basic training.
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Klajman, Charles. "O conhecimento científico divulgado pelos soldados de farda branca, através do periódico medicina militar, 1910-1923." reponame:Repositório Institucional da FIOCRUZ, 2011. https://www.arca.fiocruz.br/handle/icict/6102.
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Previous issue date: 2011Essa pesquisa analisa o periódico Medicina Militar, publicado entre abril de 1910 e junho de 1923 no Rio de Janeiro, por um grupo de oficiais do Serviço de Saúde do Exército Brasileiro, que tinham como objetivo declarado transmitir conhecimento científico ao pessoal de saúde distribuído por todo o Brasil. Nesse estudo a revista é dissecada de forma a possibilitar aos leitores uma apreciação geral de todos os seus aspectos, da formatação ao conteúdo. Nesse processo são analisados todos os exemplares produzidos no período em questão, além dos relatórios e personagens. Seu conjunto temático é analisado através de artigos que exemplificam as questões mais relevantes para o universo militar, em particular, passando pelas doenças, higiene militar e pela atuação do pessoal de saúde em campanha.
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Lang, Heinrich. "Cosimo de' Medici (1389-1464) und seine condottieri. Zur Außenpolitik der Republik Florenz im 15. Jahrhundert. (Dissertationsprojekt)." Universität Potsdam, 2005. http://opus.kobv.de/ubp/volltexte/2008/2061/.
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Doerle, Samuel Michael. "Military Medical Ethics: Intersections of Virtue and Duty." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1619696140569755.
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Robin, Florence. "Devenir médecin militaire : Quels enjeux psychiques et psychopathologiques ? : Un état des lieux de la santé mentale d'une population d'étudiants en médecine militaires." Thesis, Sorbonne Paris Cité, 2017. http://www.theses.fr/2017USPCC094/document.
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L’objectif principal de cette étude était de réaliser une perspective globale de la santé mentale d’une population d’étudiants en médecine militaires, sur des années ciblées du cursus en déterminant la part de l’épuisement professionnel dans les symptômes rencontrés. Les objectifs secondaires étaient de proposer une compréhension intégrative et interdisciplinaire des problématiques psychiques, de mettre en évidence des facteurs de risque individuels, collectifs et situationnels favorisant l’apparition éventuelle de troubles psychiques, d’identifier des points de soutien institutionnels existants ou à développer.Une méthodologie mixte associant étude quantitative et qualitative était utilisée. Il s'agit d'une étude transversale répétée quantitative et descriptive par un questionnaire auto-administré anonyme. L’épuisement professionnel était évalué par le MBI- GS pour les étudiants de 1ère et de 2ème année, par le MBI-HSS pour les étudiants de 4ème et de 8ème année. 393 auto-questionnaires ont été distribués, 327 ont été recueillis et 261 ont été analysés, soit un taux de réponse global de 83,20%. La moyenne d’âge de la population était de 21, 5 ans, 46% étaient des hommes, 54% étaient des femmes ; 35,6% étaient en première année d’étude, 14,9% étaient en deuxième année, 23,8% étaient en quatrième année, enfin 25,7% étaient des internes en 8° année d’études ; parmi les internes, 82,1% étaient en médecine générale et 17,9% étaient internes de spécialité hospitalière. Ces scores correspondaient à un pourcentage global des étudiants présentant un fort épuisement émotionnel de 12,3% ; 25,3% exprimaient une forte dépersonnalisation et 18,6% un faible accomplissement personnel. Le pourcentage d’internes présentant un fort épuisement émotionnel était de 35,7% ; 38,0% exprimaient une forte dépersonnalisation et 37,1% un faible accomplissement personnel ; L’étude montrait que les scores médians d’épuisement émotionnel et de dépersonnalisation s’aggravaient au cours des études de manière significative (p <0,001) ; les scores médians d’accomplissement personnel restaient modérés de la première à la huitième année, n’augmentant pas en fin de parcours universitaire ; 9,8% des élèves de 4ème année et 21,2% des élèves de 8ème année présentaient des pensées de mort pour eux-mêmes ou avaient réalisé une tentative de suicide.L’étude qualitative par théorisation ancrée montrait que devenir médecin militaire implique des antécédents personnels marqués par l’idéal et l’identification ; il s’agit d’être à la fois d’être médecin mais aussi militaire dans une temporalité contrainte marquée par l’apprentissage parfois inadapté de la connaissance scientifique médicale et d’un éthos militaire, où l’influence des groupes est fondamentale ; les tensions entre savoir et pouvoir sont marquées, surtout dans la violence de la confrontation à la mort. Le ressenti variait entre les hommes et les femmes mais l’association des normes et des injonctions militaires au mode de vie médical entrainait pour une globalité des sentiments négatifs d’anxiété, de solitude et d’incertitude majeure envers l’avenir. Différentes stratégies de prévention et de prise en charge sont proposéesThe main objective of this study was to achieve a global mental health perspective in a population of military medical students, over targeted years of the curriculum by determining the extent of burnout. The secondary objectives were to propose an interdisciplinary understanding of psychic problems, to highlight individual, collective and situational risk factors favoring the possible appearance of psychic disorders, to identify institutional support points or to developed ones.A mixed methodology combining quantitative and qualitative study was used. This is a cross-sectional study repeated quantitatively and descriptively by an anonymous self-administered questionnaire. Professional burnout was assessed by the MBI-GS for 1st and 2nd year students, by the MBI-HSS for students in the 4th and 8th years.393 self-questionnaires were distributed, 327 were collected and 261 were analyzed, an overall response rate of 83.20%. The average age of the population was 21. 5 years, 46% were men, 54% were women; 35.6% were in the first year of study, 14.9% were in the second year, 23.8% were in the fourth year, and 25.7% were residents in the eighth year. Among the residents, 82.1% were general practitioners and 17.9% were specialty hospital residents. These scores corresponded to an overall percentage of students with a high emotional exhaustion of 12.3%. 25.3% expressed a strong depersonalization and 18.6% a low personal achievement. The percentage of residents with high emotional exhaustion was 35.7%; 38.0% expressed a strong depersonalization and 37.1% a low personal achievement. The study showed that median scores of emotional exhaustion and depersonalization was worsening significantly (p < 0.001). The median personal achievement scores remained moderate from the first to the 8th grade, not increasing at the end of the university; 9.8% of 4th year and 21.2% of 8th year students had suicidal ideation or made a suicide attempt.The qualitative study by grounded theory showed that becoming a military doctor implies personal antecedents marked by ideal and identification. It is a matter of being both a doctor and a military in a constrained temporality marked by the sometimes inadequate learning of medical scientific knowledge and a military ethos where the influence of groups is fundamental. The tensions between knowledge and power are marked, especially in the violence of confrontation with death. Feelings varied between men and women, but the association of military norms and injunctions with the medical lifestyle leads to an overall negative feeling of anxiety, loneliness and major uncertainty about the future. Different strategies for prevention and medical management are proposed
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Cornstubble, Morgan Miller. "Dynamics of a US military theater medical evacuation policy." Thesis, Georgia Institute of Technology, 1992. http://hdl.handle.net/1853/25634.
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Jensen, Rikke Bjerg. "Military media machine : how the British military communicated Afghanistan at home." Thesis, University of Westminster, 2014. https://westminsterresearch.westminster.ac.uk/item/8yqvz/military-media-machine-how-the-british-military-communicated-afghanistan-at-home.
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Military Media Machine is an investigation into the media management structure, and the increasingly dynamic communication processes, developed and implemented by the UK military. It explores – rather than explains – the proliferation in military media facilitation within defence, at a time when the British armed forces are concluding their nearly 13-year campaign in Afghanistan. During this extraordinary period of strategic pressure, telling a story of success has become a key factor in the military’s understanding of their own communication function. So this thesis suggests. It does so by demonstrating how strategic narratives are constructed to distance the soldier and the military institution from the war itself. It shows how the military shift from a combat to a ‘train and advice’ role has challenged the ways in which this distinction is upheld and communicated. This has a wider applicability too, as it testifies to the increasing conflation of military goals and political objectives. Using access to UK and NATO field settings and doctrinal discussions, the study documents a growing presence of media theory at the heart of military doctrine. It demonstrates how the British military have engaged large (and not necessarily efficient) resources to managing the story as part of their Afghanistan exit strategy. This includes new communication initiatives, online engagement procedures, information doctrine and media training facilitation. Thesis findings indicate that the purpose of these initiatives is to influence target audiences through the ‘means’ of the media. They paint a picture of an organisation that is increasingly engaged in catering to, and producing material for, the media. Media studies have generally not engaged in military communication research. Similarly, the military have shown little interest in involving external partners in their communication function. The thesis positions itself at the heart of this discussion. It recognises that new frameworks of understanding are needed; frameworks that do not attempt to improve the effectiveness of military messaging but which examine it and consider the practice. Unlike most work carried out in military academies the purpose of the study has not been to develop doctrine. Rather, by taking on an inside-out approach (as opposed to an outside-in approach) the thesis examines a fast-growing aspect of communication research that has so far been poorly documented within media and communications studies.
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Herbertsson, Jenny. "Utveckling eller konservatism? - Några nedslag i militära läkemedelslistor och farmakopéer med upptakt i Stormaktstiden." Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-75577.
