U.S. Military Treatment Facility Reform: Decision-based Plan of Action and Milestones

In 2017, the U.S. Congress mandated a specific reorganization and centralized approach in military medicine. The Air Force developed a medical reform construct to organize military treatment facilities (MTFs). The leaders of each unit are required to comply with the reorganization using internal resources with no additional funding or personnel. The purpose of this study was to deliver a plan of action and milestones (POAM) suitable for workgroup implementation to achieve the mandated health unit integration at a medium-sized MTF. The practice-focused question asked how a POAM road map guides effective decision-making. A consultancy approach was used to assist leadership in planning and executing the reform with a POAM as a deliverable. Decision theory served as the interpretive lens to define and develop key POAM decision points. Using a case study approach, a POAM was developed using research data from public sources to illustrate decision points and key milestones used to effectively execute a complex reorganization project. A phased approach relative to supply chain management, decision theory, flow studies, and failure mode and effect analysis is illustrated in the POAM. This study contributes knowledge on the use of decision strategy and time line management. In addition, the study offers a model that the leaders of other military and civilian health care organizations can use amid structural change to achieve a successful program integration, these efforts may effect positive social change through greater efficiency and continuity in operations

Near-infrared Spectral Characterization of Solar-type Stars in the Northern Hemisphere

Although solar-analog stars have been studied extensively over the past few decades, most of these studies have focused on visible wavelengths, especially those identifying solar-analog stars to be used as calibration tools for observations. As a result, there is a dearth of well-characterized solar analogs for observations in the near-infrared, a wavelength range important for studying solar system objects. We present 184 stars selected based on solar-like spectral type and V-J and V-K colors whose spectra we have observed in the 0.8-4.2 micron range for calibrating our asteroid observations. Each star has been classified into one of three ranks based on spectral resemblance to vetted solar analogs. Of our set of 184 stars, we report 145 as reliable solar-analog stars, 21 as solar analogs usable after spectral corrections with low-order polynomial fitting, and 18 as unsuitable for use as calibration standards owing to spectral shape, variability, or features at low to medium resolution. We conclude that all but 5 of our candidates are reliable solar analogs in the longer wavelength range from 2.5 to 4.2 microns. The average colors of the stars classified as reliable or usable solar analogs are V-J=1.148, V-H=1.418, and V-K=1.491, with the entire set being distributed fairly uniformly in R.A. across the sky between -27 and +67 degrees in decl.Comment: 19 pages, 8 figures, 2 table

Harnessing person-generated health data to accelerate patient-centered outcomes research: the Crohn’s and Colitis Foundation of America PCORnet Patient Powered Research Network (CCFA Partners)

The Crohn’s and Colitis Foundation of America Partners Patient-Powered Research Network (PPRN) seeks to advance and accelerate comparative effectiveness and translational research in inflammatory bowel diseases (IBDs). Our IBD-focused PCORnet PPRN has been designed to overcome the major obstacles that have limited patient-centered outcomes research in IBD by providing the technical infrastructure, patient governance, and patient-driven functionality needed to: 1) identify, prioritize, and undertake a patient-centered research agenda through sharing person-generated health data; 2) develop and test patient and provider-focused tools that utilize individual patient data to improve health behaviors and inform health care decisions and, ultimately, outcomes; and 3) rapidly disseminate new knowledge to patients, enabling them to improve their health. The Crohn’s and Colitis Foundation of America Partners PPRN has fostered the development of a community of citizen scientists in IBD; created a portal that will recruit, retain, and engage members and encourage partnerships with external scientists; and produced an efficient infrastructure for identifying, screening, and contacting network members for participation in research

Arecibon planetaarisen tutkan Maan lähiasteroidihavainnot: 2017 joulukuu - 2019 joulukuu

