Promoting International Energy Security. Volume 3: Sea-Lanes to Asia

DTIC Science & Technology

2012-01-01

commercial use only. Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under...copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use . For...trademark. © Copyright 2012 RAND Corporation Permission is given to duplicate this document for personal use only, as long as it is unaltered and

Leveraging Observations of Security Force Assistance in Afghanistan for Global Operations

DTIC Science & Technology

2013-01-01

commercial use only. Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under...copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use . For...contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of

Assessment of Beddown Alternatives for the F-35

DTIC Science & Technology

2013-01-01

For More Information Visit RAND at www.rand.org Explore the RAND Corporation View document details Support RAND Purchase this document Browse Reports...copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information ...HOMELAND SECURITY Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to

Assessment of the Content, Design, and Dissemination of the Real Warriors Campaign

DTIC Science & Technology

2012-01-01

by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non...commercial use only. Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under...copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For

Developing Headquarters Guidance for Army Installation Sustainability Plans in 2007

DTIC Science & Technology

2009-01-01

Make a charitable contribution Support RAND This PDF document was made available from www.rand.org as a public service of the RAND Corporation . Jump...down to document The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the...6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) RAND Corporation ,1776 Main

Managing Technological Change: The Process is Key

DTIC Science & Technology

1989-01-01

research results. The RAND Note reports other outputs of sponsored research for general distri- bution. Publications of The RAND Corporation do not...necessarily reflect the opinions or policies of the sponsors of RAND research. Published by The RAND Corporation 1700 Main Street, P.O. Box 2138, Santa...Procedures in Office Settings: Influences and Outcomes, The RAND Corporation , R-3077-NSF/IRIS, October 1987. Bikson, T.K., C. Stasz, and D. A. Mankin, Computer

Supporting Air and Space Expeditionary Forces: Analysis of Combat Support Basing Options

DTIC Science & Technology

2004-01-01

Brooke et al., 2003. 13 For more information on Set Covering models, see Daskin , 1995. Analysis Methodology 43 Transportation Model. A detailed...This PDF document was made available from www.rand.org as a public service of the RAND Corporation. 6Jump down to document Visit RAND at...www.rand.org Explore RAND Project AIR FORCE View document details This document and trademark(s) contained herein are protected by law as indicated in a

Early history and reactivation of the rand thrust, southern California

NASA Astrophysics Data System (ADS)

Postlethwaite, Clay E.; Jacobson, Carl E.

The Rand thrust of the Rand Mountains in the northwestern Mojave Desert separates an upper plate of quartz monzonite and quartzofeldspathic to amphibolitic gneiss from a lower plate of metagraywacke and mafic schist (Rand Schist). The Rand thrust is considered part of the regionally extensive Vincent/Chocolate Mountain thrust system, which is commonly believed to represent a Late Cretaceous subduction zone. The initial direction of dip and sense of movement along the Vincent/Chocolate Mountain thrust are controversial. Microfabrics of mylonites and quartzites from the Rand Mountains were analyzed in an attempt to determine transport direction for this region, but the results are ambiguous. In addition, the southwestern portion of the Rand thrust was found to have been reactivated as a low-angle normal fault after subduction. Reactivation might have occurred shortly after subduction, in which case it could account for the preservation of high-pressure mineral assemblages in the Rand Schist, or it could be related to mid-Tertiary extension in the western United States. In either event, the reactivation might be responsible for the complicated nature of the microfabrics. The Rand Schist exhibits an inverted metamorphic zonation. Isograds in the schist are not significantly truncated by the reactivated segment of the Rand thrust. This indicates that other segments of the Vincent/Chocolate Mountain thrust should be re-evaluated for the possibility of late movement, even if they show an apparently undisturbed inverted metamorphic zonation.

Improving Interagency Information Sharing Using Technology Demonstrations: The Legal Basis for Using New Sensor Technologies for Counterdrug Operations Along the U.S. Border

DTIC Science & Technology

2014-01-01

herein are protected by law as indicated in a notice appearing later in this work . This electronic representation of RAND intellectual property is...commercial use. For information on reprint and linking permissions, please see RAND Permissions. Skip all front matter: Jump to Page 16 The RAND Corporation ...from www.rand.org as a public service of the RAND Corporation . CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH

RandSpg: An open-source program for generating atomistic crystal structures with specific spacegroups

NASA Astrophysics Data System (ADS)

Avery, Patrick; Zurek, Eva

2017-04-01

A new algorithm, RANDSPG, that can be used to generate trial crystal structures with specific space groups and compositions is described. The program has been designed for systems where the atoms are independent of one another, and it is therefore primarily suited towards inorganic systems. The structures that are generated adhere to user-defined constraints such as: the lattice shape and size, stoichiometry, set of space groups to be generated, and factors that influence the minimum interatomic separations. In addition, the user can optionally specify if the most general Wyckoff position is to be occupied or constrain select atoms to specific Wyckoff positions. Extensive testing indicates that the algorithm is efficient and reliable. The library is lightweight, portable, dependency-free and is published under a license recognized by the Open Source Initiative. A web interface for the algorithm is publicly accessible at http://xtalopt.openmolecules.net/randSpg/randSpg.html. RANDSPG has also been interfaced with the XTALOPT evolutionary algorithm for crystal structure prediction, and it is illustrated that the use of symmetric lattices in the first generation of randomly created individuals decreases the number of structures that need to be optimized to find the global energy minimum.

RAND's Impact in the Middle East. Corporate Publication

ERIC Educational Resources Information Center

RAND Corporation, 2015

2015-01-01

The RAND Corporation works throughout the Middle East to analyze complex policy problems and help policymakers create enduring solutions. RAND's work in the Middle East focuses on the issues that drive economic development. This brief report provides an overview of RAND's impact in the Middle East in the areas of supporting youth, health and…

The U.S.-Soviet Strategic Balance in the 1980s: Can We Meet the Challenge,

DTIC Science & Technology

1981-08-01

34 ; ’ 085 The Rand Paper Series Papers are issued by The Rand Corporation as a service to its professional Staff, Theis purpose is to tacilitate the...exchange of ideas among those who share the author’s research interests; Papers are not reports prepared in fulfillment of Rand’s contracts or grants...Views expressed in a Paper are the author’s own, and are not necessarily shared by Rand or its research sponsors. The Rand Corporation Santa Monica

Supporting Air and Space Expeditionary Forces: Analysis of CONUS Centralized Intermediate Repair Facilities

DTIC Science & Technology

2008-01-01

designing cost -effective CIRF networks or readily comparing alterna- tive potential network designs. The RAND Corporation was asked to develop such an...optimization model that allows users to select the best mix of land- and sea-based FSLs for a given set of operational scenarios, thereby reducing costs while...27 Overview of Post-BRAC Bed-Downs and CIRF Assignments . . . . . . . . . . . . . 27 JEIM Cost

Implementing the System for Health in the US Army Reserves Through the Performance Triad

DTIC Science & Technology

2014-02-13

Training Brigade in San Antonio, Texas. iv Abstract Strategic parameters such as reducing the portion of the Department of Defense...ready and resilient Soldiers. RAND Corporation and the World Health Organization provide insight through the successful implementation of workplace ...centralized resources found on active duty military bases may reduce Triad effectiveness 3 in its current design. The USAR must mitigate these

Quality of life and emotional state in chronic skin disease.

PubMed

Pärna, Ene; Aluoja, Anu; Kingo, Külli

2015-03-01

The aim of this study was to evaluate the associations between chronic inflammatory skin conditions and patients' emotional state and quality of life. The following self-rated questionnaires were used: Emotional State Questionnaire, a self-report scale assessing depression and anxiety symptoms; Dermatology Life Quality Index (DLQI); and RAND-36, a measure of health-related quality of life. The study group comprised 40 patients with psoriasis, 40 with eczema, 40 with acne, 15 with seborrhoeic dermatitis and 40 healthy controls. Patients with chronic skin diseases had lower DLQI and lower RAND-36 physical functioning scores, more perceived physical limitations and pain, and lower emotional well-being and general health ratings compared with the control group. In conclusion, chronic skin diseases are associated with symptoms of emotional distress, in particular insomnia and general anxiety.

The effect of obesity on long-term survival and health-related quality of life after coronary artery bypass grafting: a 12-year follow-up.

PubMed

Hokkanen, Matti; Järvinen, Otso; Huhtala, Heini; Laurikka, Jari

2018-04-20

The proportion of obese patients undergoing coronary artery bypass graft (CABG) surgery is increasing. In this study, our main objective was to assess the effect of obesity on long-term mortality and changes in quality of life (QoL) after GABG. Data of 508 patients who underwent isolated GABG were prospectively collected. RAND-36 Health Survey (RAND-36) was used as an indicator of QoL. BMI was used to assess obesity, and the analysis was based primarily on two patient groups: BMI less than 30 kg/m (408 patients) and BMI of at least 30 (100 patients). All assessments were made preoperatively and repeated 1 and 12 years after CABG surgery. The follow-up of the cohort was complete in 95 and 84% of the alive patients at 1 and 12 years, respectively. Thirty-day, 1-year, and 10-year survival rates were 99.0, 97.0, and 78.0%, respectively, in the obese and 98.0, 96.8, and 79.2%, respectively, in the nonobese group. Obese showed significant (P<0.05) improvements only in four and nonobese in seven of eight RAND-36 dimensions of QoL. In both obese and nonobese patients, improved RAND-36 physical component summary and mental component summary scores were seen in comparison with the preoperative values. Yet, obese patients had a more pronounced diminution in their physical component summary and mental component summary scores, whereas nonobese patients maintained their physical and mental health status better. Despite an on-going decline in 12 years after the CABG, both patient groups showed improvements in their health status in comparison with preoperative values. Obese patients gained less benefit in terms of QoL dimension, but there was no significant difference in overall mortality in the long-term follow-up.

Intratheater Airlift Functional Solution Analysis (FSA)

DTIC Science & Technology

2011-01-01

law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non ...commercial use only. Unauthorized posting of RAND electronic documents to a non -RAND website is prohibited. RAND electronic documents are protected under...1. REPORT DATE 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Intratheater Airlift Functional Solution

A Framework to Assess Programs for Building Partnerships

DTIC Science & Technology

2009-01-01

available from www.rand.org as a public service of the RAND Corporation . 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY...ABUSE TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research...6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand Corporation ,1776

Role of heterogeneous research and development funds in the productivity of the US manufacturing industry

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rhee, C.O.

1987-01-01

This paper investigates, in the framework of firm's optimal behavior, the effect of company-funded and federally-funded RandD on productivity in selected US industries. Especially, the role of federal funding RandD in productivity through direct as well as indirect mechanisms is analyzed. Using different model specification, two types of RandD-federal and company, and data of industry level, no support can be found for the blanket statement that federally-funded RandD (FRD) crowds out or pulls in company-funding RandD in productivity growth. Whether crowding-out or pulling-in is shown to be industry-specific as well as based on FRD's time dimension. Hence, the lag effectmore » of heterogeneous RandD funds on productivity is emphasized. The classification of heterogeneous RandD funds into basic research, applied research, and development is adopted to look at the impact of each on productivity. The model of firm's optimal behavior following such classification demonstrates that federally-funded basic research has a tremendous pulling-in impact on company-funded applied research and development, respectively.« less

Organizing complexity: the hopeful dreams and harsh realities of interdisciplinary collaboration at the rand corporation in the early cold war.

PubMed

Bessner, Daniel

2015-01-01

Historians argue that in the early Cold War an interdisciplinary research culture defined the RAND Corporation. However, a significant epistemological gap divided the members of RAND's Social Science Division (SSD) from the rest of the organization. While the social scientists used qualitative methods, most RAND researchers embraced quantified approaches and derided the social sciences as unscientific. This encouraged RAND's social scientists to develop a political-military simulation that embraced everything-politics, culture, and psychology-that RAND's other analysts largely ignored. Yet the fact that the SSD embraced gaming, a heuristic practiced throughout RAND, suggests that the political simulation was nonetheless inspired by social scientists' engagement with their colleagues. This indicates that the concept of interdisciplinarity should move beyond its implication of collaboration to incorporate instances in which research agendas are defined against but also shaped by colleagues in other disciplines. Such a rethinking of the term may make it possible to trace how varieties of interdisciplinary interaction historically informed knowledge production. © 2014 Wiley Periodicals, Inc.

Counterinsurgency in Afghanistan, Rand Counterinsurgency Study, Volume 4

DTIC Science & Technology

2008-01-01

population. These forces may be badly financed and equipped, orga- nizationally inept, corrupt, politically divided, and poorly informed about events...dominated by drug traffick- ers, the opium poppy economy financed a mode of local government that undermined the power of the central government.29...salaries are financed by non-believers. Unless you stop getting wages from them, you will be counted among the Ameri- can puppets.”45 This rationale

Adapting the Army’s Training and Leader Development Programs for Future Challenges

DTIC Science & Technology

2013-01-01

development information from the insti- tutional domain. • Collective training support products are proposed improvements in the primary prod- ucts...not to argue for a totally centralized approach. Decentralized initiatives are ben- eficial , and training program managers and executors should continue...institution that helps improve policy and decisionmaking through research and analysis. This electronic document was made available from www.rand.org as a

Expanding the Use of Time/Frequency Difference of Arrival Geolocation in the Department of Defense

DTIC Science & Technology

2012-01-01

next decade. Military acquisition and research , development, test , and evaluation will likely be the hardest hit by spending cuts (Eaglen and Nguyen...Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under copyright law...Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information on reprint

Adding Value to Air Force Management Through Building Partnerships Assessment

DTIC Science & Technology

2010-01-01

information on reprint and linking permissions, please see RAND Permissions. Skip all front matter: Jump to Page 16 The RAND Corporation is a nonprofit...public service of the RAND Corporation . CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand Corporation ,Project Air Force,PO Box 2138,Santa Monica,CA,90407-2138

Air Power Against Terror: America’s Conduct of Operation Enduring Freedom

DTIC Science & Technology

2005-01-01

Institute View document details For More Information This PDF document was made available from www.rand.org as a public service of the RAND Corporation ...WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the...WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand Corporation ,1776 Main Street,PO Box 2138,Santa Monica,CA,90407-2138 8

Reading "The Fountainhead": The Missing Self in Ayn Rand's Ethical Individualism

ERIC Educational Resources Information Center

Fand, Roxanne J.

2009-01-01

Ayn Rand's novel "The Fountainhead" can be a useful text in an undergraduate English class, helping students think through issues of individualism. Rand's own concept of the self, however, ignores its social dimensions. (Contains 7 notes.)

Analysis of the Air Force Logistics Enterprise: Evaluation of Global Repair Network Options for Supporting the C-130

DTIC Science & Technology

2011-01-01

for each of the target shops. The primary maintenance function would be at the flightline to aid sortie generation. However, on observing that...law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non ...commercial use only. Unauthorized posting of RAND electronic documents to a non -RAND website is prohibited. RAND electronic documents are protected under

Developing an Assessment Framework for U.S. Air Force Building Partnerships Programs

DTIC Science & Technology

2010-01-01

www.rand.org as a public service of the RAND Corporation . 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH...HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research organization providing objective...NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand Corporation

75 FR 82397 - Medicaid Program: Initial Core Set of Health Quality Measures for Medicaid-Eligible Adults

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-30

............ NA........ RAND Schizophrenia 2: ........ Annual assessment of weight/BMI, glycemic control, lipids. 41......... NA........ RAND Schizophrenia B: ........ Proportion of schizophrenia patients with long- term utilization of antipsychotic medications. 42......... NA........ RAND Schizophrenia C...

Reconnaissance In Megacities: Lessons From The Past

DTIC Science & Technology

2016-05-26

Operations: Visualizing the Elephant (Santa Monica: RAND, 2004), ix. 49 prevented a coordinated and decisive response. In Fallujah and Sadr City, air and...Monica: RAND, 2000. ———. Managing Complexity During Military Operations: Visualizing the Elephant . Santa Monica: RAND, 2004. Glenn, Russell W

Locomotor Stability in a Model Swimmer: Coupling Fluid Dynamics, Neurophysiology and Muscle Mechanics

DTIC Science & Technology

2017-07-05

springs which resist deformation. (C) Inset that shows the position of the muscle segments. Cohen, Holmes, Rand, J. Math Biol. 1982 A representative...numbers are the segment number, labeled from head to tail. Cohen, Holmes, Rand, J. Math Biol. 1982 The signals are periodic. Cohen, Holmes, Rand, J... Math Biol. 1982 From head to tail there is a phase lag on each side. Cohen, Holmes, Rand, J. Math Biol. 1982 On a given segment, the signals are in

Hybrid Airships for Lift: A New Lift Paradigm and a Pragmatic Assessment of the Vehicle’s Key Operational Challenges

DTIC Science & Technology

2011-12-01

prepares for storms.” 11 RAND, High Altitude Airships for the Future Force Army, 32. 12 Boyd to author, email, 23 September 2011. 27...2011). High Altitude Airships for the Future Force Army, RAND Technical Report DASW01-01-C-0003. Santa Monica, CA: RAND, 2005. www.rand.org/pubs...beginning to realize the potential capabilities of HA for lift, misinformed opinions on airship challenges continue to plague a rational analysis on

The Balancing Role of Turkey for the Influence of China in Central Asia

DTIC Science & Technology

2014-12-01

The projects relate to the improvement of Uzbekistan’s oil and gas reserves, as well as the management of its uranium reserves. The two countries...M. Regan and Russell J. Leng, Culture and Negotiations between Rival States (New York: Binghamton University, 2008), 5, http...2005/ RAND_MR1598.pdf. Regan, Patrick M., and Russell J. Leng. Culture and Negotiations between Rival States. New York: Binghamton University, 2008

77 FR 6156 - Rand Capital Corporation, et al.; Notice of Application

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... venture capital investments in small, early-stage and developing enterprises. Rand's principal objective... Capital Corporation, et al.; Notice of Application February 1, 2012. AGENCY: Securities and Exchange... Act'') granting an exemption from section 13(a) of the Exchange Act. Applicants: Rand Capital...

Addiction research centres and the nurturing of creativity. RAND's Drug Policy Research Center.

PubMed

Reuter, Peter; Pacula, Rosalie Liccardo; Caulkins, Jonathan P

2011-02-01

In September 1989, amid an emotional and ideological debate regarding problematic drug use in the United States and the 'war on drugs', RAND's Drug Policy Research Center (DPRC) was created through private foundation funds. The purpose of this new research center was to provide objective empirical analysis on which to base sound drug policy. Twenty years later, RAND's DPRC continues its work, drawing on a broad range of analytical expertise to evaluate, compare and assess the effectiveness of a similarly broad range of drug policies. More than 60 affiliated researchers in the United States and Europe make up the Center, which attempts to provide objective empirical analyses to better inform drug policies within the United States and abroad. This paper provides a look back at the creation, evolution and growth of the Center. It then describes how the Center operates today and how it has maintained its clear identity and focus by drawing on the analytical capabilities of a talented group of researchers from a broad range of academic disciplines. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.

Financial Futures of the Islamic State of Iraq and the Levant

DTIC Science & Technology

2017-03-27

iii Preface The Islamic State of Iraq and the Levant (ISIL) has been described as the wealthiest terrorist group in history. From seizing control of...interagency group within the U.S. government and conducted within the Intelligence Policy Center of the RAND National Defense Research Institute, a...17 CHAPTER FOUR

Prognostication: Do the Services See the Same Future of Warfare?

DTIC Science & Technology

2008-05-01

conduct of war, warfare. 24 Dana Johnson, Scott Pace, C. Bryan Gabbard , Space: Emerging Options for National Power, (RAND, 1998), 10. 25 Creveld, 145...Bryan Gabbard . Space: Emerging Options for National Power, RAND http://www.rand.org/pubs/monograph_reports/MR517/, 1998. (Accessed 5 January 2008

75 FR 20386 - Trane a Subsidiary of Ingersoll Rand Including On-Site Leased Workers From Aerotek, Express...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-19

... Ingersoll Rand Including On-Site Leased Workers From Aerotek, Express Personnel Services, Select Staffing... Ingersoll Rand, including on-site leased workers from Aerotek, Express Personnel Staffing, and Select... from Aerotek, Express Personnel Staffing, Select Staffing, and Mechanical Contractors, Inc., Pueblo...

Sexual Assault and Sexual Harassment in the U.S. Military: Annex to Volume 3. Tabular Results from the 2014 RAND Military Workplace Study for Coast Guard Service Members

DTIC Science & Technology

2015-01-01

SEXUAL ASSAULT AND SEXUAL HARASSMENT IN THE U.S. MILITARY Annex to Volume 3. Tabular Results from the 2014 RAND Military Workplace Study for... Sexual Harassment in the U.S. Military: Top-Line Estimates for Active-Duty Service Members from the 2014 RAND Military Workplace Study • Sexual ...Assault and Sexual Harassment in the U.S. Military: Top-Line Estimates for Active-Duty Coast Guard Members from the 2014 RAND Military Workplace Study vi

Middle School: Lessons from the Rand Report

ERIC Educational Resources Information Center

Bunting, Carolyn E.

2005-01-01

This article reports on a recent study by the Rand Corporation that concluded that there is cause for middle schools to worry. Commissioned by the Edna McConnell Clark Foundation, one of four major philanthropies supporting the middle school movement, the Rand investigation is clear in its assessment: The American middle school leaves adolescents…

China’s Strategy Toward South and Central Asia: An Empty Fortress

DTIC Science & Technology

2014-01-01

Bookstore Make a charitable contribution Limited Electronic Distribution Rights This document and trademark( s ) contained herein are protected by...public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...An Empty Fortress 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT

Occupational Burnout and Retention of Air Force Distributed Common Ground System (DCGS) Intelligence Personnel

DTIC Science & Technology

2012-01-01

Leiter, 2001) emotional exhaustion “is the central quality of burnout and the most obvious manifestation of this complex syndrome .” Because...2012 2. REPORT TYPE 3. DATES COVERED 00-00-2012 to 00-00-2012 4. TITLE AND SUBTITLE Occupational Burnout and Retention of Air Force Distributed...supervised, reviewed, and approved by the graduate fellow’s faculty committee. PARDEE RAND GRADUATE SCHOOL Occupational Burnout and Retention of Air Force

Analytic Support to Intelligence in Counterinsurgencies

DTIC Science & Technology

2008-01-01

John Hollywood, Thomas Sullivan, Ryan Keefe , David Nealy, and Walter L. Perry, Tar- geting IED Networks in Iraq, Santa Monica, Calif.: RAND...signature of a nascent insurgency—in terms of actions, pronouncements, and so on? Leadership and Membership. Who are the leaders and principal...insurgency? The number of possible insurgent groups What are the indicators that signal the existence of multiple groups? Group leadership and membership

Recent Contributions of Information Sciences Research at RAND to Modeling- and Simulation-Based Policy Analysis.

ERIC Educational Resources Information Center

Donohue, G. L.; And Others

This report presents examples of Rand's current research in the information sciences and illustrates the application of information science tools to specific policy studies. The projects discussed depict Rand's success with using corporate seed money to bridge the gap between the research and development of new information science tools and…

Immunogenicity of a Psoralen-Inactivated Dengue Virus Type 1 Vaccine Candidate in Mice

DTIC Science & Technology

2010-02-01

United States Naval Medical Research Center Detachment, Lima, Peru , 1 and United States Naval Medical Research Center, Silver Spring, Maryland2 R...and 28. The mice in group B mice received 10-ng vaccine doses on study clays 0, 14, and 28. The mice in group C received 10-ng vaccine doses on

The Global Positioning System: Assessing National Policies,

DTIC Science & Technology

1995-01-01

WASSEM • MONICA PINTO CRITICAL TECHNOLOGIES INSTITUTE RAND The research described in this report was supported by RAND’s Critical...MONICA PINTO Prepared for the Executive Office of the President Office of Science and Technology Policy CRITICAL TECHNOLOGIES INSTITUTE RAND...National Research Council Committee on the Future of the Global Positioning System, Washington, D.C., July 28-30,1994. Barbier, Jacques , and Thierry

Intratheater Airlift Functional Needs Analysis (FNA)

DTIC Science & Technology

2011-01-01

information on reprint and linking permissions, please see RAND Permissions. Skip all front matter: Jump to Page 16 The RAND Corporation is a nonprofit...facing the public and private sectors. All RAND mono- graphs undergo rigorous peer review to ensure high standards for research quality and...personnel. xii Intratheater Airlift Functional Needs Analysis all operating environments. The FNA assesses the ability of current assets to

Stakeholder Perspectives on a Culture of Health: Key Findings.

PubMed

Acosta, Joie D; Whitley, Margaret D; May, Linnea Warren; Dubowitz, Tamara; Williams, Malcolm V; Chandra, Anita

2017-06-01

Since 2013, the Robert Wood Johnson Foundation (RWJF) has embarked on a pioneering effort to advance a Culture of Health. The Culture of Health action framework is founded on a vision in which "everyone in our diverse society leads healthier lives now and for generations to come." To put the Culture of Health vision into action, RWJF asked RAND Health to support the development of an action framework and measurement strategy. This article summarizes the stakeholder engagement efforts that RAND used to inform this work. It draws on a series of interviews and focus groups that RAND researchers conducted with stakeholders both within and outside the United States. It should be of interest to RWJF, as well as to those individuals and organizations interested in advancing the Culture of Health action framework. Given that RWJF is focused on using the Culture of Health action framework and measures to catalyze national dialogue about content and investments to improve population health and well-being, the study should be beneficial to a range of national, state, and local leaders across a variety of sectors that contribute to health as described by the Culture of Health action framework.

Portfolio-Analysis Methods for Assessing Capability Options

DTIC Science & Technology

2008-01-01

available from www.rand.org as a public service of the RAND Corporation. 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND...knowledge; (4) time; (5) the psychological context resulting from other contemporary events; (6) the format of presen- tation (briefing, discussion...TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research organization

Assessing Stop-Loss Policy Options through Personnel Flow Modeling

DTIC Science & Technology

2014-01-01

from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH...the RAND National Defense Research Institute, a federally funded research and development center sponsored by OSD, the Joint Staff, the Unified...detrimental to cohesion, morale , and other aspects of unit performance. However, the multifaceted challenges of meeting general force needs with

Options for Filling Vacant Officer Positions

DTIC Science & Technology

2010-01-01

from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH...of Defense (OSD). The research was conducted in the RAND National Defense Research Institute, a federally funded research and development center...extant Department of Defense (DoD) military manpower policy, and assesses alternative mixes of military manpower against criteria developed to determine

U.S. Security-Related Agreements in Force Since 1955: Introducing a New Database

DTIC Science & Technology

2014-01-01

necessarily reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving...PAF), a division of the RAND Corporation, is the U.S. Air Force’s federally funded research and development center for studies and analyses. PAF...33   Additional Applications of the Treaty and Agreement Database ........................................................... 35   Summary

Supporting the Development of a New Health R&D Strategy

PubMed Central

Grant, Jonathan; Pollitt, Alexandra; Castle-Clarke, Sophie; Cochrane, Gavin; Sondergaard, Susanne; Horvath, Veronika

2014-01-01

Abstract The HelseOmsorg21 initiative was set up by the Ministry of Health and Care Services to develop a new research and innovation strategy for health and care services in Norway. The HelseOmsorg21 Strategy Group, through the Research Council of Norway which is providing the secretariat for the strategy development, asked RAND Europe to support the strategic review process. RAND Europe's role was to conduct a series of rapid evidence reviews around the recommendations arising from the five working groups that comprise the initiative. The reviews were conducted around networks and collaboration, data linkage and exchange, culture, values and leadership, and incentives for innovation, while capacity building was a recurrent theme throughout. This study presents the rapid evidence reviews, summarising relevant literature and highlighting international examples of particularly relevant or innovative approaches. The issues and ideas identified around each theme are then pulled together in a suggested conceptual representation of the Norwegian health and care research system. PMID:28083346

Restoring the Power Projection Capabilities of the U.S. Armed Forces

DTIC Science & Technology

2017-02-16

Armed Services on February 16, 2017. For more information on this publication , visit www.rand.org/pubs/testimonies/CT464.html Testimonies RAND...law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is...planning prior to Russia’s attacks on Ukraine did not take account of the need to deter large-scale aggression against the North Atlantic Treaty

Children on the Homefront: The Experiences of Children from Military Families

DTIC Science & Technology

2010-03-01

2010). Children on the homefront : the experience of children from military families. Pediatrics. 25 ( 1 ), 13-25. Department of Defense, Public...around the world . Visit RAND at www.rand.org Explore RAND Testimony View document details For More Information Browse Books & Publications Make a...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and

The Future of Conventional Arms Control

DTIC Science & Technology

1975-08-01

of ideas among those who share the author’s research interests; Papers are not reports prepared in fulfillment of Rand’s contracts or grants. Views...expressed in a Paper are the author’s own, and are not necessarily shared by Rand or its research sponsors. The Rand Corporation Santa Monica...technology is realizing fundamental changes. In defending the fiscal year 1975 Defense Department research and development budget, Dr. Malcolm Currie

Smarter Power, Stronger Partners, Volume 1: Exploiting U.S. Advantages to Prevent Aggression

DTIC Science & Technology

2016-01-01

representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited...or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit...www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities

Army Stock Positioning: How Can Distribution Performance Be Improved

DTIC Science & Technology

2017-01-01

Support RAND Make a tax -deductible charitable contribution at www.rand.org/giving/contribute www.rand.org Preface The...the source- preference logic that selects the warehouse for issuing an item to a cus- tomer. Below, we describe the LMP source-preference logic and...the AMC pilot to use it to tailor how warehouses are selected to issue items to customers. AMC Pilot Implementation of LMP Source-Preference

Evaluating the reliability, validity and minimally important difference of the Taiwanese version of the diabetes quality of life (DQOL) measurement

PubMed Central

Huang, I-Chan; Liu, Jung-Hua; Wu, Albert W; Wu, Ming-Yen; Leite, Walter; Hwang, Chyng-Chuang

2008-01-01

Background Few diabetes HRQOL instruments are available in Chinese language. We tested psychometric properties of a Diabetes Quality of Life (DQOL) in Chinese language for diabetes patients in Taiwan and estimated its minimally important differences (MIDs). Methods Data were collected from 337 patients treated in diabetes clinics of a Taiwan teaching hospital. Pearson's correlations among domain scores of the DQOL (satisfaction, impact, and worry), the D-39S (a diabetes-specific instrument, including domains of diabetes control, energy and mobility, social burden and anxiety and worry, and sexual functioning) and the RAND-12 (a generic instrument, including physical health composite (PHC) and mental health composite (MHC)) were estimated to determine convergent/discriminant validity. Known-groups validity was examined using 2-hour postprandial plasma glucose (2 h PPG), hemoglobin A1c (HbA1c)) and presence of complications (retinopathy, neuropathy, and diabetic foot complications rather than the known groups of cardiovascular and cerebrovascular complications). We used a combined anchor- and distribution-based approach to establish MIDs. Results The DQOL scores were more strongly correlated with the physical domains of the D-39S (diabetes control and energy and mobility) and RAND-12 PHC than psychological domains of the D-39S (social burden, anxiety and worry, and sexual functioning) and RAND-12 MHC. The DQOL showed satisfactory discriminative ability for the known groups of 2 h PPG and HbA1c (effect size (ES) ≥ 0.2) and retinopathy, neuropathy, and diabetic foot complications (ES ≥ 0.3), but less satisfactory for the known groups of cardiovascular and cerebrovascular complications. MIDs for the DQOL domains were 3–5 points for satisfaction, 4–5 points for impact, 6–8 points for worry, and 3–4 points for overall HRQOL. Conclusion We validated a DQOL in Chinese language for diabetes patients in Taiwan and provided MIDs to facilitate the measure of diabetes HRQOL. PMID:18957127

Mathematics Audit of the DoDEA Schools: 2014-2015

DTIC Science & Technology

2016-01-01

inform instruction ” was a moderate or major focus of their PD during 2014–2015, and 31 percent reported that they had a moderate or high need for...permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the...agencies, and the defense Intelligence Community . For more information on the RAND Forces and Resources Policy Center, see www.rand.org/nsrd/ndri

Byting Back. Regaining Information Superiority Against 21st-Century Insurgents

DTIC Science & Technology

2007-01-01

representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND PDFs to a non-RAND Web site is...thus, denoting safe or unsafe areas for urban combat, ingress/ egress, or convoy operations. It also offers clues as to where insur- gents might plant...on security authorities. Victims may, themselves, be reluctant to come forward if they feel their efforts are futile, or worse, can put them in

Beyond Close Air Support. Forging a New Air-Ground Partnership

DTIC Science & Technology

2005-01-01

15213-1516 RAND URL: http://www.rand.org/ To order RAND documents or to obtain additional information, contact Distribution Services : Telephone: (310) 451...prominence for either partner. It gives the least opportunity for parochial claims and one-sided plead- ing for one’s own service . Its very difficulty...could be a virtue: Once the services have mastered partnership, they can easily revert to sim- pler approaches. Partnership does not, of course, imply

Improving Team Performance: Proceedings of the Rand Team Performance Workshop.

DTIC Science & Technology

1980-08-01

organization theory, small group processes, cognitive psychologi training and instruction , decision theory, artificial intelligence, and human engineering...theory, small group processes, cognitive psy- chology, training and instruction , heuristic modeling, decision theory, and human engineering. Within...interact with. The operators are taught about the equipment and how it works; the actual job is left to be learned aboard ship. The cognitive processes the

Expectations of Malaysian Mothers for the Schooling of Their Children.

ERIC Educational Resources Information Center

Waite, Linda J.; And Others

A Rand study develops a model concerning mothers in Peninsular Malaysia's three major ethnic groups (Malay, Chinese, Indian), investigating relationships between their early life experiences and their expectations for education levels of their children. The model examines three of the women's early life experiences that are governed by their…

A Program Manager’s Guide for Program Improvement in Ongoing Psychological Health and Traumatic Brain Injury Programs. The RAND Toolkit, Volume 4

DTIC Science & Technology

2014-01-01

Hughes EFX, Boerstler H, O’Connor EJ. “Assessing the Impact of Continuous Quality Improvement/ Total Quality Management : Concept versus...facing the public and private sectors. All RAND reports undergo rigorous peer review to ensure high standards for research quality and objectivity. Gery...RAND Program Manager’s Guide helps managers assess program performance, consider options for improvement, implement solutions, then assess whether the

Supporting the Future Total Force. A Methodology for Evaluating Potential Air National Guard Mission Assignments

DTIC Science & Technology

2007-01-01

force with its primary function —to organize, train, and equip aviation forces primarily for prompt and sustained offen- sive and defensive air...staff. 4 The full warfighter headquarters end-to-end operation was considered in this study to include non -AOC command and control functions performed...representation of RAND intellectual property is provided for non -commercial use only. Unauthorized posting of RAND PDFs to a non -RAND Web site is

Supporting the Future Total Force: A Methodology for Evaluating Potential Air National Guard Mission Assignments

DTIC Science & Technology

2007-01-01

practices. The Air Force continues to strive to align the total force with its primary function —to organize, train, and equip aviation forces primarily for...to include non -AOC command and control functions performed for the COMAFFOR and staff. Potential COMAFFOR Warfighting Operations Support Postures...representation of RAND intellectual property is provided for non -commercial use only. Unauthorized posting of RAND PDFs to a non -RAND Web site is

Jemaah Islamiyah: Reevaluating the Most Dangerous Terrorist Threat in Southeast Asia

DTIC Science & Technology

2010-12-01

why some terrorist groups last longer than others, namely “ideological motivation , economic conditions, regime type, the size of groups, and/or the...States Air Force, RAND Corporation and Project Air Force (U.S.), The Dynamic Terrorist Threat: An Assessment of Group Motivations and Capabilities in a...in 2003 and 2004, then shifted tactics from car bombs to backpack bombs for their 2005 and 2009 attacks.58 Their operatives received safe haven and

Making an Impact in the Kurdistan Region--Iraq. Summary of Four Studies to Assess the Present and Future Labor Market, Improve Technical Vocational Education and Training, Reform the Health Sector, and Build Data Collection Capacity. Research Report

ERIC Educational Resources Information Center

Anthony, C. Ross; Constant, Louay; Culbertson, Shelby; Click, Peter; Kumar, Krishna B.; Meili, Robin C.; Moore, Melinda; Shatz, Howard J.; Vernez, Georges

2015-01-01

This executive summary describes key results from four studies carried out by the RAND Corporation as part of Phase II of its work for the Kurdistan Regional Government (KRG). The KRG asked RAND to undertake several studies aimed at improving the economic and social development of the Kurdistan Region--Iraq (KRI). RAND's work is intended to help…

Alternative Measured-Service Rate Structures for Local Telephone Service,

DTIC Science & Technology

1980-06-01

contracts or grants . Views expressed in a Papet are the author’s own, and are not necessarily shared by Rand or its research sponsors. The Rand Corporation...by National Science Foundation, grant DAR 77-16286 to The Rand Corporation. Measuring costs depend strongly on the technology of the telephone network...a Budget Constraint. The Case of the Two-Part Tariff," Review of Economic Studies, July 1974, Vol. 41, pp. 337-345. -28- Oi, W. Y., "A Disneyland

Sexual Assault and Sexual Harassment in the U.S. Military: Highlights from the 2014 RAND Military Workplace Study

DTIC Science & Technology

2015-01-01

assault, sexual harassment , and gender discrimination in the military. The resulting study, the RAND Military Workplace Study (RMWS), invited close to...members are highlighted in this brief. Sexual Assault and Sexual Harassment in the U.S. Military HigHligHts from tHe 2014 rAND militAry WorkplAce stuDy...significantly higher rates than men : 22 percent of women and 7 percent of men experienced sexual harassment in the past year. In addition, we estimate

An Overview and Comparison of Demand Assignment Multiple Access (DAMA) Concepts for Satellite Communications Networks,

DTIC Science & Technology

1996-01-01

helps improve public policy through research and analysis . RAND’s publications do not necessarily reflect the opinions or policies of its research...celebrating 50 years of service to the United States Air Force. Project AIR FORCE began in March 1946 as Project RAND at Douglas Aircraft Company , under...through research and analysis for the public welfare and security of the United States—what is known today as RAND. Contents Preface iii Figures ix

Global Combat Support Basing. Robust Prepositioning Strategies for Air Force War Reserve Material

DTIC Science & Technology

2010-01-01

e.g., WRM assets at b may receive their mainte- nance from a traveling maintenance team based offsite at b’ ). Both the 5 Mark S. Daskin , Lawrence V...This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic...representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND PDFs to a non-RAND Web site is

Analysis and Recommendations on the Company-Grade Officer Shortfall in the Reserve Components of the U.S. Army

DTIC Science & Technology

2011-01-01

available from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND...conducted within the RAND National Defense Research Institute, a federally funded research and development center sponsored by OSD, the Joint Staff, the... develop - ment center sponsored by the Office of the Secretary of Defense, the Joint Staff, the Unified Combatant Commands, the Navy, the Marine Corps

RAND’s Role in the Evolution of Balloon and Satellite Observation Systems and Related U.S. Space Technology

DTIC Science & Technology

1988-09-01

committee consisting of the Under Secre- tary of the Air Force, Joseph Charyk; the Deputy Director of Defense Research and Engineering , John H. Rubel...prepared as part of RAND-sponsored research, was originally intended to commemorate the fortieth anniversary of Project RAND (now Project AIR FORCE), a...simple matter either for the authors or for the U.S. government.(/-) Hence, a project begun two years ago to commemorate the fortieth anniversary of Air

The Air Force Deployment Transition Center: Assessment of Program Structure, Process, and Outcomes

DTIC Science & Technology

2016-01-01

treatment and control group across a much broader range of factors. The use of the TWANG algorithm to produce the weights allows researchers to...employing a difference-in- difference design to assess for confounding history effects) and a synchronous control group , while the PRSAG report used...Synchronous Controls . . . . . . . . 55 B. Investigating the Differences Between the RAND and the Psychology Research Service Analytic Group’s Analyses

11. Historic American Buildings Survey Marvin Rand, Photographer August 1971 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. Historic American Buildings Survey Marvin Rand, Photographer August 1971 FIRST FLOOR: MUSIC ROOM (Stained Glass Windows Designed by Shepard) - Villa Montezuma, 1925 K Street, San Diego, San Diego County, CA

5. Historic American Buildings Survey Frances Rand Smith Collection California ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: After 1860's Re-photo: January 1940 FIRST FRAME CHURCH (LEFT) - Mission San Rafael Archangel, San Rafael, Marin County, CA

Development and validation of Australian aphasia rehabilitation best practice statements using the RAND/UCLA appropriateness method.

PubMed

Power, Emma; Thomas, Emma; Worrall, Linda; Rose, Miranda; Togher, Leanne; Nickels, Lyndsey; Hersh, Deborah; Godecke, Erin; O'Halloran, Robyn; Lamont, Sue; O'Connor, Claire; Clarke, Kim

2015-07-02

To develop and validate a national set of best practice statements for use in post-stroke aphasia rehabilitation. Literature review and statement validation using the RAND/UCLA Appropriateness Method (RAM). A national Community of Practice of over 250 speech pathologists, researchers, consumers and policymakers developed a framework consisting of eight areas of care in aphasia rehabilitation. This framework provided the structure for the development of a care pathway containing aphasia rehabilitation best practice statements. Nine speech pathologists with expertise in aphasia rehabilitation participated in two rounds of RAND/UCLA appropriateness ratings of the statements. Panellists consisted of researchers, service managers, clinicians and policymakers. Statements that achieved a high level of agreement and an overall median score of 7-9 on a nine-point scale were rated as 'appropriate'. 74 best practice statements were extracted from the literature and rated across eight areas of care (eg, receiving the right referrals, providing intervention). At the end of Round 1, 71 of the 74 statements were rated as appropriate, no statements were rated as inappropriate, and three statements were rated as uncertain. All 74 statements were then rated again in the face-to-face second round. 16 statements were added through splitting existing items or adding new statements. Seven statements were deleted leaving 83 statements. Agreement was reached for 82 of the final 83 statements. This national set of 82 best practice statements across eight care areas for the rehabilitation of people with aphasia is the first to be validated by an expert panel. These statements form a crucial component of the Australian Aphasia Rehabilitation Pathway (AARP) (http://www.aphasiapathway.com.au) and provide the basis for more consistent implementation of evidence-based practice in stroke rehabilitation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Of Tanks and Toyotas: An Assessment of Japan’s Defense Industry

DTIC Science & Technology

1993-01-01

AD-A282 389 A RAND NOTE Of Tants and Toyotas An Asmamnt of Jan’s Defense Idustry Arthur Alexander DTIC S ELECTEJUL 2 6 1994 0 G 94-22886 RAND 94 7 21...RAND NOTE N3542-AF Of Tanks and Toyotas : An Assesmen of Japan’s Defense Idus"r Arthur Alexander Prepared for the United States Air Force Accesion For...Japanese dfense expenditures are modest when compared to those of NATO countries such as Italy and France, whose economies are considerably smaller than

Development of Quality Metrics in Ambulatory Pediatric Cardiology.

