Archive for category Medical

Kaizen: Sergey Brin’s Search For A Parkinson’s Cure, By Thomas Goetz

     Bravo to Mr. Goetz for putting together such an interesting and informative article.  It is one of the main reasons why I keep coming back to the stuff that Wired produces every month in hard copy and online.  They bring to the front, the latest technological achievements of our time.  So why does this belong on FJ?

     This article is not just about this man’s desperate search for a cure for Parkinsons. This article to me is about problem solving using today’s technologies and ideas to make research more efficient, or a ‘continuous improvement’ over the traditional means of medical research.  This is about creating learning organizations that far outpace older models of learning.  This is some radical stuff, and the lessons can be applied to many of today’s problems in my view.  We can apply these lessons to business, to energy problems, to warfare, etc.

     And many of today’s problems have time stamps on them too.  Any means of compressing the problem solving mechanisms we apply to these problems, the better. I also hope that Sergey does find the cure for his disease, or that his work leads to someone else finding a cure. Because I definitely think his work is compressing the time required to get to that point and that is some serious Kaizen in my book.-Matt

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 ff sergeys search4b fKaizen: Sergey Brins Search For A Parkinsons Cure, By Thomas Goetz

Can a model fueled by data sets and computational power compete with the gold standard of research? Maybe: Here are two timelines—one from an esteemed traditional research project run by the NIH, the other from the 23andMe Parkinson’s Genetics Initiative. They reached almost the same conclusion about a possible association between Gaucher’s disease and Parkinson’s disease, but the 23andMe project took a fraction of the time.—Rachel Swaby

Traditional Model

1. Hypothesis: An early study suggests that patients with Gaucher’s disease (caused by a mutation to the GBA gene) might be at increased risk of Parkinson’s.

2. Studies: Researchers conduct further studies, with varying statistical significance.

3. Data aggregation: Sixteen centers pool information on more than 5,500 Parkinson’s patients.

4. Analysis: A statistician crunches the numbers.

5. Writing: A paper is drafted and approved by 64 authors.

6. Submission: The paper is submitted to The New England Journal of Medicine. Peer review ensues.

7. Acceptance: NEJM accepts the paper.

8. Publication: The paper notes that people with Parkinson’s are 5.4 times more likely to carry the GBA mutation.

Total time elapsed: 6 years

Parkinson’s Genetics initiative

1. Tool Construction: Survey designers build the questionnaire that patients will use to report symptoms.

2. Recruitment: The community is announced, with a goal of recruiting 10,000 subjects with Parkinson’s.

3. Data aggregation: Community members get their DNA analyzed. They also fill out surveys.

4. Analysis: Reacting to the NEJM paper, 23andMe researchers run a database query based on 3,200 subjects. The results are returned in 20 minutes.

5. Presentation: The results are reported at a Royal Society of Medicine meeting in London: People with GBA are 5 times more likely to have Parkinson’s, which is squarely in line with the NEJM paper. The finding will possibly be published at a later date.

Total time elapsed: 8 months

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Sergey Brin’s Search for a Parkinson’s Cure

By Thomas Goetz

June 22, 2010

Buried deep within each cell in Sergey Brin’s body—in a gene called LRRK2, which sits on the 12th chromosome—is a genetic mutation that has been associated with higher rates of Parkinson’s.Illustration: Rafa Jenn

Several evenings a week, after a day’s work at Google headquarters in Mountain View, California, Sergey Brin drives up the road to a local pool. There, he changes into swim trunks, steps out on a 3-meter springboard, looks at the water below, and dives.

Brin is competent at all four types of springboard diving—forward, back, reverse, and inward. Recently, he’s been working on his twists, which have been something of a struggle. But overall, he’s not bad; in 2006 he competed in the master’s division world championships. (He’s quick to point out he placed sixth out of six in his event.)

The diving is the sort of challenge that Brin, who has also dabbled in yoga, gymnastics, and acrobatics, is drawn to: equal parts physical and mental exertion. “The dive itself is brief but intense,” he says. “You push off really hard and then have to twist right away. It does get your heart rate going.”

