Domestic and Expeditionary Readiness in the Twenty-First Century: Maintaining an Operationalized Army National Guard

DTIC Science & Technology

2012-12-06

National Guard units mobilized to support Operation Desert Storm. Army National Guard units purchased commercial-off-the-shelf (COTS) communications ...the considerations for its future use are under critical scrutiny as America transitions into the first post -war period of the twenty-first century. A...specifically the Army National Guard, to an operational force may shape employment opportunities for the Army National Guard in a post -war environment.1 The

Relating Operational Art to the National Guard State Partnership Program

DTIC Science & Technology

2014-05-15

Program Coordinator GEF Global Employment of the Force DSCA Defense Support of Civil Authorities BCA Budget Control Act NATO North Atlantic Treaty...between Florida and the U.S. Virgin Islands are referred to as the Regional Security System (RSS). Florida and the U.S. Virgin Islands partner with... Atlantic Treaty Organization (NATO) in 2004 due, in part, to the mentorship from the Maryland National Guard.54 Not only did the Maryland National Guard

Defense.gov - Special Report - Wyoming National Guard

Science.gov Websites

the 148th Signal Company out of Laramie, Wyo., going through pre-deployment training at the Wyoming pre-deployment training at the Wyoming National Guard training site Camp Guernsey Jan. 10. DoD photo

Installation Restoration Program (IRP) Site Investigation Report for IRP Site Number 4. Volume 3. Appendices D-I. 128th Air Refueling Wing, Wisconsin Air National Guard, General Billy Mitchell Field Air National Guard Base, Milwaukee, Wisconsin.

DTIC Science & Technology

1996-03-01

NATIONAL GUARD GENERAL BILLY MITCHELL FIELD AIR NATIONAL GUARD BASE MILWAUKEE, WISCONSIN MARCH 1996 ______ 19960509 134 HQ ANG/CEVR ANDREWS AFB...Report for IRP Site No. 4, Wisconsin Air National Guard, 128th Air Refueling Wing, General Billy Mitchell Field, Milwaukee, Wisconsin - Volume III...Wisconsin Air National Guard, 128th Air Refueling Wing, General Billy Mitchell Field, Milwaukee, Wisconsin, Volume III - Appendices D-I. This is the

Learning Without Boundaries: A NASA - National Guard Bureau Distance Learning Partnership

NASA Technical Reports Server (NTRS)

Anderson, Susan H.; Chilelli, Christopher J.; Picard, Stephan

2003-01-01

With a variety of high-quality live interactive educational programs originating at the Johnson Space Center in Houston, Texas and other space and research centers, the US space agency NASA (National Aeronautics and Space Administration) has a proud track record of connecting with students throughout the world and stimulating their creativity and collaborative skills by teaching them underlying scientific and technological underpinnings of space exploration. However, NASA desires to expand its outreach capability for this type of interactive instruction. In early 2002, NASA and the National Guard Bureau -- using the Guard's nationwide system of state-ofthe-art classrooms and high bandwidth network -- began a collaboration to extend the reach of NASA content and educational programs to more of America's young people. Already, hundreds of elementary, middle, and high school students have visited Guard e-Learning facilities and participated in interactive NASA learning events. Topics have included experimental flight, satellite imagery-interpretation, and Mars exploration. Through this partnership, NASA and the National Guard are enabling local school systems throughout the United States (and, increasingly, the world) to use the excitement of space flight to encourage their students to become passionate about the possibility of one day serving as scientists, mathematicians, technologists, and engineers. At the 54th International Astronautical Conference MAJ Stephan Picard, the guiding visionary behind the Guard's partnership with NASA, and Chris Chilelli, an educator and senior instructional designer at NASA, will share with attendees background on NASA's educational products and the National Guard's distributed learning network; will discuss the unique opportunity this partnership already has provided students and teachers throughout the United States; will offer insights into the formation by government entities of e-Learning partnerships with one another; and will

Implementation of computerized physician order entry in National Guard Hospitals: assessment of critical success factors.

PubMed

Altuwaijri, Majid M; Bahanshal, Abdullah; Almehaid, Mona

2011-09-01

The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE) system in a leading healthcare organization in Saudi Arabia. The National Guard Health Affairs (NGHA) deployed the CPOE in a pilot department, which was the intensive care unit (ICU) in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs) that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The "before go-live training", the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at risk and to learn from mistakes before expanding the system to other

Findings From the National Machine Guarding Program

PubMed Central

Parker, David L.; Yamin, Samuel; Xi, Min; Gordon, Robert; Most, Ivan; Stanley, Rod

2017-01-01

Objectives: This manuscript assesses safety climate data from the National Machine Guarding Program (NMGP)—a nationwide intervention to improve machine safety. Methods: Baseline safety climate surveys were completed by 2161 employees and 341 owners or managers at 115 businesses. A separate onsite audit of safety management practices and machine guarding equipment was conducted at each business. Results: Safety climate measures were not correlated with machine guarding or safety management practices. The presence of a safety committee was correlated with higher scores on the safety management audit when contrasted with those without one. Conclusions: The presence of a safety committee is easily assessed and provides a basis on which to make recommendations with regard to how it functions. Measures of safety climate fail to provide actionable information. Future research on small manufacturing firms should emphasize the presence of an employee-management safety committee. PMID:28930801

Response capabilities of the National Guard: a focus on domestic disaster medical response.

PubMed

Bochicchio, Daniel

2010-01-01

The National Guard has a 373-year history of responding to the nation's call to duty for service both at home and abroad (The National Guard Bureau Web site: Available at http://www.ngb.army.mil/default. aspx.). The National Guard (NG) is a constitutionally unique organization (United States Constitution, US Government Printing Office Web site: Available at http://www.gpoaccess.gov/constitution/index.html.). Today's Guard conducts domestic disaster response and civilian assistance missions on a daily basis. Yet, the NG's role, mission, and capabilities are not well-known or understood. The National Response Framework (NRF) places significant responsibility on the local and state disaster planners (Department of Homeland Security: National Response Framework. US Department of Homeland Security, Washington, DC, January 2008). The public health professionals are an integral component of the disaster planning community. It is critical that the public health community be knowledgeable of types and capabilities of all the response assets at their disposal.

The "Suicide Guard Rail": a minimal structural intervention in hospitals reduces suicide jumps.

PubMed

Mohl, Andreas; Stulz, Niklaus; Martin, Andrea; Eigenmann, Franz; Hepp, Urs; Hüsler, Jürg; Beer, Jürg H

2012-08-04

Jumping from heights is a readily available and lethal method of suicide. This study examined the effectiveness of a minimal structural intervention in preventing suicide jumps at a Swiss general teaching hospital. Following a series of suicide jumps out of the hospital's windows, a metal guard rail was installed at each window of the high-rise building. In the 114 months prior to the installation of the metal guard rail, 10 suicides by jumping out of the hospital's windows occurred among 119,269 inpatients. This figure was significantly reduced to 2 fatal incidents among 104,435 inpatients treated during the 78 months immediately following the installation of the rails at the hospital's windows (χ2 = 4.34, df = 1, p = .037). Even a minimal structural intervention might prevent suicide jumps in a general hospital. Further work is needed to examine the effectiveness of minimal structural interventions in preventing suicide jumps.

Perceptions of Individual and Family Functioning Among Deployed Female National Guard Members.

PubMed

Kelly, Patricia J; Cheng, An-Lin; Berkel, LaVerne A; Nilsson, Johanna

2016-08-01

Females currently make up 15% of U.S. military service members. Minimal attention has been paid to families of female National Guard members who have been deployed and their subsequent reintegration challenges. This cross-sectional Internet-based survey of female members of four National Guard units compared those who were and were not deployed. Instruments, guided by the variables of the Family Resilience Model, measured individual, family, and deployment-related factors. Bivariate analysis and ordinal logistic regression were done to assess differences between the groups. Of the 239 National Guard members surveyed, deployed women (n = 164) had significantly higher levels of posttraumatic stress disorder (PTSD; p < .001) and lower coping skills (p = .003) than non-deployed women (n = 75). Perceptions of overall family functioning were higher among deployed when compared with never deployed women. Results indicate community interventions that focus on strengthening coping skills of female Guard members would be useful for this population. © The Author(s) 2016.

National Guard Logistics (NGLOG) Study

DTIC Science & Technology

1989-05-01

ROCiRE.ME-., NSTRUiMENr, DE ,’TrF CA7:0.%,JU’,BEZ ORGANIZATION (dfappiicaolei National Guard Bureau NGB-ARL 8C ADDRESS (City, State. inc ZI Code) 𔃺 SOURCE...which is accounted for by the USPFO of a state. This property can be distributed inter - and intrastate and redistributed without permission of any...reuimesso to upae then C-aigs, Stfor equipment funhes (Ea ofy uts within thean An. Not:l incositAenc betweenSA) dAOCentin interates handsutoaned rethatA which

32 CFR 536.13 - Chief, National Guard Bureau.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., National Guard Bureau (NGB), shall: (a) Ensure the designation of a point of contact for claims matters in... points of contact to the Commander USARCS. (c) Designate claims officers to investigate claims generated... area in which the claims incident occurred. ...

Technician Hiring in the Air National Guard: A Timeline Study

DTIC Science & Technology

2017-06-01

Research Report revealed Tech- nician employees have “lower rates of satisfaction” when compared against Active Guard and Reserve (AGRs) and...tion Research : Phase Two – Quantitative Research Report,” 30 March 2016, 60. 6. Report of Portland Marketing Analytics, L.L.C., “Air National...Guard 2015 Member Reten- tion Research : Phase Two – Quantitative Research Report,” 30 March 2016, 64. 7. General Colin Powell, The Essence of

Air National Guard Fighters the Total Force (Maxwell Paper, Number 1)

DTIC Science & Technology

1996-05-01

child abuse cases, 9 percent rise in spousal abuse reports, and an 11 percent rise in alcohol abuse. While these figures represent only one fighter wing, they highlight some of the potential problems that may be encountered by other active duty units as they too struggle under an ever increasing workload. These problems and a growing belief that long-term readiness may soon suffer if the workload is not reduced, convinced Defense Secretary William Perry to direct a greater role for the Air National Guard in peacetime contingency operations. The Air National Guard is no

Project Rivet Workforce and the Air National Guard.

DTIC Science & Technology

1988-04-01

growth in manpower required by the highly specialized 4P maintenance concept, limited by congressional budget constraints, was found to be another...National Guard has gone from what has been disparagingly referred to as a weekend flying club, flying outdated aircraft, to being treated as an important

Disasters and Impact of Sleep Quality and Quantity on National Guard Medical Personnel

DTIC Science & Technology

2018-04-30

Impact of Sleep Quality & Quantity on National Guard Medical Personnel Sb. GRANT NUMBER Sc. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Sd. PROJECT NUMBER...Std. 239.18 Adobe Professional 7 .0 Approved for Public Release ~••Unlmlted Disasters & Impact of Sleep Quality & Quantity on National Guard...College of Nursing 4/11/2018 6 Methods • Measures • Critical skills questions • Medication calculations +Licensed • Basic Life Support (BLS

Task force St. Bernard: operational issues and medical management of a National Guard disaster response operation.

PubMed

Bonnett, Carl J; Schock, Tony R; McVaney, Kevin E; Colwell, Christopher B; Depass, Christopher

2007-01-01

After Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incorporated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encountered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

Job Attitudes of Air National Guard Personnel.

DTIC Science & Technology

1986-04-01

organizational behavior literature. 2. To compare OAP-measured demographic characteristics and job attitudes of Air National Guard personnel with the ...thought to represent official ideas, attitudes , or policies of any agency of the United States Government. The author has rot had special access to...day that they are drawn together as a total force. ANG commanders studying this report will see the job attitude strengths and weaknesses of ANG

78 FR 24124 - National Guard Bureau Privacy Program

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-24

... represents the National Guard on the Joint Chiefs of Staff. Completeness. All elements necessary for making a... assure the quality of the record in terms of its use in making a determination. Agency. Any Executive... President), or any independent regulatory agency (as defined by 5 U.S.C. 552a). Amendment. The process of...

20 CFR 1002.306 - Is a National Guard civilian technician considered a State or Federal employee for purposes of...

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Is a National Guard civilian technician... a National Guard civilian technician considered a State or Federal employee for purposes of USERRA? A National Guard civilian technician is considered a State employee for USERRA purposes, although he...

Resourcing the Army National Guard for its Domestic and Federal Missions

DTIC Science & Technology

2009-05-21

and tear on the 14 Peter Spiegel, "Panels finds Guard is down," Los Angeles Times, February 1, 2008. 15 Amanda Terkel, “Sebelius: Iraq War is...James Lovelace , the former Army Operations Officer, testified to the Commission on the National Guard and Reserves, that: During this period of...established a synchronized cycle of readiness and training for 76 LTG James J. Lovelace JR. “Statement by Lieutenant General James J. Lovelace , JR. Deputy

Evaluating the National Guard Domestic Operations Force Structure

DTIC Science & Technology

2016-06-01

AU/ACSC/2016 AIR COMMAND AND STAFF COLLEGE DISTANCE LEARNING AIR UNIVERSITY EVALUATING THE NATIONAL GUARD DOMESTIC OPERATIONS FORCE...data will be blended together to identify trends and gaps in manpower, training, mission roles and force alignment. Since the NG HRFs and CERFPs are...decrease in the amount of No-Gos observed during these evaluations. This is perhaps a positive indicator that units are applying lessons learned

Health Status of Current National Guard Members

DTIC Science & Technology

2005-08-01

strain ( Karasek 1979; Karasek and Theorell , 1990) of National Guard service as a ’second job’ affects the relationship between the job strain of the...JAMA 1997; 277: 238-245. Karasek R, Theorell T. Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books, 1990...Summary score (V/SF36) 54.4 (9.3) 53.2 (9.3) Job Demands-NG job ( Karasek scoring, 1985) 31.6 (5.4) 30.9 (5.9) Job Control- NGjob ( Karasek scoring

Operational Reserve: National Guard Readiness when Current Conflicts End

DTIC Science & Technology

2010-03-01

toothpaste back in the tube”17 With probable post war reduction in DOD funding, it is not realistic to assume that the National Guard will obtain...necessitates that we don’t try to put the toothpaste back in the tube. We cannot undo the policies and procedures that have gotten us to the current state

Maintaining Small Business Support in Times of Increased Army National Guard Utilization An Impending Crisis

DTIC Science & Technology

2006-02-13

business clientele, additional costs to hire a manager or replacement workers, complete loss of family income, and in extreme situations, bankruptcy, are...USAWC STRATEGY RESEARCH PROJECT MAINTAINING SMALL BUSINESS SUPPORT IN TIMES OF INCREASED ARMY NATIONAL GUARD UTILIZATION: AN IMPENDING CRISIS by...00-00-2005 to 00-00-2006 4. TITLE AND SUBTITLE Maintaining Small Business Support in Times of Increased Army National Guard Utilization An

Suicide in the Army National Guard: An Empirical Inquiry

ERIC Educational Resources Information Center

Griffith, James

2012-01-01

Since 2004, suicides in the U.S. military have risen, most notably in the Army National Guard (ARNG). Data used in this study were obtained for suicides occurring from 2007 to 2010 and for a random sample of nonsuicides from the general ARNG population. Of the military-related variables considered, a few showed relationships to suicide. Rather,…

The “Suicide Guard Rail”: a minimal structural intervention in hospitals reduces suicide jumps

PubMed Central

2012-01-01

Background Jumping from heights is a readily available and lethal method of suicide. This study examined the effectiveness of a minimal structural intervention in preventing suicide jumps at a Swiss general teaching hospital. Following a series of suicide jumps out of the hospital’s windows, a metal guard rail was installed at each window of the high-rise building. Results In the 114 months prior to the installation of the metal guard rail, 10 suicides by jumping out of the hospital’s windows occurred among 119,269 inpatients. This figure was significantly reduced to 2 fatal incidents among 104,435 inpatients treated during the 78 months immediately following the installation of the rails at the hospital’s windows (χ2 = 4.34, df = 1, p = .037). Conclusions Even a minimal structural intervention might prevent suicide jumps in a general hospital. Further work is needed to examine the effectiveness of minimal structural interventions in preventing suicide jumps. PMID:22862804

Performance Measures of Effectiveness for the National Guard Counterdrug Program

DTIC Science & Technology

2009-03-03

The first is a possible lack of coverage in a critical portion of the overall strategy causing an exploitable seam used by criminals and narco...that lacks the ability to measure effectiveness. Although the National Guard is a supporting agency, NGCDP can take the lead in requesting changes to...Letter. 4 Ibid. 5 Bush, National Drug Control Strategy 2002, 4. 6 Condoleezza Rice and Henrietta H. Fore, Strategic Plan Fiscal Years 2007-2012

Installation Restoration Program (IRP). Phase 2. Confirmation/Quantification. Stage 1. Buckley Air National Guard Base, Colorado.

DTIC Science & Technology

1986-03-21

Firm hazardous waste contamination investigations in Utah and Colorado . o Conducted ground and surface water sampling for Durango S UMTRAP (Uranium...BASE COLORADO DAMES & MOORE 1550 NORTHWEST HIGHWAY PARK RIDGE, ILLINOIS 60068 MARCH 21, 1986 FINAL REPORT APPROVED FOR PUBLIC RELEASE; DISTRIBUTION...FOR BUCKIEY AIR NATIONAL GUARD BASE COLORADO HEADQUARTERS AIR NATIONAL GUARD COMMAND SURGEON’S OFFICE (ANGSC/SGB) BIOENVIRONMENTAL ENGINEERING

Annual Report (63rd) of the Chief, National Guard Bureau for the Fiscal Year 1969

DTIC Science & Technology

1969-06-30

The National Guard is rooted in the concept of the privilege and responsibility of our able-bodied citizens to be ready at all times to bear arms for...authors of the Constitution recognized the importance of the concept by empowering the Congress to "provide for organizing, arming and disciplining...with Federal requirements have been based on a centralized concept , with Army and Air National Guard support predicated upon the number of

Postdeployment reintegration experiences of female soldiers from national guard and reserve units in the United States.

PubMed

Kelly, Patricia J; Berkel, LaVerne A; Nilsson, Johanna E

2014-01-01

Women are an integral part of Reserve and National Guard units and active duty armed forces of the United States. Deployment to conflict and war zones is a difficult experience for both soldiers and their families. On return from deployment, all soldiers face the challenge of reintegration into family life and society, but those from the National Guard and Reserve units face the additional challenge of reintegration in relative isolation from other soldiers. There is limited research about the reintegration experiences of women and the functioning of the families during reintegration following deployment. The goal was to document postdeployment family reintegration experiences of women in the National Guard. Semistructured interviews were conducted with 42 female members of Midwestern National Guard units. Directed content analysis was used to identify categories of experiences related to women's family reintegration. Five categories of postdeployment experience for female soldiers and their families were identified: Life Is More Complex, Loss of Military Role, Deployment Changes You, Reestablishing Partner Connections, and Being Mom Again. The categories reflected individual and family issues, and both need to be considered when soldiers and their families seek care. Additional research is needed to fully understand the specific impact of gender on women's reintegration.

Factors Associated With Civilian Employment, Work Satisfaction, and Performance Among National Guard Members.

PubMed

Nelson, C Beau; Zivin, Kara; Walters, Heather; Ganoczy, Dara; MacDermid Wadsworth, Shelley; Valenstein, Marcia

2015-12-01

Employment is a vital part of the postdeployment return to civilian life. This study investigated factors associated with employment-related outcomes (employment status, self-reported work performance, and self-reported work satisfaction) among National Guard members returning from Operation Enduring Freedom, Operation Iraqi Freedom, or Operation New Dawn deployments. The sample consisted of 1,151 National Guard service members who had returned from overseas deployments approximately six months earlier. Bivariate and multivariable analyses were performed to examine associations between predictors and employment-related outcome variables. Higher-risk alcohol use was associated with reduced odds of being employed as well as with lower ratings of work satisfaction, whereas psychiatric symptom load was associated with lower self-reported work performance and work satisfaction ratings. Perceived social resources were associated with higher self-reported work performance and work satisfaction, whereas better physical functioning was associated with better self-reported work performance. Policy makers and clinicians may need to consider and assess alcohol use among unemployed National Guard members. They may also need to consider psychiatric symptom load and physical functioning among employed service members who perceive poor work performance and have low work satisfaction. Further research is needed on causal links between these predictors and employment outcomes.

U.S. Coast Guard : use of DOD funds for national security functions

DOT National Transportation Integrated Search

1998-04-01

The $$300 million was transferred to the Coast Guard in compliance with the statutorily required certification by the Secretary of Transportation and the Secretary of Defense that those funds would be used only for the performance of national securit...

Stigma, barriers to care, and use of mental health services among active duty and National Guard soldiers after combat.

PubMed

Kim, Paul Y; Thomas, Jeffrey L; Wilk, Joshua E; Castro, Carl A; Hoge, Charles W

2010-06-01

This study examined rates of utilization of mental health care among active duty and National Guard soldiers with mental health problems three and 12 months after they returned from combat in Iraq. Stigma and barriers to care were also reported for each component (active duty and National Guard). Cross-sectional, anonymous surveys were administered to 10,386 soldiers across both time points and components. Mean scores from 11 items measuring stigma and barriers to care were computed. Service utilization was assessed by asking soldiers whether they had received services for a mental health problem from a mental health professional, a medical doctor, or the Department of Veterans Affairs in the past month. Risk of mental problems was measured using the Patient Health Questionnaire, the PTSD Checklist, and items asking about aggressive behaviors and "stress, emotional, alcohol, or family" problems within the past month. A higher proportion of active duty soldiers than National Guard soldiers reported at least one type of mental health problem at both three months (45% versus 33%) and 12 months (44% versus 35%) postdeployment. Among soldiers with mental health problems, National Guard soldiers reported significantly higher rates of mental health care utilization 12 months after deployment, compared with active duty soldiers (27% versus 13%). Mean stigma scores were higher among active duty soldiers than among National Guard soldiers. Active duty soldiers with a mental health problem had significantly lower rates of service utilization than National Guard soldiers and significantly higher endorsements of stigma. Current and future efforts to improve care for veterans should work toward reducing the stigma of receiving mental health care.

The National Guard: Recommendations to Develop the Joint Future Force

DTIC Science & Technology

2010-03-01

0209airpowerinafghan.pdf. 23 Statement of General James N. Mattis , USMC, Commander, United States Joint Forces Command, House Armed Services... James R. Locher III, Victory on the Potomac: the Goldwater-Nichols Act Unifies the Pentagon, (College Station: Texas A & M University Press, 2002), 19...pick snubs National Guard, Thursday January 14, 2010, Congress.org, http://www.congress.org/congressorg/ bio /userletter/?letter_id=4520675821

Army National Guard: Regionally Aligned Brigade Force of First Choice

DTIC Science & Technology

2012-03-16

include Access to the National Guard; Training, Transient, Holding, and School (TTHS); Medical/ Dental Readiness; and Full Time Manning. Finally...Another policy that merits revision is the Medical and Dental Readiness Management Policies and Programs. One of the greatest challenges to the...Reserve Components’ ability to establish itself as an operational force is medical and dental readiness. Currently, RC members incur a cost to

Borderline Failure: National Guard on the Mexican Border, 1916-1917

DTIC Science & Technology

2011-05-19

heart and decided to defer the invasion…”6 5 Frank Tompkins, Chasing Villa (Harrisburg, PA...massing troops on the border, however, Carranza’s posture and rhetoric did not reflect that weakness. Something did indeed change the heart of Mexico and...The Minute Man in Peace and War, 233. 22 Colonel R. Ernest Dupuy, The National Guard: A Compact History (New York: Hawthorn Books, Inc., 1971), 94

32 CFR 161.11 - Benefits for National Guard and Reserve Members of the Uniformed Services.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false Benefits for National Guard and Reserve Members of the Uniformed Services. 161.11 Section 161.11 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY IDENTIFICATION (ID) CARDS FOR MEMBERS OF THE UNIFORMED SERVICES, THEIR...

An Assessment of Training Needs of the U.S. Army Reserve and National Guard of Idaho

DTIC Science & Technology

1988-04-01

am I IWI I 7 f ARI Research Note 88-33 L4l N I" AN ASSESSMENT OF TRAINING NEEDS OF THE U.S. ARMY RESERVE AND NATIONAL GUARD OF IDAHO o Myron P. Viner...TITLE (and Subtitle) 1. TYPE OF REPORT & PERIOO COVERED An Assessment of Training Needs of the U.S. Army Final Report Reserve and National Guard in Idaho ...PAGES Boise, Idaho 83707-0045 142 14. MONITORING AGECNCY NAME & ADORESS(II different hrom Controlling0llcc) IS. SECURITY CLASS. (of Chia report) U.S

Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans.

PubMed

Sripada, Rebecca K; Bohnert, Amy S B; Teo, Alan R; Levine, Debra S; Pfeiffer, Paul N; Bowersox, Nicholas W; Mizruchi, Mark S; Chermack, Stephen T; Ganoczy, Dara; Walters, Heather; Valenstein, Marcia

2015-09-01

Low social support and small social network size have been associated with a variety of negative mental health outcomes, while their impact on mental health services use is less clear. To date, few studies have examined these associations in National Guard service members, where frequency of mental health problems is high, social support may come from military as well as other sources, and services use may be suboptimal. Surveys were administered to 1448 recently returned National Guard members. Multivariable regression models assessed the associations between social support characteristics, probable mental health conditions, and service utilization. In bivariate analyses, large social network size, high social network diversity, high perceived social support, and high military unit support were each associated with lower likelihood of having a probable mental health condition (p < .001). In adjusted analyses, high perceived social support (OR .90, CI .88-.92) and high unit support (OR .96, CI .94-.97) continued to be significantly associated with lower likelihood of mental health conditions. Two social support measures were associated with lower likelihood of receiving mental health services in bivariate analyses, but were not significant in adjusted models. General social support and military-specific support were robustly associated with reduced mental health symptoms in National Guard members. Policy makers, military leaders, and clinicians should attend to service members' level of support from both the community and their units and continue efforts to bolster these supports. Other strategies, such as focused outreach, may be needed to bring National Guard members with need into mental health care.

Annual Report (62nd) of the Chief, National Guard Bureau for the Fiscal Year 1968

DTIC Science & Technology

1968-06-30

of 26 January 1968, represents the 11th time in our history that the Guard has been mobilized. This was followed on 11 April 1968 by an Executive...received with approximately 450 stations request- ing it each month. Artists included: The Beatles , Glen Campbell, Petula Clark, Dionne Warwick, Nancy...SRF) re- mained the most ready Reserve Component force in history . Reorganization of the Army National Guard and Re- serve had been imminent for

Assessment of a postdeployment Yellow Ribbon Reintegration Program for National Guard members and supporters.