PubMed

Chowdhury, Devyani; Gurvitz, Michelle; Marelli, Ariane; Anderson, Jeffrey; Baker-Smith, Carissa; Diab, Karim A; Edwards, Thomas C; Hougen, Tom; Jedeikin, Roy; Johnson, Jonathan N; Karpawich, Peter; Lai, Wyman; Lu, Jimmy C; Mitchell, Stephanie; Newburger, Jane W; Penny, Daniel J; Portman, Michael A; Satou, Gary; Teitel, David; Villafane, Juan; Williams, Roberta; Jenkins, Kathy

2017-02-07

The American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Section had attempted to create quality metrics (QM) for ambulatory pediatric practice, but limited evidence made the process difficult. The ACPC sought to develop QMs for ambulatory pediatric cardiology practice. Five areas of interest were identified, and QMs were developed in a 2-step review process. In the first step, an expert panel, using the modified RAND-UCLA methodology, rated each QM for feasibility and validity. The second step sought input from ACPC Section members; final approval was by a vote of the ACPC Council. Work groups proposed a total of 44 QMs. Thirty-one metrics passed the RAND process and, after the open comment period, the ACPC council approved 18 metrics. The project resulted in successful development of QMs in ambulatory pediatric cardiology for a range of ambulatory domains. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

10. Historic American Buildings Survey Frances Rand Smith Collection California ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: About 1890 Re-photo: January 1940 SECOND FRAME CHURCH REPLACING MISSION (1890) - Mission San Rafael Archangel, San Rafael, Marin County, CA

A Study Comparing Free-Flap Reconstruction via the Retroauricular Approach and the Traditional Transcervical Approach for Head and Neck Cancer: A Matched Case-Control Study.

PubMed

Kim, Won Shik; Park, Jae Hong; Byeon, Hyung Kwon; Chang, Jae Won; Ban, Myung Jin; Koh, Yoon Woo; Choi, Eun Chang

2015-12-01

Free-flap reconstruction via a retroauricular approach (RRA) after robot-assisted neck dissection (RAND) could have cosmetic benefits. This study aimed to compare the surgical outcomes of free-flap reconstruction via a RRA and via a transcervical approach in head and neck cancer. For this matched case-control study, 50 patients with head and neck cancer requiring free-flap reconstruction were divided into two groups: those reconstructed via a RRA group and those reconstructed via a transcervical approach (RTA group). The total operation time for free-flap reconstruction, the flap survival rate, the length of the hospital stay, the complications, and the scar satisfaction scores were compared between the two groups. The RRA group comprised 25 patients, and the RTA group had 25 patients. The mean operation time for reconstruction was 288 ± 77 min in the RRA group and 250 ± 98 min in the RTA group (p = 0.132). Flap failure occurred for two patients in the RRA group (8 %) and for one patient in the RTA group (4 %) (p = 1.000). The mean hospital stay was 21 ± 18 days in the RRA group and 23 ± 14 days in the RTA group (p = 0.669). The complications were comparable between the two groups. However, the overall scar satisfaction was significantly higher in the RRA group (p = 0.000). For patients with head and neck cancer, RRA has better cosmetic outcomes than RTA. The RRA approach could be used for select patients who undergo RAND and prefer to avoid a visible anterior neck scar.

Rethinking Reading Comprehension. Solving Problems in the Teaching of Literacy.

ERIC Educational Resources Information Center

Sweet, Anne Polselli, Ed.; Snow, Catherine E., Ed.

This practical book grew out of a recent report written by the RAND Reading Study Group (RRSG), which proposed a national research agenda in the area of reading comprehension. In the book, RRSG members have expanded on their findings and translated them into clear recommendations to inform practice. The book explains research-based ways to plan…

What Explains the Gender Gap in Financial Literacy? The Role of Household Decision Making.

PubMed

Fonseca, Raquel; Mullen, Kathleen J; Zamarro, Gema; Zissimopoulos, Julie

2012-01-01

Using newly collected data from the RAND American Life Panel, we examine potential explanations for the gender gap in financial literacy, including the role of marriage and who within a couple makes the financial decisions. Blinder-Oaxaca decomposition reveals the majority of the gender gap in financial literacy is not explained by differences in the characteristics of men and women-but rather differences in coefficients, or how literacy is produced. We find that financial decision making of couples is not centralized in one spouse although it is sensitive to the relative education level of spouses.

What Explains the Gender Gap in Financial Literacy? The Role of Household Decision Making

PubMed Central

FONSECA, RAQUEL; MULLEN, KATHLEEN J.; ZAMARRO, GEMA; ZISSIMOPOULOS, JULIE

2012-01-01

Using newly collected data from the RAND American Life Panel, we examine potential explanations for the gender gap in financial literacy, including the role of marriage and who within a couple makes the financial decisions. Blinder–Oaxaca decomposition reveals the majority of the gender gap in financial literacy is not explained by differences in the characteristics of men and women—but rather differences in coefficients, or how literacy is produced. We find that financial decision making of couples is not centralized in one spouse although it is sensitive to the relative education level of spouses. PMID:23049140

8. Historic American Buildings Survey Frances Rand Smith Collection California ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: 1870's Re-photo: January, 1940 FIRST FRAME CHURCH (LEFT), OLD MARIN COUNTY COURT HOUSE (CENTER) - Mission San Rafael Archangel, San Rafael, Marin County, CA

Hazardous Waste Cleanup: Curtiss-Wright in Kearny, New Jersey

EPA Pesticide Factsheets

The site is located in Phillipsburg, New Jersey and was operated by Ingersoll Rand Company. Ingersoll Rand began facility construction in 1903 and produced products such as pumps, turbo equipment, air and gas compressors, rock drills, and mining equipment.

15. VIEW OF INGERSOLLRAND AIR COMPRESSOR, 1920 (left) and INGERSOLLRAND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. VIEW OF INGERSOLL-RAND AIR COMPRESSOR, 1920 (left) and INGERSOLL-RAND TURBINE GENERATOR UNIT AND FLYWHEEL, patented 1901-1911 (right). - Juniata Shops, Power Plant & Boiler House, East of Fourth Avenue at Second Street, Altoona, Blair County, PA

RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy).

PubMed

Menchetti, Laura; Mancini, Stefania; Catalani, Maria Chiara; Boccini, Beatrice; Diverio, Silvana

2015-08-14

Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this 'no-kill policy' has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project "RandAgiamo" implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs' adoptability by a standard training and socialization programme. It also promoted dogs' visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (P < 0.001). The RandAgiamo project could be beneficial for the dogs' welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities.

Recommendations for the detection and therapeutic management of cognitive impairment in multiple sclerosis.

PubMed

Bensa, C; Bodiguel, E; Brassat, D; Laplaud, D; Magy, L; Ouallet, J-C; Zephir, H; De Seze, J; Blanc, F

2012-11-01

The aim of the Multiple Sclerosis Think Tank (Groupe de réflexion sur la sclérose en plaques [GRESEP]) is to prescribe recommendations following a systematic literature search and using a Rand Corporation and California University (RAND/UCLA) appropriateness derived method, in response to practical questions that are raised in the management of patients with multiple sclerosis (MS). The topics of this working program were chosen because they were not addressed in the French recommendations and because of the few data in the literature that enabled practices to be based on validated data. Following the theme on useful serum testing with suspected multiple sclerosis, the subjects of the present work concern the detection and management of cognitive impairment in the beginning stages of the disease course. Two clinical questions were asked: which complementary exams (besides physical examination and neuropsychological tests) would help in the screening of cognitive impairment at the beginning of the disease? What care management should the person with MS and cognitive impairment be offered (treatments and neurocognitive rehabilitation)? The recommendations are the result of a consensus amongst a working group, a rating group and a reading group comprised of hospital neurologists involved in the management of patients with multiple sclerosis. Each recommendation is presented with the degree of consensus that it was accorded. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Making Strategic Analysis Matter

DTIC Science & Technology

2012-01-01

Bryan Gabbard , Assessing the Tradecraft of Intelligence Analysis, Santa Monica, Calif.: RAND Corporation, TR-293, 2008. 4 See The Commission on the...July 7, 2011: http://www.rand.org/pubs/occasional_papers/OP152.html Treverton, Gregory F., and C. Bryan Gabbard , Assessing the Tradecraft of

The Future Of Sectarian Relations in the Middle East

DTIC Science & Technology

2017-01-01

by demanding remuneration for its forward deployments. Meanwhile, the United States relationship with the United Arab Emirates and Qatar is growing...information on the RAND Intelligence Policy Center, see http://www.rand.org/nsrd/ndri/centers/intel.html or contact the director (contact

New projects developed by COMOTI in gas industry

NASA Astrophysics Data System (ADS)

Nitulescu, Marian; Silivestru, Valentin; Toma, Niculae; Slujitoru, Cristian; Petrescu, Valentin; Leahu, Mihai; Oniga, Ciprian; Ulici, Gheorghe

2015-08-01

The paper aims to present two new projects developed by the Romanian Research and Development Institute for Gas Turbines (COMOTI) in partnership with City University of London and GHH-Rand Germany, in the field of screw compressors/expanders. COMOTI passed, in recent years, from being a GHH-Rand licensed manufacturer for a range of oil-injected screw compressors, of CU type, to a new phase of range diversification, approaching screw compressors with a maximum discharge pressure of 45 bara. So, in cooperation with City University and GHH-Rand we design, manufacture and test, with air, in COMOTI test bench the new type of screw compressor named CHP 220. Also, the cooperation with GHH-Rand has resulted in the design, manufacture and air testing on the test bench, and then gas testing - in a gas compression station - for an electric generator driven by a screw expander. This paper presents how the tests were carried out, the experimental data and the interpretation of results

Methodology for Examining Effects of Arms Control Reduction on Tactical Air Forces. An Example from Conventional Forces in Europe (CFE) Treaty Analysis

DTIC Science & Technology

1993-01-01

H. Wegner for developing the tactical air and ground force databases and producing the campaign results. Thanks are also due to Group Captain Michael ... Jackson , RAF, for developing the evaluation criteria for NATO’s tactical air force reductions during his stay at RAND. -xi. CONTENTS PREFACE

Alternative Models for the ERIC Clearinghouse Network.

ERIC Educational Resources Information Center

Greenwood, P. W.; Weiler, D. M.

The National Center for Educational Communication (NCEC) contracted with Rand to develop a range of potential objectives and structures for the Educational Resources Information Center (ERIC) system that could render it more effective in the future. The Rand study team surveyed the scope and sources of education literature and studied the…

The New DOD Instruction 5000.02: An Analysis of the Efficiencies to be Gained

DTIC Science & Technology

2015-06-01

IT, and Information Systems • Post Implementation Review (PIR) • DOD Enterprise Architecture requirement • Cybersecurity Strategy for all IT... dam /rand/pubs/occasional_papers/2010/RAND_OP3 08.pdf President’s Blue Ribbon Commission on Defense Management. (1986). A quest for excellence, final

Time Critical Targeting Concept of Operations (CONOPS) Interactions

DTIC Science & Technology

2011-05-01

range of topics in force development and employment. Carl has participated in projects examining the interdiction of armoured ground forces , long...Critical Targeting Concept of Operations (CONOPS) Interactions Executive Summary In 2003, RAND Project Air Force examined the...Attack. ____________________ ________________________________________________ Carl Rhodes Project Air Force , RAND Corporation Carl Rhodes is the

Illuminant and observer metamerism and the Hardy-Rand-Rittler color vision test editions.

PubMed

Dain, Stephen J

2006-01-01

A previous study identified a significant metamerism in the several editions of the Hardy-Rand-Rittller pseudoisochromatic plates (HRR) but did not proceed to quantify the consequences of that metamerism (Dain, 2004). Metamerism arises from two sources and is almost inevitable when a printed color vision test is reproduced in several editions. Metamerism has two consequences; these are illuminant/source-based changes in performance and changes in performance with observer (less well known) when assessing anomalous trichromats. This study addresses the effects of illuminant/source and observer metamerism on the fourth editions of HRR. Groups of colors intended to lie on a dichromat confusion line generally remain on a confusion line when the source id changed. The plates appear to be resistant to each form of metamerism, perhaps because the features of the spectral reflectance are similar for figure color and background gray. As a consequence, the clinician needs to be less concerned about using a non-recommended source than was previously believed.

Needle Acupuncture for Posttraumatic Stress Disorder (PTSD): A Systematic Review

DTIC Science & Technology

2017-01-01

RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is...Management of Post -Traumatic Stress (Engel et al., 2014), a ten-week residential PTSD treatment program for combat-related PTSD (King et al., 2015...others (Gartlehner et al., 2013; Management of Post -Traumatic Stress Working Group, 2010). Cochrane reviews provide evidence specifically in support

[School Organization: Theory and Practice; Selected Readings on Grading, Nongrading, Multigrading, Self-Contained Classrooms, Departmentalization, Team Heterogeneous Grouping. Selected Bibliographies.] Rand McNally Education Series.

ERIC Educational Resources Information Center

Franklin, Marian Pope, Comp.

Over 400 journal articles, case studies, research reports, dissertations, and position papers are briefly described in a series of eight selected bibliographies related to school organization. The eight specific areas treated in the volume and the number of items listed for each include: nongraded elementary school organization, 96; nongraded…

Data Collection Methods. Semi-Structured Interviews and Focus Groups

DTIC Science & Technology

2009-01-01

erence. For example, consider the dif- ferences between informants, subjects, respondents, and actors.3 Bernard (2000) notes that anthropology generally...Cohesion, and Morale, Santa Monica, Calif.: RAND Corporation, MR-896-OSD, 1997; and Margaret C. Harrell, Laura Werber Castaneda, Peter Schirmer, Bryan...not divulging “secrets” if the researcher already knows ( Bernard , 2002). There are a couple of potential problems with probes for which the

Federal Programs Supporting Educational Change, Vol. VIII: Implementing and Sustaining Innovations.

ERIC Educational Resources Information Center

Berman, Paul; McLaughlin, Milbrey Wallin

This report reviews and synthesizes the findings of a four year, two-phase study conducted by the Rand Corporation to examine and evaluate a national sample of educational innovations funded by Federal programs. Section I of this document provides background information and descriptions of the study. Section II discusses Rand's research approach…

Domestic Research at Rand.

ERIC Educational Resources Information Center

Rand Corp., Santa Monica, CA.

This third descriptive inventory of the Rand Corporation's domestic non-military research covers all projects since 1972, as well as its special 1969-1975 program for New York City. For each of over 300 research projects in nine program areas, brief summaries identify the project title and sponsor, beginning and ending dates, person-years of work…

58. View of high pressure IngersollRand dehumidifier/dessicator and compressor system ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

58. View of high pressure Ingersoll-Rand dehumidifier/dessicator and compressor system to supply dry pressurized air to waveguides. - Clear Air Force Station, Ballistic Missile Early Warning System Site II, One mile west of mile marker 293.5 on Parks Highway, 5 miles southwest of Anderson, Anderson, Denali Borough, AK

Strategies and Models for Promoting Adolescent Vaccination for Low-Income Populations

ERIC Educational Resources Information Center

Harris, Katherine M.; Martin, Laurie T.; Lurie, Nicole

2009-01-01

In 2007, Sanofi Pasteur asked RAND Health, a division of the RAND Corporation, to study the current climate for adolescent immunization in the United States, to recommend broad strategies for immunizing low-income adolescents (through age 18), and to identify promising "on the ground" practices consistent with the proposed strategic…

Eternal Hope: America’s International Narcotics Efforts,

DTIC Science & Technology

1985-02-01

85 10 02 110 -. ’%6 X:V§: kv7 V * The Rand Paper Series Papers are issued by The Rand Corporation as a service to its profes- sional staff. Their...drug entrepreneurs. Second, new export-import channels developed very rapidly too. Prior to 1970, there seems to have been a trivial amount of Mexican

Fels-Rand: an Xlisp-Stat program for the comparative analysis of data under phylogenetic uncertainty.

PubMed

Blomberg, S

2000-11-01

Currently available programs for the comparative analysis of phylogenetic data do not perform optimally when the phylogeny is not completely specified (i.e. the phylogeny contains polytomies). Recent literature suggests that a better way to analyse the data would be to create random trees from the known phylogeny that are fully-resolved but consistent with the known tree. A computer program is presented, Fels-Rand, that performs such analyses. A randomisation procedure is used to generate trees that are fully resolved but whose structure is consistent with the original tree. Statistics are then calculated on a large number of these randomly-generated trees. Fels-Rand uses the object-oriented features of Xlisp-Stat to manipulate internal tree representations. Xlisp-Stat's dynamic graphing features are used to provide heuristic tools to aid in analysis, particularly outlier analysis. The usefulness of Xlisp-Stat as a system for phylogenetic computation is discussed. Available from the author or at http://www.uq.edu.au/~ansblomb/Fels-Rand.sit.hqx. Xlisp-Stat is available from http://stat.umn.edu/~luke/xls/xlsinfo/xlsinfo.html. s.blomberg@abdn.ac.uk

Definition of frailty in older men according to questionnaire data (RAND-36/SF-36): The Helsinki Businessmen Study.

PubMed

Sirola, J; Pitkala, K H; Tilvis, R S; Miettinen, T A; Strandberg, T E

2011-11-01

To explore the association of frailty according to questionnaire data (modified Fried criteria) with important endpoints in older men. Prospective cohort study (the Helsinki Businessmen Study) in Finland. In 1974, clinically healthy men (born 1919-1934, n=1815) of similar socioeconomic status were identified. After a 26-year follow-up in 2000 (mean age 73 years), disease prevalence, mobility-disability, and frailty status (80.9% of survivors, n=1125) were appraised using a postal questionnaire including RAND-36. Four criteria were used for definition: 1) >5% weight loss from midlife, or body mass index (BMI) <21 kg/m2; 2) reported physical inactivity; 3) low vitality (RAND-36); 4) physical weakness (RAND-36). Responders with 3-4, 1-2, and zero criteria were classified as frail (n=108), prefrail (n=567), and nonfrail (n=450), respectively. Eight-year mortality was assessed from registers, and in 2007, survivors were re-assessed with questionnaires. Nonfrail as referent and adjusted for age, BMI and smoking, both prefrail (HR 2.26; 95% CI, 1.57-3.26), and frail status (4.09; 95% CI, 2.60-6.44) were significant predictors of mortality. Nonfrailty predicted better survival independently of the frailty components, diseases, and disability, and also predicted faster walking speed and less disability 7 years later. Frailty, and also prefrailty, as defined using questionnaire data (RAND-36) independently predicted important endpoints in older men.

Correspondence between the RAND-Negative Impact of Asthma on Quality of Life item bank and the Marks Asthma Quality of Life Questionnaire.

PubMed

Edelen, Maria Orlando; Stucky, Brian D; Sherbourne, Cathy; Eberhart, Nicole; Lara, Marielena

2014-05-01

In many research and clinical settings in which patient-reported outcome (PRO) measures are used, it is often desirable to link scores across disparate measures or to use scores from 1 measure to describe scores on a separate measure. However, PRO measures are scored by using a variety of metrics, making such comparisons difficult. The objective of this article was to provide an example of how to transform scores across disparate measures (the Marks Asthma Quality of Life Questionnaire [AQLQ-Marks] and the newly developed RAND-Negative Impact of Asthma on Quality of Life item bank [RAND-IAQL-Bank]) by using an item response theory (IRT)-based linking method. Our sample of adults with asthma (N = 2032) completed 2 measures of asthma-specific quality of life: the AQLQ-Marks and the RAND-IAQL-Bank. We use IRT-based co-calibration of the 2 measures to provide a linkage, or a common metric, between the 2 measures. Co-calibration refers to the process of using IRT to estimate item parameters that describe the responses to the scales' items according to a common metric; in this case, a normal distribution transformed to a T scale with a mean of 50 and an SD of 10. Respondents had an average age of 43 (15), were 60% female, and predominantly non-Hispanic White (56%), with 19% African American, 14% Hispanic, and 11% Asian. Most had at least some college education (83%), and 90% had experienced an asthma attack during the last 12 months. Our results indicate that the AQLQ-Marks and RAND-IAQL-Bank scales measured highly similar constructs and were sufficiently unidimensional for IRT co-calibration. Once linked, scores from the 2 measures were invariant across subgroups. A crosswalk is provided that allows researchers and clinicians using AQLQ-Marks to crosswalk to the RAND-IAQL toolkit. The ability to translate scores from the RAND-IAQL toolkit to other "legacy" (ie, commonly used) measures increases the value of the new toolkit, aids in interpretation, and will hopefully facilitate adoption by asthma researchers and clinicians. More generally, the techniques we illustrate can be applied to other newly developed or existing measures in the PRO research field to obtain crosswalks with widely used traditional legacy instruments. Copyright © 2014 Elsevier HS Journals, Inc. All rights reserved.

How does sagittal imbalance affect the appropriateness of surgical indications and selection of procedure in the treatment of degenerative scoliosis? Findings from the RAND/UCLA Appropriate Use Criteria study.

PubMed

Daubs, Michael D; Brara, Harsimran S; Raaen, Laura B; Chen, Peggy Guey-Chi; Anderson, Ashaunta T; Asch, Steven M; Nuckols, Teryl K

2018-05-01

Degenerative lumbar scoliosis (DLS) is often associated with sagittal imbalance, which may affect patients' health outcomes before and after surgery. The appropriateness of surgery and preferred operative approaches has not been examined in detail for patients with DLS and sagittal imbalance. The goals of this article were to describe what is currently known about the relationship between sagittal imbalance and health outcomes among patients with DLS and to determine how indications for surgery in patients with DLS differ when sagittal imbalance is present. This study included a literature review and an expert panel using the RAND/University of California at Los Angeles (UCLA) Appropriateness Method. To develop appropriate use criteria for DLS, researchers at the RAND Corporation recently employed the RAND/UCLA Appropriateness Method, which involves a systematic review of the literature and multidisciplinary expert panel process. Experts reviewed a synopsis of published literature and rated the appropriateness of five common operative approaches for 260 different clinical scenarios. In the present work, we updated the literature review and compared panelists' ratings in scenarios where imbalance was present versus absent. This work was funded by the Collaborative Spine Research Foundation, a group of surgical specialty societies and device manufacturers. On the basis of 13 eligible studies that examined sagittal imbalance and outcomes in patients with DLS, imbalance was associated with worse functional status in the absence of surgery and worse symptoms and complications postoperatively. Panelists' ratings demonstrated a consistent pattern across the diverse clinical scenarios. In general, when imbalance was present, surgery was more likely to be appropriate or necessary, including in some situations where surgery would otherwise be inappropriate. For patients with moderate to severe symptoms and imbalance, a deformity correction procedure was usually appropriate and frequently necessary, except in some patients with severe risk factors for complications. Conversely, procedures that did not correct imbalance, when present, were usually inappropriate. Clinical experts agreed that sagittal imbalance is a major factor affecting both when surgery is appropriate and which type of procedure is preferred among patients with DLS. Copyright © 2018 Elsevier Inc. All rights reserved.

A MOLA-controlled RAND-USGS Control Network for Mars

NASA Technical Reports Server (NTRS)

Archinal, B. A.; Colvin, T. R.; Davies, M. E.; Kirk, R. L.; Duxbury, T. C.; Lee, E. M.; Cook, D.; Gitlin, A. R.

2002-01-01

We are undertaking, in support of the Mars Digital Image Mosaic (MDIM) 2.1, many improvements in the RAND-USGS photogrammetric control network for Mars, primarily involving the use of Mars Orbiter Laser Altimeter (MOLA)-derived radii and DIMs to improve control point absolute radii and horizontal positions. Additional information is contained in the original extended abstract.

Ayn Rand: To be Selfish or Not to be Selfish--That is the Question

ERIC Educational Resources Information Center

Doctor, Tyrus L.; Kritsonis, William Allan

2009-01-01

Ayn Rand's "The Virtue of Selfishness" (1961) is comprised of a philosophy that defies the entire premise of what our education system is and shall be built upon. The "Objectivist" perspective has depicted a clear distinction between the "Have's" and the "Have Not's" or the Bourgeoisie and Proletariat. The "Objectivist" perspective believes that…

An Analysis of the Objectivist Ethics in Educational Leadership through Ayn Rand's "The Virtues of Selfishness" (1964)

ERIC Educational Resources Information Center

Jacobs, Karen Dupre; Kritsonis, William Allan

2007-01-01

Educational leadership is vital to sustain quality educational institutions. It is the role of the school leader to indoctrinate stakeholders with the objectivist ethics-embracing egoism and relinquishing altruistic ideals when it comes to invigorating the system with sustainable change. Ayn Rand's timeless piece of literature "The Virtue of…

Designing an Effective Prevention Program: Principles Underlying the Rand Smoking and Drug Prevention Experiment.

ERIC Educational Resources Information Center

Ellickson, Phyllis L.

This paper describes the Project ALERT program (Adolescent Learning Experiences in Resistance Training) which was established by the Rand Corporation to prevent smoking and drug use among seventh graders. The program is based on the social influence model of drug use initiation. Curriculum features are described including motivation to resist and…

Recent Large Service Aquisitions in the Department of Defense: Lessons for the Office of the Secretary of Defense

DTIC Science & Technology

2004-01-01

In August 2001, the Directorate of Acquisition Resources and Analysis in the Office of the Secretary of Defense (OSD) asked the RAND Corporation to...Research Institute (NDRI), a unit of the RAND Corporation. NDRI is a federally funded research and development center (FFRDC) sponsored by the Office of

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT-INGERSOLL-RAND ENERGY SYSTEMS IR POWERWORKS(TM) 70 KW MICROTURBINE SYSTEM

EPA Science Inventory

The Environmental Technology Verification report discusses the technology and performance of the IR PowerWorks 70kW Microturbine System manufactured by Ingersoll-Rand Energy Systems. This system is a 70 kW electrical generator that puts out 480 v AC at 60 Hz and that is driven by...

Developing Navy Capability to Recover Forces in Chemical, Biological, and Radiological Hazard Environments

DTIC Science & Technology

2013-01-01

damage control; LHD flight deck and well deck operations; fleet surgical team; Afloat Training Group; Assault Craft Unit; Naval Surface Warfare Center ...Biological, Radiological and Nuclear School, and U.S. Army Edgewood Chemical Biological Center , Guidelines for Mass Casualty Decontamination During a HAZMAT...Policy Center of the RAND National Defense Research Institute, a federally funded research and development center sponsored by OSD, the Joint Staff

The Cognitive Battlefield: A Framework for Strategic Communications

DTIC Science & Technology

2011-12-01

York: Alfred A. Knopf Publishers, 1993), 83. 35 Richard Ned Lebow, “Thucydides and Deterrence,” Security Studies, 16:2, 163-188. 36 Brayton Harris...University Press of Kansas, 2004. Harris, Brayton . Blue & Gray in Black & White: Newspapers in the Civil War. Washington DC: Brassey’s Inc...Army Capabilities. Santa Monica, CA: Rand Arroyo Center, 2009. Lebel, Udi. Communicating Security. New York, Routledge Taylor and Francis Group, 2008

Sexual Assault and Sexual Harassment in the U.S. Military: Top-Line Estimates for Active-Duty Service Members from the 2014 RAND Military Workplace Study

DTIC Science & Technology

2014-01-01

enhance the validity of their answers. The development of this new approach to measuring sexual assault and sex-based MEO violations was completed...include the buttocks, inner thigh, breast, groin, anus, vagina, penis and testicles. Top-Line Results from the RAND Military Workplace Study 41 12

The RAND Change Agent Study Ten Years Later: Macro Perspectives and Micro Realities.

ERIC Educational Resources Information Center

McLaughlin, Milbrey Wallin

From 1973 to 1978, the Rand Corporation conducted a national study of local public schools' responses to various federal programs requiring educational change--Title III of the 1965 Elementary and Secondary Education Act (ESEA), Title VII of the ESEA, programs financed by the 1968 Vocational Education Act, and the Right-to-Read program. This paper…

Investigation of DBMS for Use in a Research Environment. Rand Paper Series 7002.

ERIC Educational Resources Information Center

Rosenfeld, Pilar N.

This investigation of the use of database management systems (DBMS) in a research environment used the Rand Corporation as a case study. After a general introduction in section 1, eight sections present the major components of the study. Section 2 contains an overview of DBMS terminology and concepts, followed in section 3 by a general dsecription…

Beyond al-Qaeda. Part 1. The Global Jihadist Movement

DTIC Science & Technology

2006-01-01

of Western Converts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 CHAPTER FOUR Al-Qaeda’s Finances ...terrorists associated with al-Qaeda. (See pp. 44–47.) Al-Qaeda’s Finances Al-Qaeda has also modified the way it moves funds around the globe. Before...and Anthony Davis. Within RAND we cannot fail to acknowledge the important contributions to our understanding of al-Qaeda finances made by the RAND

Navy Satellite Communications in the Hellenic Environment

DTIC Science & Technology

1988-06-01

spherical pressurized balloon with an envelope of plastic mylar and aluminum. Its communication capabilities were for a voice baseband bandwidth of 200...N-1780-ARPA, November 1981. 24. Betrosian, Edward Electromagnetic Properties and Communication caracteristics of PACSAT, Rand Corp (R-2920-ARPA...Survivable Command and Control, RAND Note N-1780-ARPA, November 1981. 4. Betrosian, Edward Electromagnetic Properties and Communication caracteristics of

A Theory of Dark Network Design

DTIC Science & Technology

2010-12-01

Theoretical Framework for Analysis.” Master’s Thesis, Naval Postgraduate School, 1996 . de Nooy, Wouter, Andrej Mrvar , and Vladimir Batagelj ...understanding the nature of relationships in networks. Wouter de Nooy, Andrej Mrvar and Vladimir Batagelj , Exploratory Social Network Analysis with Pajek...34 RAND Corporation, 1996 , http://www.rand.org/pubs/monograph_reports/MR789/ (accessed November 5, 2009) and John Arquilla and David Ronfeldt

Gaining New Military Capability: An Experiment in Concept Development.

DTIC Science & Technology

1998-01-01

Angeles Police Department ( LAPD ) were invited, at- tended, and made important contributions.1 ORGANIZING COG DISCUSSIONS We sought to structure COG...Terry Covington, RAND; Charles Duke, Los Angeles Police Department ; Gene Gritton, RAND; Thomas Karr, Lawrence Livermore Laboratory; LTC Will Irwin, USA...Munition Joint Requirements Oversight Council Joint Stand-off Weapon Joint Strategic Tracking and Radar System Laser radar Los Angeles Police

Rand Arroyo Center 2014

DTIC Science & Technology

2015-01-01

field effective command and control sys- tems within the framework of current policies and processes. Cost Considerations in Cloud Computing ...www.rand.org/t/PE113 Finds that cloud provider costs can vary compared with tradi- tional information system alternatives because of different cost structures...for analysts evaluating new cloud investments. U.S. Army photo by Staff Sgt. Christopher Calvert FOCUS ON Capabilities Development and Acquisition

Technological Innovation, Corporate R&D Alliances and Organizational Learning

DTIC Science & Technology

1995-01-01

public corporations . On the other hand, the questionnaire response bias was a potential problem. As explained in Section 4, the size and innovativeness...DISSERTATION RAND. " " .,’ Technological Innovation, Corporate R&D Alliances and Organizational Learning Wayne G. Walker RAND Graduate School... response , including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing

The RAND Health Insurance Experiment, Three Decades Later*

PubMed Central

Aron-Dine, Aviva; Einav, Liran; Finkelstein, Amy

2013-01-01

We re-present and re-examine the analysis from the famous RAND Health Insurance Experiment from the 1970s on the impact of consumer cost sharing in health insurance on medical spending. We begin by summarizing the experiment and its core findings in a manner that would be standard in the current age. We then examine potential threats to the validity of a causal interpretation of the experimental treatment effects stemming from different study participation and differential reporting of outcomes across treatment arms. Finally, we re-consider the famous RAND estimate that the elasticity of medical spending with respect to its out-of-pocket price is −0.2, emphasizing the challenges associated with summarizing the experimental treatment effects from non-linear health insurance contracts using a single price elasticity. PMID:24610973

Pakistan: A Nation at War with Itself

DTIC Science & Technology

2010-12-01

boundaries in India.13 As a recent Rand Corporation report argued, “the Use of militant groups, including the Taliban, has remained an important instrument...government at Dhaka in East Pakistan. Pakistan’s experiments with democracy have been marked by a “multi- layered trajectory of contrasts and...protect the city by destroying a large number of bridges on the canal that surrounded it. The Indian strategy of expanding the war beyond Kashmir was

Toward a Secure and Stable Northern Mali: Approaches to Engaging Local Actors

DTIC Science & Technology

2013-01-01

public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...orders Colonel Haji ag Gamou to destroy the last rebel holdout. 2012 January The MNLA initiates a new rebellion, beginning the current confl...representing subaltern Tuareg clans (including one group com- manded by Haji ag Gamou, now the most prominent Tuareg commander in the Malian Army) fought

Living Conditions in Anbar Province in June 2008

DTIC Science & Technology

2009-01-01

document Browse Books & Publications Make a charitable contribution Support RAND Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting...chicken, or fish at least three times a week Pay for a funeral Provide adequate shelter for household Buy new (rather than secondhand ) clothes...appears to be spent on tuition rather than uniforms, books , meals, or private les- sons.3 The amount spent on the latter group of expenses does not vary

Research Highlights. Extending Health Care Insurance to Specific Populations: Profile of RAND Work

DTIC Science & Technology

2000-01-01

Consolidated Omnibus Budget Reconciliation Act, 1985), insured workers in firms with 20 or more employees can continue their health benefits at 102...approaches to providing coverage for these groups. to employees . Indeed, 60 percent of uninsured non-elderly workers are employed in small firms... workers . Employers would make regular, tax-deductible contributions to the MSA; an em- ployee could draw on the MSA to cover health care expenses

Building Partner Health Capacity with U.S. Military Forces: Enhancing AFSOC Health Engagement Missions

DTIC Science & Technology

2012-01-01

public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...destroy the group. JTF-510 was highly effective in shifting the attitudes and loyalty of local Muslim com- munities from Abu Sayyaf to the Philippine... vaccination ) Auxiliary service (e.g., sanitation, education) Duration Short- vs. long-engagement missions Single vs. multiple missions Focus General

NATO’s Northeastern Flank: Emerging Opportunities for Engagement

DTIC Science & Technology

2017-01-01

information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that...styled Islamic State, all of the allies currently most likely to call for North Atlantic Treaty Organization (NATO) military action by invoking Article 5...Ministry of Defense MODCR Ministry of Defense of the Czech Republic NATO North Atlantic Treaty Organization NBG Nordic Battlegroup NCO

Life-Cycle Analysis of Aircraft Turbine Engines

DTIC Science & Technology

1977-11-01

actual experience. Mixed but promisng results were obtained in modeling ownership costs for military engines. Depot maintenance costs were more...Acquisition Experience, The Rand Corporation, RM-6072-PR, November 1969. System Acquisition Stategies , The Rand Corporation, R-733-PR/ARPA, June 1971. 98...Paris, 1971I. Phillips. Almarin, Technology and Market Structure, IA•xington Books, D.C. Heath and Company, Lexington, Mass.. 1971. A Position Paper on

Annual Report 2011-2012 (RAND National Security Research Division)

DTIC Science & Technology

2012-01-01

Charles Nemfakos, Chad J . R . Ohlandt, Caroline Reilly, Rena Rudavsky, Jerry M . Sollinger, Katharine Watkins Webb, and Carolyn Wong, MG-1171/1-OSD...Assessment of Marine Corps Intelligence, Christopher Paul, Harry J . Thie, Katharine Watkins Webb, Stephanie Young, Colin P . Clarke, Susan G . Straus...counterinsurgency campaign. For more information, see Reintegrating Afghan Insurgents, Seth G . Jones, OP-327-MCIA, 2011 . Online at www .rand .org/pubs

Measuring Underemployment Among Military Spouses

DTIC Science & Technology

2010-01-01

military wives in their distribu- tion of age, citizenship, race, education , parental status, potential expe- rience, region of residence, and whether or...that the “look-alike” civilians are similar to the military wives in age, citi- zenship, race, education , parental status, experience, recent moving...available from www.rand.org as a public service of the RAND Corporation. Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY

Analysis to Inform Defense Planning Despite Austerity

DTIC Science & Technology

2014-01-01

available from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND...xvii S.3. Cost-Effectiveness Landscape , by Strategic Perspective . . . . . . xxiii 1.1. Problems Go Far Beyond Fiscal Constraints...objectives for each regional and functional area, as well as such cross-cutting challenges as simul - taneous conflicts. It might also have different

Applying Rapid Acquisition Policy Lessons for Defense Innovation

DTIC Science & Technology

2017-12-21

51 Applying Rapid Acquisition Policy Lessons for Defense Innovation Jonathan Wong Abstract: With the Department of Defense’s (DOD) recent focus on ...finds that DOD can incorporate innovation practices by dispersing organizations focused on new capabilities development across the agency to avoid...adjunct political scientist at the Rand Corporation. His research focuses on the intersection of new technology and defense acquisition. Prior to Rand

The Effects of a Mobile Phone Application on Quality of Life in Patients With Type 1 Diabetes Mellitus: A Randomized Controlled Trial.

PubMed

Drion, Iefke; Pameijer, Loes R; van Dijk, Peter R; Groenier, Klaas H; Kleefstra, Nanne; Bilo, Henk J G

2015-05-11

The combination of an increasing prevalence of diabetes mellitus and more people having access to smartphones creates opportunities for patient care. This study aims to investigate whether the use of the Diabetes Under Control (DBEES) mobile phone application, a digital diabetes diary, results in a change in quality of life for patients with type 1 diabetes mellitus (T1DM) compared with the standard paper diary. In this randomized controlled open-label trial, 63 patients with T1DM having access to a smartphone were assigned to the intervention group using the DBEES application (n = 31) or the control group using the standard paper diary (n = 32). Primary outcome was the change in quality of life, as measured by the RAND-36 questionnaire, between both groups. Secondary outcomes included diabetes-related distress (PAID), HbA1c, frequency of self-monitoring blood glucose, and the usability of the diabetes application (SUS). Patients had a median age (IQR) of 33 (21) years, diabetes duration of 17 (16) years, and an HbA1c of 62 ± 16 mmol/mol. No significant differences in the QOL, using the RAND-36, within and between both groups were observed after 3 months. Glycemic control, diabetes-related emotional distress, and frequency of self-monitoring of blood glucose remained within and between groups. Users reviewed the usability of DBEES with a 72 ± 20, on a range of 0-100. The use of the DBEES application in the management of patients with T1DM for 3 months yields no alterations in quality of life compared to the standard paper diary. © 2015 Diabetes Technology Society.

Systematic study of rapidity dispersion parameter in high energy nucleus-nucleus interactions

NASA Astrophysics Data System (ADS)

Bhattacharyya, Swarnapratim; Haiduc, Maria; Neagu, Alina Tania; Firu, Elena

2014-03-01

A systematic study of rapidity dispersion parameter as a quantitative measure of clustering of particles has been carried out in the interactions of 16O, 28Si and 32S projectiles at 4.5 A GeV/c with heavy (AgBr) and light (CNO) groups of targets present in the nuclear emulsion. For all the interactions, the total ensemble of events has been divided into four overlapping multiplicity classes depending on the number of shower particles. For all the interactions and for each multiplicity class, the rapidity dispersion parameter values indicate the occurrence of clusterization during the multiparticle production at Dubna energy. The measured rapidity dispersion parameter values are found to decrease with the increase of average multiplicity for all the interactions. The dependence of rapidity dispersion parameter on the average multiplicity can be successfully described by a relation D(η) = a + b + c2. The experimental results have been compared with the results obtained from the analysis of Monte Carlo simulated (MC-RAND) events. MC-RAND events show weaker clusterization among the pions in comparison to the experimental data.

Registered Replication Report: Rand, Greene, and Nowak (2012).

PubMed

Bouwmeester, S; Verkoeijen, P P J L; Aczel, B; Barbosa, F; Bègue, L; Brañas-Garza, P; Chmura, T G H; Cornelissen, G; Døssing, F S; Espín, A M; Evans, A M; Ferreira-Santos, F; Fiedler, S; Flegr, J; Ghaffari, M; Glöckner, A; Goeschl, T; Guo, L; Hauser, O P; Hernan-Gonzalez, R; Herrero, A; Horne, Z; Houdek, P; Johannesson, M; Koppel, L; Kujal, P; Laine, T; Lohse, J; Martins, E C; Mauro, C; Mischkowski, D; Mukherjee, S; Myrseth, K O R; Navarro-Martínez, D; Neal, T M S; Novakova, J; Pagà, R; Paiva, T O; Palfi, B; Piovesan, M; Rahal, R-M; Salomon, E; Srinivasan, N; Srivastava, A; Szaszi, B; Szollosi, A; Thor, K Ø; Tinghög, G; Trueblood, J S; Van Bavel, J J; van 't Veer, A E; Västfjäll, D; Warner, M; Wengström, E; Wills, J; Wollbrant, C E

2017-05-01

In an anonymous 4-person economic game, participants contributed more money to a common project (i.e., cooperated) when required to decide quickly than when forced to delay their decision (Rand, Greene & Nowak, 2012), a pattern consistent with the social heuristics hypothesis proposed by Rand and colleagues. The results of studies using time pressure have been mixed, with some replication attempts observing similar patterns (e.g., Rand et al., 2014) and others observing null effects (e.g., Tinghög et al., 2013; Verkoeijen & Bouwmeester, 2014). This Registered Replication Report (RRR) assessed the size and variability of the effect of time pressure on cooperative decisions by combining 21 separate, preregistered replications of the critical conditions from Study 7 of the original article (Rand et al., 2012). The primary planned analysis used data from all participants who were randomly assigned to conditions and who met the protocol inclusion criteria (an intent-to-treat approach that included the 65.9% of participants in the time-pressure condition and 7.5% in the forced-delay condition who did not adhere to the time constraints), and we observed a difference in contributions of -0.37 percentage points compared with an 8.6 percentage point difference calculated from the original data. Analyzing the data as the original article did, including data only for participants who complied with the time constraints, the RRR observed a 10.37 percentage point difference in contributions compared with a 15.31 percentage point difference in the original study. In combination, the results of the intent-to-treat analysis and the compliant-only analysis are consistent with the presence of selection biases and the absence of a causal effect of time pressure on cooperation.

Registered Replication Report: Rand, Greene, and Nowak (2012)

PubMed Central

Bouwmeester, S.; Verkoeijen, P. P. J. L.; Aczel, B.; Barbosa, F.; Bègue, L.; Brañas-Garza, P.; Chmura, T. G. H.; Cornelissen, G.; Døssing, F. S.; Espín, A. M.; Evans, A. M.; Ferreira-Santos, F.; Fiedler, S.; Flegr, J.; Ghaffari, M.; Glöckner, A.; Goeschl, T.; Guo, L.; Hauser, O. P.; Hernan-Gonzalez, R.; Herrero, A.; Horne, Z.; Houdek, P.; Johannesson, M.; Koppel, L.; Kujal, P.; Laine, T.; Lohse, J.; Martins, E. C.; Mauro, C.; Mischkowski, D.; Mukherjee, S.; Myrseth, K. O. R.; Navarro-Martínez, D.; Neal, T. M. S.; Novakova, J.; Pagà, R.; Paiva, T. O.; Palfi, B.; Piovesan, M.; Rahal, R.-M.; Salomon, E.; Srinivasan, N.; Srivastava, A.; Szaszi, B.; Szollosi, A.; Thor, K. Ø.; Tinghög, G.; Trueblood, J. S.; Van Bavel, J. J.; van ‘t Veer, A. E.; Västfjäll, D.; Warner, M.; Wengström, E.; Wills, J.; Wollbrant, C. E.

