1,105 research outputs found

    FY2016 National Defense Authorization Act: Selected Military Personnel Issues

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    [Excerpt] Military personnel issues typically generate significant interest from many Members of Congress and their staffs. Ongoing operations in Afghanistan and Iraq, along with the regular use of the reserve component personnel for operational missions, further heighten interest in a wide range of military personnel policies and issues. The Congressional Research Service (CRS) has selected a number of the military personnel issues considered in deliberations on H.R. 1735 as passed by the House and by the Senate and the final bill, S. 1356, as enacted (P.L. 114-92). This report provides a brief synopsis of sections in each bill that pertain to selected personnel policy. These include major military retirement reforms, end strengths, compensation, health care, and sexual assault, as well as less prominent issues that nonetheless generate significant public interest

    Identifying Behavioral Health Needs of Individuals Screened at the Booking Counter of Montgomery County Jail

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    Background: Many of the individuals who are released from incarceration are re-arrested and re-incarcerated within three years of release. Challenges that predispose individuals to re-arrest and re-incarceration include lack of education, employment opportunities, decent affordable housing, and treatment for substance use disorders (SUD) and/or mental illness. This report summarizes the behavioral health needs of newly arrested individuals in Montgomery County, Ohio.Methods: For this project, 4,809 adult individuals arrested for non-violent crimes received behavioral health screening and case management at booking in the Montgomery County Jail. Criminogenic assessment using the Risk-Needs-Responsivity (RNR) tool was conducted with 484 arrestees. Descriptive statistics and chi square statistics were calculated for gender, race, referrals made, education level, employment status, housing status, alcohol and other drug use, and mental health status.Results: As a group, the arrestees were undereducated, underemployed, and homeless. Based on RNR assessment, 67% had an SUD,and 60% required mental health treatment. Significant gender and racial differences were found among the arrestees, with womensignificantly more likely to have SUD and mental health issues.Conclusions: Individuals arrested and booked into the Montgomery County Jail experience a complex interaction among mental health, poly-substance use, medical, employment, and housing needs that must be addressed in a comprehensive and coordinated funding manner. This interactive complexity of issues demand a response from an integrated service delivery system that would best benefit the person served and the community

    Qualités psychométriques du Consumer satisfaction questionnaire (CSQ-8) et du Helping alliance questionnaire (HAQ) [Psychometric properties of the Consumer Satisfaction Questionnaire (CSQ-8) and the Helping Alliance Questionnaire (HAQ)].

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    BACKGROUND: This study was based on data from a quality of care assessment survey conducted in 2011 in outpatient polyclinics of the Vaud Canton in Switzerland, comprising questionnaires completed by 568 children over the age often and 672 parents of children of all ages. The objective of this study was to evaluate the psychometric qualities of the eight-item French versions for children of the Helping Alliance Questionnaire (HAQ) and the Consumer Satisfaction Questionnaire (CSQ-8) to allow formal validation and clinical application of these tools in the context of French-speaking child psychiatry. METHODOLOGY: Responses from children over the age often to the HAQ and CSQ-8 questionnaires were submitted to confirmatory factorial analysis (CFA) for ordinal data to verify their good fit with the original long versions. Construct validity (correspondence between scores on the scales and other external criteria considered to evaluate similar concepts) of the child questionnaires was tested by Spearman's correlation with the parents' responses and their feeling of being reassured or in agreement with respect to the first visit, and with the perception of the help provided by individual and family interviews. RESULTS: CFA showed an acceptable fit with the one-dimensional model of the original scales, both for the HAQ and the CSQ-8. Significant positive correlations of the scales with the parents' responses and with other convergent external criteria confirmed the good construct validity. CONCLUSIONS: These psychometric analyses provide a basis for the validation and clinical application of the abridged French versions of the HAQ and CSQ-8 in quality of care assessment in child psychiatry

    Major Miocene exhumation by fault-propagation folding within a metamorphosed, early Paleozoic thrust belt: Northwestern Argentina

