Complexity in an Unexpected Place: Quantities in Selected Acquisition Reports

We have looked at the definition of units in numerous acquisition programs and discovered that the units reported are almost never simple; in some programs, no two units are the same, and almost invariably the units produced at the end of a long production run are substantially different from the early ones. We have identified three reasons why the units may differ. The first reason is changes over time, generally as system capabilities are improved. The second is due to mixed types, where units that are inherently dissimilar;such as CH-47F and MH-47G helicopters;are produced by the same program and each is called one unit. The final reason why units can differ is reporting accidents. We give examples of all three and discuss possible methods of improving the reporting requirement.Naval Postgraduate School Acquisition Research Progra

An Innovative Approach for Community Engagement: Using an Audience Response System

Community-based participatory research methods allow for community engagement in the effort to reduce cancer health disparities. Community engagement involves health professionals becoming a part of the community in order to build trust, learn from the community and empower them to reduce disparities through their own initiatives and ideas. Audience Response Systems (ARS) are an innovative and engaging way to involve the community and obtain data for research purposes using keypads to report results via power point. The use of ARS within communities is very limited and serves to widen the disparity gap by not delivering new advances in medical knowledge and technology among all population groups. ARS was implemented at a community town hall event sponsored by a National Institute on Minority Health and Health Disparities Exploratory Center of Excellence, the Center for Equal Health. Participants appreciated being able to see how everyone else answered and felt included in the research process. ARS is beneficial because the community can answer truthfully and provides instant research results. Additionally, researchers can collect large amounts of data quickly, in a non-threatening way while tracking individual responses anonymously. Audience Response Systems proved to be an effective tool for successfully accomplishing community-based participatory research

Nurses\u27 Alumnae Association Bulletin, June 1967

President\u27s Message Officers and Committee Chairman Financial Report Report to Alumnae Association Nursing Service Report Operating Room Report School of Practical Nursing Report School of Nursing Report President Herbert\u27s Address (abstracted) Report from Africa Student Activities Nursing Service Staff Association Resume of Alumnae Meetings Way and Means Report Social Committee Building Fund Report Class News Notice

Pollen evidence of pleistocene and holocene vegetation on the Allegheny plateau, Maryland

When the Wisconsin ice sheet stood at its maximum position, tundra vegetation bordered the ice sheet. In the eastern United States, tundra extended at least 300 km due south of the ice border at 2700 ft (800 m) elevation on the Allegheny plateau. Spruce and jack (and/or red) pine forest grew at lower elevations in Virginia. On the coastal plain, and farther south, in the piedmont of northern Georgia, jack pine dominated the forest vegetation over a large region.As the ice sheet receded, the vegetation underwent a series of changes. Coniferous forest was replaced by deciduous forest, beginning 13,600 B.P. in Georgia. The frequency of white pine began to increase in Virginia at about the same time, and the frequencies of deciduous trees, about 1000 yr later. On the Allegheny plateau, no change took place in the tundra vegetation until 12,700 B.P., when tundra was replaced by open, spruce woodland. Jack and/or red pine grew mixed with, or nearby, the spruce. Pollen from deciduous trees (mainly oak, ash, and hornbeam) reached the site in greater quantity than before. Possibly the increase indicates a change in prevailing wind direction.On the Allegheny plateau, 10,500 years ago, the boreal woodland was replaced by a mixed coniferus-deciduous forest which included white pine. At about the same time (or perhaps a thousand years later), a similar change occurred in Connecticut. At lower elevations in the Shenandoah Valley, spruce forests including white pine were replaced by oak and other hardwoods.In the early Holocene, at a time we unfortunately were not able to pinpoint by radiocarbon dating, deciduous forest began to grow on the Allegheny plateau. Later there was a series of changes in the composition of the forest. High frequencies of oak pollen occur throughout the sequence, with successive maxima of hemlock, beech, and finally, hickory. High percentages of chestnut pollen occur with a maximum approximately coincident with the maximum of beech. These changes are probably significant both from stratigraphic and paleoecologic points of view, and should be studied in greater detail at sites where radiocarbon dating will be possible. The early maximum of chestnut pollen is a major difference between the pollen sequence in the Alleghenies and southern and central New England, suggesting that this species was very slow to move northward, arriving in New England just 2000 B.P. as the result of migration, not climatic change.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/33998/1/0000271.pd

Insect Population Dynamics, Varietal Preference and Performance of Organic Bio-Pesticides

Abstract Organic farming prohibits use of synthetic agrochemicals and encourages use of Integrated Pest Management (IPM) methods. States in the Southeastern US generally lag behind the rest of the country in organic vegetable production partly because of high insect pressures that make it difficult to grow vegetables without pesticides. This study on summer squash (Cucurbita pepo), grown using organic management practices, was conducted at a research station located in Mills River, North Carolina. The objectives of the study were to assess insect population dynamics and to evaluate performance of three OMRI-approved bio-pesticides: Azadirachtin, Pyrethrin and Spinosad against major insect pests of three summer squash varieties (Gentry, Spineless Beauty, and Zephyr). The highest populations of leafhoppers and thrips were recorded in early and late July. Squash varieties significantly influenced the populations of leafhoppers, thrips, aphids, and cucumber beetles. Bio-pesticides performed similarly against the major insect pests of squash recorded in this study Keywords: Organic Summer Squash, Insect Pests, Bio Pesticides, Organic Farmin