2017-01-01

In an anonymous 4-person economic game, participants contributed more money to a common project (i.e., cooperated) when required to decide quickly than when forced to delay their decision (Rand, Greene & Nowak, 2012), a pattern consistent with the social heuristics hypothesis proposed by Rand and colleagues. The results of studies using time pressure have been mixed, with some replication attempts observing similar patterns (e.g., Rand et al., 2014) and others observing null effects (e.g., Tinghög et al., 2013; Verkoeijen & Bouwmeester, 2014). This Registered Replication Report (RRR) assessed the size and variability of the effect of time pressure on cooperative decisions by combining 21 separate, preregistered replications of the critical conditions from Study 7 of the original article (Rand et al., 2012). The primary planned analysis used data from all participants who were randomly assigned to conditions and who met the protocol inclusion criteria (an intent-to-treat approach that included the 65.9% of participants in the time-pressure condition and 7.5% in the forced-delay condition who did not adhere to the time constraints), and we observed a difference in contributions of −0.37 percentage points compared with an 8.6 percentage point difference calculated from the original data. Analyzing the data as the original article did, including data only for participants who complied with the time constraints, the RRR observed a 10.37 percentage point difference in contributions compared with a 15.31 percentage point difference in the original study. In combination, the results of the intent-to-treat analysis and the compliant-only analysis are consistent with the presence of selection biases and the absence of a causal effect of time pressure on cooperation. PMID:28475467

Attitude orientation control for a spinning satellite

NASA Astrophysics Data System (ADS)

Frost, Gerald

The Department of the Air Force, Headquarters Space Systems Division, and the National Aeronautics and Space Administration (NASA) are currently involved in litigation with Hughes Aircraft Company over the alledged infringement of the 'Williams patent,' which describes a method for attitude control of a spin-stabilized vehicle. Summarized here is pre-1960 RAND work on this subject and information obtained from RAND personnel knowledgeable on this subject. It was concluded that there is no RAND documentation that directly parallels the 'Williams patent' concept. Also, the TIROS II magnetic torque attitude control method is reviewed. The TIROS II meteorological satellite, launched on November 23, 1960, incorporated a magnetic actuation system for spin axis orientation control. The activation system was ground controlled to orient the satellite spin axis to obtain the desired pointing direction for optical and infrared sensor subsystems.

Assessing the U.S. Air Force Unified Engagement Building Partnerships Seminars

DTIC Science & Technology

2011-01-01

INTERNATIONAL AFFAIRS LAW AND BUSINESS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY TERRORISM AND HOMELAND SECURITY Report...Monica, Calif.: RAND Corporation, TR-907-AF, 2010. • Jennifer D. P. Moroney, Jefferson P. Marquis, Cathryn Quantic Thurston, and Gregory F. Treverton, A...15, 2010: http://www.rand.org/pubs/monographs/MG868.html Moroney, Jennifer D. P., Jefferson P. Marquis, Cathryn Quantic Thurston, and Gregory F

Russia and the West After the Ukrainian Crisis: European Vulnerabilities to Russian Pressures

DTIC Science & Technology

2017-01-01

reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions...North Atlan- tic Treaty Organization (NATO) and European Union (EU) member states to Russian military and economic pressures and to Russian influ...Nuclear Forces LNG liquefied natural gas NATO North Atlantic Treaty Organization OIES Oxford Institute of Energy Studies PVV Party for Freedom (Partij voor

Assessing and Evaluating Department of Defense Efforts to Inform, Influence, and Persuade: Worked Example

DTIC Science & Technology

2017-01-01

intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to...permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the...world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND’s publications do

The Extent of Restrictions on the Service of Active-Component Military Women

DTIC Science & Technology

2012-01-01

from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND...EN engineman, GM gunner’s mate, IT information systems, ET electronics technician, FC fire control, LS logistics spe- cialist, and CS culinary ...sonar technician rating. Women in non–submarine- specific ratings, such as YN yeoman, CS culinary specialist, and LS logistics specialist, are

China: Domestic Change and Foreign Policy.

DTIC Science & Technology

1995-01-01

prepared for the RAND- Sejong Project on East Asia’s Potential for Instability and Crisis, February 1995. Political-Military Leadership Trends 15...prepared for the RAND- Sejong Project on East Asia’s Potential for Instability and Crisis, February 1995. Swaine, Michael D., "Strategic Appraisal... King , "Prospects for Democratization in China," Problems of Communism, Vol. 41, May-June 1992, pp. 58-70. Wolf, Charles, Jr., et al., Long-Term

The Advantages and Disadvantages of Seeking Commonality in Military Equipment

DTIC Science & Technology

2011-01-01

rand 2011 www.rand.org The Advantages and Disadvantages of Seeking Commonality in Military Equipment I ncreasingly, the Army and the Department...advantages and disadvantages of commonality and developed a decision aid to help Army policymakers manage these tradeoffs. The study drew upon...TITLE AND SUBTITLE The Advantages and Disadvantages of Seeking Commonality in Military Equipment 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM

Developing a Standard Update Process for the Army’s Annual MOS Availability Factors (AMAFs)

DTIC Science & Technology

2007-01-01

as a public service of the RAND Corporation. 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND...HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND...RAND Arroyo Center View document details For More Information Purchase this document Browse Books & Publications Make a charitable contribution Support

Army Warfighters’ Forums Can Be Innovative and Successful

DTIC Science & Technology

2011-01-01

RAND ReseARch AReAs Children and Families eduCation and the arts energy and environment health and health Care inFrastruCture and transportation...rand 2011 www.rand.org Army Warfighters’ Forums Can Be Innovative and Successful T he U.S. Army fielded Stryker Brigades to fill the void...Army created the Stryker Brigade Combat Team (SBCT) Warfighters’ Forum , a networked and collaborative means of sharing information that leverages

Energy Security in the United States

DTIC Science & Technology

2012-05-01

gas facility. Biomass can also be burned with coal (at volumes of up to 10 percent without affecting performance) to generate electricity.26 In...2008, coal-burning facilities substituted biomass for coal to generate 1.3 percent of electricity. 26. See David Ortiz and others, Near-Term...Opportunities for Integrat- ing Biomass into the U.S. Electricity Supply (Santa Monica, Calif.: RAND, 2011), www.rand.org/pubs/technical_reports/ TR984.html

The Role of Special and Incentive Pays in Retaining Military Mental Health Care Providers

DTIC Science & Technology

2017-01-01

visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make... dental , optometry, veterinary, psychiatric nurse practitioner, and clinical or counseling psychology programs (GoArmy.com, no date). It pays school...reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please

Evaluating the Impact of the Department of Defense Regional Centers for Security Studies

DTIC Science & Technology

2014-01-01

herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is... CARE INFRASTRUCTURE AND TRANSPORTATION INTERNATIONAL AFFAIRS LAW AND BUSINESS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND...images: © Jezper, Fotolia.com © Copyright 2014 RAND Corporation This document and trademark(s) contained herein are protected by law. This representation

JPRS Report, Proliferation Issues

DTIC Science & Technology

1991-12-30

Holland. [Article by Brendan Seery: "Is SA’s Hand in Israel’s False declarations allowed the shipping of restricted Jericho?"] goods under " general ...34 The essence of the charges are that Armscor and the International Signals and Control Corp (ISC) collabo- Yesterday Ken Ironside, Barlow Rand’s general ...company’s indictment. These were needed by Iraq for its G-5 general manager, group public affairs, Ken Ironside, said artillery which had earlier been

Remotely Piloted Innovation: Terrorism, Drones and Supportive Technology

DTIC Science & Technology

2016-10-01

IV Executive Summary In mid-August 2016, the Shiite militant group Hezbollah reportedly dropped two small bombs from what is believed to have been a...Michael Jenkins, The New Age of Terrorism (Santa Monica, CA: RAND Corporation, 2006), p. 119. 2 For example, see “Iraq Sees Worst Bombing Since...guns and bombs , Jackson and his colleagues also found that UASs did “not appear to have major advantages over other ways of carrying out operations

A Test of the Theory of Reasoned Action at the Group Level of Analysis

DTIC Science & Technology

1993-09-01

Ivancevich , and Donnelly ,1991). Attitudes are determinants of behavior because they are connected to different parts of a person’s personality...1964 ; Locke, 1968; Lyons , 1971; Porter and Steers, 1973). However, the mass of turnover research did not occur until after 1974, partly due to...Rand McNally. 38 Lyne, G. (1989, December). How to measure employee attitudes, Training and Development Journal, 40-43. Lyons , T. (1971). Role clarity

The Radicalization of Diasporas and Terrorism: A Joint Conference by the RAND Corporation and the Center for Security Studies, ETH Zurich

DTIC Science & Technology

2007-01-01

the terrorist threat, and the government has not been successful at communicating a message to counter extremist ideologies . Many new immigrants are...However, unlike in other European countries, violence among these Diaspora communities is not necessarily ideological in nature. Gangs control...groups that enter the country to carry out a specific attack) cannot be dismissed. The influx of conservative ideologies , the marginalization of Muslims

Winning Bodies and Souls: State Building and the Necessity of Nationalism

DTIC Science & Technology

2008-12-01

the citizens that live within its territory. The RAND study, America’s Role in Nation Building: from Germany to Iraq, nicely encapsulates the...neglect of nationalism in the theory and practice of the state building when it blithely observes that:   What principally distinguishes Germany , Japan...Nation Building: From Germany to Iraq (Santa Monica: RAND, 2003), xix. 6 This argument views nation-building projects as primarily the result of what

Cheaper, Faster, Better? Commercial Approaches to Weapons Acquisition

DTIC Science & Technology

2000-01-01

Heppenheimer , T. A ., Turbulent Skies: The History of Commercial Aviation, John Wiley & Sons, Inc., New York, 1995. Holley, Irving B., Ideas and Weapons, New...DISTRIBUTION STATEMENT A Approved for Public Release Distribution Unlimited ,**■’ .% Project AIR FORCE * RAND The research reported here was sponsored...United States. I. Lorell, MarkA., 1947- . UC263.C494 2000 355.6�—dc21 99-058412 RAND is a nonprofit institution that helps improve policy and

Variable speed gas engine-driven air compressor system

NASA Astrophysics Data System (ADS)

Morgan, J. R.; Ruggles, A. E.; Chen, T. N.; Gehret, J.

1992-11-01

Tecogen Inc. and Ingersoll-Rand Co. as a subcontractor have designed a nominal 150-hp gas engine-driven air compressor utilizing the TECODRIVE 8000 engine and the Ingersoll-Rand 178.5-mm twin screw compressor. Phase 1 included the system engineering and design, economic and applications studies, and a draft commercialization plan. Phase 2 included controls development, laboratory prototype construction, and performance testing. The testing conducted verified that the compressor meets all design specifications.

Chinese Economic Coercion Against Taiwan: A Tricky Weapon to Use

DTIC Science & Technology

2007-01-01

View document details For More Information Purchase this document Browse Books & Publications Make a charitable contribution Support RAND This PDF...is a registered trademark. © Copyright 2007 RAND Corporation All rights reserved. No part of this book may be reproduced in any form by any...Taiwan Statistical Year- book , 1995, pp. 192–193, cited in Zhao, 1999, pp. 24, 28. 84 Chinese Economic Coercion Against Taiwan: A Tricky Weapon to Use

Congressional Testimony on Educational Innovations. Testimony to the Subcommittee on Elementary, Secondary and Vocational Education Committee on Education and Labor. U.S. House of Representatives. Rand Paper Series No. 5983.

ERIC Educational Resources Information Center

Berman, Paul

This testimony summarizes the results of the Rand Corporation's change agent study of educational innovations funded by federal programs. The second section consists of policy recommendations for ESEA Title IV Consolidated Programs, Part C. The study aimed to help improve federal policies by describing how the process of innovation and educational…

Working Around the Military: Challenges to Military Spouse Employment and Education

DTIC Science & Technology

2004-01-01

POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE The RAND...failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 2004 2. REPORT TYPE 3...RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors. R® is a registered trademark. © Copyright 2004 RAND

California’s K-12 Public Schools: How Are They Doing?

DTIC Science & Technology

2005-01-01

series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND mono- graphs...percent Asian and other, and 9 percent black. It is likely that by 2012–2013, the majority of California public school children will be Hispanic... majority of school district revenues. The school dis- tricts currently have few options for raising their own funds. Further, a growing share of education

The Laser-Guided Bomb: Case History of a Development

DTIC Science & Technology

1974-06-01

is part of Rand’s R&D and Acquisition Studies Program , supported by tJSAF Project RAND. Previous research done at Rarn has dealt with stu.les of...particular development programs , institutional aspects of Air Force acquisition decisiormaking, and improvements in system acquisition policy wieh respect...Corn- parative Study of Doctrine, Technology, and Organization in the USAF Ballistic and Cruise Missile Programs , 1950-1960, RM-48%3-PR, August 1966

Assessing Locally Focused Stability Operations

DTIC Science & Technology

2014-01-01

Detailed Theory -of-Change Chart RAND RR387-4.2 LFSO actions Immediate goals LFSO main goal Higher -level goals Sustainable stability in region Reduced...projects in the vil- lage, and laying the groundwork for starting a village council. At the higher level, the Theory of Change now documents the assumption... Theory of Change RAND RR387-4.5 LFSO actions Immediate goals Chain of consequences LFSO main goal Higher -level goals HN commandos targeting INS 13

Reshaping the Army’s Active and Reserve Components

DTIC Science & Technology

2011-01-01

career fields are still doing work , and the Army will proba- bly not want to convert all those billets to high-utilization career fields. Factors That...herein are protected by law as indicated in a notice appearing later in this work . This electronic representation of RAND intellectual property is...NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) RAND Corporation,National Security Research Division,1776 Main Street, PO

The Security Dynamics of Demographic Factors

DTIC Science & Technology

2000-01-01

Tianjin, Manila, Cairo, Seoul, Istanbul, Rio de Janeiro , Buenos Aires, Lahore, Hyderabad, Bangkok, Lima, and Tehran. Chapter Four THE SECURITY...Street, Santa Monica, CA, 90407-2138, e -mail Julie_DaVanzo@rand.org, or visit the project’s Web site at http://www.rand.org/popmatters For more...Third and finally, some basic recommendations for U.S. pol- icy will be offered in light of the emerging demographic realities. WHAT DO WE MEAN BY

Sexual Assault and Sexual Harassment in the U.S. Military: Evaluating Estimates from the 2014 RAND Military Workplace Study

DTIC Science & Technology

2016-01-01

harassment, and gender discrimination in the military. The RAND Military Workplace Study (RMWS) included one of the largest surveys of its kind: Almost...approach to counting service members who experienced sexual assault, sexual harassment, and gender discrimination , providing DoD with unprecedented...harassment, or gender discrimination . Specifically, both the phone and web follow-up surveys revealed possible nonresponse bias in the RMWS estimates, but

Jointness: A Selected Bibliography

DTIC Science & Technology

2010-12-01

2010. 113pp. (U260 .E33 2010) http://www.rand.org/pubs/monographs/2010/RAND_MG675.pdf Button, Robert , et al . Maritime Prepositioning Force (Future...SiteCollectionDocuments/ILW%20Web-ExclusivePubs/ Land%20Warfare%20Papers/LWP69.pdf Cole, Ronald H., et al . The History of the Unified Command Plan...http://handle.dtic.mil/100.2/ADA479692 Conley, Raymond E., et al . Enhancing the Performance of Senior Department of Defense Civilian Executives

Military Review: The Professional Journal of the U.S. Army. May-June 2002

DTIC Science & Technology

2002-06-01

artisans formed corporations , and in the Middle Ages, tradesmen formed guilds.5 In the U.S. Army, recurring officers’ calls and lunchtime discussions...Analysis of Air-Based Mechanization and Vertical Envel- opment Concepts and Technologies, DB-321-A (Santa Monica, CA: RAND Corporation , 2001). 4. Colonel...AB-169-A/OSD (Santa Monica, CA: RAND Corporation , September 1997); and John Matsumura et al., Rapid Force Projection Technologies: Assessing the

Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region - Iraq (with Arabic-language version).

PubMed

Anthony, C Ross; Hansen, Michael L; Kumar, Krishna B; Shatz, Howard J; Vernez, Georges

2013-01-01

In 2010, the Kurdistan Regional Government (KRG) asked the RAND Corporation to undertake four studies aimed at improving the economic and social development of the Kurdistan Region of Iraq. RAND's work was intended to help the KRG expand access to high-quality education and health care, increase private-sector development and employment for the expanding labor force, and design a data-collection system to support high-priority policies. The studies were carried out over the year beginning February 2010. The RAND teams worked closely with the Ministries of Planning, Education, and Health to develop targeted solutions to the critical issues faced by the KRG. This article summarizes the health care study. It is intended to provide a high-level overview of the approaches, followed by the studies, key findings, and major recommendations.

Impaired health status, sleep disorders, and pain in the craniomandibular and cervical spinal regions.

PubMed

Lobbezoo, Frank; Visscher, Corine M; Naeije, Machiel

2004-02-01

This study investigated the relationship between health status (i.e., physical well-being and quality of life), sleep disorders (e.g., insomnia, sleep-related depression and anxiety), and musculoskeletal pain in the craniomandibular and cervical spinal regions. The number of painful body areas below the cervical spine (i.e., widespread pain) was also taken into account. Two questionnaires, viz., the RAND 36-item Health Survey Questionnaire and the Dutch Sleep Disorders Questionnaire (SDQ), were administered to 103 persons who could unequivocally be classified into one of four mutually exclusive groups: No pain, craniomandibular pain (CMP), cervical spinal pain (CSP), and both CMP and CSP. Body drawings were used for the self-report of widespread pain. Multivariate analysis of variance showed effects of gender, group, and widespread pain on the questionnaire scales; not of age. As shown by univariate analysis of variance, men suffered more from sleep apnea than did women. No other gender differences were found. Simple contrast analyses following univariate analyses of the group and widespread pain effects showed that, in general, more questionnaire scales, both of the RAND-36 and of the SDQ, reached statistical significance with an increase in the number of painful areas. It was concluded that both musculoskeletal pain in the trigemino-cervical area and widespread body pain are associated with an increased impairment of health status. Also, sleep disorders are frequently found in patients with chronic pain in the craniomandibular and cervical spinal regions as well as in patients with widespread pain. The more painful areas there are, the likelier it is that sleep disorders are present.

Evaluation and Recommendations for Improvement of the Department of Defense Small Business Innovation Research (SBIR) Program

DTIC Science & Technology

2006-01-01

representation of RAND intellectual property is provided for non- commercial use only. Permission is required from RAND to reproduce, or reuse in another...Law 97-219) created the Small Business Innovation Research (SBIR) program by mandating that all federal research, development, test , and evaluation (RDT...contractors and the small, technology-oriented business community. 6. Expand intellectual capital in the United States. POLICY OPTIONS FOR THE DOD SBIR PROGRAM

Soldiers for Peace: Critical Operational Issues.

DTIC Science & Technology

1996-01-01

or policies of its research sponsors. Published 1996 by RAND 1700 Main Street, RO. Box 2138, Santa Monica, CA 90407-2138 RAND URL: http...force in Cyprus, a corps of 30,000 men equipped with 265 A5 M-48 main battle tanks, over 100 armored personnel carriers, and nearly 200 pieces of...AMX-30B main battle tanks from 52 to 104 and took delivery of 18 BMP-3 infantry fighting vehicles. In addition, the National Guard improved its

Stabilization and Reconstruction Staffing. Developing U.S. Civilian Personnel Capabilities

DTIC Science & Technology

2008-01-01

www.rand.org as a public service of the RAND Corporation. 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND...staff, the CPA, and its parent organizations and the Depart- ment of Defense (DoD), had to answer basic human-resources ques- tions, including: Which...validated (i.e., a formal determination that the position is needed and properly defined) requirements placed on them by their parent agencies

Three Essays on Education Policy: Empirical Analyses of the Challenges and Opportunities with For-Profit Colleges, Military Enlistment and Immigration

DTIC Science & Technology

2014-01-01

on immigrant students was made possible by a broader project funded by the Spencer Foundation. RAND Labor and Population and RAND Education...under financial support from the Spencer Foundation, and I thank Robert Bozick and Trey Miller for entrusting me with the opportunity to develop...financial support from the Spencer Foundation and thank Peter Brownell and Paco Martorell for their comments. 94 rankings of development other than

Small Business and Strategic Sourcing: Lessons from Past Research and Current Data

DTIC Science & Technology

2014-01-01

from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH...Susan M., and Kristin J. Leuschner, eds., In the Name of Entrepreneurship ? The Logic and Effects of Special Regulatory Treatment for Small Business...Well They Perform, and How We Can Learn More About Them,” International Review of Entrepreneurship , Vol. 8, No. 3, 2010, pp. 1–32. Hanks, Christopher

Fixing Leaks: Assessing the Department of Defense’s Approach to Preventing and Deterring Unauthorized Disclosures

DTIC Science & Technology

2013-01-01

HEALTH CARE INFRASTRUCTURE AND TRANSPORTATION INTERNATIONAL AFFAIRS LAW AND BUSINESS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE ...ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) RAND...RAND project team concerning the activities of the UD PIT for the period from mid-September 2012 through January 2013; then, building off those

Best Practices in Developing Proactive Supply Strategies for Air Force Low-Demand ServiceParts

DTIC Science & Technology

2010-01-01

research clients and sponsors. R ® is a registered trademark. © Copyright 2010 RAND Corporation Permission is given to duplicate this document for personal...RAND Corporation, MG-274-AF, 2005 • Nancy Y. Moore, Cynthia R . Cook, Clifford A. Grammich, and Charles Lindenblatt, Using a Spend Analysis to...poration, DB-434-AF, 2004 • Nancy Y. Moore, Laura H. Baldwin, Frank Camm, and Cynthia R . Cook, Implementing Best Purchasing and Supply Management Preface

What Veterans Bring to Civilian Workplaces: A Prototype Toolkit for Helping Veterans Communicate to Private-Sector Employers About the Nontechnical Skills Taught in the Military

DTIC Science & Technology

2015-01-01

reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving...This Toolkit 5 Continuous learning (related terms: adaptive learning, willingness to learn, active learning, metacognition ): Takes the necessary...even when not under direct supervision; displays self -discipline and self -control; diligently checks work to ensure that all essential details have

The Post-Cold War Force-Sizing Debate: Paradigms, Metaphors, and Disconnects

DTIC Science & Technology

1992-01-01

Lynn D . Pullen, John Y. Schrader, and Michael D . Swaine, A New Strategy and Fewer Forces: The Pacifu: Dimension. RAND, R -4089/2- USDP, 1992. 80...and Forces, Vol. II. RAND, N-3098/2-DAG, October 1990. Wohlstetter, Roberta, Pearl Harbor: Warning and Decision. Stan- ford: Stanford University Press, 1962. RAN D / R -4243-JS ...The Post-Cold War Force-Sizing Debate Paradigms, Metaphors, and Disconnects James A. Winnefeld RAN D I NATIONAL DEFENSE RESEARCH INSTITUTE

Defense Manpower Policy: Presentations from the 1976 Rand Conference on Defense Manpower

DTIC Science & Technology

1978-12-01

organizations working on defense manpower issues and problems, This book contains selected presentations from ti -a Rand Confer- ence on Defense Manpower...the complete Conference agenda.) Nevertheless, the papers included here provide a reasonably good sampling of the topics and issues addressed at the...one of the key concerns in the Pentagon and on Capitol Hill. Accordingly, the purpose of this book is to shed some light on some of the major issues

Ten Frequently Asked Questions About Veterans’ Transitions: Results of a Decade of RAND Work on Veteran Life

DTIC Science & Technology

2016-01-01

a much higher response rate and samples both household units and people living in group quarters, such as college residence halls and correctional...voluntary reasons, such as needing a break or dislik- ing their previous job. Given that reservists already accumulate paid leave while serving on active...commence college during that year and others spend several months engaged in job search. However, after this initial period, the earning premium steadily

Health status assessment via the World Wide Web.

PubMed Central

Bell, D. S.; Kahn, C. E.

1996-01-01

We explored the use of the World Wide Web to collect health status information for medical outcomes research. The RAND 36-Item Health Survey 1.0 (RAND-36), which contains the 36 multiple-choice questions of the Medical Outcomes Study SF-36 "Short Form" and differs only in its simplified scoring scheme, was made available for anonymous use on the Internet. Participation in the survey was invited through health-related Internet news groups and mailing lists. Participants entered data and received, their scores using the World Wide Web protocol. Entries were recorded from 15 June 1995 to 14 June 1996 (1 year). The survey was completed anonymously by 4876 individuals with access to the World Wide Web. Two-thirds completed the survey within 5 minutes, and 97% did so within 10 minutes. The item-completion rate was 99.28%. Values of Cronbach's alpha of 0.76 to 0.90 for the scoring scales matched the high reliability found in the Medical Outcomes Study. The World Wide Web provides a method of rapidly measuring individual health status and may play an important role in advancing health services research and outcomes-based patient care. PMID:8947684

Response to ProPublica's Rebuttal of Our Critique of the Surgeon Scorecard

PubMed Central

Friedberg, Mark W.; Bilimoria, Karl Y.; Pronovost, Peter J.; Shahian, David M.; Damberg, Cheryl L.; Zaslavsky, Alan M.

2016-01-01

Abstract In the summer of 2015, ProPublica published its Surgeon Scorecard, which displays “Adjusted Complication Rates” for individual, named surgeons for eight surgical procedures performed in hospitals. Public reports of provider performance have the potential to improve the quality of health care that patients receive. A valid performance report can drive quality improvement and usefully inform patients' choices of providers. However, performance reports with poor validity and reliability are potentially damaging to all involved. In September 2015, RAND released a critique of the Scorecard authored by a group of health policy researchers from RAND and other institutions, and on October 7, 2015 ProPublica published a rebuttal of our critique. In this follow-on Perspective, we revisit the main points in our initial critique, summarize ProPublica's rebuttal, explain why this rebuttal fails to address our methodological concerns, provide suggestions on how to validate and improve the Scorecard, and explain why we continue to advise potential users of the Scorecard, as it is currently constructed, not to consider it a valid or reliable predictor of the health outcomes any individual surgeon is likely to provide. PMID:28083432

U.S. and Soviet Relations with Argentina: Obstacles and Opportunities for the U. S. Army

DTIC Science & Technology

1989-11-01

the tactors that conIstrain tle use of such assistance. The Note was writtcn prior to the Ma I 9S9 Argenti ne presidential elcction, and therefore does...821711 and Development Center for studies and analysis operated by The RAND Corporation . Thw Arroyo Center provides the Army with objective. ind.pendent...Center aork is performed under contract MDA903-86-C-0059. The Arroyo Center is housed in RANDs Arn Research Division. The R:ND Corporation is a private

Using Marijuana May Not Raise the Risk of Using Harder Drugs

DTIC Science & Technology

2003-02-01

Using Marijuana May Not Raise the Risk of Using Harder Drugs Marijuana is widely regarded as a "gateway" drug, that is, one whose use results in an...laws prohibiting the use or possession of marijuana . A recent analysis by RAND’s Drug Policy Research Center (DPRC) suggests that data typically used...to support a marijuana gateway effect can be explained as well by a different theory. The new research, by Andrew Morral, associate director of RAND

Thinking About America’s Defense. An Analytical Memoir

DTIC Science & Technology

2008-01-01

www.rand.org as a public service of the RAND Corporation. 6Jump down to document THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH...strategic relationship: [ The enemy’s] manifest invulnerability to our first strike could be to our advantage if it relieved him of a principal concern... invulnerable SSBNs at sea, (2) the number and effectiveness of “killer” RVs that are useful in a counterforce attack against the other’s ICBM-borne RVs in

An Evolving Joint Space Campaign Concept and the Army’s Role

DTIC Science & Technology

1992-05-29

Military Art and Science thesis (Fort Leavenworth, X3: US Army Conmd and general Staff College, 2 June 1989). 01. This is not a new approach for US strategy...the Undersecretary of Defense fop Acquisition, December 1967 (83E2T. Diukes. Francis J. (LTC, USA), "Space, Iltitary or Civilian?" student thesis , AW...RAND Paper, Santa Monica, Cft The RAND Corporation, not dated. Harris, Elwyn and Richard Darilek, Kenneth Horn, Mark Nelson, "The Army’s Role in Space

Tweede Serie Ergonomietests Lichtgewicht Bommenpakken (Second Series of Ergonomic Tests on Lightweight Bomb Disposal Suits)

DTIC Science & Technology

2007-12-01

warmtebelastingtests vast te stellen en (sit-and-reach, stand-and-reach. abductie referentiewaarden te bepalen door het van de arnen, anteflexie van de armen ...volgende, bewegingbeperkingtests: sit-and-reach, stand-and-reach. abductie van de armen , anteflexie van de armen en beperking van zicht. Bij de sit-and...gebogen op de rand van een tafel en houdt de armen zo ver mogeijk gestrekt naar voren op tafel. Daarbij wordt de afstand vanaf de rand van de tafel tot

A New Age for Aerostats: Proving Airfield-Centric MANPADS Defense for Civil Aircraft Supporting Military Operations

DTIC Science & Technology

2010-04-01

Maintaining Readiness, RAND Report MR-1506 (Santa Monica, CA: RAND, 2003, 58. 15 Graham, David R . Statement before the U.S. Congress Committee on...2. 19 Ibid., 4. 20 Ibid., 2. 21 Bolkcom, Christopher, CRAF, 9. 22 Graham, David R ., 3. 23 Cortez, Robert K. Statement before the U.S...Retrieved from http://www.state.gov/ r /pa/prs/ps/2009/july/126397.htm on 8 Dec 2009. 30 GlobalSecurity.org. “Man Portable Air Defense Systems (MANPADS

Chinese Grand Strategy: How Anti-Access/Area Denial (A2/AD) Fits in China’s Plan

DTIC Science & Technology

2014-04-01

Qiao and Wang, Unrestricted Warfare, 142. 6. Corpus, “America’s Acupuncture Points” Asia Times Online, (Part 2, Section 5). 7. Ibid. 8. Stokes...Corpus, “America’s Acupuncture Points”, (Part 1, Section 1). 46. Qiao and Wang, Unrestricted Warfare, 93. 47. Ibid. 48. Military Factory, “American War...Employment Concepts in the 21st Century. RAND Report FA7014-06-C-0001. Santa Monica, CA: RAND, 2011. Corpus, Victor N. “America’s Acupuncture Points

POW/MIA Issues. Volume 3. Appendixes

DTIC Science & Technology

1994-01-01

RANDS Johansen Charles SSgt/AF- 4 July 52 TFRM A611 RMC B-29/Photo op Vernon 19124748 TFRS 91st Strat RANDM Recon RANDS Rivers Bernard SSgt/AF- 4 July 52...Pvt Bellar, Bennie E. RA14326111 Cpl Beller, James E. RA18333098 Pvt Bernard , Elton J RA18281438 Cpl Besemer, Robert L. RA16263944 Cpl Billigmeier... Bernard AF31378023 Airman 1st class Mooradian, Ara A0932011 Capt Moore, John G. A0886003 Capt Myers, Thomas E. 13136A Capt Nelson, Lawrence A. A02221692

The RAND Online Measure Repository for Evaluating Psychological Health and Traumatic Brain Injury Programs. The RAND Toolkit, Volume 2

DTIC Science & Technology

2014-01-01

tempo may raise the risk for mental health challenges. During this time, the U.S. Department of Defense (DoD) has implemented numerous programs to...and were based on the constraints of each electronic database. However, most searches were variations on a basic three-category format: The first...Gerontology, 1983, 38: 111–116. Iannuzzo RW, Jaeger J, Goldberg JF, Kafantaris V, Sublette ME. “Development and Reliability of the Ham-D/MADRS

The impacts of a GO-game (Chinese chess) intervention on Alzheimer disease in a Northeast Chinese population

PubMed Central

Lin, Qiao; Cao, Yunpeng; Gao, Jie

2015-01-01

A GO game can enhance mental health, but its effects on Alzheimer Disease (AD) remains unknown. To address the issue, 147 AD patients were randomly assigned into control (without GO-game intervention), Short-time GO-Game Intervention (SGGI, 1 h daily) and Long-time GO-game Intervention (LGGI, 2 h daily) groups. After 6-month follow-up, the game reduced the mean score of Montgomery-Asberg Depression Rating Scales (MADRS) of 4.72 (95% CI, 0.69 to 9.12) and Hospital Anxiety and Depression Scale (HADS) of 1.75 (95% CI, 0.17–3.68), and increased the mean score of Global Assessment of Functioning (GAF) of 4.95 (95% CI, −1.37–9.18) and RAND-36 of 4.61 (95% CI, −2.75–11.32) (P < 0.05 via controls). A GO-game intervention improved 9 of 11 items of KICA-dep (Kimberley Indigenous Cognitive Assessment of Depression). Meanwhile, serum levels of brain derived neurotrophic factor (BDNF) were higher in SGGI and LGGI groups (24.02 ± 7.16 and 28.88 ± 4.12 ng/ml respectively, P = 0.051) than those in controls (17.28 ± 7.75 ng/ml) (P < 0.001). The serum levels of BDNF showed a negative relation with MADRS and a positive relation with RAND-36 (P < 0.01). A GO-game intervention ameliorates AD manifestations by up-regulating BDNF levels. PMID:26379544

Caries preventive measures in orthodontic practice: the development of a clinical practice guideline.

PubMed

Oosterkamp, B C M; van der Sanden, W J M; Frencken, J E F M; Kuijpers-Jagtman, A M

2016-02-01

White spot lesions (WSLs) are a side effect of orthodontic treatment, causing esthetic problems and a risk of deeper enamel and dentine lesions. Many strategies have been developed for preventing WSLs, but great variability exists in preventive measures between orthodontists. This study developed statements on which a clinical practice guideline (CPG) can be developed in order to help orthodontists select preventive measures based on the best available evidence. A nominal group technique (RAND-e modified Delphi procedure) was used. A multidisciplinary expert panel rated 264 practice- and evidence-based statements related to the management of WSLs. To provide panel members with the same knowledge, a total of six articles obtained from a systematic review of the literature were read by the panel in preparation of three consensus rounds. According to the technique, a threshold of 75% of all ratings within any 3-point section of the 9-point scale regarding a specific statement was accepted as consensus. After the first and second consensus rounds, consensus was reached on 37.5 and 31.1% of statements, respectively. For the remaining 31.4% of statements, consensus was reached during a 4-h consensus meeting. Statements on the management of WSLs derived from a systematic literature review combined with expert opinion were formally integrated toward consensus through a nominal group technique. These statements formed the basis for developing a CPG on the management of WSLs before and during orthodontic treatment. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

High deductible health plans: does cost sharing stimulate increased consumer sophistication?

PubMed

Gupta, Neal; Polsky, Daniel

2015-06-01

To determine whether increased cost sharing in health insurance plans induces higher levels of consumer sophistication in a non-elderly population. This analysis is based on the collection of survey and demographic data collected from enrollees in the RAND health insurance experiment (HIE). During the RAND HIE, enrollees were randomly assigned to different levels of cost sharing (0, 25, 50 and 95%). The study population compromises about 2000 people enrolled in the RAND HIE, between the years 1974 and 1982. Effects on health-care decision making were measured using the results of a standardized questionnaire, administered at the beginning and end of the experiment. Points of enquiry included whether or not enrollees' (i) recognized the need for second opinions (ii) questioned the effectiveness of certain therapies and (iii) researched the background/skill of their medical providers. Consumer sophistication was also measured for regular health-care consumers, as indicated by the presence of a chronic disease. We found no statically significant changes (P < 0.05) in the health-care decision-making strategies between individuals randomized to high cost sharing plans and low cost sharing plans. Furthermore, we did not find a stronger effect for patients with a chronic disease. The evidence from the RAND HIE does not support the hypothesis that a higher level of cost sharing incentivizes the development of consumer sophistication. As a result, cost sharing alone will not promote individuals to become more selective in their health-care decision-making. © 2012 Blackwell Publishing Ltd.

Exercise rehabilitation on home-dwelling patients with Alzheimer's disease--a randomized, controlled trial. Study protocol.

PubMed

Pitkala, Kaisu H; Raivio, Minna M; Laakkonen, Marja-Liisa; Tilvis, Reijo S; Kautiainen, Hannu; Strandberg, Timo E

2010-10-06

Besides cognitive decline, Alzheimer's disease (AD) leads to physical disability, need for help and permanent institutional care. The trials investigating effects of exercise rehabilitation on physical functioning of home-dwelling older dementia patients are still scarce. The aim of this study is to investigate the effectiveness of intensive exercise rehabilitation lasting for one year on mobility and physical functioning of home-dwelling patients with AD. During years 2008-2010, patients with AD (n = 210) living with their spousal caregiver in community are recruited using central AD registers in Finland, and they are offered exercise rehabilitation lasting for one year. The patients are randomized into three arms: 1) tailored home-based exercise twice weekly 2) group-based exercise twice weekly in rehabilitation center 3) control group with usual care and information of exercise and nutrition. Main outcome measures will be Guralnik's mobility and balance tests and FIM-test to assess physical functioning. Secondary measures will be cognition, neuropsychiatric symptoms according to the Neuropsychiatric Inventory, caregivers' burden, depression and health-related quality of life (RAND-36). Data concerning admissions to institutional care and the use and costs of health and social services will be collected during a two year follow-up. To our knowledge this is the first large scale trial exploring whether home-dwelling patients with AD will benefit from intense and long-lasting exercise rehabilitation in respect to their mobility and physical functioning. It will also provide data on cost-effectiveness of the intervention. ACTRN12608000037303.

Mert Davies: Pioneer in the Use of Spacecraft to Map Earth and Mars

NASA Astrophysics Data System (ADS)

Murray, B.; Augenstein, B.

2002-12-01

Mert Davies was one of the founding employees of the RAND Corporation in 1946, and continued that relationship until his death in 2001. He began his involvement in satellite imaging at Rand as one of about 100 researchers in Project Feedback in 1954, provided the basis for the initial US military space program. In 1957, in response to the Soviet launch of Sputnik, Mert and a small group of Rand cohorts proposed a family of recoverable reconnaissance satellites featuring spin stabilized cameras, for which he later received a patent. This work, now declassified, was for a short time considered as a basis for the Corona, America's first reconnaissance satellite Corona, although ultimately alternative technologies were employed. In addition he was looking beyond Earth quite early and in May, 1958 published an analysis of a lunar mapping satellite. The 1957 work at Rand spurred considerations of space-based geodesy and mapping. These and other early contributions were recognized in 1999 by the National Reconnaissance Office which honored him as one of the founders of national reconnaissance. He was so enthused by the opportunity developing in the mid 1960?s to explore photographically the planets that he changed careers and joined the Television Team of the Mariner probes being developed to flyby Mars in 1969 (Mariner's 6&7). His abilities and accomplishments there led directly to central roles later in the Mariner 9 Mars Orbiter mission (1971-72) as well as Mariner 10 to Mercury (1973-75) and Voyagers 1&2 (1979-89) These early flights to Mars represented unprecedented technical challenges, especially to radio communications. As a consequence, analog television systems, like that carried on the Ranger impact probe in 1964-65 or film readout technology like that used on Lunar Orbiter in 1965-66 to send back high-resolution images from the Moon were not feasible from planetary distances. In order to exploit the remarkable communication potential of the DSN, JPL-based television teams invented the world?s first digital television cameras using primitive slow-scan vidicon sensors in order to overcome the 200-fold greater distance to Mars. Spacecraft mapping and geodesy was initiated by the dual flybys Mariner 6 and 7 of 1969, each carrying a moderately high resolution optical system, but one plagued by the geometric limitations of a vidicon sensor necessarily using imprecise electro-optical imaging internally. He understood clearly that the number of resolution elements on the Mariner 6/7 cameras were too small for good photogrammetric solutions. Each picture contained only 70,000 resolution elements compared to a standard aerial photograph with about a third of a billion of comparable elements. Despite such limitations, Mert was able to exploit especially the far encounter imaging from Mariners 6/7 to create the first Mars surface control net based on topographic features, and to solve for the position of the rotational pole. Under his leadership, the Mariner 9 orbiter mission greatly expanded that coverage, providing the evolving basis of USGS Mars mapping practically until the present. Furthermore, Mert, in conjunction with Harold Masursky and Gerard de Vaucoleurs, established the topocentric reference point for the prime meridian on Mars as the small crater Airy-O, which thus occupies a role analogous to that of Greenwich, England for the Earth. He was to play that historic prime meridian role for nearly all the solid bodies in the Solar System over the ensuing decades as well as a continuing role on the IAU committee that named officially the surface features of Mercury, Venus, Mars, and the satellites of Jupiter, Saturn, Uranus.

Development and Measurement of Guidelines-Based Quality Indicators of Caesarean Section Care in the Netherlands: A RAND-Modified Delphi Procedure and Retrospective Medical Chart Review

PubMed Central

de Boer, Karin; Burggraaf, Henriëtte; Derks, Jan B.; van Dijk, Det; van Dillen, Jeroen; Dirksen, Carmen D.; Duvekot, Johannes J.; Franx, Arie; Hasaart, Tom H. M.; Huisjes, Anjoke J. M.; Kolkman, Diny; Kwee, Anneke; Mol, Ben W.; van Pampus, Mariëlle G.; de Roon-Immerzeel, Alieke; van Roosmalen, Jos J. M.; Roumen, Frans J. M. E.; Smid-Koopman, Ellen; Spaans, Wilbert A.; Visser, Harry; van Wijngaarden, Wim J.; Willekes, Christine; Wouters, Maurice G. A. J.

2016-01-01

Background There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined. This study aimed to develop and measure quality indicators to determine guideline adherence and identify target groups for improvement of care with direct effect on caesarean section (CS) rates. Method Eighteen obstetricians and midwives participated in an expert panel for systematic CS quality indicator development according to the RAND-modified Delphi method. A multi-center study was performed and medical charts of 1024 women with a CS and a stratified and weighted randomly selected group of 1036 women with a vaginal delivery were analysed. Quality indicator frequency and adherence were scored in 2060 women with a CS or vaginal delivery. Results The expert panel developed 16 indicators on planned CS and 11 indicators on unplanned CS. Indicator adherence was calculated, defined as the number of women in a specific obstetrical situation in which care was performed as recommended in both planned and unplanned CS settings. The most frequently occurring obstetrical situations with low indicator adherence were: 1) suspected fetal distress (frequency 17%, adherence 46%), 2) non-progressive labour (frequency 12%, CS performed too early in over 75%), 3) continuous support during labour (frequency 88%, adherence 37%) and 4) previous CS (frequency 12%), with adequate counselling in 15%. Conclusions We identified four concrete target groups for improvement of obstetrical care, which can be used as a starting point to reduce CS rates worldwide. PMID:26783742

A Randomized Trial Comparing Ceramic-on-Ceramic Bearing vs Ceramic-on-Crossfire-Polyethylene Bearing Surfaces in Total Hip Arthroplasty.