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Iraq: Baghdad To Cull A Million Stray Dogs

     This is actually a good thing.  The wild dog population in Iraq is out of control and a huge problem there.  One thing for everyone to think about when you are out there is don’t be surprised if you see these guys walking around with shotguns, shooting up dogs in the streets and cities.  It would be very easy to mistake these guys as the enemy or think there is some kind of firefight with all of the gun fire caused by this culling operation. It looks like they are operating in teams of four–two shooters, two vets, and possibly some police escorting them around.  And this is just for Baghdad.  I can’t even imagine how big the stray dog population is throughout Iraq. -Matt

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article 0 09FA6957000005DC 858 468x534Iraq: Baghdad To Cull A Million Stray Dogs

Baghdad to cull a million stray dogs as rogue canine population soars

June 11, 2010

More than a million stray dogs roaming Baghdad are facing destruction.

The initiative has so far led to 42,000 strays being killed in only two months.

Teams of riflemen and vets are trying to thin out a rogue canine population that has reached at least 1,250,000.

Numbers grew hugely after the fall of Saddam because of the lawless state of the Iraqi capital.

But with the streets now much safer, the authorities are trying to clear out the stray dogs.

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Medical: Xe Contractor, Wounded In Iraq, Works To Help Others

   This is a great story about a wounded contractor giving back and helping out our wounded veterans.  If you would like to contact Ron, just follow the TBI link below.  On his profile page, you can also see pictures of him in the hospital and with his Mamba team in Iraq.

   The other thought that came to my mind, is the treatment of wounded contractors versus wounded soldiers.  The amount of resources available to the wounded soldier far surpasses the resources available to a wounded contractor.  What I mean by that, is family support networks and support from a soldier’s command is a given, and with the companies, it isn’t.  Some companies do a good job at supporting their guys, where others fall short.  That is the down side with contracting, and just expect that if you get wounded, that you will need all the help you can get from some kind of support network you can form.  That is why guys like Ron are so inspirational.

   You also need someone who knows how to navigate insurance and medical claims, while you are injured.  When I was injured with the smokejumpers, I was assigned a nurse/advocate who did exactly that.  She knew how to navigate OWCP and was there to insure I didn’t get screwed over while I was mentally ‘out of it’.  Because when you are seriously injured, and especially if you have a TBI, a nurse who can help you make sound decisions about your health will be vital.  If there is nothing but pain on your mind, or you can’t concentrate, a lot of stuff can get messed up unless you have someone who can watch your back. An advocate is necessary even if you don’t have TBI, just because some of the processes for getting care can be confusing at times.

   Even your family life needs a support mechanism, because when you are at that level, you are in no shape to be the guy that can watch out for your family.  TAPS , Special Operations Warrior Foundation or Wounded Warrior Project are networks to get a hold of, that can help contractors.  Lining up some trusted friends or family to help out is another.  Planning and being prepared is key, and you cannot expect the company to do this for you.

   Another idea is talk it up on your contracts about what the company did for injured contractors in the past, and formulate a plan from that information. Hell, some companies like in the case with Xe, have continued to employ their wounded contractors. That is awesome and those are the little things that make a world of difference in the life of a wounded warrior, so bravo to Xe and bravo to Ron Grigsby.-Matt

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Idaho man, wounded in Iraq, works to help others

April 26, 2010

By BILL BULEY

Ron Grigsby didn’t know the man who bought him and his wife and sister drinks the night after an awards ceremony in which he was honored.

But when he went to thank him for the Coke, the man looked Grigsby in the eye and squeezed his hand.

“Bulldog, I was there that day. I watched you die,” he said.

The ever-tough Grigsby stopped, stood and stared. Then a big smile broke out and he gave the man a hug.

“He thought he’d never see me again,” Grigsby says.

The 48-year-old Hayden man did die that day in Iraq. Four times. Each time, they brought him back.

“I went down for the count that day. They had to keep jump-starting me,” he says with a little laugh. “That’s what I call it.”

