A New Awakening: An New Baptist Church for Liberty, North Carolina

Baptist church architecture in the United States today is losing its uniqueness. Baptist history and heritage have lost their architectural expression. Church architecture in general has become increasingly non-denominational, responding to all faiths, and sadly Baptists have yielded to this trend. There is a pressing need to re-discover those qualities and characteristics unique to Baptists and to determine how they can influence and strengthen Baptist church architecture. Research into the nature of religion and its theoretical practical, and sociological impact on religious man and his places of worship will serve as a foundation for more detailed investigations into church architecture. Baptist history, traditions, liturgies, beliefs, doctrines, philosophies, and theologies as well as historical and contemporary examples of Baptist churches and their forms, shapes, and arrangements will be thoroughly examined in an effort to find liturgical and architectural elements unique to Baptists. The design proposal examines the Baptist worship space and its supporting components. It attempts to integrate Christian worship, Christian education, and Christian fellowship, and provide a place for Baptists to grow emotionally, intellectually, and spiritually in the presence of God. It explores the Baptist church\u27s role as a spiritual institution, indeed, as the House of God

Innovations that Address Socioeconomic, Cultural, and Geographic Barriers to Preventive Oral Health Care

This report focuses on nine oral health innovations that integrate service delivery and workforce models in order to reduce or eliminate socioeconomic, geographic, and cultural barriers to care. Two additional reports in this series describe the remaining programs that provide care in non-dental settings and care to young children. Although the programs are diverse in their approaches as well as in the specific characteristics of the communities they serve, a common factor among them is the implementation of multiple strategies to increase the number of children from low-income families who access preventive care, and also to engage families and communities in investing in and prioritizing oral health. For low-income children and their families, the barriers that must be addressed to increase access to preventive oral health care are numerous. For example, even children covered by public insurance programs face a shortage of dentists that accept Medicaid and who specialize in pediatric dentistry.(Guay, 2004).The effects of poverty intersect with other barriers such as living in remote geographic areas and community-wide history of poor access to dental care in populations such as recent immigrants . Overcoming these barriers requires creative strategies that address transportation barriers; establish welcoming environments for oral health care; and are linguistically and culturally relevant. Each of these nine programs is based on such strategies, including:-Expanding the dental workforce through training new types of providers or adding new providers to their workforce to increase reach and community presence;-Implementing new strategies to increase the cost-effectiveness of care so that more oral health care services are available and accessible;-Providing training and technical assistance that increase opportunities for and competence in delivering oral health education and care to children;-Developing creative service delivery models that address transportation and cultural barriers as well as the fear and stigma associated with dental care that may arise in communities with historically poor access.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies for overcoming barriers to access that have potential for rigorous evaluation that could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Development of a method for optimal maneuver analysis of complex space missions

A system that allows mission planners to find optimal multiple-burn space trajectories easily is described. Previously developed methods with different gravity assumptions perform the optimization function. The power of these programs is extended by a method of costate estimation. A penalty function method of constraining coast arc times to be positive is included. The capability of the method is demonstrated by finding the optimal control for three different space missions. These include a shuttle abort-once-around mission and two- and three-burn geosynchronous satellite-placement missions

Quantification of extremal dependence in spatial natural hazard footprints: independence of windstorm gust speeds and its impact on aggregate losses