PubMed

Beaupre, Lauren A; Al-Houkail, Amro; Johnston, Donald William C

2016-06-01

Bearing surfaces in total hip arthroplasty (THA) may affect implant longevity and hence patient outcomes. This randomized clinical trial determined how ceramic-on-ceramic (CERAMIC) bearing THA affected joint-specific pain, function, and stiffness and prosthesis fixation/longevity over 10 postoperative years compared with ceramic-on-highly-crosslinked-polyethylene (POLYETHYLENE) bearing THA. This is a follow-up to previously reported 5-year outcomes. Subjects aged <61 years were randomized to CERAMIC (n = 48) or POLYETHYLENE (n = 44) THA. Subjects were assessed using the Western Ontario McMaster Osteoarthritis Index and the RAND 12-Item Health Survey preoperatively, and at 1, 5, and 10 years postoperatively. Plain radiographs were evaluated at 10 years for fixation, and medical records were reviewed for revisions. Of 92 subjects, 6 (7%) died within 10 years; 68 (79%) survivors provided radiographic and/or clinical follow-up at 10 years postoperatively. Improvements seen at 5 years in both the Western Ontario McMaster Osteoarthritis Index and RAND 12-Item Health Survey were retained at 10 years with no group differences (P > .48). There were no failures or loss of fixation related to bearing surfaces/wear in either group. Over 10 years, 3 subjects in the POLYETHYLENE group had revisions that were related to recurrent dislocation; 2 revisions were performed within 2 years of surgery, and one further subject underwent revision at 7 years postoperatively. This is one of the first randomized clinical trials to examine 10-year outcomes between CERAMIC and POLYETHYLENE bearing THAs. Both bearing surfaces performed well out to 10 years in subjects who were <61 years at time of surgery. Copyright © 2015 Elsevier Inc. All rights reserved.

Quality of life of patients with recurrent respiratory papillomatosis.

PubMed

San Giorgi, Michel R M; Aaltonen, Leena-Maija; Rihkanen, Heikki; Tjon Pian Gi, Robin E A; van der Laan, Bernard F A M; Hoekstra-Weebers, Josette E H M; Dikkers, Frederik G

2017-08-01

Recurrent respiratory papillomatosis (RRP) is a disease with a high disease burden. Few studies have assessed quality of life (QoL) of RRP patients. This study compares QoL of these patients with controls. Associations between QoL and sociodemographic and illness-related factors are examined, as is uptake of psychosocial care and speech therapy. Prospective cross-sectional questionnaire research. Ninety-one RRP patients (response = 67%) from two university hospitals in the Netherlands and Finland completed the following patient reported outcome measures: (HADS), 15-dimensional health-related quality-of-life scale (15D), Voice Handicap Index (VHI) and the RAND 36-item health-related quality-of-life survey instrument (RAND-36) assessing health-related QoL and voice handicap, and they provided sociodemographic, illness-related, and allied healthcare use. Descriptive analyses, χ 2 tests, t tests, analysis of variance tests, and Pearson correlations were computed to describe the study population and to examine differences between groups. RRP patients had significantly higher mean scores on depression, health-related QoL (15D) and on voice problems (VHI), and significantly lower mean scores on anxiety than controls. Dutch patients had more pain and a decreased general health perception (RAND-36) than controls. Dutch patients and older patients were more depressed, women were more anxious, older patients had lower health-related QoL, and smoking was significantly associated with voice handicap. Patients who had received psychosocial care had significantly higher HADS-depression mean scores than patients who did not receive psychosocial care. Having RRP has significant effect on voice-related QoL and depression, but has no negative effect on anxiety and health-related QoL. Risk factors for decreased functioning are different than previously hypothesized by many authors. Prevention should be aimed at these risk factors. 4. Laryngoscope, 127:1826-1831, 2017. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

The impact of primary Sjögren's syndrome on female sexual function.

PubMed

van Nimwegen, Jolien F; Arends, Suzanne; van Zuiden, Greetje S; Vissink, Arjan; Kroese, Frans G M; Bootsma, Hendrika

2015-07-01

Prevalence of vaginal dryness and dyspareunia is high in women with primary SS (pSS). Our aim was to compare sexual function and sexual distress in women with pSS with healthy controls, as well as to assess parameters that are associated with sexual dysfunction and distress in pSS. Forty-six women fulfilling the American-European Consensus Group criteria for pSS [mean age 46.3 years (s.d. 10.5)] and 43 age-matched healthy controls were included. Participants completed self-administered questionnaires, namely the Female Sexual Function Index (FSFI), Female Sexual Distress Scale (FSDS), Multidimensional Fatigue Inventory (MFI), Hospital Anxiety and Depression Scale (HADS), Maudsley Marital Questionnaire (MMQ) and RAND 36-item Health Survey (RAND-36). In addition, the European League Against Rheumatism Sjögren's Syndrome Disease Activity Index (ESSDAI) and Patient Reported Index (ESSPRI) were recorded in patients. Women with pSS had impaired sexual function compared with healthy controls (median FSFI 20.6 vs 30.3, P < 0.001), as reflected by significantly lower scores in the domains of desire, arousal, orgasm, lubrication and pain. Furthermore, pSS patients experienced more sexual distress (median FSDS 7 vs 4, P < 0.05) and were sexually active less frequently than controls (76% vs 93%, P < 0.05). Sexual dysfunction correlated significantly with patient-reported symptoms of pSS (ESSPRI), symptoms of fatigue (MFI), depressive symptoms (HADS), relationship dissatisfaction (MMQ) and lower mental quality of life (RAND-36), but not with systemic disease activity (ESSDAI). Women with pSS have impaired sexual function and more sexual distress compared with healthy controls. Sexual function and distress are influenced by vaginal dryness and patient-reported symptoms of pSS as well as psychosocial factors. © The Author 2015. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Fee-for-service cancer rehabilitation programs improve health-related quality of life.

PubMed

Kirkham, A A; Neil-Sztramko, S E; Morgan, J; Hodson, S; Weller, S; McRae, T; Campbell, K L

2016-08-01

Rigorously applied exercise interventions undertaken in a research setting result in improved health-related quality of life (hrqol) in cancer survivors, but research to demonstrate effective translation of that research to practice is needed. The objective of the present study was to determine the effect of fee-for-service cancer rehabilitation programs in the community on hrqol and on self-reported physical activity and its correlates. After enrolment and 17 ± 4 weeks later, new clients (n = 48) to two fee-for-service cancer rehabilitation programs completed the 36-Item Short Form Health Survey (rand-36: rand Corporation, Santa Monica, CA, U.S.A.), the Godin Leisure-Time Exercise Questionnaire, and questions about physical activity correlates. Normal fee-for-service operations were maintained, including a fitness assessment and individualized exercise programs supervised in a group or one-on-one setting, with no minimum attendance required. Fees were associated with the assessment and with each exercise session. Of the 48 participants, 36 (75%) completed both questionnaires. Improvements in the physical functioning, role physical, pain, and energy/fatigue scales on the rand-36 exceeded minimally important differences and were of a magnitude similar to improvements reported in structured, rigorously applied, and free research interventions. Self-reported levels of vigorous-intensity (p = 0.021), but not moderate-intensity (p = 0.831) physical activity increased. The number of perceived barriers to exercise (p = 0.035) and the prevalence of fatigue as a barrier (p = 0.003) decreased. Exercise self-efficacy improved only in participants who attended 11 or more sessions (p = 0.002). Exercise enjoyment did not change (p = 0.629). Enrolment in fee-for-service cancer rehabilitation programs results in meaningful improvements in hrqol comparable to those reported by research interventions, among other benefits. The fee-for-service model could be an effective model for delivery of exercise to more cancer survivors.

Faster-than-Light Particles: A Review of Tachyon Characteristics.

DTIC Science & Technology

1980-10-01

A-DlAO9(4 529 RAND CORP SANTA MNtICA CA F/6 20/S FASTER-THAN-LIBI4T PARTICLES: A REVIEW OF TACHYON CHARACTERISTIC--ETCWU) OCT B0 E A PUSCHER F49620...77-C-0023 UNCLASSIFIED RAI0IN-1530-AF N. I nmui ininmuuuI LEVEL A RAND NOTE FASTER-THAN-LIGHT PARTICLES: A REVIEW OF ) ( TACHYON CHARACTERISTICS Edward...RECIPIENT’S CATALOG NUMBER 4TIT LE ( d Subtitle) TYPE OF REPORT & PERIOD COVERED ( Faster-than-Light Particles: A Review of /Interim -i Tachyon

Consumer Surplus, Demand Functions, and Policy Analysis,

DTIC Science & Technology

1983-06-01

ARD-AL758 865 CONSUMER SURPLUS DEMAND FUNCTIONS AND POLICY ANALYSIS 1/2 (U) RAND CORP SANTA MONICA CA F CANM JUN 83 RAND/R-3848-RC UNCLASSIFIED F/O 5...8217 - * 2, Consumer Surplus, Demand Functions, and Policy Analysis Frank Camm OCFILE COEYI b0 loo Thi! d Ci rr.i h,13 bea~n approvedS i i l ot p...ui.- r~aoz an~d sale; its (5 06 VP1 d’ *. . . * . ~ - V * * . R-3048-RC Consumer Surplus, Demand Functions, and Policy Analysis Frank Caomm June 1983

How Is Deployment to Iraq and Afghanistan Affecting U.S. Service Members and Their Families? An Overview of Early Rand Research on the Topic

DTIC Science & Technology

2011-01-01

herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is...shorter or much longer than expected decreased the intention to stay in the military. This finding implies that service members feel discontent when...when the deployment will occur and how long it will be, and to feel assured that expectations will be met. • The intention to stay in the military

Improving Air Force Depot Programming by Linking Resources to Capabilities

DTIC Science & Technology

2012-01-01

thank Rick Grisenthwaite at Warner Robins Air Logistics Center, Jamie Jeter at Okla- homa City Air Logistics Center, and Glen Brown at Ogden Air...consistency, we use the term block cycle instead of SCU in our F-16 discussions. 4 8 Im p ro vin g A ir Fo rce D ep o t Pro g ram m in g b y Lin kin...Requirements RAND TR905-B.8 Figure B.9 Depot Purchased Equipment Maintenance Model Output: Projected Aircraft Availability RAND TR905-B.9 A ir cr af t av

Potential Applications of Manual Games,

DTIC Science & Technology

1984-02-01

34 just because some electronic equipment is used to keep track of logistics, combat results, and force status. Even a highly computerized game like...D-A152 541 POTENTIAL APPLICATIONS OF MANUAL GAMES (U) RAND CORP ii SANTA MONICA CA T A BROW~N FEB 84 RAND/P-6957 UNCLASI7FIED F/G 12/2 N El..I 111 1...128 112.5 111 m; * _ 1.8 I1111 ’I’ll MICROCOPY RESOLUTION TEST CHART NATI NAl fii~ t1 RI 1A L4k, I POTENTIAL APPLICATIONS OF MANUJAL GAMES Lfl N Lfl

Proceedings of the Annual RAND-China Reform Forum Conference (6th) Held in Santa Monica, California on August 28-29, 2003

DTIC Science & Technology

2005-01-01

documents for commercial use. Limited Electronic Distribution Rights For More Information CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH...Reform Forum Conference. August 28-29, 2003 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK...have been reviewed and approved by RAND Science and Technology. Proceedings of the 6th Annual RAND–China Reform Forum Conference August 28–29

Evidence of forward-backward multiplicity correlation at SPS energy

NASA Astrophysics Data System (ADS)

Bhoumik, Gopa; Bhattacharyya, Swarnapratim; Deb, Argha; Ghosh, Dipak

In this paper, a detailed study of two-particle rapidity correlation has been presented by measuring the dynamical fluctuation variable σc2 in forward and backward pseudo-rapidity window of shower particles produced in the relativistic heavy ion collision, 16O-AgBr interactions at 60AGeV and 32S-AgBr interactions at 200AGeV. Variations of σc2 with rapidity gap between forward and backward zones and with the width of each zone have been studied. For both cases, σc2 increase with increasing either width of the zone or gap between the zones. Our findings show the presence of strong long-range correlation. Comparison of experimental results with MC-RAND events confirms the present correlation to be dynamical in nature. We have also compared our results with FRITIOF and UrQMD events. Such events also show the presence of correlation, but found to fail to reproduce the experimental results both quantitatively and qualitatively. Strength of correlation is dependent on the centrality of collision for experimental events, it decreases with centrality.

Conference Proceedings of Defense Modeling and Simulation Office Information/Data Base Technology Working Group (I/DBTWG) Meetings Held During the Week of July 11-15, 1994

DTIC Science & Technology

1994-07-15

xi- ACKNOWLEDGMENTS The I/DBTWG co-chairs would like to thank Ms. Linda Quicker of RAND for her efforts in coordinating the I/DBTWG meeting and...Subgroup on Authoritative Data Sources: Mr. Bill Dunn 0930-0945 Report from M&S Complex Data Task Force Subgroup on Categorization: Mr. Len Seligman ...issues; and need to address maintenance of the Authoritative Data Source directory by DMSO/IAC. - 15- Mr. Len Seligman : Report from M&S Complex Data Tasm

The Civil-Military Gap and Women in Combat: The Elite’s Attitude Transformation, 1991-2013

DTIC Science & Technology

2015-02-12

women in combat, a social issue at the heart of the civil-military gap, as the US regrouped after the Gulf War then fought in Afghanistan and Iraq. The...the issue of women in combat (WIC), the first of three social issues cited by RAND.6 This study examines WIC from the end of the Gulf War through...US laws prevented women from serving in combat.41 It is apparent the two groups worked together to find common ground that addressed the tension

Developing an item bank and short forms that assess the impact of asthma on quality of life.

PubMed

Stucky, Brian D; Edelen, Maria Orlando; Sherbourne, Cathy D; Eberhart, Nicole K; Lara, Marielena

2014-02-01

The present work describes the process of developing an item bank and short forms that measure the impact of asthma on quality of life (QoL) that avoids confounding QoL with asthma symptomatology and functional impairment. Using a diverse national sample of adults with asthma (N = 2032) we conducted exploratory and confirmatory factor analyses, and item response theory and differential item functioning analyses to develop a 65-item unidimensional item bank and separate short form assessments. A psychometric evaluation of the RAND Impact of Asthma on QoL item bank (RAND-IAQL) suggests that though the concept of asthma impact on QoL is multi-faceted, it may be measured as a single underlying construct. The performance of the bank was then evaluated with a real-data simulated computer adaptive test. From the RAND-IAQL item bank we then developed two short forms consisting of 4 and 12 items (reliability = 0.86 and 0.93, respectively). A real-data simulated computer adaptive test suggests that as few as 4-5 items from the bank are needed to obtain highly precise scores. Preliminary validity results indicate that the RAND-IAQL measures distinguish between levels of asthma control. To measure the impact of asthma on QoL, users of these items may choose from two highly reliable short forms, computer adaptive test administration, or content-specific subsets of items from the bank tailored to their specific needs. Copyright © 2013 Elsevier Ltd. All rights reserved.

Appropriate Use of Drug Testing in Clinical Addiction Medicine.

PubMed

Jarvis, Margaret; Williams, Jessica; Hurford, Matthew; Lindsay, Dawn; Lincoln, Piper; Giles, Leila; Luongo, Peter; Safarian, Taleen

: Biological drug testing is a tool that provides information about an individual's recent substance use. Like any tool, its value depends on using it correctly; that is, on selecting the right test for the right person at the right time. This document is intended to clarify appropriate clinical use of drug testing in addiction medicine and aid providers in their decisions about drug testing for the identification, diagnosis, treatment, and recovery of patients with, or at risk for, addiction. The RAND Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) process for combining scientific evidence with the collective judgment of experts was used to identify appropriate clinical practices and highlight areas where research is needed. Although consensus panels and expert groups have offered guidance on the use of drug testing for patients with addiction, very few addressed considerations for patients across settings and in different levels of care. This document will focus primarily on patients in addiction treatment and recovery, where drug testing is used to assess patients for a substance use disorder, monitor the effectiveness of a treatment plan, and support recovery. Inasmuch as the scope includes the recognition of addiction, which often occurs in general healthcare settings, selected special populations at risk for addiction visiting these settings are briefly included.

Haemophilia A carriers experience reduced health-related quality of life.

PubMed

Gilbert, L; Paroskie, A; Gailani, D; Debaun, M R; Sidonio, R F

2015-11-01

Haemophilia A is an X-linked recessive bleeding disorder that primarily affects males. Emerging data support evidence for increased bleeding in female haemophilia A carriers despite factor VIII activity within the normal range. Data regarding the effect of increased bleeding on health-related quality of life (HR-QOL) in haemophilia A carriers is sparse. We tested the hypothesis that haemophilia A carriers have reduced HR-QOL related to bleeding symptoms. We conducted a cross-sectional study at Vanderbilt University. Case subjects were obligate or genetically verified haemophilia A carriers age 18-60 years. Control subjects were mothers of children with cancer who receive care at the Vanderbilt paediatric haematology-oncology clinic. Trained interviewers administered the Rand 36-Item Health Survey 1.0, a validated questionnaire evaluating eight health concepts that may affect HR-QOL, to each study participant. Mann-Whitney U-tests were used to compare median scores for the eight health domains between the case and control groups. Forty-two haemophilia A carriers and 36 control subjects were included in analyses. Haemophilia A carriers had significantly lower median scores for the domains of 'Pain' (73.75 vs. 90; P = 0.02) and 'General health' (75 vs. 85; P = 0.01) compared to control subjects. Haemophilia A carriers in our study demonstrated significantly lower median scores on the Rand 36-item Health Survey 1.0 in the domains of 'Pain' and 'General Health' compared to women in the control group. Our findings highlight the need for further investigation of the effect of bleeding on HR-QOL in this population. © 2015 John Wiley & Sons Ltd.

Extensive validation of the pain disability index in 3 groups of patients with musculoskeletal pain.

PubMed

Soer, Remko; Köke, Albère J A; Vroomen, Patrick C A J; Stegeman, Patrick; Smeets, Rob J E M; Coppes, Maarten H; Reneman, Michiel F

2013-04-20

A cross-sectional study design was performed. To validate the pain disability index (PDI) extensively in 3 groups of patients with musculoskeletal pain. The PDI is a widely used and studied instrument for disability related to various pain syndromes, although there is conflicting evidence concerning factor structure, test-retest reliability, and missing items. Additionally, an official translation of the Dutch language version has never been performed. For reliability, internal consistency, factor structure, test-retest reliability and measurement error were calculated. Validity was tested with hypothesized correlations with pain intensity, kinesiophobia, Rand-36 subscales, Depression, Roland-Morris Disability Questionnaire, Quality of Life, and Work Status. Structural validity was tested with independent backward translation and approval from the original authors. One hundred seventy-eight patients with acute back pain, 425 patients with chronic low back pain and 365 with widespread pain were included. Internal consistency of the PDI was good. One factor was identified with factor analyses. Test-retest reliability was good for the PDI (intraclass correlation coefficient, 0.76). Standard error of measurement was 6.5 points and smallest detectable change was 17.9 points. Little correlations between the PDI were observed with kinesiophobia and depression, fair correlations with pain intensity, work status, and vitality and moderate correlations with the Rand-36 subscales and the Roland-Morris Disability Questionnaire. The PDI-Dutch language version is internally consistent as a 1-factor structure, and test-retest reliable. Missing items seem high in sexual and professional items. Using the PDI as a 2-factor questionnaire has no additional value and is unreliable.

Comparison between Hardy-Rand-Rittler 4th edition and Ishihara color plate tests for detection of dyschromatopsia in optic neuropathy.

PubMed

Huna-Baron, Ruth; Glovinsky, Yoseph; Habot-Wilner, Zohar

2013-02-01

The aim of this work was to compare the specificity-sensitivity balance of the Hardy-Rand-Rittler (HRR) 4th edition with the Ishihara color plate tests for color-vision defects in patients with optic neuropathy. This is a prospective case-control study. The study group included 43 patients (48 eyes) with newly diagnosed optic neuropathy, and the control group included 33 patients (33 right eyes) who were referred to the eye clinic for conditions other than optic nerve or retinal macular disorders. Individuals with visual acuity of less than 20/70 (0.54 Log MAR) were excluded. All patients underwent comprehensive eye examination and color-vision evaluation with both tests in a random order under standardized lighting conditions. The scores of the Ishihara and HRR tests were set as the number of plates identified out of 12 and six respectively. The receiver operating characteristics (ROC) curve was statistically significantly better when using the HRR test (area under curve [AUC] = 0.93 ± 0.03) than for the Ishihara test (AUC = 0.77 ± 0.05) (P = 0.0006). The best specificity-sensitivity balance for the HRR was 100 % and 79 % respectively, and for the Ishihara test 100 % and 48 % respectively. The HRR 4th edition test proved to be superior to the Ishihara test in detecting acquired dyschromatopsia due to optic neuropathy. We recommend using the HRR 4th edition test as a screening method for detection of color-vision defects in patients with optic neuropathy.

Air Force Personnel Research: Recommendations for Improved Alignment

DTIC Science & Technology

2014-01-01

Satisfaction in organizational Research,” in David A . Buchanan and Alan Bryman , eds., The SAGE Handbook of Organizational Research Methods, Los Angeles...ElEctronic copiEs of rAnD rEsEArch ArE proviDED for pErsonAl usE; posting to A nonrAnD wEbsitE is prohibitED. this publicAtion is AvAilAblE for...linking or frEE DownloAD At www.rand.org C O R P O R A T I O N Air Force Personnel Research Recommendations for Improved Alignment Carra S. Sims, Chaitra

Asian Security in the 1980s: Problems and Policies for a Time of Transition,

DTIC Science & Technology

1979-11-01

A7416 RAND CORP SANTA MONICA CAF/54AO7R ASIAN SECURITY INM THE 198CS: PROBLEMS AND POLICIES FOR A TIME O-ETC(U) WCASF NOV 79 R H SOLOMON N0A903-77-C...O115 UN LAFED RAND/R-2692-IA NL14 mEEEmmEEEE -EEiiEEmiEEEE iinnninnnnnnlinn Illlliilillllu,. -EEEEag/Ilh/lI -EiilllllEilE Asian Security in the 1980s...INTERNATIONAL SECURITY AFFAIRS R-2492-ISA November 1979 ".80 CO ) L j ... -- The research described in this report was sponsored by the Department of

Gender differences in health-related quality of life in patients undergoing coronary angiography.

PubMed

Gijsberts, Crystel M; Agostoni, Pierfrancesco; Hoefer, Imo E; Asselbergs, Folkert W; Pasterkamp, Gerard; Nathoe, Hendrik; Appelman, Yolande E; de Kleijn, Dominique P V; den Ruijter, Hester M

2015-01-01

Health-related quality of life (HRQOL) reflects the general well-being of individuals. In patients with coronary artery disease (CAD), HRQOL is compromised. Female patients with CAD have been reported to have lower HRQOL. In this study, we investigate gender differences in HRQOL and in associations of patient characteristics with HRQOL in patients with coronary angiography (CAG). We cross-sectionally analysed patients from the Utrecht Coronary Biobank undergoing CAG. All patients filled in an HRQOL questionnaire (RAND-36 and EuroQoL) on inclusion. RAND-36 and EuroQoL HRQOL measures were compared between the genders across indications for CAG, CAD severity and treatment of CAD. RAND-36 HRQOL measures were compared with the general Dutch population. Additionally, we assessed interactions of gender with patient characteristics in their association with HRQOL (EuroQoL). We included 1421 patients (1020 men and 401 women) with a mean age of 65 in our analysis. Women reported lower HRQOL measures than men (mean EuroQoL self-rated health grade 6.84±1.49 in men, 6.46±1.40 in women, p<0.001). The reduction in RAND-36 HRQOL as compared with the general Dutch population was larger in women than in men. From regression analysis, we found that diabetes, a history of cardiovascular disease and symptoms of shortness of breath determined HRQOL (EuroQoL) more strongly in men than in women. Women reported lower HRQOL than men throughout all indications for CAG and regardless of CAD severity or treatment. As compared with the general population, the reduction in HRQOL was more extreme in women than in men. Evident gender differences were found in determinants of HRQOL in patients undergoing CAG, which deserve attention in future research. NCT02304744 (clinicaltrials.gov).

Health-related quality of life 6 months after burns among hospitalized patients: Predictive importance of mental disorders and burn severity.

PubMed

Palmu, Raimo; Partonen, Timo; Suominen, Kirsi; Saarni, Samuli I; Vuola, Jyrki; Isometsä, Erkki

2015-06-01

Major burns are likely to have a strong impact on health-related quality of life (HRQoL). We investigated the level of and predictors for quality of life at 6 months after acute burn. Consecutive acute adult burn patients (n=107) admitted to the Helsinki Burn Centre were examined with a structured diagnostic interview (SCID) at baseline, and 92 patients (86%) were re-examined at 6 months after injury. During follow-up 55% (51/92) suffered from at least one mental disorder. The mean %TBSA was 9. TBSA of men did not differ from that of women. Three validated instruments (RAND-36, EQ-5, 15D) were used to evaluate the quality of life at 6 months. All the measures (RAND-36, EQ-5, 15D) consistently indicated mostly normal HRQoL at 6 months after burn. In the multivariate linear regression model, %TBSA predicted HRQoL in one dimension (role limitations caused by physical health problems, p=0.039) of RAND-36. In contrast, mental disorders overall and particularly major depressive disorder (MDD) during follow-up (p-values of 0.001-0.002) predicted poor HRQoL in all dimensions of RAND-36. HRQoL of women was worse than that of men. Self-perceived HRQoL among acute burn patients at 6 months after injury seems to be mostly as good as in general population studies in Finland. The high standard of acute treatment and the inclusion of small burns (%TBSA<5) in the cohort may partly explain the weak effect of burn itself on HRQoL. Mental disorders strongly predicted HRQoL at 6 months. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

The ISTSS/Rand guidelines on mental health training of primary healthcare providers for trauma-exposed populations in conflict-affected countries.

PubMed

Eisenman, David; Weine, Stevan; Green, Bonnie; de Jong, Joop; Rayburn, Nadine; Ventevogel, Peter; Keller, Allen; Agani, Ferid

2006-02-01

Mental health care for trauma-exposed populations in conflict-affected developing countries often is provided by primary healthcare providers (PHPs), including doctors, nurses, and lay health workers. The Task Force on International Trauma Training, through an initiative sponsored by the International Society for Traumatic Stress Studies and the RAND Corporation, has developed evidence- and consensus-based guidelines for the mental health training of PHPs in conflict-affected developing countries. This article presents the Guidelines, which provide a conceptual framework and specific principles for improving the quality of mental health training for PHPs working with trauma-exposed populations.

Should Medical Care be Free? Cost Sharing and Health Financing Policy,

DTIC Science & Technology

1982-06-01

CopyrIght 0 192 UT Rand Corporation B~~, 4 -1- Debate over the wisdom of having patients pay for some or all of their medical care services has...AD-Al 22 889 SHOULD MEDICAL CARE 4E FREE? COST SHARINd AND HEALTH I// FINANCING POL ICy(U) RAND CORP SANTA MONICA CAEHUE U 2R P6 UNCL7ASSIFIED F/G A...5 NL 7 *EE1Eh h I L mllll lll IL III2 lilt ig 1 .0 1.25 LA 6= MICIROCPY RESOLUTION TEST CHART, NATIONAL BUREAU OF SIANDAROS-1963-A r-l SHOULD MEDICAL

A cost benefit analysis of an enhanced seat belt enforcement program in South Africa.

PubMed

Harris, G T; Olukoga, I A

2005-04-01

To examine whether a program to increase the wearing of seat belts in a South African urban area would be worthwhile in societal terms. A cost benefit analysis of a one year enhanced seat belt enforcement program in eThekwini (Durban) Municipality. Data were drawn from two main sources--a 1998 study of the cost of road crashes in South Africa and, given the absence of other data, a meta-analysis of the effectiveness of various types of interventions to reduce road crash casualties in the United States--and were analyzed using cost benefit analysis. A program designed to enforce greater wearing of seat belts, estimated to cost 2 million rand in one year, could be reasonably expected to increase seat belt usage rates by 16 percentage points and reduce fatalities and injuries by 9.5%. This would result in saved social costs of 13.6 million rand in the following year or a net present value of 11.6 million rand. There would also be favorable consequences for municipal finances. Investment in a program to increase seat belt wearing rates is highly profitable in societal terms.

Making democracy safe for oil. Oilmen and the Islamic East

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rand, C.T.

1975-01-01

Here is a devastating expose of what, according to Mr. Rand, is the most powerful conglomerate of wealth in America: the oil industry. Mr. Rand, a Persian and Arabic expert as well as a former oil industry employee who has lived in the Middle East, combines research with knowledge acquired firsthand. His analysis shows that the oil crisis, far from being a recent phenomenon, was years in developing. For the first time we learn just how energy is provided for--or withheld from--the public. Armed with facts, figures, and case histories, Rand divulges the full story behind Aramco, SoCal, Exxon, andmore » the other oil producers. He uncovers the political ramifications of ''oil diplomacy'' in both the Arab world and in America, revealing the Executive Branch's reluctance to intervene as well as Congress's inability to do so. And he discusses what we can expect in the future, including suggestions about how we might cope with the problem. ''Making Democracy Safe for Oil,'' startling, timely, is a critique no one can afford to ignore, for the explosive situation continues to affect each one of us directly. (From book jacket)« less

Health-related quality of life and socioeconomic situation among diastrophic dysplasia patients in Finland.

PubMed

Krüger, Liisamari; Pohjolainen, Timo; Kaitila, Ilkka; Kautiainen, Hannu; Arkela-Kautiainen, Marja; Hurri, Heikki

2013-03-01

The purpose of the present study was to gain a comprehensive view of the quality of life and socio-economic conditions in a more representative sample of patients with diastrophic dysplasia than previously presented. The study sample comprised 115 patients with diastrophic dysplasia, aged over 18 years. The patients were contacted, and 68 patients (59%) agreed to participate in the study. They answered a structured questionnaire, which included the items of RAND-36 and Finn-Health Assessment Questionnaire (Finn-HAQ) questionnaires. The Finn-HAQ items were linked to the categories of the International Classification of Functioning, Disability and Health (ICF). Population controls for matching the participating patients for age and sex were identified in the Finnish population registry. Demographic and social factors (educational status, employment status and household income) were collected in separated questions. RAND-36 showed significantly lower physical functioning in the group of diastrophic dysplasia patients than in the control group. Also, the differences in scores for energy and social functioning were significant. In the mental component scales, no significant difference was found between the groups. When compared with the controls, we found significantly lower levels in all 3 ICF components of functioning in the group of patients when Finn-MDHAQ items linked to ICF were used. Almost 75% of patients with diastrophic dysplasia belonged to the group of people with minor/low income. Some or clear worsening of economic situation due to diastrophic dysplasia was reported by 25 (58%) female and 17 (68%) male patients. In their daily living, patients with diastrophic dysplasia have marked physical difficulties, which affect their quality of life, participation in society and their financial situation. It seems that the mental situation is not greatly affected, but a more detailed study is needed to evaluate and illuminate the psychological consequences of this severe skeletal dysplasia. Overall, the pieces of information in the present study are of high importance when designing and reorganizing rehabilitation and in supportive therapy and treatment of patients with diastrophic dysplasia.

A preference-based measure of health: the VR-6D derived from the veterans RAND 12-Item Health Survey.

PubMed

Selim, Alfredo J; Rogers, William; Qian, Shirley X; Brazier, John; Kazis, Lewis E

2011-10-01

The Veterans RAND 12-Item Health Survey (VR-12) is currently the major endpoint used in the Medicare managed care outcomes measure in the Healthcare Effectiveness Data and Information Set (HEDIS(®)), referred to as the Health Outcomes Survey (HOS). The purpose of this study is to adapt the Brazier SF-6D utility measure to the VR-12 to generate a single utility index. We used the HOS cohorts 2 and 3 for SF-36 data and 9 for VR-12 data. We calculated SF-6D scores from the SF-36 using the algorithms developed by Brazier and colleagues. The values of the Brazier SF-6D were used to estimate utility scores from the VR-12 using a mapping approach based on a 2-stage mapping procedure, named as VR-6D. The VR-6D derived from the VR-12 has similar distributional properties as the SF-6D. The change in VR-6D showed significant variations across disease groups with different levels of morbidity and mortality. This study produced a utility measure for the VR-12 that is comparable to the SF-6D and responsive to change. The VR-6D can be used in evaluations of health care plans and cost-effectiveness analysis to compare the health gains that health care interventions can achieve.

Fracture healing: a consensus report from the International Osteoporosis Foundation Fracture Working Group.

PubMed

Silverman, S L; Kupperman, E S; Bukata, S V

2016-07-01

We used the RAND UCLA appropriateness method to decide appropriateness of use of osteoporosis medication after incident fracture and potential for fracture healing and make suggestions for trial design for clinical and preclinical research. To develop appropriateness criteria to assist in the use and study of osteoporosis medications in patients with recent fracture and in the potential use of osteoporosis medications to enhance delayed fracture healing. To promote further research by suggesting preclinical and clinical trial design for studies where fracture healing is the endpoint. RAND/UCLA appropriateness method (RUAM). A panel of experts, both members and non-members of the International Osteoporosis Foundation Fracture Working Group, were identified consisting of geriatricians, rheumatologists, orthopedists, endocrinologists, and internists. This resulted in a round 1 panel of 15 panelists, round 2 panel of 15 members, and a round 3 panel of 14 members. Agreement on statements and scenarios using RUAM. Three rounds of voting by panelists took place. Agreement in a third round was reached for 111 statements and scenarios, measured by median panel ratings and the amount of dispersion of panel ratings, based on the interpercentile range. An expert panel validated a set of statements and scenarios about the use of osteoporosis medications after incident fracture and use of these medications to enhance delayed fracture healing and made recommendations for study designs to investigate the effect of osteoporosis medications on fracture healing. The result of this exercise is intended to assist in improving patient care by identifying the appropriateness of use of osteoporosis medications after fracture and in fracture healing and to make suggestions for further preclinical and clinical research.

Cost estimation: An expert-opinion approach. [cost analysis of research projects using the Delphi method (forecasting)

NASA Technical Reports Server (NTRS)

Buffalano, C.; Fogleman, S.; Gielecki, M.

1976-01-01

A methodology is outlined which can be used to estimate the costs of research and development projects. The approach uses the Delphi technique a method developed by the Rand Corporation for systematically eliciting and evaluating group judgments in an objective manner. The use of the Delphi allows for the integration of expert opinion into the cost-estimating process in a consistent and rigorous fashion. This approach can also signal potential cost-problem areas. This result can be a useful tool in planning additional cost analysis or in estimating contingency funds. A Monte Carlo approach is also examined.

Syndesmotic fixation in supination-external rotation ankle fractures: a prospective randomized study.

PubMed

Kortekangas, Tero H J; Pakarinen, Harri J; Savola, Olli; Niinimäki, Jaakko; Lepojärvi, Sannamari; Ohtonen, Pasi; Flinkkilä, Tapio; Ristiniemi, Jukka

2014-10-01

This study compared mid-term functional and radiologic results of syndesmotic transfixation with no fixation in supination external rotation (SER) ankle fractures with intraoperatively confirmed syndesmosis disruption. Our hypothesis was that early-stage good functional results would remain and unfixed syndesmosis disruption in SER IV ankle fractures would not lead to an increased incidence of osteoarthritis. A prospective study of 140 operatively treated patients with Lauge-Hansen SER IV (Weber B) ankle fractures was performed. After bony fixation, the 7.5-Nm standardized external rotation stress test for both ankles was performed under fluoroscopy. A positive stress examination was defined as a difference of more than 2 mm side-to-side in the tibiotalar or tibiofibular clear spaces on mortise radiographs. The patients were randomized to either syndesmotic screw fixation (13 patients) or no syndesmotic fixation (11 patients). After a minimum of 4 years of follow-up (mean, 58 months), ankle function and pain (Olerud-Molander, a 100-mm visual analogue scale [VAS] for ankle function and pain) and quality of life (RAND-36) of all 24 patients were assessed. Ankle joint congruity and osteoarthritis were assessed using mortise and lateral projection plain weight-bearing radiographs and magnetic resonance imaging (MRI; 3T) scans. Improvement in Olerud-Molander score, VAS, and RAND-36 showed no significant difference between groups during the follow-up. In the syndesmotic transfixation group, improvements in all functional parameters and pain measurements were not significant, whereas in the group without syndesmotic fixation, the Olerud-Molander score improved from 84 to 93 (P = .007) and the pain (VAS) score improved from 11 to 4 (P = .038) from 1 year to last follow-up. X-ray or MRI imaging showed no difference between groups at the last follow-up visit. With the numbers available, no significant difference in functional outcome or radiologic findings could be detected between syndesmosis transfixation and no-fixation patients with SER IV ankle fracture after a minimum of 4 years of follow-up. Level II, prospective comparative study. © The Author(s) 2014.

Effects of a renal rehabilitation exercise program in patients with CKD: a randomized, controlled trial.

PubMed

Rossi, Ana P; Burris, Debra D; Lucas, F Leslie; Crocker, Gail A; Wasserman, James C

2014-12-05

Patients with CKD have a high prevalence of cardiovascular disease associated with or exacerbated by inactivity. This randomized, controlled study investigated whether a renal rehabilitation exercise program for patients with stages 3 or 4 CKD would improve their physical function and quality of life. In total, 119 adults with CKD stages 3 and 4 were randomized, and 107 of these patients proceeded to usual care or the renal rehabilitation exercise intervention consisting of usual care plus guided exercise two times per week for 12 weeks (24 sessions). Physical function was determined by three well established performance-based tests: 6-minute walk test, sit-to-stand test, and gait-speed test. Health-related quality of life was assessed by the RAND 36-Item Short Form Health Survey. At baseline, no differences in self-reported level of activity, 6-minute walk test, and sit-to-stand test scores were observed between the usual care (n=48) and renal rehabilitation exercise (n=59) groups, although baseline gait-speed test score was higher in the renal rehabilitation exercise group (P<0.001). At follow-up, the renal rehabilitation exercise group but not the usual care group showed significant improvements in the 6-minute walk test (+210.4±266.0 ft [19% improvement] versus -10±219.9 ft; P<0.001), the sit-to-stand test (+26.9±27% of age prediction [29% improvement] versus +0.7±12.1% of age prediction; P<0.001), and the RAND-36 physical measures of role functioning (P<0.01), physical functioning (P<0.01), energy/fatigue levels (P=0.01), and general health (P=0.03) and mental measure of pain scale (P=0.04). The renal rehabilitation exercise regimen was generally well tolerated. A 12-week/24-session renal rehabilitation exercise program improved physical capacity and quality of life in patients with CKD stages 3 and 4. Longer follow-up is needed to determine if these findings will translate into decreased mortality rates. Copyright © 2014 by the American Society of Nephrology.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Richter, B.

In this paper I have reviewed the possibilities for new colliders that might be available in the 1990's. One or more new proton should be available in the late-90s based on plans of Europe, the US and the USSR. The two very high energy machines, LHC and SSC, are quite expensive, and their construction will be more decided by the politicians' view on the availability of resources than by the physicists' view of the need for new machines. Certainly something will be built, but the question is when. New electron colliders beyond LEP II could be available in the latemore » 1990's as well. Most of the people who have looked at this problem believe that at a minimum three years of RandD are required before a proposal can be made, two years will be required to convince the authorities to go ahead, and five years will be required to build such a machine. Thus the earliest time a new electron collider at high energy could be available is around 1988. A strong international RandD program will be required to meet that schedule. In the field of B factories, PSI's proposal is the first serious step beyond the capabilities of CESR. There are other promising techniques but these need more RandD. The least RandD would be required for the asymmetric storage ring systems, while the most would be required for high luminosity linear colliders. For the next decade, high energy physics will be doing its work at the high energy frontier with Tevatron I and II, UNK, SLC, LEP I and II, and HERA. The opportunities for science presented by experiments at these facilities are very great, and it is to be hoped that the pressure for funding to construct the next generation facilities will not badly affect the operating budgets of the ones we now have or which will soon be turning on. 9 refs., 12 figs., 6 tabs.« less

Guidelines for sinkhole and subsidence rehabilitation based on generic geological models of a dolomite environment on the East Rand, South Africa

NASA Astrophysics Data System (ADS)

Kleinhans, Ilse; Van Rooy, J. Louis

2016-05-01

A sound understanding of the various factors influencing and associated with the formation of sinkholes or subsidences on dolomite land is essential for the selection of appropriate rehabilitation methods. The investigation and rehabilitation of numerous sinkholes and subsidences located on dolomite in the East Rand of South Africa, created an opportunity to develop a broad based understanding of different karst environments, their susceptibility to sinkhole and subsidence formation and best practice rehabilitation methods. This paper is based on the guidelines developed whereby the geological model of the sinkhole or subsidence is used to recommend an appropriate rehabilitation method. Nine typical geological models with recommended rehabilitation methods are presented in this paper.

Mathematical Optimization Techniques

NASA Technical Reports Server (NTRS)

Bellman, R. (Editor)

1963-01-01

The papers collected in this volume were presented at the Symposium on Mathematical Optimization Techniques held in the Santa Monica Civic Auditorium, Santa Monica, California, on October 18-20, 1960. The objective of the symposium was to bring together, for the purpose of mutual education, mathematicians, scientists, and engineers interested in modern optimization techniques. Some 250 persons attended. The techniques discussed included recent developments in linear, integer, convex, and dynamic programming as well as the variational processes surrounding optimal guidance, flight trajectories, statistical decisions, structural configurations, and adaptive control systems. The symposium was sponsored jointly by the University of California, with assistance from the National Science Foundation, the Office of Naval Research, the National Aeronautics and Space Administration, and The RAND Corporation, through Air Force Project RAND.

Issues With Access to Acquisition Data and Information in the Department of Defense: Policy and Practice

DTIC Science & Technology

2016-04-30

qÜáêíÉÉåíÜ=^ååì~ä= ^Åèìáëáíáçå=oÉëÉ~êÅÜ= póãéçëáìã= tÉÇåÉëÇ~ó=pÉëëáçåë= sçäìãÉ=f= = Issues With Access to Acquisition Data & Information in the Department of...Chief Information Officer (CIO), United States Air Force Issues With Access to Acquisition Data & Information in the Department of Defense: Policy...Practice Megan McKernan, Defense Research Analyst, RAND Jessie Riposo, Senior Operations Researcher, RAND Issues With Access to Acquisition Data

Methamphetamine exposure and chronic illness in police officers

PubMed Central

Ross, Gerald H; Sternquist, Marie C

2012-01-01

Background: The medical literature reports health hazards for law enforcement personnel from repeated exposure to methamphetamine and related chemical compounds. Most effects appear transitory, but some Utah police officers with employment-related methamphetamine exposures developed chronic symptoms, some leading to disability. This report is of an uncontrolled retrospective medical chart evaluation of symptomatic officers treated with a sauna detoxification protocol designed to reduce the chronic symptoms and improve the quality of life. Methods: Sixty-nine officers consecutively entering the Utah Meth Cops Project were assessed before and after a treatment program involving gradual exercise, comprehensive nutritional support and physical sauna therapy. Evaluations included pre- and post-treatment scores of the Research and Development Corporation (RAND) 36-item Short Form Health Survey (SF-36) in comparison with RAND population norms, pre- and post-treatment symptom score intensities, neurotoxicity scores, Mini-Mental Status Examination, presenting symptom frequencies and a structured evaluation of treatment program safety. Results: Statistically significant health improvements were seen in the SF-36 evaluations, symptom scores and neurotoxicity scores. The detoxification protocol was well tolerated, with a 92.8% completion rate. Conclusions: This investigation strongly suggests that utilizing sauna and nutritional therapy may alleviate chronic symptoms appearing after chemical exposures associated with methamphetamine-related law enforcement activities. This report also has relevance to addressing the apparent ill effects of other complex chemical exposures. In view of the positive clinical outcomes in this group, broader investigation of this sauna-based treatment regimen appears warranted. PMID:22089658

Key interventions and quality indicators for quality improvement of STEMI care: a RAND Delphi survey.

