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Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In the ongoing era of globalization, maritime defense has increasingly become a crucial aspect for various nations, particularly for Indonesia with its vast maritime territory. The Indonesian Naval Arsenal (TNI AL) serves not only as a storage facility for weapons but also as a strategic center responsible for managing inventory, ensuring reliability, and facilitating the smooth operation of maritime defense. The accuracy of location and efficiency in the weapons loading process for the Republic of Indonesia Navy (KRI) is paramount; KRI vessels based near Arsenal Batuporon in Koarmada II have a significant advantage, while those from Koarmada I and III face challenges in weapon loading. One proposed solution is the construction of additional arsenals in the western and eastern regions of Indonesia. This research aims to analyze the determination of new Arsenal locations, develop a decentralized weapons distribution model, and compare the efficiency between centralized and decentralized distribution models. The findings of this study are expected to provide deeper insights into weapon distribution strategies to support the readiness and reliability of the Indonesian Navy in safeguarding the country's maritime sovereignty and ensuring law enforcement against increasingly complex and varied maritime violations.

The article presents a proposal for a method to determine a total and partial operational readiness for a mobile medical module as a complex technical system. A new approach to determine the readiness factor characterizing the functional readiness of a complex technical system is proposed as parameter not only for the system in a state of full usability, but also in states of partial usability enabling the performance of selected functions required by the user. The communication system is discussed as the main system determining the operation of the mobile medical module. Markov chain modeling (expanded into semi-Markov chains) was used to determine the value of the readiness factor of this system. Due to the structural complexity of the mobile medical module (carrier platform, drive, basic and additional avionics equipment and basic and extended medical equipment), a total and partial operational readiness can be determined for a simple object (in a simplified version as full) or a complex system (as a total and partial). [ABSTRACT FROM AUTHOR]

Large airport operational readiness (LAOR) is a critical factor that directly impacts the opening of airports to the public. However, limited research exists on the risks affecting LAOR schedules. This article explores the risk breakdown structure and risk interactions model of LAOR schedule risk. An empirical investigation was conducted on four large hub airports from 2009 to 2021 using grounded theory procedures. The study identified 21 risk factors categorized into management (highest frequency), technical, process, participant, and environmental risks (lowest frequency), which implied that risks primarily existed within a project rather than in the external environment. A systematic model incorporating risks and their interactions revealed that the primary risk transfer path was from the subject subsystem (participant risk) to the object subsystem (technical and process risk). The findings expand the knowledge domain of infrastructure risk and provide pragmatic risk evaluation and response guidelines. [ABSTRACT FROM AUTHOR]

IntroductionBody composition standards are set to ensure operational readiness in active-duty military personnel. To meet body composition standards, some individuals, however, may engage in unhealthy weight control behaviors (i.e., weight cycling and disordered eating). The objectives of this review are to: (1) evaluate the evidence regarding body composition and the associations to physical and military specific performance; (2) discuss body composition and potential health consequences; and (3) examine the evidence of weight cycling and disordered eating behaviors in military personnel for weight control.MethodsA systematic search to identify peer-reviewed research articles was conducted in PubMed on 2/20/2023 using Medical Subject Headings (MeSH) including but not limited to “Military Personnel”, “Tactical Athlete”, “Weight Loss”, “Body Composition”, and “Weight Cycling”.ResultsA total of 225 research articles were identified. The list was narrowed down to articles from the last 20 years (2003–2023) in military personnel. Only studies in which percent body fat was directly measured were included resulting in 17 research articles for this review.DiscussionEvidence-based research is limited on the relationship between body composition and operational readiness. Weight cycling and disordered eating behaviors also has been reported for weight control, yet additional research is needed. Specifically, future research should focus on female service members, racial and ethnic differences, age, and postpartum status and include other service branches (i.e., Air Force and Navy). A comprehensive survey on weight cycling, disordered eating, and weight management would be valuable to determine the prevalence and extent of this issue. This information along with performance data would guide policy makers on the relevance and appropriateness of existing body composition standards.