Grigsby was nearly killed March 21, 2007, while working as an independent contractor for Blackwater in the Middle East. He was part of a convoy, assigned to protect a convoy, when it was hit by enemy fire. The blast threw him more than 40 feet. His helmet was caved in an inch and a half. He suffered multiple injuries that included a broken neck and a traumatic brain injury.

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Medical: An Extension Of Tactical Trauma Counseling Equals Training, By Angela Benedict

   Some more food for thought for those out there that are interested in mental resiliency training.  Angela has guest authored before and it is always a treat to hear what she has to say.  Feel free to make a comment here, or contact Angela direct at her Military Healing Center website.

   One thing that I keep thinking about with her articles is that it would be interesting to get her in the same room as Dave Grossman and have them chat about the subject of mental resiliency.  His website called Killology, as well as his books, are a fascinating study on the mind of warriors.-Matt

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An Extension of Tactical Trauma Counseling = Training

By Angela Benedict

Tactical Trauma Counseling is a recent ideological development that suggests military and law enforcement personnel require specialized counseling due to their specialized professions. Fortunately, the current reality is beginning to recognize that TTC is a requirement for operational effectiveness.  Beyond counseling, efforts are being made to ensure that Protector Professionals are getting a much more comprehensive training regime.  It is clear that knowing how to use a gun is not sufficient to surviving volatile situations.  Mental and emotional preparedness training is critical to wellbeing and long term career potential.

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Training: EDCD And Mental Resiliency Training For High Stress Operations

   This is a project that Angela and company have been working on, and I wanted to get the word out about it.  I like the concept and think that this is the kind of stuff that will allow anyone in this field, or any high risk field, to continue working and effectively dealing with mental trauma when it happens.

    EDCD gives you the tools necessary to deal with the tough stuff.  Things like deploying to disaster zones like Haiti where thousands of people have been killed, surviving IED’s and ambushes in wars like Iraq or Afghanistan, or having co-workers killed or wounded in these war zones. The idea of having the tools necessary to work through these traumatic events, or even help others who have gone through these traumatic events, is something that should be in everyone’s mental kit, and there just isn’t a lot out there that goes over this stuff. The modern militaries of the west have attempted to provide these tools of coping to the troops, but for private industry, there isn’t anything.  And we have talked about that here before and Angela has wrote some great stuff about the subject.

   Also, if you look at cases like Fitzsimmons, or with some of the suicides this industry has experienced, resiliency training might be something the companies could look at.  At least have something set up to direct contractors too if you have some contracts that put people in high stress positions.  The military is constantly trying to reach out to their soldiers in order to put a stop to any mental suffering out there.  Wars and disasters can mess up a brain pretty good sometimes, and civilian contractors are experiencing some of the same war time traumas as soldiers.  Yet there is nothing being done to deal with that fact.

   Now for a disclosure. I have never been through this course and I have not read any feedback about it. So I cannot give it the thumbs up or down.  But what I would like to do is promote it and get the readership to think about this stuff.  If you have gone through the course, I would love to hear your thoughts on the matter in the comments section.  I am sure Angela will pop up too if anyone has any questions.  -Matt

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EDCD PosterTraining: EDCD And Mental Resiliency Training For High Stress Operations

Dear Colleague,

Resiliency has become a buzz word for all of us working within security and safety professions.

TRAINING personnel to adapt and prepare for high stress operations is a priority within all sectors.

EDCD TRAINING will help your teams to achieve higher levels of operational effectiveness.  What is EDCD?

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Industry Talk: U.S. Government Officials And DynCorp Honor Police Trainers Injured In Iraq

     Bravo to DynCorp and the government folks for honoring these men and their sacrifice. It is the least they could do, and other companies out there who have had injured or deceased contractors should take note.

      I also hope that DynCorp will continue to show it’s appreciation by being there for these men when they need help with medical, mental and pay issues. Handing out awards is one thing, but being there for your people when they need that help is the sign of a truly grateful and compassionate company. You will also attract good contractors who actually want to work for you and do a good job, because they know you care. -Matt

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di valor award ceo tate kenIndustry Talk: U.S. Government Officials And DynCorp Honor Police Trainers Injured In Iraq

Left to right: Tate Mallory, Bill Ballhaus of DynCorp International and Ken Leonard 

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U.S. Government Officials and DynCorp Honor Police Trainers Injured in Iraq

Mar 04, 2010

Representatives for the Department of Defense, the U.S. Congress, the Department of State, and DynCorp International (DI) gathered on February 17, to honor two former civilian police trainers who received injuries while working in Iraq to help build and strengthen Iraq’s police force.

