Thesis (M.A. in National Security Affairs)--Naval Postgraduate School, June 2006. / Thesis Advisor(s): Donald Abenheim. "June 2006." AD-A451 305. Includes bibliographical references (p. 89-100).

Indiana University-Purdue University Indianapolis (IUPUI) / Traumatic brain injury (TBI) has emerged as a major cause of morbidity among U.S. soldiers who have served in Iraq and Afghanistan. Even mild TBI (mTBI) can result in cognitive impairments that can impact how veterans experience such things as physical symptoms, emotions and behaviors, instrumental activities of daily living, interpersonal interactions, and community reintegration. The purpose of this study was to develop a comprehensive self-management intervention for veterans with mTBI to facilitate their community reintegration upon returning from deployment to combat zones. This study was conducted in two Phases. Phase I entailed collecting qualitative data regarding needs, concerns, strategies used, and advice given by eight veterans with mTBI, guided by a conceptual model derived from Ferrans’ and colleagues’ health-related quality of life model and the TBI literature. Six key categories and predominant themes emerged providing further support for the model (cognitive impairments, physical symptoms, emotions and behaviors, instrumental activities of daily living, interpersonal interactions, and community reintegration). Guided by the conceptual model, a mTBI Veteran Needs and Concerns Checklist and 14 algorithms making up the VETeranS Compensate, Adapt, REintegrate (VETSCARE) intervention were developed. Phase II entailed obtaining review of the mTBI Veteran Needs and Concerns Checklist and the 14 VETSCARE algorithms from six TBI experts. On a scale of 1 to 5, with 5 being strongly agree, expert ratings provided moderate evidence of content validity for the checklist (3.33), and for the 14 algorithms (problem relevance 3.92, accuracy 3.73, feasibility 3.80, acceptability 3.84). The average overall expert rating for the VETSCARE intervention was 3.82. The checklist and the 14 algorithms are being revised based on specific comments provided by the experts. Once revised, the mTBI Veteran Needs and Concerns Checklist and the VETSCARE intervention will be tested for feasibility in a future pilot study with veterans with mTBI who have recently returned from combat zones in Iraq and Afghanistan.

Approximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of coming home from war. Qualitative data collection and analysis was guided by story inquiry method. Quantitative data was collected using the 36-item Short-Form Health Survey, Version 2 (SF-36v2) and analyzed using QualityMetric Health Outcomes[TM] Score Software, Version 4.0. Seven OEF/OIF veterans who had completed at least one tour of duty in Iraq since October 2001 participated in this study. Three themes emerged from the qualitative data that capture the complicating health issues that participants encountered when coming home from war: flipping the switch, figuring out how to belong, and living the stress of a new normal. Two themes emerged from the qualitative data that capture approaches used to resolve complicating health issues associated with returning home from war: connecting with others and choosing a positive attitude. Quantitative data revealed that the majority of participants scored at or above general population norms on three of the subscales that measure physical health, as well as on two of the subscales that measure mental health; however a significant percentage scored below norms on the subscale that measures social functioning (57%) and on the subscale that directly measures mental health (43%). / All three themes describing complicating health issues that emerged during qualitative data analysis resonated with the SF-36v2's measures of mental health, especially social functioning which inquires about experiences with social interactions. Both themes describing movement toward resolving resounded strongly with the SF-36v2's measures of mental health. From this study's findings, changes to policy and practice, education of nurses and post-secondary faculty, and future research have been recommended to continue to assist the war veteran who is coming home. / by LisaMarie Wands. / Thesis (Ph.D.)--Florida Atlantic University, 2011. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2011. Mode of access: World Wide Web.

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This dissertation considers the relation between literary documents and public identities, and how U. S. culture is reflected and transfigured by poetry in the United States after 1960. Concerned with epideictic communication in public contexts, this study looks at how private interventions in public spaces can shape attitudes toward cultural phenomena. A secondary concern elucidates the ways literary texts are valued in English departments, bearing critical reflection on rhetorical, literary, and creative pedagogy. Insofar as the epideictic mode prepares individuals for a decision-making process in current democratic situations, this dissertation considers recent examples of strategic public engagements, and provides rhetorical readings of key situations in American social and cultural life since 1960 to illustrate how such methods can bring rhetoric and literature together in contemporary public contexts. The first of these studies inspects the correspondence and poetry of Robert Duncan and Denise Levertov during the Vietnam War over the uses of poetry as a public document. Public identity and U. S. social practices are explored in the following chapter with the 1970s and ’80s poetry of Lorenzo Thomas and Edward Dorn, whose poems participate in the articulation of tensions between private and public life. Chapter 4 argues that Charles Olson’s poems and letters appearing in the editorial pages of The Gloucester-Daily Times in the 1960s effectively helped bring civic attention to the transformation of public space in Gloucester, Mass. While he interpreted the changes he perceived in Gloucester through literary and historical theories, he framed them within rhetorically motivated communication strategies to deliver new perceptions of what constituted civic value. Chapter 5 concludes by examining more recent attempts by poets to influence public reflection on crucial events that led to the wars in Iraq and Afghanistan through digital media, public performance, and civic encounters mediated by fugitive texts. The opening and final chapters introduce my methodology and present the problem of poetry in public contexts, and advocates for reflection within English departments on the rhetorical value of literary texts. / text

Operation Enduring Freedom (OEF) (Afghanistan) and Operation Iraqi Freedom (OIF) represent one of the longest wartime deployments in the history of the American military. To date, 1.6 million American military members have deployed. Of these, an estimated 300,000 have returned with a mental health condition, such as depression or PTSD. The Department of Defense has established a robust screening program to identify and track deployment-related physical and psychiatric illnesses. The Post-Deployment Health Reassessment (PDHRA) is a primary tool to identify physical and psychiatric risk following a deployment. The PDHRA is a web-based survey, which is administered between 90-180 days after a deployment. This study seeks to evaluate the psychometric properties and clinical utility of the Post-Deployment Health Reassessment (PDHRA) for accurately identifying truama and depression among Airmen following a deployment. Descriptive statistics, confirmatory factor analysis and structural equation modeling were used to address separate research aims. Study aims assessed the impact of deployment on military members and the clinical utility and psychometric properties of the Post-Deployment Health Reassessment. Findings suggest that the Post-Deployment Health Reassessment is a useful triage tool to identify trauma and depression among Airmen following deployment. The study makes recommendations for improving the clinical utility and psychometric properties of the Post-Deployment Health Reassessment (PDHRA). / text

Evaluation des mutations de la stratégie politico-militaire américaine depuis l'occurrence de la Revolution in Military Affairs jusqu'au processus actuel de "Transformation". L'analyse des évolutions vues - y compris à l'aune des opérations menées en Afghanistan et en Irak - montre, au delà du phénomène de technicisation (i.e. le processus d'intégration de nouvelles technologies aux armées) un phénomène de "technologisation". <p><p>Dans ce cadre, le discours stratégique américain, examiné au travers des débats stratégiques et des contributions doctrinales, tendrait à être sur-déterminé par la technologie, du niveau tactique au niveau politique, de sorte que ledit discours tendrait à devenir en soi une technologie. / Doctorat en Sciences politiques et sociales / info:eu-repo/semantics/nonPublished

"A paper submitted to the faculty of the NWC in partial satisfaction of the requirements of the JMO Department." / Title from title screen (viewed June 10, 2008). "February 14, 2005." Faculty advisor: Douglas Hime. "ADA464898"--URL. Includes bibliographical references (p. 24-27).