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Introduktion: Under den tidiga delen av Stormaktstiden används läkemedel från den örtbaserade (galenistiska) inriktningen. År 1663 bildas Collegium medicum och den första farmakopén ges ut 1686 Pharmacopoeia Holmiensis Galeno-chymica. Bergskollegiet bildas 1637, där framställs kemiska läkemedel (chymica). Greven Carl Gustav Wrangel beordrar en import inför polska kriget 1655. Västmanlands regemente fick en läkemedelsleverans år 1705, en kopia finns bevarad av leveransen. Carl von Linné och hans fältskär Kranert upprättar 1741 läkemedelslistor för att utrusta flottan inför Hattarnas krig. År 1789 beslutas att armé och flotta utrustas med läkemedel enligt förteckning i en serie militärfarmakopéer. År 1676 förliste regalskeppet Kronan utanför Ölands kust, 1980 hittas vraket och 2002 hittas en unik medicinkista. Metod: Råvaror och enkla läkemedel, simplica, vilka listas i Excel. Substansinnehållet i förteckningar avsätts för respektive årtal, vilket ger en grund för en databas. Tillämpningen av Excel-databasen exemplifieras med ett antal läkemedel. Resultat: Andelen paracelsiska läkemedel ligger ganska oförändrat mellan år 1655-1834 på 29-34,7 %, 1871 är andelen 51,7 %. Av de 3 galeniska valda preparaten ökar opium kraftigt från 1789. Kräkrot förekommer först 1741, rabarberrot har en låg förekomst. Av de 3 valda galeniska ämnena ökar bly och kvicksilver högst. Antimon har låg förekomst, förutom 1705. Andelen paracelsiska salvberedningar är högre än de galeniska från 1741. Andelen galeniska plåsterberedningar är övervägande alla årtal förutom år 1837. Diskussion och slutsats: Från 1871 är andelen paracelsiska läkemedel 51,7 %. Nya substanser återfinns likt eter, kloroform och morfin, vilka alla är ett resultat av den rådande kemins utveckling.Introduction: During the early part of The Swedish Empire the use of drugs came from the herbal galenica alignment. In the year 1663 the Collegium medicum are formed and the first pharmacopoeia is released, Pharmacopoeia Holmiensis Galeno-chymica. Ministry of Mining is formed in year 1637, where chemical drugs are prepared (chymica). Count Carl Gustav Wrangel orders an import in preparation for the polish war year 1655. Västmanland regiment got a drugdelivery year 1705, and a copy is preserved at the delivery. Carl von Linné and surgeon Kranert establishes druglists in the year of 1741 to be able to equip the navy for Hattarnas war. In the year of 1789 it is decided that the army and navy will be equipped with drugs according to a list in a series of militarypharmacopoeias. In the year of 1676 the warship Kronan wrecked outside the coast of Öland, in year 1980 the wreck is found and 2002 a unique chesat with drugs is also found in the wreck. Method: Raw materials and simple drugs, simplica, are listed in Excel. The substance content is listed for respective year, which gives a foundation for a database. The application of the Excel-database is exemplified with a number of drugs. Results: The percentage of paracelsian drugs is unchanged between the years of 1655-1834 with a percentage by 29-34,7 %. In year 1871 the percentage is 51,7 %. Of the three selected galenical substances, opium is the one that increases the most from 1789. Ipecacuanha radix is present from 1741 and Rhabarbari radix has a low occurrence. Of the three selected galenical substances the greatest increase is that of lead and mercury. Antimony is of a low occurrence, exept in the year of 1705. The percentage of paracelsian preparations is higher than the galenical from the year of 1741. The percentage of patch preparations is dominant, exept in the year of 1837. Discussion and conclusion: Opium have the highest increase of the galenical substances, morphine is avaliable from year 1871 in the listing of drugs. From 1871 the percentage paracelsian drugs is at 51, 7 %. New substances are presents like ether, phenol and morphine, which show that there has been a development based on the chemical advances during this timeframe.
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Barber, Christopher, and Samuel Liljeqvist. "Sjuksköterskans upplevelser av internationella militära insatser : En litteraturstudie." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17932.
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Att vara sjuksköterska och vara på internationell militär tjänstgöring innebär stora utmaningar. De utsätts för livshotande faror, samtidigt som de skall ta hand om svårt traumatiserade patienter. Denna litteraturstudie syftar till att beskriva sjuksköterskors upplevelser under internationell militär tjänstgöring. Sjuksköterskor på internationella militära insatser tillhör två olika yrkeskategorier, soldater och sjukvårdspersonal. Deras primära uppgift i fält är att ta hand om skadade patienter, men det kan uppstå situationer där de kan bli tvingade till att försvara sig med sitt vapen och potentiellt skada en annan människa. Sjuksköterskor i internationell militär tjänstgöring tar hand om alla slags patientkategorier. Allt ifrån skott- eller splitterskadade, traumatiserade patienter, till vanliga sjukdomar och infektioner. Civilbefolkningen kan behöva vård och stöd p.g.a. vad de utsätts för. Den språkliga och kulturella barriär som kan uppstå mellan patient och sjuksköterska kan försvåra det arbetet. Efter avslutad tjänstgöring kan sjuksköterskan drabbas av psykiska och fysiska skador vilka kan göra det svårt för dem att bli återintegrerade i den civila världen. Resultatet av denna litteraturstudie är främst baserad på amerikanska och brittiska studier publicerade på 2000-talet. I diskussionen berörs framförallt sjuksköterskans hemkomst och huruvida en djupare förståelse av KASAM är relevant för förståelsen runt förekomsten av psykiska besvär hos militärt tjänstgörande sjuksköterskor. Resultatet är möjligen relevant att ta del av för de sjuksköterskor som planerar att åka på militär internationell tjänstgöring så att de blir bättre förberedda på vad som väntar dem.Program: Sjuksköterskeutbildning
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Weber, Timothy H. "Unhealthy lifestyle practices and medical-care costs in the military." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1994. http://handle.dtic.mil/100.2/ADA279580.
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Thesis (M.S. in Systems Management) Naval Postgraduate School, March 1994.Thesis advisor(s): James Scaramozzino, Ronald Weitzman. "March 1994." Includes bibliographical references. Also available online.
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Lewis, David M., and Jeremy H. Westcott. "An analysis of medical imaging costs in military treatment facilities." Thesis, Monterey, California: Naval Postgraduate School, 2014. http://hdl.handle.net/10945/43946.
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Approved for public release; distribution is unlimitedThis joint applied project examines costs of medical imaging within Continental United States military treatment facilities to determine cost effectiveness when compared to civilian facilities and determine whether there are differences among regions of the United States and whether there are differences among the branches of service. Historical data utilized to conduct analysis were collected from the Military Health System Management Analysis and Reporting Tool (M2), the Defense Medical Logistics Standard Support system (DMLSS), the CHAMPUS National Pricing System (CMAC), and the Centers for Medicare and Medicaid Services website (CMS.gov). Our conclusions regarding overall cost of radiology services at military facilities is hampered by the use of average cost per test as a basis for analysis. However, greater consolidation of radiologic imaging assets and increased volume at military facilities can do nothing but improve the cost effectiveness of insourcing this function.
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Green, Althea C. "Nontraditional Military-Enlisted Students?Increasing Diversity in Medical School Cohorts." Thesis, Keiser University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10815668.
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The U.S. physician population lacks diversity, and this lack of diversity is reflected in the medical student population. Medical schools have implemented various types of programs to increase the diversity of their student population, and by extension, the physician population. A public Northeastern medical school implemented a postbaccalaureate premedical (PBPM) program for military enlisted service members with a goal to increase diversity among its medical school cohorts. A quantitative causal-comparative ex post facto study compared diversity variables of the PBPM military enlisted students with the public medical school student group, as well as the national student group.Chi-square analysis found significant differences between the military enlisted students and the two other comparison groups in four of five diversity measures. The military students were statistically different in age, marital status, number of dependents, and socioeconomic background. The groups did not differ significantly in terms of their racial/ethnic demographics. The study validated Tinto’s framework of student persistence with a military population.
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Grimm, Brian C. "Navy enlistment : an analysis of military entrance processing stations medical failures." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1997. http://handle.dtic.mil/100.2/ADA329431.
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Sari, Rahim. "A Suggested English Language Teaching Program For Gulhane Military Medical Academy." Phd thesis, METU, 2003. http://etd.lib.metu.edu.tr/upload/1136845/index.pdf.
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The purpose of this study is to evaluate the English teaching program at
Gülhane Military Medical Faculty and suggest a new program based on the Monitor Model. The study, as an example of a systematic study of a language program and that of a proposed syllabus, is expected to aid the practice of English Language Teaching in Turkey. The data sources were 230 students, 25 doctors and 7 teachers. The data analysis showed that students do not like the contents of the course books. Students reported speaking and reading as priority skills. To understand and translate medical material, to get an overseas assignment, to talk to foreigners and to follow lectures were the common language-related goals. Students&
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, institution&
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s and doctors&
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needs and goals and available resources were surveyed and a new second language teaching program was suggested for Phase 1. A general curriculum model and a program design model were also suggested together with the syllabuses for Phase 1. In the suggested program, grammar, writing and other conscious learning activities are separated from comprehension or (subconscious) acquisition-based activities. The suggested design has three topic-based syllabuses organized in modular format for three levels: Advanced, intermediate and elementary. For the majority advanced level classes new materials need to be developed and for elementary and intermediate levels new course books are suggested. A sample module was prepared, piloted and the results are discussed. The piloted module was found better than the previous form of the lessons both by the students and the teachers.
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Teixeira, Mônica. "1964 na USP: O IPM da Faculdade de Medicina como uma produção da direita paulista." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/8/8138/tde-21112018-121240/.
