Supply Chain Management in Humanitarian Relief Logistics

Hundreds of millions of people are affected by disasters each year. This thesis explores the use of supply chain management techniques to overcome the barriers encountered by logistics managers during humanitarian relief operations. Using grounded theory methodology, barriers were analyzed based on academic, organizational, and contemporary literature. Possible solutions to these barriers were selected from available supply chain management literature. This work is different from others in that it marries supply chain principles from different disciplines (including private, nonprofit, and military sectors) to benefit humanitarian operations. It also serves to advance the body of knowledge on this subject so that future logistics managers can build upon the concept. The result of the study is a simple framework of supply chain management solutions for overcoming logistics difficulties during humanitarian relief operations. (3 tables, 66 refs.

Subtypes of aggressive children based on parent ratings

Due to the character of the original source materials and the nature of batch digitization, quality control issues may be present in this document. Please report any quality issues you encounter to [email protected], referencing the URI of the item.Includes bibliographical references: leaves 17-20.The existence of subtypes of aggressive children based on their parents' ratings of their aggressive behavior was examined in this study. The subjects' raw scores from the Child Behavior Checklist (Achenbach & Edelbrock, 1991) were used to perform a cluster analysis of the eight subscales of behavior. The results indicated that two distinct subtypes, or clusters, existed within this data set. Cluster 1 was composed of 23 children whose parents rated them as highly aggressive and whose means for aggressive behaviors on each of the eight subscales were above average. Cluster 2 consisted of 31 children who were rated by their parents as only average in aggressive behaviors on all eight subscales. Because all 54 subjects in this study had been designated "aggressive" by their teachers and peers, the different subtypes, which emerge from the cluster analysis question the validity of, parent ratings. These findings do implicate that subtypes of aggressive children do exist within an aggressive sample; however, these subtypes are distinguished by parent ratings of behavior alone

Radar-aeolian roughness project

The objective is to establish an empirical relationship between measurements of radar, aeolian, and surface roughness on a variety of natural surfaces and to understand the underlying physical causes. This relationship will form the basis for developing a predictive equation to derive aeolian roughness from radar backscatter. Results are given from investigations carried out in 1989 on the principal elements of the project, with separate sections on field studies, radar data analysis, laboratory simulations, and development of theory for planetary applications

Biobehavioral effects of Tai Chi Qigong in men with prostate cancer: Study design of a three-arm randomized clinical trial.

Fatigue is often one of the most commonly reported symptoms in prostate cancer survivors, but it is also one of the least understood cancer-related symptoms. Fatigue is associated with psychological distress, disruptions in sleep quality, and impairments in health-related quality of life. Moreover, inflammatory processes and changes related to the hypothalamic-pituitary-adrenal (HPA) axis and/or autonomic nervous system may also play a role in cancer-related fatigue. Thus, effective treatments for fatigue in prostate cancer survivors represent a current unmet need. Prior research has shown that Tai Chi Qigong, a mind-body exercise intervention, can improve physical and emotional health. Herein, we describe the protocol of the ongoing 3-arm randomized controlled Health Empowerment & Recovery Outcomes (HERO) clincal trial. One hundred sixty-six prostate cancer survivors with fatigue are randomized to a modified Tai Chi Qigong intervention (TCQ), intensity-matched body training intervention (BT), or usual care (UC) condition. Guided by biopsychosocial and psychoneuroimmunology models, we propose that TCQ, as compared to BT or UC will: i) reduce fatigue (primary outcome) in prostate cancer survivors; ii) reduce inflammation; and iii) regulate the expression of genes from two major functional clusters: a) inflammation, vasodilation and metabolite sensing and b) energy and adrenergic activation. Assessments are conducted at baseline, the 6-week midpoint of the intervention, and 1 week, 3 months, and 12 months post-intervention. If our findings show that TCQ promotes recovery from prostate cancer and its treatment, this type of intervention can be integrated into survivorship care plans as the standard of care. The study's findings will also provide novel information about underlying biobehavioral mechanisms of cancer-related fatigue. Trial registration number:NCT03326713; clinicaltrials.gov