PubMed

Scherrer, Jeffrey F; Widner, Greg; Shroff, Manan; Matthieu, Monica; Balan, Sundari; van den Berk-Clark, Carissa; Price, Rumi K

2014-11-01

The Yellow Ribbon Reintegration Program (YRRP) was created to meet the needs of National Guard members and their families throughout the deployment cycle. This study examined the perceived utility of the YRRP's delivery of information and assistance during the postdeployment reintegration period by National Guard members and accompanying supporters who were mostly spouses. Over 22 months, from 10 YRRP events, 683 service members and 411 supporters completed questionnaires immediately after the YRRP. We analyzed questions on information and avenues for help, timeliness and concerns related to education, employment, legal, family, and health. Service members and supporters most often endorsed information delivery on education being met (76.8% and 78.2%, respectively) and were least likely to endorse legal information delivery (63.5% and 60%, respectively). Significantly more supporters than service members (p < 0.0001) reported that the YRRP was the first time they learned of available services across all domains. Service members were significantly more likely than supporters to report concerns about education, employment, and health, while supporters were significantly more likely to report concerns about family. Results suggest the YRRP fills gaps in supporter knowledge and provides needed information and resources to most National Guard families 2 to 4 months after a deployment. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

Assessing the State and Federal Missions of the National Guard

DTIC Science & Technology

1995-01-01

following official( s ) have the authority to call up the National Guard for state active duty during an actual or potential domestic disaster or emergency...inter-state or regional compact( s )? a. Yes — 22 (45%) b. No — 27 (55%) If you answered Yes, please attach a copy of each agreement and provide the...compact in managing any emergency/disaster that is duly declared by the governor of the affected state( s ), whether arising from natural disaster

Strategic Depth: Civilian Skills in National Guard Brigade Combat Teams

DTIC Science & Technology

2010-03-18

composed of about 58 Army National Guard (ARNG) Soldiers with expertise in agribusiness to include forestry, wildlife and fisheries, and apiaries ( bees ...and SIDPERS, he was able to see the type of college degree (AS, BS/BA, MA/MS) and general major (agriculture, engineer, biology , etc.) of Soldiers...had been in Future Farmers of America in high school and had grown up on farms, to a USDA certified butcher, to a medic that turned out to be a bee

Assessment of a Post-deployment Yellow Ribbon Reintegration Program for National Guard Members and Supporters

PubMed Central

Scherrer, Jeffrey F.; Widner, Greg; Shroff, Manan; Matthieu, Monica; Balan, Sundari; van den Berk-Clark, Carissa; Price, Rumi Kato

2014-01-01

The Yellow Ribbon Reintegration Program (YRRP) was created to meet the needs of National Guard members and their families throughout the deployment cycle. This study examined the perceived utility of the YRRP’s delivery of information and assistance during the post-deployment reintegration period by National Guard members and accompanying supporters who were mostly spouses. Over 22 months, from 10 YRRP events, 683 service members and 411 supporters completed questionnaires immediately after the YRRP. We analyzed questions on information and help provision, timeliness and concerns related to education, employment, legal, family, and health. Service members and supporters most often endorsed education needs being met (76.8% and 78.2% respectively) and were least likely to endorse legal needs being met (63.5% and 60% respectively). Significantly more supporters than service members (p < 0.0001) reported that the YRRP was the first time they learned of available services across all domains. Service members were significantly more likely than supporters to report concerns about education, employment, and health; while supporters were significantly more likely to report concerns about family. Results suggest the YRRP fills gaps in supporter knowledge and provides needed information and resources to most National Guard families 2-4 months after a deployment. PMID:25373071

The U.S. Coast Guard’s National Security Role in the Twenty First Century

DTIC Science & Technology

1992-09-01

SUPPORT AT MAJOR OIL SPILL. O ANTARCTICA: ICEBREAKER ENROUTE. PUGET SOUND : STRIKE TEAM ON SCENE OF Q IDWAY: CUTTER CONDUCTS ASW EXERCISE CHOUNDED TANKER...respondents indicate that the Coast Guard’s future national security role will continue to reside in its current area of expertise. As one respondent...above about it being time to break rice bowls? The explanation that, "The Coast Guard is not in DoD" sounds more like an excuse. It is difficult not to

Annual Report of the Chief, National Guard Bureau for the Fiscal Year 1970

DTIC Science & Technology

1970-06-30

visited were Alpena . Michigan and Savan- nah, Georgia. National Guard Bureau CEMT surveys of field training sites will be performed on a continuing basis...this training will be acquired and maintained at the ANC Field Training Site. Alpena , Michigan. Survival radios (ACR/RT-10) continue to be in

National Machine Guarding Program: Part 1. Machine safeguarding practices in small metal fabrication businesses.

PubMed

Parker, David L; Yamin, Samuel C; Brosseau, Lisa M; Xi, Min; Gordon, Robert; Most, Ivan G; Stanley, Rodney

2015-11-01

Metal fabrication workers experience high rates of traumatic occupational injuries. Machine operators in particular face high risks, often stemming from the absence or improper use of machine safeguarding or the failure to implement lockout procedures. The National Machine Guarding Program (NMGP) was a translational research initiative implemented in conjunction with two workers' compensation insures. Insurance safety consultants trained in machine guarding used standardized checklists to conduct a baseline inspection of machine-related hazards in 221 business. Safeguards at the point of operation were missing or inadequate on 33% of machines. Safeguards for other mechanical hazards were missing on 28% of machines. Older machines were both widely used and less likely than newer machines to be properly guarded. Lockout/tagout procedures were posted at only 9% of machine workstations. The NMGP demonstrates a need for improvement in many aspects of machine safety and lockout in small metal fabrication businesses. © 2015 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals, Inc.

Train as You Will Fight: Factors Affecting Development of a Strategy to Train National Guard Units to the Level Organized

DTIC Science & Technology

1990-01-01

and Colorado National Guard proved itself through a series of successful operations in the North African campaign, General George S. Patton...prior to deployment into the North African Theater and to its employment as a homogenous unit. A look at how other National Guard units have been used in...the Army. RESERVE COMPONENT IMPACT ON THE TOTAL FORCE FM 100-5, Operations, the Army’s keystone warfighting manual charges that *rigorous, realistic

Children of the U.S. National Guard: Making Meaning and Responding to Parental Deployment

ERIC Educational Resources Information Center

Thompson, David E.; Baptist, Joyce; Miller, Bryant; Henry, Una

2017-01-01

This qualitative study explored how 24 youths' behaviors during deployment were influenced by their perceptions of their non-deployed parents. Interviews were conducted with youths of previously deployed National Guard parents. Analysis of interviews suggests that the youths' interactions with their non-deployed parents strongly influence their…

Reviewing the Role of the Army National Guard in the Twenty-First Century

DTIC Science & Technology

2001-02-01

the Los Angeles Police Department ( LAPD ) during sixteen hour shifts. Despite...training readiness reports.76 The GAO made several recommendations to improve the National Guard’s training evaluations; however, the Department of...argue, the entire Department of Defense) of the new millennium looks much like its old self. Despite, or maybe as a result of, the

Making the Transition: Interim Results of the National Guard Youth ChalleNGe Evaluation

ERIC Educational Resources Information Center

Millenky, Megan; Bloom, Dan; Dillon, Colleen

2010-01-01

Young people who drop out of high school face long odds of success in a labor market that increasingly values education and skills. This report presents interim results from a rigorous, ongoing evaluation of the National Guard Youth ChalleNGe Program, which aims to "reclaim the lives of at-risk youth" who have dropped out of high school.…

The National Guard: An Operational Force for the 21st Century

DTIC Science & Technology

2013-03-01

does not display a currently valid OMB control number . PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) xx-03-2013...Force for the 21st Century 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Colonel Verne C. McMoarn Army...National Guard 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Dr. Anna

Stewart Air National Guard Base, NY, C-5M Painting Refurbishment Assessment

DTIC Science & Technology

2012-12-06

is asthma due to sensitization. After sensitization, any exposure , even to levels below the occupational exposure limit, can produce an asthmatic...Consultative Services Division provide a comprehensive exposure and risk assessment of the corrosion control process conducted on the C-5M in Building...101 at Stewart Air National Guard Base, NY. This facility was previously a fuels systems maintenance facility. At the time of this assessment, the

Posttraumatic Stress Symptoms among National Guard Soldiers Deployed to Iraq: Associations with Parenting Behaviors and Couple Adjustment

ERIC Educational Resources Information Center

Gewirtz, Abigail H.; Polusny, Melissa A.; DeGarmo, David S.; Khaylis, Anna; Erbes, Christopher R.

2010-01-01

Objective: In this article, we report findings from a 1-year longitudinal study examining the impact of change in posttraumatic stress disorder (PTSD) symptoms following combat deployment on National Guard soldiers' perceived parenting and couple adjustment 1 year following return from Iraq. Method: Participants were 468 Army National Guard…

National machine guarding program: Part 1. Machine safeguarding practices in small metal fabrication businesses

PubMed Central

Yamin, Samuel C.; Brosseau, Lisa M.; Xi, Min; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2015-01-01

Background Metal fabrication workers experience high rates of traumatic occupational injuries. Machine operators in particular face high risks, often stemming from the absence or improper use of machine safeguarding or the failure to implement lockout procedures. Methods The National Machine Guarding Program (NMGP) was a translational research initiative implemented in conjunction with two workers' compensation insures. Insurance safety consultants trained in machine guarding used standardized checklists to conduct a baseline inspection of machine‐related hazards in 221 business. Results Safeguards at the point of operation were missing or inadequate on 33% of machines. Safeguards for other mechanical hazards were missing on 28% of machines. Older machines were both widely used and less likely than newer machines to be properly guarded. Lockout/tagout procedures were posted at only 9% of machine workstations. Conclusions The NMGP demonstrates a need for improvement in many aspects of machine safety and lockout in small metal fabrication businesses. Am. J. Ind. Med. 58:1174–1183, 2015. © 2015 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals, Inc. PMID:26332060

Health promotion practices as perceived by primary healthcare professionals at the Ministry of National Guard Health Affairs, Saudi Arabia.

PubMed

Altamimi, Samar; Alshoshan, Feda; Al Shaman, Ghada; Tawfeeq, Nasser; Alasmary, May; Ahmed, Anwar E

2016-01-01

In recent years, several research studies have investigated health promotion practices in Saudi healthcare organizations, yet no published literature exists on health promotion practices of primary healthcare professionals working for the Ministry of National Guard Health Affairs (MNG-HA). A cross-sectional study was conducted in a convenience sample of 206 primary healthcare professionals at the MNG-HA. A self-reporting questionnaire was used to investigate the attitudes, awareness, satisfaction, and methods regarding health promotion practices of primary healthcare professionals. Of the 206 primary healthcare professionals surveyed, 58.1% reported awareness of health promotion programs conducted in the hospitals and 64.6% reported that the health promotion system in the hospitals needs to be improved. Language barriers and cultural beliefs were viewed as obstacles to carrying out effective health promotion by 65% and 64.6% of primary healthcare professionals, respectively. The majority (79.9%) of the primary healthcare professionals perceived themselves as having the necessary skills to promote health and 80.6% believed that printed educational materials are the most prevalent method of health promotion/education, whereas 55.8% reported that counseling was the most preferred method of health promotion. The awareness level of health promotion policies, strategies, and programs conducted in the hospitals was not found to be satisfactory. Therefore, widespread training programs are recommended to improve the health promotion system in the hospitals. These programs include facilitating behavioral change, introducing health promotion policies and strategies in hospitals, mandatory workshops, and systematic reminders.

Operationalization of the Army National Guard: A Bridging Strategy to Stop the Cycle of Indecision

DTIC Science & Technology

2008-03-24

higher demand for forces. 11 This cycle of indecision is the heart of the problem that faces mobilizing ARNG formations. Indecision freezes action and...UNCLASSIFIED slides provided by ARNG Directorate of the National Guard Bureau. 18 Michael Ferriter and Jay Burdon, “The Success of Global Force

Exposure to suicide is associated with increased risk for suicidal thoughts and behaviors among National Guard military personnel.

PubMed

Bryan, Craig J; Cerel, Julie; Bryan, AnnaBelle O

2017-08-01

Research suggests that individuals who know someone who died by suicide are at increased risk for posttraumatic stress disorder (PTSD), depression, and recent suicidal thoughts. Studies have not yet investigated the association of suicide exposure with suicide attempts, however, especially among high-risk subgroups of military personnel such as the National Guard. An anonymous online survey was completed by 971 military personnel assigned to the National Guard in Utah and Idaho. Weighted analyses were conducted to ensure demographic matching to the full population. Univariate and multivariate logistic regression was used to test the association of suicide exposure with psychiatric condition, suicide ideation, and suicide attempts. 65.4% of National Guard personnel reported knowing someone who had died by suicide. On average, participants knew 3.0 (SD=2.0) suicide decedents. Total number of known suicide decedents was associated with significantly increased risk for PTSD (OR=1.18, p=.008), depression (OR=1.19, p=.003), and suicide ideation (OR=2.48, p<.001), but not suicide attempt (OR=1.34, p=.472). Perceived closeness to the suicide decedent was associated with significantly increased risk for PTSD (OR=1.54, p<.001), depression (OR=1.36, p=.031), suicide ideation (OR=1.24, p=.039), and suicide attempt (OR=1.69, p=.026). The majority of participants who experienced suicidal thoughts and attempts after the suicide exposure had a previous history of suicide ideation. Suicide exposure is common among National Guard personnel, and is associated with increased risk for PTSD, depression, and suicidal thoughts and behaviors. Risk is highest for those personnel who know multiple suicide decedents and were closer to the suicide decedent. Copyright © 2017 Elsevier Inc. All rights reserved.

Mobilization of the Army National Guard and Army Reserve: Historical Perspective and the Vietnam War

DTIC Science & Technology

1984-09-07

RC) forces involved. La *tt the study provides conclusions relative to mobilization in general and ^o the partial mobilization for the Vietnam War...Reserve to counter possible Soviet military operations elsewhere in the w^rld. la effect, the mobilization was not a declaration of war, but a...understanding of the uso of the National Guard for State service, for domestic disturbances wnile in a Fede*. «.1 status, and for minor wars. National

AIR NATIONAL GUARD C-130H AIRCRAFT MAINTENANCE OFFICER MANNING: IS THERE A BETTER OPTION

DTIC Science & Technology

2016-10-01

7 Section V: Result of Analysis...was put into how to reorganize existing aircraft manpower and without creating additional cost or manpower requirements. Through careful analysis it...38-201 Determining Manpower Requirements states, “National Guard Bureau (NGB)/A1MR will build Unit Manning Documents (UMD) in accordance with

Defending the Homeland: The Case for Integrating National Guard Intelligence Personnel into the State Fusion Centers

DTIC Science & Technology

2011-02-15

already robust lineup of 57 National Guard Combat Support Teams (CSTs) and 17 CBRNE Enhanced Response Force Packages (CERFPs) to increase the existing...analysis of disparate data sources, identification of intelligence gaps, and proactive collection of intelligence against those gaps which could

A scope of the problem: Post-deployment reintegration challenges in a National Guard Unit.

PubMed

Wilcox, Sherrie L; Oh, Hyunsung; Redmond, Sarah A; Chicas, Joseph; Hassan, Anthony M; Lee, Pey-Jiuan; Ell, Kathleen

2015-01-01

More Reserve and Guard members have been activated in the past few years than in any other time in history. In addition to the high rates of psychological and behavioral challenges among military personnel, there are other equally important post-deployment reintegration challenges. Post-deployment reintegration challenges are particularly important to Reserve and Guard members, who transition rapidly from civilian-military-civilian. This study aims to describe the scope of challenges that a battalion of National Guard members (NGM) report experiencing after returning from a one-year deployment to Iraq. This article reports data from a sample of 126 NGM who recently returned from a one-year deployment to Iraq. The scope of post-deployment problems at baseline, 3- and 6-month post-deployment are presented. Overall, the rates of post-deployment psychological and behavioral problems were elevated upon returning from deployment and remained fairly constant for up to 6 months post-deployment. Approximately 30% of respondents were unsatisfied with their relationship and upwards of 30% reported family reintegration challenges. Comparisons with similar research and implications for prevention and improvement of post-deployment quality of life are addressed.

PTSD Trajectory, Co-morbidity, and Utilization of Mental Health Services among National Guard Forces

DTIC Science & Technology

2011-10-01

constructed a survey for initial data collection as well as subsequent waves that contains modules on (1) risk or protective factors for psychological ...morbidity over the life course (general traumas, psychological resources, life and family concerns), (2) mental health (depression, PTSD, emotional...protective factors for psychological morbidity among National Guard force members, (b) mental health, and (c) service utilization patterns among

The Use of National Guard Assets for Counterdrug Operations in the War on Drugs

DTIC Science & Technology

2002-01-01

the Los Angeles Police Department ( LAPD ) in 1983. The LAPD and the Los Angeles ...America, D.A.R.E. Is Community Policing ( Los Angeles : D.A.R.E. America, no date provided); http://www.dare.com/index2.htm; accessed 4 March 2002. Drug...mission, the National Guard provided personnel and military helicopters to transport law enforcement agents from Hawaiian police departments as

Covering the Homeland: National Guard Unmanned Aircraft Systems Support for Wildland Firefighting and Natural Disaster Events

DTIC Science & Technology

2008-12-01

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503. 1 . AGENCY USE ONLY (Leave...National Guard, Unmanned Aircraft System, Wildland Forest Fire, Natural Disaster, MQ- 1 Predator, MQ-9 Reaper, Autonomous Modular Sensor, National

Age moderates the association of depressive symptoms and unhealthy alcohol use in the National Guard.

PubMed

Sahker, Ethan; Acion, Laura; Arndt, Stephan

2016-12-01

Unhealthy drinking is a significant problem contributing to poor health and performance of military personnel. The Iowa Army National Guard and the Iowa Department of Public Health have collaborated with the Substance Abuse and Mental Health Administration to better identify unhealthy substance use via Screening, Brief Intervention, and Referral to Treatment program (SBIRT). Yet, little research has been conducted on the Guard's use of SBIRT. This study examined depression, age, deployment status, and sex as factors contributing to unhealthy drinking. Of the Guardsmen who took part in SBIRT, 3.7% (n=75) met the criteria for unhealthy drinking and 3.9% (n=78) had some level of depression. The overall multivariate model significantly predicted unhealthy drinking (χ(2)(5)=41.41, p<0.001) with age moderating the association of depressive symptoms and unhealthy alcohol (Wald χ(2)(1)=7.16, p=0.007). These findings add to the existing understanding of factors contributing to unhealthy drinking suggesting the association between the presence of depression and unhealthy drinking depends on age of the Guradsman. This age and depression interaction may be an important diagnostic feature to consider for unhealthy drinking in the Guard. Furthermore, previous research on the general military population finds similar percentages, providing support for SBIRT as an effective screening tool in the Guard. Copyright © 2016 Elsevier Ltd. All rights reserved.

Coincident Alcohol Dependence and Depression Increases Risk of Suicidal Ideation among Army National Guard Soldiers

PubMed Central

Fink, David; Sampson, Laura; Tamburrino, Marijo; Liberzon, Israel; Calabrese, Joseph R.; Galea, Sandro

2017-01-01

Purpose Suicide rates among military service members have risen dramatically, while drivers remain poorly understood. We aimed to examine the relationship between coincident alcohol dependence and depression in shaping subsequent risk of suicidal ideation among National Guard forces. Methods We performed a longitudinal analysis using a randomly selected, population-based sample of Ohio Army National Guard soldiers. Telephone-based surveys of 1582 soldiers who participated in both wave 1 (data collected 2008–2009) and wave 2 (data collected 2009– 2010) were analyzed. Results Incident suicidal ideation was present among 2.47% of soldiers at follow-up. Odds ratios (ORs) for suicidal ideation among those with vs. without alcohol dependence were similar among non-depressed [OR=3.85 (95% Confidence Intervals(CI) = 1.18–12.52)] and depressed individuals [OR = 3.13 (95% CI = 0.88–11.14)]; a logistic model cross-product term confirmed an absence of multiplicative interaction (beta coefficient=−0.21, p=0.82). In contrast, the risk differences (RD) for suicidal ideation among those with vs. without alcohol dependence diverged for those without depression [RD = 0.04 (95% CI = 0.02–0.07)] compared to those with depression [RD 0.11(95% CI=0.06–0.18)]; strong evidence of additive interaction was observed - [Relative Excess Risk of Interaction (RERI) = 5.978(95% CI=0.364–11.591)]. Conclusions We found that alcohol dependence and depression worked together to shape risk for incident suicidal ideation among Army National Guard service members. Because coincident alcohol dependence and depression is relatively rare, a high-risk prevention approach is recommended. Population-based screening for suicidality among patients with alcohol dependence, depression, and particularly those with both conditions is warranted in military populations. PMID:28139369

Facets of Occupational Burnout Among U.S. Air Force Active Duty and National Guard/Reserve MQ-1 Predator and MQ-9 Reaper Operators

DTIC Science & Technology

2011-06-01

Although occupational burnout is not a categorical psychiatric diagnosis , it stands to reason that such a condition leads to performance...AFRL-SA-WP-TR-2011-0003 FACETS OF OCCUPATIONAL BURNOUT AMONG U.S. AIR FORCE ACTIVE DUTY AND NATIONAL GUARD/RESERVE MQ-1 PREDATOR AND...Occupational Burnout Among U.S. Air Force Active Duty and National Guard/Reserve MQ-1 Predator and MQ-9 Reaper Operators 5a. CONTRACT NUMBER 5b

PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services Among National Guard Soldiers

DTIC Science & Technology

2013-10-01

Reserve), 45 years or older, divorced/separated or never married ( vs . married ), enlisted ( vs . officer), or living in a household with a total income...officers, and those who were married had a lower prevalence of anger than unmarried soldiers. Probable civilian-related PTSD was documented among 4.3% of...between the ages of 18 and 35 (59.9%), and married (53.1%). In our sample, the Army National Guard had the highest representation (43.4%) and the

Installation restoration program. Site investigation report, IRP sites No. 1, No. 2, and No. 3. 106th Civil Engineering Flight, New York Air National Guard, Roslyn Air National Guard Station, Roslyn, New York. Volume 2, Appendices A-G. Site Investigation report

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

NONE

1996-11-01

This a continuation of the Installation Restoration Program, Site Investigation Report IRP Sites No. 1, No. 2 and No. 3 at the New York Air National Guard, Roslyn, New York. The soil boring logs are presented.

Use of a "secure room" and a security guard in the management of the violent, aggressive or suicidal patient in a rural hospital: a 3-year audit.

PubMed

Brock, Gordon; Gurekas, Vydas; Gelinas, Anne-Fredrique; Rollin, Karina

2009-01-01

Little has been published on the management of psychiatric crises in rural areas, and little is known of the security needs or use of "secure rooms" in rural hospitals. We conducted a 3-year retrospective chart audit on the use of our secure room/security guard system at a rural hospital in a town of 3500, located 220 km from our psychiatric referral centre. Use of our secure room/security guard system occurred at the rate of 1.1 uses/1000 emergency department visits, with the most common indication being physician perception of risk of patient suicide or self-harm. Concern for staff safety was a factor in 10% of uses. Eighty percent of patients were treated locally, with most being released from the secure room after 2 days or less. Fourteen percent of patients required ultimate transfer to our psychiatric referral centre and 6% to a detoxification centre. The average annual cost of security was $16 259.61. A secure room can provide the opportunity for close observation of a potentially self-harming patient, additional security for staff and early warning if a patient flees the hospital. Most admissions were handled locally, obviating the need for transfer to distant psychiatric referral centres. Most patients who were admitted were already known as having a psychiatric illness and 80% of the patients required the use of the secure room/security guard system for less than a 2-night stay, suggesting that most rural mental health crises pass quickly. Most patients admitted to a rural hospital with a mental health crisis can be managed locally if an adequate secure room/security guard system is available.

Army Physical Fitness Test scores predict coronary heart disease risk in Army National Guard soldiers.

PubMed

Talbot, Laura A; Weinstein, Ali A; Fleg, Jerome L

2009-03-01

An increased rate of cardiac symptoms at combat theater hospitals brings concerns about the predeployment health of Army National Guard (ARNG) soldiers on the basis of older age, lower fitness level, and sedentary lifestyle than active duty troops. The purpose of this study was to examine the association of physical fitness, reported physical activity (PA), and coronary risk factors to calculated 10-year hard coronary heart disease (CHD) risk in 136 ARNG soldiers, aged 18-53 years, who failed the 2-mile run of the Army Physical Fitness Test (APFT). The APFT score, derived from a composite of 2-mile run time, sit-ups, and push-ups, related inversely to 10-year CHD risk (r = -0.23, p < 0.01) but no relationship with CHD risk was observed for PA. APFT scores were positively associated with high-density lipoprotein (HDL) cholesterol and inversely with triglycerides, total cholesterol:HDL ratio, diastolic blood pressure, and body mass index (BMI). No relationship existed between PA and any of the CHD risk factors. We conclude that a higher APFT score is associated with a healthier CHD risk factor profile and is a predictor of better predeployment cardiovascular health.

Hospital autonomy: the experience of Kenyatta National Hospital.

PubMed

Collins, D; Njeru, G; Meme, J; Newbrander, W

1999-01-01

An increasing number of countries are exploring the introduction or expansion of autonomous hospitals as one of the numerous health reforms they are introducing to their health system. Hospital autonomy is one of the forms of decentralization that is focused on a specific institution rather than on a political unit. It has gained much interest because it is an attempt to amalgamate the best elements of the public and private sectors in how a hospital is governed, managed and financed. This paper reviews the key elements of the concept of hospital autonomy, the reasons for its expanded use in many countries and a specific example of making a major teaching hospital autonomous in Kenya. A review of the successful experience of Kenyatta National Hospital and its process of introducing autonomy, with regard to governance, operations and management, and finances, lead to several conclusions on replicability. The legal framework is a critical element for successfully structuring the autonomous hospital. Additionally, success is highly dependent on the extent to which there is adequate funding during the process of attaining autonomy due to the length of the transition period needed. Autonomy must be granted within the context of the national health system and national health objectives and be consistent with those aims and their underlying societal values. Finally, as with decentralization, success is dependent upon the preparation done with the systems and management necessary for the proper governance and operation of autonomous hospitals.

Pasdaran Incorporated: Evolving from Revolutionary to Praetorian Guard

DTIC Science & Technology

2010-03-01

IRGN - Islamic Revolutionary Guards Corps’ Navy IRGQF - Islamic Revolutionary Guards Corps’ Qods Force IRI - Islamic Republic of Iran IRIAF - Islamic...1 I. INTRODUCTION A. PURPOSE The Islamic Revolutionary Guards Corps1 (IRGC) of the Islamic Republic of Iran ( IRI ) is a unique establishment that...civil–military relations. Until recently, conventional wisdom saw the IRGC as just a paramilitary element of the IRI national-security system. It

Posttraumatic Stress Symptoms Among National Guard Soldiers Deployed to Iraq: Associations with Parenting Behaviors and Couple Adjustment

PubMed Central

Gewirtz, Abigail H.; Polusny, Melissa A.; DeGarmo, David S.; Khaylis, Anna; Erbes, Christopher R.