This article summarizes the key elements that led to the successful 2018 launch of the New Central Library in Calgary, Alberta. The perfect marriage of innovative architecture and innovative programing would not have been possible without an innovative approach to planning. It began with a clearly articulated vision, bold leadership, and the coming together of a collaborative project team. A human-centered design process dovetailed with a flawlessly executed operational readiness plan to produce an overall visitor experience that has set a new standard for libraries—named by Time magazine as one of the "Greatest Places 2019" (Davies, 2019). [ABSTRACT FROM AUTHOR]

The purpose of our research is to characterize the ways of assessing the readiness of future translators to perform professional activities in the conditions of war; to identify the level of formation of students’ motivational, semantic, operational and value readiness to perform translation activities. Methods of the research. The following theoretical methods of the research were used to solve the tasks formulated in the article: a categorical method, structural and functional methods, the methods of the analysis, systematization, modeling, generalization. The empirical method is ascertaining research. The results of the research. So, the professional development of the individual can take place in several stages. The first stage is considered to be pre-professional training, the main purpose of which is the professional self-determination of the individual, the formation of the attitude towards a certain profession, and the realization of the person’s conscious choice of his/her professional activity. This is the process of forming the individual’s attitude towards himself/herself as a subject of future professional activity, which in a long period of time will help a person adapt to life as a whole. Pre-professional training is interpreted as the preparation of the polytechnic and professional character of students, as a basic component of their further professional training. Conclusions. Thus, professional formation is a process, which has the aim of the development and the formation of the personality of a future specialist as a subject of professional education and activity. We proved, that the subjective qualities of a specialist are mainly determined by his/her subjective position, which should be defined as a kind of integration of the dominant sovereign qualities of a professional, which are decisive in any significant professional issues or problems for a specialist. The subjective position of a specialist is a basic, a dominant component in the professional model of personality’s formation, a fundamental characteristic of his/her behavior in the profession. Subjectivity presupposes, first of all, the formation of worldview guidelines, moral and valuable qualities of the individual, which determine not only the active position of the professional, but also the worldview orientations of the specialist.

Skin disease remains a common complaint among deployed service members. To mitigate the limited supply of dermatologists in the U.S. Military Health System (MHS), teledermatology has been harnessed as a specialist extender platform, allowing for online consultations in remote deployed settings. Operational teledermatology has played a critical role in reductions of medical evacuations with significant cost-savings. When direct in-person lesion visualization is unattainable, teledermoscopy can be harnessed as an effective diagnostic tool to distinguish suspicious skin lesions. Teledermoscopy has the versatile capacity for streamlined incorporation into the existing asynchronous telemedicine platforms utilized worldwide among deployed U.S. military healthcare providers. In terms of clinical utility, teledermoscopy offers a unique and timely opportunity to improve diagnostic accuracy, early detection rates, and prognostic courses for dermatological conditions. Such improvements will further reduce medical evacuations and time away from mission, thereby operational improving mission readiness and combat effectiveness. As mission goals are safeguarded, associated operational budget costs are also preserved. This innovative, cost-effective technology merits integration into the U.S. Military Health System.

The industry is expecting that the European Market Infrastructure Regulation Refit Technical Standards for Transaction Reporting (EMIR Refit 3.0) will be published shortly, but past regulatory implementations indicate that there are practical steps that could already be considered in preparation to be operationally ready and compliant. EMIR Refit 3.0 constitutes a significant number of changes for the industry, using past experiences this paper looks at some of the key challenges of EMIR Refit 3.0 as written in the draft regulation and what firms could consider as part of the planning phase of the programme to get a head start. Initiating the programme early on, frontloading operational readiness and considering the client journey are themes that are explored further for practical application. [ABSTRACT FROM AUTHOR]

