1.
Joint Task Force National Capital Region Medical
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Effective September 14,2007, Deputy Secretary of Defense Gordon England established the JTF CapMed under command of RADM John Mateczun, MC, USN. The Commander of the JTF CapMed will act as the medical officer in the JOA. The Commander will organize staff and reporting organizations to execute the mission, the Commander shall have the authority to compile budgets for the units assigned to JTF CapMed and distribute and direct resources as needed within the JOA to accomplish mission objectives. JTF CapMed is commanded by Rear Admiral Raquel C, Bono, who holds the title of Director, National Capital Region Medical Directorate of the Defense Health Agency. Prior to Bono, Army Major General Steve Jones had commanded the force since March 2011. Prior to Jones, Navy Vice Admiral John Mateczun, MD, BRAC consolidated four NCR inpatient hospitals into two. To date, this was the most complex and largest Base Realignment, the end result for the combined projects at the Walter Reed National Military Medical Center and Fort Belvoir Community Hospital was $2. Joint Military Treatment Facilities provide the foundation for the NCR Medical Integrated Delivery System and this is the DoD’s first foray into a multi-service system under a single authority. JTF CapMed has both operational and fiscal control over both – WRNMMC & FBCH, as well as control over the 32 medical clinics within the National Capital Region. This pertains to a staff of more than 9,700, in March 2012, Army Major General Steve Jones, became the acting Commander of JTF CapMed, having most recently served as the Deputy Commander for JTF CapMed. U. S. Army, Fort Belvoir Community Hospital, Kimbrough Ambulatory Care Center, Dunham U. S. Health Clinic, Barquist Army Health Clinic, Kirk U. S. Army Health Clinic, Fairfax Health Center, Rader Army Health Clinic, DiLorenzo TRICARE Health Clinic, Dumfries Health Center U. S. S. Bethesda braces for mega hospital and traffic nightmare 05/2008 The Journal COs Column 04/24/08 The Journal COs Column 04/17/08 The Journal COs Column 04/03/08 Washington Post U. S
2.
Bethesda, Maryland
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Bethesda is a census-designated place in southern Montgomery County, Maryland, United States, located just northwest of the U. S. capital of Washington, D. C. It takes its name from a church, the Bethesda Meeting House. In Aramaic, ܒܝܬ ܚܣܕܐ beth ḥesda means House of Mercy and in Hebrew, the National Institutes of Health main campus and the Walter Reed National Military Medical Center are in Bethesda, as are a number of corporate and government headquarters. In 2014 it placed first in Forbes list of Americas most educated small towns, as an unincorporated area, Bethesda has no official boundaries. The United States Census Bureau defines a place named Bethesda whose center is located at 38°59′N 77°7′W. The United States Geological Survey has defined Bethesda as an area whose center is at 38°58′50″N 77°6′2″W, other definitions are used by the Bethesda Urban Planning District, the United States Postal Service, and other organizations. According to estimates released by the U. S. Census Bureau in 2013, Most of Bethesdas residents are in Maryland Legislative District 16. Bethesda is situated along a thoroughfare that was originally the route of an ancient Native American trail. Henry Fleet, an English fur trader, was the first European to travel to the area, Most early settlers in Maryland were tenant farmers who paid their rent in tobacco. A small settlement grew around a store and tollhouse along the turnpike, by 1862, the community was known as Darcys Store after the owner of a local establishment, William E. Darcy. The church burned in 1849 and was rebuilt the same year about 100 yards south at its present site. Throughout most of the 19th century, Bethesda never developed beyond a small village, consisting of a post office, a blacksmith shop, a church and school. It was not until the installation of a line in 1890. Until that time, dependence on proximity to rail lines insulated Bethesda from growth, the arrival of the personal automobile ended this dependency, and Bethesda planners grew the community with the newest transportation revolution in mind. Subdivisions began to appear on old farmland, becoming the neighborhoods of Drummond, Woodmont, Edgemoor, further north, several wealthy men made Rockville Pike famous for its mansions. These included Brainard W. Parker, James Oyster, George E. Hamilton, wilson, Gilbert Hovey Grosvenor, and George Freeland Peter. In 1930, Dr Armistead Peters pioneering manor house Winona became the clubhouse of the original Woodmont Country Club, merle Thorpes mansion, Pooks Hill —on the site of the current neighborhood of the same name—became the home-in-exile of the Norwegian Royal Family during World War II. That war, and the expansion of government that it created, both the National Naval Medical Center and the NIH complex were built just to the north of the developing downtown
3.
Maryland
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The states largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, the state is named after Henrietta Maria of France, the wife of Charles I of England. George Calvert was the first Lord of Baltimore and the first English proprietor of the colonial grant. Maryland was the state to ratify the United States Constitution. Maryland is one of the smallest U. S. states in terms of area, as well as one of the most densely populated, Maryland has an area of 12,406.68 square miles and is comparable in overall area with Belgium. It is the 42nd largest and 9th smallest state and is closest in size to the state of Hawaii, the next largest state, its neighbor West Virginia, is almost twice the size of Maryland. Maryland possesses a variety of topography within its borders, contributing to its nickname America in Miniature. The mid-portion of this border is interrupted by Washington, D. C. which sits on land that was part of Montgomery and Prince Georges counties and including the town of Georgetown. This land was ceded to the United States Federal Government in 1790 to form the District of Columbia, the Chesapeake Bay nearly bisects the state and the counties east of the bay are known collectively as the Eastern Shore. Close to the town of Hancock, in western Maryland, about two-thirds of the way across the state. This geographical curiosity makes Maryland the narrowest state, bordered by the Mason–Dixon line to the north, portions of Maryland are included in various official and unofficial geographic regions. Much of the Baltimore–Washington corridor lies just south of the Piedmont in the Coastal Plain, earthquakes in Maryland are infrequent and small due to the states distance from seismic/earthquake zones. The M5.8 Virginia earthquake in 2011 was felt moderately throughout Maryland, buildings in the state are not well-designed for earthquakes and can suffer damage easily. The lack of any glacial history accounts for the scarcity of Marylands natural lakes, laurel Oxbow Lake is an over one-hundred-year-old 55-acre natural lake two miles north of Maryland City and adjacent to Russett. Chews Lake is a natural lake two miles south-southeast of Upper Marlboro. There are numerous lakes, the largest of them being the Deep Creek Lake. Maryland has shale formations containing natural gas, where fracking is theoretically possible, as is typical of states on the East Coast, Marylands plant life is abundant and healthy. Middle Atlantic coastal forests, typical of the southeastern Atlantic coastal plain, grow around Chesapeake Bay, moving west, a mixture of Northeastern coastal forests and Southeastern mixed forests cover the central part of the state
4.
Health system
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There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. In some countries, health system planning is distributed among market participants, however, health care planning has been described as often evolutionary rather than revolutionary. According to WHO, healthcare systems goals are good health for the citizens, responsiveness to the expectations of the population, progress towards them depends on how systems carry out four vital functions, provision of health care services, resource generation, financing, and stewardship. Other dimensions for the evaluation of systems include quality, efficiency, acceptability. They have also described in the United States as the five Cs, Cost, Coverage, Consistency, Complexity. Also, continuity of care is a major goal. Often health system has been defined with a reductionist perspective, for reducing it to healthcare system. In many publications, for example, both expressions are used interchangeably, the World Health Organization defines health systems as follows, A health system consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health. This includes efforts to influence determinants of health as well as more direct health-improving activities, a health system is therefore more than the pyramid of publicly owned facilities that deliver personal health services. It includes inter-sectoral action by staff, for example, encouraging the ministry of education to promote female education. Healthcare providers are institutions or individuals providing healthcare services and they may also work outside of direct patient care such as in a government health department or other agency, medical laboratory, or health training institution. One study based on data from the OECD concluded that all types of health care finance are compatible with an efficient health system, the study also found no relationship between financing and cost control. The term health insurance is used to describe a form of insurance that pays for medical expenses. It is sometimes used broadly to include insurance covering disability or long-term nursing or custodial care needs. It may be provided through an insurance program, or from private insurance companies. It may be obtained on a basis or purchased by individual consumers. In each case premiums or taxes protect the insured from high or unexpected health care expenses, the benefit is typically administered by a government agency, a non-profit health fund or a corporation operating seeking to make a profit. Many government schemes also have co-payment schemes but exclusions are rare because of political pressure, the larger insurance schemes may also negotiate fees with providers
5.
United States Armed Forces
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The United States Armed Forces are the federal armed forces of the United States. They consist of the Army, Marine Corps, Navy, Air Force, from the time of its inception, the military played a decisive role in the history of the United States. A sense of unity and identity was forged as a result of victory in the First Barbary War. Even so, the Founders were suspicious of a permanent military force and it played an important role in the American Civil War, where leading generals on both sides were picked from members of the United States military. Not until the outbreak of World War II did a standing army become officially established. The National Security Act of 1947, adopted following World War II and during the Cold Wars onset, the U. S. military is one of the largest militaries in terms of number of personnel. It draws its personnel from a pool of paid volunteers. As of 2016, the United States spends about $580.3 billion annually to fund its military forces, put together, the United States constitutes roughly 40 percent of the worlds military expenditures. For the period 2010–14, the Stockholm International Peace Research Institute found that the United States was the worlds largest exporter of major arms, the United States was also the worlds eighth largest importer of major weapons for the same period. The history of the U. S. military dates to 1775 and these forces demobilized in 1784 after the Treaty of Paris ended the War for Independence. All three services trace their origins to the founding of the Continental Army, the Continental Navy, the United States President is the U. S. militarys commander-in-chief. Rising tensions at various times with Britain and France and the ensuing Quasi-War and War of 1812 quickened the development of the U. S. Navy, the reserve branches formed a military strategic reserve during the Cold War, to be called into service in case of war. Time magazines Mark Thompson has suggested that with the War on Terror, Command over the armed forces is established in the United States Constitution. The sole power of command is vested in the President by Article II as Commander-in-Chief, the Constitution also allows for the creation of executive Departments headed principal officers whose opinion the President can require. This allowance in the Constitution formed the basis for creation of the Department of Defense in 1947 by the National Security Act, the Defense Department is headed by the Secretary of Defense, who is a civilian and member of the Cabinet. The Defense Secretary is second in the chain of command, just below the President. Together, the President and the Secretary of Defense comprise the National Command Authority, to coordinate military strategy with political affairs, the President has a National Security Council headed by the National Security Advisor. The collective body has only power to the President
6.
Hospital
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A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the hospital, which typically has an emergency department to treat urgent health problems ranging from fire. A district hospital typically is the health care facility in its region, with large numbers of beds for intensive care. Specialised hospitals can help reduce health care costs compared to general hospitals, a teaching hospital combines assistance to people with teaching to medical students and nurses. The medical facility smaller than a hospital is called a clinic. Hospitals have a range of departments and specialist units such as cardiology, some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy, pathology, and radiology, Hospitals are usually funded by the public sector, by health organisations, by health insurance companies, or by charities, including direct charitable donations. Historically, hospitals were founded and funded by religious orders, or by charitable individuals. During the Middle Ages, hospitals served different functions from modern institutions, Middle Ages hospitals were almshouses for the poor, hostels for pilgrims, or hospital schools. The word hospital comes from the Latin hospes, signifying a stranger or foreigner, another noun derived from this, hospitium came to signify hospitality, that is the relation between guest and shelterer, hospitality, friendliness, and hospitable reception. By metonymy the Latin word then came to mean a guest-chamber, guests lodging, hospes is thus the root for the English words host hospitality, hospice, hostel and hotel. The German word Spital shares similar roots, the grammar of the word differs slightly depending on the dialect. Some patients go to a hospital just for diagnosis, treatment, or therapy and then leave without staying overnight, while others are admitted and stay overnight or for several days or weeks or months. Hospitals usually are distinguished from other types of facilities by their ability to admit and care for inpatients whilst the others. Larger cities may have several hospitals of varying sizes and facilities, some hospitals, especially in the United States and Canada, have their own ambulance service. A district hospital typically is the health care facility in its region, with large numbers of beds for intensive care. In California, district hospital refers specifically to a class of healthcare facility created shortly after World War II to address a shortage of beds in many local communities. Twenty-eight of Californias rural hospitals and 20 of its critical-access hospitals are District hospitals, Californias District hospitals are formed by local municipalities, have Boards that are individually elected by their local communities, and exist to serve local needs
7.
