Deployment Experiences Research Articles

Military Personnel Ratings of a Deployment and Their Positive and Negative Deployment Experiences.

There is limited investigation of how military personnel evaluate their deployment experiences. An understanding of their perceptions would help unit psychologists to advise commanders on ways to improve the deployment experience (and therefore mental well-being) of personnel. This study examined the interplay between deployment overall ratings, personnel characteristics and positive and negative deployment experiences in aid of such understanding. The participants were 1,226 Australian Defence Force personnel who deployed to East Timor and (through a survey) provided an overall rating of their deployment and comments on major positive and negative deployment experiences. Descriptive statistics detail ratings by personnel characteristics, and a hybrid content/thematic analysis details the positive and negative experiences. The study was approved by an Institutional Review Board. Over 80% of the participants rated their overall East Timor deployment experience as positive, with 13% rating it as neutral and 7% as negative. Intrinsic rewards (eg, ability to use skills) were the most commonly expressed major positive experiences of the deployment, with deployment administration and military leadership the most common negatives. Most intrinsic rewards were reported more often in participants with a positive deployment rating, while poor leadership was most frequent in those with a negative rating. Military leadership is corroborated as a negative experience of military deployment, while a new finding indicates that intrinsic rewards are a common feature in positive evaluations of deployment. Leadership is a factor that Defence Forces can address to improve the deployment experience. The study strength is the range and size of the sample, with a limitation the potential for recall bias (the data were collected, on average, 5 years postdeployment). Future research should replicate this type of analysis to build a picture of the experiences and evaluations of personnel from a range of different deployments.

LanguageLogger: A Mobile Keyboard Application for Studying Language Use in Everyday Text Communication in the Wild

We present a concept and tool for studying language use in everyday mobile text communication (e.g. chats). Our approach for the first time enables researchers to collect comprehensive data on language use during unconstrained natural typing (i.e. no study tasks) without logging readable messages to preserve privacy. We achieve this with a combination of three customisable text abstraction methods that run directly on participants' phones. We report on our implementation as an Android keyboard app and two evaluations: First, we simulate text reconstruction attempts on a large text corpus to inform conditions for minimising privacy risks. Second, we assess people's experiences in a two-week field deployment (N=20). We release our app as an open source project to the community to facilitate research on open questions in HCI, Linguistics and Psychology. We conclude with concrete ideas for future studies in these areas.

Outdoor Programs for Veterans: Public Land Policies and Practices to Support Therapeutic Opportunities

Abstract Many veterans returning from military deployment experience stress- or trauma-related symptoms that make reintegration with civilian society difficult. Nature exposure and outdoor recreation can be important parts of alternative and complementary approaches to reduce symptoms and build on veterans’ pre-existing strengths. Multiple outdoor programs now exist for veterans; many of these occur on federal public lands and present a variety of needs, opportunities, and challenges. This paper relies on interviews (n = 36) with public land managers, program providers and participants, health professionals, and veterans to enhance understanding about outdoor programs for veterans (OPVs). We develop a typology of OPVs to help land managers understand current and potential programs, and then describe programs’ varying dimensions. We examine opportunities and challenges for land managers in their interactions with OPVs. Results inform policymakers and public officials interested in developing more effective institutional partnerships and programs that engage and serve veterans and their communities. Study Implications: With growing scientific evidence of the benefits of nature-based therapy, nature exposure, and outdoor recreation for veterans, programming for veterans on public lands has proliferated. Public land-management agencies vary in the extent to which they have systematically organized to provide opportunities for veterans, developed partnerships to support veterans’ health, and explicitly acknowledged agency roles in serving veterans. We describe seven types of outdoor programs for veterans (OPVs) that currently serve this population: supported outdoor activity; guided outdoor activity; retreat; outdoor job training; stewardship or service; horticulture, farming or gardening; and animal-assisted therapy. Each OPV type has different needs for infrastructure, outdoor spaces, and administrative or programmatic engagement. OPVs occurring on public lands typically involve one or more partner organizations, such as commercial outfitters and guides, health providers, veterans’ associations, foundations, corporations, and research institutions. There is potential for public land-management agencies to expand their role as institutional leaders in support of veterans’ health by facilitating the use of public lands as therapeutic landscapes. By enhancing new and existing relations with OPV providers, health providers, and other government agencies, public land agencies could expand benefits to veterans and spur broader societal benefits.

