A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / While medical diplomacy has played a large role in US counterinsurgency (COIN) campaigns, few studies have been done to show their effectiveness. This study is a systematic review based on literature published by July 2014, looking at military medicine’s role in Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). Both scientific and military databases were searched and yielded an initial 1,204 papers; however, these were later narrowed down to four articles, mostly restricted by the requirement of structured, scientific methods. These four studies were not well‐powered and focused on such different topics that no real conclusion could be drawn on the topic. In the end, the real value of the study was to show that despite the significant amount of resources poured into these COIN medical operations, very little study has been done to see if they have any effect.

Book Summary: In this book, Jeffrey Kottler and Jon Carlson turn their well-polished therapy microscopes onto the subjects of lying, falsehood, deceit, and the loss of trust in the counseling room. What do clients lie about and why? When do therapists mislead or withhold information from their clients? What does it all mean? In their exploration of this taboo material, the authors interview and share stories from dozens of their peers from all practice areas and modalities and ranging from neophytes to established master practitioners. Their stories and reflections cast some light on this fascinating topic and will help to start a more honest dialogue about difficult subject matter.

Conventional approaches to cancer treatment typically do not address the personal experiences of the women with breast cancer. The aim of this study was to develop a structural description of the lived experience of women with breast cancer who create art, specifically through painting, sketching or drawing. A phenomenological approach was employed to explore the meaning of creating art for four women with a diagnosis of breast cancer. The philosophical underpinnings for this study were based on the phenomenological method of bracketing which allows the researcher and subjects to focus on lived experience. This qualitative methodology provided a means to examine the phenomenon of interest in depth from the participants' subjective perspective. Data were collected through face-to-face interviews and follow up telephone conversations. Giorgi's method for analyzing phenomenological data was used to elicit an invariant description of the meaning that creating art had for the participants. Three predominate themes emerged from the analysis. Contextual constituents of the phenomenon were identified as that of giving back and time to create. Dynamic components consisted of creative space and creative expression. Enduring factors consisted of the creative experience and sense of self. Nurses are in a unique position to facilitate the creative art process which holds the potential for self-healing and self-responsibility for their patients. Included are limitations of the study and recommendations for future research.