2011-01-01

Objective This article reports findings from a one-year longitudinal study examining the impact of change in PTSD symptoms following combat deployment on National Guard soldiers’ perceived parenting, and couple adjustment one year following return from Iraq. Method Participants were 468 Army National Guard fathers from a Brigade Combat Team (mean age 36 years; median deployment length 16 months; 89% European American, 5% African American, 6% Hispanic American). Participants completed an in-theater survey one month before returning home from OIF deployment (Time 1), and again, one year post-deployment (Time 2). The PTSD Checklist-Military Version (PCL-M; Weathers, Litz, Herman, Huska, & Keane, 1993) was gathered at both times, and two items assessing social support were gathered at baseline only. At Time 2, participants also completed self-report measures of parenting (Alabama Parenting Questionnaire—Short Form; Elgar, Waschbusch, Dadds, & Sigvaldason, 2007), couple adjustment (Dyadic Adjustment Scale-7; Sharpley & Rogers, 1984; Spanier, 1976), parent-child relationship quality (4 items from the Social Adjustment Scale-Self Report; Weissman & Bothwell, 1976), alcohol use (Alcohol Use Disorders Identification Test; Babor, Higgins-Biddle, Saunders, & Monteiro, 2001), and items assessing injuries sustained while deployed. Results Structural equation modeling analyses showed that increases in PTSD symptoms were associated with poorer couple adjustment and greater perceived parenting challenges at Time 2 (both at p<.001). Furthermore, PTSD symptoms predicted parenting challenges independent of their impact on couple adjustment. Conclusions Findings highlight the importance of investigating and intervening to support parenting and couple adjustment among combat-affected National Guard families. PMID:20873896

Annual Report of the Chief, National Guard Bureau for the Fiscal Year 1971

DTIC Science & Technology

1971-06-30

caaBKinan nicnaKs «a as $mm KI K oriiiims m nriiws liflSIW KI 00 msoHii imsM •» o» 13 J Army CHAMPS Team Handball In January 1971 the Army CHAMPS...the sport of team handball in the United States which would provide a talent base from which to draw players for the U.S. Olympic Team. These... handball . Domestic Action National Guard Domestic Action programs, designed to alleviate social problems within communities throughout the United States

Superfund record of decision (EPA Region 1): Otis Air National Guard (USAF), Operable Unit 3, Falmouth, MA, September 30, 1998

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

NONE

1999-03-01

The Massachusetts Military Reservation (MMR) on Cape Cod, Massachusetts, lies within the boundaries of the towns of Falmouth, Mashpee, Sandwich, and Bourne. The Area of Contamination (AOC) known as Chemical Spill 3 United States Coast Guard (CS-3 (USCG)) is located on Lee Road, in the south central portion of the MMR. The Air Force Center for Environmental Excellence (AFCEE) Installation Restoration Program Office at Otis Air National Guard (ANG) Base, Massachusetts.

Making the Transition: Interim Results of the National Guard Youth ChalleNGe Evaluation. [Executive Summary

ERIC Educational Resources Information Center

Millenky, Megan; Bloom, Dan; Dillon, Colleen

2010-01-01

Young people who drop out of high school face long odds of success in a labor market that increasingly values education and skills. This report presents interim results from a rigorous, ongoing evaluation of the National Guard Youth ChalleNGe Program, which aims to "reclaim the lives of at-risk youth" who have dropped out of high school. ChalleNGe…

Staying on Course: Three-Year Results of the National Guard Youth ChalleNGe Evaluation. Executive Summary

ERIC Educational Resources Information Center

Millenky, Megan; Bloom, Dan; Muller-Ravett, Sara; Broadus, Joseph

2011-01-01

High school dropouts face an uphill battle in a labor market that increasingly rewards skills and postsecondary credentials: they are more likely than their peers to need public assistance, be arrested or incarcerated, and less likely to marry. This executive summary summarizes results from a rigorous evaluation of the National Guard Youth…

Transforming the Army National Guard Health Promotion Policy - Meeting the Challenges of a Fit to Fight Army National Guard in the 21st Century

DTIC Science & Technology

2006-05-22

Health Home Page, available from http://www.pdhealth.mil; Internet; accessed 5 March 2006. 34Howard Berkes , “Health Care Gap Cited for Guard, Reserve...Veteran”, The Providence Journal, Intelligence Report, April 30, 2006, pg 14. 36Howard Berkes and Marisa Penaloza, “The Span of War, Guard, Reserve...Page, available from http://www.balancedscorecard.org/basics/bsc1.html; Internet; accessed 3 February 2006. Berkes , Howard, “Health Care Gap Cited

Installation restoration program. Site investigation report, IRP sites No. 1, No. 2, and No. 3. 106th Civil Engineering Flight, New York Air National Guard, Roslyn Air National Guard Station, Roslyn, New York. Volume 4, appendices I-J. Site Investigation report

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

NONE

1996-11-01

This report is the continuation of the Installation Restoration Program Site Investigation report IRP Sites No. 1, No. 2, and No. 3 at the Air National Guard, Roslyn, New York. The chemical analyses results for soil and ground water samples is reported.

Incidence of and risk for post-traumatic stress disorder and depression in a representative sample of US Reserve and National Guard.

PubMed

Fink, David S; Cohen, Gregory H; Sampson, Laura A; Gifford, Robert K; Fullerton, Carol S; Ursano, Robert J; Galea, Sandro

2016-03-01

We aim to determine the incidence rates (IR) of first-ever post-traumatic stress disorder (PTSD) and depression in a population-based cohort of US Reserve and National Guard service members. We used data from the US Reserve and National Guard Study (n = 2003) to annually investigate incident and recurrent PTSD and depression symptoms from 2010 to 2013. We estimated the IR and recurrence rate over 4 years and according to several sociodemographic and military characteristics. From 2010 to 2013, IRs were 4.7 per 100 person-years for both PTSD and depression symptoms using the sensitive criteria, 2.9 per 100 person-years using the more specific criteria, recurrence rates for both PTSD and depression were more than 4 times as high as IRs, and IRs were higher among those with past-year civilian trauma, but not past-year deployment. The finding that civilian trauma, but not past-year military deployment, is associated with an increased risk of PTSD and depression incidence suggest that Reserve National Guard psychopathology could be driven by other, nonmilitary, traumatic experiences. Copyright © 2016 Elsevier Inc. All rights reserved.

Prospective risk factors for new-onset post-traumatic stress disorder in National Guard soldiers deployed to Iraq.

PubMed

Polusny, M A; Erbes, C R; Murdoch, M; Arbisi, P A; Thuras, P; Rath, M B

2011-04-01

National Guard troops are at increased risk for post-traumatic stress disorder (PTSD); however, little is known about risk and resilience in this population. The Readiness and Resilience in National Guard Soldiers Study is a prospective, longitudinal investigation of 522 Army National Guard troops deployed to Iraq from March 2006 to July 2007. Participants completed measures of PTSD symptoms and potential risk/protective factors 1 month before deployment. Of these, 81% (n=424) completed measures of PTSD, deployment stressor exposure and post-deployment outcomes 2-3 months after returning from Iraq. New onset of probable PTSD 'diagnosis' was measured by the PTSD Checklist - Military (PCL-M). Independent predictors of new-onset probable PTSD were identified using hierarchical logistic regression analyses. At baseline prior to deployment, 3.7% had probable PTSD. Among soldiers without PTSD symptoms at baseline, 13.8% reported post-deployment new-onset probable PTSD. Hierarchical logistic regression adjusted for gender, age, race/ethnicity and military rank showed that reporting more stressors prior to deployment predicted new-onset probable PTSD [odds ratio (OR) 2.20] as did feeling less prepared for deployment (OR 0.58). After accounting for pre-deployment factors, new-onset probable PTSD was predicted by exposure to combat (OR 2.19) and to combat's aftermath (OR 1.62). Reporting more stressful life events after deployment (OR 1.96) was associated with increased odds of new-onset probable PTSD, while post-deployment social support (OR 0.31) was a significant protective factor in the etiology of PTSD. Combat exposure may be unavoidable in military service members, but other vulnerability and protective factors also predict PTSD and could be targets for prevention strategies.

Early Intervention to Reduce Alcohol Misuse and Abuse in the Ohio Army National Guard

DTIC Science & Technology

2015-09-01

the content of the WT-BI intervention for NG soldiers, the proposed study will screen ~ 3,100 individuals over the three year enrollment period as...months. After tailoring the content of the MT- BI intervention for National Guard soldiers, the proposed study will screen ~ 3,100 different...all study personnel in Year 1, with ongoing trainings held each year as needed. 5 Subtask 2 Starting in the 4th quarter of Year 1 through Year 4

Predictors of Army National Guard and Reserve members' use of Veteran Health Administration health care after demobilizing from OEF/OIF deployment.

PubMed

Harris, Alex H S; Chen, Cheng; Mohr, Beth A; Adams, Rachel Sayko; Williams, Thomas V; Larson, Mary Jo

2014-10-01

This study described rates and predictors of Army National Guard and Army Reserve members' enrollment in and utilization of Veteran Health Administration (VHA) services in the 365 days following demobilization from an index deployment. We also explored regional and VHA facility variation in serving eligible members in their catchment areas. The sample included 125,434 Army National Guard and 48,423 Army Reserve members who demobilized after a deployment ending between FY 2008 and FY 2011. Demographic, geographic, deployment, and Military Health System eligibility were derived from Defense Enrollment Eligibility Reporting System and "Contingency Tracking System" data. The VHA National Patient Care Databases were used to ascertain VHA utilization and status (e.g., enrollee, TRICARE). Logistic regression models were used to evaluate predictors of VHA utilization as an enrollee in the year following demobilization. Of the study members demobilizing during the observation period, 56.9% of Army National Guard members and 45.7% of Army Reserve members utilized VHA as an enrollee within 12 months. Demographic, regional, health coverage, and deployment-related factors were associated with VHA enrollment and utilization, and significant variation by VHA facility was found. These findings can be useful in the design of specific outreach efforts to improve linkage from the Military Health System to the VHA. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

The Predictive Validity of the PTSD Checklist in a Nonclinical Sample of Combat-Exposed National Guard Troops

ERIC Educational Resources Information Center

Arbisi, Paul A.; Kaler, Matthew E.; Kehle-Forbes, Shannon M.; Erbes, Christopher R.; Polusny, Melissa A.; Thuras, Paul

2012-01-01

After returning from an extended combat deployment to Iraq, 348 National Guard soldiers were administered the PTSD Checklist (PCL-M), and the Beck Depression Inventory II (BDI-II) followed, on average, 3 months later by structured diagnostic interviews including the Clinician-Administered PTSD Scale (CAPS) for the "Diagnostic and Statistical…

Annual Report (60th) of the Chief, National Guard Bureau for the Fiscal Year 1966

DTIC Science & Technology

1966-06-30

of this amount was contracten to a com- mercial advertising agency for tht development and production of printed, radio and television materials to...final months brought 30 June 1966 strength down to 420,924. The 418,500 programmed strength however, was exceeded by 2,424. Some factors ...this time. LOGISTICS The logistical situation of the Army National Guard in FY 66 was influenced by two major factors : a. Reorganization of

49 CFR 213.355 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false Frog guard rails and guard faces; gage. 213.355... Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs... distance between the gage line of a frog to the guard line 1 of its guard rail or guarding face, measured...

49 CFR 213.355 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false Frog guard rails and guard faces; gage. 213.355... Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs... distance between the gage line of a frog to the guard line 1 of its guard rail or guarding face, measured...

49 CFR 213.355 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false Frog guard rails and guard faces; gage. 213.355... Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs... distance between the gage line of a frog to the guard line 1 of its guard rail or guarding face, measured...

49 CFR 213.355 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Frog guard rails and guard faces; gage. 213.355... Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs... distance between the gage line of a frog to the guard line 1 of its guard rail or guarding face, measured...

49 CFR 213.355 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Frog guard rails and guard faces; gage. 213.355... Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs... distance between the gage line of a frog to the guard line 1 of its guard rail or guarding face, measured...

Installation restoration program. Site investigation report, IRP sites No. 1, No. 2, and No. 3. 106th Civil Engineering Flight, New York Air National Guard, Roslyn Air National Guard Station, Roslyn, New York. Volume 3, Appendix H. Site Investigation report

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

NONE

1996-11-01

This report is a continuation of the Installation Restoration Program site investigation report for IRP Sites No. 1, No. 2 and No. 3 at the Air National Guard, Rosyln, New York. The Sample Delivery Group (SDG) narratives and quality assurance/quality control analytical results of eighteen samples are reported.

49 CFR 213.143 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false Frog guard rails and guard faces; gage. 213.143... and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits... frog to the guard line 1 of its guard rail or guarding face, measured across the track at right angles...

49 CFR 213.143 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Frog guard rails and guard faces; gage. 213.143... and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits... frog to the guard line 1 of its guard rail or guarding face, measured across the track at right angles...

49 CFR 213.143 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Frog guard rails and guard faces; gage. 213.143... and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits... frog to the guard line 1 of its guard rail or guarding face, measured across the track at right angles...

49 CFR 213.143 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false Frog guard rails and guard faces; gage. 213.143... and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits... frog to the guard line 1 of its guard rail or guarding face, measured across the track at right angles...

49 CFR 213.143 - Frog guard rails and guard faces; gage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false Frog guard rails and guard faces; gage. 213.143... and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits... frog to the guard line 1 of its guard rail or guarding face, measured across the track at right angles...

The Role of the National Guard and Civil Preparedness Agency in Time of Natural Disaster

DTIC Science & Technology

1976-04-02

1967 Fairbanks, Alaska was exposted to the worst flood ever recorded 6 in that area with $178 million in damage. Fifteen billion gallons of...been noted that the sectors of the state that are continuously conducting refresher training and taking part in home study courses prepared by...agencies and the National Guard per- sonnel participate. It is the experience factor that will improve our disaster expertise and our ability to act as

Reserve Training. An Alternative to the Active Army Education Program for National Guard Technicians. Report to Congressional Requesters.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of National Security and International Affairs.

A study examined the Military Education Program (MEP) for Army National Guard technicians. The MEP is an active Army program providing leadership and advanced military occupational specialty technical training. The primary objectives of the study were to determine whether the revised Reserve Component Noncommissioned Officer Education Program is a…

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore from Manitowoc and Sheboygan..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.845 Wisconsin...

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore from Manitowoc and Sheboygan..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.845 Wisconsin...

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore from Manitowoc and Sheboygan..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.845 Wisconsin...

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore from Manitowoc and Sheboygan..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.845 Wisconsin...

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore from Manitowoc and Sheboygan..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.845 Wisconsin...

PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services among National Guard Forces

DTIC Science & Technology

2012-10-01

alcohol 1 2 8 9 1 2 3 H 25. Had a family member other than a parent with a serious drug or alcohol problem 1 2 8 9 1 2 3 H 26. Been through a divorce or... divorce or “break up” with a partner or significant other 1 2 8 9 1 2 3 H 27. Lost your job 1 2 8 9 1 2 3 H 28. Been emotionally mistreated – for example...Reported marital status was coded as married, divorced or separated, and never married. For military history, Reserve and National Guard divisions of the

Who’s in Charge: The Federal/State Conflict for Control of the National Guard.

DTIC Science & Technology

1988-03-30

35 BIBLIOGRAPHY .............................................. 37 ’ -’ AiiCeio For L. I, NT~, r N WHC)’S TN CH2ARGE The...eventually attempt to examine the merger bugaboo .... that we would then be fighting literally for the continued existence 7f the National Guard’s...469. 31. In 1956 these sections were codified into positive law as sections 672(b) and 672( d ) of Title 10 U.S.C., Act of August 10, 1956, ch 1041, 70A

The Coast Guard Comes to Class.

ERIC Educational Resources Information Center

Fawcett, Paul

2002-01-01

Focuses on Sea Partners, by the United States Coast Guard, that enables students to understand how pollution affects the marine environment. Correlates the activities with the National Science Education Standards. (DDR)

Investigating the Benefits and Drawbacks of Realigning the National Guard Under the Department of Homeland Security

DTIC Science & Technology

2016-08-01

efforts, such as those following hurricanes Katrina and Sandy. To consider this fully, it is neces- sary to understand the basic roles and...roles. From Hurricane An- drew and the Los Angeles riots of 1992, to Hurricane Sandy and the pre-election political conventions of 2012, we have seen...life. In incidents of massive proportion like Hurricane Ka- trina, we sometimes see state National Guard troops operating alongside federal

Risk and resilience factors associated with posttraumatic stress in ethno-racially diverse National Guard members in Hawai׳i.

PubMed

Whealin, Julia M; Nelson, Dawna; Stotzer, Rebecca; Guerrero, Anthony; Carpenter, Megan; Pietrzak, Robert H

2015-06-30

This study examinedrisk and resilience factors associated with posttraumatic stress symptomatology (PTSS) in an ethno-racially diverse sample of Hawai׳i National Guard members comprised of Native Hawaiians, Filipino Americans, Japanese Americans, and European Americans. In the full sample, identifying as Japanese American and higher scores on measures of perceived social support and psychological resilience were negatively associated with PTSS, while Army Guard (vs. Air Guard) status and stronger family norms against disclosing mental health problems were positively associated with PTSS. Exploratory analyses of ethno-racial subgroups identified different patterns of within and between-group correlates of PTSS. For example, when controlling for other factors, higher psychological resilience scores were negatively associated with PTSS only among Native Hawaiian and European Americans. Overall, results of this study suggest that some risk and resilience factors associated with posttraumatic stress disorder (PTSD) may extend to military populations with high numbers of Filipino American, Japanese American, and Native Hawaiian Veterans. Results further suggest differences in risk and resilience factors unique to specific ethno-racial subgroups. Published by Elsevier Ireland Ltd.

Security of the Homeland (A National Guard Perspective)

DTIC Science & Technology

2008-03-13

other than typical war fight missions. Since the Guard had non- deployed combat arms or maneuver structure, “in lieu” missions became a norm . A New...Page 4. 14 Beverly Bell, NEMA Sr Policy Analyst, “The Future of EMAC,” available at http://www.emacweb.org, Internet accessed January 2008, Page

Financial Analysis of National University Hospitals in Korea.

PubMed

Lee, Munjae

2015-10-01

This paper provides information for decision making of the managers and the staff of national university hospitals. In order to conduct a financial analysis of national university hospitals, this study uses reports on the final accounts of 10 university hospitals from 2008 to 2011. The results of comparing 2008 and 2011 showed that there was a general decrease in total assets, an increase in liabilities, and a decrease in total medical revenues, with a continuous deficit in many hospitals. Moreover, as national university hospitals have low debt dependence, their management conditions generally seem satisfactory. However, some individual hospitals suffer severe financial difficulties and thus depend on short-term debts, which generally aggravate the profit and loss structure. Various indicators show that the financial state and business performance of national university hospitals have been deteriorating. These research findings will be used as important basic data for managers who make direct decisions in this uncertain business environment or by researchers who analyze the medical industry to enable informed decision-making and optimized execution. Furthermore, this study is expected to contribute to raising government awareness of the need to foster and support the national university hospital industry.

49 CFR 850.3 - Relationship to Coast Guard marine investigation regulations and procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Relationship to Coast Guard marine investigation regulations and procedures. 850.3 Section 850.3 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD COAST GUARD-NATIONAL TRANSPORTATION SAFETY BOARD MARINE CASUALTY INVESTIGATIONS § 850.3...

Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq.

PubMed

Thomas, Jeffrey L; Wilk, Joshua E; Riviere, Lyndon A; McGurk, Dennis; Castro, Carl A; Hoge, Charles W

2010-06-01

A growing body of literature has demonstrated the association of combat in Iraq and Afghanistan with postdeployment mental health problems, particularly posttraumatic stress disorder (PTSD) and depression. However, studies have shown varying prevalence rates of these disorders based on different case definitions and have not assessed functional impairment, alcohol misuse, or aggressive behavior as comorbid factors occurring with PTSD and depression. To (1) examine the prevalence rates of depression and PTSD using several case definitions including functional impairment, (2) determine the comorbidity of alcohol misuse or aggressive behaviors with depression or PTSD, and (3) compare rates between Active Component and National Guard soldiers at the 3- and 12-month time points following their deployment to Iraq. Population-based, cross-sectional study. United States Army posts and National Guard armories. A total of 18 305 US Army soldiers from 4 Active Component and 2 National Guard infantry brigade combat teams. Between 2004 and 2007, anonymous mental health surveys were collected at 3 and 12 months following deployment. Current PTSD, depression, functional impairment, alcohol misuse, and aggressive behavior. Prevalence rates for PTSD or depression with serious functional impairment ranged between 8.5% and 14.0%, with some impairment between 23.2% and 31.1%. Alcohol misuse or aggressive behavior comorbidity was present in approximately half of the cases. Rates remained stable for the Active Component soldiers but increased across all case definitions from the 3- to 12-month time point for National Guard soldiers. The prevalence rates of PTSD and depression after returning from combat ranged from 9% to 31% depending on the level of functional impairment reported. The high comorbidity with alcohol misuse and aggression highlights the need for comprehensive postdeployment screening. Persistent or increased prevalence rates at 12 months compared with 3 months

Financial Analysis of National University Hospitals in Korea

PubMed Central

Lee, Munjae

2015-01-01

Objectives This paper provides information for decision making of the managers and the staff of national university hospitals. Methods In order to conduct a financial analysis of national university hospitals, this study uses reports on the final accounts of 10 university hospitals from 2008 to 2011. Results The results of comparing 2008 and 2011 showed that there was a general decrease in total assets, an increase in liabilities, and a decrease in total medical revenues, with a continuous deficit in many hospitals. Moreover, as national university hospitals have low debt dependence, their management conditions generally seem satisfactory. However, some individual hospitals suffer severe financial difficulties and thus depend on short-term debts, which generally aggravate the profit and loss structure. Various indicators show that the financial state and business performance of national university hospitals have been deteriorating. Conclusion These research findings will be used as important basic data for managers who make direct decisions in this uncertain business environment or by researchers who analyze the medical industry to enable informed decision-making and optimized execution. Furthermore, this study is expected to contribute to raising government awareness of the need to foster and support the national university hospital industry. PMID:26730356

Occupational Analysis of Air Force Reserve and Air National Guard Nurses. Final Report for Period January 1974-July 1975.

ERIC Educational Resources Information Center

Bergmann, Joseph A.; Smith, Michael C.

An occupational survey comparing active duty and Reserve Forces nurses was conducted to support a Nursing Resources Study Group gathering information on current and future nurse requirements. Job inventory booklets were sent to chief nurses at Reserve and Air National Guard locations which were administered during unit training meetings. Returned…

Army National Guard Companies Have Not Developed Effective Training Programs to Attain or Sustain Mission Essential Task Proficiency (REDACTED)

DTIC Science & Technology

2016-12-05

consist of at least five company -level units: headquarters , two rifle, and two armored units. Reconnaissance squadrons generally consist of at...least four company - level units: headquarters and three reconnaissance units...Brief (U) Army National Guard Companies Have Not Developed Effective Training Programs to Attain or Sustain Mission Essential Task Proficiency

Metadata - National Hospital Discharge Survey (NHDS)

EPA Pesticide Factsheets

The National Hospital Discharge Survey (NHDS) is an annual probability survey that collects information on the characteristics of inpatients discharged from non-federal short-stay hospitals in the United States.

A Study of the Physiological Factors Affecting the Nature of the Adult Learner in the Phoenix Air National Guard.

ERIC Educational Resources Information Center

Torbert, James Brison

An investigation reviewed current literature in the field of physiological factors affecting the adult learning environment. These findings were compared to the academic learning environment at the Phoenix Air National Guard. The end product was a set of recommendations for management to implement in order to improve the learning climate for the…

Site investigation for 125th fighter interceptor group Florida Air National Guard

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

NONE

1995-03-01

A two-step Site Investigation (SI) was conducted to evaluate the nature and extent of environmental contamination that might have resulted from past activities at eight disposal/spill sites at the 125th Fighter Interceptor Group, Florida Air National Guard (FANG) in Jacksonville, Florida. The sites included in the SI are shown on the location map in Figure ES-i and briefly described below: Oil/water separator (OWS) inlets along the aircraft parking apron; Subsurface of aircraft parking apron; Fire training areas, separated for clarity into Site 3E for the east area and Site 3W for the west area; OWS at the Hush House; OWSmore » at the Vehicle Maintenance Building; Area outside the Munitions Building; Trim pad for aircraft run-up; OWS at the Wash Rack.« less

What Should Be the Relationship between the National Guard and United States Northern Command in Civil Support Operations Following Catastrophic Events?

DTIC Science & Technology

2006-09-01

catastrophe such as the New Madrid earthquake or pandemic influenza scenarios that required a standard military response across the states, this construct...the next crisis. D. LITERATURE REVIEW USNORTHCOM is a relatively new organization so there is not an abundance of existing literature that...Brigadier General (Retired) Raymond E. Bell proposes making a National Guard general officer the commander of USNORTHCOM. He also suggests the National

Comparison of Retention Patterns for Army National Guard and Army Reserve Units Participating in National Training Center, Reforger and Blazing Trails Exercises

DTIC Science & Technology

1990-01-01

Department of the Army RAND Corp. Accesion Fo, NTIS CRA&I Technical review by DTIC ! A6 0Undnno s: ced 0 David K. Home tl IC I Robert W. Tinney By Dist...changes to the Sixth Quadrennial Review of Military Compensation. viii COMPARISON OF RETENTION PATTERNS FOR NATIONAL GUARD AND ARMY RESERVE UNITS...duty time-- movies , volleyball, and time to go to the PX at Big Bear. Because of the work schedule, the soldiers did not have any free time in the

Mortality of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California

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

Standley, W.G.; Berry, W.H.; O'Farrell, T.P.

1992-09-01

Sources and rates of mortality of a San Joaquin kit fox population (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site, California, from November 1988 through September 1991. National Guard-authorized activities, including military training, caused the death of three of the 94 (3%) kit foxes radiocollared, and do not appear to jeopardize the continued existence of the population. Predation by larger carnivores, primarily coyotes (Canis latrans), caused the death of 75% of the 32 radiocollared kit foxes recovered dead for which a cause of death could be determined; vehicle impacts, disease (rabies), poisoning, and shooting weremore » each responsible for the deaths of 6.3%. Adult annual mortality rate was 0.47 and the juvenile mortality rate was 0.80, and both rates are similar to rates reported for kit foxes in other locations. There was no significant difference between male and female mortality rates in either age class. The proportions of dead kit foxes recovered in different habitat types were similar to the availability of the habitat types within the distribution of kit fox on the installation.« less

Personnel Policies for an Operational Army National Guard

DTIC Science & Technology

2008-06-13

ARNG for their time and thoughtfulness in identifying critical policies from which I was able to develop the survey and the basis for my thesis...Green, MAJ Shaffer, and MAJ Beckler for providing keen editing. To my children Ashten, Taven, and Gabren, thank you for playing quietly because Dad is...Guard Bureau RC Army’s Reserve Components RSP Recruit Sustainment Program SIDPERS Standard Installation/Division Personnel System TDA Table of

The prevalence and correlates of risky driving behavior among National Guard soldiers.