This study aims to determine the model for technical and flight costs, and to ready the helicopters for a safe flight, in order to improve the operational capacity of military helicopters. This readiness is done by implementing the flight planning and technical maintenance based on three main components: availability, serviceability, and stability. In this descriptive-analytical study based on theoretical foundations, past experiences and studying the performance of several flight sites of a transport helicopter; parameters of cost determination based on the F.M.P model and math were calculated. Thus, to calculate the cost based on parameters such as: technical work time and periodical checks, the helicopter is non-operational and grounded for a certain period of time. In findings, 3-year performance of several flight sites of transport helicopters from the military and civilian organizations of the country were examined with the view of determining the cost, calculating one hour of flight, and comparing the status of logical profitability in a diagram along with analysis and providing solutions. With proper planning, cost management and accurate and correct credit estimation, it is possible to set up an active flight organization and update it every year to maintain and improve the power of helicopter operation. In addition, suitable motivation of specialized, technical and administrative staff improves the condition of the organization. This motivation along with economic profitability provides the possibility of generalization of similar companies,ultimately. [ABSTRACT FROM AUTHOR]

Skin disease remains a common complaint among deployed service members. To mitigate the limited supply of dermatologists in the U.S. Military Health System (MHS), teledermatology has been harnessed as a specialist extender platform, allowing for online consultations in remote deployed settings. Operational teledermatology has played a critical role in reductions of medical evacuations with significant cost-savings. When direct in-person lesion visualization is unattainable, teledermoscopy can be harnessed as an effective diagnostic tool to distinguish suspicious skin lesions. Teledermoscopy has the versatile capacity for streamlined incorporation into the existing asynchronous telemedicine platforms utilized worldwide among deployed U.S. military healthcare providers. In terms of clinical utility, teledermoscopy offers a unique and timely opportunity to improve diagnostic accuracy, early detection rates, and prognostic courses for dermatological conditions. Such improvements will further reduce medical evacuations and time away from mission, thereby operational improving mission readiness and combat effectiveness. As mission goals are safeguarded, associated operational budget costs are also preserved. This innovative, cost-effective technology merits integration into the U.S. Military Health System. [ABSTRACT FROM AUTHOR]

ObjectiveAiming at the problem that existing ship combat readiness assessment methods cannot meet the needs of naval mission support, a ship combat readiness assessment method based on cloud model theory is proposed.MethodsFirst, in the process of determining the index, based on the cooperative game weight method, the weights calculated by the analytic hierarchy process, entropy weight method and grey correlation method are used for the cooperative game in order to fit the combined fixed weight, and variable weight theory is introduced to modify and optimize the fixed weight. The cloud model theory is then introduced, and a fuzzy comprehensive assessment model based on the cloud model is designed using cloud similarity instead of membership degree. Finally, taking air defense tasks as an example, the combat readiness of the ship is assessed. ResultsThe simulation results show that under the variable weight mode, the fuzzy comprehensive evaluation results based on the cloud model can more accurately reflect the combat readiness of real ships. ConclusionThe results of this study can provide references for ship combat readiness assessment.

The ultimate goal of any infrastructure project delivered in the public sector is to meet the needs and requirements of the intended stakeholders and beneficiaries. That is, the effectiveness with which the outcomes of the project meet the needs that have neccesitated the initiation of the project is critical in determining the project success. In this regard, project success can only be achieved and evaluated post the project hand-over phase, in the operations and maintainace phases thereof. With the increasing complexities in the delivery of infrastructure projects, there are unsatisfactory outcomes and scepticism in the application of the traditional methodologies for project planning and implementation in major infrastructure projects in the public sector. Of particular concern is that the traditional project planning and management methodologies primarily pay attention to the actual infrastructure projects, with little, if any, focus on the context and operational environment wherein the outcomes of the project are realised. Although the operational environment is the critical phase for determining and enabling the harvest of the benefits, outcomes and value of the project, a number of prospective infrastructure projects delivered in the public sector have failed to reach their outcomes because the operational environment was not prepared and overseen during the project planning and execution phases. Against this background, this conceptual article explores the application of the operational readiness concept in enabling a systematic project planning and management approach that will increase the successful delivery of infrastructure development projects in the public sector. This article argues that any infrastructure project can only be considered a success on meeting the needs and requirements of the stakeholders and beneficiaries in its intended operational environment. A conceptual framework that depicts the pivotal role of operational readiness has been proposed to enhance a systematic project planning and management approach towards the successful delivery of infrastructure projects in the public sector. This conceptual framework can also serve as a basis for future empirical research and lays the groundwork for systematic project planning and management as an alternative theoretical approach. [ABSTRACT FROM AUTHOR]

