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BACKGROUND: In 2013 the U.S. Army began developing physical tests to predict a recruit’s ability to perform the critical physically demanding tasks (CPDTs) of combat arms jobs not previously open to women. OBJECTIVE: To revalidate 15 CPDTs chosen by subject matter experts (SMEs) and researchers through questionnaires pertaining to task performance frequency, perceived importance, and performance expectations. METHOD: Web-administered job analysis questionnaires were completed by 2,090 soldiers. Seventy-three percent ranged between 25–38 years of age, 66%were staff sergeants or above, and 73%were in service for 7 + years. RESULTS: Overall, the nine SME-endorsed CPDTs were conducted more frequently and rated as more important than the six tasks identified by researchers. Foot march, dragging a casualty to safety, and connecting a tow bar (vehicle transport) were identified as the combined most important, most frequently performed and highly expected CPDTs to be performed. The canonical correlation between task performance frequencies and ratings of task importance across all 15 CPDTs was 0.82 (p

Objectives Explore the impact transitioning from daytime to nighttime operations has on performance in U.S. Army Rangers. Methods Fifty-four male Rangers (age 26.1 ± 4.0 years) completed the Y-Balance Test (YBT), a vertical jump assessment, and a grip strength test at three time points. Baseline testing occurred while the Rangers were on daytime operations; post-test occurred after the first night into the nighttime operation training (after full night of sleep loss), and follow-up testing occurred six days later (end of nighttime training). Results On the YBT, performance was significantly worse at post-test compared to baseline during right posteromedial reach (104.1 ± 7.2 cm vs 106.5 ± 6.7 cm, p = .014), left posteromedial reach (105.4 ± 7.5 cm vs 108.5 ± 6.6 cm, p = .003), right composite score (274.8 ± 19.3 cm vs 279.7 ± 18.1 cm, p = .043), left composite score (277.9 ± 18.1 cm vs 283.3 ± 16.7 cm, p = .016), and leg asymmetry was significantly worse in the posterolateral direction (4.8 ± 4.0 cm vs 3.7 ± 3.1 cm, p = .030) and the anterior direction (5.0 ± 4.0 cm vs 3.6 ± 2.6 cm, p = .040). The average vertical jump height was significantly lower at post-test compared to baseline (20.6 ± 3.4 in vs 21.8 ± 3.0 in, p = .004). Baseline performance on YBT and vertical jump did not differ from follow-up. Conclusions Army Rangers experienced an immediate, but temporary, drop in dynamic balance and vertical jump performance when transitioning from daytime to nighttime operations. When feasible, Rangers should consider adjusting their sleep cycles prior to anticipating nighttime operations in order to maintain their performance levels. Investigating strategies that may limit impairments during this transition is warranted.

World War I was the first conflict where the U.S. Marines truly entered the American consciousness, particularly through the 4th Brigade’s accomplishments at Belleau Wood in June 1918. What is generally missing from the Marines’ story is the large number of U.S. Army officers who led Marine platoons in the brigade and often paid a heavy price for their service. This article examines how Army officers came to be assigned to the 4th Brigade and the backgrounds and performance of these “doughboy devil dogs” in the unit. It also offers some suggestions for why they largely disappeared from the narrative of the brigade’s service in World War I.

Alemany, JA, Pierce, JR, Bornstein, DB, Grier, TL, Jones, BH, and Glover, SH. Comprehensive physical activity assessment during U.S. Army Basic Combat Training. J Strength Cond Res XX(X): 000-000, 2021-Physical activity (PA) volume, intensity, and qualitative contextual information regarding activity type and loads carried are limited during U.S. Army Basic Combat Training (BCT). The purpose of this study was to characterize daily (05:00-20:00 hours) PA during BCT using a comprehensive approach. During 2 10-week BCT cycles (n = 40 trainees per cycle), pedometers, accelerometers, and direct observation were used to estimate daily step count, PA volume, and intensity. Physical activity intensity was categorized by metabolic equivalents (METs) such as "sedentary" (1-2 METs), "light" (2-3 METs), "moderate" (3-6 METs), or "vigorous" (≥6 METs). Daily PA data were analyzed longitudinally using linear mixed models, with significance set at p ≤ 0.05. The mean daily step count was 13,459 ± 4,376 steps, and the mean daily accelerometer-assessed PA volume and intensity were as follows: sedentary: 505 ± 98 minutes, light: 190 ± 78 minutes, moderate: 168 ± 51 minutes, and vigorous: 14 ± 14 minutes, with no differences between cycles for all measures (p > 0.50). Cumulative time on feet (∼50%) and sitting (20-25%) accounted for most daily activity types during both cycles. Trainees, on average, carried between 3 and 9 kg, and ≥9 kg, for 60% and 10% of the monitored day, respectively. Basic Combat Training's physical demands are high, where trainees achieved 1.7 to 2.7 times greater daily ambulation and 6 times the recommended weekly moderate-to-vigorous PA compared with civilian counterparts and performed weight-bearing load carriage for nearly half of the day. Basic Combat Training-associated PA may increase injury risk among trainees unaccustomed to arduous PA and exercise. Implementing national PA policies to improve physical fitness and facilitate acclimatization to BCT's high physical demands could reduce public health burdens and military nonreadiness.