PubMed

Hoggatt, Katherine J; Prescott, Marta R; Goldmann, Emily; Tamburrino, Marijo; Calabrese, Joseph R; Liberzon, Israel; Galea, Sandro

2015-01-01

Previous studies have reported that risky driving is associated with deployment and combat exposure in military populations, but there is limited research on risky driving among soldiers in the National Guard and Reserves, a group increasingly deployed to active international conflicts. The goal of this analysis was to assess the prevalence of risky driving and its demographic, mental health, and deployment-related correlates among members of the Ohio Army National Guard (OHARNG). The study group comprised 2,616 eligible OHARNG soldiers enlisted as of June 2008, or who enlisted between June 2008 and February 2009. The main outcome of interest was the prevalence of risky driving behavior assessed using six questions: "How often do you use seat belts when you drive or ride in a car?"; "In the past 30 days, how many times have you driven when you've had perhaps too much to drink?"; "In the past year, have you ever become impatient with a slow driver in the fast lane and passed them on the right?"; "In the past year have you crossed an intersection knowing that the traffic lights have already changed from yellow to red?"; "In the past year have you disregarded speed limits late at night or early in the morning?"; and "In the past year have you underestimated the speed of an oncoming vehicle when attempting to pass a vehicle in your own lane?" We fit multiple logistic regression models and derived the adjusted prevalence of risky driving behavior for soldiers with mental health conditions, deployment experience, exposure to combat or trauma, and psychosocial stressors or supports. The prevalence of risky driving was higher in soldiers with a history of mental health conditions, deployment to a conflict area, deployment-related traumatic events, and combat or post-combat stressors. In contrast, the prevalence of risky driving was lower for soldiers who reported high levels of psychosocial support. Efforts to mitigate risky driving in military populations may be more

Installation Restoration Program. Preliminary Assessment: 192nd Tactical Fighter Group, Virginia Air National Guard, Richmond International Airport, Sandston, Virginia

DTIC Science & Technology

1989-02-01

contaminated by past disposal practices. Sampling and analysis was not included in the PA. B. MAJOR FINDINGS The Air National Guard has utilized...with 23 Base personnel and the field surveys identified 3 potentially contaminated sites resulting from past disposal, storage, and/or spills and leaks...characteristic petroleum odor. With visible evidence of released contaminants , there is potential for contaminant migration by shallow groundwater. Site No. 3

The South Carolina National Guard Secure Area Duty Officer Program: A Reserve Component Active Shooter Contingency Case Study

DTIC Science & Technology

2017-12-01

SADOP) was authorized as SCNG policy on October 3, 2015. This research constitutes a case study of the SCNG SADOP and catalogs the program from...concealed firearms carry law. C. METHODOLOGY This thesis is a single case study of SADOP, which is an exceptional case and the only one of its kind...CAROLINA NATIONAL GUARD SECURE AREA DUTY OFFICER PROGRAM: A RESERVE COMPONENT ACTIVE SHOOTER CONTINGENCY CASE STUDY by Barry N. Ramey December

Coast guard : better logistics planning needed to aid operational decisions related to the deployment of the national security cutter and its support assets.

DOT National Transportation Integrated Search

2009-07-01

As part of its more than $$24 billion Deepwater program to replace aging vessels and aircraft with new or upgraded assets, the Coast Guard is preparing the National Security Cutter (NSC) for service. GAO previously reported on Deepwater assets' deplo...

First Coast Guard district traffic model report

DOT National Transportation Integrated Search

1997-11-01

The purpose of this report was to describe the methodology used in developing the First Coast Guard District (CGD1) Traffic Model and to document the potential National Distress System (NDS) voice and data traffic forecasted for the year 2001. The ND...

75 FR 68663 - Federal Motor Vehicle Safety Standards; Rear Impact Guards; Rear Impact Protection; Technical...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-08

... Report, on the Effectiveness of Underride Guards for Heavy Trailers AGENCY: National Highway Traffic...: The Effectiveness of Underride Guards for Heavy Trailers. DATES: Comments must be received no later...

A&M. Guard house (TAN638), contextual view. Built in 1968. Camera ...

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

A&M. Guard house (TAN-638), contextual view. Built in 1968. Camera faces south. Guard house controlled access to radioactive waste storage tanks beyond and to left of view. Date: February 4, 2003. INEEL negative no. HD-33-4-1 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

Suicide in the Guard and Reserve: Variables in Mental Health Access and Support

DTIC Science & Technology

2016-06-01

I’ve served for almost ten years in the Air National Guard. My career has consisted of serving in two states, both as a traditional Guardsman working...balancing two careers . Not to mention in recent years, the National Guard and Reserve forces have often faced multiple deployments, which can easily...take a toll on family stability and civilian careers . In response to these predicted stressors, the DoD implemented numerous programs in recent

Guarded Motion for Mobile Robots

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

2005-03-30

The Idaho National Laboratory (INL) has created codes that ensure that a robot will come to a stop at a precise, specified distance from any obstacle regardless of the robot's initial speed, its physical characteristics, and the responsiveness of the low-level motor control schema. This Guarded Motion for Mobile Robots system iteratively adjusts the robot's action in response to information about the robot's environment.

U.S. Coast Guard, Office of Boating Safety

MedlinePlus

... COAST GUARD ISSUES FINALE RULE – UPDATE OF OUTBOARD ENGINE WEIGHT TEST REQUIREMENTS FY18 National Nonprofit Organization Funding ... operator, passenger, or concerned individual, can make a difference. Manufacturers Is your boat safe? You can check ...

33 CFR 5.59 - Medical treatment and hospitalization.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Medical treatment and hospitalization. 5.59 Section 5.59 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AUXILIARY § 5.59 Medical treatment and hospitalization. When any member of the...

33 CFR 5.59 - Medical treatment and hospitalization.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Medical treatment and hospitalization. 5.59 Section 5.59 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AUXILIARY § 5.59 Medical treatment and hospitalization. When any member of the...

33 CFR 5.59 - Medical treatment and hospitalization.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Medical treatment and hospitalization. 5.59 Section 5.59 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AUXILIARY § 5.59 Medical treatment and hospitalization. When any member of the...

33 CFR 5.59 - Medical treatment and hospitalization.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Medical treatment and hospitalization. 5.59 Section 5.59 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AUXILIARY § 5.59 Medical treatment and hospitalization. When any member of the...

REQUEST A COLOR GUARD

Science.gov Websites

EMERGENCY PREPAREDNESS CONTACT REQUEST A SPEAKER REQUEST A COLOR GUARD OPERATIONAL CONTRACT SUPPORT HomeCONTACTREQUEST A COLOR GUARD Request a Color Guard Please take a moment to fill out the document at the link one month to process your request, but no more than three. Color Guard Request Form For Community

Children of National Guard troops: a pilot study of deployment, patriotism, and media coverage.

PubMed

Pfefferbaum, Betty; Jeon-Slaughter, Haekyung; Jacobs, Anne K; Houston, J Brian

2013-01-01

This exploratory pilot study examined the psychosocial effects of the war in Iraq, patriotism, and attention to war-related media coverage in the children of National Guard troops across phases of parental deployment--pre deployment, during deployment, and post deployment. Participants included 11 children, ages 8 to 18 years. Data collected in each deployment phase included demographics, the Behavior Assessment System for Children, (Second Edition, BASC-2), patriotism (national identity, uncritical patriotism, and constructive patriotism), and attention to war-related media coverage. School problems and emotional symptoms were significantly higher during deployment than post deployment. National identity and constructive patriotism increased and uncritical patriotism decreased post deployment from levels during deployment. Uncritical patriotism correlated positively with emotional symptoms and correlated negatively with personal adjustment. Constructive patriotism correlated positively with emotional symptoms and with internalizing problems. Greater attention to war-related media coverage correlated with uncritical patriotism, and attention to internet coverage correlated with constructive patriotism. Attention to media coverage was linked to greater emotional and behavioral problems and was negatively correlated with personal adjustment. The results of this pilot study identified relationships of both patriotism and attention to media coverage with children's emotional and behavioral status and personal adjustment suggesting areas for future investigation.

20 CFR 1002.57 - Is all service as a member of the National Guard considered “service in the uniformed services?”

Code of Federal Regulations, 2010 CFR

2010-04-01

..., it is a State military force subject to call-up by the State Governor for duty not subject to Federal control, such as emergency duty in cases of floods or riots. National Guard members may perform service... authority includes active duty performed under Title 10 of the United States Code. Service under Federal...

20 CFR 1002.57 - Is all service as a member of the National Guard considered “service in the uniformed services?”

Code of Federal Regulations, 2011 CFR

2011-04-01

..., it is a State military force subject to call-up by the State Governor for duty not subject to Federal control, such as emergency duty in cases of floods or riots. National Guard members may perform service... authority includes active duty performed under Title 10 of the United States Code. Service under Federal...

Metadata - National Hospital Ambulatory Medical Care Survey (NHAMCS)

EPA Pesticide Factsheets

The National Hospital Ambulatory Medical Care Survey (NHAMCS) is designed to collect information on the services provided in hospital emergency and outpatient departments and in ambulatory surgery centers.

Devices and Aids for Training M1 Tank Gunnery in the Army National Guard: A Review of Military Documents and the Research Literature.

DTIC Science & Technology

1991-04-01

U.S. DEPARTMENT OF COMMERCE NATIONAL TECHNICAL INFORMATION SERVICE SPRINGFIELD, VA 22161 D ISC, 1A13 NO TICK THIS DOCUMENT IS BEST QUALITY AVAILABLE...training strategy for use at the company level by the Army National Guard (ARNG). Six devices and aids relevant to gunnery training in an armory...M1 tank gunnery training strategy for use at home station. This report describes the results of the first phase of the project, wherein candidate

Coast Guard Assists with Mapping of Great Lakes Ice

NASA Image and Video Library

1976-11-21

A group of Coast Guard seamen leave their ship to verify ice formations on the Great Lakes as part of an joint effort with the National Aeronautics and Space Administration (NASA) Lewis Research Center and the National Oceanic and Atmospheric Administration. The regular winter freezing of large portions of the Great Lakes stalled the shipping industry. Lewis began working on two complementary systems to monitor the ice. The Side Looking Airborne Radar (SLAR) system used microwaves to measure the ice distribution and electromagnetic systems used noise modulation to determine the thickness of the ice. The images were then transferred via satellite to the Coast Guard station. The Coast Guard then transmitted the pertinent images by VHF to the ship captains to help them select the best route. The Great Lakes ice mapping devices were first tested on NASA aircraft during the winter of 1972 and 1973. The pulsed radar system was transferred to the Coast Guard’s C-130 aircraft for the 1975 and 1976 winter. The SLAR was installed in the rear cargo door, and the small S-band antenna was mounted to the underside of the aircraft. Coast Guard flights began in January 1975 at an altitude of 11,000 feet. Early in the program, teams of guardsmen and NASA researchers frequently set out in boats to take samples and measurements of the ice in order to verify the radar information.

The combined use of Skype and the STORZ CMAC video laryngoscope in field intubation training with the Nebraska National Air Guard.

PubMed

Boedeker, Ben H; Bernhagen, Mary; Miller, David J; Miljkovic, Nikola; Kuper, Gail M; Murray, W Bosseau

2011-01-01

This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants.

Shaping the National Guard in a Post-War Environment

DTIC Science & Technology

2012-09-01

IRR Individual Ready Reserve xiv JCS Joint Chiefs of Staff JFHQ Joint Forces Headquarters JTF Joint Task Force LAPD Los Angeles ... changing -of- the -guard/. 35 budget is a mirror of 2010, with future budgets projected to be capped at 2009 levels . In a troubled economy, DoD is...thesis are those of the author and do not reflect the official policy or position of the Department of Defense or the U.S. Government. IRB Protocol

Sound Guard

NASA Technical Reports Server (NTRS)

1978-01-01

Lubrication technology originally developed for a series of NASA satellites has produced a commercial product for protecting the sound fidelity of phonograph records. Called Sound Guard, the preservative is a spray-on fluid that deposits a microscopically thin protective coating which reduces friction and prevents the hard diamond stylus from wearing away the softer vinyl material of the disc. It is marketed by the Consumer Products Division of Ball Corporation, Muncie, Indiana. The lubricant technology on which Sound Guard is based originated with NASA's Orbiting Solar Observatory (OSO), an Earth-orbiting satellite designed and built by Ball Brothers Research Corporation, Boulder, Colorado, also a division of Ball Corporation. Ball Brothers engineers found a problem early in the OSO program: known lubricants were unsuitable for use on satellite moving parts that would be exposed to the vacuum of space for several months. So the company conducted research on the properties of materials needed for long life in space and developed new lubricants. They worked successfully on seven OSO flights and attracted considerable attention among other aerospace contractors. Ball Brothers now supplies its "Vac Kote" lubricants and coatings to both aerospace and non-aerospace industries and the company has produced several hundred variations of the original technology. Ball Corporation expanded its product line to include consumer products, of which Sound Guard is one of the most recent. In addition to protecting record grooves, Sound Guard's anti-static quality also retards particle accumulation on the stylus. During comparison study by a leading U.S. electronic laboratory, a record not treated by Sound Guard had to be cleaned after 50 plays and the stylus had collected a considerable number of small vinyl particles. The Sound Guard-treated disc was still clean after 100 plays, as was its stylus.

The role of private hospitals in South Africa. Part II. Towards a national policy on private hospitals.

PubMed

Broomberg, J

1993-05-01

This paper reviews some aspects of present state policy on private hospitals and sets out broad policy guidelines, as well as specific policy options, for the future role of private hospitals in South Africa. Current state policy is reviewed via an examination of the findings and recommendations of the two major Commissions of Inquiry into the role of private hospitals over the last 2 decades, and comparison of these with the present situation. The analysis confirms that existing state policy on private hospitals is inadequate, and suggests some explanations for this. Policy options analysed include the elimination of the private hospital sector through nationalization; partial integration of private hospitals into a centrally financed health care system (such as a national health insurance system); and the retention of separate, privately owned hospitals that will remain privately financed and outside the system of national health care provision. These options are explained and their merits and the associated problems debated. While it is recognised that, in the long term, public ownership of hospitals may be an effective way of attaining equity and efficiency in hospital services, the paper argues that elimination of private hospitals is not a realistic policy option for the foreseeable future. In this scenario, partial integration of private hospitals under a centrally financed system is argued to be the most effective way of improving the efficiency of the private hospital sector, and of maximising its contribution to national health care resources.

The Minnesota Multiphasic Personality Inventory-2 Restructured Form in National Guard Soldiers Screening Positive for Posttraumatic Stress Disorder and Mild Traumatic Brain Injury

ERIC Educational Resources Information Center

Arbisi, Paul A.; Polusny, Melissa A.; Erbes, Christopher R.; Thuras, Paul; Reddy, Madhavi K.

2011-01-01

The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2 RF) was administered to 251 National Guard soldiers who had recently returned from deployment to Iraq. Soldiers were also administered questionnaires to identify posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). On the basis of responses to the…

Installation Restoration Program Decision Document. Site 15. Alpena Combat Readiness Training Center, Michigan Air National Guard, Alpena County Regional Airport, Alpena, Michigan.

DTIC Science & Technology

1996-05-01

This Decision Document (DD) supports the no further action alternative for Site 15 - Oiled Roads at the Alpena Combat Readiness Training Center (CRTC...in Alpena , Michigan. The purpose of the DD is to summarize the existing data for the site and describe the Air National Guard’s rational for selecting the no further action alternative.

Findings From the National Machine Guarding Program–A Small Business Intervention

PubMed Central

Parker, David L.; Yamin, Samuel C.; Xi, Min; Brosseau, Lisa M.; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2016-01-01

Objectives: The purpose of this nationwide intervention was to improve machine safety in small metal fabrication businesses (3 to 150 employees). The failure to implement machine safety programs related to guarding and lockout/tagout (LOTO) are frequent causes of Occupational Safety and Health Administration (OSHA) citations and may result in serious traumatic injury. Methods: Insurance safety consultants conducted a standardized evaluation of machine guarding, safety programs, and LOTO. Businesses received a baseline evaluation, two intervention visits, and a 12-month follow-up evaluation. Results: The intervention was completed by 160 businesses. Adding a safety committee was associated with a 10% point increase in business-level machine scores (P < 0.0001) and a 33% point increase in LOTO program scores (P < 0.0001). Conclusions: Insurance safety consultants proved effective at disseminating a machine safety and LOTO intervention via management-employee safety committees. PMID:27466709

Bird guard

DOEpatents

Fairchild, Dana M [Armour, SD

2010-03-02

The bird guard provides a device to protect electrical insulators comprising a central shaft; a clamp attached to an end of the shaft to secure the device to a transmission tower; a top and bottom cover to shield transmission tower insulators; and bearings to allow the guard to rotate in order to frighten birds away from the insulators.

National Machine Guarding Program: Part 2. Safety management in small metal fabrication enterprises.

PubMed

Parker, David L; Yamin, Samuel C; Brosseau, Lisa M; Xi, Min; Gordon, Robert; Most, Ivan G; Stanley, Rodney

2015-11-01

Small manufacturing businesses often lack important safety programs. Many reasons have been set forth on why this has remained a persistent problem. The National Machine Guarding Program (NMGP) was a nationwide intervention conducted in partnership with two workers' compensation insurers. Insurance safety consultants collected baseline data in 221 business using a 33-question safety management audit. Audits were completed during an interview with the business owner or manager. Most measures of safety management improved with an increasing number of employees. This trend was particularly strong for lockout/tagout. However, size was only significant for businesses without a safety committee. Establishments with a safety committee scored higher (55% vs. 36%) on the safety management audit compared with those lacking a committee (P < 0.0001). Critical safety management programs were frequently absent. A safety committee appears to be a more important factor than business size in accounting for differences in outcome measures. © 2015 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

The Florida Air National Guard: A Model for Successful Recruiting

DTIC Science & Technology

2006-03-01

morale of the recruiters and retainers. In an interview with the author, Master Sgt. Emilio Gelfenstein discussed his twelve years in recruiting and...34 Master Sergeant. Emilio Gelfenstein, Recruiting and Retaining Non- Commissioned Officer (RRNCO), is an Active Guard and Reserve NCO (AGR) with over...position, the RRS, recruiters and retainers were able to more effectively complete their goals. 56 MSgt Emilio Gelfenstein, ROM, FL-ANG, interviewed

Finding Their Way Back In: Family Reintegration Following Guard Deployment.

PubMed

Messecar, Deborah C

2017-03-01

The aim of this study was to describe deployed National Guard members' and their families' perceptions of their experience with family reintegration, and the causes and conditions of challenges reintegration presents after deployment. A total of 26 National Guard members and 19 family members participated in individual (n = 22), couples (n = 6), or focus group (n = 17) interviews. In-depth interviews were used to assess needs and maximize input from military families regarding deployment-related experiences and reintegration issues. Qualitative coding and analysis of data were completed using NVivo. Finding their way back in is the key process that the military members must complete to successfully reestablish their desired social connections with the family and reclaim their place within the family. Several conditions shape the degree of challenges with reintegration that veterans and their family will encounter. These include preparation for deployment, length and type of deployment, communication during deployment, and finally, awareness of how deployment changes the military member and the family. Support resources dedicated to providing National Guard members and their families with assistance in preparing for deployments and educating them about the importance of communication during deployment should be maintained and expanded. Broader educational efforts that increase awareness of what to expect regarding how deployment changes the military member and the family are needed. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

National Hospital Input Price Index

PubMed Central

Freeland, Mark S.; Anderson, Gerard; Schendler, Carol Ellen

1979-01-01

The national community hospital input price index presented here isolates the effects of prices of goods and services required to produce hospital care and measures the average percent change in prices for a fixed market basket of hospital inputs. Using the methodology described in this article, weights for various expenditure categories were estimated and proxy price variables associated with each were selected. The index is calculated for the historical period 1970 through 1978 and forecast for 1979 through 1981. During the historical period, the input price index increased an average of 8.0 percent a year, compared with an average rate of increase of 6.6 percent for overall consumer prices. For the period 1979 through 1981, the average annual increase is forecast at between 8.5 and 9.0 percent. Using the index to deflate growth in expenses, the level of real growth in expenditures per inpatient day (net service intensity growth) averaged 4.5 percent per year with considerable annual variation related to government and hospital industry policies. PMID:10309052

National hospital input price index.

PubMed

Freeland, M S; Anderson, G; Schendler, C E

1979-01-01

The national community hospital input price index presented here isolates the effects of prices of goods and services required to produce hospital care and measures the average percent change in prices for a fixed market basket of hospital inputs. Using the methodology described in this article, weights for various expenditure categories were estimated and proxy price variables associated with each were selected. The index is calculated for the historical period 1970 through 1978 and forecast for 1979 through 1981. During the historical period, the input price index increased an average of 8.0 percent a year, compared with an average rate of increase of 6.6 percent for overall consumer prices. For the period 1979 through 1981, the average annual increase is forecast at between 8.5 and 9.0 per cent. Using the index to deflate growth in expenses, the level of real growth in expenditures per inpatient day (net service intensity growth) averaged 4.5 percent per year with considerable annual variation related to government and hospital industry policies.

Critical Needs and Level of Support for the Military Spouse: A Comparative Study of the National Guard and Active Army during the Iraq War

ERIC Educational Resources Information Center

Vasilas, Cynthia Nikki

2009-01-01

National Guard units have been asked to serve in ways never before experienced since the beginning of the Iraq War and throughout the continued war on terror. Multiple deployments, frequent long-term separations from families, communities, and jobs may have far reaching implications. Family Readiness Groups and a climate of support shown by…

First Coast Guard district NDS voice traffic desired capabilities report

DOT National Transportation Integrated Search

1997-09-01

Coast Guard personnel, who used National Distress System (NDS) daily in the performance of their profession, were among the most knowledgeable NDS users. They understood the system's shortcomings and the capabilities needed to strengthen the system s...

National machine guarding program: Part 2. Safety management in small metal fabrication enterprises

PubMed Central

Yamin, Samuel C.; Brosseau, Lisa M.; Xi, Min; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2015-01-01

Background Small manufacturing businesses often lack important safety programs. Many reasons have been set forth on why this has remained a persistent problem. Methods The National Machine Guarding Program (NMGP) was a nationwide intervention conducted in partnership with two workers' compensation insurers. Insurance safety consultants collected baseline data in 221 business using a 33‐question safety management audit. Audits were completed during an interview with the business owner or manager. Results Most measures of safety management improved with an increasing number of employees. This trend was particularly strong for lockout/tagout. However, size was only significant for businesses without a safety committee. Establishments with a safety committee scored higher (55% vs. 36%) on the safety management audit compared with those lacking a committee (P < 0.0001). Conclusions Critical safety management programs were frequently absent. A safety committee appears to be a more important factor than business size in accounting for differences in outcome measures. Am. J. Ind. Med. 58:1184–1193, 2015. © 2015 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc. PMID:26345591

Environmental assessment of an aircraft conversion, Montana Air National Guard, Great Falls, Montana

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

Williams, G.; Policastro, A.; Krummel, J.

1986-08-01

It is proposed that the 120th Fighter Interceptor Group of the Montana Air National Guard convert from 18 F-106 to 18 F-16 aircraft. Associated with this conversion are building modifications, land acquisition, and facility construction. The environmental assessment determined that the primary impacts of the conversion would be positive. Noise modeling using the NOISEMAP methodology showed that the maximum noise reduction, resulting from the conversion, at any ground receptor point is about 5 dB on the L/sub dn/ scale. The noise reductions vary with the distance of a receptor point from the runways - the greater the distance, the smallermore » the noise reduction. Conversion to the F-16 prior to completion of a ''hush house'' would result in a temporary increase in noise to the southeast of the airport over a commercial and industrial area. In addition, total air pollutant emissions from aircraft operations would be reduced as a consequence of the conversion. No significant adverse impacts are predicted as a result of the conversion from F-106s to F-16s.« less

Homecoming of Citizen Soldiers: Postdeployment Problems and Service Use Among Army National Guard Soldiers.

PubMed

Griffith, James

2017-10-01

The present study described the types and amount of problems and services sought among returned deployed Army National Guard soldiers (4568 soldiers in 50 units). The study responds to gaps in the research literature to better understand community intervention needs of reservists. About half (48%) of the soldiers reported one or two problems, mostly those of psychological well-being, such as feelings of anger and frustration, upsetting memories, and troubled sleep (34% of the study sample), followed by problems of social support (18%), alcohol use (17%), feelings of isolation including suicidal thoughts (13%), and financial difficulties (11%). Having engaged in direct combat and having wounded or killed someone showed positive relationships with reported problems. One-third (35%) of soldiers who reported having used services went to one service and, generally, soldiers went to services related to their expressed problems. Variance in self-reported problems explained by service use was low, suggesting unsought postdeployment services.

Deployment cycle stressors and post-traumatic stress symptoms in Army National Guard women: the mediating effect of resilience.

PubMed

Wooten, Nikki R

2012-01-01

This study examined the associations between deployment cycle stressors, post-traumatic stress symptoms (PTSS), and resilience in Army National Guard (ARNG) women deployed to Operations Enduring Freedom and Iraqi Freedom. Resilience was also tested as a mediator. Hierarchical linear regression indicated that deployment and post-deployment stressors were positively associated, and resilience was negatively associated with PTSS. Resilience fully mediated the association between post-deployment stressors and PTSS. Findings suggest assessing deployment and post-deployment stressors in ARNG women may be helpful in identifying those at risk for severe PTSS; and highlight the potential of individual-level resilient characteristics in mitigating the adverse impact of post-deployment stressors.

Installation restoration program. Site investigation report, IRP sites No. 1, No. 2, and No. 3. 106th Civil Engineering Flight, New York Air National Guard, Roslyn Air National Guard Station, Roslyn, New York. Volume 1. Site Investigation report

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

NONE

1996-11-01

This report presents the results of the Site Investigation (SI) conducted at IRP Sites No. 1, No. 2, and No. 3 at the 106th Civil Engineering Flight (CEF) located at Roslyn Air National Guard Station (ANGS), Roslyn, Long Island, New York. A Preliminary Assessment (PA) (AD-A238 847) of the 106th CEF resulted in the identification of two potentially contaminated waste holding areas and a waste sludge application site. These sites were identified as IRP Site No. 1 (Access Road to Aerospace Ground Equipment `AGE` Shop), IRP Site No. 2 (Old Waste Holding Area No. 1), and IRP Site No. 3more » (Old Waste Holding Area No. 2) and recommended for further investigation under the Installation Restoration Program (IRP).« less

Rural hospitals' experience with the National Practitioner Data Bank.

PubMed

Neighbor, W E; Baldwin, L M; West, P A; Hart, L G

1997-04-01

This study examined hospital administrators' experiences with the National Practitioner Data Bank. One hundred forty-nine rural hospital administrators completed questionnaires assessing their perceptions of the data bank. Nearly 90% of respondents rated the data bank as an important source of information for credentialing. Three percent indicated it had directly affected privileging decisions; 43% and 34%, respectively, believed the costs exceeded or equaled the benefits. Twenty percent reported changes that could decrease disciplinary action reports to the data bank. While the National Practitioner Data Bank is an important source of information to rural hospitals, it may, affect few credentialing decisions and motivate behavioral changes that could have a paradoxical effect on quality assurance.