PubMed

Aeyels, Daan; Sinnaeve, Peter R; Claeys, Marc J; Gevaert, Sofie; Schoors, Danny; Sermeus, Walter; Panella, Massimiliano; Coeckelberghs, Ellen; Bruyneel, Luk; Vanhaecht, Kris

2017-12-13

Identification, selection and validation of key interventions and quality indicators for improvement of in hospital quality of care for ST-elevated myocardial infarction (STEMI) patients. A structured literature review was followed by a RAND Delphi Survey. A purposively selected multidisciplinary expert panel of cardiologists, nurse managers and quality managers selected and validated key interventions and quality indicators prior for quality improvement for STEMI. First, 34 experts (76% response rate) individually assessed the appropriateness of items to quality improvement on a nine point Likert scale. Twenty-seven key interventions, 16 quality indicators at patient level and 27 quality indicators at STEMI care programme level were selected. Eighteen additional items were suggested. Experts received personal feedback, benchmarking their score with group results (response rate, mean, median and content validity index). Consequently, 32 experts (71% response rate) openly discussed items with an item-content validity index above 75%. By consensus, the expert panel validated a final set of 25 key interventions, 13 quality indicators at patient level and 20 quality indicators at care programme level prior for improvement of in hospital care for STEMI. A structured literature review and multidisciplinary expertise was combined to validate a set of key interventions and quality indicators prior for improvement of care for STEMI. The results allow researchers and hospital staff to evaluate and support quality improvement interventions in a large cohort within the context of a health care system.

Cost-effectiveness of supported employment for veterans with spinal cord injuries.

PubMed

Sinnott, Patricia L; Joyce, Vilija; Su, Pon; Ottomanelli, Lisa; Goetz, Lance L; Wagner, Todd H

2014-07-01

To estimate the cost-effectiveness of a supported employment (SE) intervention that had been previously found effective in veterans with spinal cord injuries (SCIs). Cost-effectiveness analysis, using cost and quality-of-life data gathered in a trial of SE for veterans with SCI. SCI centers in the Veterans Health Administration. Subjects (N=157) who completed a study of SE in 6 SCI centers. Subjects were randomly assigned to the intervention of SE (n=81) or treatment as usual (n=76). A vocational rehabilitation program of SE for veterans with SCI. Costs and quality-adjusted life years, which were estimated from the Veterans Rand 36-Item Health Survey, extrapolated to Veterans Rand 6 Dimension utilities. Average cost for the SE intervention was $1821. In 1 year of follow-up, estimated total costs, including health care utilization and travel expenses, and average quality-adjusted life years were not significantly different between groups, suggesting the Spinal Cord Injury Vocational Integration Program intervention was not cost-effective compared with usual care. An intensive program of SE for veterans with SCI, which is more effective in achieving competitive employment, is not cost-effective after 1 year of follow-up. Longer follow-up and a larger study sample will be necessary to determine whether SE yields benefits and is cost-effective in the long run for a population with SCI. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

A SELECTED LIST OF UNCLASSIFIED PUBLICATIONS OF THE SOCIAL SCIENCE DEPARTMENT-THE RAND CORPORATION

DTIC Science & Technology

BIBLIOGRAPHIES, * SOCIAL SCIENCES, MILITARY OPERATIONS, CIVIL DEFENSE, COMMUNISM, FOREIGN POLICY, POLITICAL SCIENCE, PROPAGANDA, PSYCHOLOGICAL WARFARE, PSYCHOLOGY, RELIGION, REPORTS, STRESS (PSYCHOLOGY)

A label field fusion bayesian model and its penalized maximum rand estimator for image segmentation.

PubMed

Mignotte, Max

2010-06-01

This paper presents a novel segmentation approach based on a Markov random field (MRF) fusion model which aims at combining several segmentation results associated with simpler clustering models in order to achieve a more reliable and accurate segmentation result. The proposed fusion model is derived from the recently introduced probabilistic Rand measure for comparing one segmentation result to one or more manual segmentations of the same image. This non-parametric measure allows us to easily derive an appealing fusion model of label fields, easily expressed as a Gibbs distribution, or as a nonstationary MRF model defined on a complete graph. Concretely, this Gibbs energy model encodes the set of binary constraints, in terms of pairs of pixel labels, provided by each segmentation results to be fused. Combined with a prior distribution, this energy-based Gibbs model also allows for definition of an interesting penalized maximum probabilistic rand estimator with which the fusion of simple, quickly estimated, segmentation results appears as an interesting alternative to complex segmentation models existing in the literature. This fusion framework has been successfully applied on the Berkeley image database. The experiments reported in this paper demonstrate that the proposed method is efficient in terms of visual evaluation and quantitative performance measures and performs well compared to the best existing state-of-the-art segmentation methods recently proposed in the literature.

Appropriate customization of radiation therapy for stage II and III rectal cancer: Executive summary of an ASTRO Clinical Practice Statement using the RAND/UCLA Appropriateness Method.

PubMed

Goodman, Karyn A; Patton, Caroline E; Fisher, George A; Hoffe, Sarah E; Haddock, Michael G; Parikh, Parag J; Kim, John; Baxter, Nancy N; Czito, Brian G; Hong, Theodore S; Herman, Joseph M; Crane, Christopher H; Hoffman, Karen E

2016-01-01

To summarize results of a Clinical Practice Statement on radiation therapy for stage II-III rectal cancer, which addressed appropriate customization of (neo)adjuvant radiation therapy and use of non-surgical therapy for patients who are inoperable or refuse abdominoperineal resection. The RAND/University of California, Los Angeles, Appropriateness Method was applied to combine current evidence with multidisciplinary expert opinion. A systematic literature review was conducted and used by the expert panel to rate appropriateness of radiation therapy options for different clinical scenarios. Treatments were categorized by median rating as Appropriate, May Be Appropriate, or Rarely Appropriate. In the neoadjuvant setting, chemoradiation was rated Appropriate and the ratings indicated short-course radiation therapy, chemotherapy alone, and no neoadjuvant therapy are potential options in selected patients. However, neoadjuvant endorectal brachytherapy was rated Rarely Appropriate. For adjuvant therapy, chemoradiation (plus ≥4 months of chemotherapy) was rated Appropriate and chemotherapy alone May Be Appropriate for most scenarios. For medically inoperable patients, definitive external beam radiation therapy and chemotherapy alone were rated May Be Appropriate, whereas endorectal brachytherapy and chemoradiation plus endorectal brachytherapy were possible approaches for some scenarios. The last option, definitive chemoradiation, was rated Appropriate to May Be Appropriate based on performance status. Finally, for patients with low-lying tumors refusing abdominoperineal resection, definitive chemoradiation alone, chemoradiation plus endorectal brachytherapy, and chemoradiation plus external beam radiation therapy were all rated Appropriate. This Clinical Practice Statement demonstrated the central role of radiation therapy in stage II-III rectal cancer management and evaluated ways to better individualize its use in the neoadjuvant, adjuvant, and definitive settings. Ongoing trials may clarify areas of continuing uncertainty and allow further customization. Copyright © 2015 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

Rand Corporation

MedlinePlus

... Posts America Is Great at Fighting Terrorism, but Terror Is Alive and Well Can Vaping Help Smokers ... Commentary: America Is Great at Fighting Terrorism, but Terror Is Alive and Well William Shadel @william_shadel ...

MODIFICATIONS OF THE RAND REAC,

DTIC Science & Technology

The major items of the modification program were the installation of a removable plugboard of the type used on the International Business Machines punched card tabulators, and a digital readout device.

GPs as citizens' agents: prescription behavior and altruism.

PubMed

Olsen, Kim Rose; Gyrd-Hansen, Dorte; Boegh, Andreas; Hansen, Sofie Hartung

2009-10-01

To curb the heavily increasing drug budgets some Danish counties have introduced voluntary agreements between general practitioners (GPs) and health authorities. We extend the models of generic prescription by Hellerstein (Rand J Econ 29(1):108-136, 1998) and Lundin (J Health Econ 19:639-662, 2000) to allow for substitution between analogues and use difference-in-difference models to assess the effect on two drug groups (lipid-lowering and rheumatism drugs). For both drug groups we find evidence of a significant effect of the intervention. In the case of lipid-lowering drugs, we found a significant larger impact on GPs with low loyalty to the insurer and with indication of low prescription quality. In contrast we found that the intervention had a significantly lower impact on this group of GPs in the case of rheumatism drugs. We conclude that the effectiveness of the voluntary approach may partly be due to its indirect effect on GPs' altruistic motivation, which makes the GPs and the authorities collide in a common agency role.

Translation, Validation, and Reliability of the Dutch Late-Life Function and Disability Instrument Computer Adaptive Test.

PubMed

Arensman, Remco M; Pisters, Martijn F; de Man-van Ginkel, Janneke M; Schuurmans, Marieke J; Jette, Alan M; de Bie, Rob A

2016-09-01

Adequate and user-friendly instruments for assessing physical function and disability in older adults are vital for estimating and predicting health care needs in clinical practice. The Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDI-CAT) is a promising instrument for assessing physical function and disability in gerontology research and clinical practice. The aims of this study were: (1) to translate the LLFDI-CAT to the Dutch language and (2) to investigate its validity and reliability in a sample of older adults who spoke Dutch and dwelled in the community. For the assessment of validity of the LLFDI-CAT, a cross-sectional design was used. To assess reliability, measurement of the LLFDI-CAT was repeated in the same sample. The item bank of the LLFDI-CAT was translated with a forward-backward procedure. A sample of 54 older adults completed the LLFDI-CAT, World Health Organization Disability Assessment Schedule 2.0, RAND 36-Item Short-Form Health Survey physical functioning scale (10 items), and 10-Meter Walk Test. The LLFDI-CAT was repeated in 2 to 8 days (mean=4.5 days). Pearson's r and the intraclass correlation coefficient (ICC) (2,1) were calculated to assess validity, group-level reliability, and participant-level reliability. A correlation of .74 for the LLFDI-CAT function scale and the RAND 36-Item Short-Form Health Survey physical functioning scale (10 items) was found. The correlations of the LLFDI-CAT disability scale with the World Health Organization Disability Assessment Schedule 2.0 and the 10-Meter Walk Test were -.57 and -.53, respectively. The ICC (2,1) of the LLFDI-CAT function scale was .84, with a group-level reliability score of .85. The ICC (2,1) of the LLFDI-CAT disability scale was .76, with a group-level reliability score of .81. The high percentage of women in the study and the exclusion of older adults with recent joint replacement or hospitalization limit the generalizability of the results. The Dutch LLFDI-CAT showed strong validity and high reliability when used to assess physical function and disability in older adults dwelling in the community. © 2016 American Physical Therapy Association.

Persistent self-consciousness about facial appearance, measured with the Derriford appearance scale 59, in patients after long-term biochemical remission of acromegaly.

PubMed

Roerink, S H P P; Wagenmakers, M A E M; Wessels, J F; Sterenborg, R B T M; Smit, J W; Hermus, A R M M; Netea-Maier, R T

2015-06-01

Acromegaly is associated with impaired quality of life (QoL) and causes anatomical disproportions, which may contribute to the decreased QoL after successful treatment. The Derriford appearance scale 59 (DAS59) is a questionnaire measuring psychological distress and disruptions to everyday life associated with self-consciousness of appearance. Investigate the psychological distress and dysfunction related to self-consciousness about appearance and its effect on QoL in patients in long-term remission of acromegaly. Patients (>18 years old) treated for acromegaly at the Department of Endocrinology of the Radboud University Medical Center Nijmegen were invited to participate. A gender-, age- and body mass index matched control group was provided by the patients themselves. Participants were asked to complete the modified DAS59-, research and development 36- (RAND-36), acromegaly quality of life questionnaire (AcroQoL) and a sociodemographic questionnaire. Differences between patient- and control groups and correlations between questionnaire scores and clinical characteristics collected from medical records were analyzed. Questionnaire scores. Of the 120 respondents, 73 agreed to participate [all cured or under biochemical control, median remission time 10.5 years (range 2.3-43.6 years)]. Of these, 34 (46.6%) reported self-consciousness about their appearance. Twenty-nine of these patients (85.3%) pointed out their face to be a prominent source of self-consciousness. Fifty-seven matched control subjects were included as well. Significant correlations were found between the scores of the DAS59 and the AcroQoL, RAND-36 and VAS in patients. Even after long-term remission of acromegaly, a large number of patients are self-conscious about their appearance, leading to psychological distress and disruptions to everyday life and decreased QoL. Facial features were the most important source of self-consciousness. This stresses the importance of addressing self-consciousness of appearance and the need for additional support in this regard during follow-up in these patients.

4. INGERSOLLRAND AMMONIA COMPRESSOR AND CONTROL PANEL INSIDE BUILDING 2; ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. INGERSOLL-RAND AMMONIA COMPRESSOR AND CONTROL PANEL INSIDE BUILDING 2; LOOKING SOUTHWEST - Rath Packing Company, Engine Room, Sycamore Street between Elm & Eighteenth Streets, Waterloo, Black Hawk County, IA

U.S. satellite proposals, 1945-49

NASA Technical Reports Server (NTRS)

Saegesser, L. D.

1977-01-01

Views concerning the possibility of the development of multistage rockets capable of orbiting the earth had been expressed by von Braun during an interview with members of a U.S. technical intelligence team in 1945. Recommendations to adopt a program with the ultimate objective of launching an earth satellite were submitted in October 1945 by a committee established within the Navy Bureau of Aeronautics. In 1946 it was recommended by the Aeronautical Board that the services proceed independently with their satellite studies. A report concerning the 'preliminary design of an experimental world-circling spaceship' was published by RAND on May 2, 1946. RAND in early 1949 was again asked to study for the Air Force the possible uses of earth satellites. The reasons which prevented at that time a further development and implementation of initial concepts and study results are examined

Validation of quality indicators for the organization of palliative care: a modified RAND Delphi study in seven European countries (the Europall project).

PubMed

Woitha, Kathrin; Van Beek, Karen; Ahmed, Nisar; Jaspers, Birgit; Mollard, Jean M; Ahmedzai, Sam H; Hasselaar, Jeroen; Menten, Johan; Vissers, Kris; Engels, Yvonne

2014-02-01

Validated quality indicators can help health-care professionals to evaluate their medical practices in a comparative manner to deliver optimal clinical care. No international set of quality indicators to measure the organizational aspects of palliative care settings exists. To develop and validate a set of structure and process indicators for palliative care settings in Europe. A two-round modified RAND Delphi process was conducted to rate clarity and usefulness of a previously developed set of 110 quality indicators. In total, 20 multi-professional palliative care teams of centers of excellence from seven European countries. In total, 56 quality indicators were rated as useful. These valid quality indicators concerned the following domains: the definition of a palliative care service (2 quality indicators), accessibility to palliative care (16 quality indicators), specific infrastructure to deliver palliative care (8 quality indicators), symptom assessment tools (1 quality indicator), specific personnel in palliative care services (9 quality indicators), documentation methodology of clinical data (14 quality indicators), evaluation of quality and safety procedures (1 quality indicator), reporting of clinical activities (1 quality indicator), and education in palliative care (4 quality indicator). The modified RAND Delphi process resulted in 56 international face-validated quality indicators to measure and compare organizational aspects of palliative care. These quality indicators, aimed to assess and improve the organization of palliative care, will be pilot tested in palliative care settings all over Europe and be used in the EU FP7 funded IMPACT project.

Bibliometrics as a Tool for Supporting Prospective R&D Decision-Making in the Health Sciences

PubMed Central

Ismail, Sharif; Nason, Edward; Marjanovic, Sonja; Grant, Jonathan

2012-01-01

Abstract Bibliometric analysis is an increasingly important part of a broader “toolbox” of evaluation methods available to research and development (R&D) policymakers to support decision-making. In the US, UK and Australia, for example, there is evidence of gradual convergence over the past ten years towards a model of university research assessment and ranking incorporating the use of bibliometric measures. In Britain, the Department of Health (England) has shown growing interest in using bibliometric analysis to support prospective R&D decision-making, and has engaged RAND Europe's expertise in this area through a number of exercises since 2005. These range from the macro-level selection of potentially high impact institutions, to micro-level selection of high impact individuals for the National Institute for Health Research's faculty of researchers. The aim of this study is to create an accessible, “beginner's guide” to bibliometric theory and application in the area of health R&D decision-making. The study also aims to identify future directions and possible next steps in this area, based on RAND Europe's work with the Department of Health to date. It is targeted at a range of audiences, and will be of interest to health and biomedical researchers, as well as R&D decision-makers in the UK and elsewhere. The study was completed with funding support from RAND Europe's Health R&D Policy Research Unit with the Department of Health. PMID:28083218

Home Health Care for California's Injured Workers: Options for Implementing a Fee Schedule.

PubMed

Wynn, Barbara O; Boustead, Anne

2015-07-15

The California Department of Industrial Relations/Division of Worker's Compensation asked RAND to provide technical assistance in developing a fee schedule for home health services provided to injured workers. The fee schedule needs to address the full spectrum of home health services ranging from skilled nursing and therapy services to unskilled personal care or chore services that may be provided by family members. RAND researchers consulted with stakeholders in the California workers' compensation system to outline issues the fee schedule should address, reviewed home health fee schedules used by other payers, and conducted interviews with WC administrators from other jurisdictions to elicit their experiences. California stakeholders identified unskilled attendant services as most problematic in determining need and payment rates, particularly services furnished by family members. RAND researchers concentrated on fee schedule options that would result in a single fee schedule covering the full range of home health care services furnished to injured workers and made three sets of recommendations. The first set pertains to obtaining additional information that would highlight the policy issues likely to occur with the implementation of the fee schedule and alternatives for assessing an injured worker's home health care needs. Another approach conforms most closely with the Labor Code requirements. It would integrate the fee schedules used by Medicare, In-Home Health Supportive Services, and the federal Office of Workers' Compensation. The third approach would base the home health fee schedule on rules used by the federal Office of Workers' Compensation.

Qigong Ameliorates Symptoms of Chronic Fatigue: A Pilot Uncontrolled Study

PubMed Central

Turner, Warren; Zammit-Maempe, Joseph; Lee, Myeong Soo

2009-01-01

Traditional Chinese Medicine practitioners consider that chronic fatigue reflects a disharmony and depletion in the supply of qi in the body. Qigong is one of the traditional complementary interventions used to strengthen qi through self-practice, and to manage the state of qi to prevent and cure disease. The aim of this study is to assess whether qigong could be used to manage the symptoms of chronic fatigue. Eighteen Caucasian, British female participants were recruited, taught a qigong routine during weekly classes over 6 months, and asked to practice it daily for 15 min. Participants completed the core set of the RAND Medical Outcomes Study questionnaire (RAND MOS) and a sleep diary during the 2-week baseline control period, and at 3 and 6 months following the start of the trial. The qigong intervention resulted in significant changes in sleep rate score and in the following subscales of the RAND MOS: SF36 Vitality, Sleep Problems, Social Activity, Social Activity Limitation due to Health, Health Distress, Mental Health Index and Psychological Well-being. Qigong seems to improve factors related to chronic fatigue such as sleep, pain, mental attitude and general mobility after 3 and 6 months. Qigong's positive effects indicate that it represents a potentially safe method of treatment for chronic fatigued patients. However, we cannot completely discount the possible influence of placebo effects, and more objective clinical measures are needed to reproduce our findings with long-term follow-up in a randomized, controlled study involving a larger number of subjects. PMID:18955297

Measuring physical and mental health using the SF-12: implications for community surveys of mental health.

PubMed

Windsor, Timothy D; Rodgers, Bryan; Butterworth, Peter; Anstey, Kaarin J; Jorm, Anthony F

2006-09-01

The effects of using different approaches to scoring the SF-12 summary scales of physical and mental health were examined with a view to informing the design and interpretation of community-based survey research. Data from a population-based study of 7485 participants in three cohorts aged 20-24, 40-44 and 60-64 years were used to examine relationships among measures of physical and mental health calculated from the same items using the SF-12 and RAND-12 approaches to scoring, and other measures of chronic physical conditions and psychological distress. A measure of physical health constructed using the RAND-12 scoring showed a monotonic negative association with psychological distress as measured by the Goldberg depression and anxiety scales. However, a non-monotonic association was evident in the relationship between SF-12 physical health scores and distress, with very high SF-12 physical health scores corresponding with high levels of distress. These relationships highlight difficulties in interpretation that can arise when using the SF-12 summary scales in some analytical contexts. It is recommended that community surveys that measure physical and mental functioning using the SF-12 items generate summary scores using the RAND-12 protocol in addition to the SF-12 approach. In general, researchers should be wary of using factor scores based on orthogonal rotation, which assumes that measures are uncorrelated, to represent constructs that have an actual association.

Syndesmotic fixation in supination-external rotation ankle fractures: a prospective randomized study.

PubMed

Pakarinen, Harri J; Flinkkilä, Tapio E; Ohtonen, Pasi P; Hyvönen, Pekka H; Lakovaara, Martti T; Leppilahti, Juhana I; Ristiniemi, Jukka Y

2011-12-01

This study was designed to assess whether transfixion of an unstable syndesmosis is necessary in supination-external rotation (Lauge-Hansen SE/Weber B)-type ankle fractures. A prospective study of 140 patients with unilateral Lauge-Hansen supination-external rotation type 4 ankle fractures was done. After bony fixation, the 7.5-Nm standardized external rotation (ER) stress test for both ankles was performed under fluoroscopy. A positive stress examination was defined as a difference of more than 2 mm side-to-side in the tibiotalar or tibiofibular clear spaces on mortise radiographs. If the stress test was positive, the patient was randomized to either syndesmotic transfixion with 3.5-mm tricortical screws or no syndesmotic fixation. Clinical outcome was assessed using the Olerud-Molander scoring system, RAND 36-Item Health Survey, and Visual Analogue Scale (VAS) to measure pain and function after a minimum 1-year of followup. Twenty four (17%) of 140 patients had positive standardized 7.5-Nm ER stress tests after malleolar fixation. The stress view was positive three times on tibiotalar clear space, seven on tibiofibular clear space, and 14 times on both tibiotalar and tibiofibular clear spaces. There was no significant difference between the two randomization groups with regards to Olerud-Molander functional score, VAS scale measuring pain and function, or RAND 36-Item Health Survey pain or physical function at 1 year. Relevant syndesmotic injuries are rare in supination-external rotation ankle fractures, and syndesmotic transfixion with a screw did not influence the functional outcome or pain after the 1-year followup compared with no fixation.

Delphi-RAND consensus of the Spanish Society of Internal Medicine on the controversies in anticoagulant therapy and prophylaxis in medical diseases. INTROMBIN Project (Uncertainty in thromboprophylaxis in internal medicine).

PubMed

Ruiz-Ruiz, F; Medrano, F J; Navarro-Puerto, M A; Rodríguez-Torres, P; Romero-Alonso, A; Santos-Lozano, J M; Alonso-Ortiz Del Rio, C; Varela-Aguilar, J M; Calderón, E J; Marín-León, I

2018-05-21

The aim of this study was to determine the opinion of internists on the management of anticoagulation and thromboembolism prophylaxis in complex clinical scenarios in which the risk-benefit ratio of surgery is narrow and to develop a consensus document on the use of drugs anticoagulant therapy in this patient group. To this end, we identified by consensus the clinical areas of greatest uncertainty, a survey was created with 20 scenarios laid out in 40 clinical questions, and we reviewed the specific literature. The survey was distributed among the internists of the Spanish Society of Internal Medicine (SEMI) and was completed by 290 of its members. The consensus process was implemented by changing the Delphi-RAND appropriateness method in an anonymous, double-round process that enabled an expert panel to identify the areas of agreement and uncertainty. In our case, we also added the survey results to the panel, a methodological innovation that helps provide additional information on the standard clinical practice. The result of the process is a set of 19 recommendations formulated by SEMI experts, which helps establish guidelines for action on anticoagulant therapy in complex scenarios (high risk or active haemorrhage, short life expectancy, coexistence of antiplatelet therapy or comorbidities such as kidney disease and liver disease), which are not uncommon in standard clinical practice. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Barriers to Enrollment in Health Coverage in Colorado.

PubMed

Martin, Laurie T; Bharmal, Nazleen; Blanchard, Janice C; Harvey, Melody; Williams, Malcolm

2015-03-20

As part of the implementation of the Affordable Care Act, Colorado has expanded Medicaid and also now operates its own health insurance exchange for individuals (called Connect for Health Colorado). As of early 2014, more than 300,000 Coloradans have newly enrolled in Medicaid or health insurance through Connect for Health Colorado, but there also continues to be a diverse mix of individuals in Colorado who remain eligible for but not enrolled in either private insurance or Medicaid. The Colorado Health Foundation commissioned the RAND Corporation to conduct a study to better understand why these individuals are not enrolled in health insurance coverage and to develop recommendations for how Colorado can strengthen its outreach and enrollment efforts during the next open enrollment period, which starts in November 2014. RAND conducted focus groups with uninsured and newly insured individuals across the state and interviews with local stakeholders responsible for enrollment efforts in their regions. The authors identified 11 commonly cited barriers, as well as several that were specific to certain regions or populations (such as young adults and seasonal workers). Collectively, these barriers point to a set of four priority recommendations that stakeholders in Colorado may wish to consider: (1) Support and expand localized outreach and tailored messaging; (2) Strengthen marketing and messaging to be clear, focused on health benefits of insurance (rather than politics and mandates), and actionable; (3) Improve the clarity and transparency of insurance and health care costs and enrollment procedures; and (4) Revisit the two-stage enrollment process and improve Connect for Health Colorado website navigation and technical support.

Long-term vocational adjustment of cancer patients diagnosed during adolescence.

PubMed

Tebbi, C K; Bromberg, C; Piedmonte, M

1989-01-01

Long-term vocational achievements of 40 survivors of cancer diagnosed during adolescence were examined and compared with 40 healthy sex-matched and age-matched controls. Patients' ages at diagnosis ranged from 13 to 19 years (mean, 16.15). Study subjects had survived cancer for over 5 years and were on no cancer therapy. Assessment measures included the Rand General Well-Being Scale, the Rand Functional Limitations and Physical Abilities Batteries, and a semistructured interview. The relation of physical disability and limitations caused by cancer to patients' achievements also was evaluated. Although cancer patients, on the average, were more concerned about their health and reported lower general spirits than controls, no differences were found between control and study groups with regard to overall general well-being. More cancer patients than controls reported that their health limited their ability to engage in vigorous activities. A greater functional deficit was found among unemployed than employed cancer patients. Employers and co-workers often were aware of the patient's diagnosis (85% and 67%, respectively). Cancer patients reported disease-related discrimination in hiring (7.4%), induction into the military (66.7%), and obtaining health, life, and disability insurance (31.5%). There was no significant relationship between health status and employment. Nevertheless, cancer patients had a higher average income than controls. Sixty-four percent of patients believed that changes in certain physical features of the workplace were necessary to facilitate readjustment to the job. Despite the disabilities experienced by cancer patients and generally negative public attitudes, long-term survivors have a good outlook on life and are competitive members of the workplace and society.

Validation of hierarchical cluster analysis for identification of bacterial species using 42 bacterial isolates

NASA Astrophysics Data System (ADS)

Ghebremedhin, Meron; Yesupriya, Shubha; Luka, Janos; Crane, Nicole J.

2015-03-01

Recent studies have demonstrated the potential advantages of the use of Raman spectroscopy in the biomedical field due to its rapidity and noninvasive nature. In this study, Raman spectroscopy is applied as a method for differentiating between bacteria isolates for Gram status and Genus species. We created models for identifying 28 bacterial isolates using spectra collected with a 785 nm laser excitation Raman spectroscopic system. In order to investigate the groupings of these samples, partial least squares discriminant analysis (PLSDA) and hierarchical cluster analysis (HCA) was implemented. In addition, cluster analyses of the isolates were performed using various data types consisting of, biochemical tests, gene sequence alignment, high resolution melt (HRM) analysis and antimicrobial susceptibility tests of minimum inhibitory concentration (MIC) and degree of antimicrobial resistance (SIR). In order to evaluate the ability of these models to correctly classify bacterial isolates using solely Raman spectroscopic data, a set of 14 validation samples were tested using the PLSDA models and consequently the HCA models. External cluster evaluation criteria of purity and Rand index were calculated at different taxonomic levels to compare the performance of clustering using Raman spectra as well as the other datasets. Results showed that Raman spectra performed comparably, and in some cases better than, the other data types with Rand index and purity values up to 0.933 and 0.947, respectively. This study clearly demonstrates that the discrimination of bacterial species using Raman spectroscopic data and hierarchical cluster analysis is possible and has the potential to be a powerful point-of-care tool in clinical settings.

Expression of pituitary adenylate cyclase-activating polypeptide 1 and 2 receptor mRNA in gallbladder tissue of patients with gallstone or gallbladder polyps.

PubMed

Zhang, Zhen-Hai; Wu, Shuo-Dong; Gao, Hong; Shi, Gang; Jin, Jun-Zhe; Kong, Jing; Tian, Zhong; Su, Yang

2006-03-07

To detect the expression of pituitary adenylate cyclase-activating polypeptide receptor 1 (VPCAP1-R)and VPCAP2-R mRNA in gallbladder tissues of patients with gallstone or gallbladder polyps. The expression of VPCAP1-R and VPCAP2-R mRNA in gallbladder tissues was detected in 25 patients with gallstone,8 patients with gallbladder polyps and 7 donors of liver transplantation by reverse transcription polymerase chain reaction (RT-PCR). The VPCAP2-R mRNA expression level in the control group (1.09+/-0.58) was lower than that in the gallbladder polyp group (1.64+/-0.56) and the gallstone group (1.55+/-0.45) (P<0.05) while the VPCAP1-R mRNA expression level in the control group (1.15+/-0.23) was not apparently different from that in the gallbladder polyp group (1.28+/-0.56) and the gallstone group (1.27+/-0.38). The abnormal expression of VPCAP2-R mRNA in gallbladder tissue may play a role in the formation of gallbladder stone and gallbladder polyps.

11. Historic American Buildings Survey Alex Bush, Photographer, June 4, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. Historic American Buildings Survey Alex Bush, Photographer, June 4, 1937 OLD TIME TOOLS USED IN ANTI-BELLUM TIMES, TUSCUMBIA VICINITY. - Carl Rand House, 501 East Third Street, Tuscumbia, Colbert County, AL

How Cultural Alignment and the Use of Incentives Can Promote a Culture of Health: Stakeholder Perspectives.

PubMed

Laurie T, Martin; Linnea Warren, May; Sarah, Weilant; Joie D, Acosta; Anita, Chandra

2018-01-01

In 2013, the Robert Wood Johnson Foundation embarked on a pioneering effort to advance a Culture of Health. This report focuses on two questions that are central to understanding how individuals and sectors think about health and are motivated to promote it: How can the commonly understood concepts of cultural identity (e.g., ethnic or religious; lesbian, gay, bisexual, transgender plus; military) and organizational culture be harnessed to develop a Culture of Health? How can incentives be used to promote individual health and engage investors and leaders within organizations or governments to promote health and well-being broadly? This study draws on 43 one-hour semistructured interviews that RAND researchers conducted with stakeholders whose work focused on cultural alignment, incentives, or both to learn how organizations are addressing and leveraging culture and incentives to promote health and well-being, as well as to identify facilitators, barriers, potential best practices, and lessons learned. Key findings include the following: Equity is often addressed in silos, which impedes progress toward a unified goal of health equity for all; members of specific cultural groups need to be given a voice in health-related activities; systems are built around prevailing cultural norms, making it challenging for those working with specific cultures to make cultural adaptations; and not all incentives are monetary. Recommendations include institutionalizing practices that ensure ongoing input from marginalized populations, identifying ways to help smaller organizations overcome structural inequalities, and institutionalizing health promotion efforts in sectors other than public health or health care to sustain collaborative efforts.

Near-term feasibility of alternative jet fuels

DOT National Transportation Integrated Search

2009-01-01

This technical report documents the results of a joint study by the Massachusetts Institute of Technology (MIT) and the RAND Corporation on alternative fuels for commercial aviation. The study compared potential alternative jet fuels on the basis of ...

Unconventional fossil-based fuels : economic and environmental trade-offs

DOT National Transportation Integrated Search

2008-01-01

Both high import payments for petroleum motor fuels and concerns regarding emissions of carbon dioxide (CO2) are motivating interest in possible fuel substitutes. In this report, RAND researchers assess the potential future production levels, product...

Comparison of Two brands of Methylphenidate (Stimdate(®) vs. Ritalin(®)) in Children and Adolescents with Attention Deficit Hyperactivity Disorder: A Double-Blind, Randomized Clinical Trial.

PubMed

Khodadust, Naser; Jalali, Amir-Hossein; Ahmadzad-Asl, Masoud; Khademolreza, Noushin; Shirazi, Elham

2012-01-01

To compare the effectiveness and safety of the methylphenidate produced in Iran (Stimdate®) with its original brand (Ritalin®) in children with Attention deficit hyperactivity disorder (ADHD). In this double-blinded randomized clinical trial, 30 patients with ADHD who were 6 to 16 years old, were divided into two groups: 15 in Stimdate® and 15 in Ritalin® group. The two groups were compared for side effects profile, Conner's Parent's Rating Scale-Persion version (CPRS-R), Child Symptom Inventory-4 (CSI-4), Clinical Global Impressions (CGI), and Children's Global Assessment Scale (CGAS), at baseline and at the 4(th) and 6(th) weeks. The subjects showed significant decreases in the CPRS-Rand CSI-4 scores and significant increase of CGAS scores during the follow-up, but there were no significant difference between Stimdate® and Ritalin® group, regarding the pattern of changes observed. The mean therapeutic dose and the number of side effects were not significantly different between the two studied groups. Both Stimdate® and Ritalin® had comparable clinical efficacy and safety in children with ADHD.

Space and surface power for the space exploration initiative: Results from project outreach

NASA Technical Reports Server (NTRS)

Shipbaugh, C.; Solomon, K.; Gonzales, D.; Juncosa, M.; Bauer, T.; Salter, R.

1991-01-01

The analysis and evaluations of the Space and Surface Power panel, one of eight panels created by RAND to screen and analyze submissions to the Space Exploration Initiative (SEI) Outreach Program, is documented. In addition to managing and evaluating the responses, or submissions, to this public outreach program, RAND conducted its own analysis and evaluation relevent to SEI mission concepts, systems, and technologies. The Power panel screened and analyzed submissions for which a substantial portion of the concepts involved power generation sources, transmission, distribution, thermal management, and handling of power (including conditioning, conversion, packaging, and enhancements in system components). A background discussion of the areas the Power panel covered and the issues the reviewers considered pertinent to the analysis of power submissions are presented. An overview of each of the highest-ranked submissions and then a discussion of these submissions is presented. The results of the analysis is presented.

The World Health Organization's water safety plan is much more than just an integrated drinking water quality management plan.

PubMed

Viljoen, F C

2010-01-01

South Africa is a country of contrasts with far ranging variations in climate, precipitation rates, cultures, demographics, housing levels, education, wealth and skills levels. These differences have an impact on water services delivery as do expectations, affordability and available resources. Although South Africa has made much progress in supplying drinking water, the same cannot be said regarding water quality throughout the country. A concerted effort is currently underway to correct this situation and as part of this drive, water safety plans (WSP) are promoted. Rand Water, the largest water services provider in South Africa, used the World Health Organization (WHO) WSP framework as a guide for the development of its own WSP which was implemented in 2003. Through the process of implementation, Rand Water found the WHO WSP to be much more than just another integrated quality system.

Development of the 7-Item Binge-Eating Disorder Screener (BEDS-7)

PubMed Central

Deal, Linda S.; DiBenedetti, Dana B.; Nelson, Lauren; Fehnel, Sheri E.; Brown, T. Michelle

2016-01-01

Objective Develop a brief, patient-reported screening tool designed to identify individuals with probable binge-eating disorder (BED) for further evaluation or referral to specialists. Methods Items were developed on the basis of the DSM-5 diagnostic criteria, existing tools, and input from 3 clinical experts (January 2014). Items were then refined in cognitive debriefing interviews with participants self-reporting BED characteristics (March 2014) and piloted in a multisite, cross-sectional, prospective, noninterventional study consisting of a semistructured diagnostic interview (to diagnose BED) and administration of the pilot Binge-Eating Disorder Screener (BEDS), Binge Eating Scale (BES), and RAND 36-Item Short-Form Health Survey (RAND-36) (June 2014–July 2014). The sensitivity and specificity of classification algorithms (formed from the pilot BEDS item-level responses) in predicting BED diagnosis were evaluated. The final algorithm was selected to minimize false negatives and false positives, while utilizing the fewest number of BEDS items. Results Starting with the initial BEDS item pool (20 items), the 13-item pilot BEDS resulted from the cognitive debriefing interviews (n = 13). Of the 97 participants in the noninterventional study, 16 were diagnosed with BED (10/62 female, 16%; 6/35 male, 17%). Seven BEDS items (BEDS-7) yielded 100% sensitivity and 38.7% specificity. Participants correctly identified (true positives) had poorer BES scores and RAND-36 scores than participants identified as true negatives. Conclusions Implementation of the brief, patient-reported BEDS-7 in real-world clinical practice is expected to promote better understanding of BED characteristics and help physicians identify patients who may have BED. PMID:27486542

Development of the 7-Item Binge-Eating Disorder Screener (BEDS-7).

PubMed

Herman, Barry K; Deal, Linda S; DiBenedetti, Dana B; Nelson, Lauren; Fehnel, Sheri E; Brown, T Michelle

2016-01-01

Develop a brief, patient-reported screening tool designed to identify individuals with probable binge-eating disorder (BED) for further evaluation or referral to specialists. Items were developed on the basis of the DSM-5 diagnostic criteria, existing tools, and input from 3 clinical experts (January 2014). Items were then refined in cognitive debriefing interviews with participants self-reporting BED characteristics (March 2014) and piloted in a multisite, cross-sectional, prospective, noninterventional study consisting of a semistructured diagnostic interview (to diagnose BED) and administration of the pilot Binge-Eating Disorder Screener (BEDS), Binge Eating Scale (BES), and RAND 36-Item Short-Form Health Survey (RAND-36) (June 2014-July 2014). The sensitivity and specificity of classification algorithms (formed from the pilot BEDS item-level responses) in predicting BED diagnosis were evaluated. The final algorithm was selected to minimize false negatives and false positives, while utilizing the fewest number of BEDS items. Starting with the initial BEDS item pool (20 items), the 13-item pilot BEDS resulted from the cognitive debriefing interviews (n = 13). Of the 97 participants in the noninterventional study, 16 were diagnosed with BED (10/62 female, 16%; 6/35 male, 17%). Seven BEDS items (BEDS-7) yielded 100% sensitivity and 38.7% specificity. Participants correctly identified (true positives) had poorer BES scores and RAND-36 scores than participants identified as true negatives. Implementation of the brief, patient-reported BEDS-7 in real-world clinical practice is expected to promote better understanding of BED characteristics and help physicians identify patients who may have BED.

The Social Cognition Psychometric Evaluation Study: Results of the Expert Survey and RAND Panel

PubMed Central

Pinkham, Amy E.; Penn, David L.; Green, Michael F.; Buck, Benjamin; Healey, Kristin; Harvey, Philip D.

2014-01-01

Background: In schizophrenia, social cognition is strongly linked to functional outcome and is increasingly seen as a viable treatment target. The goal of the Social Cognition Psychometric Evaluation (SCOPE) study is to identify and improve the best existing measures of social cognition so they can be suitably applied in large-scale treatment studies. Initial phases of this project sought to (1) develop consensus on critical domains of social cognition and (2) identify the best existing measures of social cognition for use in treatment studies. Methods: Experts in social cognition were invited to nominate key domains of social cognition and the best measures of those domains. Nominations for measures were reduced according to set criteria, and all available psychometric information about these measures was summarized and provided to RAND panelists. Panelists rated the quality of each measure on multiple criteria, and diverging ratings were discussed at the in-person meeting to obtain consensus. Results: Expert surveys identified 4 core domains of social cognition—emotion processing, social perception, theory of mind/mental state attribution, and attributional style/bias. Using RAND panel consensus ratings, the following measures were selected for further evaluation: Ambiguous Intentions Hostility Questionnaire, Bell Lysaker Emotion Recognition Task, Penn Emotion Recognition Test, Relationships Across Domains, Reading the Mind in the Eyes Test, The Awareness of Social Inferences Test, Hinting Task, and Trustworthiness Task. Discussion: While it was possible to establish consensus, only a limited amount of psychometric information is currently available for the candidate measures, which underscores the need for well-validated and standardized measures in this area. PMID:23728248

How Is Deployment to Iraq and Afghanistan Affecting U.S. Service Members and Their Families?: An Overview of Early RAND Research on the Topic.

PubMed

Hosek, James

2011-01-01

The conflicts in Iraq and Afghanistan, which have extended over the past decade, have put America's all-volunteer force to its most severe test since its inception in 1973. In this environment of ongoing demand for battle-ready soldiers, sailors, airmen, and marines, there is concern about the effects and consequences of prolonged stress on the force as a whole and on individual service members and their families. The well-being of troops and the people close to them is an issue of much importance, both because it affects military readiness and the ability of the U.S. armed forces to carry out their mission and because the nation is committed to acting on its appreciation of the sacrifices made by military families. To devise policies effective for facilitating the well-being of this community, there must first be a comprehensive understanding of the myriad issues and consequences that service members and their families may face because of deployment. Yet for much of the 2000s, this understanding was largely lacking. Recognizing the need for analysis, RAND launched a program of research around 2005, its goal being to investigate this topic and, where possible, offer policymakers informed recommendations. This article introduces this body of work-still being added to today-through descriptions of six of RAND's earliest studies on various aspects of the topic. It calls attention to the pressing policy questions; summarizes the key findings, insights into the issues, and policy implications; and, where applicable, lays out recommendations.