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    The central Andean retroarc thrust belt is characterized by a southward transition at ∼22°S in structural style (thin-skinned in Bolivia, thick-skinned in Argentina) and apparent magnitude of Cenozoic shortening (>100 km more in the north). With the aim of evaluating the abruptness and cause of this transition, we conducted a geological and geo-thermochronological study of the Cachi Range (∼24–25°S), which is a prominent topographic feature at this latitude. Our U-Pb detrital zircon results from the oldest exposed rocks (Puncoviscana Formation) constrain deposition to mainly Cambrian time, followed by major, Cambro-Ordovician shortening and ∼484 Ma magmatism. Later, Cretaceous rift faults were locally inverted during Cenozoic shortening. Coupled with previous work, our new (U-Th)/He zircon results require 8–10 km of Miocene exhumation that was likely associated with fault-propagation folding within the Cachi Range. After Miocene shortening, displacement on sinistral strike-slip faults demonstrates a change in stress state to a non-vertically orientedσ3. This change in stress state may result from an increase in gravitational potential energy in response to significant crustal thickening and/or lithospheric root removal. Our finding of localized Cenozoic shortening in the Cachi Range increases the estimate of the local magnitude of shortening, but still suggests that significantly less shortening was accommodated south of the thin-skinned Bolivian fold-thrust belt. Our results also underscore the importance of the pre-existing stratigraphic and structural architecture in orogens in influencing the style of subsequent deformation.Fil: Pearson, D. M.. University Of Arizona; Estados Unidos. University Of Idaho; Estados UnidosFil: Kapp, P.. University Of Arizona; Estados UnidosFil: Reiners, P. W.. University Of Arizona; Estados UnidosFil: Gehrels, G. E.. University Of Arizona; Estados UnidosFil: Ducea, M. N.. University Of Arizona; Estados Unidos. University of Bucharest; RumaniaFil: Pullen, A.. University Of Arizona; Estados Unidos. University of Rochester; Estados UnidosFil: Otamendi, Juan Enrique. Universidad Nacional de Rio Cuarto. Facultad de Cs.exactas Fisicoquimicas y Naturales. Departamento de Geologia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alonso, Ricardo Narciso. Universidad Nacional de Salta; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

    Detrital zircon geochronology of pre-Tertiary strata in the Tibetan-Himalayan orogen

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    Detrital zircon data have recently become available from many different portions of the Tibetan-Himalayan orogen. This study uses 13,441 new or existing U-Pb ages of zircon crystals from strata in the Lesser Himalayan, Greater Himalayan, and Tethyan sequences in the Himalaya, the Lhasa, Qiangtang, and Nan Shan-Qilian Shan-Altun Shan terranes in Tibet, and platformal strata of the Tarim craton to constrain changes in provenance through time. These constraints provide information about the paleogeographic and tectonic evolution of the Tibet-Himalaya region during Neoproterozoic to Mesozoic time. First-order conclusions are as follows: (1) Most ages from these crustal fragments are <1.4 Ga, which suggests formation in accretionary orogens involving little pre-mid-Proterozoic cratonal material; (2) all fragments south of the Jinsa suture evolved along the northern margin of India as part of a circum-Gondwana convergent margin system; (3) these Gondwana-margin assemblages were blanketed by glaciogenic sediment during Carboniferous-Permian time; (4) terranes north of the Jinsa suture formed along the southern margin of the Tarim-North China craton; (5) the northern (Tarim-North China) terranes and Gondwana-margin assemblages may have been juxtaposed during mid-Paleozoic time, followed by rifting that formed the Paleo-Tethys and Meso-Tethys ocean basins; (6) the abundance of Permian-Triassic arc-derived detritus in the Lhasa and Qiangtang terranes is interpreted to record their northward migration across the Paleo- and Meso-Tethys ocean basins; and (7) the arrival of India juxtaposed the Tethyan assemblage on its northern margin against the Lhasa terrane, and is the latest in a long history of collisional tectonism. Copyright 2011 by the American Geophysical Union

    Ovarian cancer in younger vs older women: a population-based analysis

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    To compare the clinico-pathologic prognostic factors and survival of younger vs older women diagnosed with epithelial ovarian cancer. Demographic, clinico-pathologic, treatment, and surgery information were obtained from patients with ovarian cancer from the Surveillance, Epidemiology, and End Results Program from 1988 to 2001 and analysed using Kaplan–Meier estimates. Of 28 165 patients, 400 were <30 years (very young), 11 601 were 30–60 (young), and 16 164 were >60 (older) years of age. Of the very young, young, and older patients, 261 (65.3%), 4664 (40.2%), and 3643 (22.5%) had stage I–II disease, respectively (P<0.001). Across all stages, very young women had a significant survival advantage over the young and older groups with 5-year disease-specific survival estimates at 78.8% vs 58.8 and 35.3%, respectively (P<0.001). This survival difference between the age groups persists even after adjusting for race, stage, grade, and surgical treatment. Reproductive age (16–40 years) women with stage I–II epithelial ovarian cancer who received uterine-sparing procedures had similar survivals compared to those who underwent standard surgery (93.3% vs 91.5%, P=0.26). Younger women with epithelial ovarian cancer have a survival advantage compared to older patients
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