University
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A university is an institution of higher education and research which grants academic degrees in various academic disciplines. Universities typically provide undergraduate education and postgraduate education, the word university is derived from the Latin universitas magistrorum et scholarium, which roughly means community of teachers and scholars. Universities were created in Italy and evolved from Cathedral schools for the clergy during the High Middle Ages, the original Latin word universitas refers in general to a number of persons associated into one body, a society, company, community, guild, corporation, etc. Like other guilds, they were self-regulating and determined the qualifications of their members, an important idea in the definition of a university is the notion of academic freedom. The first documentary evidence of this comes from early in the life of the first university, the University of Bologna adopted an academic charter, the Constitutio Habita, in 1158 or 1155, which guaranteed the right of a traveling scholar to unhindered passage in the interests of education. Today this is claimed as the origin of academic freedom and this is now widely recognised internationally - on 18 September 1988,430 university rectors signed the Magna Charta Universitatum, marking the 900th anniversary of Bolognas foundation. The number of universities signing the Magna Charta Universitatum continues to grow, the university is generally regarded as a formal institution that has its origin in the Medieval Christian setting. The earliest universities were developed under the aegis of the Latin Church by papal bull as studia generalia and it is possible, however, that the development of cathedral schools into universities was quite rare, with the University of Paris being an exception. Later they were founded by Kings or municipal administrations. In the early period, most new universities were founded from pre-existing schools. Many historians state that universities and cathedral schools were a continuation of the interest in learning promoted by monasteries, the first universities in Europe with a form of corporate/guild structure were the University of Bologna, the University of Paris, and the University of Oxford. The students had all the power … and dominated the masters, princes and leaders of city governments perceived the potential benefits of having a scholarly expertise develop with the ability to address difficult problems and achieve desired ends. The emergence of humanism was essential to understanding of the possible utility of universities as well as the revival of interest in knowledge gained from ancient Greek texts. The rediscovery of Aristotles works–more than 3000 pages of it would eventually be translated–fuelled a spirit of inquiry into natural processes that had begun to emerge in the 12th century. Some scholars believe that these represented one of the most important document discoveries in Western intellectual history. Richard Dales, for instance, calls the discovery of Aristotles works a turning point in the history of Western thought and this became the primary mission of lecturers, and the expectation of students. The university culture developed differently in northern Europe than it did in the south, Latin was the language of the university, used for all texts, lectures, disputations and examinations. Professors lectured on the books of Aristotle for logic, natural philosophy, and metaphysics, while Hippocrates, Galen, outside of these commonalities, great differences separated north and south, primarily in subject matter
8.
Emergency department
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The emergency department is usually found in a hospital or other primary care center. In some countries, emergency departments have become important entry points for those without means of access to medical care. The emergency departments of most hospitals operate 24 hours a day, griswold also equipped police and fire vehicles with medical supplies and trained officers to give emergency care while en route to the hospital. Today, a hospital has its emergency department in its own section of the ground floor of the grounds. As patients can present at any time and with any complaint, triage is normally the first stage the patient passes through, and consists of a brief assessment, including a set of vital signs, and the assignment of a chief complaint. Most emergency departments have an area for this process to take place. Most patients will be assessed at triage and then passed to another area of the department, or another area of the hospital. Conversely, patients with serious conditions, such as cardiac arrest, will bypass triage altogether. The resuscitation area, commonly referred to as Trauma or Resus, is a key area in most departments, the most seriously ill or injured patients will be dealt with in this area, as it contains the equipment and staff required for dealing with immediately life-threatening illnesses and injuries. Typical resuscitation staffing involves at least one attending physician, and at least one and these personnel may be assigned to the resuscitation area for the entirety of the shift, or may be on call for resuscitation coverage. Examples of majors include chest pain, difficulty breathing, abdominal pain, Advanced diagnostic testing may be conducted at this stage, including laboratory testing of blood and/or urine, ultrasonography, CT or MRI scanning. Medications appropriate to manage the condition will also be given. Depending on underlying causes of the chief complaint, he or she may be discharged home from this area or admitted to the hospital for further treatment. Patients whose condition is not immediately life-threatening will be sent to an area suitable to deal with them, such patients may still have been found to have significant problems, including fractures, dislocations, and lacerations requiring suturing. Children can present particular challenges in treatment, many hospitals have a separate area for evaluation of psychiatric problems. These are often staffed by psychiatrists and mental health nurses and social workers, there is typically at least one room for people who are actively a risk to themselves or others. Fast decisions on life-and-death cases are critical in emergency rooms. As a result, doctors face great pressures to overtest and overtreat, other common variations include emergency ward, emergency centre or emergency unit
9.
Trauma center
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A trauma center is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to a department without the presence of specialized services to care for victims of major trauma. Official designation as a center is determined by individual state law provisions. Trauma centers vary in their capabilities and are identified by Level designation, Level-I being the highest. Lower levels of trauma centers may only be able to provide care and stabilization of a traumatic injury. The operation of a center is extremely expensive. Some areas—especially rural regions—are under-served by trauma centers because of this expense, as there is no way to schedule the need for emergency services, patient traffic at trauma centers can vary widely. A variety of methods have developed for dealing with this. A trauma center will often have a helipad for receiving patients that have been airlifted to the hospital, the trauma level certification can directly affect the patients outcome and determine if the patient needs to be transferred to a higher level trauma center. By 1947, the hospital had three teams, each including two surgeons and an anaesthesiologist, and a burns team with three surgeons. The hospital became part of the National Health Service on its formation in July 1948, according to the CDC, injuries are the leading cause of death for American children and adults ages 1–44. The leading causes of trauma are motor vehicle collisions, falls, in the United States, Drs. Robert J. Baker and Robet J. Freeark established the first civilian Shock Trauma Unit at Cook County Hospital in Chicago, IL on March 16,1966. The R Adams Cowley Shock Trauma Center is one of the first shock trauma centers in the world, Cook County Hospital in Chicago trauma center. Dr. David R. Boyd interned at Cook County Hospital from 1963 to 1964 before being drafted into the United States Army. Upon his release from the Army, Dr. Boyd became the first shock-trauma fellow at the R Adams Cowley Shock Trauma Center, Boyd returned to Cook County Hospital, where he would later serve as resident director of the Cook County Trauma Unit. In the United States, trauma centers are ranked by the American College of Surgeons, the different levels refer to the types of resources available in a trauma center and the number of patients admitted yearly. These are categories that define national standards for care in hospitals. Level I and Level II designations are also given adult and or pediatric designations, additionally, some states have their own trauma-center rankings separate from the ACS
10.
National Register of Historic Places
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The National Register of Historic Places is the United States federal governments official list of districts, sites, buildings, structures, and objects deemed worthy of preservation. The passage of the National Historic Preservation Act in 1966 established the National Register, of the more than one million properties on the National Register,80,000 are listed individually. The remainder are contributing resources within historic districts, each year approximately 30,000 properties are added to the National Register as part of districts or by individual listings. For most of its history the National Register has been administered by the National Park Service and its goals are to help property owners and interest groups, such as the National Trust for Historic Preservation, coordinate, identify, and protect historic sites in the United States. While National Register listings are mostly symbolic, their recognition of significance provides some financial incentive to owners of listed properties, protection of the property is not guaranteed. During the nomination process, the property is evaluated in terms of the four criteria for inclusion on the National Register of Historic Places, the application of those criteria has been the subject of criticism by academics of history and preservation, as well as the public and politicians. Occasionally, historic sites outside the proper, but associated with the United States are also listed. Properties can be nominated in a variety of forms, including individual properties, historic districts, the Register categorizes general listings into one of five types of properties, district, site, structure, building, or object. National Register Historic Districts are defined geographical areas consisting of contributing and non-contributing properties, some properties are added automatically to the National Register when they become administered by the National Park Service. These include National Historic Landmarks, National Historic Sites, National Historical Parks, National Military Parks/Battlefields, National Memorials, on October 15,1966, the Historic Preservation Act created the National Register of Historic Places and the corresponding State Historic Preservation Offices. Initially, the National Register consisted of the National Historic Landmarks designated before the Registers creation, approval of the act, which was amended in 1980 and 1992, represented the first time the United States had a broad-based historic preservation policy. To administer the newly created National Register of Historic Places, the National Park Service of the U. S. Department of the Interior, hartzog, Jr. established an administrative division named the Office of Archeology and Historic Preservation. Hartzog charged OAHP with creating the National Register program mandated by the 1966 law, ernest Connally was the Offices first director. Within OAHP new divisions were created to deal with the National Register, the first official Keeper of the Register was William J. Murtagh, an architectural historian. During the Registers earliest years in the late 1960s and early 1970s, organization was lax and SHPOs were small, understaffed, and underfunded. A few years later in 1979, the NPS history programs affiliated with both the U. S. National Parks system and the National Register were categorized formally into two Assistant Directorates. Established were the Assistant Directorate for Archeology and Historic Preservation and the Assistant Directorate for Park Historic Preservation, from 1978 until 1981, the main agency for the National Register was the Heritage Conservation and Recreation Service of the United States Department of the Interior. In February 1983, the two assistant directorates were merged to promote efficiency and recognize the interdependency of their programs, jerry L. Rogers was selected to direct this newly merged associate directorate
11.
Geographic coordinate system
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A geographic coordinate system is a coordinate system used in geography that enables every location on Earth to be specified by a set of numbers, letters or symbols. The coordinates are chosen such that one of the numbers represents a vertical position. A common choice of coordinates is latitude, longitude and elevation, to specify a location on a two-dimensional map requires a map projection. The invention of a coordinate system is generally credited to Eratosthenes of Cyrene. Ptolemy credited him with the adoption of longitude and latitude. Ptolemys 2nd-century Geography used the prime meridian but measured latitude from the equator instead. Mathematical cartography resumed in Europe following Maximus Planudes recovery of Ptolemys text a little before 1300, in 1884, the United States hosted the International Meridian Conference, attended by representatives from twenty-five nations. Twenty-two of them agreed to adopt the longitude of the Royal Observatory in Greenwich, the Dominican Republic voted against the motion, while France and Brazil abstained. France adopted Greenwich Mean Time in place of local determinations by the Paris Observatory in 1911, the latitude of a point on Earths surface is the angle between the equatorial plane and the straight line that passes through that point and through the center of the Earth. Lines joining points of the same latitude trace circles on the surface of Earth called parallels, as they are parallel to the equator, the north pole is 90° N, the south pole is 90° S. The 0° parallel of latitude is designated the equator, the plane of all geographic coordinate systems. The equator divides the globe into Northern and Southern Hemispheres, the longitude of a point on Earths surface is the angle east or west of a reference meridian to another meridian that passes through that point. All meridians are halves of great ellipses, which converge at the north and south poles, the prime meridian determines the proper Eastern and Western Hemispheres, although maps often divide these hemispheres further west in order to keep the Old World on a single side. The antipodal meridian of Greenwich is both 180°W and 180°E, the combination of these two components specifies the position of any location on the surface of Earth, without consideration of altitude or depth. The grid formed by lines of latitude and longitude is known as a graticule, the origin/zero point of this system is located in the Gulf of Guinea about 625 km south of Tema, Ghana. To completely specify a location of a feature on, in, or above Earth. Earth is not a sphere, but a shape approximating a biaxial ellipsoid. It is nearly spherical, but has an equatorial bulge making the radius at the equator about 0. 3% larger than the radius measured through the poles, the shorter axis approximately coincides with the axis of rotation
12.
