U.S. Army combat operational stress control throughout the deployment cycle: a case study

As military conflicts around the world persist, a comprehensive approach in managing behavioral health issues will continue to be a key component of military healthcare. Deployed military personnel frequently exposed to trauma are well-known to be at high risk for developing behavioral health disorders, including combat stress reactions and posttraumatic stress disorder. In the U.S. Army, members of combat operational stress control (COSC) units have unique skills to assist soldiers and their families not only throughout all phases of a deployment, but also throughout a soldier's entire career. The purposes of this article are twofold, first to describe the role of COSC operations with an emphasis on interventions in a deployed environment. The second purpose is to present a case study from Operation Iraqi Freedom highlighting the efficacy of the COSC approach to meet a Soldier's behavioral health needs in a deployed environment.     

Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management

Pelvic organ prolapse is a common condition affecting a large number of women. Incidence increases after the menopause. Age, parity and obesity are the most consistently reported risk factors. Many women can be asymptomatic of prolapse but common symptoms include a sensation of a bulge or fullness in the vagina or urinary, bowel or sexual dysfunction. Management depends upon symptoms and the type and grade of the prolapse as well as any associated medical co-morbidities. Management options include expectant, conservative or surgical approaches. Up to 10% of women having a surgical procedure for prolapse will require a second procedure. It is, therefore, important to consider lifestyle modifications such as weight loss and conservative measures including pelvic floor muscle training, topical estrogens and pessaries as initial management options.     

On the role of data,statistics and decisions in a pandemic

AStA Advances in Statistical Analysis - A pandemic poses particular challenges to decision-making because of the need to continuously adapt decisions to rapidly changing evidence and available...     

The Impact of Skinner's Verbal Behavior on Organizational Behavior Management

In the book Verbal Behavior, Skinner provided a comprehensive, behavioral account of language. While the impact of Skinner's analysis on empirical research has been examined broadly, this review of the literature focused on studies relevant to organizational behavior management (OBM). Both empirical and nonempirical journal articles in OBM were analyzed, along with several influential books in the field. The results of this review indicate that the conceptual framework provided in Verbal Behavior has had virtually no impact on empirical research in OBM and very limited impact on conceptual work. Potential reasons for this lack of influence are discussed, and further research on verbal behavior in organizations is encouraged.     

Parent Characteristics and Early Coparenting Behavior at the Transition to Parenthood

This study examined parent characteristics as correlates of coparenting behavior in 57 primiparous couples. Parents' negative emotionality and perceptions of maternal acceptance in childhood, mothers' beliefs about fathers' roles, and observed marital behavior and family socioeconomic status were assessed during the third trimester of pregnancy, and coparenting behavior was observed at 3.5 months postpartum. Couples who exhibited high‐quality marital interaction showed higher supportive coparenting behavior, but couples who showed lower quality marital interaction demonstrated higher supportive coparenting behavior when mothers held more progressive beliefs about fathers' roles. Couples showed more undermining coparenting behavior when family socioeconomic status was lower and when fathers were higher on negative emotionality. Greater perceived maternal acceptance in childhood was only associated with lower levels of undermining behavior when prenatal marital interaction was high in quality. Thus, the characteristics of both parents, especially in combination with preexisting marital behavior, are important determinants of coparenting behavior.     

Cost‐Benefit Analysis of Passive Fire Protections in Road LPG Transportation

The cost‐benefit evaluation of passive fire protection adoption in the road transport of liquefied petroleum gas (LPG) was investigated. In a previous study, mathematical simulations of real scale fire scenarios proved the effectiveness of passive fire protections in preventing the “fired” boiling liquid expanding vapor explosion (BLEVE), thus providing a significant risk reduction. In the present study the economical aspects of the adoption of fire protections are analyzed and an approach to cost‐benefit analysis (CBA) is proposed. The CBA model is based on the comparison of the risk reduction due to fire protections (expressed in monetary terms by the value of a statistical life) and the cost of the application of fire protections to a fleet of tankers. Different types of fire protections were considered, as well as the possibility to apply protections to the entire fleet or only to a part of it. The application of the proposed model to a real‐life case study is presented and discussed. Results demonstrate that the adoption of passive fire protections on road tankers, though not compulsory in Europe, can be economically feasible, thus representing a concrete measure to achieve control of the “major hazard accidents” cited by the European legislation.     

Temperament as a Moderator of the Effects of Parental Depressive Symptoms on Child Behavior Problems

Parental depressive symptomatology has consistently been linked to child maladjustment, but these effects are not universal. This investigation examined the role of child temperament as a moderator of the effects of parental depression on behavior problems in five‐year‐old children. Parents reported on their own depressive symptoms, and both parents and teachers reported on child behavior. Temperament was assessed by both parent‐report and structured observation. Results indicated significant associations between behavior problems and both depressive symptoms (maternal and paternal) and child temperament (effortful control and negative affect). Child surgency moderated the effects of both maternal and paternal depressive symptoms on child behavior problems. Child negative affect and incongruous negative emotionality moderated the effects of maternal depressive symptoms on child behavior problems. These findings point to the importance of examining multiple factors within the family system to further understand the processes of child development.