Factor structure of deployment experiences and relations to mental health disorders among treatment-seeking Canadian armed forces personnel and veterans.

Among a sample of 341 treatment-seeking veterans and currently serving Canadian Forces members, our objectives were to identify factors of deployment experiences and determine whether they were related to the severity of posttraumatic stress disorder (PTSD) symptom clusters and depressive, anxiety, and alcohol use symptom severity. Participants completed questionnaires during intake to an outpatient mental health clinic. Factor analysis was used to determine factors of deployment experiences and which mental health conditions were associated with the factors. Exploratory factor analysis grouped experiences into 3 factors: (a) combat, (b) exposure to injury or death, and (c) potential moral injury and atrocity. Potential moral injury and atrocity was significantly associated with all outcomes except for alcohol use disorder, and combat was significantly associated with the arousal PTSD symptom cluster and depressive symptom severity. Our study demonstrates the association between combat experiences and PTSD symptom, depression, and anxiety severity. Clinically, it stresses the importance of evaluating specific traumatic events to improve treatment outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Parental Wartime Deployment and Socioemotional Adjustment in Early Childhood: The Critical Role of Military Parents' Perceived Threat During Deployment.

Infants, toddlers, and preschool-aged children have unique developmental needs that render them vulnerable to challenges associated with parental military service. We used a sample of military-connected families with 3-6-year-old children (N = 104) to examine associations among children's socioemotional development and fathers' trauma-related deployment experiences, including perceived threat during deployment and exposure to combat and the aftermath of battle. Of these potential stressors, only paternal perceived threat during deployment was significantly associated with measures of mother-reported child adjustment. Fathers' perceived threat during deployment was associated with child behavior problems even after accounting for demographic variables and current paternal symptoms of posttraumatic stress, depression, and anxiety, β = .36, p = .007. The association between fathers' perceived threat during deployment and child behavior problems was mediated by several family processes related to emotion socialization, including father-reported sensitive parenting, indirect effect (IE) B = 0.106, 95% CI [0.009, 0.236]; parent-child dysfunctional interaction, IE B = 0.119, 95% CI [0.014, 0.252]; and mother-reported family emotional responsiveness, IE B = 0.119, 95% CI [0.011, 0.258]. Implications for future research on the intergenerational transmission of traumatic stress as well as prevention and intervention efforts for military-connected families with young children are discussed.

Outside the Military "Bubble": Life After Service for UK Ex-armed Forces Personnel.

Military personnel who have seen active service can be affected by their experiences. Much of the literature on the mental and physical health battles faced by men and women who leave the Armed Forces is dominated by research in the United States (US) (1), and is particularly focused on exposure to deployment, combat conditions, and effects on mental health. Research in the United Kingdom (UK) tends to focus on depression or alcohol misuse and the impact these issues have on currently serving personnel. This study aimed to present UK veterans' first-hand experiences related to military service, access to and use of mental healthcare and interventions, and the impact of transition on the military family. Semi-structured interviews explored experiences of 30 participants (27 male, 3 female). Participants ranged in age from 26 to 92 years (M = 53.33), and across multiple war cohorts (from WWII to Iraq and Afghanistan). Data were analyzed using Thematic Analysis and Narrative Analysis. Findings show meaning-making from experiences of transition across veteran cohorts. Main themes were reasons for leaving Armed Forces, life outside the military, and mental health concerns after service. Subordinate themes additionally focused on evaluation of identity and mental health service provision. Future clinical research should include the experiences of UK serving personnel and the effects of pre-and post-military adversity, alongside the impact of deployment experiences. Interventions designed to address transition into life after service are discussed.

Case Study to Analyze the Impact of Multi-Course Project-Based Learning Approach on Education for Sustainable Development