United States
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Forty-eight of the fifty states and the federal district are contiguous and located in North America between Canada and Mexico. The state of Alaska is in the northwest corner of North America, bordered by Canada to the east, the state of Hawaii is an archipelago in the mid-Pacific Ocean. The U. S. territories are scattered about the Pacific Ocean, the geography, climate and wildlife of the country are extremely diverse. At 3.8 million square miles and with over 324 million people, the United States is the worlds third- or fourth-largest country by area, third-largest by land area. It is one of the worlds most ethnically diverse and multicultural nations, paleo-Indians migrated from Asia to the North American mainland at least 15,000 years ago. European colonization began in the 16th century, the United States emerged from 13 British colonies along the East Coast. Numerous disputes between Great Britain and the following the Seven Years War led to the American Revolution. On July 4,1776, during the course of the American Revolutionary War, the war ended in 1783 with recognition of the independence of the United States by Great Britain, representing the first successful war of independence against a European power. The current constitution was adopted in 1788, after the Articles of Confederation, the first ten amendments, collectively named the Bill of Rights, were ratified in 1791 and designed to guarantee many fundamental civil liberties. During the second half of the 19th century, the American Civil War led to the end of slavery in the country. By the end of century, the United States extended into the Pacific Ocean. The Spanish–American War and World War I confirmed the status as a global military power. The end of the Cold War and the dissolution of the Soviet Union in 1991 left the United States as the sole superpower. The U. S. is a member of the United Nations, World Bank, International Monetary Fund, Organization of American States. The United States is a developed country, with the worlds largest economy by nominal GDP. It ranks highly in several measures of performance, including average wage, human development, per capita GDP. While the U. S. economy is considered post-industrial, characterized by the dominance of services and knowledge economy, the United States is a prominent political and cultural force internationally, and a leader in scientific research and technological innovations. In 1507, the German cartographer Martin Waldseemüller produced a map on which he named the lands of the Western Hemisphere America after the Italian explorer and cartographer Amerigo Vespucci
13.
National Institutes of Health
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The National Institutes of Health is a biomedical research facility primarily located in Bethesda, Maryland. An agency of the United States Department of Health and Human Services, it is the agency of the United States government responsible for biomedical. The NIH comprises 27 separate institutes and centers that conduct research in different disciplines of biomedical science, NIHs roots extend back to a Marine Hospital Service in the late 1790s that provided medical relief to sick and disabled men in the U. S. Navy. By 1870, a network of hospitals had developed and was placed under the charge of a medical officer within the Bureau of the Treasury Department. In 1887 a laboratory for the study of bacteria, the Hygienic Laboratory, was established at the Marine Hospital in New York, in the early 1900s, Congress began appropriating funds for the Marine Hospital Service. By 1922, this changed its name to Public Health Services. This marked the beginning of a partnership with universities, in 1930, the Hygienic Laboratory was re-designated as the National Institute of Health by the Ransdell Act and was given $750,000 to construct two NIH buildings. Over the next few decades, Congress would increase its funding tremendously to the NIH, in 1944, the Public Health Service Act was approved, and National Cancer Institute became a division of NIH. In 1948, the changed from National Institute of Health to National Institutes of Health. In the 1960s prominent virologist and cancer researcher Chester M. Southam injected HeLa cancer cells into patients at the Jewish Chronic Disease Hospital, when three doctors resigned after refusing to inject patients without their consent, this experiment gained considerable media attention. The NIH was a source of funding for Southam’s research and had required all research involving human subjects to obtain their consent prior to any experimentation. }Upon investigating all of their grantee institutions. From then on, the NIH has required all grantee institutions to approve any research involving human experimentation with review boards. In 1967 the Division of Regional Medical Programs was created to administer grants for research for heart disease, cancer, and strokes. That same year, the NIH director lobbied the White House for increased funding in order to increase research. An advisory committee was formed to further development of the NIH. The funding of NIH has often been a source of contention in Congress and this contention was seen most dramatically during the 1980s, when President Reagan repeatedly tried to cut funding for research, only to see Congress partly restore funding. But it was not until July 1987, as NIH celebrated its 100th anniversary, by the 1990s, the focus of the NIH committee had shifted to DNA research, and the Human Genome Project was launched. In 2009, President Obama reinstated federally funded research, revoking the ban imposed by President Bush in 2001
14.
Washington, D.C.
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Washington, D. C. formally the District of Columbia and commonly referred to as Washington, the District, or simply D. C. is the capital of the United States. The signing of the Residence Act on July 16,1790, Constitution provided for a federal district under the exclusive jurisdiction of the Congress and the District is therefore not a part of any state. The states of Maryland and Virginia each donated land to form the federal district, named in honor of President George Washington, the City of Washington was founded in 1791 to serve as the new national capital. In 1846, Congress returned the land ceded by Virginia, in 1871. Washington had an population of 681,170 as of July 2016. Commuters from the surrounding Maryland and Virginia suburbs raise the population to more than one million during the workweek. The Washington metropolitan area, of which the District is a part, has a population of over 6 million, the centers of all three branches of the federal government of the United States are in the District, including the Congress, President, and Supreme Court. Washington is home to national monuments and museums, which are primarily situated on or around the National Mall. The city hosts 176 foreign embassies as well as the headquarters of international organizations, trade unions, non-profit organizations, lobbying groups. A locally elected mayor and a 13‑member council have governed the District since 1973, However, the Congress maintains supreme authority over the city and may overturn local laws. D. C. residents elect a non-voting, at-large congressional delegate to the House of Representatives, the District receives three electoral votes in presidential elections as permitted by the Twenty-third Amendment to the United States Constitution, ratified in 1961. Various tribes of the Algonquian-speaking Piscataway people inhabited the lands around the Potomac River when Europeans first visited the area in the early 17th century, One group known as the Nacotchtank maintained settlements around the Anacostia River within the present-day District of Columbia. Conflicts with European colonists and neighboring tribes forced the relocation of the Piscataway people, some of whom established a new settlement in 1699 near Point of Rocks, Maryland. 43, published January 23,1788, James Madison argued that the new government would need authority over a national capital to provide for its own maintenance. Five years earlier, a band of unpaid soldiers besieged Congress while its members were meeting in Philadelphia, known as the Pennsylvania Mutiny of 1783, the event emphasized the need for the national government not to rely on any state for its own security. However, the Constitution does not specify a location for the capital, on July 9,1790, Congress passed the Residence Act, which approved the creation of a national capital on the Potomac River. The exact location was to be selected by President George Washington, formed from land donated by the states of Maryland and Virginia, the initial shape of the federal district was a square measuring 10 miles on each side, totaling 100 square miles. Two pre-existing settlements were included in the territory, the port of Georgetown, Maryland, founded in 1751, many of the stones are still standing
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Washington metropolitan area
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The Washington metropolitan area is the metropolitan area centered on Washington, D. C. the capital of the United States. The area includes all of the district and parts of the U. S. states of Maryland and Virginia. The Washington metropolitan area is one of the most educated and most affluent metropolitan areas in the United States, the regions three largest cities are the federal territory of Washington, D. C. the county of Arlington, and the independent city of Alexandria. The area is sometimes referred to as the National Capital Region. Another term used to describe the region is the D. C, the area is increasingly referred to as the DMV, a shorthand for the District of Columbia, Maryland, and Virginia. The area in the region that is surrounded by Interstate 495 is also referred to as being inside the Beltway. The city of Washington, which is at the center of the area, is referred to as the District because it is the federal District of Columbia, the Virginian portion of the region is known as Northern Virginia. Senate, and the U. S. House of Representatives, the National Capital Region Transportation Planning Board, a component of MWCOG, is the federally designated metropolitan planning organization for the metropolitan Washington area. The area has been a magnet for international immigration since the late 1960s and it is also a magnet for internal migration. Census estimates show that persons of post-1965 immigrant stock will likely represent 25% of the population by 2010. Forbes magazine stated in its 2008 Americas Best- And Worst-Educated Cities report, The D. C. area is less than half the size of L. A. but both cities have around 100,000 Ph. D. s. In the 21st century, the Washington metropolitan area has overtaken the San Francisco Bay Area as the metropolitan area in the nation. The median household income of the region is US$72,800, census Bureau, the Bureau of Labor Statistics, Claritas Inc. and other sources. A Dice. com report showed that the Washington–Baltimore area had the second-highest number of tech jobs listed,8,289, changes in house prices for the D. C. S. residential real estate market. McLean ZIP code 22102 had the highest median home prices among ZIP codes within the Washington metropolitan area as of 2013, asian Americans had the highest median net worth in the Washington area. Although the median net worth for white D. C. -area households was 81 times that of black D. C. -area households, defense contracting Many defense contractors are based in the region to be close to the Pentagon in Arlington. Tourism Tourism is a significant industry in the Washington metropolitan region, the convention industry is also significant, in 2016, D. C. hosted fifteen city-wide conventions with an estimated total economic impact of $277.9 million. Fort Lee gained 7,344 mostly military employees, fort Meade gained 5,361 employees, primarily as a result of the expansion of the National Security Agency
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Walter Reed Army Medical Center
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The Walter Reed Army Medical Center — known as Walter Reed General Hospital until 1951 — was the U. S. Armys flagship medical center from 1909 to 2011. Located on 113 acres in Washington, D. C. it served more than 150,000 active, the center was named after Major Walter Reed, an army physician who led the team that confirmed that yellow fever is transmitted by mosquitoes rather than direct contact. Since its origins, the WRAMC medical care facility grew from a bed capacity of 80 patients to approximately 5,500 rooms covering more than 28 acres of floor space. WRAMC combined with the National Naval Medical Center at Bethesda, Maryland in 2011 to form the tri-service Walter Reed National Military Medical Center and its position at the confluence of the Anacostia River and the Potomac River made it an excellent site for the defense of the nations capital. Dating back to 1791, the post served as an arsenal, played an important role in the nations defense, today, Fort McNair enjoys a strong tradition as the intellectual headquarters for defense. It is reported that Walter Reed lived and worked in the facility when he was assigned as Camp Surgeon from 1881 to 1882, after having served on other assignments, he returned as Professor of Medicine and Curator of the Army Medical Museum. Some of his work included studies at Washington Barracks. Regarding the structure itself, since the 1890s the health clinic was used as an Army General Hospital where physicians, corpsmen, in 1899, the morgue was constructed which now houses the Dental Clinic, and in 1901 the hospital became an entirely separate command. This new organizational command relocated eight years later with the aide of horse-drawn wagons, having departed Ft. McNair, the organization has since developed into the Walter Reed Army Medical Center that we know today. As for the facility they left behind at Fort McNair, it functioned in a role as a post hospital until 1911 when the west wing was converted into a clinic. Congressional legislation appropriated $192,000 for the construction of Walter Reed General Hospital, lieutenant Colonel William Cline Borden was the initiator, planner and effective mover for the creation, location, and first Congressional support of the Medical Center. Due to his efforts, the facility was nicknamed Bordens Dream, in 1923, General John J. Pershing signed the War Department order creating the Army Medical Center within the same campus as the WRGH. Pershing lived at Walter Reed from 1944 until his death there July 15,1948, in June 1955, the Armed Forces Institute of Pathology occupied the new Building 54 and, in November, what had been MDPSS was renamed the Walter Reed Army Institute of Research. 1964 saw the birth of the Walter Reed Army Institute of Nursing, former President Dwight D. Eisenhower died at WRAMC on March 28,1969. Starting in 1972, a huge new WRAMC building was constructed, WRAIR moved from Building 40 to a large new facility on the WRAMC Forest Glen Annex in Maryland in 1999. Subsequently, Building 40 was slated for renovation under an enhanced use lease by a private developer, in February 2007, The Washington Post published a series of investigative articles outlining cases of alleged neglect at WRAMC as reported by outpatient soldiers and their family. Kiley, hospital commander from 2002 to 2004, Congressional committee hearings were called and numerous politicians weighed in on the matter including President George W. Bush, who had appointed Harvey and Vice-President Dick Cheney. Several independent governmental investigations are ongoing and the controversy has spread to other health facilities
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Walter Reed
