Heart analytics: Analytical modeling of cardiovascular care

Cardiovascular diseases (CVDs) are the leading cause of death and disability both in the United States and worldwide. Despite high morbidity, mortality, and cost in the United States and global healthcare systems, cardiovascular care has been understudied in the healthcare operations management literature. In this paper, we identify research opportunities for healthcare operations management scholars to aid in improving cardiovascular care. We focus on three burdensome conditions, including (1) coronary artery disease, (2) stroke, and (3) heart failure, which, collectively, lead to the vast majority of CVD‐caused mortality and disability. For each condition, we characterize a typical patient's journey in receiving cardiovascular care, elucidating key challenges in improving care and outlining research questions for healthcare operations management scholars. We close with a reference to new research opportunities that emerge as artificial intelligence is likely to transform much of cardiovascular care.     

Maritime security and capacity building in the Gulf of Guinea: On comprehensiveness,gaps, and security priorities

It is widely acknowledged that maritime security in the Gulf of Guinea is a highly complex phenomenon involving a variety of issues (legal deficiencies, inadequate military equipment, and challenges like corruption, political unrest and youth unemployment) as well as a multiplicity of external responders. To make sense of the impact that external actors have when they address this complex problem through various maritime capacity building endeavours, this article argues that there is a need to understand the attractiveness of capacity building vis-à-vis the widely acknowledged need for a comprehensive approach, as well as the difficulties of translating the potential for comprehensiveness into practice (as important aspects of the problem remain largely unaddressed). Further, it is argued that it is important to appreciate that even if these gaps – i.e. the aspects that maritime capacity building currently leaves unaddressed – represent a ‘failure’ to deliver a comprehensive response, they are at the same time illustrative of how the maritime capacity building activities of various external actors also ‘succeed’ in having an impact on this regional security landscape – for instance, by influencing how certain aspects of this multifaceted problem are prioritised, whilst others are only marginally addressed, if at all.     

US-American Intervention in Europe: Morality,Justice, and Freedom in World War II Cinema

This article analyzes the American intervention in Nazi-oppressed Europe during World War II and the way in which this intervention is represented in film. Examining the visual and cinematic aesthetics of Saving Private Ryan and the mini-series Band of Brothers, the article seeks to demonstrate how film has responded to US intervention overseas. It is argued that the need to liberate Europe from the evil Other stands forth as the main, heavily moralized purpose of US military intrusion in the film and the mini-series being analyzed. To shore up this speculation, the author considers other films on the topic, namely, The Longest Day (1962) and Shutter Island (2009). The author claims that the scenes in the concentration camps that are crucial in Band of Brothers and Shutter Island have an ethical function, i.e. they justify US intervention in the foreign territory. Additionally, the article provides a brief overview of Playing for Time (1980), Schindler’s List (1993), The Devil’s Arithmetic (1999), The Grey Zone (2001), as well as the mini-series Holocaust (1978).     

Improvise,adapt and fail to overcome? Capacity building,culture and exogenous change in Sierra Leone

Military capacity building (MCB) is as problematic as it is ubiquitous, with the British experience in Sierra Leone providing a rare example of ostensible success. This article critiques the dominant conceptualisation of MCB as purely a principal–agent (PA) problem, using military change scholarship to examine the impact of wartime British intervention on the Sierra Leonean armed forces. Here, indigenous military change was both externally driven and fundamentally adaptive in nature, allowing MCB to bypass some of the difficulties predicted by PA models. However, this adaptive approach nonetheless failed to reconcile Western military values with prevailing Sierra Leonean culture, complicating post-war stabilisation efforts.     

The timing of third-party intervention in social conflict

This paper analyzes how the equilibrium outcome of social conflict between factions is strategically altered by third-party intervention. We consider an intervening third party that commits financial support to one of two contending factions for reducing its cost in conflict. Within the framework of three-player sequential-move games, we investigate the questions as follows. What is the optimal intervention intensity in terms of the third party’s financial support? Is there a first-mover advantage in conflict when there is third-party intervention? Fighting against all odds, will the unsupported faction have a chance to prevail when its opponent receives third-party support? What is the optimal timing of third-party intervention? The analysis in the paper has implications for the conditions under which the strategic intervention of a third party may or may not break a conflict between factions.     

