The purpose of this study was to explore the factors that help and hinder the relationship between Canadian Forces (CF) veterans and their partners, from the perspective of the partners. Six wives and one girlfriend of former CF members were interviewed using Flanagan’s (1954) qualitative critical incident technique. Interviews yielded 17 helping incidents and 24 hindering incidents. Categories were created to comprehensively cluster the incidents. The helping categories were: supportive behaviours, collaboration, reconnecting, positive time apart, and compromising. The hindering categories were: communication difficulties, aggressive and intimidating behaviour, burdened with responsibility, inconsiderate behaviour, failure to provide support, and feeling ashamed of partner. Few links were found with regard to military employment; instead, the categories are consistent with past research exploring important relationship factors. Implications for counselling are provided, and future directions discussed.

Several organizations, most prominently the United Nations and the World Bank, have emphasized that ex-combatant reintegration is crucial to consolidating peace after war. Strategic thinking about peace-building and opportunities for international involvement in post-conflict states after the Cold War have focused attention on programs to disarm, demobilize, and reintegrate fighters. Despite the resources and effort invested in reintegration programs, however, the evidence from Namibia, Mozambique, and Sierra Leone shows that significant problems linked to incomplete reintegration persist after formal programs end. These problems include widespread unemployment among former fighters, ex-combatant involvement in criminality, re-recruitment into neighboring conflicts, and political and social polarization of reintegration grievances. Left unmanaged, such problems threaten security even if they do not lead a state back to war. The thesis explains the persistence of reintegration problems in terms of two variables: the capacity (defined as resources, operational expertise, and authority) and preferences (defined as the explicit and implicit interests and assumptions that guide programs) of reintegration actors. The capacity and preferences of these actors are aggregate independent variables that are themselves the product of endogenous (organizational and bureaucratic) and exogenous (systemic) pressures that literature on political economy and international relations theory helps to elucidate (i.e., helps to determine how reintegration actors' own behavior exacerbates or ameliorates problems). Drawing on documentation and interviews, the thesis constructs a narrative of reintegration in each case and employs process tracing within cases to identify reintegration problems, measure their impact on security, and determine whether and how the capacity and preferences of reintegration actors contributed to the persistence of reintegration problems. The thesis uses comparative analysis to generalize inferences about the variables observed, and suggests potential solutions to improve the management of reintegration problems and creation of economic opportunities. Unless deeper issues of reintegration governance related to problem management and opportunity creation are addressed, targeted remedies to improve program design will not succeed.

Thesis (Ph.D.)--Duquesne University, 2009. / Includes bibliographical references (leaves 135-151)

Thesis (Ph.D.) - University of Queensland, 2005. / Includes bibliography.

Thesis (Ph.D.)--Duquesne University, 2009. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p. 135-151) and index.

INTRODUCTION: The prevalence of obesity is increasing in the United States and globally, and impacts many aspects of health. To understand the contribution of body weight to chronic diseases such as diabetes, it is necessary to characterize secular and longitudinal weight trends prior to evaluating the weight effects that may result from medical interventions. The cross-sectional National Health and Nutrition Examination Survey (NHANES) indicates that mean body weight in the adult population increased from 152 lb (69 kg) to 181 lb (82 kg) between 1959 and 2008. However, there are no previously published studies on secular or longitudinal weight trends in a veteran population. OBJECTIVES: The purpose of this study is to describe secular and longitudinal trends in body weight for a large population of male and female individuals with and without diabetes in the Veterans Administration (VA) healthcare system, the largest integrated healthcare system in the United States. METHODS: Retrospective observational analysis of data from VA facilities throughout the United States, in patients who had at least 4 outpatient visits within any consecutive 4-year interval during 2000–2014. The dataset included men and women with and without type 2 diabetes. The primary outcomes were longitudinal trends in body weight stratified by birth cohort, sex, and diabetes status. RESULTS: A total of 4,680,735 unique patients, 1,666,346 with diabetes, were included in the analysis. Regressions were performed on the patient-level data and segmented by birth cohort. A total of 176,034,543 weight observations were included in the analysis, with a median of 15 to 36 weight observations per patient in individuals without diabetes, and a median of 22 to 49 weight observations in individuals with diabetes across birth cohorts. In the year 2000, the y-intercept for the regression equations indicated a mean body weight for men without diabetes of 188 lb (85 kg), for women without diabetes of 166 lb (75 kg), for men with diabetes of 213 lb (97 kg), and for women with diabetes of 195 lb (88 kg). Secular trends in body weight during the study period had median linear increases of 0.53 lb/y (0.24 kg/y) in men with diabetes, 0.50 lb/y (0.23 kg/y) in women with diabetes, 0.53 lb/y (0.24 kg/y) in men without diabetes, and 0.86 lb/y (0.39 kg/y) among women without diabetes, respectively. In cohorts born before 1940, body weight decreased. In the cohorts born between 1940-1949, body weight was stable. In all cohorts born after 1950, body weight increased. Across birth cohorts, the rate of weight increase accelerated from older to younger groups, with higher rates in the groups with diabetes than in the groups without diabetes: β2 = 0.0260 lb2/y (0.01179 kg2/y) in men without diabetes, 0.0398 lb2/y (0.01805 kg2/y) in men with diabetes, 0.0127 lb2/y (0.00576 kg2/y) in women without diabetes, and 0.0895 lb2/y (0.04060 kg2/y) in women with diabetes. CONCLUSIONS: This is the first report of secular and longitudinal weight trends in a large, contemporary veteran population that includes both men and women. Consistent with findings from the Normative Aging Study, a longitudinal study of male veterans from the northeastern United States, weight changes varied from decreases among the oldest birth cohorts to increases in the youngest birth cohorts. Secular changes in body weight by birth cohort were consistent with the patterns reported in the Global Burden of Disease Study. The rate of weight change is accelerated in all younger birth cohorts relative to all older birth cohorts, with the highest rates in women with diabetes. Further analyses of this dataset are recommended to elucidate clinical characteristics associated with longitudinal weight change among individuals with and without diabetes in the veteran population.