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Em 1964, ao menos três IPMs foram instaurados em unidades da Universidade de São Paulo, com o objetivo de apurar atividades subversivas. O único deles a ter efeitos jurídicos no âmbito do Ato Institucional de 9 de abril de 1964 foi o IPM da Faculdade de Medicina, com base no qual o governador demitiu sete professores de vários departamentos (Erney Camargo, Luiz Hildebrando Pereira da Silva, Thomas Maack, Luiz Rey, Pedro Henrique Saldanha, Julio Pudles, Reynaldo Chiaverini). O trabalho pretende mostrar a contribuição da doutrina da Guerra Revolucionária, adotada pelos oficiais superiores das Forças Armadas, para a instauração de IPMs e seu papel no conflito de correntes internas a essas mesmas Forças Armadas, que se manifestou com intensidade nos primeiros meses do governo Castelo Branco. Em particular, o IPM da Medicina demonstra a convergência entre o impulso geral proveniente da doutrina da Guerra Revolucionária e interesses dos que detinham o poder de administrar a Universidade de São Paulo buscando evitar mudanças.In 1964 at least three Military Police Investigations (IPM in the Portuguese language acronym) were launched in schools of the University of São Paulo, with the stated objective of assessing and curtailing subversive activities. Only one of these had juridical effects, derived from the Institutional Act of April 9, 1964, which was the IPM on the Medical School. Based on it, the State Governor fired seven professors from several departments (Erney Camargo, Luiz Hildebrando Pereira da Silva, Thomas Maack, Luiz Rey, Pedro Henrique Saldanha, Julio Pudles, Reynaldo Chiaverini). This work aims at demonstrating the contribution of the Revolutionary War doctrine, which was at the time adopted by the Brazilian military, for the conduction of the IPM investigation, as well as its role in internal dissensions existing in the Brazilian Armed Forces which manifested itself intensely during the first months of the Castelo Branco government. Particularly, the Medical School IPM can be seen as demonstrating convergence between the momentum given by the Revolutionary War doctrine to the investigation, and the special interests of those who had the power and authority to manage the University of São Paulo with the objective of precluding change.
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Bricknell, Martin Charles Marshall. "Managing health services support to military operations." Thesis, University of South Wales, 2011. https://pure.southwales.ac.uk/en/studentthesis/managing-health-services-support-to-military-operations(f53451a0-34e7-4b3a-8f20-45c2408cf66e).html.
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This is a submission for a PhD by portfolio on the subject of managing health services support to military operations. It is based upon my prior published work supported by an ‘action research’ analysis of the application of this prior knowledge to my experiences from spending a year in the South of Afghanistan from October 2009 to November 2010. The submission is structured around three thematic areas; medical planning to support military operations, management of military medical operations and international military medical engagement with indigenous health sectors. The submission presents evidence for my contribution to original thinking in each of these thematic areas by means of a review of my published work, my application of these concepts in support of NATO operations in Afghanistan and evidence of the impact of these concepts in influencing other military organisations. The first theme area on medical planning to support military operations will be supported by 3 monographs. These will describe the context of medical support to military operations in the current security environment, the use of the ‘estimate’ process to develop a medical plan and the analytical process termed ‘the casualty estimate’. The second theme covers the management of military medical operations. This is the largest section and contains monographs on pre-hospital helicopter medical evacuation, aeromedical evacuation movement between hospitals, managing casualty flows, deployed hospital care, and quality assurance of the medical system. The final theme covers international military medical engagement with medical support systems for indigenous security forces and indigenous civilian health systems. The closing section of this submission reflects on my two tours in Afghanistan comparing my recent experiences with my views at the end of my first tour in 2006/07. My whole thesis provides evidence of my considerable personal learning from my experiences managing medical support to military operations. This section will highlight how I have tried to share this experience both personally and across multiple stakeholder organisations to ensure my observations can be converted into lessons learned.
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LAVASTE, CLAUDE. "Etude comparative de l'odontologie medico-legale civile et militaire en europe occidentale." PARIS 6, DENTAIRE, 1994. http://www.theses.fr/1994PA06H007.
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Andersson, Ulf, and Hans Zetterblad. "Upplevelsen av att vårda en skadad kollega i ett militärt insatsområde : En kvalitativ intervjustudie." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17944.
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Sedan 1956 har ungefär 100.000 kvinnor och män deltagit i militära internationella insatser, sanktionerade av FN i mer än 60 länder världen över. Intresset för tjänstgöring utomlands är stort och insatserna i dessa områden kommer snarare att öka än att minska. Arbetet i insatsområdena skiljer sig ifrån det civila i Sverige så tillvida att hotbilden är ständigt närvarande, man är långt hemifrån, möjligheten till kontakt med anhöriga är liten, samt att sjukvårdspersonalen lever tillsammans med dem de är rekryterade att omhänderta. Att under rådande omständigheter som omhänderta en skadad kollega som de har en relation till, ställer stora krav på sjukvårdspersonalens professionalism och det är både psykiskt och fysiskt påfrestande. Det är bakgrunden till författarnas intresse kring frågan hur man som sjukvårdspersonal upplever det att vårda en kollega. Syftet med studien är att beskriva upplevelsen av att vårda en kollega i ett militärt insatsområde. För att undersöka detta fenomen gjordes en kvalitativ forskningsintervju, där sju personer intervjuades som alla hade erfarenhet av att vårda en skadad kollega i ett militärt insatsområde någonstans i världen. Fem kategorier identifierades: Att hantera händelsen, Lättnad, Utsatthet, Frustration/Maktlöshet samt Att växa som människa och vårdare. Flera av kategorierna genomsyras av att sjukvårdspersonalen upplevde en otillräcklighet, att inte ha gjort tillräckligt för den skadade kollegan. Otillräckligheten hade sin grund i allt från rådande omständigheter till avsaknaden av resurser.Program: Specialistsjuksköterskeutbildning med inriktning mot ambulanssjukvård
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Fontoura, Ana Cleonides Paulo. "O planejamento de vida do militar aposentado." Pontifícia Universidade Católica do Rio Grande do Sul, 2010. http://hdl.handle.net/10923/7275.
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Previous issue date: 2010This master's degree dissertation has as central focus the study of the effects caused by the retirement in the behavior of the military ones that you/they are directed for the paid reservation, after they render service to regulate from 35 years to the Brazilian Army, where to enjoy of inherent benefits to the positioning of his/her condition. The question that impelled the research looked for answers regarding the odds of the military to judge him or herself as prepared or no to face the new life and socioeconomic conditions imposed by the retirement, which may influence directly his/her life quality. The study drew as general objective to identify how the military at retirement planned their lives in this stage of life, specifically as concerning acquiring his/her own house, the preparation to engage in new job at civil market and to face the social changes happened after retirement. The used methodology was defined by a bibliographical research, to sustain the theoretical foundation and a descriptive exploratory research, using a quantitative approach in the analysis of the information. The rising of data, approved for the Committee of Ethics in Research of PUC, was accomplished in a military unit of health, in a period of thirty days, through a questionnaire, applied the a sample of thirty (30) individuals, defined for intentional criteria of inclusion. The results reached the main objectives ans we were able to conclude that most of the military professionals, when retiring, did not feel appropriately prepared to face that new stage of the life.
Esta dissertação de mestrado tem como foco central o estudo dos efeitos causados pela aposentadoria no comportamento dos militares que são encaminhados para a reserva remunerada, após prestarem serviço regulamentar de 35 anos ao Exército Brasileiro, onde usufruíram de benefícios inerentes ao posicionamento de sua condição. O questionamento que impulsionou a pesquisa buscou respostas referentes às possibilidades de os militares se julgarem preparados, ou não, para o enfrentamento das novas condições de vida impostas pela aposentadoria, influenciando diretamente sua qualidade de vida. O estudo traçou como objetivo geral identificar como os militares da reserva planejaram suas vidas diante da aposentadoria, especificamente quanto à preocupação em adquirir a casa própria, a preparação para a inserção em novo mercado de trabalho e no enfrentamento das mudanças sociais ocorridas após aposentadoria. A metodologia utilizada definiu-se pela pesquisa bibliográfica, que sustentou a fundamentação teórica e incluiu pesquisa exploratória descritiva, em abordagem quantitativa na análise das informações. O levantamento de dados, aprovado pelo Comitê de Ética em Pesquisa da PUC, foi realizado em unidade militar de saúde, em um período de trinta dias, através de questionário próprio, aplicado a uma amostra de trinta (30) indivíduos, definida por critérios intencionais de inclusão. Os resultados alcançados através da análise efetuada foram considerados válidos, uma vez que permitiram atender às intenções do estudo, e permitindo afirmar que a maioria dos profissionais militares, ao se aposentar, não se sentiu adequadamente preparada para enfrentar essa nova etapa da vida.
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Mihara, Thomas G. "Measuring the Efficient Utilization of Medical Personnel at Navy Military Treatment Facilities." Thesis, Monterey, California : Naval Postgraduate School, 1990. http://handle.dtic.mil/100.2/ADA237029.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 1990.Thesis Advisor(s): Johnson, L. Second Reader: Whipple, D. R. "June 1990." Description based on title screen as viewed on October 19, 2009. DTIC Indicator(s): Naval Hospitals, MHSS(Military Health Services System), Measures of effectiveness, Evaluation, DEA(Data Envelopment Analysis), Military Medicine, Economics, Statistical Analysis, MTF(Medical Treatment Facility), Efficiency, Effectiveness, Productivity. Author(s) subject terms: Effectiveness, efficiency, health, hospital, medical, MHSS, MOE, MTF, productivity. Includes bibliographical references (p. 120-125). Also available in print.
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Bills, Randy K. "Aligning salary expense and workload output In a complex military medical system /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2004. http://library.nps.navy.mil/uhtbin/hyperion/04Jun%5FBills.pdf.
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Guimarães, Rosiara de Souza Oliveira. "O absenteísmo entre os servidores civis de um hospital militar." reponame:Repositório Institucional da FIOCRUZ, 2005. https://www.arca.fiocruz.br/handle/icict/4689.
