PPE unmasked: why health-care workers in Australia are inadequately protected against coronavirus

In Victoria, more than 1,100 health-care workers have now been infected with SARS-CoV-2, the coronavirus that causes COVID-19. Some 11% of active cases are workers in the health-care sector. Health-care workers are reported to be among those fighting for life in Victorian intensive care units

Emotional reactivity across individuals with varying trauma and substance dependence histories

Background—Research has reported a high rate of substance dependence in traumatized individuals who do not develop PTSD (TWP). While past studies have failed to consistently demonstrate that TWP individuals experience PTSD symptoms, findings have indicated that TWP and a history of substance dependence aside from nicotine dependence (SDH) are linked to affect disruption. Aims—The present study explored positive and negative affective mechanisms across four groups with varying SDH and TWP including TWP + SDH, TWP only, SDH only, or no history. Researchers hypothesized that adults (n = 78) would be more emotionally reactive to an experimentally-induced negative mood compared to a neutral mood induction as the presence of co-existing TWP and SDH increased. Method—After a brief telephone screening, eligible participants completed baseline self-report questionnaires and experimentally-manipulated negative and neutral mood inductions. Results—Most notably, results showed a significant TWP × SDH × Mood induction interaction (F (1, 63) = 4.154; Mse = 51.999; p = .046) for positive affect responses. Simple effects indicated that all participants except TWP + SDH individuals experienced a significant decrease in positive affect during the negative compared to the neutral mood condition. Conclusion—Findings may identify a protective mechanism for relapse among individuals with a history of both TWP and SDH

Disparities in Disability Among Non-Hispanic Black Elders: Results From the National Interview Survey 2001–2003

A drastically increasing elderly population and disparity among disability poses a concern for the US health care industry. This retrospective cross-sectional study analyzed whether ADL and IADL disabilities were different among non-Hispanic white (NHW) and non-Hispanic black (NHB) populations age 65 and over. Data was retrieved from the 2001–2003 National Health Interview Survey (NHIS) for comparing NHBs and NHWs using chi-square analysis for bivariate comparisons. For both elderly NHBs and elderly NHWs, increased rates of disability were reported for being over 75, female, single, and having lower education. NHBs reported statistically higher disability rates for ADL, IADL, and for any disability, with 10.0%, 18.0%, and 19.3%, respectively, compared to NHWs. There is a need to increase the access for NHBs to nursing home, hospice, and assisted-living facilities. Of further concern is the finding of lower institutionalization rates in the NHB population despite the significant presence of increased disability. The growing NHB elderly population needs an urgent societal intervention to address the persistent disparity, which has been neglected for so many years

Posttraumatic Stress Disorder Symptoms: A Mechanism in the Relationship between Early Sexual Victimization and Incapacitated/ Drug-or-Alcohol-Facilitated and Forcible Rape

Sexual assault occurring when the victim is unable to consent or resist due to the use or administra-tion of alcohol or drugs (i.e., incapacitated/drug-or-alcohol-facilitated rape; IR/DAFR) is a particu-larly prevalent form of victimization experienced by college women. By definition, substance use precedes IR/DAFR; however, few studies have examined other potential risk factors for IR/DAFR that may be unique from those associated with forcible rape (FR; i.e., sexual assault occurring due to threats or physical restraint). The present investigation tested a model of risk for IR/DAFR and FR suggesting that child or adolescent sexual abuse (CASA) leads to posttraumatic stress disorder (PTSD) symptoms, which in turn increase the likelihood of IR/DAFR, but not FR. Results revealed full mediation for PTSD hyperarousal symptoms in the pathway between CASA and IR/DAFR, and partial mediation for hyperarousal symptoms in the pathway between CASA and FR. Theoretical and clinical implications are discussed

The experience of accommodating privacy restrictions during implementation of a large-scale surveillance study of an osteoporosis medication.

PurposeTo explore whether privacy restrictions developed to protect patients have complicated research within a 15-year surveillance study conducted with US cancer registries.MethodsData from enrolling 27 cancer registries over a 10-year period were examined to describe the amount of time needed to obtain study approval. We also analyzed the proportion of patients that completed a research interview out of the total reported by the registries and examined factors thought to influence this measure.ResultsThe average length of the research review process from submission to approval of the research was 7 months (range, <1 to 24 months), and it took 6 months or more to obtain approval of the research at 41% of the cancer registries. Most registries (78%) required additional permission steps to gain access to patients for research. After adjustment for covariates, the interview response proportion was 110% greater (ratio of response proportion = 2.1; 95% confidence interval: 1.3, 3.3) when the least restrictive versus the most restrictive permission steps were required. An interview was more often completed for patients (or proxies) if patients were alive, within a year of being diagnosed, or identified earlier in the study.ConclusionsLengthy research review processes increased the time between diagnosis and provision of patient information to the researcher. Requiring physician permission for access to patients was associated with lower subject participation. A single national point of entry for use of cancer registry data in health research is worthy of consideration to make the research approval process efficient. © 2016 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons Ltd