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This insight gave impetus to the new fields of epidemiology and biomedicine, and most immediately allowed the resumption and completion of work on the Panama Canal by the United States. Reed followed work started by Carlos Finlay and directed by George Miller Sternberg who has called the first U. S. bacteriologist. Walter Reed was born in Gloucester County, Virginia, to Lemuel Sutton Reed and his first wife, during his youth, the family resided at Murfreesboro, North Carolina with his mothers family during his fathers preaching tours. After the American Civil War, Rev. Reed remarried, to Mrs. Mary C. Byrd Kyle of Harrisonburg, Virginia, young Walter enrolled at the University of Virginia. After two years, Reed completed the M. D. degree in 1869, two months before he turned 18 and he was the youngest-ever recipient of an M. D. from the university. After interning at several New York City hospitals, Walter Reed worked for the New York Board of Health until 1875 and he married Emilie Lawrence of North Carolina on April 26,1876 and took her West with him. Later, Emilie would give birth to a son and a daughter, finding his youth limited his influence, and dissatisfied with urban life, Reed joined the U. S. Army Medical Corps. This allowed him both professional opportunities and modest financial security to establish and support a family, after Reed passed a grueling 30-hour examination in 1875, the army medical corps enlisted him as an assistant surgeon. By this time, two of his brothers were working in Kansas, and Walter soon was assigned postings in the American West, Reed noticed the devastation epidemics could wreak and maintained his concerns about sanitary conditions. During one of his last tours, he completed advanced coursework in pathology and bacteriology in the Johns Hopkins University Hospital Pathology Laboratory and these positions also allowed Dr. Reed to break free from the fringes of the medical world. In 1896, Reed first distinguished himself as a medical investigator and he proved that yellow fever among enlisted men stationed near the Potomac River was not a result of drinking the river water. He showed officials that the men who got yellow fever had a habit of taking trails through the local swampy woods at night. Their yellow fever-free fellow officers did not do so, Reed also proved that the local civilians drinking from the Potomac River had no relation to the incidence of the disease. Reed traveled to Cuba to study diseases in U. S. Army encampments there during the Spanish–American War, Yellow fever also became a problem for the Army during this time, felling thousands of soldiers in Cuba. In May 1900, Major Reed returned to Cuba when he was appointed head of the Army board charged by Surgeon General George Miller Sternberg to examine tropical diseases, during Reeds tenure with the U. S. The risky but fruitful work was done with human volunteers, including some of the medical personnel, such as Clara Maass. Reed often cited Finlays papers in his own articles and gave him credit for the discovery, the Cuban physician was a strong advocate of the transmission theory as the cause of yellow fever and discovered the type of mosquito that transmits yellow fever. His unsophisticated experiments that proved this were discounted by many, but were the basis of Reeds research, after Reed returned from Cuba in 1901, he continued to speak and publish on yellow fever
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United States Department of Defense
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The Department is the largest employer in the world, with nearly 1.3 million active duty servicemen and women as of 2016. Adding to its employees are over 801,000 National Guardsmen and Reservists from the four services and it is headquartered at the Pentagon in Arlington, Virginia, just outside of Washington, D. C. The Department of Defense is headed by the Secretary of Defense, Military operations are managed by nine regional or functional Unified Combatant Commands. The Department of Defense also operates several joint services schools, including the National Defense University, the history of the defense of the United States started with the Continental Congress in 1775. The creation of the United States Army was enacted on 14 June 1775 and this coincides with the American holiday Flag Day. The Second Continental Congress would charter the United States Navy, on 13 October 1775, today, both the Navy and the Marine Corps are separate military services subordinate to the Department of the Navy. The Preamble of the United States Constitution gave the authority to federal government, to defend its citizens and this first Congress had a huge agenda, that of creating legislation to build a government for the ages. Legislation to create a military defense force stagnated, two separate times, President George Washington went to Congress to remind them of their duty to establish a military. In a special message to Congress on 19 December 1945, the President cited both wasteful military spending and inter-departmental conflicts, deliberations in Congress went on for months focusing heavily on the role of the military in society and the threat of granting too much military power to the executive. The act placed the National Military Establishment under the control of a single Secretary of Defense, the National Military Establishment formally began operations on 18 September, the day after the Senate confirmed James V. Forrestal as the first Secretary of Defense. The National Military Establishment was renamed the Department of Defense on 10 August 1949, under the Department of Defense Reorganization Act of 1958, channels of authority within the department were streamlined, while still maintaining the authority of the Military Departments. Also provided in this legislation was a centralized authority, the Advanced Research Projects Agency. The Act moved decision-making authority from the Military Departments to the Joint Chiefs of Staff and it also strengthened the command channel of the military over U. S. forces from the President to the Secretary of Defense. Written and promoted by the Eisenhower administration, it was signed into law 6 August 1958, because the Constitution vests all military authority in Congress and the President, the statutory authority of the Secretary of Defense is derived from their constitutional authorities. Department of Defense Directive 5100.01 describes the relationships within the Department. The latest version, signed by former Secretary of Defense Robert Gates in December 2010, is the first major re-write since 1987, the Office of the Secretary of Defense is the Secretary and Deputy Secretarys civilian staff. S. Government departments and agencies, foreign governments, and international organizations, OSD also performs oversight and management of the Defense Agencies and Department of Defense Field Activities. OSD also supervises the following Defense Agencies, Several defense agencies are members of the United States Intelligence Community and these are national-level intelligence services that operate under the jurisdiction of the Department of Defense but simultaneously fall under the authorities of the Director of National Intelligence
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United States Congress
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The United States Congress is the bicameral legislature of the federal government of the United States consisting of two chambers, the Senate and the House of Representatives. The Congress meets in the Capitol in Washington, D. C, both senators and representatives are chosen through direct election, though vacancies in the Senate may be filled by a gubernatorial appointment. Members are usually affiliated to the Republican Party or to the Democratic Party, Congress has 535 voting members,435 Representatives and 100 Senators. The House of Representatives has six non-voting members in addition to its 435 voting members and these members can, however, sit on congressional committees and introduce legislation. Puerto Rico, American Samoa, Guam, the Northern Mariana Islands, the members of the House of Representatives serve two-year terms representing the people of a single constituency, known as a district. Congressional districts are apportioned to states by using the United States Census results. Each state, regardless of population or size, has two senators, currently, there are 100 senators representing the 50 states. Each senator is elected at-large in their state for a term, with terms staggered. The House and Senate are equal partners in the legislative process—legislation cannot be enacted without the consent of both chambers, however, the Constitution grants each chamber some unique powers. The Senate ratifies treaties and approves presidential appointments while the House initiates revenue-raising bills, the House initiates impeachment cases, while the Senate decides impeachment cases. A two-thirds vote of the Senate is required before a person can be forcibly removed from office. The term Congress can also refer to a meeting of the legislature. A Congress covers two years, the current one, the 115th Congress, began on January 3,2017, the Congress starts and ends on the third day of January of every odd-numbered year. Members of the Senate are referred to as senators, members of the House of Representatives are referred to as representatives, congressmen, or congresswomen. One analyst argues that it is not a solely reactive institution but has played a role in shaping government policy and is extraordinarily sensitive to public pressure. Several academics described Congress, Congress reflects us in all our strengths, Congress is the governments most representative body. Congress is essentially charged with reconciling our many points of view on the public policy issues of the day. —Smith, Roberts, and Wielen Congress is constantly changing and is constantly in flux, most incumbents seek re-election, and their historical likelihood of winning subsequent elections exceeds 90 percent
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President of the United States
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The President of the United States is the head of state and head of government of the United States. The president directs the executive branch of the government and is the commander-in-chief of the United States Armed Forces. The president is considered to be one of the worlds most powerful political figures, the role includes being the commander-in-chief of the worlds most expensive military with the second largest nuclear arsenal and leading the nation with the largest economy by nominal GDP. The office of President holds significant hard and soft power both in the United States and abroad, Constitution vests the executive power of the United States in the president. The president is empowered to grant federal pardons and reprieves. The president is responsible for dictating the legislative agenda of the party to which the president is a member. The president also directs the foreign and domestic policy of the United States, since the office of President was established in 1789, its power has grown substantially, as has the power of the federal government as a whole. However, nine vice presidents have assumed the presidency without having elected to the office. The Twenty-second Amendment prohibits anyone from being elected president for a third term, in all,44 individuals have served 45 presidencies spanning 57 full four-year terms. On January 20,2017, Donald Trump was sworn in as the 45th, in 1776, the Thirteen Colonies, acting through the Second Continental Congress, declared political independence from Great Britain during the American Revolution. The new states, though independent of each other as nation states, desiring to avoid anything that remotely resembled a monarchy, Congress negotiated the Articles of Confederation to establish a weak alliance between the states. Out from under any monarchy, the states assigned some formerly royal prerogatives to Congress, only after all the states agreed to a resolution settling competing western land claims did the Articles take effect on March 1,1781, when Maryland became the final state to ratify them. In 1783, the Treaty of Paris secured independence for each of the former colonies, with peace at hand, the states each turned toward their own internal affairs. Prospects for the convention appeared bleak until James Madison and Edmund Randolph succeeded in securing George Washingtons attendance to Philadelphia as a delegate for Virginia. It was through the negotiations at Philadelphia that the presidency framed in the U. S. The first power the Constitution confers upon the president is the veto, the Presentment Clause requires any bill passed by Congress to be presented to the president before it can become law. Once the legislation has been presented, the president has three options, Sign the legislation, the bill becomes law. Veto the legislation and return it to Congress, expressing any objections, in this instance, the president neither signs nor vetoes the legislation
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Franklin D. Roosevelt
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Franklin Delano Roosevelt, commonly known as FDR, was an American statesman and political leader who served as the 32nd President of the United States from 1933 until his death in 1945. A Democrat, he won a record four presidential elections and emerged as a figure in world events during the mid-20th century. He directed the United States government during most of the Great Depression and he is often rated by scholars as one of the three greatest U. S. Presidents, along with George Washington and Abraham Lincoln. Roosevelt was born in 1882 to an old, prominent Dutch family from Dutchess County and he attended the elite educational institutions of Groton School, Harvard College, and Columbia Law School. At age 23 in 1905, he married Eleanor Roosevelt, and he entered politics in 1910, serving in the New York State Senate, and then as Assistant Secretary of the Navy under President Woodrow Wilson. In 1920, Roosevelt was presidential candidate James M. Coxs running mate and he was in office from 1929 to 1933 and served as a reform governor, promoting the enactment of programs to combat the depression besetting the United States at the time. In the 1932 presidential election, Roosevelt defeated incumbent Republican president Herbert Hoover in a landslide to win the presidency, Roosevelt took office while in the United States was in the midst of the worst economic crisis in its history. Energized by his victory over polio, FDR relied on his persistent optimism and activism to renew the national spirit. He created numerous programs to support the unemployed and farmers, and to labor union growth while more closely regulating business. His support for the repeal of Prohibition in 1933 added to his popularity, the economy improved rapidly from 1933–37, but then relapsed into a deep recession in 1937–38. The bipartisan Conservative Coalition that formed in 1937 prevented his packing the Supreme Court, when the war began and unemployment ended, conservatives in Congress repealed the two major relief programs, the WPA and CCC. However, they kept most of the regulations on business, along with several smaller programs, major surviving programs include the Securities and Exchange Commission, the Wagner Act, the Federal Deposit Insurance Corporation and Social Security. His goal was to make America the Arsenal of Democracy, which would supply munitions to the Allies, in March 1941, Roosevelt, with Congressional approval, provided Lend-Lease aid to Britain and China. He supervised the mobilization of the U. S. economy to support the war effort, as an active military leader, Roosevelt implemented a war strategy on two fronts that ended in the defeat of the Axis Powers and initiate the development of the worlds first atomic bomb. His work also influenced the creation of the United Nations. Roosevelts physical health declined during the war years, and he died 11 weeks into his fourth term. One of the oldest Dutch families in New York State, the Roosevelts distinguished themselves in other than politics. One ancestor, Isaac Roosevelt, had served with the New York militia during the American Revolution, Roosevelt attended events of the New York society Sons of the American Revolution, and joined the organization while he was president
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Rear admiral