Introduction U.S. Army healthcare providers’ use of profiles to document and communicate behavioral health (BH) condition limitations to commanders is vital to understanding both the individual soldier’s BH readiness for missions and, as an aggregate, the unit’s overall BH readiness status. Quantitative work exploring the link between soldier attitudes toward BH profiles and treatment utilization found that profiles may actually promote increases in treatment-seeking behavior in those receiving conventional BH services. BH provider attitudes on the subject, however, have not been quantitatively explored. Using data from the recently described Behavioral Health Readiness and Decision-Making Instrument (B-REDI) study, the current inquiry addresses this by examining BH providers’ pre-/post-B-REDI attitudes toward BH profiles, including therapeutic alliance, to better understand how BH profiles may impact BH treatment. Methods This study was approved by the WRAIR Institutional Review Board and is part of the larger B-REDI study. BH providers (n = 307) across five installations supporting active duty U.S. Army Divisions completed surveys longitudinally across three time points from September 2018 to March 2019. The survey specific to this study included five items, developed by WRAIR, assessing BH provider attitudes toward BH profiles. Of the providers who completed the survey, 250 (81%) consented to participate in the study and 149 (60%) completed the 3-month follow-up survey. Results Over 80% of BH providers expressed agreement with each of three items assessing rationale for issuing BH profiles in both the pre- and post B-REDI period. Specifically, most providers agreed that profiles facilitate commander support to the soldier, afford soldiers resources for recovery, and give commanders increased understanding of soldier health for mission planning. Twenty-six percent of BH providers agreed, 46% were neutral, and 28% disagreed on whether profile impact on the soldier was positive or not in the pre-B-REDI period, but there was a significant positive trend relative to baseline in the post B-REDI period. The vast majority of providers (≥94%) did not endorse agreement that BH profiles negatively impact therapeutic alliance in either the pre- or post-B-REDI period. Conclusions Assuming that therapeutic alliance and perceptions of BH profile impact on soldiers are useful proxy measures of how treatment utilization may be affected by profiling, this inquiry fails to establish any meaningful negative association between them. This may provide some additional reassurance to BH providers and policymakers that efforts to improve readiness decision-making, such as B-REDI, and increased profiling in conventional military BH settings may not negatively impact treatment utilization rates.

OBJECTIVE To estimate the financial burden to the U.S. Army of suicide by enlisted Soldiers during their first year of service. METHODS This analysis included new Army enlisted Soldiers who started initial entry training from October 2012 through September 2016 and subsequently died by suicide within their first year of service. Outpatient and inpatient direct medical, direct nonmedical, recruiting, and training costs to the Army were calculated. RESULTS During the 48-month observational study period, 29 Soldiers died by suicide within their respective first year of service. The described financial costs accrued by the Army as a result of these deaths were $152,271-with an average of $6,091 per healthcare utilizer. Recruiting and training costs were $1,115,860 for all suicide cases. CONCLUSION Average direct cost per healthcare utilizer increased during a Soldier's first year of service. This may be associated with the transition through different phases of training and to the first operational duty station. PUBLIC HEALTH IMPLICATIONS Results obtained through this cost-of-illness analysis may serve as baseline metrics to inform future cost-effectiveness studies.