Multi-objective Decision Analysis for Workforce Planning: A Case Study

The United States Department of Defense (DoD) engages in complex decision making on a daily basis, in terms of mission support and workforce management. Decision analysis tools are employed to evaluate and support the best course of action. In particular, multi-objective decision making (MODA) is a robust decision technique that evaluates objectives and measures in terms of value to select from a set of alternatives. This paper examines workforce planning at a DoD Agency through the use of MODA and examines the ratio of government employees (GOV) and contractors (CON) for an engineering related work role. MODA is used to identify influences to the assignment of a GOV or CON to an open position and to determine the appropriate ratio of GOV and CON employees for the work role. Results will be used to provide critical decision support to effectively manage budget and resources while meeting work requirements and agency mission with the best possible skill set

Developing an Integration Infrastructure for Distributed Engine Control Technologies

Turbine engine control technology is poised to make the first revolutionary leap forward since the advent of full authority digital engine control in the mid-1980s. This change aims squarely at overcoming the physical constraints that have historically limited control system hardware on aero-engines to a federated architecture. Distributed control architecture allows complex analog interfaces existing between system elements and the control unit to be replaced by standardized digital interfaces. Embedded processing, enabled by high temperature electronics, provides for digitization of signals at the source and network communications resulting in a modular system at the hardware level. While this scheme simplifies the physical integration of the system, its complexity appears in other ways. In fact, integration now becomes a shared responsibility among suppliers and system integrators. While these are the most obvious changes, there are additional concerns about performance, reliability, and failure modes due to distributed architecture that warrant detailed study. This paper describes the development of a new facility intended to address the many challenges of the underlying technologies of distributed control. The facility is capable of performing both simulation and hardware studies ranging from component to system level complexity. Its modular and hierarchical structure allows the user to focus their interaction on specific areas of interest

Extending the Capabilities of Closed-loop Distributed Engine Control Simulations Using LAN Communication

Distributed Engine Control (DEC) is an enabling technology that has the potential to advance the state-of-the-art in gas turbine engine control. To analyze the capabilities that DEC offers, a Hardware-In-the-Loop (HIL) test bed is being developed at NASA Glenn Research Center. This test bed will support a systems-level analysis of control capabilities in closed-loop engine simulations. The structure of the HIL emulates a virtual test cell by implementing the operator functions, control system, and engine on three separate computers. This implementation increases the flexibility and extensibility of the HIL. Here, a method is discussed for implementing these interfaces by connecting the three platforms over a dedicated Local Area Network (LAN). This approach is verified using the Commercial Modular Aero-Propulsion System Simulation 40k (C-MAPSS40k), which is typically implemented on one computer. There are marginal differences between the results from simulation of the typical and the three-computer implementation. Additional analysis of the LAN network, including characterization of network load, packet drop, and latency, is presented. The three-computer setup supports the incorporation of complex control models and proprietary engine models into the HIL framework

Comparing the Efficiency of Nursery and Direct Transplanting Methods for Restoring Endangered Corals

Restoration of plants, corals, and other sessile species often involves transplanting individuals to sites chosen for rehabilitation. Transplanted individuals are sometimes harvested directly from wild populations (direct transplanting), and sometimes propagated or cultured in a “nursery” before being transplanted (nursery outplanting). The ecological effectiveness and cost-efficiency of these methods have rarely been compared, so we performed an experiment to address this. Coral fragments, Acropora cervicornis (n = 780), were collected and assigned to one of three treatments: 1) directly transplanted to a restoration site and placed loose on the reef; 2) directly transplanted and manually attached to the reef; 3) moved to a nursery site near the restoration site for three months before being transplanted and manually attached to the reef. Treatment 1 was inefficient simply because these corals survived poorly. After 15 months, the survival and growth of corals assigned to treatments 2 and 3 was similar. The nursery method (3) was more expensive and time-consuming than direct transplanting (2), so treatment 2 yielded twice as many surviving corals per hour of work invested and three times as many survivors per dollar of set-up costs as treatment 3. The net production of live coral tissue per hour or per dollar invested was also greatest for direct-attached transplants. Cost- and time-efficiency are important considerations for practitioners seeking to maximize the area of reef rehabilitated and, in this case study, were maximized by bypassing a nursery stage

Fortification: new findings and implications

This article reviews the current landscape regarding food fortification in the United States; the content is based on aworkshop sponsored by the North American Branch of the International Life Sciences Institute. Fortification of the food supply with vitamins and minerals is a public health strategy to enhance nutrient intakes of the population without increasing caloric intake. Many individuals in the United States would not achieve recommended micronutrient intakes without fortification of the food supply. The achievement and maintenance of a desirable level of nutritional quality in the nation\u27s food supply is, thus, an important public health objective. While the addition of nutrients to foods can help maintain and improve the overall nutritional quality of diets, indiscriminate fortification of foods could result in overfortification or underfortification in the food supply and nutrient imbalances in the diets of individuals. Any changes in food fortification policy for micronutrients must be considered within the context of the impact they will have on all segments of the population and of food technology and safety applications and their limitations. This article discusses and evaluates the value of fortification, the success of current fortification efforts, and the future role of fortification in preventing or reversing nutrient inadequacies