Identification of an updated set of prescribing-safety indicators for GPs

PubMed Central

Spencer, Rachel; Bell, Brian; Avery, Anthony J; Gookey, Gill; Campbell, Stephen M

2014-01-01

Background Medication error is an important contributor to patient morbidity and mortality and is associated with inadequate patient safety measures. However, prescribing-safety tools specifically designed for use in general practice are lacking. Aim To identify and update a set of prescribing-safety indicators for assessing the safety of prescribing in general practice, and to estimate the risk of harm to patients associated with each indicator. Design and setting RAND/UCLA consensus development of indicators in UK general practice. Method Prescribing indicators were identified from a systematic review and previous consensus exercise. The RAND Appropriateness Method was used to further identify and develop the indicators with an electronic-Delphi method used to rate the risk associated with them. Twelve GPs from all the countries of the UK participated in the RAND exercise, with 11 GPs rating risk using the electronic-Delphi approach. Results Fifty-six prescribing-safety indicators were considered appropriate for inclusion (overall panel median rating of 7–9, with agreement). These indicators cover hazardous prescribing across a range of therapeutic indications, hazardous drug–drug combinations and inadequate laboratory test monitoring. Twenty-three (41%) of these indicators were considered high risk or extreme risk by 80% or more of the participants. Conclusion This study identified a set of 56 indicators that were considered, by a panel of GPs, to be appropriate for assessing the safety of GP prescribing. Twenty-three of these indicators were considered to be associated with high or extreme risk to patients and should be the focus of efforts to improve patient safety. PMID:24686882

Lessons for the Global Spatial Data Infrastructure : international case study analysis

DOT National Transportation Integrated Search

2002-01-01

This report presents a RAND analysis of international collaboration for the Global Spatial Data Infrastructure (GSDI). Ten in-depth international and regional collaboration case studies were conducted to assess lessons learned for GSDI development an...

Fighting phytophthora in blueberries

USDA-ARS?s Scientific Manuscript database

Phytophthora cinnamomi Rands is a ubiquitous soilborne pathogen associated with root rot in many woody perennial plant species, including highbush blueberry (Vaccinium sp.). To identify genotypes with resistance to the pathogen, cultivars and advanced selections of highbush blueberry were grown in a...

Transportation challenges for the new administration : perspectives of past DOT secretaries

DOT National Transportation Integrated Search

2009-01-01

On January 29, 2009, the RAND Corporation hosted a panel discussion with three former U.S. secretaries of transportation. This wide-ranging discussion, held the week after President : Barack Obamas inauguration and during the congressional debate ...

Annual Report 2005

DTIC Science & Technology

2005-01-01

Program Integration PROJECT LEADERS: Bernard Rostker and Laura Miller 20 RAND National Security Research Division The more intensive use of the...Lim, Laura Werber Castaneda, Daniela Golinelli. MG-196-OSD. NOTE: MG stands for monograph; CF for confer- ence proceedings; CT for congressional

DETAIL INTERIOR VIEW OF THE CYANAMIDE (LN) OVEN BUILDING LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL INTERIOR VIEW OF THE CYANAMIDE (L-N) OVEN BUILDING LOOKING SOUTHEAST AT INGERSOLL-RAND COMPRESSORS #BE565 & 564. (NOT ORIGINAL LOCATION). - United States Nitrate Plant No. 2, Reservation Road, Muscle Shoals, Muscle Shoals, Colbert County, AL

DETAIL INTERIOR VIEW OF THE CYANAMIDE (LN) OVEN BUILDING LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL INTERIOR VIEW OF THE CYANAMIDE (L-N) OVEN BUILDING LOOKING WEST AT INGERSOLL-RAND COMPRESSORS #BE565 & 564. (NOT ORIGINAL LOCATION). - United States Nitrate Plant No. 2, Reservation Road, Muscle Shoals, Muscle Shoals, Colbert County, AL

Validity and reliability of the Dutch version of the Copenhagen Hip And Groin Outcome Score (HAGOS-NL) in patients with hip pathology.

PubMed

Giezen, Hilde; Stevens, Martin; van den Akker-Scheek, Inge; Reininga, Inge H F

2017-01-01

The Copenhagen Hip And Groin Outcome Score (HAGOS) was developed to assess disease-specific consequences in young to middle-aged, physically active hip and/or groin patients. The study aimed to determine validity and reliability of the Dutch version of the HAGOS (HAGOS-NL) for middle-aged patients with hip complaints. To assess validity, 117 participants completed five questionnaires: HAGOS-NL, international Hip Outcome Tool (iHOT-12NL), Hip disability and Osteoarthritis Outcome Score (HOOS), RAND-36 Health Survey and Tegner activity scale. Structural validity was determined by conducting confirmatory factor analysis. Construct validity was analyzed by formulating predefined hypotheses regarding relationships between the HAGOS-NL and subscales of the iHOT-12NL, HOOS, RAND-36 and Tegner activity scale. The HAGOS-NL was filled out again by 67 patients to explore test-retest reliability. Reliability was assessed in terms of Cronbach's alpha, Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). The Bland and Altman method was used to explore absolute agreement. Factor analysis confirmed that the HAGOS-NL consists of six subscales. All hypotheses were confirmed, indicating good construct validity. Internal consistency was good, with Cronbach's alpha values ranging from 0.89 to 0.98. Test-retest reliability was considered good, with ICC values of 0.80 and higher. The SEM ranged from 6.6 to 12.3, and MDC at individual level from 18.3 to 34.1 and at group level from 2.3 to 4.4. Bland and Altman analyses showed no bias. The HAGOS-NL is a reliable and valid instrument for measuring pain, physical functioning and quality of life in middle-aged patients with hip complaints.

Development of a model for integrated care at the end of life in advanced dementia: A whole systems UK-wide approach

PubMed Central

Jones, Louise; Candy, Bridget; Davis, Sarah; Elliott, Margaret; Gola, Anna; Harrington, Jane; Kupeli, Nuriye; Lord, Kathryn; Moore, Kirsten; Scott, Sharon; Vickerstaff, Victoria; Omar, Rumana Z; King, Michael; Leavey, Gerard; Nazareth, Irwin; Sampson, Elizabeth L

2015-01-01

Background: The prevalence of dementia is rising worldwide and many people will die with the disease. Symptoms towards the end of life may be inadequately managed and informal and professional carers poorly supported. There are few evidence-based interventions to improve end-of-life care in advanced dementia. Aim: To develop an integrated, whole systems, evidence-based intervention that is pragmatic and feasible to improve end-of-life care for people with advanced dementia and support those close to them. Design: A realist-based approach in which qualitative and quantitative data assisted the development of statements. These were incorporated into the RAND/UCLA appropriateness method to achieve consensus on intervention components. Components were mapped to underlying theory of whole systems change and the intervention described in a detailed manual. Setting/participants: Data were collected from people with dementia, carers and health and social care professionals in England, from expert opinion and existing literature. Professional stakeholders in all four countries of the United Kingdom contributed to the RAND/UCLA appropriateness method process. Results: A total of 29 statements were agreed and mapped to individual, group, organisational and economic/political levels of healthcare systems. The resulting main intervention components are as follows: (1) influencing local service organisation through facilitation of integrated multi-disciplinary care, (2) providing training and support for formal and informal carers and (3) influencing local healthcare commissioning and priorities of service providers. Conclusion: Use of in-depth data, consensus methods and theoretical understanding of the intervention components produced an evidence-based intervention for further testing in end-of-life care in advanced dementia. PMID:26354388

Development of quality metrics for ambulatory pediatric cardiology: Infection prevention.

PubMed

Johnson, Jonathan N; Barrett, Cindy S; Franklin, Wayne H; Graham, Eric M; Halnon, Nancy J; Hattendorf, Brandy A; Krawczeski, Catherine D; McGovern, James J; O'Connor, Matthew J; Schultz, Amy H; Vinocur, Jeffrey M; Chowdhury, Devyani; Anderson, Jeffrey B

2017-12-01

In 2012, the American College of Cardiology's (ACC) Adult Congenital and Pediatric Cardiology Council established a program to develop quality metrics to guide ambulatory practices for pediatric cardiology. The council chose five areas on which to focus their efforts; chest pain, Kawasaki Disease, tetralogy of Fallot, transposition of the great arteries after arterial switch, and infection prevention. Here, we sought to describe the process, evaluation, and results of the Infection Prevention Committee's metric design process. The infection prevention metrics team consisted of 12 members from 11 institutions in North America. The group agreed to work on specific infection prevention topics including antibiotic prophylaxis for endocarditis, rheumatic fever, and asplenia/hyposplenism; influenza vaccination and respiratory syncytial virus prophylaxis (palivizumab); preoperative methods to reduce intraoperative infections; vaccinations after cardiopulmonary bypass; hand hygiene; and testing to identify splenic function in patients with heterotaxy. An extensive literature review was performed. When available, previously published guidelines were used fully in determining metrics. The committee chose eight metrics to submit to the ACC Quality Metric Expert Panel for review. Ultimately, metrics regarding hand hygiene and influenza vaccination recommendation for patients did not pass the RAND analysis. Both endocarditis prophylaxis metrics and the RSV/palivizumab metric passed the RAND analysis but fell out during the open comment period. Three metrics passed all analyses, including those for antibiotic prophylaxis in patients with heterotaxy/asplenia, for influenza vaccination compliance in healthcare personnel, and for adherence to recommended regimens of secondary prevention of rheumatic fever. The lack of convincing data to guide quality improvement initiatives in pediatric cardiology is widespread, particularly in infection prevention. Despite this, three metrics were able to be developed for use in the ACC's quality efforts for ambulatory practice. © 2017 Wiley Periodicals, Inc.

Elevated temperature exacerbates Ichthyophonus infections in buffalo sculpin

USGS Publications Warehouse

Halpenny, C.M.; Kocan, R.M.; Winton, J.R.; Perry, J.A.; Hershberger, P.K.

2002-01-01

High incidences of Ichthyophonus hoferi, a parasite primarily of marine and estuarine fishes, have recently been reported in rockfishes and Pacific herring from the eastern North Pacific (Kent et al 2001, Hershberger et al 2002). Taxonomic position of I. hoferi remains unresolved, but recent phylogenetic studies have grouped the organism with Dermocystidium, Psorospermium, the rosette agent of salmonids, and Rhinosporidium in the Mesomycetozoa, a novel clade of protists near the animal-fungal divergence (Herr et al 1999). Genetic differences among isolates from the east coast of North America indicate that more than one species of Ichthyophonus exist (Rand et al 2000), and different species have likely been assigned the same name based on morphological characteristics. Therefore, hereafter in this manuscript, the organism will be referred to as Ichthyophonus .

Integrating U.S. climate, energy, and transportation policies : RAND workshops address challenges and potential solutions

DOT National Transportation Integrated Search

2009-01-01

There is growing consensus among policymakers that bold government action is needed : to mitigate climate change, particularly through integrated climate, energy, and transportation : policy initiatives. In an effort to share different perspectives o...

Homeland Security Intelligence: To What End

DTIC Science & Technology

2010-09-01

decision making is generous (Treverton & Gabbard , 2008; Reveron 2007). This literature commonly falls into roughly one of two categories, 1) the...Treverton, G.F. & Gabbard , C.B. (2008). Assessing the tradecraft of intelligence analysis. Arlington VA: RAND. Turner, M. (2005). Why secret intelligence

Portfolio Management Best Practices: Observations from Industry

DTIC Science & Technology

2008-05-15

Andreas and Ortwin Renn , “A New Approach to Risk Evaluation and Management: Risk-Based, Precaution-Based, and Discourse-Based Strategies”, Risk...Research and Development, RAND Corporation (2004). Stummer, Christian , and Kurt Heidenberger, “Interactive R&D Portfolio Selection Considering Multiple

In Vitro Antifungal Activity of New and Known Geranylated Phenols against Phytophthora cinnamomi Rands.

PubMed

Chavez, María I; Soto, Mauricio; Cimino, Franco A; Olea, Andrés F; Espinoza, Luis; Díaz, Katy; Taborga, Lautaro

2018-05-29

A series of new and known geranylated phenol/methoxyphenol derivatives has been tested in vitro as inhibitor agents of mycelial growth of Phytophthora cinnamomi . The activity of tested compounds is correlated with the nature, number, and position of the substituent group on the aromatic ring. Results indicate that the most active geranylated derivatives are those having two hydroxyl groups (or one ⁻OH and one ⁻OCH₃) attached to the aromatic ring. Interestingly, these derivatives are as active as Metalaxil ® , a commonly used commercial fungicide. Thus, our results suggest that some of these compounds might be of agricultural interest due to their potential use as fungicides against P. cinnamomi . The effect of structure on fungicide activity is discussed in terms of electronic distribution on both the aromatic ring and side geranyl chain. All tested compounds have been synthesized by direct coupling of geraniol and the respective phenol. Interestingly, new digeranylated derivatives were obtained by increasing the reaction time.

The Impact of Network Performance on Warfighter Effectiveness

DTIC Science & Technology

2006-01-01

SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research organization providing objective...Support Es- tablishment, Auckland , New Zealand), 2000. Lauren, M., R. Stephen, and N. Hore, “Application of the MANA Model to Operations in East Timor

47 CFR 24.202 - Service areas.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PERSONAL COMMUNICATIONS... 1992 Commercial Atlas & Marketing Guide, 123rd Edition, at pages 38-39 (“BTA/MTA Map”). Rand McNally... Commercial Atlas & Marketing Guide, 123rd Edition, at pages 38-39, with the following exceptions and...

47 CFR 24.202 - Service areas.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PERSONAL COMMUNICATIONS... 1992 Commercial Atlas & Marketing Guide, 123rd Edition, at pages 38-39 (“BTA/MTA Map”). Rand McNally... Commercial Atlas & Marketing Guide, 123rd Edition, at pages 38-39, with the following exceptions and...

Annual Report 2011 (RAND Arroyo Center)

DTIC Science & Technology

2011-01-01

Portfolio Management for Army Science and Technology Programs Under Uncertainties Brian G. Chow, Richard Silberglitt, Scott Hiromoto, Caroline Reilly, and...in the ceremony and requested publishing of the promotion order. LTC Speaks’s spouse, Catherine, and son, Mason, pinned the silver oak leaf to each

The sup 40 Ar/ sup 39 Ar geochronology of the Pelona schist and related rocks, southern California

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jacobson, C.E.

1990-01-10

Seventeen {sup 40}Ar/{sup 39}Ar ages for hornblende, celadonitic muscovite, and biotite from the Pelona, Orocopia, Rand, and Portal Ridge (POR) schists range from 39 to 85 Ma. Two muscovites and one hornblende from the Rand Schist have ages of 72 to 74 Ma, indistinguishable from the K-Ar age of 74 Ma for hornblende from a posttectonic granodiorite that intrudes the schist, but younger than the 70 Ma U-Pb age of the intrusion. Four muscovite and two hornblende ages for schist and mylonite from the East Fork area of the San Gabriel Mountains range from 55 to 61 Ma. Concordance ofmore » schist and upper plate ages confirms structural and metamorphic evidence that the Vincent thrust in the San Gabriel Mountains has not undergone significant postmetamorphic disruption. Ages from the Orocopia Mountains are 75 Ma for hornblende from nonmylonitic upper plate, 52 Ma for muscovite from structurally high Orocopia Schist that is mylonitic, and 41 Ma for muscovite from nonmylonitic Orocopia Schist. These are consistent with field evidence that the Orocopia thrust is a postmetamorphic normal fault. Muscovite and hornblende from the Gavilan Hills have ages of 48 to 50 Ma, younger than ages from the San Gabriel Mountains but similar to schist ages from the Orocopia Mountains. The geochronologic and structural complexities of the Vincent, Chocolate Mountains, Orocopia, and Rand thrusts imply that previously cited northeastward vergence may not relate to prograde metamorphism (subduction) of the POR schists. The data indicate substantial uplift of the POR schists prior to middle Tertiary detachment faulting, which confirms other geochronologic evidence of uplift in southern California and southern Arizona during the Late Cretaceous-early Tertiary.« less

Evaluating Questionnaires Used to Assess Self-Reported Physical Activity and Psychosocial Outcomes Among Survivors of Adolescent and Young Adult Cancer: A Cognitive Interview Study.

PubMed

Wurz, Amanda; Brunet, Jennifer

2017-09-01

Physical activity is increasingly being studied as a way to improve psychosocial outcomes (e.g., quality of life, self-efficacy, physical self-perceptions, self-esteem, body image, posttraumatic growth) among survivors of adolescent and young adult (AYA) cancer. Assessing levels of and associations between self-reported physical activity and psychosocial outcomes requires clear, appropriate, and relevant questionnaires. To explore how survivors of AYA cancer interpreted and responded to the following eight published questionnaires: Leisure Time Exercise Questionnaire, Exercise Self-Efficacy Scale, Physical Self-Description Questionnaire, Rosenberg Global Self-Esteem Scale, Multidimensional Body-Self Relations Questionnaire, Posttraumatic Growth Inventory, Functional Assessment of Cancer Therapy-General (FACT-G), RAND 36-Item Health Survey 1.0 (RAND-36), cognitive interviews were conducted with three men and four women age 18-36 years who were diagnosed with cancer at age 16-35 years. Initially, the first seven questionnaires listed above were assessed. Summaries of the interviews were prepared and compared across participants. Potential concerns were identified with the FACT-G; thus, a second interview was conducted with participants to explore the clarity, appropriateness, and relevance of the RAND-36. Concerns identified for the FACT-G related mostly to the lack of relevance of items pertaining to cancer-specific aspects of quality of life given that participants were posttreatment. No or few concerns related to comprehension and/or structure/logic were identified for the other questionnaires. In general, the questionnaires assessed were clear, appropriate, and relevant. Participants' feedback suggested they could be used to assess self-reported physical activity and varied psychosocial outcomes in studies with survivors of AYA cancer, either with or without slight modifications.

Validating Measures of Real-World Outcome: The Results of the VALERO Expert Survey and RAND Panel

PubMed Central

Leifker, Feea R.; Patterson, Thomas L.; Heaton, Robert K.; Harvey, Philip D.

2011-01-01

Background: People with schizophrenia demonstrate considerable discrepancy between self-reported functioning and informant reports. It is not clear whether these discrepancies originate from the instruments used or from the perspectives of different informants. The goal of the Validation of Everyday Real-World Outcomes (VALERO) Study is to enhance the measurement of real-world (RW) outcomes in the social, residential, and vocational domains through selection of optimal scales and informants using a multistep process similar to the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) initiative. Methods: Forty-eight experts provided their opinion regarding the best scales measuring RW outcomes. Fifty-nine measures were nominated. The investigators selected the 11 scales that were the most highly nominated, had the most published validity data, and best represented the domains of interest. Information was provided to other experts who served as RAND panelists. Panelists rated each measure for its suitability across multiple a priori domains. Discrepant ratings were discussed until consensus was reached. Results: Following the RAND Panel, the 2 scales that scored highest across the various criteria for each of the classes of scales (hybrid, social functioning, and everyday living skills) were selected for use in the first substudy of VALERO. The scales selected were the Quality-of-Life Scale, Specific Levels of Functioning Scale, Social Behavior Schedule, Social Functioning Scale, Independent Living Skills Schedule, and Life Skills Profile. Discussion: The results show that although there are significant limitations with current scales used for the assessment of RW outcome in schizophrenia, a consensus is possible. Further, several existing instruments were rated as useful for measuring social, residential, and vocational outcomes. PMID:19525354

Assessment of the quality of medical care among patients with early stage prostate cancer undergoing expectant management in the United States.

PubMed

Ritchey, Jamie; Gay, E Greer; Spencer, Benjamin A; Miller, David C; Wallner, Lauren P; Stewart, Andrew K; Dunn, Rodney L; Litwin, Mark S; Wei, John T

2012-09-01

Given the increased attention to the quality and cost of medical care, the Institute of Medicine and Centers for Medicare and Medicaid Services have called for performance measurement and reporting. The clinical management of prostate cancer has been outlined, yet is not intended to describe quality prostate cancer care. Therefore, RAND researchers developed quality indicators for early stage prostate cancer. The ACoS (American College of Surgeons) used these indicators to perform the first national assessment to our knowledge of the quality of care among men with early stage prostate cancer undergoing expectant management. Information from medical records was abstracted for evidence of compliance with the RAND indicators (structure and process). Weighted and stratified proportions were calculated to assess indicator compliance. Logistic regression models were fit and evaluated by hospital type and patient factors. A weighted and stratified total of 13,876 early stage prostate cancer cases on expectant management in 2000 to 2001 were investigated. Compliance with structural indicators was high (greater than 80%) and compliance with process indicators varied (19% to 87%). Differences in process indicators were observed from models by hospital type and comorbid conditions, but not for age, race or insurance status. Using the RAND quality indicators this study revealed several process areas for quality improvement among men with early stage prostate cancer on expectant management in the United States. Efforts to improve the quality of early stage prostate cancer care need to move beyond the paradigm of age, race and insurance status. Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Mentorship in the context of interdisciplinary geriatric research: lessons learned from the RAND/Hartford Program for Building Interdisciplinary Geriatric Research Centers.

PubMed

Keyser, Donna J; Abedin, Zainab; Schultz, Dana J; Pincus, Harold Alan

2012-08-01

In light of the growing trend toward formalized research mentorship for effectively transmitting the values, standards, and practices of science from one generation of researchers to the next, this article provides the results of an exploratory study. It reports on research mentorship in the context of interdisciplinary geriatric research based on experiences with the RAND/Hartford Program for Building Interdisciplinary Geriatric Research Centers. At the end of the 2-year funding period, staff from the RAND Coordinating Center conducted 60- to 90-minute open-ended telephone interviews with the co-directors of the seven centers. Questions focused on interdisciplinary mentorship activities, barriers to implementing these activities, and strategies for overcoming them, as well as a self-assessment tool with regard to programs, policies, and structures across five domains, developed to encourage research mentorship. In addition, the mentees at the centers were surveyed to assess their experiences with interdisciplinary mentoring and the center. According to the interviewees, some barriers to successful interdisciplinary mentoring included the mentor's lack of time, structural support, and the lack of a clear definition of interdisciplinary research. Most centers had formal policies in place for mentor identification and limited policies on mentor incentives. Mentees uniformly reported their relationships with their mentors as positive. More than 50% of mentees reported having a primary mentor from within their discipline and had more contact with their primary mentor than their secondary mentors. Further research is needed to understand the complexity of institutional levers that emerging programs might employ to encourage and support research mentorship. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

Instrumentation and Controls Division progress report for the period July 1, 1986 to June 30, 1988

DOE Office of Scientific and Technical Information (OSTI.GOV)

Klobe, L.E.

1988-12-01

The Instrumentation and Controls (IandC) Division of Oak Ridge National Laboratory (ORNL) performs basic and applied instrumentation and controls research, development and design engineering, specialized instrument design and fabrication, and maintenance services for instruments, electronics, and computers. The IandC Division is one of the largest RandD organizations of its type among government laboratories, and it exists as the result of an organizational strategy to integrate ORNL's instrumentation and controls-related disciplines into one dedicated functional organization to increase the Laboratory's expertise and capabilities in these rapidly expanding, innovative areas of technology. The Division participates in the programs and projects of ORNLmore » by applying its expertise and capabilities in concert with other divisions to perform basic research and mission-oriented technology development. Many of the Division's RandD tasks that are a part of a larger ORNL program are of sufficient scope that the IandC effort constitutes a separate program element with direct funding and management responsibility within the Division. The activities of IandC include performance of an RandD task in IandC facilities, the participation of from one of many IandC engineers and scientists in a multidisciplinary team working in a specific research area or development project, design and fabrication of a special instrument or instrumentation system, or a few hours of maintenance service. In its support and maintenance work, the role of the IandC Division is to provide a level of expertise appropriate to complete a job successfully at minimum overall cost and time schedule---a role which involves IandC in almost all ORNL activities.« less

A physarum-inspired prize-collecting steiner tree approach to identify subnetworks for drug repositioning.

PubMed

Sun, Yahui; Hameed, Pathima Nusrath; Verspoor, Karin; Halgamuge, Saman

2016-12-05

Drug repositioning can reduce the time, costs and risks of drug development by identifying new therapeutic effects for known drugs. It is challenging to reposition drugs as pharmacological data is large and complex. Subnetwork identification has already been used to simplify the visualization and interpretation of biological data, but it has not been applied to drug repositioning so far. In this paper, we fill this gap by proposing a new Physarum-inspired Prize-Collecting Steiner Tree algorithm to identify subnetworks for drug repositioning. Drug Similarity Networks (DSN) are generated using the chemical, therapeutic, protein, and phenotype features of drugs. In DSNs, vertex prizes and edge costs represent the similarities and dissimilarities between drugs respectively, and terminals represent drugs in the cardiovascular class, as defined in the Anatomical Therapeutic Chemical classification system. A new Physarum-inspired Prize-Collecting Steiner Tree algorithm is proposed in this paper to identify subnetworks. We apply both the proposed algorithm and the widely-used GW algorithm to identify subnetworks in our 18 generated DSNs. In these DSNs, our proposed algorithm identifies subnetworks with an average Rand Index of 81.1%, while the GW algorithm can only identify subnetworks with an average Rand Index of 64.1%. We select 9 subnetworks with high Rand Index to find drug repositioning opportunities. 10 frequently occurring drugs in these subnetworks are identified as candidates to be repositioned for cardiovascular diseases. We find evidence to support previous discoveries that nitroglycerin, theophylline and acarbose may be able to be repositioned for cardiovascular diseases. Moreover, we identify seven previously unknown drug candidates that also may interact with the biological cardiovascular system. These discoveries show our proposed Prize-Collecting Steiner Tree approach as a promising strategy for drug repositioning.

GRAPHIC INPUT TABLETS FOR PROGRAMMED INSTRUCTION.

ERIC Educational Resources Information Center

BOOKER, C.A., JR.; AND OTHERS

TO FACILITATE STUDENT-COMPUTER COMMUNICATION IN PROGRAMED INSTRUCTION, A MODIFICATION OF THE RAND TABLET, WHICH CONVERTS POSITION INFORMATION INTO ELECTRICAL SIGNALS, IS PROPOSED. MANUFACTURE OF THE DEVICE WOULD BE MORE ECONOMICAL, AND THE ELECTRONICS PACKAGE, REDESIGNED WITH INTEGRATED CIRCUITS, WOULD BE SMALLER AND MORE FLEXIBLE. MODIFICATION OF…

77 FR 61031 - Investigations Regarding Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-05

.......... 09/18/12 09/11/12 One-Stop). 81976 Custom Food (State/One- Shreveport, LA........ 09/18/12 09/17/12... 81980 Bank of America (State/One- Addison, TX 09/19/12 09/18/12 Stop). 81981 Ingersoll Rand (Aire Fort...

STAR - Copperhead Interface.

DTIC Science & Technology

1981-03-01

elements which fall outside the original box initiate new clusters. 65 ELL. CH ECK This routine provides the calculation which determines if a target...US Air Force Project Rand Report 3-152b-PR, March 197 88 INITIAL DISTRIBUTION LIST 1o. Copies 1. Defense Technical Information Center 2 Cameron

Chicago neoliberalism versus Cowles planning: perspectives on patents and public goods in Cold War economic thought.

PubMed

Van Horn, Robert; Klaes, Matthias

2011-01-01

In post-Sputnik America, when many policymakers and social scientists feared the Soviet Union had a technological advantage over the United States, assessing the relative importance of patents for inventive activity and examining whether scientific research constituted a public good were paramount concerns. The neoliberals of the University of Chicago and the planners of the Cowles Commission both spoke to these issues. This paper sheds light on their views on patents and public goods in the late 1950s and early 1960s by examining representatives of Cowles and Chicago, Kenneth Arrow and Ronald Coase, respectively. Furthermore, it evaluates whether their views on patents and public goods clashed with the interests of RAND, at which both Arrow and Coase worked at some point during this time period. The paper argues that the Chicago-neoliberal position of Coase undermined the interests of RAND, while the Cowles-planning conclusions of Arrow furthered those interests. © 2011 Wiley Periodicals, Inc.

The Effect of Eliminating the Affordable Care Act's Tax Credits in Federally Facilitated Marketplaces.

PubMed

Saltzman, Evan; Eibner, Christine

2015-07-15

In this study, RAND Corporation researchers assess the expected change in enrollment and premiums in the Patient Protection and Affordable Care Act (ACA)-compliant individual market in federally facilitated marketplace (FFM) states if the U.S. Supreme Court decides to eliminate subsidies in FFM states. The analysis used the Comprehensive Assessment of Reform Efforts (COMPARE) microsimulation model, an economic model developed by RAND researchers, to assess the impact of proposed health reforms. The authors found that enrollment in the ACA-compliant individual market, including plans sold in the marketplaces and those sold outside of the marketplaces that comply with ACA regulations, would decline by 9.6 million, or 70 percent, in FFM states if subsidies were eliminated. They also found that unsubsidized premiums in the ACA-compliant individual market would increase 47 percent in FFM states. This corresponds to a $1,610 annual increase for a 40-year-old nonsmoker purchasing a silver plan.

Individual, interpersonal, and institutional level factors associated with the mental health of college students.

PubMed

Byrd, Deannah R; McKinney, Kristen J

2012-01-01

This study investigates the individual, interpersonal, and institutional level factors that are associated with overall mental health among college students. Data are from an online cross-sectional survey of 2,203 students currently enrolled at a large public university. Mental health was ascertained using a subcomponent of the RAND Medical Outcomes Study functioning and well-being measures developed by the RAND corporation. Stepwise regression was used to determine if self-reported measures of individual (ie, coping abilities), interpersonal (ie, intergroup awareness), and institutional (ie, campus climate/tension) level factors were associated with overall mental health, after controlling for demographic characteristics. The combined effects of both individual and institutional level measures were associated with student mental health. In particular, limited coping abilities and a perceived racially tense campus climate contributed to the psychological distress of college students. Simultaneously addressing the individual and institutional level influences on mental health offers the most promising help for students.

Rand Project AIR FORCE Annual Report 2010

DTIC Science & Technology

2010-01-01

LLC Michael Lynton, Chairman and Chief Executive Officer, Sony Pictures Entertainment Ronald L. Olson, Partner, Munger, Tolles & Olson LLP Paul H...management, and his Air Force career centered on research. Even a shared love of music finds them in different parts of the orchestra, with Ray as a

Summer Learning That Sticks

ERIC Educational Resources Information Center

Browne, Daniel

2017-01-01

A new RAND Corporation study shows that voluntary summer programs can benefit children from low-income families, particularly those with high attendance. Programs studied in five school districts had several elements in common: a mix of academics and enrichment activities, certified teachers, small class sizes, full-day programming provided five…

Studies in Intelligence. Volume 56, Number 4

DTIC Science & Technology

2012-12-01

two hour walk in the nearby woods . It was drizzling, but neither of us noticed. He insisted at each subsequent meeting that he would terminate...Shambaugh, and Murray Scot Tanner. See, also, Michael Swaine, The Role of the Chinese Military in National Security Policymaking (Santa Monica, CA: RAND

A Variable-Selection Heuristic for K-Means Clustering.

ERIC Educational Resources Information Center

Brusco, Michael J.; Cradit, J. Dennis

2001-01-01

Presents a variable selection heuristic for nonhierarchical (K-means) cluster analysis based on the adjusted Rand index for measuring cluster recovery. Subjected the heuristic to Monte Carlo testing across more than 2,200 datasets. Results indicate that the heuristic is extremely effective at eliminating masking variables. (SLD)

All Children Deserve Uninterrupted Learning!

ERIC Educational Resources Information Center

Brown, Fred

2015-01-01

Teachers often start a new school year working extremely hard to reteach last year's content, particularly for their lower income students. According to "Making Summer Count," a report commissioned by The Wallace Foundation and written by researchers at Rand, rigorous studies of voluntary summer programs, mandatory summer programs, and…

Occupational Differences between Hispanics and Non-Hispanics. A Rand Note.

ERIC Educational Resources Information Center

Stolzenberg, Ross M.

A study examined the occupational differences between Hispanics and non-Hispanics. The study focused on the determinants of Hispanic occupational achievement; differences in the process of occupational achievement among different Hispanic ethnic subgroups; variations in the process of occupational achievement across geographic areas; and…

Promoting International Energy Security. Volume 1: Understanding Potential Air Force Roles

DTIC Science & Technology

2012-01-01

obtain additional information, contact Distribution Services: Telephone: (310) 451 -7002; Fax: (310) 451 -6915; Email: order@rand.org Library of...raise the temperature of one pound of water one degree Fahrenheit ) DoD Department of Defense EIA U.S. Energy Information Administration IEA International

Resistor Susceptibility Survey

DTIC Science & Technology

1976-11-01

SATIN IV ATTN: DCKE, L. Staples ATTN. YWES ATTN XRE-Surv. ATTN- MCAE, Lt Col Sparks ATTN: XRP , Maj Gingrich Sandia Lab. ATTN 3141 ATTN E...Diamond Lab. ATTN: Lib. HQ USAF ATTN: XOOWD AFSC Tech. Lib. ATTN: DLCAW ATTN: XRP ! Sperry Rand Fit. Sys. Div. ATTN: Tech. Lib. ATTN: D

Diversity of Service Academy Entrants and Graduates

DTIC Science & Technology

2010-01-01

ABUSE TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit research... Women in the Officer Corps, by Service, and Among Employed Civilian College Graduates, 21–35 Years, 1997–2007...16 2.6. Percentage of Women Among Officer Accessions

The Perfect Storm: The Goldwater-Nichols Act and Its Effect on Navy Acquisition

DTIC Science & Technology

2010-01-01

TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The RAND Corporation is a nonprofit...the two stars’ comunications with the Systems Commanders, who were ultimately removed from the acquisition chain because the new PEOs 16 The

Enduring U.S. Interests in the Persian Gulf Region

DTIC Science & Technology

2012-03-02

building partner capacity” ( BPC ). BPC is part of a larger security assistance framework which provides defense articles, military training, and...Santa Monica, CA: Rand, 2010), 157 . 15The Cooperation Council for the Arab States of the Gulf; http://www.gcc-sg.org/eng/ indexfc7a.html?action=Sec

CETA: Is It Equitable for Women? A Rand Note.

ERIC Educational Resources Information Center

Berryman, Sue E.; And Others

A study assessed whether the Comprehensive Employment and Training Act (CETA) equitably allocates its training, employment, occupational, and wage benefits by sex. To analyze the sex equity of CETA's resource distribution, researchers used data from the Continuous Longitudinal Manpower Survey (CLMS) for fiscal 1976, 1977, and 1978 CETA enrollees.…

Libya After Qaddafi: Lessons and Implications for the Future

DTIC Science & Technology

2014-01-01

research findings and objective analysis that address the challenges facing the public and private sectors . All RAND reports undergo rigorous peer...8 The Need for Far-Reaching Security Sector Reform...World Bank , International Monetary Fund, IHS, Inter- national Foundation for Electoral Systems, Dartmouth College, the National Endowment for

Personality, Political Skill, and Job Performance

ERIC Educational Resources Information Center

Blickle, Gerhard; Meurs, James A.; Zettler, Ingo; Solga, Jutta; Noethen, Daniela; Kramer, Jochen; Ferris, Gerald R.

2008-01-01

Based on the socioanalytic perspective of performance prediction [Hogan, R. (1991). Personality and personality assessment. In M. D. Dunnette, L. Hough, (Eds.), "Handbook of industrial and organizational psychology" (2nd ed., pp. 873-919). Chicago: Rand McNally; Hogan, R., & Shelton, D. (1998). A socioanalytic perspective on job performance.…

47 CFR 27.1208 - BTA service areas.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... Except for incumbent BRS licenses, BRS service areas are Basic Trading Areas (BTAs) or additional service... in places where Rand McNally has not defined BTAs: American Samoa; Guam; Gulf of Mexico Zone A; Gulf of Mexico Zone B; Gulf of Mexico Zone C; Northern Mariana Islands; Mayaguez/Aguadilla-Ponce, Puerto...

Detection Performance of an Operator Using Lofar

DTIC Science & Technology

1976-04-01

Blur on Perimetric Thresholds," Aroh. of Opthalmology , 68:2, pp. 240-51 (1962). 15. Ferree, C.E., Rand, G., Hardy, C, "Refraction for the...Static Perimetric Technique Believed to Test Receptive Field Properties III Clinical Trials," Am. Jour. Opthalmology , 70:2, pp. 244-272 (Aug. 1970

Effects of simulated prescribed fire on American chestnut and northern red oak regeneration

Treesearch

Ethan P. Belair; Mike R. Saunders; Stacy L. Clark

2014-01-01

American chestnut (Castanea dentata [Marsh.] Borkh.) was a dominant species in the forests of eastern North America prior to the importation of chestnut blight (Cryphonectria parasitica [Murr.] Barr) in the early 1900s and ink disease (Phytophthora cinnamomi Rands) in the 1800s (Anagnostakis 2012). Historical...

The Iraq Effect: The Middle East After the Iraq War

DTIC Science & Technology

2010-01-01

Middle East After the Iraq War THE IRAQ EFFECT Frederic Wehrey Dalia Dassa Kaye Jessica Watkins Jeffrey Martini Robert A. Guffey The RAND...tx_ttnews[tt_news]=159 Jones, Seth , “The Rise of Afghanistan’s Insurgency: State Failure and Jihad,” International Security Journal, Vol. 32, No. 4

Comprehensive School Reform & Student Achievement in Kentucky Middle Schools

ERIC Educational Resources Information Center

Evans-Andris, Melissa; Usui, Wayne M.

2008-01-01

This project examines the effects of Comprehensive School Reform (CSR) models on the achievement of students in Kentucky middle schools. Previous studies exploring the effects of CSR on schools and student achievement have rendered mixed results (Berends, 2000; May & Supovitz, 2006; May, Supovitz, & Perda, 2004; RAND, 2002; Zhang,…

Understanding Low Survey Response Rates Among Young U.S. Military Personnel

DTIC Science & Technology

2015-01-01

and Training; Resource Management; and Strategy and Doctrine. The research reported here was prepared under contract FA7014-06-C-0001. Additional...Sampling Strategy ........................................................................................................................ 3   Response...27   Strategies to Reduce Nonresponse in the 2012 RAND Information and Communication Technology and Well-Being Survey

Steps toward a Formative Evaluation of NSDL. Technical Report

ERIC Educational Resources Information Center

Bikson, Tora K.; Kalra, Nidhi; Galway, Lionel A.; Agnew, Grace

2011-01-01

The National Science Foundation's (NSF) National Science Digital Library/Distributed Learning (NSDL) program turned 10 years old in 2010. This report presents results of a preliminary program evaluation carried out by RAND and is organized around three principal goals: (1) Provide an initial evaluation of NSDL based on existing information…

2 CFR Appendix Viii to Part 200 - Nonprofit Organizations Exempted From Subpart E-Cost Principles of Part 200

Code of Federal Regulations, 2014 CFR

2014-01-01

..., Headquartered in Columbus, Ohio 7. Brookhaven National Laboratory, Upton, New York 8. Charles Stark Draper... 19. National Radiological Astronomy Observatory, Green Bank, West Virginia 20. National Renewable Energy Laboratory, Golden, Colorado 21. Oak Ridge Associated Universities, Oak Ridge, Tennessee 22. Rand...

Implementing Diagnostic/Prescriptive Reading Innovations.

ERIC Educational Resources Information Center

Wirt, John G.

The results of fieldwork in six diagnostic/prescriptive reading projects in school districts within and around Santa Monica, California, are summarized in this paper. The fieldwork was designed to examine the process of implementing diagnostic/prescriptive approach reading projects and was done as part of a large Rand study of innovative projects…

RAND Review. Volume 28, Number 2, Summer 2004

DTIC Science & Technology

2004-01-01

received an average of 23 percent district of Tijuana , more for unprotected sex (and up to 46 percent more if Mexico, displays the workers were judged...management. "Improvement in access to medica - eral ways, according to the reports. Vulnerable elders tions without quality assurance may result in a mere

Simultaneous Monitoring of Vascular Oxygenation and Tissue Oxygen Tension of Breast Tumors Under Hyperbaric Oxygen Exposure

DTIC Science & Technology

2008-04-01

28. Alagoz, T., R. Buller, B. Anderson, K. Terrell , R...and oxygenation Ann . New Acad. Sci. 838 29–45 Chapman J D, Stobbe C C, Arnfield M R, Santus R, Lee J and McPhee M S 1991 Oxygen dependency of tumor

Model Effectiveness as a Function of Personnel (ME = f(PER))

DTIC Science & Technology

1986-10-01

Human Factor in Military Modernization, The RAND Corporation, R- 2460-NA, 1979 AD-A072955 D-7. SUPPRESSION Mueller, M. P., K. H. Pietsch , Human Factors in...H. Pietsch , Human Factors in Field Experimentation, Design and Analysis of an Analytical Suppression Model, 1978 A061417 Office of Naval Research

Restructuring Military Education and Training. Lessons from RAND Research.

ERIC Educational Resources Information Center

Winkler, John D.; Steinberg, Paul S.

This report examines research on initiatives intended to restructure military training with a focus on specialized skill training in military schools. Chapter 1 addresses the status of restructuring initiatives. Chapter 2 focuses on a methodology to examine the effects of restructuring and consolidation. It discusses in detail the elements…

Analysis of Vietnamization: Summary and Evaluation

DTIC Science & Technology

1973-11-01

Ellsberg, Daniel . Some Lessons from Failure in Vietnam, P-4036. Santa Monica: The RAND Corp., July 1969. Fulbright, J. William (ed.). The Vietnam...34 Chira and North Vietnam: Two Revolutionary Paths, " Part I, Current Scene, Vol. IX, No. II (Nov 7, 1971), Part II, Current Scene. Vol. IX, No. IZ (Doc 7

Knowledge Acquisition, Knowledge Programming, and Knowledge Refinement.

ERIC Educational Resources Information Center

Hayes-Roth, Frederick; And Others

This report describes the principal findings and recommendations of a 2-year Rand research project on machine-aided knowledge acquisition and discusses the transfer of expertise from humans to machines, as well as the functions of planning, debugging, knowledge refinement, and autonomous machine learning. The relative advantages of humans and…

Rand Symposium on Pilot Training and the Pilot Career. (Santa Monica, Calif., Feb. 23-27, 1970).

ERIC Educational Resources Information Center

Stewart, W. A.; Wainstein, E. S.

This document contains discussions of the following: The pilot career; Career and education; The pilot skill--definition, measurement, and retention; Relevance of training to combat; Selection; Motivation; Training innovations and the role of research; Simulators; The instructor pilot; Topics for research. (Author/CK)

78 FR 1253 - Notice of Determinations Regarding Eligibility to Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-08

... Trade Commission as a member of a domestic industry in an investigation resulting in-- (A) An... date 82,024 Thermo King Corporation, Louisville, GA........ October 1, 2011. Ingersoll-Rand, Manpower... Pine, NC....... October 31, 2011. Recreational Products, Outboard Engine Division, Manpower. Negative...

Applying Concepts of Critical Pedagogy to Qatar's Educational Reform

ERIC Educational Resources Information Center

Romanowski, Michael H.; Amatullah, Tasneem

2016-01-01

Qatar is in the midst of a systemic education reform, Education For a New Era, steered by RAND's (a nonprofit research organization) analysis and report of Qatar's Educational system. Driven by a neoliberal agenda, the reform includes international curricula, curriculum standards, teacher licensure, and professional standards for school leaders…

The Reform of Qatar University. Monograph

ERIC Educational Resources Information Center

Moini, Joy S.; Bikson, Tora K.; Neu, C. Richard; DeSisto, Laura

2009-01-01

In 2003, the State of Qatar engaged the RAND-Qatar Policy Institute to assist Qatar University, the nation's first and only public higher education institution, with reform of its major administrative and academic structures, policies, and practices. This monograph summarizes that reform effort, which formally lasted from October 2003 through…

Planning and Financing Education Technology.