33 CFR 23.10 - Coast Guard emblem.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ring all outlined in medium blue (Coast Guard blue), letters and numerals medium blue (Coast Guard blue), white area within ring, shield with medium blue (Coast Guard blue) chief and 13 alternating white and red (Coast Guard red) stripes (7 white and 6 red) with narrow medium blue (Coast Guard blue) outline...

33 CFR 23.10 - Coast Guard emblem.

Code of Federal Regulations, 2011 CFR

2011-07-01

... ring all outlined in medium blue (Coast Guard blue), letters and numerals medium blue (Coast Guard blue), white area within ring, shield with medium blue (Coast Guard blue) chief and 13 alternating white and red (Coast Guard red) stripes (7 white and 6 red) with narrow medium blue (Coast Guard blue) outline...

33 CFR 23.10 - Coast Guard emblem.

Code of Federal Regulations, 2013 CFR

2013-07-01

... ring all outlined in medium blue (Coast Guard blue), letters and numerals medium blue (Coast Guard blue), white area within ring, shield with medium blue (Coast Guard blue) chief and 13 alternating white and red (Coast Guard red) stripes (7 white and 6 red) with narrow medium blue (Coast Guard blue) outline...

33 CFR 23.10 - Coast Guard emblem.

Code of Federal Regulations, 2012 CFR

2012-07-01

... ring all outlined in medium blue (Coast Guard blue), letters and numerals medium blue (Coast Guard blue), white area within ring, shield with medium blue (Coast Guard blue) chief and 13 alternating white and red (Coast Guard red) stripes (7 white and 6 red) with narrow medium blue (Coast Guard blue) outline...

33 CFR 23.10 - Coast Guard emblem.

Code of Federal Regulations, 2014 CFR

2014-07-01

... ring all outlined in medium blue (Coast Guard blue), letters and numerals medium blue (Coast Guard blue), white area within ring, shield with medium blue (Coast Guard blue) chief and 13 alternating white and red (Coast Guard red) stripes (7 white and 6 red) with narrow medium blue (Coast Guard blue) outline...

Exe-Guard Project

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

Smith, Rhett; Marshall, Tim; Chavez, Adrian

The exe-Guard Project is an alliance between Dominion Virginia Power (DVP), Sandia National Laboratories (SNL), Dartmouth University, and Schweitzer Engineering Laboratories (SEL). SEL is primary recipient on this project. The exe-Guard project was selected for award under DE-FOA-0000359 with CFDA number 81.122 to address Topic Area of Interest 4: Hardened platforms and Systems. The exe-Guard project developed an antivirus solution for control system embedded devices to prevent the execution of unauthorized code and maintain settings and configuration integrity. This project created a white list antivirus solution for control systems capable of running on embedded Linux® operating systems. White list antivirusmore » methods allow only credible programs to run through the use of digital signatures and hash functions. Once a system’s secure state is baselined, white list antivirus software denies deviations from that state because of the installation of malicious code as this changes hash results. Black list antivirus software has been effective in traditional IT environments but has negative implications for control systems. Black list antivirus uses pattern matching and behavioral analysis to identify system threats while relying on regular updates to the signature file and recurrent system scanning. Black list antivirus is vulnerable to zero day exploits which have not yet been incorporated into a signature file update. System scans hamper the performance of high availability applications, as revealed in NIST special publication 1058 which summarizes the impact of blacklist antivirus on control systems: Manual or “on-demand” scanning has a major effect on control processes in that they take CPU time needed by the control process (Sometimes close to 100% of CPU time). Minimizing the antivirus software throttle setting will reduce but not eliminate this effect. Signature updates can also take up to 100% of CPU time, but for a much shorter period than a

Magnetic Guarding: Experimental and Numerical Results

NASA Astrophysics Data System (ADS)

Heinrich, Jonathon; Font, Gabriel; Garrett, Michael; Rose, D.; Genoni, T.; Welch, D.; McGuire, Thomas

2017-10-01

The magnetic field topology of Lockheed Martin's Compact Fusion Reactor (CFR) concept requires internal magnetic field coils. Internal coils for similar devices have leveraged levitating coils or coils with magnetically guarded supports. Magnetic guarding of supports has been investigated for multipole devices (theoretically and experimentally) without conclusive results. One outstanding question regarding magnetic guarding of supports is the magnitude and behavior of secondary plasma drifts resulting from magnetic guard fields (grad-B drifts, etc). We present magnetic-implicit PIC modeling results and preliminary proof of concept experimental results on magnetic guarding of internal-supports and the subsequent reduction in total plasma losses.

Unit Support Protects Against Sexual Harassment and Assault among National Guard Soldiers

PubMed Central

Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B.; Calabrese, Joseph; Koenen, Karestan C.

2014-01-01

Objective Despite concerns about increased sexual harassment and assault following 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members’ relationships within their unit, protects against sexual harassment and assault during deployment. Methods Participants were 1674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008-2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Results Approximately 13.2% (n=198) of men and 43.5% (n=74) of women reported sexual harassment, and 1.1% (n=17) of men and 18.8% (n=32) of women reported sexual assault during their most recent deployment. Higher unit support was associated with decreased odds of sexual harassment and assault. Conclusions A substantial proportion of men and women reported sexual harassment/assault. Higher unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has potential to reduce sexual harassment and assault. PMID:25442705

Unit support protects against sexual harassment and assault among national guard soldiers.

PubMed

Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B; Calabrese, Joseph; Koenen, Karestan C

2014-01-01

Despite concerns about increased sexual harassment and assault after the 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members' relationships within their unit, protects against sexual harassment and assault during deployment. Participants were 1,674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008 and 2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Approximately 13.2% of men (n = 198) and 43.5% of women (n = 74) reported sexual harassment, and 1.1% of men (n = 17) and 18.8% of women (n = 32) reported sexual assault during their most recent deployment. Greater unit support was associated with decreased odds of sexual harassment and assault. A substantial proportion of men and women reported sexual harassment/assault. Greater unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has the potential to reduce sexual harassment and assault. Copyright © 2014 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Findings from the National Machine Guarding Program–A Small Business Intervention: Machine Safety

PubMed Central

Yamin, Samuel C.; Xi, Min; Brosseau, Lisa M.; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2016-01-01

Objectives The purpose of this nationwide intervention was to improve machine safety in small metal fabrication businesses (3 – 150 employees). The failure to implement machine safety programs related to guarding and lockout/tagout (LOTO) are frequent causes of OSHA citations and may result in serious traumatic injury. Methods Insurance safety consultants conducted a standardized evaluation of machine guarding, safety programs, and LOTO. Businesses received a baseline evaluation, two intervention visits and a twelve-month follow-up evaluation. Results The intervention was completed by 160 businesses. Adding a safety committee was associated with a 10-percentage point increase in business-level machine scores (p< 0.0001) and a 33-percentage point increase in LOTO program scores (p <0.0001). Conclusions Insurance safety consultants proved effective at disseminating a machine safety and LOTO intervention via management-employee safety committees. PMID:26716850

Findings From the National Machine Guarding Program-A Small Business Intervention: Machine Safety.

PubMed

Parker, David L; Yamin, Samuel C; Xi, Min; Brosseau, Lisa M; Gordon, Robert; Most, Ivan G; Stanley, Rodney

2016-09-01

The purpose of this nationwide intervention was to improve machine safety in small metal fabrication businesses (3 to 150 employees). The failure to implement machine safety programs related to guarding and lockout/tagout (LOTO) are frequent causes of Occupational Safety and Health Administration (OSHA) citations and may result in serious traumatic injury. Insurance safety consultants conducted a standardized evaluation of machine guarding, safety programs, and LOTO. Businesses received a baseline evaluation, two intervention visits, and a 12-month follow-up evaluation. The intervention was completed by 160 businesses. Adding a safety committee was associated with a 10% point increase in business-level machine scores (P < 0.0001) and a 33% point increase in LOTO program scores (P < 0.0001). Insurance safety consultants proved effective at disseminating a machine safety and LOTO intervention via management-employee safety committees.

33 CFR 334.783 - Arlington Channel, U.S. Coast Guard Base Mobile, Mobile, Alabama, Coast Guard restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Guard Base Mobile, Mobile, Alabama, Coast Guard restricted area. 334.783 Section 334.783 Navigation and... RESTRICTED AREA REGULATIONS § 334.783 Arlington Channel, U.S. Coast Guard Base Mobile, Mobile, Alabama, Coast... without prior approval from the Commanding Officer, U.S. Coast Guard Group Mobile or his designated...

Anger Problems and Posttraumatic Stress Disorder in Male and Female National Guard and Reserve Service Members

PubMed Central

Worthen, Miranda; Rathod, Sujit D.; Cohen, Gregory; Sampson, Laura; Ursano, Robert; Gifford, Robert; Fullerton, Carol; Galea, Sandro; Ahern, Jennifer

2014-01-01

Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1,293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1,036) and female (n = 257) service members. Log Poisson regression models with robust standard errors were used to estimate the associations of problems with anger with PTSD and PTSD symptom severity for men and women. Self-reported anger problems were common among male (53.0%) and female (51.3%) service members. Adjusted prevalence ratios (PR) showed associations between anger and PTSD connected to both civilian- and deployment-related traumas (PR were 1.77 (95% CI 1.52 – 2.05) and 1.85 (95% CI 1.62 – 2.12), respectively). PTSD symptom severity was also associated with anger. This study was cross-sectional and so a causal relationship between PTSD and anger cannot be established. Problems with anger are common among male and female current Guard and Reserve members. These findings suggest that anger treatment should be made available to current service members and that clinicians should assess anger problems irrespective of gender. Future research should examine the effectiveness of anger treatment protocols by gender. PMID:24755257

Evaluation of hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program.

PubMed

Sheils, Catherine R; Dahlke, Allison R; Kreutzer, Lindsey; Bilimoria, Karl Y; Yang, Anthony D

2016-11-01

The American College of Surgeons National Surgical Quality Improvement Program is well recognized in surgical quality measurement and is used widely in research. Recent calls to make it a platform for national public reporting and pay-for-performance initiatives highlight the importance of understanding which types of hospitals elect to participate in the program. Our objective was to compare characteristics of hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program to characteristics of nonparticipating US hospitals. The 2013 American Hospital Association and Centers for Medicare & Medicaid Services Healthcare Cost Report Information System datasets were used to compare characteristics and operating margins of hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program to those of nonparticipating hospitals. Of 3,872 general medical and surgical hospitals performing inpatient surgery in the United States, 475 (12.3%) participated in the American College of Surgeons National Surgical Quality Improvement Program. Participating hospitals performed 29.0% of all operations in the United States. Compared with nonparticipating hospitals, American College of Surgeons National Surgical Quality Improvement Program hospitals had a higher mean annual inpatient surgical case volume (6,426 vs 1,874; P < .001) and a larger mean number of hospital beds (420 vs 167; P < .001); participating hospitals were more often teaching hospitals (35.2% vs 4.1%; P < .001), had more quality-related accreditations (P < .001), and had higher mean operating margins (P < .05). States with the highest proportions of hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program had established surgical quality improvement collaboratives. The American College of Surgeons National Surgical Quality Improvement Program hospitals are large teaching

Coast Guard Cutter Procurement: Background and Issues for Congress

DTIC Science & Technology

2015-07-28

Research Service Summary The Coast Guard’s program of record (POR) calls for procuring 8 National Security Cutters (NSCs), 25 Offshore Patrol Cutters...3 Figure 2. Offshore Patrol Cutter (Generic Conceptual... Offshore Patrol Cutters (OPCs), and 58 Fast Response Cutters (FRCs). These 91 planned cutters are intended as replacements for 90 aging Coast Guard cutters

Truck side guard specifications : recommended standard

DOT National Transportation Integrated Search

2016-09-01

This document is intended to be used by (1) public or private medium/heavy-duty truck fleets considering adding side guards; (2) jurisdictions or customers that require side guards through policy or procurement; (3) manufacturers of side guards; and ...

Incidence of Hospitalized Stroke in the Czech Republic: The National Registry of Hospitalized Patients.

PubMed

Sedova, Petra; Brown, Robert D; Zvolsky, Miroslav; Kadlecova, Pavla; Bryndziar, Tomas; Kubelka, Tomáš; Weiss, Viktor; Volný, Ondřej; Bednarik, Josef; Mikulik, Robert

2017-05-01

Contemporary stroke incidence data are not available in some countries and regions, including in Eastern Europe. Based on previous validation of the accuracy of the National Registry of Hospitalized Patients (NRHOSP), we report the incidence of hospitalized stroke in the Czech Republic (CR) using the NRHOSP. The results of the prior validation study assessing the accuracy of coding of stroke diagnoses in the NRHOSP were applied, and we calculated (1) the overall incidence of hospitalized stroke and (2) the incidence rates of hospitalized stroke for the three main stroke types: cerebral infarction (International Classification of Diseases Tenth Revision, CI I63), subarachnoid hemorrhage (SAH I60), and intracerebral hemorrhage (ICH I61). We calculated the average annual age- and sex-standardized incidence. The overall incidence of hospitalized stroke was 241 out of 100,000 individuals. The incidence of hospitalized stroke for the main stroke types was 8.2 cases in SAH, 29.5 in ICH, and 211 in CI per 100,000 individuals. The standardized annual stroke incidence adjusted to the 2000 World Health Organization population for overall stroke incidence of hospitalized stroke was 131 per 100,000 individuals. Standardized stroke incidence for stroke subtypes was 5.7 cases in SAH, 16.7 in ICH, and 113 in CI per 100,000 individuals. These studies provide an initial assessment of the burden of stroke in this part of the world. The estimates of hospitalized stroke in the CR and Eastern Europe suggest that ICH is about three times more common than SAH, and hemorrhagic stroke makes up about 18% of strokes. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Coast Guard Cutter Procurement: Background and Issues for Congress

DTIC Science & Technology

2016-04-04

and 58 Fast Response Cutters (FRCs) as replacements for 90 aging Coast Guard cutters and patrol craft. The Coast Guard’s proposed FY2017 budget...Offshore Patrol Cutter (Generic Conceptual Rendering) ................................................. 5 Figure 3. Fast Response Cutter...National Security Cutters (NSCs), 25 Offshore Patrol Cutters (OPCs), and 58 Fast Response Cutters (FRCs). These 91 planned cutters are intended as

Suicidal ideation among National Guard troops deployed to Iraq: the association with postdeployment readjustment problems.

PubMed

Kline, Anna; Ciccone, Donald S; Falca-Dodson, Maria; Black, Christopher M; Losonczy, Miklos

2011-12-01

Despite well-documented postdeployment readjustment problems affecting veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF), few studies have explored the possible relationship of readjustment stressors to the recent increase in military suicide. This study examined associations between suicidal ideation and postdeployment readjustment problems using cross-sectional population-based survey data from 1665 National Guard members who recently returned from Iraq. The findings suggested that readjustment problems are widespread, with 45% of veterans endorsing one or more financial or family problems 3 months postdeployment. After adjusting for mental health and combat exposure, veterans with the highest number of readjustment stressors were at 5½ times greater risk of suicidal ideation than those with no stressors. In a psychiatrically impaired subsample, the high stressor group experienced a fourfold risk of suicide ideation compared with those with no stressors. The findings argue for suicide prevention efforts that more directly target readjustment problems in returning OEF/OIF veterans.

A national study of transitional hospital services in mental health.

PubMed Central

Dorwart, R A; Hoover, C W

1994-01-01

OBJECTIVES. Shifts in care for the seriously mentally ill from inpatient to community-based treatment have highlighted the importance of transitional care. Our objectives were to document the kinds and quantity of transitional services provided by psychiatric hospitals nationally and to assess the impact of hospital type (psychiatric vs general), ownership (public vs private), case mix, and revenue source on provision of these services. METHODS. A national sample of nonfederal inpatient mental health facilities (n = 915) was surveyed in 1988, and data were analyzed by using multiple regression. RESULTS. Half (46%) of the facilities surveyed provided patient follow-up of 1 week or less, and almost all (93%) conducted team review of discharge plans, but 74% provided no case management services. Hospital type was the most consistent predictor of transitional care, with psychiatric hospitals providing more of these services than general hospitals. Severity of illness, level of nonfederal funding, urbanicity, and teaching hospital affiliation were positively associated with provision of case management. CONCLUSIONS. Transitional care services for mentally ill patients leaving the hospital were found to be uneven and often inadequate. Reasons for broad variation in services are discussed. PMID:8059877

Installation Restoration Program. Volume 3. 152nd Tactical Reconnaissance Group, Nevada Air National Guard, Reno Cannon International Airport, Reno, Nevada

DTIC Science & Technology

1994-04-01

N F-67 PROJECTt REINO AZR NATIONAL GUARD DATE:03/25/94 ANALYSIS: BNA - CONTANINATZON REPORT REVIEWER: DENNIS MART27...10SS 0.569 0.7021 -23.4 T 12/14/92 2259 CRIoemmA 3 loSS 0.027 1.011 -22.2 T 12/14/92 2259 DIO 1055 l 0.703 .0.11 -22.5 T 12/14/92 2259 NTUL= CULORIDS...seetma. rule VOL DIo -U-T...z..-- 1064 1055 Perocnt D in the Coatcal ezood limits. wa 1064 10ss The ouaes.. does not met 52/102 no contemin. rule NIT

National and Regional Representativeness of Hospital Emergency Department Visit Data in the National Syndromic Surveillance Program, United States, 2014

PubMed Central

Coates, Ralph J.; Pérez, Alejandro; Baer, Atar; Zhou, Hong; English, Roseanne; Coletta, Michael; Dey, Achintya

2016-01-01

Objective We examined the representativeness of the nonfederal hospital emergency department (ED) visit data in the National Syndromic Surveillance Program (NSSP). Methods We used the 2012 American Hospital Association Annual Survey Database, other databases, and information from state and local health departments participating in the NSSP about which hospitals submitted data to the NSSP in October 2014. We compared ED visits for hospitals submitting 15 data with all ED visits in all 50 states and Washington, DC. Results Approximately 60.4 million of 134.6 million ED visits nationwide (~45%) were reported to have been submitted to the NSSP. ED visits in 5 of 10 regions and the majority of the states were substantially underrepresented in the NSSP. The NSSP ED visits were similar to national ED visits in terms of many of the characteristics of hospitals and their service areas. However, visits in hospitals with the fewest annual ED visits, in rural trauma centers, and in hospitals serving populations with high percentages of Hispanics and Asians were underrepresented. Conclusions NSSP nonfederal hospital ED visit data were representative for many hospital characteristics and in some geographic areas but were not very representative nationally and in many locations. Representativeness could be improved by increasing participation in more states and among specific types of hospitals. PMID:26883318

30 CFR 57.12080 - Bare conductor guards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Bare conductor guards. 57.12080 Section 57... Underground Only § 57.12080 Bare conductor guards. Trolley wires and bare power conductors shall be guarded at... conductors are less than 7 feet above the rail, they shall be guarded at all points where persons work or...

30 CFR 57.12080 - Bare conductor guards.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Bare conductor guards. 57.12080 Section 57... Underground Only § 57.12080 Bare conductor guards. Trolley wires and bare power conductors shall be guarded at... conductors are less than 7 feet above the rail, they shall be guarded at all points where persons work or...

Gender Differences in Hospital CEO Compensation: A National Investigation of Not-for-Profit Hospitals.

PubMed

Song, Paula H; Lee, Shoou-Yih Daniel; Toth, Matthew; Singh, Simone R; Young, Gary J

2018-01-01

Gender pay equity is a desirable social value and an important strategy to fill every organizational stratum with gender-diverse talent to fulfill an organization's goals and mission. This study used national, large-sample data to examine gender difference in CEO compensation among not-for-profit hospitals. Results showed the average unadjusted annual compensation for female CEOs in 2009 was $425,085 compared with $581,121 for male CEOs. With few exceptions, the difference existed across all types of not-for-profit hospitals. After controlling for hospital- and area-level characteristics, female CEOs of not-for-profit hospitals earned 22.6% less than male CEOs of not-for-profit hospitals. This translates into an earnings differential of $132,652 associated with gender. Explanations and implications of the results are discussed.

Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members.

PubMed

Worthen, Miranda; Rathod, Sujit D; Cohen, Gregory; Sampson, Laura; Ursano, Robert; Gifford, Robert; Fullerton, Carol; Galea, Sandro; Ahern, Jennifer

2014-08-01

Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1036) and female (n = 257) service members. Log Poisson regression models with robust standard errors were used to estimate the associations of problems with anger with PTSD and PTSD symptom severity for men and women. Self-reported anger problems were common among male (53.0%) and female (51.3%) service members. Adjusted prevalence ratios (PR) showed associations between anger and PTSD connected to both civilian- and deployment-related traumas (PR were 1.77 (95% CI 1.52-2.05) and 1.85 (95% CI 1.62-2.12), respectively). PTSD symptom severity was also associated with anger. This study was cross-sectional and so a causal relationship between PTSD and anger cannot be established. Problems with anger are common among male and female current Guard and Reserve members. These findings suggest that anger treatment should be made available to current service members and that clinicians should assess anger problems irrespective of gender. Future research should examine the effectiveness of anger treatment protocols by gender. Copyright © 2014 Elsevier Ltd. All rights reserved.

[Historical origins between National Medical Association of China and Boji Hospital in Guangzhou].

PubMed

Liu, Pinming

2015-09-01

In 2015, National Medical Association of China, now being called the Chinese Medical Association, celebrates its centennial and Boji Hospital in Guangzhou ( also known as Canton Hospital, or the Canton Pok Tsai Hospital, and now Sun Yat-sen Memorial Hospital of Sun Yat-sen University ) marks its 180th anniversary. Three major historical events establish the role of Boji Hospital in the founding and development of the National Medical Association of China during the last 100 years, viz.: ①hosting and participating in the establishment of the Medical Missionary Association of China and its official journal: the China Medical Missionary Journal; ②holding the 11th scientific sessions of the National Medical Association of China; ③nominating Dr. Wu Lien-teh as a candidate for the Nobel Prize in Physiology or Medicine in 1935 by William Warder Cadbury, the president of Boji Hospital.

Rethinking Guard Cell Metabolism1[OPEN

PubMed Central

2016-01-01

Stomata control gaseous fluxes between the internal leaf air spaces and the external atmosphere and, therefore, play a pivotal role in regulating CO2 uptake for photosynthesis as well as water loss through transpiration. Guard cells, which flank the stomata, undergo adjustments in volume, resulting in changes in pore aperture. Stomatal opening is mediated by the complex regulation of ion transport and solute biosynthesis. Ion transport is exceptionally well understood, whereas our knowledge of guard cell metabolism remains limited, despite several decades of research. In this review, we evaluate the current literature on metabolism in guard cells, particularly the roles of starch, sucrose, and malate. We explore the possible origins of sucrose, including guard cell photosynthesis, and discuss new evidence that points to multiple processes and plasticity in guard cell metabolism that enable these cells to function effectively to maintain optimal stomatal aperture. We also discuss the new tools, techniques, and approaches available for further exploring and potentially manipulating guard cell metabolism to improve plant water use and productivity. PMID:27609861

Exploring the Public Health Impacts of Private Security Guards on People Who Use Drugs: a Qualitative Study.

PubMed

Markwick, Nicole; McNeil, Ryan; Small, Will; Kerr, Thomas

2015-12-01

Private security guards occupy an increasingly prominent role in the policing of private and public spaces. There are growing concerns regarding security guards' potential to shape violence, discrimination, and adverse health outcomes among vulnerable populations, including people who use drugs (PWUD). This is relevant in Vancouver, Canada, where private security guards have increasingly been employed by private organizations to manage public and private spaces, including those within urban drug scenes. This qualitative study sought to understand interactions between PWUD and private security guards and explore their impacts on health care access, risks, and harms among PWUD. Semi-structured interviews were conducted with 30 PWUD recruited from two ongoing prospective cohort studies. Interviews were transcribed and analyzed using a coding framework comprised of a priori and emergent categories. Study data indicate that participants experience pervasive, discriminatory profiling and surveillance by security guards, which exacerbates existing social marginalization and structural vulnerability, particularly among PWUD of Aboriginal ancestry. Participants reported that security guards restrict PWUD's access to public and private spaces, including pharmacies and hospitals. PWUD also reported that their interactions with security guards often involved interpersonal violence and aggression, experiences that served to increase their vulnerability to subsequent risks and harms. Our findings highlight that private security forces contribute significantly to the everyday violence experienced by PWUD within drug scenes and elsewhere and do so in a manner very similar to that of traditional police forces. These findings point to the urgent need for greater oversight and training of private security guards in order to protect the health and safety of PWUD.

Preliminary assessment report for Virginia Army National Guard Army Aviation Support Facility, Richmond International Airport, Installation 51230, Sandston, Virginia

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

Dennis, C.B.

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Virginia Army National Guard (VaARNG) property in Sandston, Virginia. The Army Aviation Support Facility (AASF) is contiguous with the Richmond International Airport. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The PA is designed to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathwaysmore » by which contamination could affect public health and the environment. The AASF, originally constructed as an active Air Force interceptor base, provides maintenance support for VaARNG aircraft. Hazardous materials used and stored at the facility include JP-4 jet fuel, diesel fuel, gasoline, liquid propane gas, heating oil, and motor oil.« less

Guard House at the Aircraft Engine Research Laboratory

NASA Image and Video Library

1945-08-21

A vehicle leaves the National Advisory Committee for Aeronautics (NACA) Aircraft Engine Research Laboratory on August 14, 1945. At 7 p.m. that evening President Truman announced that Japan had accepted terms for surrender and World War II was over. The end of the war brought significant changes for the laboratory. The NACA would cease its troubleshooting of military aircraft and return to research. Researchers would increase their efforts to address the new technologies that emerged during the war. The entire laboratory was reorganized in October to better investigate turbojets, ramjets, and rockets. The guard house sat on the main entrance to the laboratory off of Brookpark Road. The building was fairly small and easily crowded. In the early 1960s a new security facility was built several hundred feet beyond the original guard house. The original structure remained in place for several years but was not utilized. The subsequent structure was replaced in 2011 by a new building and entrance configuration.

46 CFR 169.331 - Guards in hazardous locations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Guards in hazardous locations. 169.331 Section 169.331 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Construction and Arrangement Rails and Guards § 169.331 Guards in hazardous locations. Each exposed hazard...

46 CFR 169.331 - Guards in hazardous locations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Guards in hazardous locations. 169.331 Section 169.331 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Construction and Arrangement Rails and Guards § 169.331 Guards in hazardous locations. Each exposed hazard...

Evaluation of US rear underride guard regulation for large trucks using real-world crashes.

