Analysis of Air Force Contingency Contracting Training Needs

This research examines the Air Force training needs of contingency contracting officers (CCOs). The study utilized the deductive approach to research. A survey instrument captured the data for the study. The survey captured input from CCOs with deployment experience and each of the Air Force components and MAJCOMs. Series 1 of the survey polls CCOs with deployment experience to determine the training CCOs require based on their personal experiences. Series 2 surveys the component and MAJCOM level supervisors to determine their perception of the training that should be required for CCOs. Comparing the two series will identify any differences in responses from the groups. Descriptive and analytical statistics were used to interpret the completed surveys. The survey will be used to determine what tasks should be trained prior to a CCO being deployed. This study tries to capture the general contracting tasks that may be performed at any contingency location. The survey results were combined and a set of training tasks were identified for CCOs

Market Access Analysis of Biologics and Small-Molecule Inhibitors for Inflammatory Bowel Disease Among US Health Insurance Policies.

BACKGROUND AND AIMS:Treatment pathways for ulcerative colitis (UC) and Crohn's disease (CD) are shifting to a more individualized, risk-stratified approach. The perception is that insurance policies may not have implemented this paradigm shift, particularly regarding access to newer agents. We evaluated patient access to advanced therapies by analyzing policy information from the Managed Markets Insight and Technology database. METHODS:Coverage status as of December 2018 for all US lives was queried for adalimumab, infliximab, infliximab-dyyb, tofacitinib, ustekinumab, and vedolizumab by indication (UC and/or CD) and medical or pharmacy coverage benefit. Coverage status was classified by the number of biologic steps before access to specified drug as "No Biologic," "1 Prior Biologic," "2+ Prior Biologics," "Not Covered." Unknown lives were excluded from the analyses. RESULTS:Coverage analysis was available for approximately 302 million lives under each medical and pharmacy benefit. Our analysis indicates that approximately half of covered lives had access to all agents (except tofacitinib) as first-line therapy; two-thirds had access after one biologic exposure. Among newer agents, vedolizumab had the widest coverage. For indications of UC and CD, 81% of known lives had access to vedolizumab with no prior biologic exposure required ("No Biologic"), 95% after "No Biologic" + "1 prior Biologic." Geographic variations were identified for coverage patterns. CONCLUSIONS:This US-based healthcare policy analysis points to an increased access to advanced therapies for UC and CD. An individualized, risk-stratified treatment approach integrating advanced therapies, including those recently approved, into treatment pathways for UC and CD is feasible

Christopher Lasch's the culture of narcissism the failure of a critique of psychological politics

Christopher Lasch's bestseller The Culture of Narcissism had, beyond doubt, a significant impact-it was even read in the White House. Today it is not only still frequently taught and referenced, there are also still empirical studies conducted which try to verify Lasch's assertion of the preponderance of the narcissistic personality. This paper re-reads the book as a critique of psychologization processes, and this allows us to discern, besides the flaws in Lasch's approach, a fundamental insight which goes largely unnoticed by both Lasch's opponents and his proponents. Following this, the article will situate subjectivity within the matrix of psychology, science, psychoanalysis, and politics. In this way a critique of contemporary forms of psychologization-psychologization under globalization, as it were-is made possible

A MegaCam Survey of Outer Halo Satellites. VII. A Single S\'ersic Index v/s Effective Radius Relation for Milky Way Outer Halo Satellites

In this work we use structural properties of Milky Way's outer halo ($R_G > 25\,\mathrm{kpc}$) satellites (dwarf spheroidal galaxies, ultra-faint dwarf galaxies and globular clusters) derived from deep, wide-field and homogeneous data, to present evidence of a correlation in the S\'ersic index v/s effective radius plane followed by a large fraction of outer halo globular clusters and satellite dwarf galaxies. We show that this correlation can be entirely reproduced by fitting empirical relations in the central surface brightness v/s absolute magnitude and S\'ersic index v/s absolute magnitude parameter spaces, and by assuming the existence of two types of outer halo globular clusters: one of high surface brightness (HSB group), with properties similar to inner halo clusters; and another of low surface brightness (LSB group), which share characteristics with dwarf spheroidal and ultra-faint dwarf galaxies. Given the similarities of LSB clusters with dwarf spheroidal and ultra-faint dwarf galaxies, we discuss the possibility that outer halo clusters also originated inside dark matter halos and that tidal forces from different galaxy host's potentials are responsible for the different properties between HSB and LSB clusters.Comment: 20 pages, 9 figures, 3 table

Regeneration in gap models: priority issues for studying forest responses to climate change

Recruitment algorithms in forest gap models are examined with particular regard to their suitability for simulating forest ecosystem responses to a changing climate. The traditional formulation of recruitment is found limiting in three areas. First, the aggregation of different regeneration stages (seed production, dispersal, storage, germination and seedling establishment) is likely to result in less accurate predictions of responses as compared to treating each stage separately. Second, the relatedassumptions that seeds of all species are uniformly available and that environmental conditions are homogeneous, are likely to cause overestimates of future species diversity and forest migration rates. Third, interactions between herbivores (ungulates and insect pests) and forest vegetation are a big unknown with potentially serious impacts in many regions. Possible strategies for developing better gap model representations for the climate-sensitive aspects of each of these key areas are discussed. A working example of a relatively new model that addresses some of these limitations is also presented for each case. We conclude that better models of regeneration processes are desirable for predicting effects of climate change, but that it is presently impossible to determine what improvements can be expected without carrying out rigorous tests for each new formulation

Anti-Nirvana: crime, culture and instrumentalism in the age of insecurity

‘Anti-Nirvana’ explores the relationship between consumer culture, media and criminal motivations. It has appeared consistently on the list of the top-ten most-read articles in this award-winning international journal, and it mounts a serious neo-Freudian challenge to the predominant naturalistic notion of ‘resistance’ at the heart of liberal criminology and media studies. It is also cited in the Oxford Handbook of Criminology and other criminology texts as a persuasive argument in support of the theory that criminality amongst young people is strongly linked to the acquisitive values of consumerism and the images of possessive individualism that dominate mass media

From ‘Young Women’ to ‘Female Adolescents’:Dutch Advice Literature during the Long Nineteenth Century

In late eighteenth-century Europe, there was a rapid expansion in the publication of advice books directed at young adult women. Based on an examination of conduct books published in the Netherlands, this chapter traces the changing format of the genre from the last quarter of the eighteenth century through to the early decades of the twentieth century. It explores how women pedagogues in the nineteenth century developed new ways of advising young women that gave readers greater control over their life choices. In the early twentieth century, the emerging social sciences drew attention to the physical and emotional changes involved in female adolescence, prescribing for the young woman strict forms of behaviour

Living for the weekend: youth identities in northeast England

Consumption and consumerism are now accepted as key contexts for the construction of youth identities in de-industrialized Britain. This article uses empirical evidence from interviews with young people to suggest that claims of `new community' are overstated, traditional forms of friendship are receding, and increasingly atomized and instrumental youth identities are now being culturally constituted and reproduced by the pressures and anxieties created by enforced adaptation to consumer capitalism. Analysis of the data opens up the possibility of a critical rather than a celebratory exploration of the wider theoretical implications of this process