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Previous issue date: 2005Este é um estudo descritivo realizado no Hospital Geral de Brasília, com o objetivo de analisar o absenteísmo -doença entre os servidores civis daquele hospital durante o ano de 2003, através do levantamento das licenças médicas registradas nos prontuários dos servidores civis do Serviço de Pessoal Civil do HGeB. Os resultados, entre os quais os índices de absenteísmo-doença encontrado (4,23 por cento), poderão servir de parâmetro para outros estudos, uma vez que não houve levantamento desses dados na instituição em anos anteriores. Observou-se também que os percentuais elevados de licenças médicas concentraram -se nas categorias abaixo do nível médio de formação educacional, confirmando que os grupos mais qualificados, que possui em geral o 3o. grau, tem menores índices de absenteísmo. Tanto para o sexo masculino quanto para ofeminino, o motivo mais freqüente das licenças médicas foram às doenças do sistema osteomuscular e do tecido conjuntivo. Em relação à duração das licenças foi detectado que há uma concentração de 61,8 por cento de afastamentos pelo período de até três dias, provocadaspor doenças do aparelho respiratório; o período de licenças mais longo foram decorrentes em sua maior parte de doenças do sistema osteomusculares. Considera-se que o absenteísmo-doença poderia ser reduzido com a adoção de políticas preventivas que visassem melhorar as condições de saúde e trabalho dos trabalhadores que atuam nesta instituição. Reconhecer a situação que o trabalhador vive no seu cotidiano torna possível pensar enfoques que privilegiam a promoção da saúde. Deve-se pensar sempre em gerar condições de vida e trabalho seguras, estimulantes, satisfatórias e agradáveis. Pensar na saúde do rabalhador nos remete à Carta de Ottawa, quando diz que a saúde é construída e vivida pelas pessoas dentro daquilo que fazem no seu dia-a-dia: onde elas aprendem, trabalham, divertem-se e amam.
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Almeida, Suzy Darlen Soares de. "Síndrome metabólica no policial militar do estado de Goiás." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/6914.
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OBJECTIVES: (i) to establish the prevalence of Metabolic Syndrome (MS) in Military Police Officers (PMs) in Goiás; (Ii) to characterize the epidemiological profile of Goiás MPs with MS; (Iii) establish its risk factors; (Iv) to establish a correlation between the prevalence of MS occurrences and police occurrences (v) to describe their spatial distribution according to the Safe Citizen Program of the State of Goiás. METHODOLOGY: A descriptive, retrospective and transversal study developed with Military Police officers of Military Police of Goiás using the study of a database for the periodic evaluations of the health status of the MPs carried out between 2009 and 2013. The sample was selected according to the selection criteria, which included those with cadastral information and multidisciplinary evaluations Complete and unpaid; And excluded those with cadastral data and incomplete, multi-disciplinary evaluations of the pregnant police officers; With duplicate and triplicate data; With misleading and incomplete typing. Total 6303 police officers, 52.5% of the total population of the study (94.5% in men and 5.5% in women), being distributed according to the regions of the Safe Citizen Program of the State of Goias. The research was divided into: 1st phase - Organization and data collection, 2nd Phase - Application of the diagnostic criteria for the National Cholesterol Education Program Revised, and 3rd Phase - Data analysis - descriptive statistics with spatial distribution using scanning scan of Kulldorff. RESULTS: Of the 6303 PM evaluated, 23.7% (n = 1495) had MS, divided into 22.6% of males and 1.1% of females. The majority were between 40 and 45 years of age (32.4%), with rates increasing above 20% from 35 years, decreasing at 55 years; Married (70.4%); With incomplete secondary education (45.1%); With physical activity below three times per week (55.2%); With Sergeant's patent (45.0%); Nonsmokers (89.8%); With normal sleep (92.1%); And Goiânia (30.3%). Of the components, 58.9% of blood pressure, 42.8% of triglycerides, 30.3% of High Density Lipoprotein, 20.9% of waist circumference and 17.4% of fasting glucose were found in the PMs. SM was not correlated with police occurrences. Body mass index and age were the risk factors associated with higher odds for MS, especially, aged between 40 and 45 years and overweight. The groups with the highest relative risk (1.22) were found in the regions of: Itumbiara, Cidade de Goiás, Iporá, Jataí and Rio Verde, and with the lowest relative risk (0.82) in Goiânia. CONCLUSION: The prevalence of MS among Goiás MPs was 23.7%, being more frequent in subjects aged 40-45 years, married, with incomplete secondary education, with physical activity below three times a week, Sergeants, nonsmokers, with normal sleep and crowded in Goiânia. The risk factors identified were BMI and age, respectively, the most potentiating classes, age between 40 and 45 years and overweight increase the association with MS. No correlation was found between this Syndrome and police occurrences.Concerning its spatial distribution, the biggest frequency were in the regions of: Águas Lindas de Goiás - 31.5%; Porangatu - 29.7%; Rio Verde - 28.9%; Itumbiara - 28.8%; And Iporá - 28.4%.
OBJETIVOS: (i) estabelecer a prevalência da Síndrome Metabólica (SM) em Policiais Militares (PMs) de Goiás; (ii) caracterizar o perfil epidemiológico dos PMs de Goiás portadores de SM; (iii) estabelecer seus fatores de risco; (iv)estabelecer a correlação entre a prevalência da SM com as ocorrências policiais (v) descrever a sua distribuição espacial de acordo com o Programa Cidadão Seguro do Estado de Goiás. METODOLOGIA: Estudo descritivo, retrospectivo e transversal, desenvolvido com sujeitos Policiais Militares da Policia Militar de Goiás por meio do estudo de um banco de dados referente as avaliações periódicas do estado de saúde dos PMs realizadas entre 2009 e 2013. A amostra foi selecionada de acordo com os critérios de seleção, que incluíram aqueles com infomações cadastrais e avaliações multidisciplinar completas e não aponsentados; e excluíram aqueles com dados cadastrais e avaliações por área multidisciplinar incompletos, aponsentados, do policiais grávidas; com dados duplicadas e triplicadas; com digitações equivocadas e incompletas. Totalizando 6303 policiais, 52,5% do total da população do estudo (94,5% em homens e 5,5% em mulheres), sendo distribuídos conforme as regiões do Programa Cidadão Seguro do Estado de Goías. A pesquisa foi dividida em: 1ª fase – Organização e coleta dos dados, 2ª Fase - Aplicação dos critérios de diagnóstico para a SM - National Cholesterol Education Program revisado, e 3ª Fase - Análise dos dados - estatística descritiva com distribuição espacial utilizando varredura scan de Kulldorff. RESULTADOS: Dos 6303 PMs avaliados, 23,7% (n = 1495) são portadores de SM, divididos em 22,6% de homens e 1,1% de mulheres. A maioria com o intervalo de idade entre 40 e 45 anos (32,4%), sendo que as taxas aumentam acima de 20% a partir de 35 anos, decrescendo aos 55 anos; casados (70,4%); com grau de ensino médio incompleto (45,1%); com atividade física abaixo de três vezes por semana (55,2%); com patente de Sargento (45,0%); não fumantes (89,8%); com sono normal (92,1%); e de Goiânia (30,3%). Dos componentes, encontraram-se nos PMs 58,9% de pressão arterial, 42,8% de triglicerídeos, 30,3% de High Density Lipoprotein, 20,9% de circunferência abdominal e 17,4% de glicose em jejum. A SM não foi correlacionada com as ocorrências policiais. O índice de massa corpórea e a idade foram os fatores de risco associados a maiores chances para a SM, principalmente, com idade entre 40 e 45 anos e sobrepeso. Os agrupamentos de maior risco relativo (1,22) foram encontrados nas regiões de: Itumbiara, Cidade de Goiás, Iporá, Jataí e Rio Verde, e com o menor risco relativo (0,82) em Goiânia. CONCLUSÃO: A prevalência da SM entre os PMs de Goiás foi de 23,7%, sendo mais frequente nos sujeitos com idade entre 40 e 45 anos, casados, com grau de ensino médio incompleto, com atividade física abaixo de três vezes por semana, Sargentos, não fumantes, com sono normal e lotados em Goiânia. Os fatores de risco identificados foram o IMC e a idade, respectivamente, as classes mais potencialisadoras, idade entre 40 a 45 anos e sobrepeso aumentam a associação com a SM. Não foi encontrada correlação entre esta Síndrome e as ocorrências policiais. Quanto a distribuição espacial, as regiões com maior frequência foram: Águas Lindas de Goiás - 31,5%; Porangatu - 29,7%; Rio Verde - 28,9%; Itumbiara - 28,8%; e Iporá - 28,4%.
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Lewis, Tracy. "Obesity Epidemic in the Military: Implications for Veterans." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6235.
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The purpose of this study was to examine the impact of overweight and obesity on veterans' careers. Obesity, once thought unproblematic for the military, is being recognized as a health concern that has expansive implications for the health and readiness of service men and women, as well as for veterans. There is an abundance of information on obesity within the general population, but research on the impact of obesity on military careers is limited. This quantitative, cross-sectional research study investigated how obesity is a challenge throughout a veteran's career, from enlistment to retirement, using an online survey to gather data related to demographics including rank, age, race/ethnicity, education level, marital status, and years of service. Data were analyzed using descriptive statistics, independent t tests, Levene's test, and the Mann-Whitney test. Results of the analyses showed that military veterans' overweight at separation contributes to their likelihood of adverse weight-related experiences while in the service, and that military veterans who are overweight or obese have more adverse weight-related experiences than those who were not obese when they separated from the military. Among respondents who were not overweight at separation, women had more adverse weight-related experiences than men. The findings of this study could change how military leaders and policy makers develop new programs, promoting a focus on the prevention of obesity rather than on causes of obesity. Understanding how overweight and obesity affect service members' careers could lead to increased appreciation of the importance of ensuring military readiness through interventions that address multiple levels of influence.
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Mesquita, Neto Francisco Duque de. "Estudo Retrospectivo de Babesiose em Eq?inos de Uso Militar com Avalia??o de Casos Cl?nicos e da Bioqu?mica S?rica." Universidade Federal Rural do Rio de Janeiro, 2003. https://tede.ufrrj.br/jspui/handle/tede/829.