According to the groups, Kenneth Leonard and Tate Mallory, the two trainers, were honored by a crowd of more than 200 people. Both worked for DI on the International Civilian Police Program (CIVPOL) contract with the U.S. Department of State Bureau of International Narcotics and Law Enforcement Affairs (INL). In Iraq they were under the Civilian Police Advisory Training Team, the component of the Multinational Security Transition Command responsible for the U.S.-led effort to train and equip the 135,000-member Iraqi police service.

The DynCorp International President’s Valor award was presented to Kenneth Leonard and Tate Mallory by Tony Smeraglinolo, president of DI’s Global Stability and Development Solutions (GSDS) division. The DI President’s Valor Award is the highest recognition given by the company, and has been awarded only 11 other times.

“This award is presented to individuals who have exemplified bravery and heroism in execution of their responsibilities in the most challenging of circumstances,” said Tony Smeraglinolo in his remarks. “These two men have demonstrated not only great bravery but resounding resilience, unequalled commitment to service and are truly great Americans.”

State Department INL Bureau Principal Deputy Assistant Secretary William McGlynn presented certificates of appreciation on behalf of the State Department and spoke of the men’s skills and contributions working in the most difficult of circumstances. The State Department also presented DI Care Employee Assistance Program (EAP) Director Mike Warren with a special certificate of recognition for his work in creating and running a program that assists employees and their families, and his personal commitment to helping each employee and family member who needs him.

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Industry Talk: War Contractors Receive Defense Of Freedom Medal For Injuries, But Attract Little Notice

     The Labor Department, which tracks injuries to contract workers abroad, recently updated the tally: Since 2001, more than 1,700 civilian contractors have died in Iraq and Afghanistan and nearly 40,000 have been reported injured.

     More than a hundred contract workers have been given the Defense of Freedom medal, a Pentagon citation that is the civilian equivalent of the military’s Purple Heart.

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   So wait, if there have been 40,000 contractors injured and 1,700 killed, shouldn’t there be 41,700 Defense of Freedom medals issued?  If this medal is the civilian equivalent to the Purple Heart, then that would make sense to me. If any lawmakers are reading this, you would win a lot of contractor(voters) over if you were able to bring up legislation to make this happen.  It is the least we can do for the contractor guy or gal that is missing a leg or an eye do to an injury from the war, or for the friends and family that lost loved ones. And I am not just talking about expats from the US, I am talking about guys and gals from all over the world that sacrificed in this war.  The medal is a symbol of thanks and appreciation, and to not recognize that sacrifice is just wrong.

    Either way, good article from T. Christian Miller, and I always enjoy reading his stuff.  Pro-publica is doing good things by bringing to light what has happened to our dead and injured contractors in this war. They should not be forgotten, and they should be treated with the respect they deserve.  It’s nice to know that at least someone in the media actually cares, so thank you. -Matt

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web 030129 O 9999J 027Industry Talk: War Contractors Receive Defense Of Freedom Medal For Injuries, But Attract Little Notice

War Contractors Receive Defense of Freedom Medal for Injuries, But Attract Little Notice

by T. Christian Miller

February 18, 2010

Falls Church, Va. — A former sheriff’s deputy from South Dakota named Tate Mallory got a medal for service to his country on Wednesday, but it didn’t get much attention.

There was no top military brass at the ceremony, no long line of politicians waiting to shake his hand. Instead, Mallory stood on a dais in an anonymous hotel room in suburban Washington, D.C., looking pleased and slightly embarrassed as he was handed a Defense of Freedom medal.

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Weapons: Some Thoughts On Battlefield Lasers

     Since November 2008, the 3rd ESC has had 64 laser incidents reported in Iraq, resulting in 45 documented injuries to soldiers. Two of those injuries were permanent — one soldier is now legally blind in one eye, Hayes said.