Rice Consumption and Urinary Arsenic Concentrations in U.S. Children

Background: In adult populations, emerging evidence indicates that humans are exposed to arsenic by ingestion of contaminated foods such as rice, grains, and juice; yet little is known about arsenic exposure among children. Objectives: Our goal was to determine whether rice consumption contributes to arsenic exposure in U.S. children. Methods: We used data from the nationally representative National Health and Nutrition Examination Survey (NHANES) to examine the relationship between rice consumption (measured in 0.25 cups of cooked rice per day) over a 24-hr period and subsequent urinary arsenic concentration among the 2,323 children (6–17 years of age) who participated in NHANES from 2003 to 2008. We examined total urinary arsenic (excluding arsenobetaine and arsenocholine) and dimethylarsinic acid (DMA) concentrations overall and by age group: 6–11 years and 12–17 years. Results: The median [interquartile range (IQR)] total urinary arsenic concentration among children who reported consuming rice was 8.9 μg/L (IQR: 5.3–15.6) compared with 5.5 μg/L (IQR: 3.1–8.4) among those who did not consume rice. After adjusting for potentially confounding factors, and restricting the study to participants who did not consume seafood in the preceding 24 hr, total urinary arsenic concentration increased 14.2% (95% confidence interval: 11.3, 17.1%) with each 0.25 cup increase in cooked rice consumption. Conclusions: Our study suggests that rice consumption is a potential source of arsenic exposure in U.S. children

Patterns of Distress in African American Mothers of Preterm Infants

Objective: To examine inter-relationships among stress due to infant appearance and behavior in the NICU, parental role alteration stress in the NICU, depressive symptoms, state anxiety, posttraumatic stress symptoms, and daily hassles exhibited by African American mothers of preterm infants and to determine whether there were sub-groups of mothers based on patterns of psychological distress. Method: 177 African American mothers completed questionnaires on their psychological distress at enrollment during infant hospitalization and 2, 6, 12, 18, and 24 months after term. Results: Psychological distress measures were inter-correlated. There were four latent classes of mothers: the low distress class with low scores on all measures; the high NICU-related stress class with high infant appearance and parental role stress and moderate scores on other measures; the high depressive symptoms class with high depressive symptoms and state anxiety and moderately elevated scores on NICU-related stress and post-traumatic stress symptoms; the extreme distress class with the highest means on all measures. Infants in the high stress class were sicker than infants in the other classes. The extreme distress class mothers averaged the lowest educational level. The classes differed on distress measures, worry about the child, and parenting stress through 24 months with the extreme distress class having the highest values. Conclusion: Although different types of maternal psychological distress were substantially related, there were distinct sub-groups of mothers that were identifiable in the NICU. Moreover, these sub-groups continued to differ on trajectories of distress and on their perceptions of the infants and parenting through 24 months after term. Originally published Journal of Developmental and Behavioral Pediatrics, Vol. 30, No. 3, June 200

Ozone depletion, greenhouse gases, and climate change

This symposium was organized to study the unusual convergence of a number of observations, both short and long term that defy an integrated explanation. Of particular importance are surface temperature observations and observations of upper atmospheric temperatures, which have declined significantly in parts of the stratosphere. There has also been a dramatic decline in ozone concentration over Antarctica that was not predicted. Significant changes in precipitation that seem to be latitude dependent have occurred. There has been a threefold increase in methane in the last 100 years; this is a problem because a source does not appear to exist for methane of the right isotopic composition to explain the increase. These and other meteorological global climate changes are examined in detail

Diagnosing Patients with Age-Related Hearing Loss and Tinnitus: Supporting GP Clinical Engagement through Innovation and Pathway Redesign in Audiology Services

The public health challenge of hearing impairment is growing, as age is the major determinant of hearing loss. Almost one in four (22.6%) over 75-year olds reports moderate or severe worry because of hearing problems. There is a 40% comorbidity of tinnitus and balance disorders. Good outcomes depend on early presentation and appropriate referral. This paper describes how the NHS Improvement Programme in England used service improvement methodologies to identify referral pathways and tools which were most likely to make significant improvements in diagnosing hearing loss, effective referrals and better patient outcomes. An audiometric screening device was used in GP surgeries to enable thresholds for effective referrals to be measured in the surgery. Revised referral criteria, the use of this device, new “assess and fit” technology in the audiology clinic, and direct access pathways can transform audiology service delivery so that patient outcomes are measurably better. This, in turn, changes the experience of GPs, so they are more likely to refer patients who can benefit from treatment. At the end of 2011, 51 GP practices in one of the audiology pilot areas had bought HearCheck screeners, a substantial development from the 4 practices who first engaged with the pilot