PubMed

Brumbelow, Matthew L; Blanar, Laura

2010-11-01

Current requirements for rear underride guards on large trucks are set by the National Highway Traffic Safety Administration in Federal Motor Vehicle Safety Standards (FMVSS) 223 and 224. The standards have been in place since 1998, but their adequacy has not been evaluated apart from two series of controlled crash tests. The current study used detailed reviews of real-world crashes from the Large Truck Crash Causation Study to assess the ability of guards that comply with certain aspects of the regulation to mitigate passenger vehicle underride. It also evaluated the dangers posed by underride of large trucks that are exempt from guard requirements. For the 115 cases meeting the inclusion criteria, coded data, case narratives, photographs, and measurements were used to examine the interaction between study vehicles. The presence and type of underride guard was determined, and its performance in mitigating underride was categorized. Overall, almost one-half of the passenger vehicles had underride damage classified as severe or catastrophic. These vehicles accounted for 23 of the 28 in which occupants were killed. For the cases involving trailers with underride guards compliant with one or both FMVSS, guard deformation or complete failure was frequent and most commonly due to weak attachments, buckling of the trailer chassis, or bending of the lateral end of the guard under narrow overlap loading. Most of the truck units studied qualified for at least one of the FMVSS exemptions. The two largest groups were trailers with small wheel setbacks and single-unit straight trucks. Dump trucks represented a particularly hazardous category of straight truck. The current study suggests several weaknesses in the rear underride guard regulation. The standard allows too much ground clearance, the quasi-static test conditions allow guard designs that fail in narrow overlap crashes, and certifying guards independent of trailers leads to systems with inadequate attachment and

46 CFR 177.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Guards in vehicle spaces. 177.940 Section 177.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) CONSTRUCTION AND ARRANGEMENT Rails and Guards § 177.940 Guards in vehicle spaces. On a vessel...

46 CFR 177.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Guards in vehicle spaces. 177.940 Section 177.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) CONSTRUCTION AND ARRANGEMENT Rails and Guards § 177.940 Guards in vehicle spaces. On a vessel...

46 CFR 177.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Guards in vehicle spaces. 177.940 Section 177.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) CONSTRUCTION AND ARRANGEMENT Rails and Guards § 177.940 Guards in vehicle spaces. On a vessel...

46 CFR 177.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Guards in vehicle spaces. 177.940 Section 177.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) CONSTRUCTION AND ARRANGEMENT Rails and Guards § 177.940 Guards in vehicle spaces. On a vessel...

46 CFR 177.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Guards in vehicle spaces. 177.940 Section 177.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) CONSTRUCTION AND ARRANGEMENT Rails and Guards § 177.940 Guards in vehicle spaces. On a vessel...

National Hospital Management Portal (NHMP): a framework for e-health implementation.

PubMed

Adetiba, E; Eleanya, M; Fatumo, S A; Matthews, V O

2009-01-01

Health information represents the main basis for health decision-making process and there have been some efforts to increase access to health information in developing countries. However, most of these efforts are based on the internet which has minimal penetration especially in the rural and sub-urban part of developing countries. In this work, a platform for medical record acquisition via the ubiquitous 2.5G/3G wireless communications technologies is presented. The National Hospital Management Portal (NHMP) platform has a central database at each specific country's national hospital which could be updated/accessed from hosts at health centres, clinics, medical laboratories, teaching hospitals, private hospitals and specialist hospitals across the country. With this, doctors can have access to patients' medical records more easily, get immediate access to test results from laboratories, deliver prescription directly to pharmacists. If a particular treatment can be provided to a patient more effectively in another country, NHMP makes it simpler to organise and carry out such treatment abroad.

OnGuard, a Computational Platform for Quantitative Kinetic Modeling of Guard Cell Physiology1[W][OA

PubMed Central

Hills, Adrian; Chen, Zhong-Hua; Amtmann, Anna; Blatt, Michael R.; Lew, Virgilio L.

2012-01-01

Stomatal guard cells play a key role in gas exchange for photosynthesis while minimizing transpirational water loss from plants by opening and closing the stomatal pore. Foliar gas exchange has long been incorporated into mathematical models, several of which are robust enough to recapitulate transpirational characteristics at the whole-plant and community levels. Few models of stomata have been developed from the bottom up, however, and none are sufficiently generalized to be widely applicable in predicting stomatal behavior at a cellular level. We describe here the construction of computational models for the guard cell, building on the wealth of biophysical and kinetic knowledge available for guard cell transport, signaling, and homeostasis. The OnGuard software was constructed with the HoTSig library to incorporate explicitly all of the fundamental properties for transporters at the plasma membrane and tonoplast, the salient features of osmolite metabolism, and the major controls of cytosolic-free Ca2+ concentration and pH. The library engenders a structured approach to tier and interrelate computational elements, and the OnGuard software allows ready access to parameters and equations ‘on the fly’ while enabling the network of components within each model to interact computationally. We show that an OnGuard model readily achieves stability in a set of physiologically sensible baseline or Reference States; we also show the robustness of these Reference States in adjusting to changes in environmental parameters and the activities of major groups of transporters both at the tonoplast and plasma membrane. The following article addresses the predictive power of the OnGuard model to generate unexpected and counterintuitive outputs. PMID:22635116

Installation-Restoration Program. Phase 2. Confirmation/quantification. Stage 1. Problem confirmation study: Otis Air National Guard Base, Massachusetts, Air National Guard Support Center, Andrews Air Force Base, Maryland. Final technical report, November 1983-July 1985

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

Kraybill, R.L.; Smart, G.R.; Bopp, F.

1985-09-04

A Problem Confirmation Study was performed at seven sites on Otis Air National Guard Base: the Current and Former Training Areas, the Base Landfill, the Nondestructive Inspection Laboratory, the Fuel Test Dump Site, the Railyard Fuel Pumping Station, and the Petrol Fuel Storage Area. The field investigation was conducted in two stages, in November 1983 through January 1984, and in October through December 1984. Resampling was performed at selected locations in April and July 1985. A total of 11 monitor wells were installed and sampled and test-pit investigations were conducted at six sites. In addition, the contents of a sumpmore » tank, and two header pipes for fuel-transmission lines were sampled. Analytes included TOC, TOX, cyanide, phenols, Safe Drinking Water metals, pesticides and herbicides, and in the second round, priority-pollutant volatile organic compounds and a GC fingerprint scan for fuel products. On the basis of the field-work findings, it is concluded that, to date, water-quality impacts on ground water from past activities have been minimal.« less

46 CFR 127.330 - Guards in dangerous places.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Guards in dangerous places. 127.330 Section 127.330... ARRANGEMENTS Rails and Guards § 127.330 Guards in dangerous places. Suitable hand covers, guards, or rails must be installed on each exposed and dangerous place, such as gears of rotating machinery, and hot...

46 CFR 127.330 - Guards in dangerous places.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Guards in dangerous places. 127.330 Section 127.330... ARRANGEMENTS Rails and Guards § 127.330 Guards in dangerous places. Suitable hand covers, guards, or rails must be installed on each exposed and dangerous place, such as gears of rotating machinery, and hot...

46 CFR 127.330 - Guards in dangerous places.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Guards in dangerous places. 127.330 Section 127.330... ARRANGEMENTS Rails and Guards § 127.330 Guards in dangerous places. Suitable hand covers, guards, or rails must be installed on each exposed and dangerous place, such as gears of rotating machinery, and hot...

46 CFR 127.330 - Guards in dangerous places.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Guards in dangerous places. 127.330 Section 127.330... ARRANGEMENTS Rails and Guards § 127.330 Guards in dangerous places. Suitable hand covers, guards, or rails must be installed on each exposed and dangerous place, such as gears of rotating machinery, and hot...

46 CFR 127.330 - Guards in dangerous places.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Guards in dangerous places. 127.330 Section 127.330... ARRANGEMENTS Rails and Guards § 127.330 Guards in dangerous places. Suitable hand covers, guards, or rails must be installed on each exposed and dangerous place, such as gears of rotating machinery, and hot...

46 CFR 116.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Guards in vehicle spaces. 116.940 Section 116.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING MORE... ARRANGEMENT Rails and Guards § 116.940 Guards in vehicle spaces. On a vessel authorized to carry one or more...

46 CFR 116.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Guards in vehicle spaces. 116.940 Section 116.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING MORE... ARRANGEMENT Rails and Guards § 116.940 Guards in vehicle spaces. On a vessel authorized to carry one or more...

46 CFR 116.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Guards in vehicle spaces. 116.940 Section 116.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING MORE... ARRANGEMENT Rails and Guards § 116.940 Guards in vehicle spaces. On a vessel authorized to carry one or more...

46 CFR 116.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Guards in vehicle spaces. 116.940 Section 116.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING MORE... ARRANGEMENT Rails and Guards § 116.940 Guards in vehicle spaces. On a vessel authorized to carry one or more...

46 CFR 116.940 - Guards in vehicle spaces.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Guards in vehicle spaces. 116.940 Section 116.940 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING MORE... ARRANGEMENT Rails and Guards § 116.940 Guards in vehicle spaces. On a vessel authorized to carry one or more...

46 CFR 50.10-25 - Coast Guard Symbol.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Coast Guard Symbol. 50.10-25 Section 50.10-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 50.10-25 Coast Guard Symbol. (a) The term Coast Guard Symbol...

[Issues related to national university medical schools: focusing on the low wages of university hospital physicians].

PubMed

Takamuku, Masatoshi

2015-01-01

University hospitals, bringing together the three divisions of education, research, and clinical medicine, could be said to represent the pinnacle of medicine. However, when compared with physicians working at public and private hospitals, physicians working at university hospitals and medical schools face extremely poor conditions. This is because physicians at national university hospitals are considered to be "educators." Meanwhile, even after the privatization of national hospitals, physicians working for these institutions continue to be perceived as "medical practitioners." A situation may arise in which physicians working at university hospitals-performing top-level medical work while also being involved with university and postgraduate education, as well as research-might leave their posts because they are unable to live on their current salaries, especially in comparison with physicians working at national hospitals, who focus solely on medical care. This situation would be a great loss for Japan. This potential loss can be prevented by amending the classification of physicians at national university hospitals from "educators" to "medical practitioners." In order to accomplish this, the Japan Medical Association, upon increasing its membership and achieving growth, should act as a mediator in negotiations between national university hospitals, medical schools, and the government.

46 CFR 107.117 - Coast Guard addresses.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Coast Guard addresses. 107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of the Commandant is required under this...

46 CFR 107.117 - Coast Guard addresses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Coast Guard addresses. 107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of the Commandant is required under this...

46 CFR 107.117 - Coast Guard addresses.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Coast Guard addresses. 107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of the Commandant is required under this...

46 CFR 107.117 - Coast Guard addresses.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Coast Guard addresses. 107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of the Commandant is required under this...

46 CFR 107.117 - Coast Guard addresses.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Coast Guard addresses. 107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of the Commandant is required under this...

Hospital-based health technology assessment (HTA) in Finland: a case study on collaboration between hospitals and the national HTA unit.

PubMed

Halmesmäki, Esa; Pasternack, Iris; Roine, Risto

2016-04-05

This study examines, as a part of the European Union funded Adopting Hospital Based Health Technology Assessment (AdHopHTA) project, the results and barriers of collaboration between Finnish hospitals and the national health technology assessment (HTA) agency, Finohta. A joint collaborative HTA program has existed since 2006 between the Finnish hospitals and the national agency. A case study method was used. Information about the collaboration between Finnish hospitals and Finohta was retrieved from interviews and publications, and categorised per theme. Hypotheses and indicators of successful collaboration were determined beforehand and reflected on the observations from the interviews and literature. Overall, 48 collaborative HTA reports have been performed during 7 years of collaboration. However, there were no clear indications that the use of HTA information or the transparency of decision-making regarding new technologies would have increased in hospitals. The managerial commitment to incorporate HTAs into the decision-making processes in hospitals was still low. The quality of the collaborative HTA reports was considered good, but their applicability in the hospital setting limited. There were differing expectations about the timing and relevance of the content. Signs of role conflict and mistrust were observed. Despite collaborative efforts to produce HTAs for hospitals, the impact of HTA information on hospital decision-making appears to remain low. The difficulties identified in this case study, such as lack of managerial commitment in hospitals, can hopefully be better addressed in the future with the guidance and tools having been developed in the AdHopHTA project. Collaboration between hospitals and national HTA agencies remains important for the efficient sharing of skills and resources.

LPT. Guard House (TAN642). Elevations, floor plan, sections, details. Ralph ...

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

LPT. Guard House (TAN-642). Elevations, floor plan, sections, details. Ralph M. Parsons 1229-12 ANP/GE-7-642-A-S-H7V-1. November 1956. Approved by INEEL Classification Office for public release. INEEL index code no. 038-0642-00-693-107306 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

121. ARAI Guard house (ARA628). Drawing shows north, south, east, ...

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

121. ARA-I Guard house (ARA-628). Drawing shows north, south, east, and west elevations, floor plan, counter details, and roof plan. Norman Engineering Corporation 961-area/SF-628-A-1. Date: January 1959. Ineel index code no. 063-0628-00-613-102772. - Idaho National Engineering Laboratory, Army Reactors Experimental Area, Scoville, Butte County, ID

The Impact of National Cultural Differences on Nurses' Acceptance of Hospital Information Systems.

PubMed

Lin, Hsien-Cheng

2015-06-01

This study aims to explore the influence of national cultural differences on nurses' perceptions of their acceptance of hospital information systems. This study uses the perspective of Technology Acceptance Model; national cultural differences in terms of masculinity/femininity, individualism/collectivism, power distance, and uncertainty avoidance are incorporated into the Technology Acceptance Model as moderators, whereas time orientation is a control variable on hospital information system acceptance. A quantitative research design was used in this study; 261 participants, US and Taiwan RNs, all had hospital information system experience. Data were collected from November 2013 to February 2014 and analyzed using a t test to compare the coefficients for each moderator. The results show that individualism/collectivism, power distance, and uncertainty avoidance all exhibit significant difference on hospital information system acceptance; however, both masculinity/femininity and time orientation factors did not show significance. This study verifies that national cultural differences have significant influence on nurses' behavioral intention to use hospital information systems. Therefore, hospital information system providers should emphasize the way in which to integrate different technological functions to meet the needs of nurses from various cultural backgrounds.

Patients' perceptions of interactions with hospital staff are associated with hospital readmissions: a national survey of 4535 hospitals.

PubMed

Yang, Lianping; Liu, Chaojie; Huang, Cunrui; Mukamel, Dana B

2018-01-29

Reducing 30-day hospital readmissions has become a focus of the current national payment policies. Medicare requires that hospitals collect and report patients' experience with their care as a condition of payment. However, the extent to which patients' experience with hospital care is related to hospital readmission is unknown. We established multivariate regression models in which 30-day risk-adjusted readmission rates were the dependent variables and patients' perceptions of the responsiveness of the hospital staff and communication (as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores) were the independent variables of interest. We selected six different clinical conditions for analyses, including acute myocardial infarction (AMI), chronic obstructive pulmonary disease (COPD), heart failure, hip/knee surgery, pneumonia, and stroke. Data included all acute care hospitals reporting in Hospital Compare in 2014. The number of hospitals with reported readmissions ranged from 2234 hospitals for AMI to 3758 hospitals for pneumonia. The average 30-day readmission rates ranged from 5.19% for knee/hip surgery to 22.7% for COPD. Patient experience of hospital-staff responsiveness as "top-box" ranged from 64% to 67% across the six clinical conditions, communication with nurses ranged from 77% to 79% and communication with doctors ranged from 80% to 81% (higher numbers are better). Our finding suggests that hospitals with better staff responsiveness were significantly more likely to have lower 30-day readmissions for all conditions. The effect size depended on the baseline readmission rates, with the largest effect on hospitals in the upper 75th quartile. A ten-percentage-point increase in staff responsiveness led to a 0.03-0.18 percentage point decrease in readmission rates. We found that neither communication with physicians nor communication with nurses was significantly associated with hospital readmissions. Our findings

75 FR 65025 - National Offshore Safety Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... DEPARTMENT OF HOMELAND SECURITY Coast Guard [USCG-2010-0925] National Offshore Safety Advisory Committee AGENCY: Coast Guard, DHS. ACTION: Notice of meeting. SUMMARY: The National Offshore Safety Advisory Committee (NOSAC) will meet to discuss items related to safety of operations and other matters...

A national analysis of the relationship between hospital factors and post-cardiac arrest mortality.

PubMed

Carr, Brendan G; Goyal, Munish; Band, Roger A; Gaieski, David F; Abella, Benjamin S; Merchant, Raina M; Branas, Charles C; Becker, Lance B; Neumar, Robert W

2009-03-01

We sought to generate national estimates for post-cardiac arrest mortality, to assess trends, and to identify hospital factors associated with survival. We used a national sample of US hospitals to identify patients resuscitated after cardiac arrest from 2000 to 2004 to describe the association between hospital factors (teaching status, location, size) and mortality, length of stay, and hospital charges. Analyses were performed using logistic regression. A total of 109,739 patients were identified. In-hospital mortality was 70.6%. A 2% decrease in unadjusted mortality from 71.6% in 2000 to 69.6% in 2004 (OR 0.96, P < 0.001) was observed. Mortality was lower at teaching hospitals (OR 0.58, P = 0.001), urban hospitals (OR 0.63, P = 0.004), and large hospitals (OR 0.55, P < 0.001). Mortality after in-hospital cardiac arrest decreased over 5 years. Mortality was lower at urban, teaching, and large hospitals. There are implications for dissemination of best practices or regionalization of post-cardiac arrest care.

National Differences in Trends for Heart Failure Hospitalizations by Sex and Race/Ethnicity.

PubMed

Ziaeian, Boback; Kominski, Gerald F; Ong, Michael K; Mays, Vickie M; Brook, Robert H; Fonarow, Gregg C

2017-07-01

National heart failure (HF) hospitalization rates have not been appropriately age standardized by sex or race/ethnicity. Reporting hospital utilization trends by subgroup is important for monitoring population health and developing interventions to eliminate disparities. The National Inpatient Sample (NIS) was used to estimate the crude and age-standardized rates of HF hospitalization between 2002 and 2013 by sex and race/ethnicity. Direct standardization was used to age-standardize rates to the 2000 US standard population. Relative differences between subgroups were reported. The national age-adjusted HF hospitalization rate decreased 30.8% from 526.86 to 364.66 per 100 000 between 2002 and 2013. Although hospitalizations decreased for all subgroups, the ratio of the age-standardized rate for men compared with women increased from 20% greater to 39% ( P trend=0.002) between 2002 and 2013. Black men had a rate that was 229% ( P trend=0.141) and black women, 240% ( P trend=0.725) with reference to whites in 2013 with no significant change between 2002 and 2013. Hispanic men had a rate that was 32% greater in 2002 and the difference narrowed to 4% ( P trend=0.047) greater in 2013 relative to whites. For Hispanic women, the rate was 55% greater in 2002 and narrowed to 8% greater ( P trend=0.004) in 2013 relative to whites. Asian/Pacific Islander men had a 27% lower rate in 2002 that improved to 43% ( P trend=0.040) lower in 2013 relative to whites. For Asian/Pacific Islander women, the hospitalization rate was 24% lower in 2002 and improved to 43% ( P trend=0.021) lower in 2013 relative to whites. National HF hospitalization rates have decreased steadily during the recent decade. Disparities in HF burden and hospital utilization by sex and race/ethnicity persist. Significant population health interventions are needed to reduce the HF hospitalization burden among blacks. An evaluation of factors explaining the improvements in the HF hospitalization rates among

46 CFR 190.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Guards in dangerous places. 190.25-15 Section 190.25-15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS CONSTRUCTION AND ARRANGEMENT Rails and Guards § 190.25-15 Guards in dangerous places. (a) Suitable hand covers...

46 CFR 111.50-9 - Disconnecting and guarding.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Disconnecting and guarding. 111.50-9 Section 111.50-9 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Overcurrent Protection § 111.50-9 Disconnecting and guarding. Disconnecting and...

46 CFR 111.50-9 - Disconnecting and guarding.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Disconnecting and guarding. 111.50-9 Section 111.50-9 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Overcurrent Protection § 111.50-9 Disconnecting and guarding. Disconnecting and...

46 CFR 111.50-9 - Disconnecting and guarding.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Disconnecting and guarding. 111.50-9 Section 111.50-9 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Overcurrent Protection § 111.50-9 Disconnecting and guarding. Disconnecting and...

46 CFR 111.50-9 - Disconnecting and guarding.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Disconnecting and guarding. 111.50-9 Section 111.50-9 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Overcurrent Protection § 111.50-9 Disconnecting and guarding. Disconnecting and...

Quality indicators for the hospital transfusion chain: a national survey conducted in 100 dutch hospitals.

PubMed

Zijlker-Jansen, P Y; Janssen, M P; van Tilborgh-de Jong, A J W; Schipperus, M R; Wiersum-Osselton, J C

2015-10-01

The 2011 Dutch Blood Transfusion Guideline for hospitals incorporates seven internal quality indicators for evaluation of the hospital transfusion chain. The indicators aim to measure guideline compliance as shown by the instatement of a hospital transfusion committee and transfusion safety officer (structural indicators), observance of transfusion triggers and mandatory traceability of labile blood components (process indicators). Two voluntary online surveys were sent to all Dutch hospitals for operational years 2011 and 2012 to assess compliance with the guideline recommendations. Most hospitals had a hospital transfusion committee and had appointed a transfusion safety officer (TSO). In 2012, only 23% of hospitals complied with the recommended minimum of four annual transfusion committee meetings and 8 h/week for the TSO. Compliance with the recommended pretransfusion haemoglobin threshold for RBC transfusion was achieved by 90% of hospitals in over 80% of transfusions; 58% of hospitals measured the pretransfusion platelet count in over 80% of platelet transfusions and 87% of hospitals complied with the legally mandatory traceability of blood components in over 95% of transfusions. With the current blood transfusion indicators, it is feasible to monitor aspects of the quality of the hospital transfusion chain and blood transfusion practice and to assess guideline compliance. The results from this study suggest that there are opportunities for significant improvement in blood transfusion practice in the Netherlands. These indicators could potentially be used for national and international benchmarking of blood transfusion practice. © 2015 International Society of Blood Transfusion.

Developing a national framework of quality indicators for public hospitals.

PubMed

Simou, Effie; Pliatsika, Paraskevi; Koutsogeorgou, Eleni; Roumeliotou, Anastasia

2014-01-01

The current study describes the development of a preliminary set of quality indicators for public Greek National Health System (GNHS) hospitals, which were used in the "Health Monitoring Indicators System: Health Map" (Ygeionomikos Chartis) project, with the purpose that these quality indicators would assess the quality of all the aspects relevant to public hospital healthcare workforce and services provided. A literature review was conducted in the MEDLINE database to identify articles referring to international and national hospital quality assessment projects, together with an online search for relevant projects. Studies were included if they were published in English, from 1980 to 2010. A consensus panel took place afterwards with 40 experts in the field and tele-voting procedure. Twenty relevant projects and their 1698 indicators were selected through the literature search, and after the consensus panel process, a list of 67 indicators were selected to be implemented for the assessment of the public hospitals categorized under six distinct dimensions: Quality, Responsiveness, Efficiency, Utilization, Timeliness, and Resources and Capacity. Data gathered and analyzed in this manner provided a novel evaluation and monitoring system for Greece, which can assist decision-makers, healthcare professionals, and patients in Greece to retrieve relevant information, with the long-term goal to improve quality in care in the GNHS hospital sector. Copyright © 2014 John Wiley & Sons, Ltd.

46 CFR 72.40-20 - Guards in dangerous places.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 3 2013-10-01 2013-10-01 false Guards in dangerous places. 72.40-20 Section 72.40-20... ARRANGEMENT Rails and Guards § 72.40-20 Guards in dangerous places. (a) Suitable covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery, etc. (b...

46 CFR 92.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Guards in dangerous places. 92.25-15 Section 92.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 92.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 72.40-20 - Guards in dangerous places.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 3 2012-10-01 2012-10-01 false Guards in dangerous places. 72.40-20 Section 72.40-20... ARRANGEMENT Rails and Guards § 72.40-20 Guards in dangerous places. (a) Suitable covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery, etc. (b...

46 CFR 72.40-20 - Guards in dangerous places.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 3 2010-10-01 2010-10-01 false Guards in dangerous places. 72.40-20 Section 72.40-20... ARRANGEMENT Rails and Guards § 72.40-20 Guards in dangerous places. (a) Suitable covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery, etc. (b...

46 CFR 190.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Guards in dangerous places. 190.25-15 Section 190.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 190.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 72.40-20 - Guards in dangerous places.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 3 2011-10-01 2011-10-01 false Guards in dangerous places. 72.40-20 Section 72.40-20... ARRANGEMENT Rails and Guards § 72.40-20 Guards in dangerous places. (a) Suitable covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery, etc. (b...

46 CFR 92.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Guards in dangerous places. 92.25-15 Section 92.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 92.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 190.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Guards in dangerous places. 190.25-15 Section 190.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 190.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 72.40-20 - Guards in dangerous places.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 3 2014-10-01 2014-10-01 false Guards in dangerous places. 72.40-20 Section 72.40-20... ARRANGEMENT Rails and Guards § 72.40-20 Guards in dangerous places. (a) Suitable covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery, etc. (b...

46 CFR 92.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Guards in dangerous places. 92.25-15 Section 92.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 92.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 190.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Guards in dangerous places. 190.25-15 Section 190.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 190.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 92.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Guards in dangerous places. 92.25-15 Section 92.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 92.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 92.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Guards in dangerous places. 92.25-15 Section 92.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 92.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

46 CFR 190.25-15 - Guards in dangerous places.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Guards in dangerous places. 190.25-15 Section 190.25-15... CONSTRUCTION AND ARRANGEMENT Rails and Guards § 190.25-15 Guards in dangerous places. (a) Suitable hand covers, guards, or rails shall be installed in way of all exposed and dangerous places such as gears, machinery...

76 FR 11503 - National Offshore Safety Advisory Committee; Vacancies

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-02

... person representing enterprises specializing in offshore drilling. To be eligible, applicants for all... DEPARTMENT OF HOMELAND SECURITY Coast Guard [Docket No. USCG-2011-0040] National Offshore Safety... Coast Guard seeks applications for membership on the National Offshore Safety Advisory Committee. This...

Antibiotic Stewardship Programs in U.S. Acute Care Hospitals: Findings From the 2014 National Healthcare Safety Network Annual Hospital Survey.

PubMed

Pollack, Lori A; van Santen, Katharina L; Weiner, Lindsey M; Dudeck, Margaret A; Edwards, Jonathan R; Srinivasan, Arjun

2016-08-15

The National Action Plan to Combat Antibiotic Resistant Bacteria calls for all US hospitals to improve antibiotic prescribing as a key prevention strategy for resistance and Clostridium difficile Antibiotic stewardship programs (ASPs) will be important in this effort but implementation is not well understood. We analyzed the 2014 National Healthcare Safety Network Annual Hospital Survey to describe ASPs in US acute care hospitals as defined by the Center for Disease Control and Prevention's (CDC) Core Elements for Hospital ASPs. Univariate analyses were used to assess stewardship infrastructure and practices by facility characteristics and a multivariate model determined factors associated with meeting all ASP core elements. Among 4184 US hospitals, 39% reported having an ASP that met all 7 core elements. Although hospitals with greater than 200 beds (59%) were more likely to have ASPs, 1 in 4 (25%) of hospitals with less than 50 beds reported achieving all 7 CDC-defined core elements of a comprehensive ASP. The percent of hospitals in each state that reported all seven elements ranged from 7% to 58%. In the multivariate model, written support (adjusted relative risk [RR] 7.2 [95% confidence interval [CI], 6.2-8.4]; P < .0001) or salary support (adjusted RR 1.5 [95% CI, 1.4-1.6]; P < .0001) were significantly associated with having a comprehensive ASP. Our findings show that ASP implementation varies across the United States and provide a baseline to monitor progress toward national goals. Comprehensive ASPs can be established in facilities of any size and hospital leadership support for antibiotic stewardship appears to drive the establishment of ASPs. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Support for hospital-based HIV testing and counseling: a national survey of hospital marketing executives.

