DENTAL RADIOGRAPHS FOR THE HOMEBOUND

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65706/1/j.1752-7325.1968.tb03925.x.pd

BECOMING A SOCIALLY SENSITIVE DENTIST; A REVIEW OF SOME TRENDS *

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65455/1/j.1752-7325.1970.tb00549.x.pd

The coupling between the ionosphere and the protonosphere and its implications on the long term variations of ionospheric electron content

The long-term variations in the daytime exchange flux are estimated with the use of model hydrogen concentrations based on the inverse relationship between the abundance of neutral hydrogen and the neutral temperature in the thermosphere. The results are found to be compatible with the observed long-term behavior of the ionospheric electron content at a midlatitude location, as revealed by Faraday observations using geostationary satellites. The basic processes occurring in the ionosphere are reviewed, with emphasis on the concepts of limiting velocity and limiting flux. An approach to the problem of numerical simulation of the ionosphere is also presented and discussed

FROM GOLDEN HANDCUFFS TO PIG IRON: PROJECTING PENSION REFORM’S IMPACT ON THE HOMELAND SECURITY ENTERPRISE

The chronic underfunding of numerous public pensions, along with historic capital-market setbacks, has created a public pension debt crisis throughout much of the nation. The depth of this crisis makes pension reform inevitable, and that reform will transform the nature of public-servant compensation in the coming decades. This thesis explores the impact pension reform will have on the effectiveness of public-sector organizations with homeland security missions. To approach this issue, this thesis draws on existing academic literature from a wide range of disciplines, including economics, public administration, organizational behavior, sociology, and social psychology. Emerging from the research is a clear recognition that pension reform will change employee behavior, organizational culture, and the market for human capital through second- and third-order effects. Exactly how such change will play out is not so clear. The thesis turns to scenario-planning techniques to synthesize the diverse literature and provide plausible responses to the question of what pension reform’s impact will be within the homeland security domain. The thesis offers three different future outcomes and recommends more robust, collaborative scenario-planning initiatives for which the thesis itself provides a useful launching pad.http://archive.org/details/fromgoldenhandcu1094564092Colonel, United States Air National GuardApproved for public release; distribution is unlimited

Coccidioidomycosis Complement Fixation Titer Trends in the Age of Antifungals.

Coccidioidomycosis is associated with a broad spectrum of illness severity, ranging from asymptomatic or self-limited pulmonary infection to life-threatening manifestations of disseminated disease. Serologic studies before the widespread availability of antifungals established current understanding of serologic kinetics and dynamics. Chart histories and complement fixation (CF) titer trends were analyzed for 434 antifungal-treated coccidioidomycosis patients, who were classified by three infectious disease physicians as having either pulmonary uncomplicated coccidioidomycosis (PUC) (n = 248), pulmonary chronic coccidioidomycosis (PCC) (n = 64), disseminated coccidioidomycosis (DC) not including meningitis (n = 86), or coccidioidal meningitis (CM) (n = 36). The median maximal CF titers were 1:4 for PUC patients, 1:24 for PCC patients, 1:128 for DC patients, and 1:32 for CM patients. Approximately 25.4% of PUC patients, 6.2% of PCC patients, 2.3% of DC patients, and 8.3% of CM patients did not develop detectable titers during the study period. Maximal titers developed a mean of 31 days (95% confidence interval [CI], 13 to 50 days) after initial serologic positivity, with no significant differences between groups. Serologic recurrence occurred in 9% of PUC patients, 36% of PCC patients, 50% of DC patients, and 52% of CM patients. Median titer improvement rates were 91 days/dilution for PUC patients, 112 days/dilution for PCC patients, 136 days/dilution for DC patients, and 146 days/dilution for CM patients. Receiver operating characteristic (ROC) analysis revealed that CF testing retains moderate classification value for disseminated infections (area under the curve [AUC], 0.82 [95% CI, 0.78 to 0.87]) and complicated infections (AUC, 0.82 [95% CI, 0.77 to 0.86]). A suitable cutoff value for complicated infections is ≥1:32. Findings update serologic parameters that are relevant for clinical assessment of coccidioidomycosis patients in the triazole era