Future Dominance by Quaking Aspen Expected Following Short-Interval, Compounded Disturbance Interaction

The spatial overlap of multiple ecological disturbances in close succession has the capacity to alter trajectories of ecosystem recovery. Widespread bark beetle outbreaks and wildfire have affected many forests in western North America in the past two decades in areas of important habitat for native ungulates. Bark beetle outbreaks prior to fire may deplete seed supply of the host species, and differences in fire‐related regeneration strategies among species may shift the species composition and structure of the initial forest trajectory. Subsequent browsing of postfire tree regeneration by large ungulates, such as elk (Cervus canadensis), may limit the capacity for regeneration to grow above the browse zone to form the next forest canopy. Five stand‐replacing wildfires burned ~60,000 ha of subalpine forest that had previously been affected by severe ( \u3e90% mortality) outbreaks of spruce beetle (SB, Dendroctonus rufipennis) in Engelmann spruce (Picea engelmannii) in 2012–2013 in southwestern Colorado. Here we examine the drivers of variability in abundance of newly established conifer tree seedlings [spruce and subalpine fir (Abies lasiocarpa)] and resprouts of quaking aspen (Populus tremuloides) following the short‐interval sequence of SB outbreaks and wildfire (2–8 yr between SB outbreak and fire) at sites where we previously reconstructed severities of SB and fire. We then examine the implications of ungulate browsing for forest recovery. We found that abundances of postfire spruce seedling establishment decreased substantially in areas of severe SB outbreak. Prolific aspen resprouting in stands with live aspen prior to fire will favor an initial postfire forest trajectory dominated by aspen. However, preferential browsing of postfire aspen resprouts by ungulates will likely slow the rate of canopy recovery but browsing is unlikely to alter the species composition of the future forest canopy. Collectively, our results show that SB outbreak prior to fire increases the vulnerability of spruce–fir forests to shifts in forest type (conifer to aspen) and physiognomic community type (conifer forest to non‐forest). By identifying where compounded disturbance interactions are likely to limit recovery of forests or tree species, our findings are useful for developing adaptive management strategies in the context of warming climate and shifting disturbance regimes

Delayed diagnosis of cystic fibrosis associated with R117H on a background of 7T polythymidine tract at intron 8

AbstractWe report late diagnoses of cystic fibrosis (CF) in two men aged 61 and 65 years. At the time of presentation, both patients had significant pulmonary disease. In each case two CFTR gene mutations were identified, including R117H on a background of a poly T genotype of 7T/9T. Patients with two identified CFTR mutations which include the R117H/7T anomaly should be followed up routinely as they remain susceptible to severe lung disease

The Role of Racial Identity and Implicit Racial Bias in Self-Reported Racial Discrimination: Implications for Depression Among African American Men

Racial discrimination is conceptualized as a psychosocial stressor that has negative implications for mental health. However, factors related to racial identity may influence whether negative experiences are interpreted as instances of racial discrimination and subsequently reported as such in survey instruments, particularly given the ambiguous nature of contemporary racism. Along these lines, dimensions of racial identity may moderate associations between racial discrimination and mental health outcomes. This study examined relationships between racial discrimination, racial identity, implicit racial bias, and depressive symptoms among African American men between 30 and 50 years of age (n = 95). Higher racial centrality was associated with greater reports of racial discrimination, while greater implicit anti-Black bias was associated with lower reports of racial discrimination. In models predicting elevated depressive symptoms, holding greater implicit anti-Black bias in tandem with reporting lower racial discrimination was associated with the highest risk. Results suggest that unconscious as well as conscious processes related to racial identity are important to consider in measuring racial discrimination, and should be integrated in studies of racial discrimination and mental health

Pilot randomized trial demonstrating reversal of obesity-related abnormalities in reward system responsivity to food cues with a behavioral intervention