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Rear admiral is a naval commissioned officer rank above that of a commodore and captain, and below that of a vice admiral. It is generally regarded as the lowest of the admiral ranks, in many navies it is referred to as a two-star rank. It originated from the days of naval sailing squadrons and can trace its origins to the Royal Navy, each naval squadron would be assigned an admiral as its head, who would command from the centre vessel and direct the activities of the squadron. The admiral would in turn be assisted by a vice admiral and this has survived into the modern age, with the rank of rear admiral the most-junior of the admiralty ranks of many navies. In some European navies, and in the Canadian Forces French rank translations, in the German Navy the rank is known as Konteradmiral, superior to the flotilla admiral. In the Royal Netherlands Navy, this rank is known as schout-bij-nacht, denoting the role junior to the squadron admiral, the Royal Australian Navy maintains a rank of rear admiral, refer to Australian Defence Force ranks and insignia. Since the mid-1990s, the insignia of a Royal Australian Navy rear admiral is the Crown of St. Edward above a crossed sword and baton, like the Royal Navy version, the sword is a traditional naval cutlass. The stars have eight points, unlike the four pointed Order of the Bath stars used by the army, prior to 1995, the RAN shoulder board was identical to the Royal Navy shoulder board. The Royal Navy shoulder board changed again in 2001 and the Australian, rear Admiral Robyn Walker AM, RAN became the first female admiral in the Royal Australian Navy when she was appointed Surgeon-General of the Australian Defence Force on 16 December 2011. In the Royal Canadian Navy, the rank of rear-admiral is the Navy rank equivalent to major-general of the Army, a rear-admiral is a flag officer, the naval equivalent of a general officer. A rear-admiral is senior to a commodore and brigadier-general, and junior to a vice-admiral and lieutenant-general, the service dress features a wide strip of gold braid around the cuff and, since June 2010, above it a narrower strip of gold braid embellished with the executive curl. On the visor of the cap are two rows of gold oak leaves. Konteradmiral is an OF-7 two-star rank equivalent to the Generalmajor in the German Army, see also The Guyana Defence Force Coast Guard is the naval component of the Military of Guyana. As such, the ranks of the Coast Guard are naval ranks similar to the practice in the respective Coast Guards of Jamaica and Trinidad, the rank of rear admiral was first awarded to chief of staff commodore Gary Best on August 19,2013. The rank insignia consists of two silver pips with green highlights, beneath a crossed sword and baton, all surmounted by the gold-colored Caciques crown with red, the Indian Navy also maintains a rear admiral rank senior to commodore and captain ranks and junior to vice admiral ranks. The rank insignia for a rear-admiral is two stars beneath crossed sword and baton, all surmounted by Emblem of India, worn on shoulder boards, before Islamic Revolution The Iranian Imperial Navy. After Islamic Revolution The Islamic Republic of Iran Navy, also known as the Iranian Navy, a rear admiral in the Pakistani Navy is a senior and two-star rank naval officer, appointed in higher naval commands. Like most Commonwealth navies, the rear admiral rank is superior to commodore, however, the rank is junior to the three-star rank vice-admiral and four-star rank admiral, who is generally a Chief of Naval Staff of the Navy
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Armistice Day
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The date was declared a national holiday in many allied nations, and coincides with Remembrance Day and Veterans Day, public holidays. The first Armistice Day was held at Buckingham Palace, commencing with King George V hosting a Banquet in Honour of the President of the French Republic during the hours of 10 November 1919. The first official Armistice Day events were held in the grounds of Buckingham Palace on the morning of 11 November 1919. This would set the trend for a day of Remembrance for decades to come, in 1919, South African Sir Percy Fitzpatrick proposed a two-minute silence to Lord Milner. People observe a one or more commonly a two-minute moment of silence at 11,00 a. m. local time, similar ceremonies developed in other countries during the inter-war period. m. Presumably to coincide with the traditional 11,00 a. m. time for Armistice ceremonies taking place in Europe due to the time difference between Eastern Australia and Europe. Veterans in New Zealand have used silence to pay homage to departed comrades in general at veteran functions, as the toast of Fallen or Absent Comrades. In Britain, beginning in 1939, the silence was moved to the Sunday nearest to 11 November in order not to interfere with wartime production should 11 November fall on a weekday. They adopted the name Remembrance Day or Remembrance Sunday, other countries also changed the name of the holiday just prior to or after World War II, to honor veterans of that and subsequent conflicts. The United States chose All Veterans Day, later shortened to Veterans Day, to honor military veterans. Both Armistice Day and Remembrance Sunday are commemorated formally, in recent years Armistice Day has become increasingly recognised, and many people now attend the 11,00 a. m. In New Zealand and Australia observance ceremonies take place, but the day is not a public holiday, anzac Day, on 25 April, is a public holiday and day of remembrance. In Canada,11 November is a time to both living and dead veterans. Patriotic displays are created annually, and veterans are offered free transit and cab rides in a number of cities, including Halifax, Ottawa, Toronto, Mississauga, London, Calgary, and Vancouver. In the U. S. the function of Veterans Day is subtly different from that of other 11 November observances, instead of specifically honoring war dead, Veterans Day honors all American veterans living and dead. Armistice Day remains the name of the holiday in France and Belgium, in Italy the end of World War I is commemorated on 4 November, the day of the Armistice of Villa Giusti. In Denmark, Netherlands and Norway, the end of World War I is not commemorated as the three countries remained neutral, Denmark instead observes Flagday on 5 September in commemoration of both living and dead soldiers who served in any conflict. The same counts for 4 May in Netherlands
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Naval Medical Research Center
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The Naval Medical Research Center is an agency that performs basic and applied biomedical research to meet the needs of the United States Navy and United States Marine Corps. Its areas of focus include study of diseases, biodefense, military medicine, battlefield medicine. NMRC is under the United States Department of the Navys Bureau of Medicine, NMRC was originally the Naval Medical Research Institute, founded in 1942, and was located on the campus of the National Naval Medical Center in Bethesda, Maryland. The unit later became the Environmental Health Effects Laboratory at Naval Medical Research Unit Dayton, in 1998, NMRI was reorganized into the Naval Medical Research Center and became an umbrella organization for several other subordinate commands elsewhere in the nation and abroad. Since 1999, it has located in the Forest Glen Annex in Silver Spring. NMRC occupies the Daniel K. Inouye Building, named for the late Senator Daniel Inouye, CAPT William L. Mann, MC, USN CAPT E. G. Hakanssen, MC, USN CAPT Charles F. Behrens, MC, USN CAPT Wilbur E. Kellum, MC, USN CAPT Otto E. Van Der Aue, MC, USN CAPT Henry G. Wagner, MC, USN CAPT John R. Seal, MC, USN CAPT Herschel C. The Biological Defense Research Directorate researches ways to protect personnel in the event of a biological attack. The Bone Marrow Research Directorate provides military contingency support for casualties with marrow toxic injury due to radiation or chemical warfare agents, the Infectious Diseases Directorate conducts research on infectious diseases that are considered to be significant threats to our deployed sailors, marines, soldiers, and airmen. The Research Services Directorate acts as a bridge for the communitys scientific investigators, the Resource Management Directorate advises the Commanding Officer on financial functions within the command. The Naval Infectious Diseases Diagnostic Laboratory is also located in the Silver Spring facility
25.
World War II
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World War II, also known as the Second World War, was a global war that lasted from 1939 to 1945, although related conflicts began earlier. It involved the vast majority of the worlds countries—including all of the great powers—eventually forming two opposing alliances, the Allies and the Axis. It was the most widespread war in history, and directly involved more than 100 million people from over 30 countries. Marked by mass deaths of civilians, including the Holocaust and the bombing of industrial and population centres. These made World War II the deadliest conflict in human history, from late 1939 to early 1941, in a series of campaigns and treaties, Germany conquered or controlled much of continental Europe, and formed the Axis alliance with Italy and Japan. Under the Molotov–Ribbentrop Pact of August 1939, Germany and the Soviet Union partitioned and annexed territories of their European neighbours, Poland, Finland, Romania and the Baltic states. In December 1941, Japan attacked the United States and European colonies in the Pacific Ocean, and quickly conquered much of the Western Pacific. The Axis advance halted in 1942 when Japan lost the critical Battle of Midway, near Hawaii, in 1944, the Western Allies invaded German-occupied France, while the Soviet Union regained all of its territorial losses and invaded Germany and its allies. During 1944 and 1945 the Japanese suffered major reverses in mainland Asia in South Central China and Burma, while the Allies crippled the Japanese Navy, thus ended the war in Asia, cementing the total victory of the Allies. World War II altered the political alignment and social structure of the world, the United Nations was established to foster international co-operation and prevent future conflicts. The victorious great powers—the United States, the Soviet Union, China, the United Kingdom, the Soviet Union and the United States emerged as rival superpowers, setting the stage for the Cold War, which lasted for the next 46 years. Meanwhile, the influence of European great powers waned, while the decolonisation of Asia, most countries whose industries had been damaged moved towards economic recovery. Political integration, especially in Europe, emerged as an effort to end pre-war enmities, the start of the war in Europe is generally held to be 1 September 1939, beginning with the German invasion of Poland, Britain and France declared war on Germany two days later. The dates for the beginning of war in the Pacific include the start of the Second Sino-Japanese War on 7 July 1937, or even the Japanese invasion of Manchuria on 19 September 1931. Others follow the British historian A. J. P. Taylor, who held that the Sino-Japanese War and war in Europe and its colonies occurred simultaneously and this article uses the conventional dating. Other starting dates sometimes used for World War II include the Italian invasion of Abyssinia on 3 October 1935. The British historian Antony Beevor views the beginning of World War II as the Battles of Khalkhin Gol fought between Japan and the forces of Mongolia and the Soviet Union from May to September 1939, the exact date of the wars end is also not universally agreed upon. It was generally accepted at the time that the war ended with the armistice of 14 August 1945, rather than the formal surrender of Japan
26.
Sailor
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A sailor, seaman, mariner, or seafarer is a person who navigates waterborne vessels or assists as a crewmember in their operation and maintenance. The term bluejacket may be used for British or US Navy enlisted sailors, the Bluejackets Manual is the basic handbook for United States Navy personnel. 700,000 of the worlds mariners come from the Philippines, the term seaman is frequently used in the particular sense of a sailor who is not an officer. Seafarers hold a variety of professions and ranks, each of which carries unique responsibilities which are integral to the operation of an ocean-going vessel. A ships crew can generally be divided into four categories, the deck department, the engineering department, the stewards department. Officer positions in the department include but are not limited to, master and his chief, second. The official classifications for unlicensed members of the department are able seaman. With some variation, the mate is most often charged with the duties of cargo mate. Second Mates are charged with being the officer in case of medical emergency. All three mates each do four-hour morning and afternoon shifts on the bridge, when underway at sea, Marine engineering staff also deal with the hotel facilities on board, notably the sewage, lighting, air conditioning and water systems. Engineering staff manage bulk fuel transfers, from a barge in port. When underway at sea, the second and third engineers will often be occupied with oil transfers from storage tanks, cleaning of oil purifiers is another regular task. Engineering staff are required to have training in firefighting and first aid, additional duties include maintaining the ships boats and performing other nautical tasks. Engineers play a key role in cargo loading/discharging gear and safety systems, though the specific cargo discharge function remains the responsibility of deck officers, other possible positions include motorman, machinist, electrician, refrigeration engineer and tankerman. A typical stewards department for a ship is a chief steward, a chief cook. All three positions are filled by unlicensed personnel. The chief steward also plans menus, compiles supply, overtime, the steward may requisition or purchase stores and equipment. A chief stewards duties may overlap with those of the assistant, the chief cook
27.
United States Marine Corps
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The U. S. Marine Corps is one of the four armed service branches in the U. S. Department of Defense and one of the seven uniformed services of the United States. The current Chairman of the Joint Chiefs of Staff, the military officer in the U. S. Armed Forces, is a Marine Corps general, the Marine Corps has been a component of the U. S. Department of the Navy since 30 June 1834, working closely with naval forces for training, transportation, and logistics. The USMC operates posts on land and aboard sea-going amphibious warfare ships around the world, two battalions of Continental Marines were formed on 10 November 1775 in Philadelphia as a service branch of infantry troops capable of fighting for independence both at sea and on shore. The role of the Corps has since grown and evolved, expanding to aerial warfare and earning popular titles such as, Americas third air force, and, second land army. By the mid-20th century, the U. S. Marine Corps had become a major theorist of and its ability to rapidly respond on short notice to expeditionary crises gives it a strong role in the implementation and execution of American foreign policy. As of 2016, the USMC has around 182,000 active duty members and it is the smallest of the U. S. The USMC serves as an expeditionary force-in-readiness and this last clause, while seemingly redundant given the Presidents position as Commander-in-chief, is a codification of the expeditionary responsibilities of the Marine Corps. It derives from similar language in the Congressional acts For the Better Organization of the Marine Corps of 1834, in 1951, the House of Representatives Armed Services Committee called the clause one of the most important statutory – and traditional – functions of the Marine Corps. In addition to its duties, the Marine Corps conducts Visit, Board, Search, and Seizure operations, as well as missions in direct support of the White House. The Marine Band, dubbed the Presidents Own by Thomas Jefferson, Marines from Ceremonial Companies A & B, quartered in Marine Barracks, Washington, D. C. The Executive Flight Detachment also provides transport to Cabinet members. The relationship between the Department of State and the U. S. Marine Corps is nearly as old as the corps itself, for over 200 years, Marines have served at the request of various Secretaries of State. After World War II, an alert, disciplined force was needed to protect American embassies, consulates, in 1947, a proposal was made that the Department of War furnish Marine Corps personnel for Foreign Service guard duty under the provisions of the Foreign Service Act of 1946. A formal Memorandum of Agreement was signed between the Department of State and the Secretary of the Navy on December 15,1948, during the first year of the MSG program,36 detachments were deployed worldwide. Continental Marines manned raiding parties, both at sea and ashore, the Advanced Base Doctrine of the early 20th century codified their combat duties ashore, outlining the use of Marines in the seizure of bases and other duties on land to support naval campaigns. Throughout the late 19th and 20th centuries, Marine detachments served aboard Navy cruisers, battleships, Marine detachments served in their traditional duties as a ships landing force, manning the ships weapons and providing shipboard security. Marines would develop tactics and techniques of amphibious assault on defended coastlines in time for use in World War II, during World War II, Marines continued to serve on capital ships
28.