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Previous issue date: 2008-04-15Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior
This work was carried out at Cavalry School Regiment of Brazilian Army to analyze clinical occurrence of babesiosis caused by Babesia equi. There were been used half-breed horses with average age of 11 years old, apparently healthy. These horses received handling standard of Military Unit. Biochemistry methods were used to determinate plasmatic proteins, bilirubins, alkaline phosphatase and lactate dehydrogenase and these tests were correlated with occurrence of B. equi at optical microscopy, horse s age and handling, and antibodies against B. equi using indirect immunofluorescence reaction. It s can be concluded that positive serology to babesiosis didn t affected significantly horses body score. Horses handling and lesser laboratorial tests favors Babesiosis by B. equi. Prevalence of B. equi detected by indirect Immunofluorescence Reaction was 90,24%, similar to others works conducted at Rio de Janeiro State, and can be considered an endemic disease. Horses were on a stable enzootic situation and so B. equi can be observed at optical microscopy relatively higher on stabled horses, because they were under stressing conditions, always exposed to return to disease. Plasmatic levels of alkaline phosphatase confirm clinically that horses presented osteopathies and occurrence of hyperglobulinemia and direct bilirrubinemia indicated hepatic damage in horses.
Este trabalho foi realizado no Regimento Escola de Cavalaria do Ex?rcito Brasileiro, com o objetivo de avaliar a ocorr?ncia cl?nica de babesiose por Babesia equi. Foram utilizados eq?inos sem ra?a definida, com a m?dia de idade de 11 anos e aparentemente sadios. Os eq?inos receberam o manejo padr?o da Unidade Militar. Foram executadas as t?cnicas bioqu?micas para a dosagem das prote?nas, bilirrubinas, fosfatase alcalina e lactato desidrogenase, com a finalidade de avaliar os valores destes com o esfrega?o sang??neo, o manejo, a idade, a sorologia para a detec??o de anticorpos anti-Babesia equi por imunofluoresc?ncia indireta. As conclus?es deste trabalho foram as seguintes: a sorologia positiva para a babesiose n?o interfere significativamente no estado corporal dos animais; o tipo de manejo e o reduzido acompanhamento laboratorial propiciam a ocorr?ncia da doen?a provocada pela B. equi. A preval?ncia de 90,24% de B.equi pela rea??o de imunofluoresc?ncia indireta, observada nos eq?inos foi semelhante ? relatada em outros trabalhos realizados no Estado do Rio de Janeiro, o que faz-se considerar o plantel estudado como end?mico para esta doen?a. Os animais encontravam-se em situa??o de estabilidade enzo?tica conseq?entemente, a observa??o da B. equi na microscopia ?ptica foi relativamente alta nos eq?inos aquartelados, indicando condi??es de estresse e o risco de reagudizac?o da doen?a. Os n?veis plasm?ticos da fosfatase alcalina indicam que plantel sofre osteopatias desmineralizantes e, a ocorr?ncia de hiperglobulinemia e bilirrubinemia direta indica de dano hep?tico nos eq?inos.
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Dahlqvist, Carl Emil. "Head, face, and neck injuries in war and war type situations (2000 – 2010) A systematic review." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19764.
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Inledning: Krig och materiel utvecklas konstant. Detta resulterar i olika typer av skador. Tidigare litteraturstudier uppvisar en prevalens av huvud-, ansikts- och halsskador (HAHS) under 1900-talet på mellan 16% och 43% i krig och krigsliknande situationer. Ytan av huvudet, ansiktet och halsen är dock inte mer än cirka 9% av den totala kroppsytan. På senare år har en ökning i användandet av hemmagjorda bomber, eller “improvised explosive devices” (IED), påvisat en uppgång av prevalensen gällande HAHS.Syfte: Att undersöka andelen HAHS i det totala skadepanoramet i krig och krigsliknande situationer från år 2000 till 2010. Metod: En systematisk litteratursökning genomfördes. Resultat: Tio artiklar inkluderades. Dessa redovisade resultat från konflikter och attacker i Afghanistan, Israel, Irak och London och andelen HAHS sträckte sig mellan 6,4% och 39,4% och resulterade i en genomsnittlig prevalens på 25%. Den stora spridningen i resultatet är troligtvis ett tecken på svårigheterna att jämföra olika konflikter med varandra. Olika anatomiska inklusioner och exklusioner gör det svårt att jämföra resultat. Den riktiga prevalensen av dessa typer av skador är därför, troligen, högre. Vanliga och specifika maxillofaciala skador presenteras även.Slutsatser: Explosioner är den vanligaste oraken till maxillofaciala skador. Mjukvävnadsskador i ansiktet är den vanligaste skadan och den vanligaste hårdvävnadsskadan är fraktur i den nedre tredjedelen av ansiktet. Då användandet av IED ökar är det troligt att prevalensen av HAHS ökar i framtiden.Introduction: War, weaponry and armour are constantly evolving. This results in variations in types of injuries occurring. Previous reviews show an incidence of head, face, and neck injuries (HFNI) during the 20th century ranging from 16% to 43% in war and war type situations but, anatomically, the head, face, and neck accounts for approximately 9% of the total body area. In recent years the use of Improvised Explosive Devices (IED) in terrorist conflict has risen and this has been shown to give a rise in the prevalence of HFNI.Aim: To examine the proportion of HFNI in the total injury panorama of soldiers and civilians wounded in war type situations from 2000 to 2010. Methods: A systematic literature search was conducted according to Goodman. Results: Ten articles concerning conflicts and attacks in Afghanistan, Israel, Iraq and London were included and presented an incidence of HFNI on 25% (mean, range 6.4-39.4%).The wide spread in results is caused of different anatomical exclusions and inclusions but also because of the difficulties in comparing different conflicts to each other. The real mean incidence is therefore, most likely, higher. Common and particular maxillofacial war injuries are also discussed.Conclusion: Explosive devices account for the bulk of injury mechanism. Facial lacerations are the most common HFNI and the majority of fractures occur in the lower third of the face. A rise in the use of IED will mostly likely cause an increase in the prevalence of HFNI in the future.
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Jeffs, Steven M. "The evolution of Military Health Services System wartime manpower requirements generation : from the Medical Planning Module to the Medical Analysis Tool." Thesis, Monterey, California. Naval Postgraduate School, 1997. http://hdl.handle.net/10945/8352.
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Approved for public release; distribution is unlimitedMajor changes in post cold war strategy led to changes in force structure, missions, and anticipated casualty rates and challenged the basic assumptions that are fundamental to the process of military medical readiness planning. The Military Health Services System (MHSS) sought to refine its wartime medical requirements in order to identify the medical forces required to support the new strategy. This thesis explores the process used to determine wartime medical manpower requirements within the MHSS, explores the evolution of medical requirements planning models from the Medical Planning Module (MPM) to the Medical Analysis Tool (MAT), and provides a comprehensive analysis of the models. Documents reviewed for this thesis include reports from DoD, GAO and Congress, congressional testimony, studies conducted by think tanks including the Rand Corporation and the Center for Naval Analysis, and pertinent DoD directives and manuals. Additional data were obtained through interviews with key officials involved in the development and implementation of the MAT, particularly the Director for Logistics J-4, Medical Readiness Division, and the primary contractor developing the MAT, Booz-Allen Hamilton. The conclusions of this research are that the MPM is inflexible, inaccurate, incompatible with current technology and planning factors, and not user-friendly. The MAT is more flexible, accurate, compatible with current technology and planning factors, and user friendly than the MPM and is the best alternative for replacing it
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Stockton, Tony J., and Joseph S. Jr John. "Medical planning for military operations other then [i.e. than] war: Is a paradigm shift required?" Monterey, California. Naval Postgraduate School, 2002. http://hdl.handle.net/10945/9791.
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Approved for public release; distribution is unlimitedApproved for public release; distribution is unlimited
Military operations other than war are increasing in frequency and, as one might surmise present unique challenges to the operational commander and the medical planner. Over time and by necessity the U.S. military has developed a logistical support system with unprecedented capability. This logistical system includes a medical system that is increasingly called upon to provide care to people outside the normal scope. Increased participation means Navy assets will be tasked to provide care to U.S. troops, U.N. troops, multinational troops, NGO personnel, and the civilians that precipitated the need for intervention in the first place. The current planning paradigm is rightfully focused on combat support. This thesis will investigate the necessity of breaking away from that paradigm when planning MOOTW.
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John, Joseph S. Jr. "Medical planning for military operations other then [i.e. than] war : Is a paradigm shift required?" Thesis, Monterey, California. Naval Postgraduate School, 2002. http://hdl.handle.net/10945/6049.
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Military operations other than war are increasing in frequency and, as one might surmise present unique challenges to the operational commander and the medical planner. Over time and by necessity the U.S. military has developed a logistical support system with unprecedented capability. This logistical system includes a medical system that is increasingly called upon to provide care to people outside the normal scope. Increased participation means Navy assets will be tasked to provide care to U.S. troops, U.N. troops, multinational troops, NGO personnel, and the civilians that precipitated the need for intervention in the first place. The current planning paradigm is rightfully focused on combat support. This thesis will investigate the necessity of breaking away from that paradigm when planning MOOTW.
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Tarpley, Jr Lorenzo. "Leadership and Adoption of Instructional Technology in a Military Medical Learning Environment: A Case Study." Diss., Virginia Tech, 2010. http://hdl.handle.net/10919/37679.
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The leadership traits necessary in todayâ s military medicine learning environment involve recognition of the rapid changes in technology, and possession of the ability to ensure continuous transformation and adaptability to that change. Understanding the culture of military medicine is an essential leadership capability, coupled with effective communication and visionary skills (Chambers, 1991).
Medical organizations that adopt new technologies in their training can expect better productivity and medical readiness (von Lubitz, Beier, Freer, Levine, Pletcher, Treloar, Wilkerson, & Wolf, 2001). United States medical school programs have recognized the need to introduce new technologies to allow clinicians to stay competent and reduce lethal medical mishaps (Elwyn & Lewis, 1998). The purpose of this study is to examine the adoption of instructional technology by faculty members at a military medical education program (Interservice Physician Assistant Program â IPAP). Within the case study, factors that facilitated or inhibited the adoption of instructional technology were examined. Additionally, IPAP program leadership behaviors were examined to describe its association with faculty memberâ s adoption of instructional technology. Multiple methods were used to gather data including interviews, observations, and document analysis. This research used the grounded theory qualitative method approach to develop a theory deductively from the data. Fifteen faculty members participated in this study, 12 faculty members and three program leaders.