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The present study addresses abused Vietnamese women’s experience of health, as well as other health problems and family conflicts, while also taking into consideration professional dealings with family violence. Women’s health in everyday life is largely affected when they are exposed to violence by their male partners. Such violence exists in most societies around the world, also in the Vietnamese context, where the official policies focus on gender equality, together with a strong family concept. Thus, the present study aims to contribute to an empirical understanding of the relation between women’s health and violence against women within the family, from three perspectives: That of the society (organisations and professionals), the neighbourhood community (family members and neighbours), and the individuals (the abused women). The thesis is based on three qualitative interview studies. To reach the official Vietnamese society, national organisations working against violence were invited to participate and eleven professionals of different positions were interviewed. The semi-structured interviews were analysed with content analysis. To include the neighbourhood community perspectives on health and conflicts in family life, twenty-two men and women of different ages and backgrounds, but without any known history of abuse, participated in sixteen semi-structured interviews. For the third study twelve abused women presented life-stories through indepth interviews. The interviews of study two and three were analysed using narrative approach. On a professional level, the discussion on violence focus on the abusive men’s violent acts, on how to promote good social relations and how to make people in general recognise violence as a public health problem and value gender equality. In family everyday life, the informants consider women as the main responsible for the family well-being, but find cooperative support necessary in daily life. To adjust family life to social change, and to make everyone feel important, means to avoid boredom or distress are strategies used, since such conditions are considered to cause troubled relations, abuse and suffering. Violence within the family is seen as interpersonal problems where both partners are to blame for family dysfunction. Empathic sentiments, mutual support and communication are means to handle problems, and a harmonious and happy family is seen as protecting health. The abused women experience vulnerability, which they see as the foremost threat to their health. Injuries as well as worries cause harm. The abused women blame their husbands, for the violence, but they rarely confront them. Instead they use a number of strategies to handle their situation; through enduring, making their husband’s face others judgements, or divorce. They see violence as part of an everyday life of hardship, and consider that bearing too many troubles harms their health. A coherent approach between the different perspectives is needed if the abused women and their families will have a possibility to experience health. The professionals need to consider both public equality policies and the individuals’ experience of vulnerability. The abused women, and abusive men, would benefit from a neighbourhood community that is open to individual failure but still supportive and encouraging. To experience health this study found that it matters what position a person has, what expectations and judgement a person face, how well a person can manage her obligations, and what room for action she possesses. / Studien fokuserar på vietnamesiska kvinnors hälsa, om de utsatts för våld i hemmet, samt närliggande hälsoproblem och familjekonflikter. Studien behandlar också professionellas hanterande av våld i familjen. Kvinnors hälsa och vardagsliv försämras av att de utsätts för våld från sina manliga partner. Detta våld återfinns i de flesta av världens länder, så också i Vietnam, som dock är ett land med starkt politiskt och officiellt fokus på jämställdhet, samtidigt som man värnar om familjen som enhet och begrepp. Därför är syftet för denna studie att bidra till en empirisk förståelse av relationen mellan kvinnors hälsa och våld mot kvinnor inom familjen, från tre perspektiv: samhällets (professionella organisationer), grannskapets (familjemedlemmar och grannar) samt individernas (de våldsutsatta kvinnorna). Studien baseras på tre kvalitativa delstudier. För att söka förstå det vietnamesiska samhället, inbjöds nationella organisationer som arbetar mot våld att delta, och elva professionella på olika positioner intervjuades. De semi-strukturerade intervjuerna analyserades med innehållsanalys. För att nå grannskapets perspektiv på hälsa och konflikter i familjelivet, intervjuades 22 män och kvinnor av olika åldrar och bakgrunder, utan känd våldshistorik inom familjen. De deltog i 16 semistrukturerade intervjuer. I den tredje delstudien intervjuades 12 våldsutsatta kvinnor genom att de presenterade sina livshistorier. Studie två och tre analyserades narrativt. På den professionella nivån rör diskussionen om våld de våldsutövande männens handlingar, hur man ska främja goda sociala relationer och hur man ska få allmänheten att förstå våld som en folkhälsofråga och värdera jämställdhet. I familjernas vardagsliv ser informanterna kvinnan som ansvarig för familjens välbefinnande, men samarbete och stöd som nödvändigt i familjelivet. För att anpassa familjelivet efter sociala förändringar, och att få alla att känna sig betydelsefulla i familjen, anses det nödvändigt att undvika tristess och leda. Anpassning till samhällets förändring och att främja familjens välbefinnande ses som strategier för att hantera problematiska relationer, konflikter, våld och lidande. Våld inom familjen anses vara ett interpersonellt problem, där båda parter bär skulden för familjens dysfunktion. Empati, ömsesidigt stöd och kommunikation är verktyg för att hantera problem, och en harmonisk och lycklig familj anses främja hälsan. De våldsutsatta kvinnorna upplever sårbarhet, vilket de ser som det främsta hotet mot sin hälsa. Såväl kroppsskador som oro försämrar kvinnornas situation. De våldsutsatta kvinnorna lägger skulden på sina män för våldet, men de konfronterar dem sällan. Istället använder de sig av strategier för att hantera sin situation: genom att uthärda, få maken att möta andras fördömanden, eller skilsmässa. De ser våldet som en del av ett vardagsliv fyllt av svårigheter, och anser att bördan av för många problem är det som skadar deras hälsa. Ett samordnat tillvägagångssätt mellan de olika samhällsnivåernas perspektiv behövs om de våldsutsatta kvinnorna och deras familjer ska ha en möjlighet att uppleva hälsa. De professionella behöver beakta såväl jämställdhetspolicyer som individers upplevelse av sårbarhet. De våldsutsatta kvinnorna, och våldsutövande männen, skulle gagnas av en grannskapsgemenskap som är öppen för individuella misslyckanden, men ändå stödjande och uppmuntrande. Denna studie visar att för att uppleva hälsa är det av betydelse vilken social position personen har, vilka förväntningar och bedömningar en person möter, hur väl hon kan hantera sina åtaganden, och vilket handlingsutrymme hon besitter.