From stopping to preventing atrocities

The Constitutive Act of the African Union (AU) provides for the right of the continental body to intervene in the face of war crimes, genocide and crimes against humanity. According to its formulation, Article 4(h) intervention entails military force, which is triggered when a target state fails to discharge its duty to protect its population from mass atrocities. Although Article 4(h) is an ambitious statutory commitment to intervene in a member state by the AU, the Libyan crisis in 2011 showed the ambivalence of the continental institution to act in a decisive and timely manner. The AU's failure to invoke Article 4(h) exposed the need for building the capacity and political will to intervene and to interpret Article 4(h). Therefore, the primary focus of this article is on how Article 4(h) should be interpreted. Flowing from the Pretoria Principles, which seek to provide clarity on the implementation of the AU's right of intervention, Article 4(h) should be viewed as a duty rather than a right to prevent or stop mass atrocities. The duty dimension of Article 4(h) derives from the international instruments that AU member states have ratified to prevent mass atrocities. Rather than being a paper tiger, Article 4(h) should be used in a proactive and timely manner as a military option available to the AU to persuade member states to prevent or halt atrocities. As a last resort, military force pursuant to Article 4(h) should aim at protecting the population at risk and pursuing the perpetrators in order to avoid contravening Article 2(4) of the Charter of the United Nations (UN). Although military intervention can save lives in the short term, it cannot necessarily address the underlying, structural causes of atrocities, such as ethnic rivalries, economic inequalities and scramble for natural resources, among others. Therefore, the prevention of mass atrocities should not be equated with, or be seen through the prism of, Article 4(h) intervention alone. The focus should instead be on the entire spectrum of preventive strategies at the disposal of the AU in the face of mass atrocities, including the African human rights system and the African Peer Review Mechanism.     

Regional Support for Afghan Insurgents: Challenges for Counterinsurgency Theory and Doctrine

After the fall of the Taliban regime in 2001, several thousand Afghan Taliban forces fled across the border to Pakistan, and the area became a safe haven for Afghan insurgents. In 2014, the transnational dimension of the insurgency is still highly prominent. Although regional support for insurgents is not uncommon, how to counter this aspect is mostly ignored in counterinsurgency (COIN) theory and doctrines. In this article, a regional counterinsurgency framework is developed, using the regional counterinsurgency efforts in Afghanistan as an example. The framework will facilitate the systematic inclusion of regional COIN measures in theory and doctrine.     

Reassessing private military and security company (PMSC) ‘competition‘ in civil war: lessons from Sierra Leone

ABSTRACT

This paper challenges recent claims that competitive market dynamics incentivize Private Military and Security Companies (PMSCs) to fully commit to providing effective services, thereby reducing the duration of civil war. Our assessment of a most-likely case scenario for this argument – Sierra Leone – reveals four critical problems. First, there is rarely direct competition, even if numerous companies are present. Second, the presence of multiple PMSCs usually represents a collaboration among subsidiaries providing distinct services, often under the same corporate umbrella. Third, data aggregation obfuscates the overlap of PMSC presence, inflating the amount of perceived competition. Finally, we raise concerns regarding how quantitative analyses can conflate conflict intensity with conflict termination.     

Asymmetric information and third-party intervention in civil wars

I study a two-period model of conflict with two combatants and a third party who is an ally of one of the combatants. The third party is fully informed about the type of her ally but not about the type of her ally’s enemy. In a signaling game, I find that if the third party is unable to give a sufficiently high assistance to her ally, then there exists a unique separating equilibrium in which the third party’s expected intervention causes her ally’s enemy to exert more effort than in the absence of third-party intervention; this worsens the conflict.     

Influence without power? Reframing British concepts of military intervention after 10 years of counterinsurgency

British attitudes towards military intervention following the campaigns in Iraq and Afghanistan have undergone what appears to be considerable change. Parliament has voted against the use of Britain's armed forces in Syria and the public are unenthused by overseas engagement. Conscious of the costs and the challenges posed by the use of British military power the government has been busy revamping the way it approaches crises overseas. The result is a set of policies that apparently heralds a new direction in foreign policy. This new direction is encapsulated in the Building Stability Overseas Strategy (BSOS) and the more recent International Defence Engagement Strategy (IDES). Both BSOS and IDES set out the basis for avoiding major deployments to overseas conflict and instead refocuses effort on defence diplomacy, working with and through overseas governments and partners, early warning, pre-conflict prevention and post-conflict reconstruction. Developing a number of themes that reach from across the Cold War to more contemporary discussions of British strategy, the goal of this special edition is to take into account a number of perspectives that place BSOS and IDES in their historical and strategic context. These papers suggest that using defence diplomacy is and will remain an extremely imprecise lever that needs to be carefully managed if it is to remain a democratically accountable tool of foreign policy.