The findings suggest that significant efforts and positive attitudes toward the use of instructional technology existed among faculty members. However, the process of instructional technology integration at this military medical training facility faced impediments that affected its adoption rate by faculty members. The impediments included unreliable infrastructure, lack of training and technical support of new technologies, time commitment constraints that hindered training accessibility, compatibility with existing instructional technologies, complexity of the technology, and inadequate technical support.
The data analysis was based on Rogersâ theory of diffusion and adopter categories (relative advantage, compatibility, complexity, trialability, and observability). The results of this study indicated that Rogerâ s five variables of adoption of innovations were not effectively met. Moreover, the results identified specific issues from these categories that either influenced or inhibited the adoption rate of technology innovation at this training facility; such as organization factors, personal motivation, and social factors. The following recommendations were made: (1) emphasis on conducting faculty training and professional development on instructional technologies, (2) extending the physician assistant program curricula to accommodate built-in staff development training times, (3) encourage peer-to-peer mentorship training by supporting instructors with limited instructional technology experience, (4) develop a technology personnel qualification standards (PQS) check-in process for new faculty members, (5) provide sufficient infrastructure and technical support to meet the demands of an expanding technology-based curriculum, (6) an establishment of dialogue between organizations responsible for coordinating infrastructure, technical support, and training, and (7) provide competent technicians that are trained to troubleshoot all aspects of technology support.Ph. D.
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Fite, Amalie Ruth. "The Military Health Service System beneficiary satisfaction and an option for change /." Thesis, Monterey, California : Naval Postgraduate School, 1990. http://handle.dtic.mil/100.2/ADA241784.
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Thesis (M.S. in Management)--Naval Postgraduate School, December 1990.Thesis Advisor(s): Crawford, Alice M. Second Reader: Fann, Gail L. "December 1990." Description based on title screen as viewed on March 30, 2010. DTIC Identifier(s): Military Health Care. Author(s) subject terms: Military Health Care. Includes bibliographical references (p. 79-82). Also available in print.
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Marchon, Carla Regina. "As relações entre a ética médica e a ética da medicina militar em conflitos armados." reponame:Repositório Institucional da FIOCRUZ, 2008. https://www.arca.fiocruz.br/handle/icict/4765.
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Previous issue date: 2008O trabalho tem como objeto relacionar a ética médica e a prática da medicina militar em situações de conflitos armados. Discute o processo decisório de questões éticas que surgem em períodos de guerra na medicina militar. De um lado o médico está comprometido com o seu paciente e, portanto, com seu direito a beneficência, não-maleficência, confidencialidade, e autodeterminação. E por outro lado, por ser também militar, está submetido à cadeia de comando e de certa forma comprometido com os objetivos militares. O assunto é abordado por diferentes correntes éticas, entre elas, a deontologia, o principialismo, a ética das virtudes e o utilitarismo. Alguns autores, com um viés deontologista absolutista, denunciam uma incoerência entre ser médico e aceitar servir nas fileiras militares, porque o mesmo estaria impossibilitado de defender os interesses do paciente sob seus cuidados. No outro extremo, há aqueles que defendem que os interesses de Estado superam os interesses individuais e o médico como qualquer outro cidadão deve participar dos esforços de guerra, mesmo que isso represente participar do desenvolvimento de armas químicas, biológicas e nucleares e até, em casos extremos, torturar, se for para salvar a vida de muitos. Um viés utilitarista. Obviamente, no contexto da guerra, esperar que o médico tenha uma conduta baseada apenas no principialismo ou na ética das virtudes como na medicina tradicionalmente conhecida em tempos de paz, algo pouco provável. Também buscar regras que possam ser universalizadas e visualizar o paciente apenas como um fim em si mesmo, esquecendo-se de que também é combatente, portanto tem um valor instrumental no campo de batalha, algo ingênuo. Porém considerá-lo somente como meio para atingir um fim, algo perverso. Concluindo, a influência da corrente utilitarista na conduta médica, só pode ser admissível em situações extraordinárias como é exemplo a guerra e com ressalvas: a inviolabilidade da não-maleficência da profissão médica.
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Spencer, Jason E. "A comprehensive study of factors impacting the future size and scope of military graduate medical education." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1997. http://handle.dtic.mil/100.2/ADA342295.
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Thesis (M.S. in Management) Naval Postgraduate School, December 1997."December 1997." Thesis advisor(s): Richard B. Doyle, William R. Gates. Includes bibliographical references (p. 115-125). Also available online.
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Ross, James. "Significant medical events during basic military training, at no. 1 RAAF Recruit Training Unit 1985-1990 /." Title page, contents and abstract only, 1992. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmr824.pdf.
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Imani, Shabnam, and Elnaz Farzaneh. "Electromagnetic Compatibility Requirements for Medical Device Certification." Thesis, Högskolan i Borås, Akademin för textil, teknik och ekonomi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-13705.
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Until approximately 50 years ago, wireless electronics was confined to military purposes. With the advancement of technology, consumer electronics found widespread applications in almost every aspect of our lives and numerous devices were developed using electromagnetic waves to transfer different types of data. In light of such advancements, the electromagnetic compatibility (EMC) evolved from a military concept to regulate the radio frequency requirements of the battlefield equipment to a mature and essential part in manufacturing and employing electronic devices. Medical devices were no exception and largely benefited from the ease of connectivity and mobility provided by usage of wireless electronics. Due to the sensitive nature of medical devices and extreme consequences of their malfunction, EMC grew to a centric issue in design and production of such devices. This work examines the electromagnetic compatibility of a wearable biomedical measurement system used for the assessment of mental stress of combatants in real time. This system was developed as a part of the ARTEC project and supported by the Spanish Ministry of Defense through the Future Combatant program [1]. We focus on the EMC of the electrocardiogram of the system and aim to identify its EMC requirements of this system while assessing it against various standards and protocols. Throughout this study, we elucidate the fundamentals of electromagnetic compatibility with specific attention to medical devices. Furthermore, we present our results after conducting several EMC tests to measure the compatibility of the electrocardiogram device using the Intertek guidelines. The emission test was performed while essential counter measures such as appropriate shielding and anti-interference filters had been applied.
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Vogel, Vance T. "Determining personnel accession requirements for Medical Service Corps Health Care Administrators using a steady state analysis /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2006. http://library.nps.navy.mil/uhtbin/hyperion/06Mar%5FVogel.pdf.
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Thesis (M.S. in Business Administration)--Naval Postgraduate School, March 2006.Thesis Advisor(s): Anke Richter, Kathryn M. Kocher. Includes bibliographical references (p. 113-114 ). Also available online.
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Pearson, Julie Ann. "Perceived Deprivation in Active Duty Military Nurse Anesthetists." Also available to VCU users online:, 2006. http://hdl.handle.net/10156/1784.
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Scialdo, Antonia. "Predictors of student success in the Army Medical Department (AMEDD) Licensed Practical Nurse training program (91WM6) as identified by expert nurse educators, instructors, and administrators at Fort Sam Houston Post, San Antonio, Texas." Texas A&M University, 2004. http://hdl.handle.net/1969.1/3056.
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The U.S. Army Licensed Practical Nurse (LPN) dates back to the fall of 1947
and evolved from severe professional nursing shortages of World War II. Today, as in
the past, to sustain U.S. Army readiness the highly medically trained combat soldier
must possess skills and competency of an LPN, which is a result of successful
completion of a 52-week 91WM6 training program.
The purpose of this two-part descriptive study includes evaluation of
quantitative and qualitative data. The Delphi technique and a retrospective student
record review were utilized to gather data. Dependent variables included student
demographics such as age, rank, gender, years of military experience, marital status,
prior education and medical related experience, Armed Services Vocational Aptitude
Battery (ASVAB) scores, specifically Skilled Technical (ST) and General Technical
(GT), students interpretation of stressors of military life, occupational goals, number
of college units attained, number of examinations failed and physical fitness tests failed, Article 15Âs administered, and counseling. The independent variable was
successful completion of the National Council Licensure Examination for Practical
Nursing (NCLEX) examination on the first attempt.
Major research findings of this study included:
1. The research revealed higher pass rates for a private first class and
specialist, as compared to lower pass rates of corporals and sergeants.
Additionally, soldier students in the study who had completed at least one
college unit (had attended college), had a 92% pass rate as compared to
those who had not completed any additional education or college after high
school (75.0%). It is suggested that prior experience may improve entry
cognitive skills that enhance academic performance along with the studentÂs
achievement.
2. The research revealed that those soldier students who tended to have higher
GT and ST scores failed program tests significantly fewer times.
3. Based on the results of the expert opinions of the panelists (Delphi) who
participated in the study, the highest-rated predictors in completing the
course were positive study habits, demonstrating diligence, and motivation.
For predictors related to passing the NCLEX-PN, the highest rate was the
ability to think critically and specifically preparing for the NCLEX
examination.
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Macalanda, Eduardo C. "Radio frequency identification (RFID) for Naval Medical Treatment Facilities (MTF)." Thesis, Monterey, California. Naval Postgraduate School, 2006. http://hdl.handle.net/10945/2578.
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The application of Radio Frequency Identification (RFID) technology in hospitals is modest primarily due to cost and policy issues. Similar to the evolution of other electronic technologies, unit costs for components have been dramatically reduced in the past few years. Despite the reduction in costs, RFID technology has not yet achieved the tipping point of economic rationality for adoption at most healthcare organizations. Although the technology has been primarily applied to asset management and supply chain applications, Navy Medicine stands to gain tremendous benefit if this technology could be successfully implemented for staff and patient tracking in addition to inventory management. The purpose of this thesis was to conduct a review of RFID technology and components that could fit into the Navy Medicine's structure. The study explored the implementation requirements associated with the deployment in other industries that could be used as benchmarks for Navy Medicine implementation. Different technological architectures were described to illustrate the various techniques that could be used for creating the opportunity to automate administration, reduce errors and improve security for both patients and staff.