Assassination of John F. Kennedy
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On November 22,1963, John F. Kennedy, the 35th President of the United States, was fatally shot in Dallas, Texas while riding in a motorcade in Dallas Dealey Plaza, at 12,30 p. m. Fatally shot by Lee Harvey Oswald, he was traveling with his wife, Jacqueline, Texas Governor John Connally, Kennedys death marked the fourth and most recent assassination of an American President. The Committee was not able to identify any individuals or groups involved with the conspiracy, in addition, the HSCA found that the original federal investigations were seriously flawed in respect of information-sharing and the possibility of conspiracy. As recommended by the HSCA, the evidence indicating conspiracy was subsequently re-examined and rejected. However, Kennedys assassination is still the subject of debate and has spawned numerous conspiracy theories. Polling in 2013 showed that 60% of Americans believe that a group of conspirators was responsible for the assassination, President Kennedy traveled to Texas to smooth over frictions in the Democratic Party between liberals Ralph Yarborough and Don Yarborough and conservative John Connally. A presidential visit to the state of Texas was first agreed upon by Lyndon B. Johnson, President John F. Kennedys vice president, and Texas native, President Kennedys trip to Dallas was first announced to the public in September 1963. The exact motorcade route was finalized on November 18 and announced to the public a few days before November 22, the White House staff informed the Secret Service that the President would arrive there via a short flight from Carswell Air Force Base in Fort Worth to Dallas Love Field. Leaving from Dallas Love Field,45 minutes had been allotted for the motorcade to reach the Trade Mart at an arrival time of 12,15 p. m. The actual route was chosen to be a meandering 10-mile route between the two places, which could be driven slowly in the allotted time, on November 14, both men attended a meeting at Love Field and drove over the route that Sorrels believed best suited for the motorcade. From Love Field, the route passed through a portion of Dallas, through Downtown along Main Street. The planned route to the Trade Mart was widely reported in Dallas newspapers several days before the event, for the benefit of people who wished to view the motorcade. The route on Main Street precluded a direct turn onto the Fort Worth Turnpike exit, the Texas School Book Depository was situated at this corner of Houston and Elm. Three vehicles were used for Secret Service and police protection in the Dallas motorcade, the first car, an unmarked white Ford, carried Dallas Police Chief Jesse Curry, Secret Service Agent Win Lawson, Sheriff Bill Decker and Dallas Field Agent Forrest Sorrels. The second car, a 1961 Lincoln Continental convertible, held driver Agent Bill Greer, SAIC Roy Kellerman, Governor John Connally, Nellie Connally, President Kennedy, Secret Service agents Clint Hill, Jack Ready, Tim McIntyre and Paul Landis rode on the running boards. By the time the motorcade reached Dealey Plaza, they were five minutes away from their planned destination. At 12,30 p. m. President, you cant say Dallas doesnt love you and those were the last words ever spoken by John F. Kennedy
29.
John F. Kennedy autopsy
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The choice of autopsy hospital in the Washington, D. C. area was made by his widow, Jacqueline Kennedy. She chose the Bethesda Naval Hospital because President Kennedy had been a naval officer and he walked across the corridor to the trauma room occupied by Jacqueline Kennedy and a priest who had been called in to administer last rites. At the time of the assassination of Kennedy, the murder of a United States President was not covered by federal law, Rose objected, insisting that Texas law required him to perform a post-mortem examination prior to the removal of the body. A heated exchange ensued as he argued with Kennedys aides, Kennedys body was placed in a casket and, accompanied by Mrs. Kennedy, rolled down the corridor on a gurney. Rose was reported to have stood in a doorway, backed by a policeman. According to Robert Caros The Years of Lyndon Johnson, The Passage of Power the Presidents aides had literally shoved, in an interview with Journal of the American Medical Association, Rose stated that he stepped aside feeling that it was unwise to exacerbate the tension. Kennedys personal physician, Rear Admiral George Gregory Burkley, signed a certificate on November 23 and noted the cause of death as Gunshot wound. He also noted a second occurred in the posterior back at about the level of the third thoracic vertebra. The Bethesda autopsy physicians attempted to probe the bullet hole in the base of Kennedys neck above the scapula and they did not perform a full dissection or persist in tracking, as throughout the autopsy, they were unaware of the exit wound, at the front of the throat. Emergency room physicians had obscured it when they performed the tracheotomy, the report noted that the thoracic cavity was not penetrated. This missile produced contusions of the right apical parietal pleura and of the portion of the right upper lobe of the lung. The missile contused the strap muscles of the side of the neck, damaged the trachea. The single bullet of the Warren Commission Report places a bullet wound at the cervical vertebra of the vertebral column. The X-rays were taken by Commander John H. Ebersole, Medical Corps, in the underlying bone is a corresponding wound through the skull showing beveling of the margins of the bone when viewed from the interior of the skull. The large, irregularly shaped defect in the side of the head is described as being about 13 centimetres wide at the largest diameter. Three fragments of bone were received as separate specimens, roughly corresponding to the dimensions of the large defect. X-rays revealed minute particles of metal in the bone at this margin, minute fragments of the projectile were found by X-ray along a path from the rear wound to the parietal area defect. J. Humes and J. Thornton Boswell and Lt. Col. Pierre A. Finck, Medical Corps, US Army and these appear in the Warren Commission Report at pages 538 to 545
30.
Dallas
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Dallas is a major city in the U. S. state of Texas. It is the most populous city in the Dallas–Fort Worth metroplex, the citys population ranks ninth in the U. S. and third in Texas after Houston and San Antonio. The citys prominence arose from its importance as a center for the oil and cotton industries. The bulk of the city is in Dallas County, of which it is the county seat, however, sections of the city are located in Collin, Denton, Kaufman, and Rockwall counties. According to the 2010 United States Census, the city had a population of 1,197,816, the United States Census Bureaus estimate for the citys population increased to 1,300,092 as of July 1,2015. In 2016 DFW ascended to the one spot in the nation in year-over-year population growth. In 2014, the metropolitan economy surpassed Washington, D. C. to become the fifth largest in the U. S. with a 2014 real GDP over $504 billion, as such, the metropolitan areas economy is the 10th largest in the world. As of January 2017, the job count has increased to 3,558,200 jobs. The citys economy is based on banking, commerce, telecommunications, technology, energy, healthcare and medical research. The city is home to the third-largest concentration of Fortune 500 companies in the nation. Located in North Texas, Dallas is the core of the largest metropolitan area in the South. Dallas and nearby Fort Worth were developed due to the construction of railroad lines through the area allowing access to cotton, cattle. Later, France also claimed the area but never established much settlement, the area remained under Spanish rule until 1821, when Mexico declared independence from Spain, and the area was considered part of the Mexican state of Coahuila y Tejas. In 1836, the Republic of Texas, with majority Anglo-American settlers, in 1839, Warren Angus Ferris surveyed the area around present-day Dallas. John Neely Bryan established a permanent settlement near the Trinity River named Dallas in 1841, the origin of the name is uncertain. The Republic of Texas was annexed by the United States in 1845, Dallas was formally incorporated as a city on February 2,1856. With construction of railroads, Dallas became a business and trading center and it became an industrial city, attracting workers from Texas, the South and the Midwest. The Praetorian Building of 15 stories, built in 1909, was the first skyscraper west of the Mississippi and it marked the prominence of Dallas as a city
31.
Jacqueline Kennedy Onassis
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Jacqueline Lee Jackie Kennedy Onassis was the wife of the 35th President of the United States, John F. Kennedy, and First Lady of the United States from 1961 until his assassination in 1963. Bouvier was the daughter of Wall Street stockbroker John Vernou Bouvier III. In 1951, she graduated with a Bachelor of Arts degree in French literature from George Washington University, in 1952, Bouvier met Congressman John F. Kennedy at a dinner party. In November of that year, he was elected as a United States Senator from Massachusetts, and they had four children, two of whom died in infancy. As First Lady, she was known for her highly publicized restoration of the White House and her emphasis on arts, on November 22,1963, she was riding with the President in a motorcade in Dallas, Texas, when he was assassinated. She and her children withdrew from view after his funeral. Following her second death in 1975, she had a career as a book editor for the final two decades of her life. She is remembered for her contributions to the arts and preservation of historic architecture, as well as for her style, elegance. She was an icon, and her famous ensemble of pink Chanel suit. She ranks as one of the most popular First Ladies and in 1999 was named on Gallups list of Most Admired Men and Women in 20th-century America. Jacqueline Lee Bouvier was born on July 28,1929, at Southampton Hospital in Southampton, New York, to Wall Street stockbroker John Vernou Black Jack Bouvier III, Bouviers mother was of Irish descent, and her father had French, Scottish, and English ancestry. Named after her father, Bouvier was baptized at the Church of St. Ignatius Loyola in Manhattan and her younger sister Lee was born in 1933. Bouvier spent her childhood years in Manhattan and at Lasata. She idolized her father, who favored her over her sister. From an early age, Bouvier was an equestrienne and successfully competed in the sport. She also took lessons, was an avid reader, and excelled at learning languages. Bouvier enrolled in the Chapin School in Manhattan in 1935, which she attended for grades 1–6. She was a student but often misbehaved, one of her teachers described her as a darling child, the prettiest little girl, very clever, very artistic
32.
John Connally
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John Bowden Connally, Jr. was an American politician. As a Democrat he served as Secretary of the Navy under President John F. Kennedy, as the 39th Governor of Texas, while Governor of Texas, he was seriously wounded when President Kennedy was assassinated. As Treasury Secretary, Connally is best remembered for removing the U. S. dollar from the standard in 1971. In 1973 he switched parties to become a Republican, and ran unsuccessfully for the Republican nomination for President in 1980, Connally was born on February 27,1917, into a large family in Floresville, the seat of Wilson County southeast of San Antonio. He was one of seven born to Lela and John Bowden Connally, Sr. a dairy. His six siblings included four brothers, Golfrey, Merrill, Wayne, Connally attended Floresville High School and, upon graduation, was one of the few graduates who attended college. He graduated from the University of Texas at Austin, where he was the student body president and he subsequently graduated from the University of Texas School of Law and was admitted to the bar by examination. He transferred to the South Pacific Theater, where he served with distinction and he was a fighter-plane director aboard the aircraft carrier USS Essex and was awarded the Bronze Star for bravery. He was shifted to another Essex-class aircraft carrier, the USS Bennington and was awarded the Legion of Merit and he was also involved in the campaigns in the Gilbert, Marshall, Ryukyu, and Philippine islands. He was discharged in 1946 at the rank of lieutenant commander and he had close ties with Johnson before his navy days and maintained them till the presidents death in 1973. Two of Connallys principal legal clients were the Texas oil tycoon Sid W. Richardson and Perry Bass, Richardsons nephew and partner, Richardsons empire at the time was estimated at $200 million to $1 billion. Under Richardsons tutelage, Connally gained experience in a variety of enterprises, the work required the Connallys to relocate to Fort Worth. When Richardson died in 1959, Connally was named to the position as co-executor of the estate. Connally was also involved in a reported clandestine deal to place the Texas Democrat Robert Anderson on the 1956 Republican ticket as vice president, moreover, in another coincidence, Anderson had been Eisenhowers first Navy secretary, the post that Connally filled for John F. Kennedy in 1961. At the 1960 Democratic convention in Los Angeles, Connally led supporters of Senator Lyndon Johnson and he claimed that John F. Kennedy, if nominated and elected, would be unable to serve as president for a full term because of Addisons disease and dependence on cortisone. Kennedy, however, had wrapped up the delegates for nomination before the convention even opened. Kennedy realized that he could not be elected without support of traditional Southern Democrats, therefore, Johnson was offered the vice-presidential nomination. At Johnsons request, in 1961 President Kennedy named Connally Secretary of the Navy, Connally resigned eleven months later to run for the Texas governorship
33.