     Both Multi-National Corps—Iraq and 3rd ESC Commander Brig. Gen. Michael Lally are stepping up laser safety and training efforts, including confiscating some unapproved lasers and establishing green laser training requirements and detailed safety accident reporting and training, officials said.

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   These two articles below brought up a couple of interesting points that guys in war zones are going to have to think about in the future and even now.  Having a pair of sunglasses or goggles with laser protective lenses is going to be more important to have, as lasers develop and find their way onto the battlefield in new and interesting ways.  The military is already experiencing laser injuries with  basic laser aiming devices, and I only see that increasing on the military side of things.  But are there statistics on contractor injuries, and is the industry ready for this coming evolutions of battlefield lasers?

   In the first article below, they discuss weaponized lasers and how the DoD wants to purchase Revision eyewear for the troops. We will probably see many offerings of laser protected lenses coming on to the the tactical eyewear scene, as it should.  As for companies issuing this type of protection, who knows.  More than likely it will take numerous injuries before they react and do the right thing.  Or it will take a mandate by the DoD, much like with body armor and helmets, in order to operate on the battlefield. Until then, it will more than likely fall back on the individual contractor to decide if they want to wear the stuff.

   Which leads me to my next point.  Perhaps the laser coating or whatever protective element to the glasses, should become standard for tactical eyewear?  Like under new Milspec standards, ballistics protection would include protection against lasers.  I know this is nothing new and is being talked about in military circles. The military even has a manual on laser range safety.  But that is for laser range finder/pointer stuff, and this new generation of battlefield lasers are just a tad bit more lethal.

   And as the second article on laser injuries indicates, those dazzling green lasers that you see the troops use all the time, are actually causing blindness and eye injuries.  Yikes.  With that said, I wonder how many contractors have been hit with green lasers intentionally or accidently while on the battlefield?  How many guys coming up on check points manned by overzealous guards, were zapped by those things?  Laser protective eyewear should be something to think about.

   With the really big stuff coming on to the scene, the problems I could see, is the accidental reflection maybe?  A large beam hits a car mirror and reflects it onto a convoy or something? Or they bounce a laser off of a satellite reflector or a drone reflector, and now you have ‘death rays’ coming from the sky. lol

    If they get that Boeing 747 with a laser in the nose operational, then they could be throwing beams from that.  On the plus side, these lasers will be much more precise than dropping a bomb, but I wonder if an enemy could use a mirror and use that large beam to their advantage?  Or the enemy could get into making really high powered green or blue lasers, and try to blind soldiers or ignite gas tanks and fuel stations from a distance.  They could also start wildfires with the things, in order to entrap patrols with fire. There are plenty of DIY hacks on youtube in order to make such lasers, and their uses are only limited by their imagination.

   Now another thing I was thinking about, is using these high powered lasers to target individuals. It’s one thing to use them to destroy jets, mortars, rockets, and whatnot in the air.  But to take one dude out, in a group of people, with a well placed laser shot, would be impressive. It would trump using a Hellfire, and taking out entire villages to just get one guy.       I could see bouncing a laser off of a reflector, guided by satellite, and right into the cranium of some Taliban leader who is surrounded by women and children. That would pretty much destroy the enemy’s ability to protect themselves with human shields, or to use collateral damage for propaganda purposes. You could also use the thing to take out IED’s, snipers or machine gun emplacements.  Now that I think about it, I could totally picture a drone circling the battlefield, and using the onboard targeting system to feed into the satellite reflector, and zapping enemy combatants like flies. Who knows, but one thing is for sure, lasers on the battlefield are on the rise and they are just one more thing to think about out there. -Matt

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Ray Guns Real: Army Betting Big on Laser Weapons

Gene J. Koprowski

January 21, 2010

The military envisions a future of laser warfare — ultra-precise weapons based on devastatingly powerful beams of light. It’s only a matter of time until the U.S. Army fights terrorists and other enemy combatants with laser beams, engaging in battles seen previously only in movies like ‘Starship Troopers’ and ‘Star Trek.’