Objective Suicide and suicide attempts among U.S. Army soldiers are a significant concern for public health. This study examined the association of parental suicide attempt prior to age 13 of the soldier with subsequent risk of pre-enlistment suicide attempt. Method We conducted secondary analyses of survey data from new soldiers who participated in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) (N = 38,396). A series of logistic regression analyses were conducted. Results Of all new soldiers, 1.4% reported that they attempted suicide between age 13 and entering the Army, and 2.3% reported a parental suicide attempt prior to age 13. Parental suicide attempt was associated with increased odds of subsequent suicide attempt; however, this association was moderated by gender and was significant only among male soldiers. The association between parental suicide attempt and pre-enlistment suicide attempt among male soldiers was still significant after controlling for socio-demographic characteristics, soldier/parental psychopathology, and childhood adversities. Conclusions These results highlight parental suicide attempt as a unique pre-enlistment risk factor for suicide attempt, especially among male new soldiers. Further studies are needed to separate the genetic and environmental contributions to intra-familial risk for suicidal behavior.

Little research regarding the influence of parental knowledge and attitudes about child development on parenting practices includes fathers. The wartime military provides a specific context for fathering with frequent separations, which may impact soldiers’ knowledge and attitudes about their young children’s development. The purpose of the current study is to explore how military fathers’ knowledge and attitudes about their young children’s development influence their parenting behaviors across the deployment cycle. Fifteen active duty U.S. Army fathers with young children completed qualitative interviews, which were coded and analyzed to identify major themes. Many fathers had accurate knowledge of typical development and adapted their parenting responsively. Some knew less and were unsure how to respond to their children’s behavior. Many believed separations did not negatively affect young children. This attitude may reduce concern about deployment’s impact and keep these fathers mission-focused, but may also lead to missed opportunities to prepare young children for transitions. Overall, these fathers wanted to be involved, responsive parents. While many faced challenges navigating parenting throughout the deployment cycle, nearly all described positive adaptation, often with support from the homefront parent. These findings suggest that efforts to enhance military fathers’ knowledge should be tied to their children’s developmental stages and needs, focusing on parenting within the military context. Practitioners can respect Army families’ cultural values by aligning family readiness as necessary to mission readiness.

The United States Army Signal Corps maintained a program for communication by messenger pigeon from 1917 to 1957, long after developments in electronic communications technology rendered pigeons ob...

The United States Armed Forces have been in continuous conflicts since September 11, 2001. For the veterans returning from combat deployments, the human costs have been immense and long lasting. Ea...

The U.S. Army is entering a period of modernization, phasing out older, limited and costlier weapon designs for new, more efficient, and effective weapon technologies. The emphasis has shifted to optimizing lethality and accuracy at extended ranges to reduce cost per kill via the use of mechanization and automation to provide more coverage with fewer systems while reducing crew burden, size, and training requirements. The improved overall system performance via integration of technology enablers such as additive manufacturing is prepositioned for future capability growth. Additive manufacturing, or 3D printing, has been postulated to allow the rate of energy release from gun propellant to be highly optimized by controlling the surface area of the grain, thus resulting in a high generation of gas to maintain pressure later in the ballistic cycle. Consequentially, higher efficiency is achieved with more energy delivered to the projectile, and faster launch velocities are achieved, providing an enhanced capability for maneuvering forces on the battlefield.

Introduction The incidence of and risk factors for exertional heat illness (EHI) and cold weather injury (CWI) in the U.S. Army have been well documented. The “heat season”, when the risk of EHI is highest and application of risk mitigation procedures is mandatory, has been arbitrarily defined as May 1 through September 30, while the “cold season” is understood to occur from October 1 to April 30 each year. The proportions of EHI and CWI that occur outside of the traditional heat and cold seasons are unknown. Additionally, it is unknown if either of the seasonal definitions are appropriate. The primary purpose of this study was to determine the proportion of EHI and of CWI that occur within the commonly accepted seasonal definitions. We also report the location-specific variability, seasonal definitions, and the demographic characteristics of the populations. Methods The U.S. Army installations with the highest frequency of EHI and of CWI from 2008 to 2013 were identified and used for analysis. In total there were 15 installations included in the study, with five installations used for analysis in both the EHI and CWI projects. In- and out-patient EHI and CWI data (ICD-9-CM codes 992.0 to 992.9 and ICD codes 991.0 to 991.9, respectively) were obtained from the Defense Medical Surveillance System. Installation-specific denominator data were obtained from the Defense Manpower Data Center, and incidence rates were calculated by week, for each installation. Segmental (piecewise) regression analysis was used to determine the start and end of the heat and cold seasons. Results Our analysis indicates that the heat season starts around April 22 and ends around September 9. The cold season starts on October 3 and ends on March 24. The majority (n = 6,445, 82.3%) of EHIs were diagnosed during the “heat season” of May 1 to September 30, while 10.3% occurred before the heat season started (January1 to April 30) and 7.3% occurred after the heat season ended (October 1 to December 31). Similar to EHI, 90.5% of all CWIs occurred within the traditionally defined cold season, while 5.7% occurred before and 3.8% occurred after the cold season. The locations with the greatest EHI frequency were Ft Bragg (n = 2,129), Ft Benning (n = 1,560), and Ft Jackson (n = 1,538). The bases with the largest proportion of CWI in this sample were Ft Bragg (17.8%), Ft Wainwright (17.2%), and Ft Jackson (12.7%). There were considerable inter-installation differences for the start and end dates of the respective seasons. Conclusions The present study indicates that the traditional heat season definition should be revised to begin ∼3 weeks earlier than the current date of May 1; our data indicate that the current cold season definition is appropriate. Inter-installation variability in the start of the cold season was much larger than that for the heat season. Exertional heat illnesses are a year-round problem, with ∼17% of all cases occurring during non-summer months, when environmental heat strain and vigilance are lower. This suggests that EHI mitigation policies and procedures require greater year-round emphasis, particularly at certain locations.