PubMed Central

Boscarino, J A; Steiber, S R

1995-01-01

Today, hospitals are involved extensively in social marketing and promotional activities. Recently, investigators from the Centers for Disease Control and Prevention (CDC) estimated that routine testing of hospital patients for human immunodeficiency virus (HIV) could identify more than 100,000 patients with previously unrecognized HIV infections. Several issues are assessed in this paper. These include hospital support for voluntary HIV testing and AIDS education and the impact that treating AIDS patients has on the hospital's image. Also tested is the hypothesis that certain hospitals, such as for-profit institutions and those outside the AIDS epicenters, would be less supportive of hospital-based AIDS intervention strategies. To assess these issues, a national random sample of 193 executives in charge of hospital marketing and public relations were surveyed between December 1992 and January 1993. The survey was part of an ongoing annual survey of hospitals and included questions about AIDS, health education, marketing, patient satisfaction, and hospital planning. Altogether, 12.4 percent of executives indicated their hospital had a reputation for treating AIDS patients. Among hospitals without an AIDS reputation, 34.1 percent believed developing one would be harmful to the hospital's image, in contrast to none in hospitals that had such a reputation (chi 2 = 11.676, df = 1, P = .0006). Although 16.6 percent did not know if large-scale HIV testing should be implemented, a near majority (47.7 percent) expressed some support. In addition, 15 percent reported that HIV-positive physicians on the hospital's medical staff should not be allowed to practice medicine, but 32.1 percent indicated that they should.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7638335

46 CFR 108.223 - Guards on exposed equipment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... have hand covers, guards, or rails installed on all belts, gears, shafts, pulleys, sprockets, spindles... 46 Shipping 4 2010-10-01 2010-10-01 false Guards on exposed equipment. 108.223 Section 108.223 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN...

46 CFR 111.50-9 - Disconnecting and guarding.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Disconnecting and guarding. 111.50-9 Section 111.50-9 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS... guarding of overcurrent protective devices must meet Part IV of Article 240 of NFPA NEC 2002 (incorporated...

Burden of Clostridium difficile Infections in French Hospitals in 2014 From the National Health Insurance Perspective.

PubMed

Leblanc, Soline; Blein, Cécile; Andremont, Antoine; Bandinelli, Pierre-Alain; Galvain, Thibaut

2017-08-01

OBJECTIVE To describe the hospital stays of patients with Clostridium difficile infection (CDI) and to measure the hospitalization costs of CDI (as primary and secondary diagnoses) from the French national health insurance perspective DESIGN Burden of illness study SETTING All acute-care hospitals in France METHODS Data were extracted from the French national hospitalization database (PMSI) for patients covered by the national health insurance scheme in 2014. Hospitalizations were selected using the International Classification of Diseases, 10 th revision (ICD-10) code for CDI. Hospital stays with CDI as the primary diagnosis or the secondary diagnosis (comorbidity) were studied for the following parameters: patient sociodemographic characteristics, mortality, length of stay (LOS), and related costs. A retrospective case-control analysis was performed on stays with CDI as the secondary diagnosis to assess the impact of CDI on the LOS and costs. RESULTS Overall, 5,834 hospital stays with CDI as the primary diagnosis were included in this study. The total national insurance costs were €30.7 million (US $33,677,439), and the mean cost per hospital stay was €5,267±€3,645 (US $5,777±$3,998). In total, 10,265 stays were reported with CDI as the secondary diagnosis. The total national insurance additional costs attributable to CDI were estimated to be €85 million (US $93,243,725), and the mean additional cost attributable to CDI per hospital stay was €8,295±€17,163, median, €4,797 (US $9,099±$8,827; median, $5,262). CONCLUSION CDI has a high clinical and economic burden in the hospital, and it represents a major cost for national health insurance. When detected as a comorbidity, CDI was significantly associated with increased LOS and economic burden. Preventive approaches should be implemented to avoid CDIs. Infect Control Hosp Epidemiol 2017;38:906-911.

33 CFR 100.10 - Coast Guard-State agreements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Coast Guard-State agreements. 100.10 Section 100.10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.10 Coast Guard-State agreements. (a...

33 CFR 100.10 - Coast Guard-State agreements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Coast Guard-State agreements. 100.10 Section 100.10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.10 Coast Guard-State agreements. (a...

National Rules for Drug–Drug Interactions: Are They Appropriate for Tertiary Hospitals?

PubMed Central

2016-01-01

The application of appropriate rules for drug–drug interactions (DDIs) could substantially reduce the number of adverse drug events. However, current implementations of such rules in tertiary hospitals are problematic as physicians are receiving too many alerts, causing high override rates and alert fatigue. We investigated the potential impact of Korean national DDI rules in a drug utilization review program in terms of their severity coverage and the clinical efficiency of how physicians respond to them. Using lists of high-priority DDIs developed with the support of the U.S. government, we evaluated 706 contraindicated DDI pairs released in May 2015. We evaluated clinical log data from one tertiary hospital and prescription data from two other tertiary hospitals. The measured parameters were national DDI rule coverage for high-priority DDIs, alert override rate, and number of prescription pairs. The coverage rates of national DDI rules were 80% and 3.0% at the class and drug levels, respectively. The analysis of the system log data showed an overall override rate of 79.6%. Only 0.3% of all of the alerts (n = 66) were high-priority DDI rules. These showed a lower override rate of 51.5%, which was much lower than for the overall DDI rules. We also found 342 and 80 unmatched high-priority DDI pairs which were absent in national rules in inpatient orders from the other two hospitals. The national DDI rules are not complete in terms of their coverage of severe DDIs. They also lack clinical efficiency in tertiary settings, suggesting improved systematic approaches are needed. PMID:27822925

National Trends in Patients Hospitalized for Stroke and Stroke Mortality in France, 2008 to 2014.

PubMed

Lecoffre, Camille; de Peretti, Christine; Gabet, Amélie; Grimaud, Olivier; Woimant, France; Giroud, Maurice; Béjot, Yannick; Olié, Valérie

2017-11-01

Stroke is the leading cause of death in women and the third leading cause in men in France. In young adults (ie, <65 years old), an increase in the incidence of ischemic stroke was observed at a local scale between 1985 and 2011. After the implementation of the 2010 to 2014 National Stroke Action Plan, this study investigates national trends in patients hospitalized by stroke subtypes, in-hospital mortality, and stroke mortality between 2008 and 2014. Hospitalization data were extracted from the French national hospital discharge databases and mortality data from the French national medical causes of death database. Time trends were tested using a Poisson regression model. From 2008 to 2014, the age-standardized rates of patients hospitalized for ischemic stroke increased by 14.3% in patients <65 years old and decreased by 1.5% in those aged ≥65 years. The rate of patients hospitalized for hemorrhagic stroke was stable (+2.0%), irrespective of age and sex. The proportion of patients hospitalized in stroke units substantially increased. In-hospital mortality decreased by 17.1% in patients with ischemic stroke. From 2008 to 2013, stroke mortality decreased, except for women between 45 and 64 years old and for people aged ≥85 years. An increase in cardiovascular risk factors and improved stroke management may explain the increase in the rates of patients hospitalized for ischemic stroke. The decrease observed for in-hospital stroke mortality may be because of recent improvements in acute-phase management. © 2017 American Heart Association, Inc.

30 CFR 75.816 - Guarding of cables.

Code of Federal Regulations, 2010 CFR

2010-07-01

... MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Underground High-Voltage Distribution High-Voltage Longwalls § 75.816 Guarding of cables. (a) High-voltage cables must be guarded at the following locations...

76 FR 39410 - National Offshore Safety Advisory Committee; Vacancies

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-06

... energy industry; (d) One member representing enterprises specializing in offshore drilling; and, (e) One... DEPARTMENT OF HOMELAND SECURITY Coast Guard [Docket No. USCG-2011-0539] National Offshore Safety... Coast Guard seeks applications for membership on the National Offshore Safety Advisory Committee. This...

Installation restoration program. Decision document for soil and groundwater at the storage area at the USMC Subleased Area, Site 3. 144th Fighter Wing, California Air National Guard, Fresno Air Terminal, California

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

NONE

1996-01-01

Decision Document for IRP Site No. 3 - Storage Area at the USMC Sublease Area, California Air National Guard, 144th Fighter Wing, Fresno Air Terminal, Fresno, California. This report documents the data, conclusion, and recommendation to support a No Further Remedial Action Planned decision at Site 3 under the IRP.

30 CFR 75.827 - Guarding of trailing cables.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Guarding of trailing cables. 75.827 Section 75.827 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND...-Voltage Longwalls § 75.827 Guarding of trailing cables. (a) Guarding. (1) The high-voltage cable must be...

Exploring emergent properties in cellular homeostasis using OnGuard to model K+ and other ion transport in guard cells.

PubMed

Blatt, Michael R; Wang, Yizhou; Leonhardt, Nathalie; Hills, Adrian

2014-05-15

It is widely recognized that the nature and characteristics of transport across eukaryotic membranes are so complex as to defy intuitive understanding. In these circumstances, quantitative mathematical modeling is an essential tool, both to integrate detailed knowledge of individual transporters and to extract the properties emergent from their interactions. As the first, fully integrated and quantitative modeling environment for the study of ion transport dynamics in a plant cell, OnGuard offers a unique tool for exploring homeostatic properties emerging from the interactions of ion transport, both at the plasma membrane and tonoplast in the guard cell. OnGuard has already yielded detail sufficient to guide phenotypic and mutational studies, and it represents a key step toward 'reverse engineering' of stomatal guard cell physiology, based on rational design and testing in simulation, to improve water use efficiency and carbon assimilation. Its construction from the HoTSig libraries enables translation of the software to other cell types, including growing root hairs and pollen. The problems inherent to transport are nonetheless challenging, and are compounded for those unfamiliar with conceptual 'mindset' of the modeler. Here we set out guidelines for the use of OnGuard and outline a standardized approach that will enable users to advance quickly to its application both in the classroom and laboratory. We also highlight the uncanny and emergent property of OnGuard models to reproduce the 'communication' evident between the plasma membrane and tonoplast of the guard cell. Copyright © 2014 The Authors. Published by Elsevier GmbH.. All rights reserved.

Management and organization reforms at the Muhimbili National Hospital: challenges and prospects.

PubMed

Mwangu, M A; Mbembati, N A A; Muhondwa, E P Y; Leshabari, M T

2008-08-01

To establish the state of organization structures and management situation existing at the Muhimbili National Hospital (MNH) and Muhimbili University College of Health Sciences (MUCHS) prior to the start of the MNH reforms and physical infrastructure rehabilitations. A checklist of key information items was used to get facts and figures about the organization of the MNH and management situation. Interviews with MNH and MUCHS leaders, and documentation of existing hospital data were done to gather the necessary information. The survey reveals that there are a number of organizational, managerial and human resource deficiencies that are impinging on the smooth running of the hospital as a national referral entity. The survey also revealed a complex relationship existing between the hospital and the college (MUCHS) that has a bearing on the functioning of both entities. In order for the hospital to function effectively as a referral hospital with a training component inbuilt, four basic things need to be put in place among others: a sound organization structure; adequate staffing levels especially of specialist cadre; a functional information system especially for inpatient services and a good working relationship with the college.

The Effectiveness of Shin Guards Used by Football Players

PubMed Central

Tatar, Yasar; Ramazanoglu, Nusret; Camliguney, Asiye Filiz; Saygi, Evrim Karadag; Cotuk, Hasan Birol

2014-01-01

In football, injuries from opponent contact occur commonly in the lower extremities. FIFA the world’s governing body for football requires players to wear shin guards. The aim of this study was to compare the protective effectiveness of polypropylene based shin guards with custom-made carbon fiber ones. Three commercial polypropylene shin guards (Adidas Predator™, Adidas UCL™, and Nike Mercurial™) and two custom-made carbon fiber shin guards were examined. The experimental setup had the following parts: 1) A pendulum attached a load cell at the tip (CAS Corp., Korea) and a fixed prosthetic foot equipped with a cleat to simulate an attacker’s foot. 2) An artificial tibia prepared by condensed foam and reinforced by carbon fibers protected with soft clothing. 3) A multifunctional sensor system (Tekscan Corp., F-Socket System, Turkey) to record the impact on the tibia. In the low impact force trials, only 2.79-9.63 % of the load was transmitted to the sensors. When comparing for mean force, peak force and impulse, both carbon fiber shin guards performed better than the commercial ones (Adidas Predator™, Adidas UCL™, and Nike Mercurial™) (p = 0.000). Based on these same parameters, the Nike Mercurial™ provided better protection than the Adidas Predator™ and the Adidas UCL™ (p = 0.000). In the high impact force trials, only 5.16-10.90 % of the load was transmitted to the sensors. For peak force and impulse, the carbon fiber shin guards provided better protection than all the others. Carbon fiber shin guards possess protective qualities superior to those of commercial polypropylene shin guards. Key Points Shin guards decrease the risk of serious injuries. Carbon shin guards provide sufficient protection against high impact forces. Commercially available Polypropylene based shin guards do not provide sufficient protection against high impact forces. PMID:24570615

The effectiveness of shin guards used by football players.

PubMed

Tatar, Yasar; Ramazanoglu, Nusret; Camliguney, Asiye Filiz; Saygi, Evrim Karadag; Cotuk, Hasan Birol

2014-01-01

In football, injuries from opponent contact occur commonly in the lower extremities. FIFA the world's governing body for football requires players to wear shin guards. The aim of this study was to compare the protective effectiveness of polypropylene based shin guards with custom-made carbon fiber ones. Three commercial polypropylene shin guards (Adidas Predator™, Adidas UCL™, and Nike Mercurial™) and two custom-made carbon fiber shin guards were examined. The experimental setup had the following parts: 1) A pendulum attached a load cell at the tip (CAS Corp., Korea) and a fixed prosthetic foot equipped with a cleat to simulate an attacker's foot. 2) An artificial tibia prepared by condensed foam and reinforced by carbon fibers protected with soft clothing. 3) A multifunctional sensor system (Tekscan Corp., F-Socket System, Turkey) to record the impact on the tibia. In the low impact force trials, only 2.79-9.63 % of the load was transmitted to the sensors. When comparing for mean force, peak force and impulse, both carbon fiber shin guards performed better than the commercial ones (Adidas Predator™, Adidas UCL™, and Nike Mercurial™) (p = 0.000). Based on these same parameters, the Nike Mercurial™ provided better protection than the Adidas Predator™ and the Adidas UCL™ (p = 0.000). In the high impact force trials, only 5.16-10.90 % of the load was transmitted to the sensors. For peak force and impulse, the carbon fiber shin guards provided better protection than all the others. Carbon fiber shin guards possess protective qualities superior to those of commercial polypropylene shin guards. Key PointsShin guards decrease the risk of serious injuries.Carbon shin guards provide sufficient protection against high impact forces.Commercially available Polypropylene based shin guards do not provide sufficient protection against high impact forces.

sexual assault « Coast Guard All Hands

Science.gov Websites

accountability Some potentially positive news from the Sexual Assault Prevention and Response (SAPR) program: The . Coast Guard Sexual Assault Prevention and Response program logo. U.S. Coast Guard illustration by Petty Sexual Assault Prevention and Response Office, and U.S. Coast Guard Rear Adm. Erica Schwartz, director of

33 CFR 173.35 - Coast Guard validation sticker.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Coast Guard validation sticker... Guard validation sticker. No person may use a vessel except a vessel exempted in § 173.13 that has a number issued by the Coast Guard unless it has the validation sticker issued with the certificate of...

33 CFR 173.35 - Coast Guard validation sticker.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Coast Guard validation sticker... Guard validation sticker. No person may operate a vessel except a vessel exempted in § 173.13 that has a number issued by the Coast Guard unless it has the validation sticker issued with the certificate of...

33 CFR 173.35 - Coast Guard validation sticker.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Coast Guard validation sticker... Guard validation sticker. No person may use a vessel except a vessel exempted in § 173.13 that has a number issued by the Coast Guard unless it has the validation sticker issued with the certificate of...

33 CFR 173.35 - Coast Guard validation sticker.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Coast Guard validation sticker... Guard validation sticker. No person may operate a vessel except a vessel exempted in § 173.13 that has a number issued by the Coast Guard unless it has the validation sticker issued with the certificate of...

33 CFR 173.35 - Coast Guard validation sticker.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Coast Guard validation sticker... Guard validation sticker. No person may operate a vessel except a vessel exempted in § 173.13 that has a number issued by the Coast Guard unless it has the validation sticker issued with the certificate of...

29 CFR 1917.151 - Machine guarding.

Code of Federal Regulations, 2013 CFR

2013-07-01

... restarting upon restoration of power. (7) The power supply to machines shall be turned off, locked out, and... contact with moving parts. (2) Belt, rope and chain drives shall be guarded to prevent employees from coming into contact with moving parts. (3) Gears, sprockets and chains shall be guarded to prevent...

29 CFR 1917.151 - Machine guarding.

Code of Federal Regulations, 2012 CFR

2012-07-01

... restarting upon restoration of power. (7) The power supply to machines shall be turned off, locked out, and... contact with moving parts. (2) Belt, rope and chain drives shall be guarded to prevent employees from coming into contact with moving parts. (3) Gears, sprockets and chains shall be guarded to prevent...

29 CFR 1917.151 - Machine guarding.

Code of Federal Regulations, 2014 CFR

2014-07-01

... restarting upon restoration of power. (7) The power supply to machines shall be turned off, locked out, and... contact with moving parts. (2) Belt, rope and chain drives shall be guarded to prevent employees from coming into contact with moving parts. (3) Gears, sprockets and chains shall be guarded to prevent...

29 CFR 1917.151 - Machine guarding.

Code of Federal Regulations, 2011 CFR

2011-07-01

... restarting upon restoration of power. (7) The power supply to machines shall be turned off, locked out, and... contact with moving parts. (2) Belt, rope and chain drives shall be guarded to prevent employees from coming into contact with moving parts. (3) Gears, sprockets and chains shall be guarded to prevent...

29 CFR 1917.151 - Machine guarding.

Code of Federal Regulations, 2010 CFR

2010-07-01

... restarting upon restoration of power. (7) The power supply to machines shall be turned off, locked out, and... contact with moving parts. (2) Belt, rope and chain drives shall be guarded to prevent employees from coming into contact with moving parts. (3) Gears, sprockets and chains shall be guarded to prevent...

Guards, Galleries, Fortresses, and the Octoplex

ERIC Educational Resources Information Center

Michael, T. S.

2011-01-01

The art gallery problem asks for the maximum number of stationary guards required to protect the interior of a polygonal art gallery with "n" walls. This article explores solutions to this problem and several of its variants. In addition, some unsolved problems involving the guarding of geometric objects are presented.

[Problems in career planning for novice medical technologists in Japanese national hospitals].

PubMed

Ogasawara, Shu; Tsutaya, Shoji; Akimoto, Hiroyuki; Kojima, Keiya; Yabaka, Hiroyuki

2012-12-01

Skills and knowledge regarding many different types of test are required for medical technologists (MTs) to provide accurate information to help doctors and other medical specialists. In order to become an efficient MT, specialized training programs are required. Certification in specialized areas of clinical laboratory sciences or a doctoral degree in medical sciences may help MTs to realize career advancement, a higher earning potential, and expand the options in their career. However, most young MTs in national university hospitals are employed as part-time workers on a three-year contract, which is too short to obtain certifications or a doctoral degree. We have to leave the hospital without expanding our future. We need to take control of our own development in order to enhance our employability within the period. As teaching and training hospitals, national university hospitals in Japan are facing a difficult dilemma in nurturing MTs. I hope, as a novice medical technologist, that at least university hospitals in Japan create an appropriate workplace environment for novice MTs.

77 FR 51817 - National Maritime Security Advisory Committee; Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-27

... the information sharing efforts of the Coast Guard and DHS. (2) Cyber-Security. The Committee will... DEPARTMENT OF HOMELAND SECURITY Coast Guard [USCG-2012-0797] National Maritime Security Advisory...: The National Maritime Security Advisory Committee (NMSAC) will meet on September 11-12, 2012 in the...

Wanted: A Doctrine for the U.S. Coast Guard as an Instrument of National Security

DTIC Science & Technology

1992-02-13

PROCUREMENT INSTRLMENT IDENTIFICATION NUMBER ORGANZA T ON (if applicable) 8c AJ)DwtSS (City, 5eae. dd OAP Code) 10 SOURCE OF FTANSNG NWOKUS PROGRAM D...responsibility did not require a restructuring of the Coast Guard, since the MDZ concept makes use of existing organizations and command relationships.19

Improving hospital death certification in Viet Nam: results of a pilot study implementing an adapted WHO hospital death report form in two national hospitals.

PubMed

Walton, Merrilyn; Harrison, Reema; Chevalier, Anna; Esguerra, Esmond; Van Duong, Dang; Chinh, Nguyen Duc; Giang, Huong

2016-01-01

Viet Nam does not have a system for the national collection of death data that meets international requirements for mortality reporting. It is identified as a 'no-report' country by the WHO. Verbal autopsy reports are used in the community but exclude deaths in hospitals. This project was undertaken in Bach Mai National General Hospital and Viet Duc Surgical and Trauma Hospital in Viet Nam from 1 March 2013 to 31 March 2015. In phase 1, a modified hospital death report form, consistent with the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, was developed. Small group training in use of the report form was delivered to 427 doctors. In phase two, death data were collected, collated and analysed. In phase three, a random sample (7%) of all report forms was checked for accuracy and completeness against medical records. During the 23 months of the study, 3956 deaths were recorded. Across both hospitals, 222 distinct causes of deaths were recorded. Traumatic cerebral oedema was the immediate cause of death (15% of cases, 575/3956 patients), followed by septic shock (13%, 528/3956), brain compression (11%, 416/3956), intracerebral haemorrhage (8%, 336/3956) and pneumonia (5%, 186/3956); 67% (2639/3956) of patients were discharged home to die and 33% (1314/3956) of deaths were due to a road traffic accident, or injury at home or at work. This study confirms the viability of implementing a death report form system compliant with international standards in hospitals in Viet Nam and provides the foundation for introducing a national death report form scheme. These data are critical to comprehensive knowledge of causes of death in Viet Nam. Death data about patients discharged home to die is presented for the first time, with implications for countries where this is a cultural preference.

Promising Practices for Achieving Patient-centered Hospital Care: A National Study of High-performing US Hospitals.

PubMed

Aboumatar, Hanan J; Chang, Bickey H; Al Danaf, Jad; Shaear, Mohammad; Namuyinga, Ruth; Elumalai, Sathyanarayanan; Marsteller, Jill A; Pronovost, Peter J

2015-09-01

Patient-centered care is integral to health care quality, yet little is known regarding how to achieve patient-centeredness in the hospital setting. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patients' reports on clinician behaviors deemed by patients as key to a high-quality hospitalization experience. We conducted a national study of hospitals that achieved the highest performance on HCAHPS to identify promising practices for improving patient-centeredness, common challenges met, and how those were addressed. We identified hospitals that achieved the top ranks or remarkable recent improvements on HCAHPS and surveyed key informants at these hospitals. Using quantitative and qualitative methods, we described the interventions used at these hospitals and developed an explanatory model for achieving patient-centeredness in hospital care. Fifty-two hospitals participated in this study. Hospitals used similar interventions that focused on improving responsiveness to patient needs, the discharge experience, and patient-clinician interactions. To improve responsiveness, hospitals used proactive nursing rounds (reported at 83% of hospitals) and executive/leader rounds (62%); for the discharge experience, multidisciplinary rounds (56%), postdischarge calls (54%), and discharge folders (52%) were utilized; for clinician-patient interactions, hospitals promoted specific desired behaviors (65%) and set behavioral standards (60%) for which employees were held accountable. Similar strategies were also used to achieve successful intervention implementation including HCAHPS data feedback, and employee and leader engagement and accountability. High-performing hospitals used a set of patient-centered care processes that involved both leaders and clinicians in ensuring that patient needs and preferences are addressed.

Review of childhood measles admissions at the National Hospital, Abuja.

PubMed

Ahmed, P A; Babaniyi, I B; Otuneye, A T

2010-12-01

The global disease burden from measles as a vaccine preventable disease remains high despite decades of interventions by various organs and agencies. To determine the prevalence and outcome of childhood cases of measles admitted into the children's emergency ward of the National hospital and highlight the possible contributing factors. Retrospective. A total number of 43 children with measles presenting at the National Hospital Abuja, seen over a 40 months period; January 2002 and April 2005. Cases-folders of patients seen at the Emergency Paediatric Unit (EPU) of the National Hospital Abuja during the period under review with the clinical diagnosis of measles were reviewed. The children were aged between seven to 12months, with 25 (58.1%) age 24months and below. Twenty three (53.5%) of the subjects had received prior measles vaccination. History of contact with cases of acute measles was present in 26 (60.5%). Associated protein energy malnutrition (PEM) was found in 30 (69.8%) with 28 (65.1 %) parents of these children being of lower social economic classes (III, IV &V). Recorded complications included gastroenteritis, bronchopneumonia, laryngo-tracheo-bronchitis as part of croup syndrome, tuberculosis, and otitis media. Three fatalities (7.0%) were record in this review, all in association with bronchopneumonia. Measles with its complications still present as a fatal illness even among vaccinated children.

41 CFR 50-204.5 - Machine guarding.

Code of Federal Regulations, 2010 CFR

2010-07-01

... possible and secured elsewhere if for any reason attachment to the machine is not possible. The guard shall... mechanism, so that the barrel, drum or container cannot revolve unless the guard enclosure is in place. (e...

Paul Zukunft « Coast Guard Compass

Science.gov Websites

and Maritime Transportation The Coast Guard had a banner year of counter-drug operations in 2016. All suspected drug smugglers were detained and brought to the United States for prosecution. Coast Guard

Sex and Occupational Socialization among Prison Guards: A Longitudinal Study.

ERIC Educational Resources Information Center

Crouch, Ben M.; Alpert, Geoffrey P.

1982-01-01

Reports changes in attitudes of male and female prison guards over the first six months on the job. Found male guards became more, and female guards became less, punitive and aggressive. Results appear to derive from differences in the work milieu of male and female guards. (Author/JAC)

A Description of Suicides in the Army National Guard During 2007-2014 and Associated Risk Factors.