The ray gun is real … or at least it will be soon.

The U.S. Army is betting big on laser warfare — designing, testing and perfecting ultra-precise weapons based on devastatingly powerful beams of light. And given recent developments, it’s only a matter of time until the military has in its arsenal a weapon that until now has been the staple of science fiction — the ray gun.

Set your phasers to kill.

Boeing, one of the Pentagon’s top contractors, already has a laser weapon that will improve the military’s ability to counter artillery, mortar, drone aircraft and even rockets, a spokesman tells FoxNews.

Boeing’s is the highest-profile program of all of the projects under development for the Department of Defense, and last week it took a step closer to reality. At its facility in Huntsville, Ala., Boeing accepted a military truck built by Oshkosh Defense that will carry its laser beam control system into battle.

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Jobs: Personal Security Detail And Medical Personnel, Haiti

   I hope to post more of these jobs, and definitely get the word out on this.  I am not the point of contact or recruiter, and please go through the application process below.  NEK is a solid PMC and I wish you luck. -Matt

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NEK logoJobs: Personal Security Detail And Medical Personnel, Haiti

Category:

Title: Personal Security Detail Personnel

Post Date: 1/14/2010

Description:

NEK is seeking qualified Personnel Security Detail personnel for an immediate OCONUS requirement. Applicants should have an extensive background in Department of Defense, State Department, Special Operations or Law Enforcement that depicts a very high level of maturity and experience that relates to PSD or similar requirements. Applicants should expect a quick deployment turnaround from notification of actual employment and should have in their possession current medical records/immunization records and passport on hand. Employment will encompass working in both hazardous environments and conditions with primitive living conditions. Resumes should reflect clear and concise past work history with full and current point of contact information, (email address/telephone numbers), for any references that are listed.

Based upon the high level of maturity, medical experience and the hazardous conditions that may be involved, NEK will offer high limit accident insurance. If qualified and interested, please send resumes to doc.melvin@nekasg.com and apply online at www.nekasg.com for consideration.

NEK Advanced Securities Group, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin.

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Category:

Title: Special Operations Medics

Post Date: 1/14/2010

Description:

NEK is seeking qualified Special Operations Qualified Medics in support of Personal Security Detail and Disaster Relief Operations for an immediate OCONUS requirement. Applicants should have an extensive background in Special Operations Medicine and display a high level of experience and maturity. Experience in PSD assignments or equivalent is a plus. Applicants must be a graduate of either the Special Forces Medical Sergeants Course (SFMS, MOS 18D) or the Advanced Special Operations Combat Medic Course (ADSOCM). Applicants should expect a quick deployment turnaround from notification of employment and should have in their possession current medical records/immunization records and passport on hand. Employment will encompass working in both hazardous environments and conditions with primitive living conditions. Resumes should reflect clear and concise past work history with full and current point of contact information, (email address/telephone numbers), for any references that are listed.

Based upon the high level of maturity, medical experience and the hazardous conditions that may be involved, NEK will offer high limit accident insurance.

If qualified and interested, please send resumes to doc.melvin@nekasg.com and apply online at www.nekasg.com for consideration.

NEK Advanced Securities Group, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin.

Apply here.

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Podcasts: NPR Interviews T. Christian Miller, ‘Wounded In Wars, Civilians Face Care Battle At Home’

  Thanks to Steve for bringing this to my attention. Miller has been running these stories at ProPublica for awhile now and he has certainly been on the front end towards bringing attention to wounded contractors in this war.  Check it out. -Matt

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Wounded In Wars, Civilians Face Care Battle At Home

January 11, 2010

T. Christian Miller doesn’t shy away from trouble. He has reported on conflicts in Kosovo, Israel and Iraq, among others, and the Web site he founded, ProPublica, is dedicated to covering stories with “moral force” — providing in-depth coverage of environmental, defense, and human rights issues.

One story Miller has been following closely, in a series of articles titled “Disposable Army,” is the fate of employees who worked for private military contractors in Iraq and Afghanistan. Many of them went abroad without insurance, were wounded — some seriously — and are now fighting to get medical treatment.

Listen to podcast here.

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