This paper discusses how operational efficiency and sustainability are two preoccupations for airport administrations. ORAT's objective is to operate a new facility on day one as if it had been operated for years. By engaging stakeholders in the process, Aéroports de Montréal's (ADM's) Operational Readiness and Airport Transition (ORAT) programme contributes to life cycle analysis, decreases the risk of changes during construction and lowers the post-opening modifications, which results in less deconstruction and material loss. It supports commissioning in the attempt to achieve a cost-effective strategy for reducing energy, costs and greenhouse gas (GHG) emissions in buildings. In short, ADM's ORAT programme promotes sustainability. [ABSTRACT FROM AUTHOR]

The nexus between climate change and military security is essentially non-existent in Pakistan's security discourse. The paper argues for the connection between these two sectors - from the Copenhagen School framework of security - and presents how threats from climate change threaten Pakistan's military security. Most notable threats, in severity and frequency, are sea level rise, cyclone risks, drastic floods, warming patterns, and glacial melting. Sea level rise and cyclone risks impact naval assets and infrastructure while warming patterns and glacial melting affect troop movement, deployments, and logistics. Resultantly, military training, force capacity, and operational readiness is affected. Threats are more potent in strategically significant locations (Siachen, Sindh, and Punjab) which house important forward military bases. The paper provides actionable recommendations that create foundations for future steps as well. [ABSTRACT FROM AUTHOR]

Most U.S. Air Force medical personnel spend their time at military treatment facilities (MTFs) caring for patients whose ailments are far less complex or urgent than the severe trauma-related injuries they would see in war. This mismatch between peacetime and wartime medical care necessitates a deliberate effort on the part of the Air Force Medical Service (AFMS) as a whole and the Pacific Air Forces (PACAF) to ensure that personnel in critical medical specialties receive the training and hands-on clinical experience they need to save lives in a high-casualty environment. The goal of this research project was to investigate approaches for increasing readiness and proficiency. To develop a portfolio of readiness building activities, the authors analyzed manpower and personnel data, reviewed Comprehensive Medical Readiness Program (CMRP) checklists and relevant literature, engaged in discussions with the stakeholder community, and developed models of the assignment system and of skill acquisition and decay. They present their findings and recommendations for the future and have developed a prototype framework to demonstrate a possible method for deciding which readiness building activities and assignment policies to employ., (Copyright © 2024 RAND Corporation.)

ABSTRACT The human gut microbiome plays a vital role in both health and disease states and as a mediator of cognitive and physical performance. Despite major advances in our understanding of the role of gut microbes in host physiology, mechanisms underlying human-microbiome dynamics have yet to be fully elucidated. This knowledge gap represents a major hurdle to the development of targeted gut microbiome solutions influencing human health and performance outcomes. The microbiome as it relates to warfighter health and performance is of interest to the Department of Defense (DoD) with the development of interventions impacting gut microbiome resiliency among its top research priorities. While technological advancements are enabling the development of experimental model systems that facilitate mechanistic insights underpinning human health, disease, and performance, translatability to human outcomes is still questionable. This review discusses some of the drivers influencing the DoD’s interest in the warfighter gut microbiome and describes current in vitro gut model systems supporting direct microbial-host interactions.