This work presents a multi-course project-based learning (MPL) approach implemented using two electrical engineering (EE) interdisciplinary undergraduate courses at Qatar University. Implementing an MPL approach helps in the development of critical thinking and collaborative decision-making skills. The attainment of these skills is also the outcome of education for sustainable development (ESD); the skills help students acquire the knowledge, attitudes, and values necessary to shape a sustainable future. The participating students’ worked on a design project, which was used to assess the fulfillment of a set of student learning outcomes (SLOs), focusing on engineering soft skills and project management skills. The skills include the ability to communicate effectively, to work collaboratively in a team, to think both critically and creatively, and to manage projects efficiently with realistic constraints and standards. The challenges of implementing the MPL method are the organization of pedagogical activities that are planned for each of the courses involved, the coordination of the materials delivered by each course, and the supervision of around 90 students per year performing the MPL method. The experience of MPL deployment in the EE program was rated using student surveys. It was assumed that the MPL approach would be beneficial to the students based on the instructors’ and students’ feedback from the same courses in previous years. This was verified using chi-square statistics of the survey results. The implementation of the MPL also helped in increasing the average marks scored by the students in the design project. Some interesting feedback, statistical analyses, and improvement actions are reported for future upgrades. This work also contributes to the MPL pragmatic body of knowledge by exploring a successful initiative and its outcomes, which can help in attaining the skills needed for ESD.

Continuity in Psychological Health and Role Functioning Across Deployment.

Scholars have described military deployments as one of the most stressful aspects of life for military couples. Deployment affects multiple roles and family members, yet little is known about the degree to which postdeployment outcomes are accounted for by predeployment functioning independent of deployment experiences. Data collection included in-person interviews with National Guard couples experiencing a deployment and a comparison group whose deployment was canceled abruptly. Using hierarchical regression, this study assessed (a) how much variance in postdeployment functioning was explained by predeployment functioning and (b) whether variance accounted for by predeployment functioning differed by domain, respondent, or deployment status. Posthoc analyses revealed which combinations of predeployment functioning accounted for the most variance in postdeployment outcomes. We found evidence of modest continuity between predeployment and postdeployment functioning, particularly for psychological functioning and partner role functioning, and fewer differences than expected in patterns between groups. Certain demographic characteristics, risk factors, and resources accounted for significant variance in postdeployment outcomes in addition to baseline levels of role functioning. Study findings reinforce the importance of predeployment preparation, providing families with resources to maximize resilience in response to the stress of deployment.

The many faces of COVID: Experiences of deployment and redeployment by Neurology Registrars

The many faces of COVID: Experiences of deployment and redeployment by Neurology Registrars

Deployment Experiences with Amrita Kripa: A User-Friendly Feature Rich Crowdsourced Humanitarian Application

Abstract In this paper we present our experiences in designing, developing and deploying the essential components of effective disaster relief technology using the crowdsourced approach, based on our disaster relief platform named Amrita Kripa. We present both the technical and humanitarian aspects of Amrita Kripa. Amrita Kripa has been used in providing disaster relief during both 2018 and 2019 Kerala floods. We also share some of the feedback from various users during the disaster and how the feedback helped Amrita Kripa to evolve into a flexible, user-friendly and effective disaster relief platform. We also present a comprehensive comparison with other relief applications based on the crowdsourced approach.

An Inventory of the Combat Medics' Aid Bag.

Tactical Combat Casualty Care (TCCC) recommends life-saving interventions; however, these interventions can only be implemented if military prehospital providers carry the necessary equipment to the injured casualty. Combat medics primarily use aid bags to transport medical materiels forward on the battlefield. We seek to assess combat medic materiel preparedness to employ TCCC-recommended interventions by inventorying active duty, combat medic aid bags. We sought combat medics organic to combat arms units stationed at Joint Base Lewis McChord. Medics volunteered to complete a demographic worksheet and have the contents of their aid bag photographed and inventoried. We spoke with medic unit leadership prior to their participation and asked that the medics bring their aid bags in the way they would pack for a combat mission. We categorized medic aid bag contents in the following manner: (1) hemorrhage control; (2) airway management; (3) pneumothorax treatment, or (4) volume resuscitation. We compared the items found in the aid bags against the contemporary TCCC guidelines. In January 2019, we prospectively inventoried 44 combat medic aid bags. Most of the medics were male (86%), in the grade of E4 (64%), and had no deployment experience (64%). More medics carried a commercial aid bag (55%) than used the standard issue M9 medical bag (45%). Overall, the most frequently carried medical device was an NPA (93%). Overall, 91% of medics carried at least one limb tourniquet, 2% carried a junctional tourniquet, 31% carried a supraglottic airway (SGA), 64% carried a cricothyrotomy setup/kit, 75% carried a chest seal, and 75% carried intravenous (IV) fluid. The most commonly stocked limb tourniquet was the C-A-T (88%), the airway kit was the H&H cricothyrotomy kit (38%), the chest injury set were prepackaged needle decompression kits (81%), and normal saline was the most frequently carried fluid (47%). Most medics carried a heating blanket (54%). Most medics carried materiels that address the common causes of preventable death on the battlefield. However, most materiels stowed in aid bags were not TCCC-preferred items. Moreover, there was a small subset of medics who were not prepared to handle the major causes of death on the battlefield based on the current state of their aid bag.