Parkland Memorial Hospital
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Parkland Memorial Hospital is a hospital located in Dallas, Texas, United States. It is the hospital of the Parkland Health & Hospital System. The original hospital opened in 1894 in a building on a 17-acre meadow located at Oak Lawn Avenue. The name Parkland came from the land on which the hospital was built, a brick building replaced the wooden facility in 1913. In 1954, Parkland moved to 5201 Harry Hines Boulevard about a mile from its original site, on August 20,2015, at 6 a. m. The new hospital welcomed its first birth, a boy who arrived by Caesarean section, the 2013 film Parkland dramatizes the deaths of Kennedy and Oswald in the hospital. After he was shot on November 22,1963, President Kennedy was rushed to Parkland, at the same time, Texas Governor John Connally, wounded in the same shooting, was treated in Trauma Room 2, and survived. Two days after the assassination, Oswald was rushed to Parkland after being shot in the abdomen by Ruby, Ruby died on January 3,1967 in the same emergency room, from a pulmonary embolism associated with lung cancer. A plaque there marks the location where Trauma Room 1 was located, parklands JFK history wall will be noted at the new hospital. Parkland is the Dallas County public hospital, funds are provided by a specially designated property tax on Dallas County residents. Thus, virtually all medical and surgical subspecialties are represented—which makes Parkland a destination for medical training. The Parkland Burn Center, one of the largest civilian burn units in the U. S. is famous for the Parkland Formula for fluid resuscitation, developed by Charles R. Baxter in the 1960s. The fame of the Parkland formula is due to its one of the first treatments for burn that included rehydration. Parkland ranks among the largest teaching hospitals in the nation, Texas Womans University began its Bachelor of Science nursing program at Parkland in 1954 and it is still located within walking distance of the Parkland campus. Parkland also serves as the teaching hospital of the adjacent University of Texas Southwestern Medical Center. It has the distinction of delivering more infants under one roof than any hospital in the nation. Parkland Memorial has eleven prenatal clinics and employs 80 doctors training to become obstetricians-gynecologists and 45 nurse-midwives, in 2005, the staff delivered 15,590 babies, an average of more than 42 infants per day. Parkland created one of the first high-risk antenatal units in the nation and had the first neonatal intensive care unit in North Texas, Parkland has approximately 240,000 emergency visits a year, for the co-located main emergency room, and the urgent care unit
34.
Dallas County, Texas
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Dallas County is a county in the U. S. state of Texas. As of the 2010 census, the population was 2,368,139 and it is Texas second-most populous county and the ninth-most populous in the United States. Its county seat is Dallas, which is also Texas third-largest city, the county was founded in 1846 and was possibly named for George Mifflin Dallas, the 11th Vice President of the United States under U. S. President James K. Polk. Dallas County is included in the Dallas–Fort Worth–Arlington, TX Metropolitan Statistical Area, according to the U. S. Census Bureau, the county has a total area of 909 square miles, of which 873 square miles is land and 36 square miles is water. The population density was 2,523 people per square mile, There were 854,119 housing units at an average density of 971/sq mi. 38. 30% of the population were Hispanic or Latino of any race,27. 30% of all households were made up of individuals and 5. 90% had someone living alone who was 65 years of age or older. The average household size was 2.71 and the family size was 3.34. As of the 2010 census, there were about 8.8 same-sex couples per 1,000 households in the county. In the wider county, the population was out with 27. 90% under the age of 18,10. 70% from 18 to 24,34. 40% from 25 to 44,18. 90% from 45 to 64. The median age was 31 years, for every 100 females there were 99.80 males. For every 100 females age 18 and over, there were 98.00 males, the median income for a household in the county was US$43,324, and the median income for a family was $49,062. Males had an income of $34,988 versus $29,539 for females. The per capita income for the county was $22,603, about 10. 60% of families and 13. 40% of the population were below the poverty line, including 18. 00% of those under age 18 and 10. 50% of those age 65 or over. Dallas County, like all counties in Texas, is governed by a Commissioners Court and this court consists of the county judge who is elected County-wide and four Commissioners who are elected by the voters in each of four districts. The Commissioners Court is the body for the County, in addition. Each commissioner also supervises a Road and Bridge District, the total 2010 fiscal year budget is approximately $871 million USD. Currently, the elected officials are There are 7 congressional districts either entirely or partly within Dallas County. There are 5 Republicans and 2 Democratic, There are 5 Texas Senate districts either entirely or partly within Dallas County
35.
Lyndon B. Johnson
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A Democrat from Texas, he previously served as a United States Representative from 1937 to 1949 and then as a United States Senator from 1949 to 1961. He spent six years as Senate Majority Leader, two as Senate Minority Leader, and two more as Senate Majority Whip, Johnson ran for the Democratic nomination in the 1960 presidential election. Although unsuccessful, he was chosen by then-Senator John F. Kennedy of Massachusetts to be his running mate and they went on to win a close election over Richard Nixon and Henry Cabot Lodge Jr. Johnson was sworn in as Vice President on January 20,1961. Two years and ten months later, on November 22,1963 and he successfully ran for a full term in the 1964 election, winning by a landslide over Republican opponent Senator Barry Goldwater of Arizona. He is one of four people who have served as President, Vice President, Senator. Johnson was renowned for his personality and the Johnson treatment. Assisted in part by an economy, the War on Poverty helped millions of Americans rise above the poverty line during his administration. With the passage of the Immigration and Nationality Act of 1965, Johnson escalated American involvement in the Vietnam War. In 1964, Congress passed the Gulf of Tonkin Resolution, which granted Johnson the power to use force in Southeast Asia without having to ask for an official declaration of war. The number of American military personnel in Vietnam increased dramatically, from 16,000 advisors in non-combat roles in 1963 to 550,000 in early 1968, American casualties soared and the peace process bogged down. Growing unease with the war stimulated a large, angry antiwar movement based especially on university campuses in the U. S. and abroad. Johnson faced further troubles when summer riots broke out in most major cities after 1965, while he began his presidency with widespread approval, support for Johnson declined as the public became upset with both the war and the growing violence at home. In 1968, the Democratic Party factionalized as antiwar elements denounced Johnson, Republican Richard Nixon was elected to succeed him, as the New Deal coalition that had dominated presidential politics for 36 years collapsed. After he left office in January 1969, Johnson returned to his Texas ranch, historians argue that Johnsons presidency marked the peak of modern liberalism in the United States after the New Deal era. Johnson is ranked favorably by some historians because of his policies and the passage of many major laws, affecting civil rights, gun control, wilderness preservation. Lyndon Baines Johnson was born on August 27,1908, near Stonewall, Texas, in a farmhouse on the Pedernales River. Johnson had one brother, Sam Houston Johnson, and three sisters, Rebekah, Josefa, and Lucia, the nearby small town of Johnson City, Texas, was named after LBJs cousin, James Polk Johnson, whose forebears had moved west from Oglethorpe County, Georgia. Johnson had English, German, and Ulster Scots ancestry and he was maternally descended from pioneer Baptist clergyman George Washington Baines, who pastored eight churches in Texas, as well as others in Arkansas and Louisiana
36.
United States Secret Service
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The United States Secret Service is a federal law enforcement agency under the U. S. Department of Homeland Security. Until 2003, the Service was part of the U. S. Department of the Treasury, the Secret Services initial responsibility was to investigate counterfeiting of U. S. currency, which was rampant following the U. S. Civil War. The agency then evolved into the United States first domestic intelligence and counterintelligence agency, the Secret Service has two primary missions, investigation of financial crimes and physical protection of designated protectees. After the 1901 assassination of President William McKinley, Congress also directed the Secret Service to protect the President of the United States, Protection remains the other key mission of the United States Secret Service. From 1997 until 2013, legislation became effective limiting Secret Service protection to former Presidents, President Barack Obama signed legislation reversing this limit and reinstating lifetime protection on January 10,2013. The Secret Service investigates thousands of incidents a year of individuals threatening the President of the United States, the Director of Secret Service is appointed by the President of the United States. With a reported one third of the currency in circulation being counterfeit at the time, Chief William P. Wood was sworn in by Secretary of the Treasury Hugh McCulloch. It was commissioned in Washington, D. C. as the Secret Service Division of the Department of the Treasury with the mission of suppressing counterfeiting, the legislation creating the agency was on Abraham Lincolns desk the night he was assassinated. At the time, the other federal law enforcement agencies were the United States Park Police. Post Office Departments Office of Instructions and Mail Depredations, and the U. S. Marshals Service, the Marshals did not have the manpower to investigate all crime under federal jurisdiction, so the Secret Service began to investigate everything from murder to bank robbery to illegal gambling. After the assassination of President William McKinley in 1901, Congress informally requested that the Secret Service provide presidential protection, a year later, the Secret Service assumed full-time responsibility for presidential protection. In 1902, William Craig became the first Secret Service agent to die while serving, the Secret Service was the first U. S. domestic intelligence and counterintelligence agency. Domestic intelligence collection and counterintelligence responsibilities were vested in the Federal Bureau of Investigation upon the FBIs creation in 1908, the Secret Service assisted in arresting Japanese American leaders and in the Japanese American internment during World War II. Secret Service is not a part of the U. S, on October 16, the day of the summit, Burnham discovered a man holding a concealed palm pistol standing at the El Paso Chamber of Commerce building along the procession route. Burnham signaled a Texas Ranger, Private C. R. Moore, in 1950, President Harry S. Truman was residing in Blair House while the White House, across the street, was undergoing renovations. On November 1,1950, two Puerto Rican nationalists, Oscar Collazo and Griselio Torresola, approached Blair House with the intent to assassinate President Truman, Collazo and Torresola opened fire on Private Leslie Coffelt and other White House Police officers. Though mortally wounded by three shots from a 9 mm German Luger to his chest and abdomen, Private Coffelt returned fire, as of 2017, Coffelt is the only member of the Secret Service killed while protecting a US president against an assassination attempt. Collazo was also shot, but survived his injuries and served 29 years in prison before returning to Puerto Rico in late 1979, in 1968, as a result of Robert F. Kennedys assassination, Congress authorized protection of major presidential and vice presidential candidates and nominees
37.
Air Force One
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Air Force One is the official air traffic control call sign for a United States Air Force aircraft carrying the President of the United States. In common parlance the term describes those Air Force aircraft designed, built, the presidential aircraft is a prominent symbol of the American presidency and its power. A C-87 Liberator Express was reconfigured for use as a presidential transport, a number of aircraft types have been used as Air Force One since the creation of the presidential fleet, starting with two Lockheed Constellations in the late 1950s, Columbine II and Columbine III. The Air Force plans to procure the Boeing 747-8 for the version of Air Force One. On 11 October 1910, Theodore Roosevelt became the first U. S. president to fly in an aircraft, however, he was no longer in office at the time, having been succeeded by William Howard Taft. The record-making occasion was a brief overflight of the crowd at a county fair but was nonetheless the beginning of air travel. Prior to World War II, overseas and cross-country presidential travel was rare, the lack of wireless telecommunication and available modes of transportation made long-distance travel impractical, as it took much time and isolated the president from events in Washington, D. C. Railroads were a safer and more reliable if the president needed to travel to distant states. By the late 1930s, with the arrival of such as the Douglas DC-3. All-metal aircraft, more engines, and new radio aids to navigation had made commercial airline travel safer. Franklin D. Roosevelt was the first president to fly in an aircraft while in office, the Dolphin was modified with luxury upholstery for four passengers and a small separate sleeping compartment. The aircraft remained in service as a transport from 1933 until 1939. There are no reports, however, on whether the president actually flew in the aircraft. During World War II, Roosevelt traveled on the Dixie Clipper, a Pan Am-crewed Boeing 314 flying boat to the 1943 Casablanca Conference in Morocco, the threat from the German submarines throughout the Battle of the Atlantic made air travel the preferred method of VIP transatlantic transportation. Concerned about relying upon commercial airlines to transport the president, USAAF leaders ordered the conversion of an aircraft to accommodate the special needs of the Commander-in-Chief. The first dedicated aircraft proposed for use was a C-87A VIP transport aircraft. This aircraft, number 41-24159, was re-modified in 1943 for use as a presidential VIP transport, had it been accepted, it would have been the first aircraft to be used in presidential service, in effect the first Air Force One. However, after a review of the C-87s highly controversial safety record in service, the Guess Where II was used to transport senior members of the Roosevelt administration on various trips
38.