The full extent of past military events can be difficult to appreciate using only historical and documentary accounts. By combining these visual and textual sources with archaeological and geoarchaeological evidence, the authors propose and test an interdisciplinary approach that aims to establish a process-oriented understanding of the genesis and transformation of conflict landscapes. Using the battle site at Vossenack Ridge in Germany as a case study, they demonstrate that such an approach can maximise our understanding of war-related transformations of the landscape, while minimising the damage to sub-surface archaeological materials.

INTRODUCTION: Recent epidemiological studies of U.S. Army aviators have suggested higher than anticipated rates of hyperlipidemia and metabolic disorder. The goal of this study was to determine whether this finding has persisted in 20162018 and to subsequently determine whether this trend is genuine and warrants further evaluation.METHODS: Data were requested from the U.S. Army Aeromedical Electronic Resource Office (AERO) and retrieved from the publicly available Defense Medical Surveillance System (DMSS) utilizing similar inclusion/exclusion criteria, where possible, as the earlier studies. For each year 20162018, incidence rates (per 1000 person years) for hyperlipidemia and metabolic syndrome were retrieved from DMSS, while percentages of aviators with these conditions were retrieved from AERO. The DMSS incidence rates were also age stratified. No formal analyses were conducted.RESULTS: Results from DMSS showed overall rates of hyperlipidemia ranging from 3.18 to 6.83 per 1000 person-years and for metabolic syndrome from 0.16 to 0.69 per 1000 person-years. The age stratified rates increased proportionally with age. AERO data showed a range of 0.81.5% of aviators had hyperlipidemia and for metabolic syndrome this ranged from 0.31 to 0.45%. These rates are broadly comparable to the previous studies findings.DISCUSSION: This studys findings suggest no continued increase in hyperlipidemia or metabolic disorder in aviators. While the exact cause is unknown, one could speculate a number of sources such as preferences in testing or encouragement from specific commanders or flight surgeons.Goldie C, McGhee J, Kelley AM. Trends in metabolic disorder in U.S. Army aviators, 20162018. Aerosp Med Hum Perform. 2021; 92(1):4346.

The United States Army is developing and procuring their next generation of rotorcraft, called the Future Vertical Lift (FVL) program. FVL rotorcraft will fly faster and incorporate new work requirements such as command of unmanned systems and optionally piloted variants. Successful design and implementation of human automation teaming will be paramount to the mission success and safety of FVL systems, presenting both challenges and opportunities for human factors personnel supporting FVL development. The purpose of this panel is to highlight the range of human factors challenges within the FVL program. Panelists are drawn from both government and industry, and represent a diverse set of perspectives including user, researcher, and practitioner. The session will include time for panelists to introduce their work and challenges that they are addressing within the FVL program as well as interact with audience members.

We study the impacts of legal access to alcohol on young U.S. Army soldiers. Regression discontinuity estimates reveal that soldiers report a large and significant increase in alcohol consumption after their 21st birthday; however, we precisely estimate that there are no meaningful impacts of legal access on any of the short-term outcomes we observe, including suicidal tendencies, depression, tobacco use, physical fitness, psychological health, fitness for combat deployment, and job-related infractions. Novel data on soldier's cognitive ability, psychological health, and family history allow us to explore whether the impacts of legal access vary by risk factors for alcohol abuse. While the increases in alcohol consumption were largest among those who had a family history of mental health problems, had better coping ability, and had higher cognitive ability, these subgroups did not uniformly experience adverse behavioral and physical outcomes upon gaining legal access to alcohol.