This is the final version. Available on open access from EGU via the DOI in this recordNatural hazards, such as European windstorms, have widespread effects that result in insured losses at multiple locations throughout a continent. Multivariate extreme-value statistical models for such environmental phenomena must therefore accommodate very high dimensional spatial data, as well as correctly representing dependence in the extremes to ensure accurate estimation of these losses. Ideally one would employ a flexible model, able to characterise all forms of extremal dependence. However, such models are restricted to a few dozen dimensions, hence an a priori diagnostic approach must be used to identify the dominant form of extremal dependence. Here, we present various approaches for exploring the dominant extremal dependence class in very high dimensional spatial hazard fields: tail dependency measures, copula fits, and conceptual loss distributions. These approaches are illustrated by application to a data set of high-dimensional historical European windstorm footprints (6103 spatial maps of 3-day maximum gust speeds at 14872 locations). We find there is little evidence of asymptotic extremal dependency in windstorm footprints. Furthermore, empirical extremal properties and conceptual losses are shown to be well reproduced using Gaussian copulas but not by extremally dependent models such as Gumbel copulas. It is conjectured that the lack of asymptotic dependence is a generic property of turbulent flows. These results open up the possibility of using geostatistical Gaussian process models for fast simulation of windstorm hazard fields.Laura C. Dawkins was supported by the Natural Environment Research Council (Consortium on Risk in the Environment: Diagnostics, Integration, Benchmarking, Learning and Elicitation – CREDIBLE project; NE/J017043/1)

Dental Professionals in Non-Dental Settings

This report focuses on nine oral health innovations seeking to increase access to preventive oral health care in nondental settings. Two additional reports in this series describe the remaining programs that provide care in dental settings and care to young children. The nine innovations described here integrate service delivery and workforce models in order to reduce or eliminate socioeconomic, geographic, and cultural barriers to care. Although the programs are diverse in their approaches as well as in the specific characteristics of the communities they serve, a common factor among them is the implementation of multiple strategies to increase the number of children from low-income families who access preventive care, and also to engage families and communities in investing in and prioritizing oral health. For low-income children and their families, the barriers that must be addressed to increase access to preventive oral health care are numerous. For example, even children covered by public insurance programs face a shortage of dentists that accept Medicaid and who specialize in pediatric dentistry. The effects of poverty intersect with other barriers such as living in remote geographic areas and having a community-wide history of poor access to dental care in populations such as recent immigrants. Overcoming these barriers requires creative strategies that address transportation barriers, establish welcoming environments for oral health care, and are linguistically and culturally relevant. Each of these nine programs is based on such strategies, including:-Expanding the dental workforce through training new types of providers or adding new providers to the workforce toincrease reach and community presence;-Implementing new strategies to increase the cost-effectiveness of care so that more oral health care services are available and accessible;-Providing training and technical assistance that increase opportunities for and competence in delivering oral health education and care to children;-Offering oral health care services in existing, familiar community venues such as schools, Head Start programs and senior centers;-Developing creative service delivery models that address transportation and cultural barriers as well as the fear and stigma associated with dental care that may arise in communities with historically poor access.The findings from the EAs of these programs are synthesized to highlight diverse and innovative strategies for overcoming barriers to access. These strategies have potential for rigorous evaluation and could emerge as best practices. If proven effective, these innovative program elements could then be disseminated and replicated to increase access for populations in need of preventive oral health care

Smoking amongst adults experiencing homelessness: a systematic review of prevalence rates, interventions and the barriers and facilitators to quitting and staying quit

Background To date, there has been no review of the research evidence examining smoking cessation among homeless adults. The current review aimed to: (i) estimate smoking prevalence in homeless populations; (ii) explore the efficacy of smoking cessation and smoking reduction interventions for homeless individuals; and (iii) describe the barriers and facilitators to smoking cessation and smoking reduction. Method Systematic review of peer-reviewed research. Data sources included electronic academic databases. Search terms: ‘smoking’ AND ‘homeless’ AND ‘tobacco’, including adult (18+ years) smokers accessing homeless support services. Results Fifty-three studies met the inclusion criteria (n = 46 USA). Data could not be meta-analysed due to large methodological inconsistencies and the lack of randomised controlled trials. Smoking prevalence ranged from 57% to 82%. Although there was no clear evidence on which cessation methods work best, layered approaches with additions to usual care seemed to offer modest enhancements in quit rates. Key barriers to cessation exist around the priority of smoking, beliefs around negative impact on mental health and substance use, and environmental influences. Conclusions Homeless smokers will benefit from layered interventions which support many of their competing needs. To best understand what works, future recommendations include the need for consensus on the reporting of cessation outcomes

Ground rules

Review paper on the state of the world's soil