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Cecini, Giovanni. "I soldati ebrei di Mussolini : i militari israeliti nel periodo fascista /." Milano : Mursia, 2008. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=016662717&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Tillery, Laura Suzanne. "Managing technological change in a military treatment facility : a case study of medical diagnostic imaging support (MDIS) system /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1994. http://handle.dtic.mil/100.2/ADA294894.
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Thesis (M.S. in Information Technology Management) Naval Postgraduate School, December 1994.Thesis advisor(s): Sterling D. Sessions. "December 1994." Bibliography: p. 100-103. Also available online.
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Tauqeer, Zujaja. "Public health and state power in Pakistan : case studies of medical interventions from British Raj to military rule." Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:5e684886-21bd-43dd-8c54-c36c730825d5.
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This thesis provides the first historical survey of medical interventions and public health policies implemented by the governments that ruled in the territories of Pakistan over the 20th century. It sheds light on the objectives and challenges of governance during this period with respect to population health and welfare, and seeks to contribute to our understanding of the impact of colonial rule in the territories which became Pakistan - which are not well-represented in the literature on the history of medicine of British India - and to expand our knowledge of developments in the postcolonial period. The narrative begins with the twilight of colonial rule, when the British Indian government was hindered from undertaking public health reform due to the growth of nationalist and anti-colonial sentiment in the North-West Frontier, Bengal, and the Punjab. The demand for local autonomy and public accountability in health decision-making in these provinces came at a time when Indians were simultaneously resisting Britain's political dominance over India. Even after independence, the conflict between provincial governments and successive central governments with respect to health policymaking persisted. Such tensions were exacerbated by the economic pressures of scarcity in Pakistan's early years which worsened pre-existing social and political cleavages between different groups. This material deprivation along with the historical legacy of tropical medicine in Asia resulted in acceptance of the country's status as an underdeveloped, backwards state by the country's leaders in return for international health aid from richer nations. Pakistan subsequently became a laboratory for developed world experiments on poverty and population control. The developments in health over the period from 1900 to 1960 make evident the manifold challenges to the sovereignty and authority of the colonial, parliamentary, and military rulers as they attempted to intervene in the lives of subjects and citizens of British India and Pakistan.
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Merotti, Fatima Marrach. "Avaliação do conhecimento dos policiais militares recem-formados em relação a preservação do local de crime." [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289886.
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Orientador: Marcelo de Castro MeneghimDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: A legislação brasileira determina que os locais de crime deverão ser preservados até a conclusão dos exames periciais, com a finalidade de resguardar as características originais da cena do delito, resultando importante fator de elucidação do crime.Vários profissionais fazem parte desse cenário, com destaque para a atuação dos policiais militares, que são os primeiros profissionais a chegarem no local. O objetivo desse estudo foi avaliar o conhecimento dos policiais militares recém-formados (sargentos e soldados), em relação ao local de crime. Foi aplicado um questionário para 856 militares, constituído por 15 questões, abordando aspectos como legislação pertinente, tempo de preservação, importância dos exames periciais e providências a serem tomadas pelos militares. Os resultados mostram que, entre soldados e sargentos, respectivamente, 66,7% e 75,7% sabem que a legislação atinente à preservação de local, está inserida no Código de Processo Penal; entre 74,2% e 75,4% preservam o local de crime o tempo necessário para a conclusão dos exames periciais; entre 95,1% e 96,3% consideram muito importante o exame pericial para a elucidação de um crime e entre 56,0% e 58,1% têm como primeira providência quando chegam ao local de crime, comunicar o fato à autoridade policial (delegado). Conclui-se que a maioria dos militares são conhecedores da legislação pertinente, estão cientes que devem preservar o local de crime até que todo o exame pericial tenha sido concluído, consideram muito importante a execução do exame pericial para o esclarecimento de um delito e como primeira conduta ao chegar ao local de crime, elegem comunicar o fato à autoridade policial para que este tome as providências cabíveis quanto à preservação
Abstract: Brazilian legislation determines that crime scenes must be preserved until the conclusion of the investigation to preserve its original characteristics, resulting in an important factor to elucidate the crime. Many professionals are involved in this scenario, with emphasis in military police, being the first in approaching the crime scene. The aim of this study was to evaluate the knowledge of those military polices recently graduated (sergeants and soldiers) concerning to crime scene. A survey containing 15 items was applied to 856 militaries, including aspects about pertinent legislation, time of preservation, importance of investigations and the taking of necessary steps by militaries. The results show that among soldiers and sergeants, respectively, 66,7%, and 75,7% know that legislation concerning to crime scene preservation is included in the Code of Crime Procedure; 74,2% and 75,4% preserve the crime scene the necessary time for the conclusion of investigations; 95,1% and 96,3% consider very important investigations for the elucidation of the crime and 56,0% and 58,1% have as a priority to communicate the facts to police authorities (police officer) when they approach the crime scene. It was concluded that the most of militaries are concern about pertinent legislation, that they have to preserve the crime scene until the conclusion of the investigation, they consider very important the execution of investigations for the elucidation of crime, and as a primary conduct arriving to the crime scene, they prefer to communicate the facts to police authorities whom will take the necessary steps relating to preservation
Mestrado
Mestre em Odontologia Legal e Deontologia
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Couto, Fernanda Rocha. "Uso de psicotrópicos em policiais militares." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/5701.
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INTRODUCTION: Being a military police is stressful. The responsibility for providing security to society brings a health hazard, threats to his / her health and safety. The fear of not coming back home alive or even hurt can lead to anxiety and stress. The search for immediate relief increases the use of psychotropic drugs by the military police. Studies published until now that approached this theme showed methodological limitations. AIMS: To evaluate the use of psychotropic drugs of list B1 (Clonazepam, Bromazepam and Alprazolam) by military police of Goiás State, to identify the group age and gender that used it most, to quantify the time of military police service that they used the psychotropic and to evaluate the proportion of this use according to the military personnel (soldiers and officers). METHODS: A review article was written based on data published between 1990 and 2013 in PubMed and SciElo. Thereafter, and observational, descriptive and retrospective study was done. One hundred military police from Hospital of Military Police in Goiânia city were evaluated by collecting the data presented in medical prescriptions and corporate pharmacy database using a form specially designed for this. INCLUSION CRITERIA: All the controlled B1 prescriptions in 2011. EXCLUSION CRITERIA: Illegible prescriptions, other controlled prescriptions like C1 and patients that are dependent of military police. RESULTS: The frequency of use was divided according to: 1) Genre: men (68%), women (32%); 2) Age: 18 to 35 years old (4%); 36 to 50 years old (52%); 51 to 70 years old (12%); >71 years old (3%); uninformed (29%); 3) Psychotropics: Alprazolam (14%), Bromazepam (13%), Clobazam (1%), Clonazepam (53%), Cloxazolam (7%), Diazepam (1%), Flurazepam (1%), Midazolam (2%), Nitrazepam (7%);4) Trimester: Jan/Mar (22%), Apr/June (39%), July/Sept (31%), Oct/Dec (7%); 5) Service time:<5 years old (2%), 6 to 10 years old (5%), 11 to 20 years old (12%), 21 to 30 years old (48%); 6) Military rank: soldier (63%), officers (11%), pensionary (2%), uninformed (24%). CONCLUSION: The profile of the military police user of psychotropic drugs was female sex with an average age of 47. The most common psychotropic drug was Clonazepam. The service time when they most use the drugs was the one comprehended between 21 and 30 years of activity in the military force. From the Military Police personnel, there was no difference in relation to military officers.
INTRODUÇÃO: A profissão de policial por si só é uma profissão muito estressante. A responsabilidade de proporcionar à sociedade segurança traz uma perigosidade. O homem/mulher dentro da farda colocam a vida em risco. O medo de não voltar para casa com vida ou mesmo ferido acaba proporcionando alto nível de estresse e ansiedade. A busca por alívio imediato aumenta o uso de medicamentos psicotrópicos por policiais e outras profissões com alto nível de estresse. Os estudos que investigaram o tema apresentam limitação metodológica. OBJETIVOS: Avaliar o uso de medicamentos psicotrópicos controlados da Lista B1(Clonazepam, Bromazepam e Alprazolam) em policiais militares do estado de Goiás, identificar a faixa etária e o gênero que mais utilizou os psicotrópicos, identificar o psicotrópico B1 mais utilizado pelo policial militar do estado de Goiás, quantificar o tempo de serviço do policial militar que fez uso com maior assiduidade dos medicamentos psicotrópicos e avaliar a proporção do uso de psicotrópicos segundo o quadro de composição militar (praças e oficiais). CRITÉRIOS DE INCLUSÃO: Todos os receituários controlados B1 de 2011. CRITÉRIOS DE EXCLUSÃO: receituários ilegíveis, receituários de controle especial C1 e pacientes dependentes do policial militar. MÉTODOS: Foi redigido um artigo de revisão da literatura, construído a partir de pesquisas nas bases de dados PubMed/Medline e SciElO entre 1990 e 2013. Em seguida foi elaborado este estudo observacional, descritivo e retrospectivo. Foi desenvolvido com a coleta de dados de 100 receituários escolhidos aletoriamente de policiais atendidos na Farmácia Fundação Tiradentes no Hospital do Policial Militar no município de Goiânia. Foi utilizado formulário elaborado pelo pesquisador e orientador. Os dados foram coletados de receituários controlados B1 arquivados na Farmácia e sistema da corporação, após autorização do estabelecimento. RESULTADOS: A frequência de uso foi dividida em: 1) Gênero: homens - (68%), mulheres (32%); 2) Idade: de 18 a 35 anos (4%); 36 a 50 anos (52%), 51 a 70 anos (12%), > 71 anos (3%), não informado (29%); 3) Psicotrópicos: Alprazolam (14%), Bromazepam (13%), Clobazam (1%), Clonazepam (53%), Cloxazolam (7%), Diazepam (1%), Flurazepam (1%), Midazolam (2%), Nitrazepam (7%). 4) Trimestre: jan/mar (22%), abr/jun (39%), jul/set (31%), out/dez (7%), 5) Tempo de serviço: < 5 anos (2%), 6 a 10 anos (5%), 11 a 20 anos (12%), 21 a 30 anos (48%); 6) Patente: praça (63%), oficial (11%), pensionista (2%), não informado (24%). CONCLUSÃO: A idade média foi de 47,03 e o gênero proporcionalmente que mais usou o psicotrópico foi o sexo feminino, sendo o Clonazepam o mais utilizado. Observou-se ainda que o tempo de serviço militar, entre 21 e 30 anos, contribuiu para o uso. Não houve diferença em relação a patente de Praça e Official.