In 1969, Columbia University banned Reserve Officers’ Training Corps (ROTC) from campus. In 2004, Teachers College’s Warner Burke, a senior professor of psychology and Army officer veteran, saw an opportunity to close this civil–military gap. Burke partnered with West Point to educate West Point cadets’ primary leader developers, its 36 company tactical officers, through hosting them annually in a world-class Master of Social-Organizational Psychology. In 2010, Burke welcomed the Army Fellows program to campus, bringing in one or two senior Army officers a year to study under his mentorship. Since Burke courageously showed the way, Columbia has welcomed ROTC back to campus and now boasts the largest numbers of veteran students in the Ivy League. Most recently, Burke built a third program, this one to educate critical Army leaders who historically did not have access to elite higher education, its noncommissioned officer corps.

The U.S. Army/Marine Corps Counterinsurgency Field Manual (FM 3-24) has received near-universal praise for stabilizing Iraq. Yet few have examined whether FM 3-24 is generalizable to other conflict...

Introduction This study was conducted to identify and understand the current factors affecting recruitment, job satisfaction, and retention of U.S. Army Medical Corps officers and provide historical background to understand if the current factors are dissimilar. Materials and Methods An anonymous, voluntary questionnaire was sent to U.S. Army Medical Corps officers, and responses were tabulated and analyzed. Historical research was conducted and historical analysis applied. Results Recruiting, job satisfaction, and retention among Army Medical Corps Officers have been problematic throughout the 50-year history of the all-volunteer force. Recruiting has largely been of medical students, with very limited numbers of direct accessions. At times, satisfactory overall numbers have camouflaged shortages in key go-to-war specialties. Also, satisfactory numbers in a specialty have sometimes camouflaged problems in depth of experience. Satisfaction has been seen as a problem but apparently only studied informally and/or episodically. Retention has largely been addressed through service obligations, followed by monetary bonuses, although these have to be across the Department of Defense, limiting service flexibility. There has never been consistent, longitudinal sampling of opinion among Medical Corps Officers to allow senior leaders to influence the Department of Defense policy. A recent (2016) study provides substantial data but should be repeated rather than being isolated. Conclusion As the situation in the Department of Defense and Army Medical Department changes, with more focus on go-to-war specialties, the Army needs to better measure opinion among Medical Corps Officers to inform policy. These studies should be conducted regularly to generate reliable information on trends and allow prioritization of effort to areas that hamper recruiting, undermine satisfaction, and prevent retention.

OBJECTIVE Despite a narrative of post-traumatic growth and resilience, research reliably demonstrating positive character development following adversity has proved elusive. In the current study, we examined changes in character strengths in Army soldiers deploying for the first time. METHOD The sample was comprised of 212,386 Army soldiers (Mage = 26.5 years old, SD = 7.13; 70.8% White) who were deploying for the first time. Character strengths were assessed once before and up to three times following soldiers' return from deployment. RESULTS We found evidence for two classes of change-a resilient class ("stable high") and a declining class ("persistent low"). Most soldiers were resilient-they had high levels of character strengths prior to deployment and changed very little across the deployment cycle. Approximately 40% of soldiers started with lower character and experienced initial declines post-deployment, from which they experienced no more than small gains over time. CONCLUSIONS Character strengths were highly stable across the deployment transition but some soldiers experienced initial declines from which they never fully rebounded. The findings are discussed in the context of the mechanisms that drive character development.

Objectives To investigate tactically-related physical performance and body composition recovery following U.S. Army Ranger training. Design Prospective cohort. Methods Physical performance was comprehensively assessed using a tactically-related performance battery (i.e., Ranger Athlete Warrior assessment) in 10 male Soldiers at baseline (BL) two-weeks (P1), and six-weeks (P2) post-Ranger School. Body composition was determined using DXA. A one-way repeated measures ANOVA was used followed by Bonferroni-adjusted pairwise comparisons when group differences existed (p ≤ 0.05). Pearson correlation coefficients were used to establish associations between changes in fitness and body composition. Results All performance domains except the bench press and deadlift worsened following training. Speed/mobility (Illinois agility test, seconds – BL: 16.20 ± 0.86 vs. P2: 18.66 ± 2.09), anaerobic capacity (300-yard shuttle run, seconds – BL: 62.95 ± 6.17 vs. P2: 67.23 ± 5.91), core strength (heel clap, repetitions – BL: 15.80 ± 4.08 vs. P2: 11.50 ± 4.95), and aerobic endurance (beep test, stage – BL: 9.95 ± 2.18 vs. P2: 7.55 ± 1.07) had not recovered by P2. Only upper body muscular endurance and strength (metronome push-up and pull-up, respectively) were similar to BL by P2. Percent body fat increased from 15.62 ± 3.94 (BL) to 19.33 ± 2.99 (P2) (p Conclusions A comprehensive characterization of physical performance and body composition revealed Rangers did not experience full recovery of fitness six weeks after training. Optimal recovery strategies are needed to return Soldiers to a state of readiness following arduous training.