ERIC Educational Resources Information Center

Harvey, James, Ed.

This report summarizes one of a series of workshops organized by RAND's Critical Technologies Institute (CTI), on behalf of the U.S. Department of Education, to take advantage of the experience and insights of those already implementing new technologies in schools. The workshop consisted chiefly of dialogues with educators and experts from the…

Individual Difference Relations in Psychometric and Experimental Cognitive Tasks

DTIC Science & Technology

1980-04-01

underrepresented in the factor-analytic and correlational studies done to date. One such process is what is commonly called encoding (the process REPFRM de...IL 61820 Eugene OR 97403 1 ERIC Facility-Acquisitions 1 Dr. Barbara Hayes-Roth 41833 Rugby Avenue The Rand Corporation Bethesda, VAD 20014 1700 Main

Nanotechnology - Enabled Sensing

DTIC Science & Technology

2009-05-07

Sailor, Steve Semancik, Selim Shahriar, Ranga nathan Shashidhar, Richard Silberglitt, Joseph Stetter, Duncan Stewart, Mark Stiles, Thomas Thundat...Evans National Nanotechnology Coordination Office Patricia Foland World Technology Evaluation Center Richard Gaster‡ Stanford University Bonnie...Technology Selim Shahriar*, ◊ Northwestern University Ranganathan Shashidhar‡,†,◊ Polestar Technologies, Inc. Richard Silberglitt*,§, ◊ RAND

77 FR 24487 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-24

... INFORMATION CONTACT: Sally Rand, Climate Change Division, Office of Atmospheric Programs (6207J... are very potent greenhouse gases with global warming potentials several thousand times that of carbon....regulations.gov as EPA receives them and without change, unless the comment contains copyrighted material...

Improving Development and Utilization of U.S. Air Force Intelligence Officers

DTIC Science & Technology

2009-01-01

to such jobs in September 2005, those jobs are included in this study. 6 Gregory F. Treverton and C. Bryan Gabbard , Assessing the Tradecraft of... Gabbard , Assessing the Tradecraft of Intelligence Analysis, Santa Monica, Calif.: RAND Corporation, TR-293-CCNI(A), 2008. As of March 16, 2009: http

A Guide to Educational Performance Contracting.

ERIC Educational Resources Information Center

Hall, G. R.; And Others

This report is distilled from Rand's findings in previously reported research and from new research. It is addressed to school board members, administrators, and other educational decisionmakers who may be contemplating a performance contracting program. The guide follows the life cycle of a project and identifies the three major phases as…

Rediscovering the Alcoholism Field: New Trends and Needs.

ERIC Educational Resources Information Center

Dolan, Joseph S.

1987-01-01

Outlines trends developing in the alcoholism field including: youth, treatment, public policy, education, research, and the Rand Report. Identifies two needs: the need to look at the interrelationships of programs and trends and the need to foster an environment which does not tolerate drunkenness or intoxication. (Author/ABB)

47 CFR 101.1007 - Geographic service areas and number of licenses.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 5 2011-10-01 2011-10-01 false Geographic service areas and number of licenses. 101.1007 Section 101.1007 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND... in the Rand McNally 1992 Commercial Atlas & Marketing Guide, 123rd Edition, at pages 38-39, that...

Shaping Columbia’s Stability through Strategic Communication: Evaluating U.S. Effectiveness

DTIC Science & Technology

2009-05-21

113-114. The authors have adapted the 10 Step framework for military applicability from Philip Kotler , Ned Roberto, and Nancy Lee, Social Marketing...Qaida. Santa Monica: RAND Corporation, 2008. Keegan, John. The Iraq War. New York: Alfred A. Knopf, 2004. Kotler , Philip , Ned Roberto, and Nancy

An Evaluation of Performance Contracting for HEW.

ERIC Educational Resources Information Center

Carpenter, Polly

This speech provides a summary of the Rand/HEW study of eight performance contract programs in the five cities of Gilroy, California; Texarkana, Arkansas; Gary, Indiana; Grand Rapids, Michigan; and Norfolk, Virginia. The effects of performance contracting on instruction and on student learning, the program costs and management, the contractors,…

The African Institutions Initiative: Insights from the First Four Years

ERIC Educational Resources Information Center

Cochrane, Gavin; Robin, Enora; Marjanovic, Sonja; Diepeveen, Stephanie; Hanlin, Rebecca; Kryl, David; Muchova, Lucia; Yaqub, Ohid; Chataway, Joanna

2014-01-01

In 2009, the Wellcome Trust launched a research capacity strengthening programme known as the "African Institutions Initiative" (AII). The AII is innovative in its methods and organization. The Initiative funded networked consortia (7 consortia involving 54 institutions in 18 African countries, and Northern partners). RAND Europe was…

Effects of Stigma and Discrimination Reduction Programs Conducted Under the California Mental Health Services Authority

PubMed Central

Cerully, Jennifer L.; Collins, Rebecca L.; Wong, Eunice C.; Roth, Elizabeth; Marks, Joyce; Yu, Jennifer

2016-01-01

Abstract Describes the methods and results of a RAND evaluation of stigma and discrimination reduction efforts by Runyon Saltzman Einhorn, Inc., involving screenings of a documentary film called “A New State of Mind: Ending the Stigma of Mental Illness.” PMID:28083418

The Market for Educational Software.

ERIC Educational Resources Information Center

Harvey, James, Ed.

This report summarizes one of a series of workshops organized by RAND's Critical Technologies Institute, on behalf of the U.S. Department of Education, to take advantage of the experience of those already implementing new technologies in the schools. The workshop consisted chiefly of dialogues with educators and experts from the private sector who…

Emerging Issues in Education: Policy Implications for the Schools.

ERIC Educational Resources Information Center

Bruno, James E., Ed.

Contents of this volume, one product of a collaboration between the Carnegie Corporation and Rand initiated in July 1969, include the following papers: "Emerging Issues in Education . . .," J. E. Bruno; "Societal Foundations for Change: Educational Alternatives for the Future," W. Harman: "Constitutional Aspects of Equality of Educational…

Schooling in Malaysia: Historical Trends and Recent Enrollments. A Rand Note.

ERIC Educational Resources Information Center

De Tray, Dennis

The educational history of Malaysia is discussed; policy, historical trends, and school attendance are emphasized. Increased schooling and increased returns to schooling have been essential ingredients in Malaysia's economic growth. Schooling levels have risen rapidly since independence and, while all Malaysians have shared substantially in this…

Planning Without History or Cultural Perspective

DTIC Science & Technology

2015-05-21

8217, News.Bbc.Co.Uk, last modified 2015, accessed January 20, 2015, http://news.bbc.co.uk/2/hi/middle_east/3557446.stm. 119 Nimrod Raphaeli, “Understanding...pubs/monographs/2008/RAND_MG595.3.pdf. Raphaeli, Nimrod . “Understanding Muqtada al-Sadr.” Middle East Quarterly (Fall 2004): 33-42. Rathmell, Andrew

ECONOMICS DEPARTMENT PUBLICATIONS, 1960-1965: AN AUTHOR INDEX OF THE OPEN LITERATURE, WITH ABSTRACTS,

DTIC Science & Technology

This is an author index for RAND Economics Department publications issued between January 1, 1960 and December 31, 1965, and available in the open...As a reference aid, the names of all authors are given alphabetically in the Author List immediately preceding the Author Index .

Relating Expected Inventory Backorders to Safety Stock Investment Levels.

DTIC Science & Technology

1981-09-01

Theory," RM-4185-PR. The Rand Corporation, Santa Monica CA, September 1964. 105 11. Haeussler, Ernest F. Jr., and Richard S. Paul. Introduc- tory...14. Lewis, Colin D. Demand Analysis and Inventor4 Control. Westmead, England: Saxon House D.C. Heath Ltd., 1975. 15. Lippert , Keith Wayne. "An

[Consensus document: a model of integrated management of patients with psycomotor agitation].

PubMed

2016-01-01

Psychomotor agitation (PMA) is a heterogeneous clinical syndrome associated with a widenumber of pathological conditions. The currently available recommendations and guidelines on PMA correct assessment and management are significantly dishomogeneous and suffer from a lack of standardization, especially regarding pharmacological interventions. Based on this deficiency, and on multidisciplinary nature of PMA, that includes factors shared by different health professionals other than pharmacoeconomic and risk management aspects, we started a project aimed to elaborate a shared model of integrated management for PMA patients. The model, developed by a scientific board and a multidisciplinary panel using the consensus Delphi-RAND method, aims to give indications of good clinical practice for the management of these patients. The present document reports the results of this consensus process, whose main principles are the centrality of the patient, as an active and collaborating subject, the importance of prompt and not coercive interventions able to block the escalation to violence and to allow a correct diagnostic and therapeutic workup, the appropriate use of pharmacological interventions based on the severity of symptoms and the importance of an integrated and harmonized approach by the different professionals involved in PMA management.

Getting to Outcomes: A Best Practice Process to Help Schools Achieve Desired Outcomes

ERIC Educational Resources Information Center

Maras, Melissa A.; Wandersman, Abe; Splett, Joni Williams; Flaspohler, Paul; Weist, Mark

2012-01-01

This article describes Getting to Outcomes (GTO), a 10-step framework for accountability designed to facilitate effective implementation of evidence-based programs and improvement of home-grown practices (Getting to Outcomes and GTO are trademarks registered by the University of South Carolina and RAND; Wandersman, Imm, Chinman, & Kaftarian,…

Did Teachers' Verbal Ability and Race Matter in the 1960s? "Coleman" Revisited. RAND Reprints.

ERIC Educational Resources Information Center

Ehrenberg, Ronald G.; Brewer, Dominic J.

This paper reanalyzed data from the classic 1966 study "Equality of Educational Opportunity," or "Coleman Report." It addressed the issue of whether teacher characteristics, including verbal ability and race, influenced "synthetic gain scores" of students (mean test scores of upper grade students in a school minus…

Information Transfer Problems of the Partially Sighted: Recent Results and Project Summary.

ERIC Educational Resources Information Center

Genensky, S. M.; And Others

The fourth in a series of Rand reports on information transfer problems of the partially sighted reviews earlier reports and describes an experimental secretarial closed circuit TV (CCTV) system which enables the partially sighted to type from a printed or handwritten manuscript. Discussed are experiments using a pseudocolor system to determine…

A Synthesis of Literature on the Effectiveness of Community Orders. Technical Report Summary

ERIC Educational Resources Information Center

Davis, Robert; Rabinovich, Lila; Rubin, Jennifer; Kilmer, Beau; Heaton, Paul

2008-01-01

The U.K. National Audit Office (NAO) commissioned RAND Europe to conduct this review to identify and synthesize international research about the effectiveness of community orders in reducing re-offending. In this report, we review research on ten of the common requirements contained in community orders. Through examining reviews, systematic…

A Synthesis of Literature on the Effectiveness of Community Orders. Technical Report

ERIC Educational Resources Information Center

Davis, Robert; Rabinovich, Lila; Rubin, Jennifer; Kilmer, Beau; Heaton, Paul

2008-01-01

The U.K. National Audit Office (NAO) commissioned RAND Europe to conduct this review to identify and synthesize international research about the effectiveness of community orders in reducing re-offending. In this report, we review research on ten of the common requirements contained in community orders. Through examining reviews, systematic…

Unique Framework Helps Louisiana Community Prioritize Its Investments in Children and Families. Research Brief

ERIC Educational Resources Information Center

Wiseman, Shelley

2010-01-01

In 2008, the Shreveport-Bossier Community Foundation selected education, health, and poverty as funding priorities. But the foundation realized that it needed more specific guidelines on how best to distribute grants. RAND developed a framework for making investment decisions that incorporates the best of traditional decision making approaches.…

Assessing Impact Submissions for REF 2014: An Evaluation

ERIC Educational Resources Information Center

Manville, Catriona; Guthrie, Susan; Henham, Marie-Louise; Garrod, Bryn; Sousa, Sonia; Kirtley, Anne; Castle-Clarke, Sophie; Ling, Tom

2015-01-01

The Research Excellence Framework (REF) is a new system for assessing the quality of research in UK higher education institutions (HEIs). For the first time, part of the assessment included the wider impact of research. RAND Europe was commissioned to evaluate the assessment process of the impact element of REF submissions, and to explore the…

Understanding Our Gifted, Volume 2, Issues 1-6, September 1989-August 1990.

ERIC Educational Resources Information Center

Silverman, Linda, Ed.

1990-01-01

This document consists of six issues (all of volume 2) of a newsletter subtitled "Dedicated to Helping Gifted Children Reach their Full Potential". These issues deal with all aspects of parenting and educating gifted children. Major articles include: "Re-examining the Concept of Underachievement" (Joanne Rand Whitmore);…

Rand Symposium on Pilot Training and the Pilot Career; Recollections of the Chairman.

ERIC Educational Resources Information Center

Stewart, W. A.

Topics discussed in this 1970 symposium included the economics of flight training, careers in flying, college versus high school graduates, defining the trained pilot, motivation and selection, innovation in pilot training, training goals, transfer of training, and the role of simulators. Conferees agreed that the present Air Force undergraduate…

The Politics of Staff Development.

ERIC Educational Resources Information Center

Mann, Dale

This report presents the methodology and some of the results from part of an on-going Rand Corporation study of change agent programs sponsored by the U.S. Office of Education. It concentrates on staff development as a vehicle for change in schools. After a brief introduction, the methodology of the study is presented. The third section examines…

China’s Evolving Nuclear Deterrent: Major Drivers and Issues for the United States

DTIC Science & Technology

2017-01-01

permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout...13 Organization of This Report...Several exter- nal organizations have tried to fill the gaps in data and understanding. The Bulletin of the Atomic Scientists, for example, publishes an

Evaluating the BK 21 Program. Research Brief

ERIC Educational Resources Information Center

Seong, Somi; Popper, Steven W.; Goldman, Charles A.; Evans, David K.; Grammich, Clifford A.

2008-01-01

The Brain Korea 21 program (BK21), an effort to improve Korean universities and research, has attracted a great deal of attention in Korea, producing the need to understand how well the program is meeting its goals. RAND developed a logic model for identifying program goals and dynamics, suggested quantitative and qualitative evaluation methods,…

Effects of Stigma and Discrimination Reduction Programs Conducted Under the California Mental Health Services Authority: An Evaluation of Runyon Saltzman Einhorn, Inc., Documentary Screening Events.

PubMed

Cerully, Jennifer L; Collins, Rebecca L; Wong, Eunice C; Roth, Elizabeth; Marks, Joyce; Yu, Jennifer

2016-05-09

Describes the methods and results of a RAND evaluation of stigma and discrimination reduction efforts by Runyon Saltzman Einhorn, Inc., involving screenings of a documentary film called "A New State of Mind: Ending the Stigma of Mental Illness."

A Comparison of the AFGL Flash, Draper Dart and AWS Haze Models with the Rand Wetta Model for Calculating Atmospheric Contrast Reduction.

DTIC Science & Technology

1982-03-01

52 ILLUSTRATIONS Figure I Horizontal Visibility Profiles for Stair-Step and Exponential Extinction Coefficient...background reflectances. These values were then numerically intergrated (via a combination of Simpson’s and Newton’s 3/8th rules) and compared with the

California's Demographic Future. A Rand Note.

ERIC Educational Resources Information Center

McCarthy, Kevin F.; Valdez, R. Burciaga

California's image as the Golden State is based largely on its rapid population and economic growth. However, recent trends show an aging population, a decline in population growth, a reduction in the number of migrants from other states, and a dramatic increase in foreign-born residents. Since 1960, the state's growth rate has slowed…

Prolonged Cycle Times and Schedule Growth in Defense Acquisition: A Literature Review

DTIC Science & Technology

2014-01-01

www.rand.org/pubs/monograph_reports/MR1362.html Blakeman, Seth T., Anthony R. Gibbs, and Jeyanthan Jeyasingam, Study of the Mine Resistant Ambush...Chad J. R. Ohlandt, Caroline Reilly, Rena Rudavsky, Jerry M. Sollinger, Katharine Watkins Webb, and Carolyn Wong, Root Cause Analyses of Nunn-McCurdy

Senate Hearing on Assured Access to Space

NASA Image and Video Library

2014-07-16

Dr. Yool Kim, Senior Engineer at the Rand Corporation, delivers her opening statment during a hearing in front of the Senate Subcommittee on Strategic Forces and Senate Committee on Commerce, Science, and Transportation on Wednesday, July 16, 2014, at the Hart Senate Office Building in Washington, DC. The Senate hearing focused on assured access to space.

Class Size Reduction or Rapid Formative Assessment?: A Comparison of Cost-Effectiveness

ERIC Educational Resources Information Center

Yeh, Stuart S.

2009-01-01

The cost-effectiveness of class size reduction (CSR) was compared with the cost-effectiveness of rapid formative assessment, a promising alternative for raising student achievement. Drawing upon existing meta-analyses of the effects of student-teacher ratio, evaluations of CSR in Tennessee, California, and Wisconsin, and RAND cost estimates, CSR…

Comprehensive School Reform: The Implementation Gap. Research Brief

ERIC Educational Resources Information Center

RAND Corporation, 2006

2006-01-01

Does Comprehensive School Reform (CSR) work? Research results have been mixed. Some studies have measured a modest improvement in student achievement; others have found no effect. A team of RAND researchers has approached the question of CSR's effectiveness by first focusing on an even more basic question: Has CSR been implemented? A shortcoming…

Federal Programs Supporting Educational Change, Vol. 5: Executive Summary.

ERIC Educational Resources Information Center

Berman, Paul; And Others

Under the sponsorship of the U. S. Office of Education, Rand is conducting a several-year study of federally funded programs designed to introduce and spread innovative practices in public schools. These change agent programs normally offer temporary federal funding to school districts as "seed money" or "risk capital." If an…

Project AIR FORCE Modeling Capabilities for Support of Combat Operations in Denied Environments

DTIC Science & Technology

2015-01-01

within the Air Force and OSD.7 First, we thank Generals Herbert Carlisle, PACAF/CC, and Janet Wolfenbarger, AFMC/CC, for sponsoring this work. Gen...March 2014: http://www.rand.org/pubs/monographs/MG176.html Stucker, James P., Ruth T. Berg, Andre A. Gerner, Amada Giarla, William L. Spencer

SMART Security Cooperation Objectives: Improving DoD Planning and Guidance

DTIC Science & Technology

2016-01-01

integrate them into a system for assessing, monitoring, and evaluating security cooperation programs and activities. This report evaluates DoD’s...effectiveness in developing SMART security coopera- tion objectives that facilitate assessment, monitoring, and evaluation . It also proposes a systematic...Cooperation Ends, Ways, and Means . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 RAND Evaluation and Revision of Selected

Understanding Iran

DTIC Science & Technology

2009-01-01

SPONSOR/MONITOR’S REPORT NUMBER( S ) 12. DISTRIBUTION /AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY...This document and trademark( s ) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic...documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. Limited Electronic Distribution Rights

South Oxnard Challenge Project: Report of What Works.

ERIC Educational Resources Information Center

Lane, Jodi; Schroeder, Amber; Turner, Susan; Fain, Terry

RAND Criminal Justice conducted a randomized experimental evaluation of the South Oxnard Challenge Project (SOCP), a collaborative project between county, city and private non-profit agencies based on the "Corrections of Place" (COP) model. The project targets youth who live in South Oxnard or Port Hueneme, are between 12 and 18 years old, have a…

Predicting the Onset of PTSD: An Analysis of Facial Expression of Emotion in Reaction to Aggressive Displays

DTIC Science & Technology

2011-04-01

amnesia and diminished responsiveness to the outside world (Henline). The RAND Corporation, a nonprofit research organization, conducted a study beginning...negative relationship between performance scores and NPY levels in that the less NPY a Soldier produced, the more likely the Soldier dissociated and

Soybean yield and nutrient utilization following long-term pelletized broiler litter application to cotton

USDA-ARS?s Scientific Manuscript database

Broiler litter may have long-lasting plant growth benefits after application is terminated. A study was conducted to determine the residual effects of pelletized litter relative to inorganic fertilizer applied to cotton in previous years on growth and yield of soybean. Experimental design was a rand...

Outplayed: Regaining Strategic Initiative in the Gray Zone

DTIC Science & Technology

2016-06-01

Harvard University Captain John Chambers, U.S. Army Navy Staff, N -513 Captain Robert Hein, U.S. Navy RAND Dr. David Johnson, Ph.D. Army Capabilities...p. 1. 118. Vitaly Shevchenko, “Little Green Men or Russian Invaders?” BBC Monitoring, March 11, 2014, available from www.bbc.com/news/world-europe

Get the Federal Government out of Education? That Wasn't the Founding Fathers' Vision

ERIC Educational Resources Information Center

Jennings, Jack

2011-01-01

During the 2010 election campaign, Senator Rand Paul from Kentucky demanded the dismantling of the U.S. Department of Education. "I am against any federal funding or control of education," he said. "Historically, education was funded and controlled locally" (Strauss, 2010). Another new Republican senator, Mike Lee from…

Identifying and Eliminating Barriers Faced by Nontraditional Department of Defense Suppliers

DTIC Science & Technology

2014-01-01

organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more...Commands, the Department of the Navy, the Marine Corps, the defense agencies, and the defense Intelligence Community . For more information on the RAND...17 Lack of Access to and Communication

28 CFR 21.5 - Use of table of distances.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... Mileage payable to witnesses under 28 U.S.C. 1821 shall be computed on the basis of odometer readings or the highway distances as stated in the Rand McNally Standard Highway Mileage Guide or in any generally accepted highway mileage guide which contains a shortline nationwide table of distances. However, with...

Tenure Shrugged

ERIC Educational Resources Information Center

Glenn, David

2007-01-01

In late April, John D. Lewis, a historian and classicist at Ashland University, flew to Virginia to deliver a lecture at George Mason University about U.S. policy toward Iran. Mr. Lewis is an admirer of the late Ayn Rand, and he shares her belief that democracies should respond to external attacks without much concern for civilian casualties. He…

Redesigning Qatar's Post-Secondary Scholarship System. Research Brief

ERIC Educational Resources Information Center

Augustine, Catherine H.; Krop, Cathy

2008-01-01

At the request of Qatar's Supreme Education Council (SEC), RAND researchers devised a new set of scholarship programs for college-bound Qatari students and proposed the formation of an institute to manage the programs and oversee other post-secondary functions. The suggested system balanced support for local institutions of higher learning with…

Qatar's Educational Reform Past and Future: Challenges in Teacher Development

ERIC Educational Resources Information Center

Nasser, Ramzi

2017-01-01

Until the late 1990s, Qatar's educational system used the intrinsic-nationalistic and cultural traditions of Arabic schools. The Qatari leadership and stakeholder was outdated; hence, they approached the RAND Corporation to examine and analyze the existing educational system and recommend options for building a new educational system. The RAND…

Revitalizing Qatar's National University. Research Brief

ERIC Educational Resources Information Center

Steinberg, Paul

2009-01-01

Although Qatar University (QU) had been well regarded in the past, its performance had deteriorated by 2003, and the country's leadership was concerned that the university was not meeting Qatar's needs. From 2003 to 2007, the university led a reform process facilitated by RAND and outside experts, which clarified QU's mission and reformed QU's…

47 CFR 27.1231 - Initiating the transition.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Basic Trading Area (BTA). BTAs are based on the Rand McNally 1992 Commercial Atlas & Marketing Guide...; and (C) Specify, if known, the adjacent channel D/U ratio that can be tolerated by any receiver(s) at... database; (F) The bandwidth of each channel or subchannel, the emission type for each channel or subchannel...

Investment Strategies for Improving Fifth-Generation Fighter Training

DTIC Science & Technology

2011-01-01

The pod is part of the fifth-generation P5 Combat Training System/Tactical Combat Training System designed by Cubic Corporation. (See Shamim , 2007...http://www.rand.org/pubs/monograph_reports/MR1286/ Shamim , Asif, “F-35 Lightning II News: Cubic Lands Contract for F-35 ACMI Training System,” F-16.net

An Investigation of Methods for Reducing Sampling Error in Certain IRT (Item Response Theory) Procedures.

DTIC Science & Technology

1983-08-01

34th Streets Lawrence, KS 66045 Baltimore, MD 21218 ENIC Facility-Acquisitions 1 Dr. Ron Hambleton 4t33 Rugby Avenue School of Education Lcthesda, !ID...Sector Dr. V. R. R. Uppuluri 1 Dr. Rand R. Wilcox Union Carbide Corporation University of Southern California Nuclear Division Department of

Youth Labor Markets and the Military. The Rand Paper Series.

ERIC Educational Resources Information Center

Cooper, Richard V. L.

This paper argues that the military plays an extremely important role in youth labor markets by providing not only jobs but also experience and training which can later be transferred to the civilian labor market. Following the introduction, section II examines the military's demand for labor; its fluctuations due to secular, cyclical, and…

Logical Aspects of Question-Answering by Computer.

ERIC Educational Resources Information Center

Kuhns, J. L.

The problem of computerized question-answering is discussed in this paper from the point of view of certain technical, although elementary, notions of logic. Although the work reported herein has general application to the design of information systems, it is specifically motivated by the RAND Relational Data File. This system, for which a…

Analysis of Costs in an Algebra I Curriculum Effectiveness Study. Technical Report

ERIC Educational Resources Information Center

Daugherty, Lindsay; Phillips, Andrea; Pane, John F.; Karam, Rita

2012-01-01

In an ongoing study, RAND researchers are evaluating the effectiveness of Carnegie Learning's Cognitive Tutor Algebra I (CTAI) curriculum, a technology-based curriculum that combines classroom instruction with individualized instruction by a computer-based tutor. While the effectiveness of the curriculum in raising student achievement is the main…

Gramsci, Doke and the Marginalisation of the Ndebele Language in Zimbabwe

ERIC Educational Resources Information Center

Ndhlovu, Finex

2006-01-01

Clement M. Doke's 1929-1930 research on Zimbabwean languages has played a key role in shaping the tribalised and politicised linguistic terrain that characterises modern Zimbabwe. Doke, professor of linguistics at the University of Witwaters-rand, was commissioned in 1929 by the government of Southern Rhodesia (present-day Zimbabwe) to research…

Workforce Planning in the Intelligence Community: A Retrospective

DTIC Science & Technology

2013-01-01

segments of this work. We also wish to thank Dwayne M. Butler and Nelson Lim from RAND and Robert B. Murrett of the Syracuse University Department of Public...Taylor, Richard Eisenman, William Fedorochko, Clifford M. Graf II, Mark Hoyer, Paul Bracken, Norman T. O’Meara, Jerry M. Sollinger, Judith Larson

Dry coal feeder development program at Ingersoll-Rand Research, Incorporated. [for coal gasification systems

NASA Technical Reports Server (NTRS)

Mistry, D. K.; Chen, T. N.

1977-01-01

A dry coal screw feeder for feeding coal into coal gasification reactors operating at pressures up to 1500 psig is described. Results on the feeder under several different modes of operation are presented. In addition, three piston feeder concepts and their technical and economical merits are discussed.

Paying for War: Funding U.S. Military Operations Since 2001

DTIC Science & Technology

2011-08-01

of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...Requests and Appropriations, Less Defense Health .......................................................37  3.5. Difference between Investment...chapter concludes the dissertation with some policy recommendations directed towards the executive and legislative branches designed to moderate budgetary

75 FR 45160 - Ingersoll-Rand/Harrow Products, Inc., Formerly Known as Locknetics Including On-Site Leased...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-02

... account under the name Harrow Products, Inc. Accordingly, the Department is amending this certification to... Products, Inc., Formerly Known as Locknetics Including On-Site Leased Workers From Monroe Staffing Services, Adecco USA, Inc., and Infinistaff, LLC, Bristol, CT; Amended Certification Regarding Eligibility To Apply...

Combat Risk and Pay: Theory and Some Evidence

DTIC Science & Technology

2011-10-01

Kavanagh, and Laura Miller. 2006. “How Deployments Affect Service Members.” RAND Report MG432. Hosek, James R. and Mark E. Totten . 2004. “The Effect of...Richard Layard, 12: 641 92. Amsterdam, Netherlands: North Holland Publishing Co. Shogren, Jason F. and Tommy Stamland. 2002. “Skill and the Value of

A Study of Alternatives in American Education, Vol. IV: Family Choice in Schooling.

ERIC Educational Resources Information Center

Bridge, R. Gary; Blackman, Julie

Originating in the Rand Corporation's evaluation of the voucher demonstration project in the Alum Rock Union School District (California), this study of family choice in schooling focuses on these questions: Are parents motivated and competent to make intelligent choices among competing educational alternatives? What kinds of schools do parents…

Models, Simulations, and Games: A Survey.

ERIC Educational Resources Information Center

Shubik, Martin; Brewer, Garry D.

A Rand evaluation of activity and products of gaming, model-building, and simulation carried out under the auspices of the Defense Advanced Research Projects Agency aimed not only to assess the usefulness of gaming in military-political policymaking, but also to contribute to the definition of common standards and the refinement of objectives for…

Using Field Data to Improve Authorized Stockage List Push Packages

DTIC Science & Technology

2011-01-01

end-item such as the M777 is difficult. See Galway and Hanks, 1996, pp. 17–39. 19EDA data contain critical parts that cause equipment to be non...html Galway , Lionel, and Christopher Hanks, Data Quality Problems in Army Logistics Classification, Examples, and Solutions, Santa Monica, CA: RAND

What Teacher Characteristics Affect Student Achievement? Findings from Los Angeles Public Schools. Research Brief

ERIC Educational Resources Information Center

Giglio, Kate

2010-01-01

Teacher effectiveness is typically measured by traditional teacher qualification standards, such as experience, education, and scores on licensure examinations. RAND researchers found no evidence that these standards have a substantial effect on student achievement in Los Angeles public elementary, middle, and high schools. Alternative measures of…

Implementing No Child Left Behind in Three States. Research Brief

ERIC Educational Resources Information Center

Stecher, Brian M.; Epstein, Scott; Hamilton, Laura S.; Marsh, Julie A.; Robyn, Abby; McCombs, Jennifer Sloan; Russell, Jennifer; Naftel, Scott

2008-01-01

This research brief describes work done for RAND Education and documented in "Pain and Gain: Implementing No Child Left Behind in Three States, 2004-2006", Brian M. Stecher, Scott Epstein, Laura S. Hamilton, Julie A. Marsh, Abby Robyn, Jennifer Sloan McCombs, Jennifer Russell, and Scott Naftel." The three states discussed are:…

The Role of Charter Schools in Improving Education. Policy Brief

ERIC Educational Resources Information Center

Bodilly, Susan; Li, Jennifer

2009-01-01

This is one in a series of policy briefs on key education issues prepared by the RAND Corporation for the Obama administration. Despite controversy, charter schools are increasing in numbers as alternatives to traditional public schools. Research finds that charter schools do not produce the predicted negative effects and that they have some…

Issues in the Use of Postservice Educational Benefits as Enlistment Incentives. A Rand Note.

ERIC Educational Resources Information Center

Fernandez, Richard L.

This study examined positive and normative policy issues in the use of educational benefits as military service enlistment incentives. A test of the attractiveness of enhancements to the Veterans' Educational Assistance Program (VEAP) has been underway since January 1979. The enhancements, called VEAP "kickers," are limited to high…

Maintenance of Effort Provisions: An Instrument of Federalism in Education.

ERIC Educational Resources Information Center

Gurwitz, Aaron S.; Darling-Hammond, Linda

Educational agencies accepting federal funds for special programs, particularly under Title I of the Elementary and Secondary Education Act, are often required to prove maintenance of effort. That is, funds generated from state and local sources cannot be decreased and the slack taken up with the federal moneys. The Rand Corporation study reported…

The use of PROMIS and the RAND VSQ9 in chiropractic patients receiving care with the Webster Technique.

PubMed

Alcantara, Joel; Ohm, Jeanne; Alcantara, Junjoe

2016-05-01

Our ongoing efforts to demonstrate effectiveness of care examined the quality of life (QoL) and patient satisfaction of chiropractic patients presenting for care in a PBRN. In addition to socio-demographic and clinical care information, we examined visit-specific satisfaction and QoL using the RAND VSQ and PROMIS-29, respectively. Our study population was comprised of 126 subjects (average age = 39.68; 97 females). The majority of respondents presented with musculoskeletal complaints with an average mean duration of 7.188 years. The mean PROMIS-25 mean T Scores were: depression (47.80); pain interference (53.49); fatigue (51.02); physical function (49.02); satisfaction with social role (52.10); anxiety (50.14); and sleep disturbance (49.88). The VSQ9 mean score was 93.4% indicating high satisfaction. Adults attending care in a chiropractic PBRN were able to successfully complete the PROMIS29 and VSQ9 instruments. Future longitudinal studies should quantify the minimal clinically important difference in mean T score changes. Copyright © 2015 Elsevier Ltd. All rights reserved.

The Future of Health Care in the Kurdistan Region - Iraq: Toward an Effective, High-Quality System with an Emphasis on Primary Care.

PubMed

Moore, Melinda; Anthony, C Ross; Lim, Yee-Wei; Jones, Spencer S; Overton, Adrian; Yoong, Joanne K

2014-01-01

At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care.

Health Sector Reform in the Kurdistan Region - Iraq: Financing Reform, Primary Care, and Patient Safety.

PubMed

Anthony, C Ross; Moore, Melinda; Hilborne, Lee H; Mulcahy, Andrew W

2014-12-30

In 2010, the Kurdistan Regional Government asked the RAND Corporation to help guide reform of the health care system in the Kurdistan Region of Iraq. The overarching goal of reform was to help establish a health system that would provide high-quality services efficiently to everyone to prevent, treat, and manage physical and mental illnesses and injuries. This article summarizes the second phase of RAND's work, when researchers analyzed three distinct but intertwined health policy issue areas: development of financing policy, implementation of early primary care recommendations, and evaluation of quality and patient safety. For health financing, the researchers reviewed the relevant literature, explored the issue in discussions with key stakeholders, developed and assessed various policy options, and developed plans or approaches to overcome barriers and achieve stated policy objectives. In the area of primary care, they developed and helped to implement a new management information system. In the area of quality and patient safety, they reviewed relevant literature, discussed issues and options with health leaders, and recommended an approach toward incremental implementation.

A New Random Walk for Replica Detection in WSNs.

PubMed

Aalsalem, Mohammed Y; Khan, Wazir Zada; Saad, N M; Hossain, Md Shohrab; Atiquzzaman, Mohammed; Khan, Muhammad Khurram

2016-01-01

Wireless Sensor Networks (WSNs) are vulnerable to Node Replication attacks or Clone attacks. Among all the existing clone detection protocols in WSNs, RAWL shows the most promising results by employing Simple Random Walk (SRW). More recently, RAND outperforms RAWL by incorporating Network Division with SRW. Both RAND and RAWL have used SRW for random selection of witness nodes which is problematic because of frequently revisiting the previously passed nodes that leads to longer delays, high expenditures of energy with lower probability that witness nodes intersect. To circumvent this problem, we propose to employ a new kind of constrained random walk, namely Single Stage Memory Random Walk and present a distributed technique called SSRWND (Single Stage Memory Random Walk with Network Division). In SSRWND, single stage memory random walk is combined with network division aiming to decrease the communication and memory costs while keeping the detection probability higher. Through intensive simulations it is verified that SSRWND guarantees higher witness node security with moderate communication and memory overheads. SSRWND is expedient for security oriented application fields of WSNs like military and medical.

A New Random Walk for Replica Detection in WSNs

PubMed Central

Aalsalem, Mohammed Y.; Saad, N. M.; Hossain, Md. Shohrab; Atiquzzaman, Mohammed; Khan, Muhammad Khurram

2016-01-01

Wireless Sensor Networks (WSNs) are vulnerable to Node Replication attacks or Clone attacks. Among all the existing clone detection protocols in WSNs, RAWL shows the most promising results by employing Simple Random Walk (SRW). More recently, RAND outperforms RAWL by incorporating Network Division with SRW. Both RAND and RAWL have used SRW for random selection of witness nodes which is problematic because of frequently revisiting the previously passed nodes that leads to longer delays, high expenditures of energy with lower probability that witness nodes intersect. To circumvent this problem, we propose to employ a new kind of constrained random walk, namely Single Stage Memory Random Walk and present a distributed technique called SSRWND (Single Stage Memory Random Walk with Network Division). In SSRWND, single stage memory random walk is combined with network division aiming to decrease the communication and memory costs while keeping the detection probability higher. Through intensive simulations it is verified that SSRWND guarantees higher witness node security with moderate communication and memory overheads. SSRWND is expedient for security oriented application fields of WSNs like military and medical. PMID:27409082

SED Alumni---breeding ground for scientists

NASA Astrophysics Data System (ADS)

Bederson, Benjamin

2006-04-01

In 1943 the US Army established the Special Engineering Detachment (SED), in which mostly drafted young soldiers possessing some scientific credentials (though usually quite minimal) were reassigned from other duties to the Manhattan Project to assist in various research and development aspects of nuclear weapons. The Los Alamos contingent, never more than a few hundred GIs, worked with more senior scientists and engineers, often assuming positions of real responsibility. An unintended consequence of this circumstance was the fact that being in the SEDs turned out to be a fortuitous breeding ground for future physicists, chemists, and engineers. SEDs benefited from their close contacts with established scientists, working with them side by side, attended lectures by luminaries, and gained invaluable experience that would help them establish academic and industrial careers later in life. I will discuss some of these individuals (I list only those of whom I am personally aware). These include Henry ``Heinz'' Barschall*, Richard Bellman*-RAND Corporation, Murray Peshkin-ANL, Peter Lax-Courant Institute, NYU, William Spindel*-NRC,NAS, Bernard Waldman- Notre Dame, Richard Davisson*-U of Washington, Arnold Kramish- RAND, UNESCO, Josef Hofmann- Acoustic Research Corp, Val Fitch- Princeton U. *deceased

Balancing Demand and Supply for Veterans' Health Care: A Summary of Three RAND Assessments Conducted Under the Veterans Choice Act.

PubMed

Farmer, Carrie M; Hosek, Susan D; Adamson, David M

2016-06-20

In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans' access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act") in August 2014. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C). This article summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans' needs and VA's capabilities, including VA's ability to purchase necessary care from the private sector.

Robotic total thyroidectomy with modified radical neck dissection via unilateral retroauricular approach.