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Conwell, Richard Joseph. "Retention by the U.S. Air Force Medical Service Corps and Civilian Healthcare Executives: A Generational Study of the Relationship of Ethical Values to Organizational Commitment." NSUWorks, 2009. http://nsuworks.nova.edu/hsbe_etd/20.
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This study examines the aspect of retention of healthcare executives in both a military and civilian environment and the relationship of ethical values to commitment in these respective organizational entities. The military differs from the civilian sector in that they recruit, train, and mold most of their medical service corps officer leadership; whereby civilian healthcare organizations largely depend on personnel accessions that require only minimal orientation in a hospital or clinic after completion of their university or military training. Regardless of whether a healthcare professional initially is accessed through the military or civilian sectors, the aspect of retention is of critical importance in the threat environment found today. Indeed, when one factors in different generational groups, it is important also to review the relationship between ethical values or commitment to both the military or civilian organizational models. Collectively, the challenge is to staff healthcare entities with committed healthcare managerial professionals in their respective organizations in order to meet an unprecedented threat and associated healthcare challenge to U.S. military and civilian populations. At this critical time in the nation's history, the U.S. cannot afford to lose a battle of attrition in either the military or civilian healthcare administration sectors. The U.S. military currently finds itself in the throes of a retention crisis resulting from extensive change. The changes include downsizing and re-engineering, reduction of benefits and rewards, and the effect of economic factors. Retaining medical professionals is an ongoing challenge, both in the military and civilian healthcare arenas. This dissertation will add to the body of knowledge and seek whether there is a statistically significant relationship between military ethical values and organizational commitment in the U.S. Air Force/Air Reserve Forces medical service corps/executive management personnel. Furthermore, it examines healthcare executives among different generational classifications of civilian and military personnel (Silent Generation, Baby Boomers, Generation X, and Post Generation X), to see if there is a statistically significant relationship between military ethical values and organizational commitment. All survey data was recorded in a Microsoft Excel database for organization, retrieval, and transfer to Microsoft Word and SPSS (Statistical Package for the Social Sciences) database.
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Nudd, Lorraine E. "An analysis of the financial incentives provided by a capitation-based resource allocation system within the Military Medical Department." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1993. http://handle.dtic.mil/100.2/ADA276427.
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Kelly, Catherine. "'Not surgeons alone, but medical officers' : the effects of the French revolutionary and Napoleonic wars on British military medicine." Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.496574.
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Borges, Augusto José Moutinho. "Os reais hospitais militares em Portugal administrados e fundados pelos Irmãos Hospitaleiros de S. João de Deus 1640-1834." Doctoral thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2007. http://hdl.handle.net/10362/5555.
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RESUMO: Desde 1640 até data extrema de 1834, os Irmãos Hospitaleiros de S. João de Deus foram os responsáveis, directa e indirectamente, pela administração e corpo de enfermagem dos Reais Hospitais Militares em Portugal, actividades que analisamos ao longo dos séculos, desenvolvendo pressupostos temáticos relativamente a sua actuação no tempo e no espaço.
É durante o séc. XVII até ao séc. XIX, que vemos os cuidados da corte para com a assistência aos soldados enfermos e doentes, ao publicar inúmera legislação relativamente à complexidade assistencial na área militar, a qual foi por nós compilada para melhor contextualização da importância dos Hospitais Militares em Portugal. Os Regimentos, os Alvarás, os Regulamentos e as Ordens do Dia, constituem um objecto fundamental de pesquisa e análise para caracterizar o quotidiano nesses mesmos locais.
Os Hospitais Militares desde a sua fundação, dos primórdios das Guerras da Aclamação em 1640, até ao advento do liberalismo em 1834, eram centros de conhecimento técnico e científico com um corpo assistencial especializado, onde um conjunto pluridisciplinar de profissionais zelava qualitativamente pelos assistidos, e onde os Irmãos Hospitaleiros de S. João de Deus desempenhavam funções de administradores, enfermeiros e capelães. Nesse sentido elaboramos uma listagem cronológica para inter relacionar os Irmãos Hospitaleiros e os Hospitais Militares, pois é impossível separar a Ordem de S. João de Deus da componente assistencial aos enfermos e doentes militares em Portugal.
A importância urbana e arquitectónica, que os Reais Hospitais Militares tiveram no contexto orgânico e defensivo nas Praças de Guerra, é realçado pela forma como estes se encontravam implantados e construídos, demarcando-se esteticamente da globalidade edificada, pois constituíam parte integrante dos equipamentos militares, como era teorizado pelos técnicos militares. Assim analisamos a localização dos imóveis, para além do próprio edifício hospitalar, com o meio, ou seja com a urbanidade das Praças de guerra.
A sobriedade arquitectónica dos Hospitais Militares, integrada nos grandes ciclos das correntes culturais europeia e nacional, associada à riqueza decorativa e iconoclasta desenvolvida nesses locais, dá-nos uma dimensão da importância científica que esses núcleos assistenciais tiveram, contribuindo para a difusão do culto e circulação da imaginária de S. João de Deus em Portugal e dos Santos venerados nos Hospitais Militares. Desta forma compreendemos o alicerçar devocional que o reino tinha por este Santo, como o fundador do conceito assistencial do hospital moderno. Estando intrinsecamente ligado a este facto vemos o proliferar do culto e da imaginária de S. João de Deus em Portugal, centrando-se a iconografia artística do Santo em torno das localidades onde se enraizaram os Hospitais Militares.
Hoje, nos imóveis hospitalares, não é difícil analisar uma lenta evolução da funcionalidade dos seus espaços, gravitando o desenvolvimento estrutural assistencial em torno das enfermarias e salas de cirurgia, mantendo-se perene este arquétipo arquitectónico desde o séc. XVII até meados do séc. XIX, as quais foram levantadas, comparadas e analisadas.
Foi com a exclaustração das Ordens Religiosas, pelo Decreto de 29 de Maio de 1834, que acabou a extraordinária e valorosa acção administrativa, tutelar e corpo de enfermagem dos Irmãos Hospitaleiros de S. João de Deus, na área específica da assistência militar em Portugal, extinguindo-se, nalguns casos, os Hospitais Militares, pois o reino não estava preparado para substituir esses profissionais de saúde.
O nosso estudo desenvolve-se por cerca de 295 anos, espaço temporal em que os Hospitais Militares foram administrados e fundados pelos Irmãos de S. João de Deus em Portugal.---------ABSTRACT: Since 1640 until 1834 the Hospitaller Brothers of S. John of God were the responsibles, direct and indirectly, for the administration and nursing body of the Royal Military Hospitals in Portugal, activities that we analyse throughout the centuries, developing thematic presuppositions regarding its performance in time and in space.
It is during the 17th century until the 19th century, that we see the court’s care with the assistance of the wounded and sick by the publishing of much legislation regarding the assistance complexity in the military area, which was compiled by us in order to achieve a better comprehension of the importance of the Military Hospitals in Portugal. The Regiments, Charters, Regulations and Orders of Day constitute a fundamental object of research and analysis to characterise the quotidian of these locations.
The Military Hospitals, since its foundation, in the beginning of the Wars of Acclamation in 1640, until the advent of liberalism in 1834, were centres of technical and scientific knowledge with a specialized assistance body, were a multidisciplinary set of professionals took qualitatively care of the attended, and where the Hospitaller Brothers of S. John of God performed the tasks of administrators, nurses and chaplains. In this perspective, we created a chronological listing in order to relate the Hospitaller Brothers with the Military Hospitals, since it is impossible to separate the Hospitaller Order of S. John of God from the component of assistance to the military sick and wounded in Portugal.
The urban and architectural importance that the Royal Military Hospitals had in the organic and defensive context of the War Fortifications is emphasized by the way these were implanted and built and by its architectural demarcation of the edified whole, since they constituted an integrant part of the military equipments, as it was theorized for the military architecture. Therefore we analyse the location of the real estate, analysing not only the hospital building itself, but also its relation with the environment, i. e. with the urbanism of the war fortifications.
The architectural sobriety of Military Hospitals, integrated in the big cycles of cultural streams in Europe and Portugal, associated to the decorative and iconoclastic wealth developed in these locations, give us a dimension of the scientific importance that these hospitals had, contributing to the diffusion of the cult and circulation of sculptures and paintings of S. John of God in Portugal and of the Saints revered in the Hospitals. In this way, we understand the consolidation of the devotion that the kingdom had for this Saint, the founder of the assistance concept of the modern hospital. The proliferation of the cult and iconography of S. John of God is intrinsically connected to this fact, the artistic iconography concentrating itself around the localities were the Military Hospitals were built.
Today, in the assistance buildings, it is not difficult to analyse a slow evolution of the functionality of its spaces, gravitating the structural assistance development around the infirmaries and surgery rooms, this architectural archetype being perennial from the 17th century until the middle of the 19th century. These infirmaries were pointed out, compared and analysed.
It was the expulsion of the Religious Orders, by the Decree of May 29th 1834, that ended with the extraordinary and valorous administrative and tutelary action and nursing body of the Hospitaller Brothers of S. John of God, in the specific area of military assistance in Portugal, extinguishing, in some cases, the Military Hospitals, since the kingdom wasn’t prepared to substitute these health professionals.
Our study is developed in a timeframe of 295 years, period in which the Military Hospitals were administrated and founded by the Brothers of S. John of God in Portugal.