Introduction: Body composition standards are set to ensure operational readiness in active-duty military personnel. To meet body composition standards, some individuals, however, may engage in unhealthy weight control behaviors (i.e., weight cycling and disordered eating). The objectives of this review are to: (1) evaluate the evidence regarding body composition and the associations to physical and military specific performance; (2) discuss body composition and potential health consequences; and (3) examine the evidence of weight cycling and disordered eating behaviors in military personnel for weight control., Methods: A systematic search to identify peer-reviewed research articles was conducted in PubMed on 2/20/2023 using Medical Subject Headings (MeSH) including but not limited to "Military Personnel", "Tactical Athlete", "Weight Loss", "Body Composition", and "Weight Cycling"., Results: A total of 225 research articles were identified. The list was narrowed down to articles from the last 20 years (2003-2023) in military personnel. Only studies in which percent body fat was directly measured were included resulting in 17 research articles for this review., Discussion: Evidence-based research is limited on the relationship between body composition and operational readiness. Weight cycling and disordered eating behaviors also has been reported for weight control, yet additional research is needed. Specifically, future research should focus on female service members, racial and ethnic differences, age, and postpartum status and include other service branches (i.e., Air Force and Navy). A comprehensive survey on weight cycling, disordered eating, and weight management would be valuable to determine the prevalence and extent of this issue. This information along with performance data would guide policy makers on the relevance and appropriateness of existing body composition standards., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2023 Cialdella-Kam, Bloedon and Stone.)

Copyright of Systems Engineering & Electronics is the property of Journal of Systems Engineering & Electronics Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

There has been a progressive increase in hospital redevelopment projects over the last 10 years; an interdisciplinary approach is needed to ensure design and operationalization of the new spaces are optimized. Respiratory therapists (RTs) possess clinical and technical expertise that can be a valuable asset to hospital development projects. The involvement of RTs in redevelopment roles should occur as early as the capital planning phase and continue through to operational readiness activities and beyond. RTs have the leadership capacity to advance within organizations. Development of these skills, along with process improvement training and change management techniques, should be fostered in RTs to enhance their levels of success in these roles. [ABSTRACT FROM AUTHOR]

• Recent federal law change modified the management of military treatment facilities. • Rigorous literature review guided the creation of a nursing model for the military. • The joint professional practice model may guide other organizations to create their own practice model. By 2022 the Defense Health Agency became responsible for administration of all military treatment facilities (MTFs), which were previously managed by their respective military services. However, three different service-specific nursing professional practice models currently govern nursing practice in MTFs. To describe the literature search, review, and synthesis of evidence which informed the JPPM and provide some of the most actionable findings. A team of tri-service nurses developed the JPPM by conducting six rigorous systematic reviews to synthesize evidence pertaining to relevant model components. A total of 51,360 titles and abstracts were initially screened. Data were extracted from 540 included articles. The team then developed standards for five JPPM components: evidence-based practice, safety and quality, leadership development, healthy work environment, and operational readiness. The JPPM is a meaningful framework that will help create a mutual professional identity and shared vision to promote a unified nursing force in U.S. military settings. [ABSTRACT FROM AUTHOR]

The Air Force seeks to maximize airman fitness and minimize threats to individual and unit readiness, such as domestic and sexual violence and suicide. The purpose of the Air Force's Task Force True North (TFTN) is to provide effective prevention and treatment programs to airmen in need by embedding health care providers directly into units. In this study, the authors identify potential courses of action (COAs) for expanding the TFTN program, including estimating each approach's associated manpower requirements, recruiting requirements, total costs, and implementation timelines. In developing these COAs, the authors analyzed embedded behavioral and physical health programs in the Army, Navy, Marine Corps, and U.S. Special Operations Command; developed a framework for analyzing mental, physical, and social squadron risk levels; developed personnel packages for low-, medium-, and high-risk squadrons; and estimated the costs of implementing these personnel packages under different timelines. In addition to detailing these COAs, the authors provide recommendations on best practices for the Air Force to follow as it expands the TFTN program., (Copyright © 2023 RAND Corporation.)