The purpose of this thesis is to examine the performances of gender that permeated the justifications for Operation Enduring Freedom (OEF) in Afghanistan, focusing on the representational practices that dominated the Bush administration's narratives of rescue and circumscribed our understanding of the actors involved. In particular, I will argue that the image of Afghan women as the helpless victim of Taliban oppression not only allowed the United States and its coalition allies to cast themselves as heroic masculine warriors but also helped to reinforce the idea that Afghan women were little more than mere symbols of helplessness, placing them in a position of absolute inferiority and dependency. Crucially, I will claim that this image of Afghan women as the passive prisoners of the Taliban was contingent upon the suppression of a series of alternative perspectives that could not be accommodated within the parameters established by the prevailing frames of war. On the one hand, I argue that the dominant representations of Afghan women tended to show them in decidedly monolithic and one-dimensional terms, with the Bush administration and its coalition allies defining them almost entirely by the suffering they experienced. Absent from these accounts, however, was any mention of women's resistance to Taliban rule or their criticisms of the military intervention. On the other hand, I will show how the international community relied upon a particular historical narrative that allowed them to present Afghanistan as a barbaric aberration in the modern world whilst allowing them to dismiss the period of Taliban rule as a terrifying oddity in the country's history, destroying many of the freedoms that were said to exist under previous regimes. As well as ignoring the myriad of interactions between Afghanistan and the outside world and the complex social, economic and political forces that helped to precipitate the rise of the Taliban, I will argue that this historical narrative reinforced the idea that the lives of Afghan women were in a state of suspense during this period, their very existence as human beings held in abeyance until coalition troops could intervene to redeem them. What distinguishes my argument from the work of other feminists is my attention to the way in which these representational practices are contingent upon an uneasy process of repetition and reiteration, leaving them vulnerable to the possibility for subversion and resignification. Drawing on Judith Butler's work on performativity, normative violence and the politics of intelligibility along with Gayatri C. Spivak's work on the subaltern subject, I show how the activities of organisations such as the Revolutionary Association of the Women of Afghanistan (RAWA) and the voices of individuals such as Malalai Joya help to expose the limits of the dominant norms of intelligibility, opening up the possibility for a less violent and less exclusionary re-imagining.

Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) created multiple challenges for the mental health of soldiers who served there. The local facility in this study determined there was a gap in providing OEF/OIF veterans assistance with mental health issues. The practice-focused question explored whether a training module for nurses would assist in the identification of signs and symptoms of mental health issues in OEF/OIF veterans, such as posttraumatic stress disorder, anxiety, depression, addictions, and suicidal/homicidal ideations, to help ensure timely referral for services. The project used Kolcaba's comfort theory as the basis for the training module. A pretest, training module, and posttest were created and administered to the expert panel. Results showed the training module contained information to assist nurses in identifying the signs and symptoms of mental health issues as well as educated the nurses on various interventions that were available for the veterans. It was determined by the expert panel that the training module should be implemented to assist in decreasing the gap in care for OEF/OIF veterans. This training module might support positive social change by empowering nurses to assist veterans with coping skills overcome mental health issues and lead positive and productive lives.

Thesis (M.S. in Defense Analysis)--Naval Postgraduate School, December 2009. / Thesis Advisor(s): Borer, Douglas A. Second Reader: Rothstein, Hy S. "December 2009." Description based on title screen as viewed on January 26, 2010. Author(s) subject terms: Afghanistan, Operation Enduring Freedom, counterinsurgency, foreign internal defense, unconventional warfare, International Security and Assistance Force, U.S. Special Operations Forces. Includes bibliographical references (p. 109-116). Also available in print.