Ronald Reagan
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Ronald Wilson Reagan was an American politician and actor who was the 40th President of the United States, from 1981 to 1989. Before his presidency, he was the 33rd Governor of California, from 1967 to 1975, after a career as a Hollywood actor and union leader. Raised in a family in small towns of northern Illinois, Reagan graduated from Eureka College in 1932. After moving to Hollywood in 1937, he became an actor, Reagan was twice elected President of the Screen Actors Guild, the labor union for actors, where he worked to root out Communist influence. In the 1950s, he moved into television and was a speaker at General Electric factories. Having been a lifelong Democrat, his views changed and he became a conservative and in 1962 switched to the Republican Party. In 1964, Reagans speech, A Time for Choosing, in support of Barry Goldwaters foundering presidential campaign, Building a network of supporters, he was elected Governor of California in 1966. Entering the presidency in 1981, Reagan implemented sweeping new political, in his first term he survived an assassination attempt, spurred the War on Drugs, and fought public sector labor. During his re-election bid, Reagan campaigned on the notion that it was Morning in America, foreign affairs dominated his second term, including ending of the Cold War, the bombing of Libya, and the Iran–Contra affair. Publicly describing the Soviet Union as an empire, and during his famous speech at the Brandenburg Gate. Jack, a salesman and storyteller, was the grandson of Irish Catholic immigrants from County Tipperary, Reagan had one older brother, John Neil Reagan, who became an advertising executive. As a boy, Reagans father nicknamed his son Dutch, due to his fat little Dutchman-like appearance and Dutchboy haircut, Reagans family briefly lived in several towns and cities in Illinois, including Monmouth, Galesburg, and Chicago. In 1919, they returned to Tampico and lived above the H. C, Pitney Variety Store until finally settling in Dixon. After his election as president, residing in the upstairs White House private quarters, for the time, Reagan was unusual in his opposition to racial discrimination, and recalled a time in Dixon when the local inn would not allow black people to stay there. Reagan brought them back to his house, where his mother invited them to stay the night and have breakfast the next morning, after the closure of the Pitney Store in late 1920 and the familys move to Dixon, the midwestern small universe had a lasting impression on Reagan. Reagan attended Dixon High School, where he developed interests in acting, sports and his first job was as a lifeguard at the Rock River in Lowell Park in 1927. Over a six-year period, Reagan reportedly performed 77 rescues as a lifeguard and he attended Eureka College, a Disciples-oriented liberal arts school, where he became a member of the Tau Kappa Epsilon fraternity, a cheerleader, and studied economics and sociology. While involved, the Miller Center of Public Affairs described him as an indifferent student and he majored in economics and sociology, and graduated with a C grade
39.
Nancy Reagan
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Nancy Davis Reagan was an American actress, and the wife of the 40th President of the United States, Ronald Reagan. She served as the First Lady of the United States from 1981 to 1989 and she was born in New York City. After her parents separated, she lived in Maryland with an aunt and she moved to Chicago when her mother remarried in 1929, and later took the name Davis from her stepfather. As Nancy Davis, she was a Hollywood actress in the 1940s and 1950s, Night into Morning, and Donovans Brain. In 1952, she married Ronald Reagan, who was president of the Screen Actors Guild. Reagan was the First Lady of California when her husband was Governor from 1967 to 1975, Reagan became First Lady of the United States in January 1981, following her husbands victory in the 1980 presidential election. She was criticized early in his first term, largely due to her decision to replace the White House china and she aimed to restore a Kennedy-esque glamour to the White House following years of lax formality, and her interest in high-end fashion garnered much attention as well as criticism. She championed recreational drug prevention causes by founding the Just Say No drug awareness campaign and she had a strong influence on her husband, and played a role in a few of his personnel and diplomatic decisions. The Reagans retired to their home in Bel Air, Los Angeles, Reagan devoted most of her time to caring for her husband, who was diagnosed with Alzheimers disease in 1994, until his death at the age of 93 on June 5,2004. Reagan remained active within the Reagan Library and in politics, particularly in support of stem cell research. Anne Frances Robbins was born on July 6,1921, at Sloane Hospital for Women and she was the only child of Kenneth Seymour Robbins, a farmer turned car salesman who had been born into a once-prosperous family, and his actress wife, radio actress Edith Prescott Luckett. Her godmother was silent-film-star Alla Nazimova, from birth, she was commonly called Nancy. She lived her first two years in Flushing, Queens, in New York City, in a house on Roosevelt Avenue between 149th and 150th Streets. Her parents separated soon after her birth and were divorced in 1928, after their separation, her mother traveled the country to pursue acting jobs and Reagan was raised in Bethesda, Maryland, for six years by her aunt, Virginia Luckett, and uncle, Audley Gailbraith. Nancy later described longing for her mother during those years, My favorite times were when Mother had a job in New York, in 1929, her mother married Loyal Edward Davis, a prominent conservative neurosurgeon who moved the family to Chicago. Nancy and her stepfather got along well, she later wrote that he was a man of great integrity who exemplified old-fashioned values. He formally adopted her in 1935, and she would refer to him as her father. At the time of the adoption, her name was changed to Nancy Davis
40.
Large intestine
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The large intestine, or the large bowel, is the last part of the gastrointestinal tract and of the digestive system in vertebrates. Water is absorbed here and the waste material is stored as feces before being removed by defecation. Most sources define the large intestine as the combination of the cecum, colon, rectum, some other sources exclude the anal canal. In humans, the large intestine begins in the right region of the pelvis, just at or below the waist. It then continues as the colon ascending the abdomen, across the width of the cavity as the transverse colon. Overall, in humans, the intestine is about 1.5 metres long. The colon is the last part of the digestive system and it extracts water and salt from solid wastes before they are eliminated from the body and is the site in which flora-aided fermentation of unabsorbed material occurs. Unlike the small intestine, the colon does not play a role in absorption of foods. About 1.5 litres or 45 ounces of water arrives in the each day. The length of the human male colon is 166 cm, on average. In mammals, the colon consists of five sections, the cecum plus the colon, the transverse colon, the descending colon, the sigmoid colon. Retroperitoneal organs in general do not have a covering of peritoneum. Intraperitoneal organs are completely surrounded by peritoneum and are therefore mobile, of the colon, the ascending colon, descending colon and rectum are retroperitoneal, while the cecum, appendix, transverse colon and sigmoid colon are intraperitoneal. This is important as it affects which organs can be accessed during surgery. The ascending colon is the first of four sections of the large intestine and it is connected to the small intestine by a section of bowel called the cecum. The ascending colon runs upwards through the abdominal cavity toward the transverse colon for approximately eight inches, one of the main functions of the colon is to remove the water and other key nutrients from waste material and recycle it. As the waste material exits the small intestine through the valve, it will move into the cecum. The unwanted waste material is moved upwards toward the transverse colon by the action of peristalsis, the ascending colon is sometimes attached to the appendix via Gerlachs valve
41.
George H. W. Bush
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George Herbert Walker Bush is an American politician who was the 41st President of the United States from 1989 to 1993 and the 43rd Vice President of the United States from 1981 to 1989. Republican Party, he was previously a congressman, ambassador, and he is the oldest living former President and Vice President. Prior to his sons presidency, he was referred to as George Bush or President Bush. Bush was born in Milton, Massachusetts, to Prescott Bush and Dorothy Walker Bush. Following the attack on Pearl Harbor in 1941, Bush postponed his university studies, enlisted in the U. S. Navy on his 18th birthday and he served until the end of the war, then attended Yale University. Graduating in 1948, he moved his family to West Texas and entered the oil business, Bush became involved in politics soon after founding his own oil company, serving as a member of the House of Representatives and Director of Central Intelligence, among other positions. He failed to win the Republican nomination for President in 1980, but was chosen as a mate by party nominee Ronald Reagan. During his tenure, Bush headed administration task forces on deregulation, in 1988, Bush ran a successful campaign to succeed Reagan as President, defeating Democratic opponent Michael Dukakis. Foreign policy drove the Bush presidency, military operations were conducted in Panama and the Persian Gulf, the Berlin Wall fell in 1989, and the Soviet Union dissolved two years later. Domestically, Bush reneged on a 1988 campaign promise and, after a struggle with Congress and his presidential library was dedicated in 1997, and he has been active—often alongside Bill Clinton—in various humanitarian activities. Besides being the 43rd president, his son George also served as the 46th Governor of Texas and is one of only two other being John Quincy Adams—to be the son of a former president. His second son, Jeb Bush, served as the 43rd Governor of Florida, George Herbert Walker Bush was born at 173 Adams Street in Milton, Massachusetts, on June 12,1924, to Prescott Sheldon Bush and Dorothy Bush. The Bush family moved from Milton to Greenwich, Connecticut, shortly after his birth, growing up, his nickname was Poppy. Bush began his education at the Greenwich Country Day School in Greenwich. Following the attack on Pearl Harbor in December 1941, Bush decided to join the US, Navy, so after graduating from Phillips Academy in 1942, he became a naval aviator at the age of 18. He was assigned to Torpedo Squadron as the officer in September 1943. The following year, his squadron was based on USS San Jacinto as a member of Air Group 51, during this time, the task force was victorious in one of the largest air battles of World War II, the Battle of the Philippine Sea. After Bushs promotion to Lieutenant on August 1,1944, San Jacinto commenced operations against the Japanese in the Bonin Islands, Bush piloted one of four Grumman TBM Avenger aircraft from VT-51 that attacked the Japanese installations on Chichijima
42.
Acting President of the United States
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Article I section 3, and Article II section 1, of the Constitution apply to the role of Acting President, but have been vigorously debated since John Tylers days. The Twenty-fifth Amendment, ratified in 1967, clears up many of the issues which surrounded presidential succession and incapacity. Article I, section 3 of the Constitution, provides for the election of the officers of the Senate, provision is further made for when the Vice President is absent from presiding over the Senate, or when he shall exercise the office of President. The Senate shall choose their other Officers, and also a President pro tempore, in the Absence of the Vice President, if it meant the office, then a disabled President had no legal method of returning to power. What specific conditions would install the Vice President as Acting President, what was the procedure necessary to declare the incapacity of the President. Would Congressional action be necessary to declare a President disabled, or could he declare himself incapacitated, what exception can there be restricting the President to return to office after an acting President is appointed. Since a strict adherence to either of the two sections of the Constitution could yield opposing interpretations, there was, naturally, much disagreement when the matter was first put to the test. Any question regarding the Vice President succeeding to the Presidency was essentially resolved in April 1841 when John Tyler succeeded William Henry Harrison upon Harrisons death. Tyler made it clear that he was the President rather than the Vice President acting as such and this question would come up repeatedly over the next 100 years until resolved by the ratification of the Twenty-fifth Amendment in 1967. This clause proved vague, in that it was unclear what qualified as a constitutional disability, the amendment is describing Presidential elections, and the duty of the House of Representatives in choosing a President when the Electoral College is deadlocked. Because someone presumably could claim constitutional priority to the presidency over the Vice President in this scenario, for several weeks in 1813, when President James Madison suffered from a high fever and delirium. During this time believed that he had become deranged and could not carry out his responsibilities. During early 1818, when President James Monroe was temporarily incapacitated with malaria, Monroe recovered, and transferring power to Vice President Daniel D. Tompkins was never considered. On March 4,1849, President-elect Zachary Taylor was to be inaugurated, because of this, some have argued that neither Taylor nor his Vice President Millard Fillmore had any legal authority as President. They go on to argue that, because the previous Presidents term had expired at noon, historians, biographers and Constitutional scholars heavily dispute both claims. During the 1868 impeachment trial of President Andrew Johnson, though he was ultimately acquitted, some argue he should not have been permitted to exercise his constitutional authorities during the trial. With the Vice Presidency vacant during the trial, the next in line was Senate President pro tempore Benjamin Franklin Wade. Because Wade was one of those who sat in judgment of Johnson, a declaration of disability could have seen as akin to an outright coup détat by Congress
United States of America
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