Exploring The Effects Of Policies On Military Readiness

The purpose of this study was to identify factors of military policies that are counterproductive to III Marine Expeditionary Force’s (MEF) organizational readiness. The III MEF/Marine Corps Installation Pacific (MCIPAC) Liberty Regulations of Japan and Battalion Order (BnO) 11000.1C Bachelor Enlisted Quarters (BEQ) Regulation are two governing policies to which Marines and Sailors attached to III MEF and MCIPAC commands are subjected. The following research questions were formulated utilizing the Zero-Defect Theory and the Theory of Humanism as a conceptual foundation: How does perception toward the III MEF/MCIPAC liberty and BEQ regulation influence personal acceptance and adherence to these policies; to what degree does the development of coping strategies affect personnel adherence toward the III MEF/MCIPAC liberty and BEQ regulation; what factor(s) contribute to personnel obeying guidelines set forth within the III MEF/MCIPAC liberty and BEQ regulation; what factor(s) contribute to personnel disobeying guidelines set forth within the III MEF/MCIPAC liberty and BEQ regulation; and what factor(s) contribute to improving the perception of the overall quality of life for service members? Twelve participants volunteered to partake in a structured interview concerning different aspects of life and living on Okinawa. The context of these questions encompassed aspects of their working environment, command culture and climate, subjective feelings toward the freedoms and living accommodations on Okinawa, and the effect(s) all combined condition have on their performance. The findings suggest the III MEF Liberty and BEQ regulation is linked to III MEF’s operational readiness; however, the application of these policies is part of a larger schematic that works with the environment, military culture, and psychosomatics to motivate human behavior. Overall, this study provides a blueprint to apply policies that are considered a cultural apparatus that is steeped in a values base system that is objective, promotes autonomy, and encourages self-actualization. Recommendations for further research include developing research questions that are specific to the research inquiry, adding a quantitative aspect to data collected, and garner a larger sample size reflective of the population

Multi-scale statistical approach of the elastic and thermal behavior of a thermoplastic polyamid glass fiber composite

International audienceThe strong heterogeneity and the anisotropy of composite materials require a rigorous and precise analysis as a result of their impact on local properties. First, mechanical tests are performed to determine the macroscopical behavior of a polyamid glass fiber composite. Then we focus on the influence of the heterogeneities of the microstructure on thermal and mechanical properties from finite element calculations on the real microstructure, after plane strain assumptions. 100 images in 10 different sizes (50, 100, 150, 200, 250, 300, 350, 400, 450, 600 pixels) are analysed. The influence of the area fraction and the spatial arrangement of fibers is then established. For the thermal conductivity and the bulk modulus the fiber area fraction is the most important factor. These properties are improved by increasing the area fraction. On the other hand, for the shear modulus, the fibers spatial arrangement plays the paramount role if the size of the microstructure is smaller than the RVE. Therefore, to make a good prediction from a multi-scale approach the knowledge of the RVE is fundamental. By a statistical approach and a numerical homogenization method, we determine the RVE of the composite for the elastic behavior (shear and bulk moduli), the thermal behavior (thermal conductivity), and for the area fraction. There is a relatively good agreement between the effective properties of this RVE and the experimental macroscopical behavior. These effective properties are estimated by the Hashin-Shtrikman lower bound

Effects of a multifaceted intervention on cardiovascular risk factors in high-risk hypertensive patients: the ESCAPE trial, a pragmatic cluster randomized trial in general practice

BACKGROUND: Several observational studies on hypertensive patients have shown a gap between therapeutic targets recommended in guidelines and those achieved in daily practice. The ESCAPE trial aimed to determine whether a multifaceted intervention focused on general practitioners (GPs), could increase significantly the proportion of hypertensive patients at high risk in primary prevention who achieved all their recommended therapeutic targets. METHODS: A pragmatic, cluster randomized trial involving 257 GPs randomized by region. The GPs in the intervention group had a one-day training session and were given an electronic blood pressure measurement device and a short recommendation leaflet. Along with usual follow-up, they focused one consultation on hypertension and other cardiovascular risk factors every six months for two years. They also received feedback at baseline and at one year on their patients’ clinical and biological parameters. Main outcome measures were change in the proportion of patients achieving all their therapeutic targets and each individual therapeutic target at two years, and quality of life. RESULTS: 1,832 high-risk hypertensive patients were included. After two years, the proportion of patients achieving all their therapeutic targets increased significantly in both groups, but significantly more in the intervention group: OR (odds-ratio) 1.89, (95% confidence interval (CI) 1.09 to 3.27, P = 0.02). Significantly more patients achieved their blood pressure targets in the intervention group than in the usual care group: OR 2.03 (95% CI 1.44 to 2.88, P < 0.0001). Systolic and diastolic blood pressures decreased significantly more in the intervention group than in the usual care group, by 4.8 mmHg and 1.9 mmHg, respectively (P < 0.0001 for both). There were no significant difference changes in physical and mental quality of life between groups. CONCLUSION: An easy-to-perform, multifaceted intervention targeting only GPs increased significantly the proportion of high-risk hypertensive patients in primary prevention achieving their recommended therapeutic targets. TRIAL REGISTRATION: This trial was registered with ClinicalTrials.gov, number NCT0034885