The essence, features, and parameters of the digital economy

Methods. Using the general theoretical (analysis, synthesis, induction, deduction) and special (systematization, abstracting, decomposition) methods of scientific knowledge, the article explores the theoretical foundations of the digital economy and provides a critical comprehensive analysis and systematization of scientific and practical approaches to the interpretation of the essence of the digital economy and processes of its digitalization. Results. The main advantages of the process of digitalization of the economy and socio-economic processes in comparison with the traditional market are listed. The primary source of the scientific origin of the theory of digital economy and digitalization in foreign countries is revealed. The main scientific works are identified, the authors of which raised the question of the need to transform the economy into a digital type economy. There are considered modern generally accepted interpretations of the digital economy by various foreign state institutions in the context of the adoption of concepts and programs of digitalization of the economy and socio-economic processes. The main components of the digital economy are identified, namely: infrastructural support of electronic business (e-business infrastructure), electronic business (e-business) and electronic commerce (e-commerce). The drivers of digital transformation in the economy are identified: the Internet of things, big data, artificial intelligence, block chain technology. The approaches to the interpretation of the essence of the digital economy by foreign and domestic scientists are systematized and analyzed. Novelty. The relationship between the digital economy and the new technological structure, the fourth industrial revolution based on information systems and technologies, and knowledge bases, is substantiated. The authors propose their own definition of the digital economy with the emphasis on the complexity of this concept and phenomenon. Practical value. The features of the digital economy and its manifestations against the backdrop of the deployment of the fourth industrial revolution on the basis of information technology and knowledge bases are determined. The domestic experience of deployment and regulatory support of the transformation of the economy into a digital economy is analyzed.

Systematically Landing Machine Learning onto Market-Scale Mobile Malware Detection

Despite being crucial to today’s mobile ecosystem, app markets have meanwhile become a natural, convenient malware delivery channel as they actually “lend credibility” to malicious apps. In the past few years, machine learning (ML) techniques have been widely explored for automated, robust malware detection, but till now we have not seen an ML-based malware detection solution applied at market scales. To systematically understand the real-world challenges, we conduct a collaborative study with T-Market, a popular Android app market that offers us large-scale ground-truth data. Our study illustrates that the key to successfully developing such systems is multifold, including feature selection and encoding , feature engineering and exposure , app analysis speed and efficacy , developer and user engagement , as well as ML model evolution . Failure in any of the above aspects could lead to the “wooden barrel effect” of the whole system. This article presents our judicious design choices and first-hand deployment experiences in building a practical ML-powered malware detection system. It has been operational at T-Market, using a single commodity server to check $\sim$ ∼ 12K apps every day, and has achieved an overall precision of 98.9 percent and recall of 98.1 percent with an average per-app scan time of 0.9 minutes.

A Comparison of the iGel Versus Cricothyrotomy by Combat Medics Using a Synthetic Cadaver Model: A Randomized, Controlled Pilot study.

Background: Airway obstruction is the second leading cause of potentially preventable death on the battlefield. Prior to 2017, the Committee on Tactical Combat Casualty Care (CoTCCC) recommended the surgical cricothyrotomy as the definitive airway of choice. More recently, the CoTCCC has recommended the iGel™ as the supraglottic airway (SGA) of choice. Data comparing these methods in medics are limited. We compared first-pass placement success among combat medics using a synthetic cadaver model. Methods: We conducted a randomized cross-over study of United States Army combat medics using a synthetic cadaver model. Participants performed a surgical cricothyrotomy using a method of their choosing versus placement of the SGA iGel in random order. The primary outcome was first-pass success. Secondary outcomes included time-to-placement, complications, placement failures, and self-reported participant preferences. Results: Of the 68 medics recruited, 63 had sufficient data for inclusion. Most were noncommissioned officers in rank (54%, E6-E7), with 51% reporting previous deployment experience. There was no significant difference in first-pass success (P = .847) or successful cannulation with regard to the two devices. Time-to-placement was faster with the iGel (21.8 seconds vs. 63.8 seconds). Of the 59 medics who finished the survey, we found that 35 (59%) preferred the iGel and 24 (41%) preferred the cricothyrotomy. Conclusions: In our study of active duty Army combat medics, we found no significant difference with regard to first-pass success or overall successful placement between the iGel and cricothyrotomy. Time-to-placement was significantly lower with the iGel. Participants reported preferring the iGel versus the cricothyrotomy on survey. Further research is needed, as limitations in our study highlighted many shortcomings in airway research involving combat medics.