IntroductionThere are many ways to quantify the training loads required to perform soldiering tasks. Although indirect calorimetry may provide the most accurate measures, the equipment can be burdensome and expensive. Simpler measures may provide sufficient data, while being more practical for measuring soldiers in the field. The purpose of this study was to examine the relationship between total relative oxygen uptake (TotalRelVO2) measured by indirect calorimetry during three soldiering tasks, with two field-expedient measures of training load: summated heart rate zone (sumHR) and session rate of perceived exertion (sRPE).Materials and Methods33 male and 28 female soldiers performed three soldiering tasks while wearing a 32.3-kg fighting load: sandbag fill, sandbag carry, and ammunition can carry. Metabolic measurements were monitored and completion times were recorded (min). TotalRelVO2 (average relative VO2*time) and age-predicted maximal heart rate (220-age) were calculated. SumHR was calculated by multiplying time spent in each of the five heart rate zones by a multiplier factor for each zone (50–59% = 1, 60–69% = 2, 70–79% = 3, 80–89% = 4, and ≥90% = 5). RPE (Borg 6–20 scale) was collected at the end of each task, then sRPE was calculated (RPE*time). Pearson and Spearman correlations were performed to examine the relationship between TotalRelVO2, sumHR and sRPE. Wilcoxon signed rank tests were conducted to determine if there was a difference in median rankings between the three variables for each task. Linear regressions were performed to determine predictability of TotalRelVO2 from sumHR and sRPE. The study was approved by the U.S. Army Research Institute of Environmental Medicine Institutional Review Board.ResultsSignificant, positive correlations were revealed for all three tasks between TotalRelVO2, sumHR and sRPE (r ≥ 0.67, p ≤ 0.01; rho≥0.74, p ≤ 0.01). Wilcoxon signed rank tests revealed no significant differences in rankings between TotalRelVO2, sumHR and sRPE for all three tasks (p ≥ 0.43). Both sumHR and sRPE are significant predictors of TotalRelVO2 (p ≤ 0.01).ConclusionsSumHR and sRPE are acceptable alternatives to TotalRelVO2 when attempting to quantify and/or monitor training load during soldiering tasks.

Given the interpersonal nature of recruiting and the validity of personality assessments for predicting performance in a broad range of civilian and military jobs, personality traits are likely to predict the performance of recruiters in the Army as well. However, much of the research on the characteristics of successful recruiters has been conducted in civilian samples and has not examined the effects of recruiters’ personality on their job-related attitudes and behaviors. Although some research has examined the prediction of recruiter performance in a military context, more research is needed to identify profiles of personality traits that will help recruiters to be successful on the job. We explored this relationship in a sample of experienced recruiters with at least six months of service in a recruiting duty assignment. Results indicated that composites of personality traits were substantial predictors of recruiter performance and attitudes. The implications of these results for the selection and assessment of recruiters in the U.S. Army will be discussed.

The battle of Manila was the longest and largest urban battle in the history of the U.S. Army. However, World War II engagement received little journalistic coverage. Despite having enormous advant...