Fusarium head blight (FHB), a fungal disease caused principally by Fusarium graminearum, and barley yellow dwarf (BYD) caused by BYD luteoviruses are two serious fungal and viral diseases of wheat resulting in high economic losses annually. Wuhan, a Chinese wheat cultivar resistant to FHB, and Maringa, a Brazilian cultivar tolerant to BYDV were inter-crossed and crossed with Roblin, a Canada western red spring wheat susceptible to both FHB and BYDV, to determine the genetic basis of resistance/tolerance and to combine the two traits. Four hundred ninety nine F1-derived doubled haploid (DH) lines were generated from reciprocal crosses using corn pollen-mediated DH technology. The DH lines and the parents were evaluated for disease symptoms, reduction in height and spike mass for BYD and for disease incidence, disease severity and Fusarium-damaged kernels for FHB in field and controlled environments. A subset (20/150) of the best performing DH lines from Wuhan/Maringa populations for both BYD and FHB were further evaluated. Plants were point inoculated with F. graminearum in greenhouse experiments, and macroconidial spray inoculations and spread of corn inoculum were used in field environments to evaluate FHB. BYDV inoculations were performed by placing ten to fifteen viruliferous aphids (Rhopalosiphum padi infected with BYDV-PAV isolate 9301PAV), at the one to two leaf stage for both greenhouse and field trials. The studies showed that both FHB and BYDV are quantitatively inherited. Transgressive segregants were observed and the broad sense heritability was high (0.90 to 0.97) for all traits evaluated. Results from independent testing of diseases on Wuhan/ Maringa populations showed fourteen DH lines were as, or more resistant than Wuhan for FHB and Maringa for BYDV tolerance and have combined both BYDV tolerance and FHB resistance. Identifying such lines facilitates the pyramiding of independent genes to obtain adequate levels of enduring resistance. A further experiment was conducted on the 14 lines by inoculating them with BYDV and F. graminearum successively on the same plant. Six out of 14 selected DH lines demonstrated high resistance to FHB and tolerance to BYDV. These six lines can be used in FHB/BYDV resistance/tolerance breeding programs.

Fusarium head blight (FHB), a fungal disease caused principally by Fusarium graminearum, and barley yellow dwarf (BYD) caused by BYD luteoviruses are two serious fungal and viral diseases of wheat resulting in high economic losses annually. Wuhan, a Chinese wheat cultivar resistant to FHB, and Maringa, a Brazilian cultivar tolerant to BYDV were inter-crossed and crossed with Roblin, a Canada western red spring wheat susceptible to both FHB and BYDV, to determine the genetic basis of resistance/tolerance and to combine the two traits. Four hundred ninety nine F1-derived doubled haploid (DH) lines were generated from reciprocal crosses using corn pollen-mediated DH technology. The DH lines and the parents were evaluated for disease symptoms, reduction in height and spike mass for BYD and for disease incidence, disease severity and Fusarium-damaged kernels for FHB in field and controlled environments. A subset (20/150) of the best performing DH lines from Wuhan/Maringa populations for both BYD and FHB were further evaluated. Plants were point inoculated with F. graminearum in greenhouse experiments, and macroconidial spray inoculations and spread of corn inoculum were used in field environments to evaluate FHB. BYDV inoculations were performed by placing ten to fifteen viruliferous aphids (Rhopalosiphum padi infected with BYDV-PAV isolate 9301PAV), at the one to two leaf stage for both greenhouse and field trials. The studies showed that both FHB and BYDV are quantitatively inherited. Transgressive segregants were observed and the broad sense heritability was high (0.90 to 0.97) for all traits evaluated. Results from independent testing of diseases on Wuhan/ Maringa populations showed fourteen DH lines were as, or more resistant than Wuhan for FHB and Maringa for BYDV tolerance and have combined both BYDV tolerance and FHB resistance. Identifying such lines facilitates the pyramiding of independent genes to obtain adequate levels of enduring resistance. A further experiment was conducted on the 14 lines by inoculating them with BYDV and F. graminearum successively on the same plant. Six out of 14 selected DH lines demonstrated high resistance to FHB and tolerance to BYDV. These six lines can be used in FHB/BYDV resistance/tolerance breeding programs.