GROLL: Geographic Routing for Low Power and Lossy IoT Networks

Routing in low-power lossy networks (LLNs) remains an important research problem for Internet of Things (IoT), despite the recent standardization in RFC 6550 of RPL as an IPv6 Routing Protocol [1]. Recent deployment experiences [2] have emphasized the challenges faced by a complex design in real world deployments. One of the key challenges is versatile routing protocol design that can handle efficiently and seamlessly various combinations of routing primitives, namely unicast, multicast, and convergecast. Although RPL supports these traffic types, due to its design principle oriented around data collection, its unicast and multicast functionalities are limited. In this article, we present the design and system implementation of the first Geographic Routing framework for Low Power and Lossy Networks (GROLL). GROLL’s routing engine effectively integrates routing for unicast, multicast, and convergecast and takes into account Complex Network Topologies (CNT), i.e., network holes and cuts. GROLL detects CNTs and abstracts the boundary information of detected CNTs with significantly reduced memory size. The proposed unified routing framework was implemented on real hardware and it was evaluated extensively on a testbed of 42 TelosB motes.

Military Mental Health Personnel Deployment Survey: A Secondary Analysis.

Military mental health personnel (MMHP) have increasingly engaged in deployment-related roles in closer proximity to combat environments. Although studies examining deployment-related outcomes among military health care personnel have found combat exposure (CE) positively related to psychological problems, no studies of MMHP have investigated CE or its association with psychological outcomes. This study seeks to provide descriptive data on CE and perceived impacts associated with deployment, as well as explore how CE, perceptions of preparedness for deployment, difficulties during deployment (DDD), and meaningful work during deployment relate to appraisal of problems after deployment (ie, sleep problems, interpersonal withdrawal, depressive symptoms, and work problems). Archival postdeployment survey data from 113 U.S. Air Force MMHP previously deployed to Iraq or Afghanistan were utilized to determine descriptive statistics on CE and other factors. Additionally, hierarchical linear regression was utilized to test relationships between CE, DDD, preparation for deployment, and meaningful work with reports of sleep problems, interpersonal withdrawal, work problems, and depression symptoms. The study was approved by the Institutional Review Board of the U.S. Air Force Academy. MMHP reported an average of 1.58 (standard deviation=1.03) combat-related events and DDD included: (1) being away from family/close friends (62%), (2) uncertain redeployment date (35%), (3) difficulty adapting to a new situation (35%), and (4) working long hours (31%), with 66% endorsing two or more areas of difficulty. Most MMHP reported feeling prepared for deployment both professionally (91%) and personally (87%), as well as that their family was prepared (83%). Additionally, nearly all reported at least one meaningful work experience while deployed (96%) with positive impacts on their clients, being the most frequent (89%). Furthermore, CE predicted both sleep difficulties and interpersonal withdrawal. MMHP who perceived their deployment experience as difficult also had higher rates of postdeployment difficulties. Finally, we found no relationship between perceived deployment preparation and postdeployment outcomes. This is the first study of MMHP reporting CE rates and examining relationships between perceived outcomes and CE, deployment preparation, difficulties during deployment, and meaningful work. The vast majority of MMHP were exposed to more than one combat-related event; however, this rate of CE appears lower than what has been reported among a similar sample of military health care personnel. Although CE predicted difficulties, appraisals of difficulties during deployment experience predicted the highest rates of postdeployment difficulties, accounting for nearly a quarter or more of the outcome variance. The lack of relationship between deployment preparation and meaningful work is inconsistent with prior research and may be because of the limited response range in our sample. Additionally, other methodological limitations include: (1) cross-sectional study design, (2) lack of validated measures, and (3) the long-term retrospective nature of the assessment. Future research should incorporate more rigorous methodologies and assess constructs absent in this archival data set. Despite these limitations, this study provides important preliminary data to support future research development and funding. Additionally, the results may be used to normalize associated impacts and promote help seeking among MMHP.