Objectives: Obesity is associated with hyperactivation of the reward system for high-calorie (HC) versus low-calorie (LC) food cues, which encourages unhealthy food selection and overeating. However, the extent to which this hyperactivation can be reversed is uncertain, and to date there has been no demonstration of changes by behavioral intervention. Subjects and methods: We used functional magnetic resonance imaging to measure changes in activation of the striatum for food images at baseline and 6 months in a pilot study of 13 overweight or obese adults randomized to a control group or a novel weight-loss intervention. Results: Compared to controls, intervention participants achieved significant weight loss (−6.3±1.0 kg versus +2.1±1.1 kg, P<0.001) and had increased activation for LC food images with a composition consistent with that recommended in the behavioral intervention at 6 months versus baseline in the right ventral putamen (P=0.04), decreased activation for HC images of typically consumed foods in the left dorsal putamen (P=0.01). There was also a large significant shift in relative activation favoring LC versus HC foods in both regions (P<0.04). Conclusions: This study provides the first demonstration of a positive shift in activation of the reward system toward healthy versus unhealthy food cues in a behavioral intervention, suggesting new avenues to enhance behavioral treatments of obesity

Negotiating daughterhood and strangerhood: retrospective accounts of serial migration

Most considerations of daughtering and mothering take for granted that the subjectivities of mothers and daughters are negotiated in contexts of physical proximity throughout daughters’ childhoods. Yet many mothers and daughters spend periods separated from each other, sometimes across national borders. Globally, an increasing number of children experience life in transnational families. This paper examines the retrospective narratives of four women who were serial migrants as children (whose parents migrated before they did) . It focuses on their accounts of the reunion with their mothers and how these fit with the ways in which they construct their mother-daughter relationships. We take a psychosocial approach by using a psychoanalytically-informed reading of these narratives to acknowledge the complexities of the attachments produced in the context of migration and to attend to the multi-layered psychodynamics of the resulting relationships. The paper argues that serial migration positioned many of the daughters in a conflictual emotional landscape from which they had to negotiate ‘strangerhood’ in the context of sadness at leaving people to whom they were attached in order to join their mothers (or parents). As a result, many were resistant to being positioned as daughters, doing daughtering and being mothered in their new homes

Coupled mesoscale-LES modeling of a diurnal cycle during the CWEX-13 field campaign: From weather to boundary-layer eddies

Multiscale modeling of a diurnal cycle of real‐world conditions is presented for the first time, validated using data from the CWEX‐13 field experiment. Dynamical downscaling from synoptic‐scale down to resolved three‐dimensional eddies in the atmospheric boundary layer (ABL) was performed, spanning 4 orders of magnitude in horizontal grid resolution: from 111 km down to 8.2 m (30 m) in stable (convective) conditions. Computationally efficient mesoscale‐to‐microscale transition was made possible by the generalized cell perturbation method with time‐varying parameters derived from mesoscale forcing conditions, which substantially reduced the fetch to achieve fully developed turbulence. In addition, careful design of the simulations was made to inhibit the presence of under‐resolved convection at convection‐resolving mesoscale resolution and to ensure proper turbulence representation in stably‐stratified conditions. Comparison to in situ wind‐profiling lidar and near‐surface sonic anemometer measurements demonstrated the ability to reproduce the ABL structure throughout the entire diurnal cycle with a high degree of fidelity. The multiscale simulations exhibit realistic atmospheric features such as convective rolls and global intermittency. Also, the diurnal evolution of turbulence was accurately simulated, with probability density functions of resolved turbulent velocity fluctuations nearly identical to the lidar measurements. Explicit representation of turbulence in the stably‐stratified ABL was found to provide the right balance with larger scales, resulting in the development of intra‐hour variability as observed by the wind lidar; this variability was not captured by the mesoscale model. Moreover, multiscale simulations improved mean ABL characteristics such as horizontal velocity, vertical wind shear, and turbulence. Multiscale modeling of a real‐world diurnal cycle is presented for the first time, enabled by the generalized cell perturbation method The multiscale simulations exhibited realistic atmospheric features not captured by the mesoscale model such as convective rolls, global intermittency, and intra‐hour variability Diurnal evolution of turbulence was accurately simulated, with probability density functions of resolved turbulent velocity fluctuations nearly identical to CWEX‐13 lidar measurement