We successfully observed 191 near-Earth asteroids using the Arecibo Observatory's S-band planetary radar system from 2017 December through 2019 December. We present radar cross sections for 167 asteroids; circular-polarization ratios for 112 asteroids based on Doppler-echo-power spectra measurements; and radar albedos, constraints on size and spin periods, and surface-feature and shape evaluation for 37 selected asteroids using delay-Doppler radar images with a range resolution of 75 m or finer. Out of 33 asteroids with an estimated effective diameter of at least 200 m and sufficient image quality to give clues of the shape, at least 4 (∼12%) are binary asteroids, including 1 equal-mass binary asteroid, 2017 YE5, and at least 10 (∼30%) are contact-binary asteroids. For 5 out of 112 asteroids with reliable measurements in both circular polarizations, we measured circular-polarization ratios greater than 1.0, which could indicate that they are E-type asteroids, while the mean and the 1σ standard deviation were 0.37 ± 0.23. Further, we find a mean opposite-sense circular-polarization radar albedo of 0.21 ± 0.11 for 41 asteroids (0.19 ± 0.06 for 11 S-complex asteroids). We identified two asteroids, 2011 WN15 and (505657) 2014 SR339, as possible metal-rich objects based on their unusually high radar albedos, and discuss possible evidence of water ice in 2017 YE5.Peer reviewe

Population Maintenance of the Scyphozoan Cyanea sp. Settled Planulae and the Distribution of Medusae in the Niantic River, Connecticut, USA

Scyphozoan jellyfish are seasonally conspicuous in coastal waters, but relatively little is known about the factors that control their distribution and population dynamics.Cyanea sp is a seasonally abundant medusa in the Niantic River, Connecticut, U.S. and appears to maintain a population entirely within the estuary. To better understand the factors controlling their occurrence, we examined the temporal and spatial distribution of settled scyphistomae in relation to that of the medusae. Planula settlement patterns mirrored the presence of mature female medusae. The planulae settled primarily near the bottom. After settlement, planulacysts and polyps on the settlement plates were out competed by large barnacle and ascidian larvae, resulting in a sharp decline in cyst and polyp abundance. This stage-specific mortality may represent a population bottleneck in the life cycle of scyphozoans

LSST: from Science Drivers to Reference Design and Anticipated Data Products

(Abridged) We describe here the most ambitious survey currently planned in the optical, the Large Synoptic Survey Telescope (LSST). A vast array of science will be enabled by a single wide-deep-fast sky survey, and LSST will have unique survey capability in the faint time domain. The LSST design is driven by four main science themes: probing dark energy and dark matter, taking an inventory of the Solar System, exploring the transient optical sky, and mapping the Milky Way. LSST will be a wide-field ground-based system sited at Cerro Pach\'{o}n in northern Chile. The telescope will have an 8.4 m (6.5 m effective) primary mirror, a 9.6 deg$^2$ field of view, and a 3.2 Gigapixel camera. The standard observing sequence will consist of pairs of 15-second exposures in a given field, with two such visits in each pointing in a given night. With these repeats, the LSST system is capable of imaging about 10,000 square degrees of sky in a single filter in three nights. The typical 5$\sigma$ point-source depth in a single visit in $r$ will be $\sim 24.5$ (AB). The project is in the construction phase and will begin regular survey operations by 2022. The survey area will be contained within 30,000 deg$^2$ with $\delta<+34.5^\circ$, and will be imaged multiple times in six bands, $ugrizy$, covering the wavelength range 320--1050 nm. About 90\% of the observing time will be devoted to a deep-wide-fast survey mode which will uniformly observe a 18,000 deg$^2$ region about 800 times (summed over all six bands) during the anticipated 10 years of operations, and yield a coadded map to $r\sim27.5$. The remaining 10\% of the observing time will be allocated to projects such as a Very Deep and Fast time domain survey. The goal is to make LSST data products, including a relational database of about 32 trillion observations of 40 billion objects, available to the public and scientists around the world.Comment: 57 pages, 32 color figures, version with high-resolution figures available from https://www.lsst.org/overvie