PubMed

Byeon, Hyung Kwon; Holsinger, F Christopher; Tufano, Ralph P; Chung, Hyo Jin; Kim, Won Shik; Koh, Yoon Woo; Choi, Eun Chang

2014-11-01

Traditionally, total thyroidectomy was performed through an open transcervical incision; in cases where there was evident nodal metastasis, the conventional surgical approach was to extend the incision into a large single transverse incision to complete the required neck dissection. However, recent innovation in the surgical technique of thyroidectomy has offered the opportunity to reduce the patient's burden from these prominent surgical scars in the neck. Minimally invasive surgical techniques have been developed and applied by many institutions worldwide, and more recently, various techniques of remote access surgery have been suggested and actively applied.1-6 Since the advent of robotic surgical systems, some have adopted the concept of remote access surgery into developing various robotic thyroidectomy techniques. The more former and widely acknowledged robotic thyroidectomy technique uses a transaxillary (TA) approach, which has been developed by Chung et al. in Korea.7,8 This particular technique has some limitations in the sense that accessing the lymph nodes of the central compartment is troublesome. Terris et al. realized some shortcomings of robotic TA thyroidectomy, especially in their patients in the United States, and developed and reported the feasibility of robotic facelift thyroidectomy.9-13 In cases of thyroid carcinomas with lateral neck node metastases, most abandoned the concept of minimally invasive or remote access surgery and safely adopted conventional open surgical methods to remove the tumor burden. However, Chung et al. have attempted to perform concomitant modified radical neck dissection (MRND) after robotic thyroidectomy through the same TA port.14 This type of robot-assisted neck dissection (RAND) had some inherent limitations, due to fact that lymph nodes of the upper neck were difficult to remove. Over the past few years, we have developed a RAND via modified facelift (MFL) or retroauricular (RA) approach and reported the feasibility and safety of this technique.15, 16 Since then, we have actively applied such RAND techniques in various head and neck cancers. In our country, almost all cases of robotic total thyroidectomy utilize the TA approach. According to the reports made by Terris et al., robotic facelift thyroidectomy technique has been solely applied for ipsilateral hemithyroidectomy. For total thyroidectomy, Terris et al. performed the robotic surgery with bilateral RA incisions. Here, we intend to introduce our novel surgical method after successfully attempting simultaneous robotic total thyroidectomy and RAND via a single RA approach without an axillary incision. To our knowledge, this is the first to report in the medical literature. We present four cases of our surgical experience since the beginning of 2013. All patients received robotic total thyroidectomy with MRND via single RA port without axillary incision after approval from the institutional review board at Severance Hospital, Yonsei University College of Medicine. The inclusion criteria for this operation were as follows: (1) patients with malignant carcinomas of the thyroid gland with evident cervical lymph node metastasis on preoperative imaging studies which are indicated for surgery; (2) patients with no previous history of treatment for thyroid carcinoma. The exclusion criteria were as follows: (1) patients with recurred thyroid tumors; (2) patients with thyroid carcinomas that showed gross invasion to local structures or extensive extrathyroidal capsular spread; (3) patients with clinically evident neck nodal metastasis with extracapsular spread; (4) patients with past history of neck surgery of any kind. In order to assess the extent of disease, neck ultrasonography with fine needle aspiration, neck CT or MRI and PET-CT were performed as preoperative evaluation. All patients were given full information of the possible treatment options for their thyroid cancer comprising of open transcervical approach and robotic surgery via RA approach, including the advantages and disadvantages of each treatment choice and provided written, informed consents before the surgery. General clinical information of the patients is outlined in Table 1. The skin incision for the operation was designed just like the approach for robotic facelift thyroidectomy by Terris et al. and RAND, which has been first reported by our institution.11 (,) 16 The operation was performed by the following sequence. Initially, the skin-subplatysmal flap was elevated after making the skin incision to create sufficient working space. During this process, the elevated skin flap was retracted and maintained by retractors held by the assistant. After application of the self-retaining retractor (Sangdosa Inc., Seoul), neck dissection of the upper neck levels was performed under gross vision. Next, RAND through the RA incision was conducted followed by ipsilateral thyroidectomy with central compartment neck dissection (CCND) via the same approach. Finally, contralateral thyroidectomy with CCND was performed via the single RA port. During these steps, the operator is aided by the bedside assistant with long-suction tips to manipulate and direct the dissected specimen to maintain optimal surgical view or to suck out the fume created by the thermocoagulation from the Harmonic shears. The da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA) was introduced via the RA port with a facedown 30° dual-channel endoscopic arm placed in the center, and two instrument arms equipped at either side with 5-mm Maryland forceps and Harmonic curved shears. During the step of robotic contralateral thyroidectomy, a ProGrasp forceps was utilized at times, instead of 5-mm Maryland forceps. The rest of the surgery was completed with the robotic system (see Video for demonstration of operation for patient 2). Table 1 Clinical characteristics of the patients Patient Sex/age (yr) BMI Side(a) Approach Pathology(b) Tumor size(c) (cm) CCND(d) MRND(d) Drain removal day Drainage amount (ml) Hospital stay (days) 1 F/38 23.8 L RA PC 0.7 2/5 8/23 8 788 11 2 F/18 18.3 L RA PC 0.8 2/8 7/35 6 398 9 3 F/44 23.1 L RA PC 0.9 5/12 5/27 6 607 9 4 F/26 32.9 L RA PC 1.4 3/14 9/48 7 476 15 BMI body mass index, RA retroauricular approach, PC papillary carcinoma, CCND central compartment neck dissection, MRND modified radical neck dissection (a)Side refers to the site of main lesion (b)Pathology refers to the primary tumor within the thyroid gland (c)Tumor size refers to the diameter of the largest tumor in the thyroid gland (d)For each type of lymph node dissection, the number of positive nodes/total number of retrieved nodes is stated For all of the patients, robotic total thyroidectomy with MRND (levels II, III, IV, V) via unilateral RA approach was successfully completed without any significant intraoperative complications or conversion to open or other approach methods. The total operation time was defined as the time from initial skin incision to removal of the final specimen, which was an average 306.1 ± 11.1 min (Table 2). This included the time for skin flap elevation and neck dissection under gross vision (87 ± 2.8 min), setting up the robotic system for RAND (6.8 ± 2.4 min), console time using the robotic system for RAND (59.3 ± 2.2 min), flap elevation for thyroidectomy (11.3 ± 2.5 min), robotic arms docking for ipsilateral thyroidectomy (6.3 ± 2.5 min), console time for ipsilateral thyroidectomy (61.3 ± 2.1 min), robotic arms docking for contralateral thyroidectomy (6.3 ± 2.5 min), and console time for contralateral thyroidectomy (61.8 ± 2.1 min). The working space created from RA incision was sufficient, and manipulations of the robotic instruments through this approach were technically feasible and safe without any mutual collisions throughout the entire operation. It also allowed for an excellent magnified surgical view enabling visualization of important local anatomical structures. There was no postoperative vocal cord palsy due to recurrent laryngeal nerve injury. However, two patients developed transient hypoparathyroidism, which resolved in the end without the need for calcium or vitamin D supplementation after certain period of medical management (Table 3). Also, there was no incidence of postoperative hemorrhage or hematoma formation, although a single patient developed a postoperative seroma on postoperative day 9, which was managed conservatively without the need for further surgical intervention. On average, the wound catheter was removed 6.8 ± 1 days after surgery and the patient was discharged from the hospital at an average 11 ± 2.8 days from admission (Table 1). Final surgical pathology confirmed the diagnosis of papillary carcinoma for every patient. The total number of cervical nodes retrieved from CCND and MRND was 9.8 ± 4 and 33.1 ± 11 respectively, and the number of positive metastatic nodes was 3 ± 1.4 and 7.3 ± 1.7 respectively (Table 1). In three patients (patients 2, 3, and 4), the presence of one parathyroid gland was each verified in the pathology specimen. All four patients have received high-dose (150 mCi) radioiodine ablation (RAI) therapy after the operation and are being followed up (average 11.3 months, range 9-13 months) on a regular basis with no evidence of recurrence (post-RAI, most recent, nonsuppressed thyroglobulin range 0.1-0.4 ng/ml, antithyroglobulin antibody range 13.7-147.5 IU/ml). (ABSTRACT TRUNCATED)

Development and validation of Australian aphasia rehabilitation best practice statements using the RAND/UCLA appropriateness method

PubMed Central

Power, Emma; Thomas, Emma; Worrall, Linda; Rose, Miranda; Togher, Leanne; Nickels, Lyndsey; Hersh, Deborah; Godecke, Erin; O'Halloran, Robyn; Lamont, Sue; O'Connor, Claire; Clarke, Kim

2015-01-01

Objectives To develop and validate a national set of best practice statements for use in post-stroke aphasia rehabilitation. Design Literature review and statement validation using the RAND/UCLA Appropriateness Method (RAM). Participants A national Community of Practice of over 250 speech pathologists, researchers, consumers and policymakers developed a framework consisting of eight areas of care in aphasia rehabilitation. This framework provided the structure for the development of a care pathway containing aphasia rehabilitation best practice statements. Nine speech pathologists with expertise in aphasia rehabilitation participated in two rounds of RAND/UCLA appropriateness ratings of the statements. Panellists consisted of researchers, service managers, clinicians and policymakers. Main outcome measures Statements that achieved a high level of agreement and an overall median score of 7–9 on a nine-point scale were rated as ‘appropriate’. Results 74 best practice statements were extracted from the literature and rated across eight areas of care (eg, receiving the right referrals, providing intervention). At the end of Round 1, 71 of the 74 statements were rated as appropriate, no statements were rated as inappropriate, and three statements were rated as uncertain. All 74 statements were then rated again in the face-to-face second round. 16 statements were added through splitting existing items or adding new statements. Seven statements were deleted leaving 83 statements. Agreement was reached for 82 of the final 83 statements. Conclusions This national set of 82 best practice statements across eight care areas for the rehabilitation of people with aphasia is the first to be validated by an expert panel. These statements form a crucial component of the Australian Aphasia Rehabilitation Pathway (AARP) (http://www.aphasiapathway.com.au) and provide the basis for more consistent implementation of evidence-based practice in stroke rehabilitation. PMID:26137883

Development of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation.

PubMed

Baker-Smith, Carissa M; Carlson, Karina; Ettedgui, Jose; Tsuda, Takeshi; Jayakumar, K Anitha; Park, Matthew; Tede, Nikola; Uzark, Karen; Fleishman, Craig; Connuck, David; Likes, Maggie; Penny, Daniel J

2018-01-01

To develop quality metrics (QMs) for the ambulatory care of patients with transposition of the great arteries following arterial switch operation (TGA/ASO). Under the auspices of the American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Steering committee, the TGA/ASO team generated candidate QMs related to TGA/ASO ambulatory care. Candidate QMs were submitted to the ACPC Steering Committee and were reviewed for validity and feasibility using individual expert panel member scoring according to the RAND-UCLA methodology. QMs were then made available for review by the entire ACC ACPC during an "open comment period." Final approval of each QM was provided by a vote of the ACC ACPC Council. Patients with TGA who had undergone an ASO were included. Patients with complex transposition were excluded. Twelve candidate QMs were generated. Seven metrics passed the RAND-UCLA process. Four passed the "open comment period" and were ultimately approved by the Council. These included: (1) at least 1 echocardiogram performed during the first year of life reporting on the function, aortic dimension, degree of neoaortic valve insufficiency, the patency of the systemic and pulmonary outflows, the patency of the branch pulmonary arteries and coronary arteries, (2) neurodevelopmental (ND) assessment after ASO; (3) lipid profile by age 11 years; and (4) documentation of a transition of care plan to an adult congenital heart disease (CHD) provider by 18 years of age. Application of the RAND-UCLA methodology and linkage of this methodology to the ACPC approval process led to successful generation of 4 QMs relevant to the care of TGA/ASO pediatric patients in the ambulatory setting. These metrics have now been incorporated into the ACPC Quality Network providing guidance for the care of TGA/ASO patients across 30 CHD centers. © 2017 Wiley Periodicals, Inc.

Working hours and sleep duration in midlife as determinants of health-related quality of life among older businessmen.

PubMed

von Bonsdorff, Mikaela Birgitta; Strandberg, Arto; von Bonsdorff, Monika; Törmäkangas, Timo; Pitkälä, Kaisu H; Strandberg, Timo E

2017-01-25

Long working hours and short sleep duration are associated with a range of adverse health consequences. However, the combined effect of these two exposures on health-related quality of life (HRQoL) has not been investigated. We studied white men born between 1919 and 1934 in the Helsinki Businessmen Study (HBS, initial n = 3,490). Data on clinical variables, self-rated health (SRH), working hours and sleep duration in 1974, and RAND-36 (SF-36) HRQoL survey in the year 2000 were available for 1,527 men. Follow-up time was 26 years. By combining working hours and sleep duration, four categories were formed: (i) normal work (≤50 hours/week) and normal sleep (>47 hours/week); (ii) long work (>50 hours/week) and normal sleep; (iii) normal work and short sleep (≤47 hours/week); and (iv) long work and short sleep. The association with RAND-36 domains was examined using multiple linear regression models adjusted for age, smoking and SRH. Compared to those with normal work and sleep in midlife, men with long work and short sleep had poorer RAND-36 scores for physical functioning, vitality and general health, and those with long work and normal sleep had poorer scores for physical functioning in old age. Adjustment for midlife smoking and SRH attenuated the associations, but the one for long work and short sleep and physical functioning remained significant (difference in mean physical functioning score −4.58, 95% confidence interval −9.00 to −0.15). Businessmen who had long working hours coupled with short sleep duration in midlife had poorer physical health in old age. © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com

A protocol for a scoping and qualitative study to identify and evaluate indications for damage control surgery and damage control interventions in civilian trauma patients

PubMed Central

Roberts, Derek J; Zygun, David A; Kirkpatrick, Andrew W; Ball, Chad G; Faris, Peter D; Bobrovitz, Niklas; Robertson, Helen Lee; Stelfox, H Thomas

2014-01-01

Introduction Initial abbreviated surgery with planned reoperation (damage control surgery) is frequently used for major trauma patients to rapidly control haemorrhage while limiting surgical stress. Although damage control surgery may decrease mortality risk among the severely injured, it may also be associated with several complications when inappropriately applied. We seek to scope the literature on trauma damage control surgery, identify its proposed indications, map and clarify their definitions, and examine the content and evidence on which they are based. We also seek to generate a comprehensive list of unique indications to inform an appropriateness rating process. Methods and analysis We will search 11 electronic bibliographic databases, included article bibliographies and grey literature sources for citations involving civilian trauma patients that proposed one or more indications for damage control surgery or a damage control intervention. Indications will be classified into a predefined conceptual framework and categorised and described using qualitative content analysis. Constant comparative methodology will be used to create, modify and test codes describing principal findings or injuries (eg, bilobar liver injury) and associated decision variables (eg, coagulopathy) that comprise the reported indications. After a unique list of codes have been developed, we will use the organisational system recommended by the RAND/University of California, Los Angeles (RAND-UCLA) Appropriateness Rating Method to group principal findings or injuries into chapters (subdivided by associated decision variables) according to broader clinical findings encountered during surgical practice (eg, major liver injury). Ethics and dissemination This study will constitute the first step in a multistep research programme aimed at developing appropriate, evidence-informed indications for damage control in civilian trauma patients. With use of an integrated knowledge translation intervention that includes collaboration with surgical practice leaders, this research may allow for development of indications that are more likely to be relevant to and used by surgeons. Ethics approval is not required for this study. PMID:25001397

Metabolic cost and mechanics of walking in women with fibromyalgia syndrome.

PubMed

MacPhee, Renée S; McFall, Kristen; Perry, Stephen D; Tiidus, Peter M

2013-10-18

Fibromyalgia syndrome (FS) is characterized by the presence of widespread pain, fatigue, muscle weakness and reduced work capacity. Previous research has demonstrated that women with fibromyalgia have altered walking (gait) patterns, which may be a consequence of muscular pain. This altered gait is characterized by greater reliance on hip flexors rather than ankle plantar flexors and resembles gait patterns seen in normal individuals walking at higher speeds, suggesting that gait of individuals with fibromyalgia may be less efficient.This study compared rates of energy expenditure of 6 females with FS relative to 6 normal, age and weight matched controls, at various walking speeds on a motorized treadmill. Metabolic measurements including V02 (ml/kg/min), respirations, heart rate and calculated energy expenditures as well as the Borg Scale of Perceived Exertion scale ratings were determined at baseline and for 10 min while walking at each of 2, 4 and 5 km/hour on 1% grade. Kinematic recordings of limb and body movements while treadmill walking and separate measurements of ground reaction forces while walking over ground were also determined. In addition, all subjects completed the RAND 36-Item Health Survey (1.0). Gait analysis results were similar to previous reports of altered gait patterns in FS females. Despite noticeable differences in gait patterns, no significant differences (p > 0.05) existed between the FS and control subjects on any metabolic measures at any walking speed. Total number of steps taken was also similar between groups. Ratings on the Borg Scale of Perceived Exertion, the RAND and self-reported levels of pain indicated significantly greater (p < 0.05) perceived effort and pain in FS subjects relative to control subjects during walking and daily activities. The altered gait patterns and greater perceptions of effort and pain did not significantly increase the metabolic costs of walking in women with FS and hence, increased sensations of fatigue in FS women may not be related to alteration in metabolic cost of ambulation.

Metabolic cost and mechanics of walking in women with fibromyalgia syndrome

PubMed Central

2013-01-01

Background Fibromyalgia syndrome (FS) is characterized by the presence of widespread pain, fatigue, muscle weakness and reduced work capacity. Previous research has demonstrated that women with fibromyalgia have altered walking (gait) patterns, which may be a consequence of muscular pain. This altered gait is characterized by greater reliance on hip flexors rather than ankle plantar flexors and resembles gait patterns seen in normal individuals walking at higher speeds, suggesting that gait of individuals with fibromyalgia may be less efficient. This study compared rates of energy expenditure of 6 females with FS relative to 6 normal, age and weight matched controls, at various walking speeds on a motorized treadmill. Metabolic measurements including V02 (ml/kg/min), respirations, heart rate and calculated energy expenditures as well as the Borg Scale of Perceived Exertion scale ratings were determined at baseline and for 10 min while walking at each of 2, 4 and 5 km/hour on 1% grade. Kinematic recordings of limb and body movements while treadmill walking and separate measurements of ground reaction forces while walking over ground were also determined. In addition, all subjects completed the RAND 36-Item Health Survey (1.0). Findings Gait analysis results were similar to previous reports of altered gait patterns in FS females. Despite noticeable differences in gait patterns, no significant differences (p > 0.05) existed between the FS and control subjects on any metabolic measures at any walking speed. Total number of steps taken was also similar between groups. Ratings on the Borg Scale of Perceived Exertion, the RAND and self-reported levels of pain indicated significantly greater (p < 0.05) perceived effort and pain in FS subjects relative to control subjects during walking and daily activities. Conclusions The altered gait patterns and greater perceptions of effort and pain did not significantly increase the metabolic costs of walking in women with FS and hence, increased sensations of fatigue in FS women may not be related to alteration in metabolic cost of ambulation. PMID:24139565

Reliability and Validity Study of the Finnish Adaptation of Scoliosis Research Society Questionnaire Version SRS-30.

PubMed

Kyrölä, Kati; Järvenpää, Salme; Ylinen, Jari; Mecklin, Jukka-Pekka; Repo, Jussi Petteri; Häkkinen, Arja

2017-06-15

A prospective clinical study to test and adapt a Finnish version of the Scoliosis Research Society 30 (SRS-30) questionnaire. The aim of this study was to perform cross-cultural adaptation and evaluate the validity of the adapted Finnish version of the SRS-30 questionnaire. The SRS-30 questionnaire has proved to be a valid instrument in evaluating health-related quality of life (HRQoL) in adolescent and adult population with spine deformities in the United States. Multinational availability requires cross-cultural and linguistic adaptation and validation of the instrument. The SRS-30 was translated into Finnish using accepted methods for translation of quality-of-life questionnaires. A total of 274 adult patients with degenerative radiographic sagittal spinal disorder answered the questionnaire with sociodemographic data, RAND 36-item health survey questionnaire (RAND Corp. Health, Santa Monica, CA, US), Oswestry disability index, DEPS depression scale, and Visual Analog Scale (VAS) back and leg pain scales within 2 weeks' interval. The cohort included patients with and without previous spine surgery. Internal consistency and validity were tested with Cronbach α, intraclass correlation (ICC), standard error of measurement, and Spearman correlation coefficient with 95% confidence intervals (CIs). The internal consistency of SRS-30 was good in both surgery and nonsurgery groups, with Cronbach α 0.853 (95% CI, 0.670 to 0.960) and 0.885 (95% CI, 0.854 to 0.911), respectively. The test-retest reproducibility ICC of the SRS-30 total and subscore domains of patients with stable symptoms was 0.905 (95% CI, 0.870-0.930) and 0.904 (95% CI, 0.871-0.929), respectively. The questionnaire had discriminative validity in the pain, self-image, and satisfaction with management domains compared with other questionnaires. The SRS-30 questionnaire proved to be valid and applicable in evaluating HRQoL in Finnish adult spinal deformity patients. It has two domains related to deformity that are not covered by other generally used questionnaires. 3.

A mixed-method study on the generic and ostomy-specific quality of life of cancer and non-cancer ostomy patients.

PubMed

Jansen, Femke; van Uden-Kraan, Cornelia F; Braakman, J Annemieke; van Keizerswaard, Paulina M; Witte, Birgit I; Verdonck-de Leeuw, Irma M

2015-06-01

The aim of this study is to compare the generic and ostomy-specific quality of life (QoL) between cancer and non-cancer ostomy patients using a mixed-method design. All patients with an ostomy participating in the Stomapanel of the Dutch Ostomy Association were asked to complete a generic (RAND-36) and ostomy-specific (Stoma-QoL) QoL questionnaire. In addition, open-ended questions on symptoms, restrictions or adaptations influencing daily life were included. The generic and ostomy-specific QoL between cancer and non-cancer ostomy patients were compared using linear regression analyses. Qualitative responses were analysed using content analysis. In total, 668 patients were included: 379 cancer patients (80 % colorectal, 17 % bladder and 3 % other) and 289 non-cancer patients (38 % colitis ulcerosa, 22 % Crohn's disease and 40 % other) with a colostomy (55 %), ileostomy (31 %) and/or urostomy (16 %). Adjusted for gender, age, type of ostomy and time elapsed since ostomy surgery, cancer ostomy patients scored higher (better) on Stoma-QoL (β = 2.1) and all RAND-36 domains (9.1 < β ≤ 19.5) except on mental health compared to non-cancer ostomy patients. Of the 33 themes coded for in the content analysis, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most frequently reported themes, although ranking differed between both patient groups. Besides, cancer ostomy patients frequently reported on the impact on (engaging in a) relationship or sexual intimacy and non-cancer ostomy patients frequently reported to be relieved of symptoms and restrictions in daily life. Cancer patients reported better generic and ostomy-specific QoL than non-cancer ostomy patients. In both cancer and non-cancer ostomy patients, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most common reported themes influencing daily life. However, the ranking of these 10 most common themes was different in both patient groups.

Piaget's Geographical Spatial Stages: An Examination of Their Relationship to Elementary Children's Classification-Class Inclusion Abilities.

ERIC Educational Resources Information Center

Rand, David C.; Towler, John O.

This study examines the relationship between a child's concept of geographic and territorial relationships and his competence on classification and class inclusion measures. Jean Piaget's stages of development and studies conducted by other investigators (Jahoda, 1964; Stoltman, 1971; Rand and Towler, 1973; Flavell, 1963; Asher, et al, 1971;…

Early Care and Education in the Golden State: Publicly Funded Programs Serving California's Preschool-Age Children

ERIC Educational Resources Information Center

Karoly, Lynn A.; Reardon, Elaine; Cho, Michelle

2007-01-01

To evaluate the adequacy and efficiency of preschool education, the RAND Corporation has undertaken the California Preschool Study to improve understanding of achievement gaps in the early elementary grades, the adequacy of preschool education currently given, and what efficiencies or additional resources might be brought to bear in early care and…

Unit Cohesion and the Surface Navy: Does Cohesion Affect Performance

DTIC Science & Technology

1989-12-01

v. 68, 1968. Neter, J., Wasserman, W., and Kutner, M. H., Applied Linear Regression Models, 2d ed., Boston, MA: Irwin, 1989. Rand Corporation R-2607...Neter, J., Wasserman, W., and Kutner, M. H., Applied Linear Regression Models, 2d ed., Boston, MA: Irwin, 1989. SAS User’s Guide: Basics, Version 5 ed

Small Ships in Theater Security Cooperation

DTIC Science & Technology

2008-01-01

ENVIRONMENT HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE...Civil Affairs, Washington, D.C.: Joint Staff, April14, 2003. Marquis, Jefferson P., Richard E. Darilek, Jasen J. Castillo, Cathryn Quantic Thurston...McFadden, Cathryn Quantic Thurston, and Anny Wong. Building Partner Capabilities for Coalition Operations, Santa Monica, Calif.: RAND Corporation, MG

Making It Easier for School Staff to Help Traumatized Students. Research Highlights

ERIC Educational Resources Information Center

Maggio, Elizabeth

2009-01-01

Ten years ago, RAND researchers joined colleagues at the Los Angeles Unified School District and the University of California Los Angeles to confront the issue of the large number of children who go to school weighed down by experiencing or witnessing some form of violence, trauma, or maltreatment. The Cognitive-Behavioral Intervention for…

Improving Standoff Bombing Capacity in the Face of Anti-Access Area Denial Threats

DTIC Science & Technology

2015-09-01

Make a charitable contribution Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as...of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...Variables With (Left Column) and Without ( Right Column) Natural Log Transformation

Relationships between Electronic Information Media and Records Management Practices: Results of a Survey of United Nations Organizations. A Rand Note.

ERIC Educational Resources Information Center

Bikson, T. K.; Schieber, L.

A Technical Panel on Electronic Records Management (TP/REM), which was established by the Advisory Committee for the Co-ordination of Information Systems (ACCIS), conducted a survey of existing electronic records management practices and standards related to new information and communication technologies and their interrelationships within the…

Preparing Principals to Raise Student Achievement: Implementation and Effects of the New Leaders Program in Ten Districts. Appendix

ERIC Educational Resources Information Center

Gates, Susan M.; Hamilton, Laura S.; Martorell, Paco; Burkhauser, Susan; Heaton, Paul; Pierson, Ashley; Baird, Matthew; Vuollo, Mirka; Li, Jennifer J.; Lavery, Diana Catherine; Harvey, Melody; Gu, Kun

2014-01-01

New Leaders is dedicated to promoting student achievement by developing outstanding school leaders to serve in urban schools. RAND Corporation researchers conducted a formative and summative external evaluation of the New Leaders program, its theory of action, and its implementation from 2006 through 2013. This document presents technical…

Scholarly Communication and Information Technology: Exploring the Impact of Changes in the Research Process on Archives. Rand Reprints.

ERIC Educational Resources Information Center

Michelson, Avra; Rothenberg, Jeff

1993-01-01

The report considers the interaction of trends in information technology and trends in research practices and the policy implications for archives. The information is divided into 4 sections. The first section, an "Overview of Information Technology Trends," discusses end-user computing, which includes ubiquitous computing, end-user…

Education and the New Economy: Views from a Policy Planning Exercise. Rand Issue Paper.

ERIC Educational Resources Information Center

Stasz, Cathleen; Chiesa, James

During the 1990s, policymakers have become increasingly attentive to the relationship between education and national economic health and society's need to upgrade and equalize workforce skills, talent, and wages. The U.S. education and training system is fragmented, decentralized, and in flux, as more responsibility moves from federal to state…

Effect of combined folic acid, Vitamin B6, and Vitamin B12 on colorectal adenoma

USDA-ARS?s Scientific Manuscript database

Folic acid, vitamin B(6), and vitamin B(12) act in concert in the one-carbon metabolism and may protect against colorectal neoplasia. We examined the effect of combined B-vitamin treatment on the occurrence of colorectal adenoma. The Women's Antioxidant and Folic Acid Cardiovascular Study was a rand...

College Programs in Women's Prisons: Faculty Perceptions of Teaching Higher Education behind Bars

ERIC Educational Resources Information Center

Richard, Kymberly

2017-01-01

In 2014, the RAND Safety and Justice Program published a comprehensive analysis that "found, on average, inmates who participated in correctional education programs had 43 percent lower odds of recidivating than inmates who did not and that correctional education may increase post-release employment" Davis et al., 2014, p. xvi). The RAND…

Middle Class Squeeze. The Tomas Rivera Center Policy Brief.

ERIC Educational Resources Information Center

Rochin, Refugio I.; Soberanis, Pat

A recent report from Rand, a think tank in California, titled "The Trend in Inequality among Families, Individuals, and Workers in the United States" by Lynn A. Karoly confirms that the gap between the haves and have-nots is widening and that the middle class in the United States is shrinking. Latinos have been particularly hard hit.…

Understanding Proto-Insurgencies

DTIC Science & Technology

2007-01-01

10. SPONSOR/MONITOR’S ACRONYM( S ) 11. SPONSOR/MONITOR’S REPORT NUMBER( S ) 12. DISTRIBUTION /AVAILABILITY STATEMENT Approved for public release...This document and trademark( s ) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic...documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. Limited Electronic Distribution Rights This

Understanding Proto-Insurgencies

DTIC Science & Technology

2007-01-01

SPONSOR/MONITOR’S REPORT NUMBER( S ) 12. DISTRIBUTION /AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY...This document and trademark( s ) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic...documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. Limited Electronic Distribution Rights This

TWIRL: Tactical Warfare in the ROSS Language.

DTIC Science & Technology

1984-10-01

outputs of sponsored reserch for gee distribution. Publications of The Rand Corporation do not nece. * surily reflect the opinions or policies of the...I.I- V%.. CONTENTS p PREFACE ....................................................... iii SUM M ARY...objets involved in a battle. For wse in analysis or training. this facility would enable a human to play an active. decPisknmaking role during a

Programs That Work, from the Promising Practices Network on Children, Families and Communities. RAND Tool

ERIC Educational Resources Information Center

Kilburn, M. Rebecca, Ed.

2014-01-01

The Promising Practices Network (PPN) on Children, Families and Communities (www.promisingpractices.net) began as a partnership between four state-level organizations that help public and private organizations improve the well-being of children and families. The PPN website, archived in June 2014, featured summaries of programs and practices that…

Developing a School Finance System for K-12 Reform in Qatar

ERIC Educational Resources Information Center

Guarino, Cassandra M.; Galama, Titus; Constant, Louay; Gonzalez, Gabriella; Tanner, Jeffery C.; Goldman, Charles A.

2009-01-01

Reform-minded leaders of Qatar, who have embarked on a sweeping reform of their nation's education system, asked RAND to evaluate the education finance system that has been adopted and to offer suggestions for improvements. The authors analyze the system's evolution and resource allocation patterns between 2004 and 2006 and develop analytic tools…

77 FR 38826 - Certain Wireless Communication Devices, Portable Music and Data Processing Devices, Computers and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

...) should a RAND obligation nonetheless preclude issuance of an exclusion order? Please discuss theories in... preclude issuance of an exclusion order? Please discuss theories in law, equity, and the public interest... theories in law, equity, and the public interest, and identify which (if any) of the 337(d)(1) public...

Air Force Contingency Contracting: Reachback and Other Opportunities for Improvement

DTIC Science & Technology

2011-01-01

electrical, mechanical, air conditioning, food service , lodging management, laundry plant operation, fire protection emergency management, professional...public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND...information, including suggestions for reducing this burden, to Washington Headquarters Services , Directorate for Information Operations and Reports

Fertility Determinants: A Theory, Evidence, and an Application to Policy Evaluation.

ERIC Educational Resources Information Center

Schultz, T. Paul

This report surveys the first generation of theoretical and empirical research on the determinants of parent "demand" for children. A large fraction of this literature was first published as Rand reports and papers. The pragmatic question discussed here is the strengths and shortcomings of the state of the art in economic analysis of…

Ayn Rand: Effective Educational Leadership Traits Compared to Selfishness

ERIC Educational Resources Information Center

Thompson, Barbara A.; Kritsonis, William Allan

2009-01-01

A man's self-interest cannot be determined by blind desires or random whims, feelings, urges, or wishes. His interest must be discovered and achieved by the guidance of rational principles that he chooses for himself. This selfishness is man's way to individual triumph over hardships. It is a virtue. Man must be guided by his own independent…

All That Glitters Is Not Gold: Challenges of Teacher and School Leader Licensure Licensing System in Qatar

ERIC Educational Resources Information Center

Ellili-Cherif, Maha; Romanowski, Michael H.; Nasser, Ramzi

2012-01-01

In 2001, the Government of Qatar began a comprehensive education reform (Education for a New Era) based on RAND's recommendations and options for building an educational system that would meet the country's changing needs. Nine years later, Qatar's educational landscape has significantly changed. Among these changes is the introduction of…

Qatar's K-12 Education Reform Has Achieved Success in Its Early Years. Research Brief

ERIC Educational Resources Information Center

Larson, Judy

2009-01-01

To evaluate progress made in the first years of Qatar's implementation of K-12 education reform, RAND analyzed data from school-level observations, national surveys, and national student assessments. The study found that students in the new, Independent schools were performing better than those in Ministry schools, and there was greater student…

Workpapers in Teaching English as a Second Language, Vol. 11.

ERIC Educational Resources Information Center

Povey, John, Ed.

This issue of the workpapers includes the following reports and papers: "The ESL Service Courses at UCLA: A Progress Report," by Kathleen M. Bailey; "A Comparison of Item Analysis Programs," by Earl Rand; "Stereotypes in Media - or - How to Avoid Functional Fixedness," by James Heaton; "The Search for a Second Language Acquisition Index of…

High Stakes for Edison: A Rejoinder to John Chubb

ERIC Educational Resources Information Center

Campbell, Peter

2007-01-01

In this rejoinder to John Chubb's reply to "Edison Is the Symptom, NCLB Is the Disease," the author argues that Edison offers feel-good measures without really solving any of the problem of schools in poverty. Defending his original argument, the author cites a RAND study that questions the results Chubb claims. The study indicates the…

Perceptions Audit for the General Teaching Council for England. Technical Report

ERIC Educational Resources Information Center

Levitt, Ruth; Rabinovich, Lila; van Dijk, Lidia Villalba

2009-01-01

The General Teaching Council for England (GTC) commissioned RAND Europe in 2008 to undertake a perceptions audit, to take the temperature on its current status and to inform its future work with teachers, organisational partners and the wider public. A perceptions audit is a method for gathering opinions and views of selected informants about how…

Economic Implications of Changes in Financing Medical Education. The Rand Paper Series P-5150.

ERIC Educational Resources Information Center

Koehler, John E.; Williams, Albert P., Jr.

To increase the supply of doctors, the government has become directly involved in physician education. Of the $673 million appropriated for health manpower programs in 1972, 55% was for medical schools. Legislation to date has emphasized expansion of medical education output in the aggregate, but increasing attention has been directed to the…

Perspective on 2015 DoD Cyber Strategy

DTIC Science & Technology

2015-09-29

Testimony View document details Support RAND Browse Reports & Bookstore Make a charitable contribution Limited Electronic Distribution Rights This...AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY TERRORISM AND HOMELAND SECURITY Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting ...Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware

Poverty and the Power of Knowledge.

ERIC Educational Resources Information Center

Scolaro, John D.; Eschbach, Elizabeth

According to the authors, the real conditions of poverty and homelessness in America remain obscure. The homeless, contrary to popular belief, are not homeless by choice. 25% of the homeless are employed full-time in low-wage jobs, 25% are war veterans of one kind or another, and 25% are emotionally disturbed. According to the Rand Corporation,…

County-Level Estimates of the Effects of a Universal Preschool Program in California

ERIC Educational Resources Information Center

Karoly, Lynn A.

2005-01-01

Growing interest in universal preschool education has prompted researchers to examine the potential costs and benefits of making high-quality preschool available for all children one or two years before kindergarten entry. The analysis reported in this document builds on a previous RAND study which estimated that a high-quality, one-year,…

The Cost of Class Size Reduction: Advice for Policymakers. RAND Graduate School Dissertation.

ERIC Educational Resources Information Center

Reichardt, Robert E.

This dissertation provides information to state-level policymakers that will help them avoid two implementation problems seen in the past in California's class-size-reduction (CSR) reform. The first problem was that flat, per student reimbursement did not adequately cover costs in districts with larger pre-CSR class-sizes or smaller schools. The…

Shining a Spotlight on the Defense Acquisition Workforce -- Again

DTIC Science & Technology

2009-01-01

Defense AT&L, January–February, 2008. Rostker, Bernard , A Call to Revitalize the Engines of Government, Santa Mon- ica, CA: RAND Corporation, OP-240...there are a large number of individuals in the 1101 series who are part of the AW, (3,816 in FY 2007), but they 13 Note that some FAI analyses have

Accountability for After-School Care: Devising Standards and Measuring Adherence to Them.

ERIC Educational Resources Information Center

Beckett, Megan; Hawken, Angela; Jacknowitz, Alison

As the number of after-school programs has expanded, states are increasingly interested in information that helps in the design, selection, and management of such programs. With the sponsorship of Stone Soup Child Care Programs in California, the RAND Child Policy Project and the Promising Practices Network was commissioned to measure adherence of…

76 FR 586 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-05

... incurred and will incur in the future at the Cam-Or Site. The proposed Decree requires the Settling Work... Limited, Ingersoll-Rand Company, Northern Indiana Public Service Company, Rockwell Automation, Tennessee... the Site. Additionally, under the Consent Decree the Settling Work Parties have agreed to pre-pay $2.2...

Inequality: Race Differences in the Distribution of Earnings. Rand Paper Series P5481-1.

ERIC Educational Resources Information Center

Smith, James P.; Welch, Finis

Characteristics and determinants of earnings distributions for black and white males are revealed in samples from the 1960 and 1970 censuses. Using this data, this paper describes and contrasts the properties of black and white male earnings distributions. It also uses earnings functions estimated from the census to identify and rank variables in…

Toxic Warfare

DTIC Science & Technology

2002-02-01

Prepared for the United States Air Force Approved for public release; distribution unlimited Theodore Karasik Project AIR FORCE R TOXIC WARFARE...Report Documentation Page Report Date 000002002 Report Type N/A Dates Covered (from... to) - Title and Subtitle Toxic Warfare Contract Number Grant...310) 451-6915; Email: order@rand.org Library of Congress Cataloging-in-Publication Data Karasik, Theodore William. Toxic warfare / Theodore Karasik

Sinkhole formation by groundwater withdrawal: far west rand, South Africa.

PubMed

Foose, R M

1967-09-01

Sinkholes up to 125 meters wide and 50 meters deep have developed catastrophically in thick unconsolidated debris above pinnacle-weathered dolomite after lowering of the groundwater surface by at least 160 meters. They are caused by shrinkage of desiccated debris, downward migration of debris into bedrock openings, and upward growth of multiple debris "caverns" by roof spalling.

Performance Assessments in Science: Hands-On Tasks and Scoring Guides.

ERIC Educational Resources Information Center

Stecher, Brian M.; Klein, Stephen P.

In 1992, RAND received a grant from the National Science Foundation to study the technical quality of performance assessments in science and to evaluate their feasibility for use in large-scale testing programs. The specific goals of the project were to assess the reliability and validity of hands-on science testing and to investigate the cost and…

Statistical Forecasting of Bankruptcy of Defense Contractors. Problems and Prospects

DTIC Science & Technology

1994-01-01

investors is along the lines of the Capital Asset Pricing Model ( CAPM ). In portfolio theory generally, investors demand an expected-return premium for...Ellen Pint, Rachel Schmidt, and especially Dennis Smallwood of RAND also contributed useful insights and comments. xv Acronyms CAPM Capital Asset ...Bond Yields ............................................. 26 Bond Model Performance ................................. 27 Extensions and Limitations

A Framework for Understanding and Cultivating the Transition from Arithmetic to Algebraic Reasoning

ERIC Educational Resources Information Center

Nathan, Mitchell J.; Koellner, Karen

2007-01-01

Algebraic reasoning stands as a formidable gatekeeper for students in their efforts to progress in mathematics and science, and to obtain economic opportunities (Ladson-Billings, 1998; RAND, 2003). Currently, mathematics education research has focused on algebra in order to provide access and opportunities for more students. There is now a growing…

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stalpers, Lukas J.A.; Costa, Hanna C. da; Merbis, Merijn A.E.

Purpose: To determine whether hypnotherapy reduces anxiety and improves the quality of life in cancer patients undergoing curative radiotherapy (RT). Methods and materials: After providing written informed consent, 69 patients were randomized between standard curative RT alone (36 controls) and RT plus hypnotherapy (33 patients). Patients in the hypnotherapy group received hypnotherapy at the intake, before RT simulation, before the first RT session, and halfway between the RT course. Anxiety was evaluated by the State-Trait Anxiety Inventory DY-1 form at six points. Quality of life was measured by the Rand Medical Outcomes Study 36-item Health Survey (SF-36) at five points.more » Additionally, patients answered a questionnaire to evaluate their experience and the possible benefits of this research project. Results: No statistically significant difference was found in anxiety or quality of life between the hypnotherapy and control groups. However, significantly more patients in the hypnotherapy group indicated an improvement in mental (p < 0.05) and overall (p < 0.05) well-being. Conclusion: Hypnotherapy did not reduce anxiety or improve the quality of life in cancer patients undergoing curative RT. The absence of statistically significant differences between the two groups contrasts with the hypnotherapy patients' own sense of mental and overall well-being, which was significantly greater after hypnotherapy. It cannot be excluded that the extra attention by the hypnotherapist was responsible for this beneficial effect in the hypnotherapy group. An attention-only control group would be necessary to control for this effect.« less

Absolute and Relative Socioeconomic Health Inequalities across Age Groups

PubMed Central

van Zon, Sander K. R.; Bültmann, Ute; Mendes de Leon, Carlos F.; Reijneveld, Sijmen A.

2015-01-01

Background The magnitude of socioeconomic health inequalities differs across age groups. It is less clear whether socioeconomic health inequalities differ across age groups by other factors that are known to affect the relation between socioeconomic position and health, like the indicator of socioeconomic position, the health outcome, gender, and as to whether socioeconomic health inequalities are measured in absolute or in relative terms. The aim is to investigate whether absolute and relative socioeconomic health inequalities differ across age groups by indicator of socioeconomic position, health outcome and gender. Methods The study sample was derived from the baseline measurement of the LifeLines Cohort Study and consisted of 95,432 participants. Socioeconomic position was measured as educational level and household income. Physical and mental health were measured with the RAND-36. Age concerned eleven 5-years age groups. Absolute inequalities were examined by comparing means. Relative inequalities were examined by comparing Gini-coefficients. Analyses were performed for both health outcomes by both educational level and household income. Analyses were performed for all age groups, and stratified by gender. Results Absolute and relative socioeconomic health inequalities differed across age groups by indicator of socioeconomic position, health outcome, and gender. Absolute inequalities were most pronounced for mental health by household income. They were larger in younger than older age groups. Relative inequalities were most pronounced for physical health by educational level. Gini-coefficients were largest in young age groups and smallest in older age groups. Conclusions Absolute and relative socioeconomic health inequalities differed cross-sectionally across age groups by indicator of socioeconomic position, health outcome and gender. Researchers should critically consider the implications of choosing a specific age group, in addition to the indicator of socioeconomic position and health outcome, as findings on socioeconomic health inequalities may differ between them. PMID:26717482

A rational approach to long-term care: comparing the independent living model with agency-based care for persons with high spinal cord injuries.

PubMed

Mattson-Prince, J

1997-05-01

Two groups of individuals with high level tetraplegia (C1-4) were compared with respect to the model of personal care assistance used. The study was undertaken to determine whether a finite population with severe disability had differences in health status, costs and perceived quality of life, relative to whether they used agencies for their care, or hired, trained and reimbursed care givers independently. A survey, which included demographics as well as portions of RAND-36, LSI-A, PIP, PASI and CHART was used. Telephone interviews were held with 29 individuals who received their care through an agency and 42 who managed care independently. Chi square, 't'-tests, and multiple regression analysis were used to control for potentially confounding group differences. The self-managed group demonstrated significantly better health outcomes, with fewer re-hospitalizations for preventable complications. They experienced better life satisfaction and significantly lower costs. Although those who used an independent model of care-giving received significantly more hours of paid assistance, the average annual cost of care was significantly lower for each individual. In addition to reducing the financial burden on the individual and society, self-managed care seemed to diminish the emotional burden borne by these individuals.

An Analysis of Role Conflict and Ambiguity Scales: A Replication Study of the Psychometric Properties and an Assessment of the Role of Social Desirability Bias.

DTIC Science & Technology

1982-02-01

1975; House & Rizzo, 1972; Johnson & Stinson, 1975; Keeley, 1977; Keller, 1975; Miles, 1976; Randolph & Posner, 1981; Schuler, 1975, 1977; Szilagyi ...111-128. Smith, P.C., Kendall, L.M., & Hulin, C.L. The management of satisfaction in work and retirement. Chicago: Rand-McNally, 1969. Szilagyi , A

German General Staff Officer Education and Current Challenges

DTIC Science & Technology

2006-05-25

Dempsey, Fool’s Errands: America’s Recent Encounters with Nation Building, Washington, D.C. 2001; Bruce R. Pirnie, and Corazon M . Francisco, Assessing...Gladstone, Afghanistan Revisited, New York 2001; Antonio Donini , Norah Niland, and Karin Wermester, Nation-Building Unraveled?: Aid, Peace, and Justice...nation-building: from Germany to Iraq, Santa Monica, Arlington, Pittsburgh, Rand, 2003. Donini , Antonio, Norah Niland, and Karin Wermester, Nation

The Effect of Low Oxygen Stress on Phytophthora cinnamomi Infection and Disease of Cork Oak Roots

Treesearch

Karel A. Jacobs; James D. MacDonald; Alison M. Berry; Laurence R. Costello

1997-01-01

The incidence and severity of Phytophthora cinnamomi Rands root disease was quantified in cork oak (Quercus suber L.) roots subjected to low oxygen (hypoxia) stress. Seedling root tips were inoculated with mycelial plugs of the fungus and incubated in ≤1, 3-4, or 21 percent oxygen for 5 days. Ninety-four percent of roots...

Developing a Defense Sector Assessment Rating Tool

DTIC Science & Technology

2010-01-01

JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND...Cathryn Quantic Thurston, and Gregory F. Treverton (MG-863-OSD). • Making Liberia Safe: Transformation of the National Security Sector, by David C...Cathryn Quantic Thurston, and Gregory F. Treverton, A Framework to Assess Programs for Building Partnerships, Santa Monica, Calif.: RAND Corporation

Building Partner Capabilities for Coalition Operations

DTIC Science & Technology

2007-01-01

HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND...distribution unlimited Jennifer D. P. Moroney • Nancy E. Blacker Renee Buhr • James McFadden Cathryn Quantic Thurston • Anny Wong The RAND...4211-8 (pbk. : alk. paper) 1. Combined operations (Military science ) 2. United States. Army— Organization. 3. Multinational armed forces—Organization

Improving Strategic Competence: Lessons from 13 Years of War

DTIC Science & Technology

2014-01-01

a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE...2. An Integrated Civilian-Military Process Is a Necessary, But Not Sufficient, Condition of Effective National Security Policy and Strategy...Influence, and Unconventional Operations May Be Cost- Effective Ways of Addressing Conflict That Obviate the Need for Larger, Costlier Interventions

Are Charter Schools Making a Difference? A Study of Student Outcomes in Eight States. Research Brief

ERIC Educational Resources Information Center

Li, Jennifer

2009-01-01

Charter schools do not generally draw the top students from other public schools. Their test-score gains are similar to those of traditional public schools, but they have higher rates of students graduating high school and attending college. [This research brief describes work done for RAND Education documented in Charter Schools in Eight States:…