In recent years, an increasing number of military veterans have enrolled in higher education. Little research has been conducted on veterans in tandem with higher education, but what does exist shows that they are a unique student population because of their military background. In the last few years, scholarship has called for research on veterans in classroom environments. Moreover, composition scholars in particular have called for research on veterans and writing. Although veterans have been recognized as a unique student population, little research has been conducted on what pedagogical practices can be used to help them as they become students. First-year composition courses are the perfect context to examine the intersection of these calls for research because most veterans have to take them – since they often enroll as freshmen – and they involve varied written assignments. The purpose of this study was to explore what veterans’ experiences had been in the classroom environment of first-year composition courses and in working towards the course goals for written assignments through qualitative methods. This study also sought to discover what veterans thought could be altered to improve their experience in first-year composition. This study focused on the context of Southern Illinois University-Carbondale, and its first-year composition course, Engl-101. In order to discover what veterans’ experiences had been, a focus group of five veterans that had taken Engl-101 at Southern Illinois University-Carbondale was held. Additionally, a follow-up interview was conducted with one of the participants of the focus group. The results were consistent with the findings of other research on veterans. What was most notably clear was that veterans’ experiences in Engl-101 were greatly influenced by their experiences in the military. Participants expected their instructors to wield more authority over the class, much like their superiors would in the military. Additionally, veterans were often challenged by the behaviors of non-military students, which they perceived as disrespectful. Despite these challenges that participants encountered in the classroom environment, they also drew from the leadership skills they acquired while in the military to counter them. Additionally, the participants of this study raised that their instructors cared about the students and the content of the course, which alleviated some of the challenges they encountered. When it came to working towards the course goals for the written assignments, veterans struggled to expand their ideas beyond a few sentences, largely due to the style of writing they were used to in the military. That said, once veterans had a clear understanding of the conventions needed for an assignment, they were able to write strong essays. Ultimately, instructors of first-year composition that work with veterans will need to further training on the expectations that veterans’ carry with them from the military. Once instructors have knowledge of the ways veterans learn, they can adapt their pedagogical practices to suit.

This study expanded the current literature by assessing PTSD in relation to reactivity and recovery from negative emotional arousal among OEF/OIF/OND Veterans. Cardiac impedance was employed during a speech task and a trauma imagery procedure. Those in the PTSD-S group displayed lower SBP and higher TPR reactivity relative to the PTSD- and PTSD+ groups; lower CO reactivity relative to the PTSD+ group; and more CO recovery than those in the PTSD+ group to the trauma task. For speech task, Veterans in the PTSD-S group exhibited lower HR reactivity for both speech preparation and delivery than those in the PTSD- group. Depression was not a significant mediator in the relation between PTSD and reactivity. However, further analyses revealed that it served as a moderator between PTSD and reactivity during speech preparation (SBP, HR, and PEP reactivity), and speech delivery (HR, PEP, and CO reactivity). Simple slopes analysis revealed that depression was positively associated with HR and SBP (speech preparation) and HR (speech delivery) for those in the PTSD-S group. For those in the PTSD- group, depression was positively associated with PEP during the speech task (to include preparation) and negatively associated with SBP and CO (speech preparation) and HR and CO (speech delivery). For those in the PTSD+ group, depression was negatively associated with CO and positively associated with PEP. For the most part, Veterans in the PTSD-S group exhibited lower reactivity to both tasks than Veterans in the PTSD+ group or combat-exposed controls without PTSD. In light of the emerging evidence relating blunted reactivity to unhealthy behaviors and negative health outcomes (e.g., depression, obesity), it would appear that both extremes, exaggerated and diminished reactivity are maladaptive responses to stress and that the most optimally response to stress is a moderate reaction.

Class of 2005 Abstract / Objectives: The purpose of the study was to evaluate if rosiglitazone was being used in full compliance with the SAVA consensus criteria for appropriate use of thiazolinediones. Methods: A retrospective chart review was performed on 50 SAVA patients selected at random from a list of patients that were on rosiglitazone treatment as of March 15, 2005. Results: The percent of patients who met all of the criteria set forth by the SAVA when initiating therapy was 44%. Rosiglitazone treatment should not have been started in 28 out of the 50 patients. Once initiated on rosiglitazone, patients’ follow-up ALT was only obtained in 16% of patients. Once rosiglitazone has been prescribed for 3 months, HbA1c should decrease. Twenty percent of the patients showed an increase in HbA1c from baseline and were continued on the medication despite the criteria. Implications: Once therapy was initiated, the majority of patients studied failed to meet the SAVA guidelines for the appropriate use of rosiglitazone. In addition, a majority failed to follow the aspects of the guideline regarding initiation of rosiglitazone therapy.

No description available.