BackgroundPoint-of-injury extended focused assessment with sonography in trauma (eFAST) may identify life-threatening torso hemorrhage and expedite casualty evacuation. The purpose of this study was to compare combat medic eFAST performance between the novel and conventional ultrasound (US) transducers.MethodsWe conducted a randomized crossover trial. Medic participants, previously naïve to US, were randomized to the type of transducer first utilized. The primary outcome was eFAST completion time in seconds. Secondary outcomes included diagnostic accuracy, technical adequacy, and transducer ease-of-use rating.ResultsForty medics performed 160 eFASTs. We found a statistically significant difference in eFAST completion times in favor of conventional transducers (304 vs. 358 s; P = 0.03). There was no statistically significant difference between the conventional and novel transducers in terms of diagnostic accuracy (97.7% vs. 96.0%; P = 0.25) and technical adequacy (65% vs. 72.5%; P = 0.11). Median transducer ease-of-use rating (Likert 1–5 scale) was statistically significant in favor of the conventional transducers (5 vs. 4; P = ConclusionsExtended focused assessment with sonography in trauma exam times was faster with the conventional transducers. Combat medics performed diagnostically accurate eFASTs with both transducer types in a simulated aid station setting after a brief training intervention. Conventional transducers were rated higher for ease-of-use.

Background Suicide is a serious public health problem, including among U.S. Army personnel. There is great interest in discovering objective predictors of suicide and non-fatal suicidal behaviors. The current study examined the association between neurocognitive functioning and pre-military history of suicide attempts (SA) and post-enlistment onset of SA. Methods: New Soldiers reporting for Basic Combat Training (N = 38,507) completed a comprehensive computerized neurocognitive assessment battery and self-report questionnaires. A subset of Soldiers (n = 6216) completed a follow-up survey, including assessment of lifetime SA, 3–7 years later. Results Six hundred eighty-nine Soldiers indicated lifetime SA at baseline and 210 Soldiers indicated new-onset SA at follow-up. Regression analyses, adjusted for demographic variables, revealed significant bivariate associations between neurocognitive performance on measures of sustained attention, impulsivity, working memory, and emotion recognition and lifetime SA at baseline. In a multivariable model including each of these measures as predictors, poorer impulse control and quicker response times on an emotion recognition measure were significantly and independently associated with increased odds of lifetime SA. A second model predicted new-onset SA at follow-up for Soldiers who did not indicate a history of SA at baseline. Poorer impulse control on a measure of sustained attention was predictive of new-onset SA. Limitations: Effect sizes are small and of unlikely clinical predictive utility. Conclusions We simultaneously examined multiple neurocognitive domains as predictors of SA in a large, representative sample of new Army Soldiers. Impulsivity most strongly predicted past and future SA over and beyond other implicated cognitive-emotional domains.

The United States Army uses both subjective and objective evaluation methods when assessing the performance of duties and potential for future service in the Officer Evaluation Report (OER). Males and females proportionally receive the same objective ratings, but on the surface, it is difficult to determine whether subjective ratings are equal. This paper seeks to examine the different ways success is described in each gender and how the OER follows or deviates from these trends. Upon examination of narratives written on the evaluation reports, many of the same words are used to describe success of males and females in the narratives written by their raters. The similarities amongst the reports suggest that the narratives follow a standardized format which may devalue their purpose of providing individualized feedback to the officer and to promotion boards.

U.S. Army leaders in the 1950s, such as Generals Matthew Ridgway and Maxwell Taylor, looked to technology to improve the Army’s position under President Dwight Eisenhower’s New Look defense policy. The U.S. Army invested more in its missile program in the later part of the 1950s than all other munitions combined. U.S. Army leaders sought to show that through technical triumphs and organizational changes that the U.S. ground force was still relevant in the atomic age. However, their reliance on technical success did not consider the policy and economic constraints of the New Look defense policy. Technological success alone could not overcome these limits. Military technology exists in a richer political and social context, and U.S. Army leaders’ efforts to rely on technological success to overcome the limits of their context failed to directly address the political and economic realities of the New Look defense policy.

This interview was conducted in 1973 with Colonel Benjamin Wilson Venable (1894–1980), who served as a captain in the same 45th Regiment in which F. Scott Fitzgerald was a lieutenant. Venable's lively recollections of Fitzgerald and Zelda Sayre in Camp Sheridan outside Montgomery, Alabama, offer insight into daily life and military protocol at the time; his claim that Fitzgerald ranked highest in IQ in the regiment helps substantiate the belief that Fitzgerald's intelligence has been highly underrated—something as true today as it was during the years Elmore spent working on his book-length study of The Great Gatsby from which this is an excerpt. It is published with the permission of both the Elmore and Venable families. We also thank John Kuhnle for his work on the manuscript.