Intelligent Traffic Monitoring Systems for Vehicle Classification: A Survey

A traffic monitoring system is an integral part of Intelligent Transportation Systems (ITS). It is one of the critical transportation infrastructures that transportation agencies invest a huge amount of money to collect and analyze the traffic data to better utilize the roadway systems, improve the safety of transportation, and establish future transportation plans. With recent advances in MEMS, machine learning, and wireless communication technologies, numerous innovative traffic monitoring systems have been developed. In this article, we present a review of state-of-the-art traffic monitoring systems focusing on the major functionality--vehicle classification. We organize various vehicle classification systems, examine research issues and technical challenges, and discuss hardware/software design, deployment experience, and system performance of vehicle classification systems. Finally, we discuss a number of critical open problems and future research directions in an aim to provide valuable resources to academia, industry, and government agencies for selecting appropriate technologies for their traffic monitoring applications.

Accelerating Photovoltaic Market Entry with Module Replacement

Summary Today’s approach to deploying solar photovoltaics (PV) implicitly assumes that module technology is fixed. Solar panels are installed and expected to operate for the system life of 30 years or more. However, many PV technologies are improving rapidly along several dimensions, including cost, power conversion efficiency, and reliability. Periodic module replacement or planned repowering takes advantage of this technological improvement and counteracts predictable degradation. Here, we show that a module replacement strategy allows a competitive levelized cost of electricity to be achieved with an initial module lifetime of less than 15 years, assuming backward compatibility with the original system design. We also assess the life-cycle environmental impacts of module replacement and find that all commercial PV technologies offer benefits in the majority of impact categories, regardless of the replacement strategy, compared to today’s electric generation mix. Module replacement can thus accelerate the market introduction and decarbonization impact of emerging PV technologies that have achieved a competitive module efficiency (≥20%), cost (≤$0.30/W), and lifetime (≥10 years) and have the potential to improve further on all three metrics but lack decades-long field deployment experience.

German Military Families: A Qualitative Inquiry of Strategies of Coping with the Fathers' Absence

German Military Families: A Qualitative Inquiry of Strategies of Coping with the Fathers' Absence Military families with experiences of deployment are subject to multiple stressors. In this research an explorative qualitative design was used to identify specific challenges, resources and strategies of coping within the families, focusing on the children's perspective. Results show that the fathers' absence causes vital changes in the family system, which demand specific strategies to deal with the abrupt emotional and social challenges. Four of these coping strategies will be presented in this article. Furthermore, resources embedded in the social environment as well as supportive structures provided by the German military will be discussed. Two hypotheses were formulated to outline the findings that the preparation for a deployment as well as patterns of communication about the father's absence are the most crucial factors for the children's resilience in the case of military families.

British military women: combat exposure, deployment and mental health.

Internationally, women are about to undertake combat duties alongside their male colleagues. The psychological effect of this policy change is largely unknown. To explore the mental health impact of combat exposure among military women. Self-report, between-subjects survey data were collected in Iraq and Afghanistan on four occasions between 2009 and 2014 (n = 4139). Differences in mental health, stigmatization, deployment experiences, intimate relationship impact, perception of family support levels, unit cohesion, leadership and help-seeking were compared between deployed men and women. Comparisons were repeated with the study sample stratified by level of combat exposure. Outcomes were examined using logistic regression adjusted for socio-demographic, mental health and military factors. Overall, 4.1% of women and 4.3% of men reported post-traumatic stress disorder (PTSD) (odds ratio (OR) 1.31, 95% confidence interval (95% CI) 0.70-2.46); 22% of women and 16% of men reported symptoms of common mental disorder (CMD) (OR 1.52, 95% CI 1.11-2.08). Women were less likely to report mental health-related stigmatization (OR 0.68, 95% CI 0.53-0.87), negative relationship impact from deployment (OR 0.69, 95% CI 0.49-0.98) and subjective unit cohesion (OR 0.69, 95% CI 0.53-0.90). Help-seeking for emotional problems was similar by gender (OR 1.22, 95% CI 0.84-1.77). Overall, outcomes were minimally impacted by level of combat exposure. Although women experienced more CMD symptoms, PTSD symptoms were similar by gender. Subject to confirmation of the study findings, women may not require enhanced mental healthcare during deployment for exposure-based conditions such as PTSD when undertaking the ground close combat role.