The U.S. Department of Defense (DoD) and the Department of Veterans Affairs (DVA) seek to enhance the efficacy of treatments for warriors with post-traumatic stress disorder (PTSD) secondary to their combat deployments to Iraq and/or Afghanistan. Virtual Reality Graded Exposure Therapy (VR-GET) with arousal control has shown particular promise in reducing the symptom severity of PTSD in combat veterans. In this report, we describe the outcome of VR-GET for the treatment of combat-related PTSD in two combat veterans, neither of whom had received treatment for PTSD in the initial years after their return from combat duty.

When asked to review a book on energy systems/batteries that are used in the American military for ‘Crystallography Review’, one could ask what its relevancy could be for a crystallographer or mate...

This chapter examines the First Battle of Bull Run, also known as the First Battle of Manassas, and argues that the Civil War’s first battle represented the last battle of antebellum military cultures of free and slave states. Before the Civil War, Americans refused to maintain a large U.S. Army. In the antebellum era, states organized local militia units based on their perception of internal and external threats; fear of slave revolt prompted slave states to maintain larger, more effective units, particularly cavalry units. Troopers who manned cavalry militia also staffed the slave patrols that brutally enforced the slave regime. In contrast, free states had no such fears, and their militias were moribund before the Civil War. When war came, slave states’ superior military capability led to Confederate victory at Bull Run/Manassas. Later, volunteer units from the free states achieved a level of competency that overcame this initial disadvantage.

Restoring the Union and securing emancipation after the Civil War depended on the U.S. Army. But the symbolism of standing military forces operating at the domestic vanguard of social and political change hampered the army’s ability to conduct a widespread occupation. The success of Reconstruction (1865–1877) depended on the army integrating itself in unprecedented ways in political affairs, social conditions, and economic markets to forge a new South stable enough never again to threaten the Union’s survival, but not too centralized to appear coercive. Ultimately, the very institution that reintegrated the formerly rebellious states into their proper federal orbit was also regarded by White Northerners and Southerners as an unstable threat to democratic self-determination. Hampered by a consistent and rapid demobilization, the army could not wield the tools necessary to prevent former Confederates from regaining political power and “redeeming” the South into an eerie image of its prewar self.

The authors sought to identify predictors of imminent suicide attempt (within 30 days) among U.S. Army soldiers following their first documented suicidal ideation.Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers, the authors identified 11,178 active-duty Regular Army enlisted soldiers (2006-2009) with medically documented suicidal ideation and no prior medically documented suicide attempts. The authors examined risk factors for suicide attempt within 30 days of first suicidal ideation using logistic regression analyses, including sociodemographic and service-related characteristics, psychiatric diagnoses, physical health care visits, injuries, and history of family violence or crime perpetration or victimization.Among soldiers with first documented suicidal ideation, 830 (7.4%) attempted suicide, 46.3% of whom (N=387) attempted suicide within 30 days (rate, 35.4 per 1,000 soldiers). Following a series of multivariate analyses, the final model identified females (odds ratio=1.3, 95% CI=1.0, 1.8), combat medics (odds ratio=1.6, 95% CI=1.1, 2.2), individuals with an anxiety disorder diagnosis prior to suicidal ideation (odds ratio=1.3, 95% CI=1.0, 1.6), and those who received a sleep disorder diagnosis on the same day as the recorded suicidal ideation (odds ratio=2.3, 95% CI=1.1, 4.6) as being more likely to attempt suicide within 30 days. Black soldiers (odds ratio=0.6, 95% CI=0.4, 0.9) and those who received an anxiety disorder diagnosis on the same day as suicidal ideation (odds ratio=0.7, 95% CI=0.5, 0.9) were less likely.Suicide attempt risk is highest in the first 30 days following ideation diagnosis and is more likely among women, combat medics, and soldiers with an anxiety disorder diagnosis before suicidal ideation and a same-day sleep disorder diagnosis. Black soldiers and those with a same-day anxiety disorder diagnosis were at decreased risk. These factors may help identify soldiers at imminent risk of suicide attempt.

Lymphocutaneous sporotrichosis is a mycotic disease caused by traumatic inoculation of the dimorphic fungus Sporothrix schenckii, found ubiquitously in decaying vegetation. The potential for outbreaks, difficulty with timely diagnosis, as well as the prolonged treatment course and recovery from surgical intervention can have a substantial impact on the medical readiness of service members. Treatment with the antifungal therapy of choice, itraconazole, requires close patient monitoring for the duration of treatment for clinical response, drug tolerance, as well as therapeutic drug levels. We present a case of a U.S. Army enlistee with sporotrichosis contracted during basic training, highlighting the impact of delayed diagnosis and prolonged treatment course and recovery on medical readiness.