PubMed

Griffith, James

2017-06-01

Suicide, due to its increased occurrence in recent years, has been a chief concern of the U.S. military. While there have been many published studies on the topic, conspicuously absent are studies that have included reserve military personnel. To fill this gap, this study reports descriptive statistics of personnel information and events surrounding 706 Army National Guard suicides that had occurred from 2007 through 2014. Comparative personnel information for random samples of nonsuicides for similar years (8 years, 1,000 cases per year) allowed examining factors associated most with suicide. Findings were very similar to those observed in the active duty Army and civilian populations. Primary risk factors for suicide were as follows: age (young), gender (male), and race/ethnicity (White). Most suicides occurred in nonmilitary status (86%) involving personal firearms (72%). Most frequent events surrounding the suicide were as follows: poor military performance (36% of all suicides), parent-family relationship problems (28%), substance abuse (27%), past behavioral health problem (20%), current behavioral health problems (10%), income problems (22%), and full-time employment problems (18%). Implications of findings for suicide prevention are discussed. © 2016 The American Association of Suicidology.

IET. Exclusion guard house (TAN621) and unit substation (TAN622). Elevations ...

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

IET. Exclusion guard house (TAN-621) and unit substation (TAN-622). Elevations and floor plan. Also show concrete pad for substation. Ralph M. Parsons 902-4-ANP-621-622-A&S 411. Date: February 1954. Approved by INEEL Classification Office for public release. INEEL index code no. 035-0621-60-693-106968 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

Sensory Transduction and Electrical Signaling in Guard Cells

PubMed Central

Serrano, Elba E.; Zeiger, Eduardo

1989-01-01

Guard cells are a valuable model system for the study of photoreception, ion transport, and osmoregulation in plant cells. Changes in stomatal apertures occur when sensing mechanisms within the guard cells transduce environmental stimull into the ion fluxes and biosynthesis of organic solutes that regulate turgor. The electrical events mediating sensory transduction in guard cells can be characterized with a variety of electrophysiological recording techniques. Recent experiments applying the patch clamp method to guard cell protoplasts have demonstrated activation of electrogenic pumps by blue and red light as well as the presence of potassium channels in guard cell plasmalemma. Light activation of electrogenic proton pumping and the ensuing gating of voltage-dependent ion channels appear to be components of sensory transduction of the stomatal response to light. Mechanisms underlying stomatal control by environmental signals can be understood by studying electrical events associated with ion transport. PMID:16667138

Your National Guard - The National Guard

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ARNG Command Sergeant Major of the ARNG State Mission Sustainability Training ARNG Distributed Learning Program Training & Technology Battle Lab (T3BL) Civil Support Simulation Exercises Regional Training Site Maintenance Battle Focused Training Strategy Battle Staff Training Resources News Publications

GUARD RING SEMICONDUCTOR JUNCTION

DOEpatents

Goulding, F.S.; Hansen, W.L.

1963-12-01

A semiconductor diode having a very low noise characteristic when used under reverse bias is described. Surface leakage currents, which in conventional diodes greatly contribute to noise, are prevented from mixing with the desired signal currents. A p-n junction is formed with a thin layer of heavily doped semiconductor material disposed on a lightly doped, physically thick base material. An annular groove cuts through the thin layer and into the base for a short distance, dividing the thin layer into a peripheral guard ring that encircles the central region. Noise signal currents are shunted through the guard ring, leaving the central region free from such currents. (AEC)

Environmental Activities of the U.S. Coast Guard

DTIC Science & Technology

2010-12-06

scientific efforts of other groups. The Coast Guard operates three icebreakers in the Arctic and Antarctic , and provides supplies to remote stations...and Atmospheric Administration (NOAA). The Coast Guard operates three icebreakers in the Arctic and Antarctic , and provides supplies to remote...stations.17 The Coast Guard also participates in the International Ice Patrol, which monitors iceberg danger in the northwest Atlantic, particularly in the

5. AERIAL VIEW TO NORTHEAST OF ENTIRE COAST GUARD AIR ...

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

5. AERIAL VIEW TO NORTHEAST OF ENTIRE COAST GUARD AIR STATION SAN FRANCISCO. 8X10 black and white silver gelatin print. United States Coast Guard Official Photograph, 12th Coast Guard District, San Francisco. 1960. - U.S. Coast Guard Air Station San Francisco, 1020 North Access Road, San Francisco, San Francisco County, CA

Resistance to mate guarding scale in women: psychometric properties.

PubMed

Cousins, Alita J; Fugère, Madeleine A; Riggs, Matthew L

2015-02-03

One individual's actions may affect the evolutionary fitness of another individual. Sexually antagonistic coevolution occurs when one partner's behavior decreases the fitness of the other partner (Rice, 1996). This conflict pressures the other partner to counter these disadvantageous actions. Mate guarding is a mate retention tactic aimed at keeping a partner from cheating. Mate guarding may reduce mate choice, especially for extra pair mates. Therefore, some individuals may resist their partner's mate guarding tactics. We developed a scale to measure resistance to mate guarding and tested it in women (N = 1069). Using exploratory factor analysis (EFA), six theoretically sound factors emerged and explained 69% of the variance. Confirmatory Factor Analysis showed strong support for the six original subscales as well as for the overall scale. The subscales had high reliability. The validity of the Resistance to Mate Guarding Scale was also excellent. Women who stated they used more resistance to mate guarding strategies also indicated that they had partners who mate guarded more, were less invested in their relationships, felt their partners were more controlling, had a more avoidant attachment style, and had a more unrestricted sociosexual orientation.

Opinions on the Hospital Readmission Reduction Program: results of a national survey of hospital leaders.

PubMed

Joynt, Karen E; Figueroa, Jose E; Oray, John; Jha, Ashish K

2016-08-01

To determine the opinions of US hospital leadership on the Hospital Readmissions Reduction Program (HRRP), a national mandatory penalty-for-performance program. We developed a survey about federal readmission policies. We used a stratified sampling design to oversample hospitals in the highest and lowest quintile of performance on readmissions, and hospitals serving a high proportion of minority patients. We surveyed leadership at 1600 US acute care hospitals that were subject to the HRRP, and achieved a 62% response rate. Results were stratified by the size of the HRRP penalty that hospitals received in 2013, and adjusted for nonresponse and sampling strategy. Compared with 36.1% for public reporting of readmission rates and 23.7% for public reporting of discharge processes, 65.8% of respondents reported that the HRRP had a "great impact" on efforts to reduce readmissions. The most common critique of the HRRP penalty was that it did not adequately account for differences in socioeconomic status between hospitals (75.8% "agree" or "agree strongly"); other concerns included that the penalties were "much too large" (67.7%), and hospitals' inability to impact patient adherence (64.1%). These sentiments were each more common in leaders of hospitals with higher HRRP penalties. The HRRP has had a major impact on hospital leaders' efforts to reduce readmission rates, which has implications for the design of future quality improvement programs. However, leaders are concerned about the size of the penalties, lack of adjustment for socioeconomic and clinical factors, and hospitals' inability to impact patient adherence and postacute care. These concerns may have implications as policy makers consider changes to the HRRP, as well as to other Medicare value-based payment programs that contain similar readmission metrics.

Evaluation of the National Guard Health Promotion Program for Chronic Diseases and Comorbid Conditions Among Military Personnel in Jeddah City, Saudi Arabia, 2016.

PubMed

Aljasir, Badr A; Al-Mugti, Hani Saad; Alosaimi, Majed Naif; Al-Mugati, Amer Saad

2017-11-01

Cardiovascular diseases (CVDs) are the leading cause of death worldwide. Preventive efforts mainly target the reduction of modifiable CVD risk factors through community-based promotion programs. One of these programs is the National Guard Health Promotion Program for Chronic Diseases and Comorbid Conditions among military personnel in Jeddah City, Saudi Arabia. Researchers have asserted that to improve every intervention program, especially those targeting public health issues, regular monitoring and evaluation are needed to determine the strength and weakness of the program. The objective of this study was to assess the effectiveness of National Guard Health Promotion Program for Chronic Diseases and Comorbid Conditions among military personnel in Jeddah City by estimating Framingham risk score, diabetes risk score, and satisfaction level for the participants covered by the program for at least 6 months. Through pre- and poststudy design, a systematic random sample of military personnel who fulfilled the inclusion criteria (n = 267) were enrolled in the study. To assess the program's effectiveness, participants were subjected to clinical and laboratory assessment based mainly on Framingham risk scores before and after involvement in the program; satisfaction was assessed concurrently using a self-administered questionnaire. The Wilcoxon signed rank test was used to compare changes in non-normally distributed quantitative variables. Multiple logistic regression analysis was used to identify independent predictors of risk of CVDs. The subjects were all military men, with mean age of 35.8 ± 6.6 years; 6% officers with the remainder "non-officers" primarily working in the combat services. After at least 6 months of the preventive program, there were statistically significant decreases in body mass index (-0.4 ± 1.5 kg/m 2 ), waist circumference (-0.9 ± 6.2 cm), fasting blood glucose (-12.3 ± 29.6 mg/dL), and total cholesterol (-15.4 ± 40.2 mg/dL). Despite this

Exploring emergent properties in cellular homeostasis using OnGuard to model K+ and other ion transport in guard cells☆☆☆

PubMed Central

Blatt, Michael R.; Wang, Yizhou; Leonhardt, Nathalie; Hills, Adrian

2014-01-01

It is widely recognized that the nature and characteristics of transport across eukaryotic membranes are so complex as to defy intuitive understanding. In these circumstances, quantitative mathematical modeling is an essential tool, both to integrate detailed knowledge of individual transporters and to extract the properties emergent from their interactions. As the first, fully integrated and quantitative modeling environment for the study of ion transport dynamics in a plant cell, OnGuard offers a unique tool for exploring homeostatic properties emerging from the interactions of ion transport, both at the plasma membrane and tonoplast in the guard cell. OnGuard has already yielded detail sufficient to guide phenotypic and mutational studies, and it represents a key step toward ‘reverse engineering’ of stomatal guard cell physiology, based on rational design and testing in simulation, to improve water use efficiency and carbon assimilation. Its construction from the HoTSig libraries enables translation of the software to other cell types, including growing root hairs and pollen. The problems inherent to transport are nonetheless challenging, and are compounded for those unfamiliar with conceptual ‘mindset’ of the modeler. Here we set out guidelines for the use of OnGuard and outline a standardized approach that will enable users to advance quickly to its application both in the classroom and laboratory. We also highlight the uncanny and emergent property of OnGuard models to reproduce the ‘communication’ evident between the plasma membrane and tonoplast of the guard cell. PMID:24268743

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

75 FR 22829 - National Environmental Policy Act; Final Environmental Impact Statement on U.S. Coast Guard...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

... implement enhanced environmental protection measures, as necessary, for marine protected species (MPS) and marine protected areas (MPAs) that occur in the Coast Guard's District 11 (California) and 13 (Oregon and... pollution and vessel grounding response. We request your comments on the FEIS. DATES: Comments and related...

A Comparison of the Human Characteristics of Curriculum Materials Used in an Air National Guard Leadership Development Program with the Characteristics of Students Encountering the Materials: A Study Using the Annehurst Curriculum Classification System.

ERIC Educational Resources Information Center

French, Russell L.; And Others

The Annehurst Curriculum Classification System (ACCS), a tool for matching individual learners with appropriate curriculum materials, was used with a group of fifty-nine students (Air National Guard officer candidates) and their four instructor-advisors to examine two issues: (1) the applicability of the ACCS in a highly structured,…

Laser beam guard clamps

DOEpatents

Dickson, Richard K.

2010-09-07

A quick insert and release laser beam guard panel clamping apparatus having a base plate mountable on an optical table, a first jaw affixed to the base plate, and a spring-loaded second jaw slidably carried by the base plate to exert a clamping force. The first and second jaws each having a face acutely angled relative to the other face to form a V-shaped, open channel mouth, which enables wedge-action jaw separation by and subsequent clamping of a laser beam guard panel inserted through the open channel mouth. Preferably, the clamping apparatus also includes a support structure having an open slot aperture which is positioned over and parallel with the open channel mouth.

30 CFR 57.12034 - Guarding around lights.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Guarding around lights. 57.12034 Section 57.12034 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights...

30 CFR 57.12034 - Guarding around lights.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Guarding around lights. 57.12034 Section 57.12034 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights...

30 CFR 57.12034 - Guarding around lights.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Guarding around lights. 57.12034 Section 57.12034 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights...

30 CFR 57.12034 - Guarding around lights.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Guarding around lights. 57.12034 Section 57.12034 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights...

30 CFR 57.12034 - Guarding around lights.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Guarding around lights. 57.12034 Section 57.12034 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights...

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2011.

PubMed

Pedersen, Craig A; Schneider, Philip J; Scheckelhoff, Douglas J

2012-05-01

Results of the 2011 ASHP national survey of pharmacy practice in hospital settings that pertain to dispensing and administration are presented. A stratified random sample of pharmacy directors at 1401 general and children's medical-surgical hospitals in the United States were surveyed by mail. In this national probability sample survey, the response rate was 40.1%. Decentralization of the medication-use system continues, with 40% of hospitals using a decentralized system and 58% of hospitals planning to use a decentralized model in the future. Automated dispensing cabinets were used by 89% of hospitals, robots were used by 11%, carousels were used in 18%, and machine-readable coding was used in 34% of hospitals to verify doses before dispensing. Overall, 65% of hospitals had a United States Pharmacopeia chapter 797 compliant cleanroom for compounding sterile preparations. Medication administration records (MARs) have become increasingly computerized, with 67% of hospitals using electronic MARs. Bar-code-assisted medication administration was used in 50% of hospitals, and 68% of hospitals had smart infusion pumps. Health information is becoming more electronic, with 67% of hospitals having partially or completely implemented an electronic health record and 34% of hospitals having computerized prescriber order entry. The use of these technologies has substantially increased over the past year. The average number of full-time equivalent staff per 100 occupied beds averaged 17.5 for pharmacists and 15.0 for technicians. Directors of pharmacy reported declining vacancy rates for pharmacists. Pharmacists continue to improve medication use at the dispensing and administration steps of the medication-use system. The adoption of new technology is changing the philosophy of medication distribution, and health information is rapidly becoming electronic.

Guarded capacitance probes for measuring particle concentration and flow

DOEpatents

Louge, Michel Y.

1995-01-01

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall.

Guarded capacitance probes for measuring particle concentration and flow

DOEpatents

Louge, Michel Y.

1996-01-01

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall.

Guarded capacitance probes for measuring particle concentration and flow

DOEpatents

Louge, M.Y.

1996-08-13

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall. 14 figs.

Guarded capacitance probes for measuring particle concentration and flow

DOEpatents

Louge, M.Y.

1995-10-17

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall. 14 figs.

30 CFR 77.400 - Mechanical equipment guards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Mechanical equipment guards. 77.400 Section 77.400 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND... Safeguards for Mechanical Equipment § 77.400 Mechanical equipment guards. (a) Gears; sprockets; chains; drive...

Unexplained illness among Persian Gulf War veterans in an Air National Guard Unit: preliminary report--August 1990-March 1995.

PubMed

1995-06-16

In November 1994, the U.S. Department of Veterans' Affairs (VA), the Department of Defense (DoD), and the Pennsylvania Department of Health requested that CDC investigate a report of unexplained illnesses among members of an Air National Guard (ANG) unit in south-central Pennsylvania (Unit A) who were veterans of the Persian Gulf War (PGW) (August 1990-June 1991). These veterans had been evaluated at a local VA medical center for symptoms that included recurrent rash, diarrhea, and fatigue. A three-stage investigation was planned to 1) verify and characterize signs and symptoms in PGW veterans attending the VA medical center; 2) determine whether the prevalence of symptoms was higher among members of Unit A than among members of other units deployed to the PGW and, if so, whether the increased prevalence was associated with PGW deployment; and 3) characterize the illness and identify associated risk factors. This report presents preliminary findings from stages 1 and 2 (stage 3 is in progress).

Support for hospital-based HIV testing and counseling: a national survey of hospital marketing executives.

PubMed

Boscarino, J A; Steiber, S R

1995-01-01

Today, hospitals are involved extensively in social marketing and promotional activities. Recently, investigators from the Centers for Disease Control and Prevention (CDC) estimated that routine testing of hospital patients for human immunodeficiency virus (HIV) could identify more than 100,000 patients with previously unrecognized HIV infections. Several issues are assessed in this paper. These include hospital support for voluntary HIV testing and AIDS education and the impact that treating AIDS patients has on the hospital's image. Also tested is the hypothesis that certain hospitals, such as for-profit institutions and those outside the AIDS epicenters, would be less supportive of hospital-based AIDS intervention strategies. To assess these issues, a national random sample of 193 executives in charge of hospital marketing and public relations were surveyed between December 1992 and January 1993. The survey was part of an ongoing annual survey of hospitals and included questions about AIDS, health education, marketing, patient satisfaction, and hospital planning. Altogether, 12.4 percent of executives indicated their hospital had a reputation for treating AIDS patients. Among hospitals without an AIDS reputation, 34.1 percent believed developing one would be harmful to the hospital's image, in contrast to none in hospitals that had such a reputation (chi 2 = 11.676, df = 1, P = .0006). Although 16.6 percent did not know if large-scale HIV testing should be implemented, a near majority (47.7 percent) expressed some support. In addition, 15 percent reported that HIV-positive physicians on the hospital's medical staff should not be allowed to practice medicine, but 32.1 percent indicated that they should. Also, 33.1 percent thought the hospital should be more involved in AIDS education. Finally, certain hospital characteristics,such as location and for-profit status, were not associated with support for hospital-based AIDS interventions. Contrary to what was

Collector/collector guard ring balancing circuit eliminates edge effects

NASA Technical Reports Server (NTRS)

Lieb, D. P.

1966-01-01

Circuit in which an emitter is maintained opposite a concentric collector and guard structure is achieved by matching the temperature and potential of the guard with that of the collector over the operating range. This control system is capable of handling up to 100 amperes in the guard circuit and 200 amperes in the collectors circuit.

46 CFR 11.201 - General requirements for national and STCW officer endorsements.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) The American National Red Cross; (ii) The American Heart Association; or (iii) A Coast Guard-approved... than 1 year from the date of application of — (i) The American National Red Cross Standard First Aid course or American National Red Cross Community First Aid & Safety course; or (ii) A Coast Guard-approved...

Impact resistance of guards on grinding machines.

PubMed

Mewes, Detlef; Mewes, Olaf; Herbst, Peter

2011-01-01

Guards on machine tools are meant to protect persons from injuries caused by parts ejected with high kinetic energy from the machine's working zone. With respect to stationary grinding machines, Standard No. EN 13218:2002, therefore, specifies minimum wall thicknesses for guards. These values are mainly based on estimations and experience instead of systematic experimental investigations. This paper shows to what extent simple impact tests with standardizable projectiles can be used as basis for the evaluation of the impact resistance of guards, provided that not only the kinetic energy of the projectiles used but also, among others, their geometry corresponds to the abrasive product fragments to be expected.

29 CFR 1917.112 - Guarding of edges.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Guarding of edges. 1917.112 Section 1917.112 Labor... (CONTINUED) MARINE TERMINALS Terminal Facilities § 1917.112 Guarding of edges. (a) Vehicle protection. (1... provided at the waterside edges of aprons and bulkheads, except where vehicles are prohibited. Curbs or...

Customizing national models for a medical center's population to rapidly identify patients at high risk of 30-day all-cause hospital readmission following a heart failure hospitalization.

PubMed

Cox, Zachary L; Lai, Pikki; Lewis, Connie M; Lindenfeld, JoAnn; Collins, Sean P; Lenihan, Daniel J

2018-05-28

Nationally-derived models predicting 30-day readmissions following heart failure (HF) hospitalizations yield insufficient discrimination for institutional use. Develop a customized readmission risk model from Medicare-employed and institutionally-customized risk factors and compare the performance against national models in a medical center. Medicare patients age ≥ 65 years hospitalized for HF (n = 1,454) were studied in a derivation cohort and in a separate validation cohort (n = 243). All 30-day hospital readmissions were documented. The primary outcome was risk discrimination (c-statistic) compared to national models. A customized model demonstrated improved discrimination (c-statistic 0.72; 95% CI 0.69 - 0.74) compared to national models (c-statistics of 0.60 and 0.61) with a c-statistic of 0.63 in the validation cohort. Compared to national models, a customized model demonstrated superior readmission risk profiling by distinguishing a high-risk (38.3%) from a low-risk (9.4%) quartile. A customized model improved readmission risk discrimination from HF hospitalizations compared to national models. Copyright © 2018 Elsevier Inc. All rights reserved.

33 CFR 23.12 - Coast Guard identifying insignia.

Code of Federal Regulations, 2011 CFR

2011-07-01

.... (a) The distinctive identification insignia of the Coast Guard consists of a broad diagonal red.... The Coast Guard emblem, as described in § 23.10(b), is centered within the confines of the broad red...

33 CFR 23.12 - Coast Guard identifying insignia.

Code of Federal Regulations, 2014 CFR

2014-07-01

.... (a) The distinctive identification insignia of the Coast Guard consists of a broad diagonal red.... The Coast Guard emblem, as described in § 23.10(b), is centered within the confines of the broad red...

33 CFR 23.12 - Coast Guard identifying insignia.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (a) The distinctive identification insignia of the Coast Guard consists of a broad diagonal red.... The Coast Guard emblem, as described in § 23.10(b), is centered within the confines of the broad red...

33 CFR 23.12 - Coast Guard identifying insignia.

Code of Federal Regulations, 2013 CFR

2013-07-01

.... (a) The distinctive identification insignia of the Coast Guard consists of a broad diagonal red.... The Coast Guard emblem, as described in § 23.10(b), is centered within the confines of the broad red...

33 CFR 23.12 - Coast Guard identifying insignia.

Code of Federal Regulations, 2012 CFR

2012-07-01

.... (a) The distinctive identification insignia of the Coast Guard consists of a broad diagonal red.... The Coast Guard emblem, as described in § 23.10(b), is centered within the confines of the broad red...

30 CFR 77.1011 - Drill holes; guarding.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Drill holes; guarding. 77.1011 Section 77.1011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH... Control § 77.1011 Drill holes; guarding. Drill holes large enough to constitute a hazard shall be covered...

30 CFR 77.1011 - Drill holes; guarding.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Drill holes; guarding. 77.1011 Section 77.1011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH... Control § 77.1011 Drill holes; guarding. Drill holes large enough to constitute a hazard shall be covered...

30 CFR 77.1011 - Drill holes; guarding.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Drill holes; guarding. 77.1011 Section 77.1011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH... Control § 77.1011 Drill holes; guarding. Drill holes large enough to constitute a hazard shall be covered...

30 CFR 77.1011 - Drill holes; guarding.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Drill holes; guarding. 77.1011 Section 77.1011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH... Control § 77.1011 Drill holes; guarding. Drill holes large enough to constitute a hazard shall be covered...

30 CFR 77.1011 - Drill holes; guarding.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Drill holes; guarding. 77.1011 Section 77.1011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH... Control § 77.1011 Drill holes; guarding. Drill holes large enough to constitute a hazard shall be covered...

Systems Engineering of Coast Guard Aviator Training.

ERIC Educational Resources Information Center

Hall, Eugene R.; Caro, Paul W.

This paper describes a total-program application of the systems engineering concept of the U.S. Coast Guard aviation training programs. The systems approach used treats all aspects of the training to produce the most cost-effective integration of academic, synthetic, and flight training for the production of graduate Coast Guard aviators. The…

Research Methods to Develop Measures of Effectiveness of the United States Coast Guard’s Vessel Inspection and Boarding Program. Decision Support for Utilizing Measures of Effectiveness - Volume III

DTIC Science & Technology

1995-05-01

Eubank S.E. Albuquerque, NM 87123 Christopher Rodriguez Kevin Downer U.S. Coast Guard Research and Development Center 1082 Shennecossett Road Groton...standard, specifica )e n. ’OVVELOPj4 Commanding Officer United States Coast Guard Research & Development Center 1082 Shennecossett Road SGroton, CT...Work Unit No. (TRAIS) U.S. Coast Guard Sandia National Laboratories Research and Development Center 11. Contract or Grant No. 1515 Eubank SE 1082

National estimates of hospital utilization by children with gastrointestinal disorders: analysis of the 1997 kids' inpatient database.

PubMed

Guthery, Stephen L; Hutchings, Caroline; Dean, J Michael; Hoff, Charles

2004-05-01

To identify and to generate national estimates of the principal gastrointestinal (GI) diagnoses associated with hospital utilization and to describe national hospital utilization patterns associated with pediatric GI disorders. We analyzed a nationwide and stratified probability sample of 1.9 million hospital discharges from 1997 of children 18 years and younger, weighted to 6.7 million discharges nationally. Principal GI diagnoses were identified through the use of the Clinical Classification Software and Major Diagnostic Categories. In 1997 in the United States, there were 329,825 pediatric discharges associated with a principal GI diagnosis, accounting for more than 2.6 billion US dollars in hospital charges and more than 1.1 million hospital days. Appendicitis, intestinal infection, noninfectious gastroenteritis, abdominal pain, esophageal disorders, and digestive congenital anomalies combined accounted for 75.1% of GI discharge diagnoses, 64.2% of GI hospital charges, and 68.0% of GI hospital days. Excluding normal newborn infants and conditions related to pregnancy, GI disorders were the third leading cause of hospitalization. GI disorders are a leading cause of hospitalization of children. A minority of GI conditions account for the majority of measures of utilization. Children are hospitalized for GI conditions and at institutions that are distinct from adults.

National Hospital Discharge Survey: 2001 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola Jean; Owings, Maria F; Hall, Margaret J

2004-06-01

This report presents 2001 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Admission source and type, collected for the first time in the 2001 National Hospital Discharge Survey, are shown. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2001, data were collected for approximately 330,000 discharges. Of the 477 eligible non-Federal short-stay hospitals in the sample, 448 (94 percent) responded to the survey. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code numbers. Rates are computed with 2001 population estimates based on the 2000 census. The appendix includes a comparison of rates computed with 1990 and 2000 census-based population estimates. An estimated 32.7 million inpatients were discharged from non-Federal short-stay hospitals in 2001. They used 159.4 million days of care and had an average length of stay of 4.9 days. Common first-listed discharge diagnoses included delivery, psychoses, pneumonia, malignant neoplasm, and coronary atherosclerosis. Males had higher rates for procedures such as cardiac catheterization and coronary artery bypass graft, and females had higher rates for procedures such as cholecystectomy and total knee replacement. The rates of all cesarean deliveries, primary and repeat, rose from 1995 to 2001; the rate of vaginal birth after cesarean delivery dropped 37 percent during this period.

Coast Guard : budget challenges for 2001 and beyond

DOT National Transportation Integrated Search

2000-03-15

The testimony today, which is based on recently completed and ongoing work, addresses two topics: (1) the Coast Guard's progress in justifying and managing its Deepwater Project and (2) opportunities for improving the Coast Guard's operating efficien...

Building an FTP guard

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

Sands, P.D.

1998-08-01

Classified designs usually include lesser classified (including unclassified) components. An engineer working on such a design needs access to the various sub-designs at lower classification levels. For simplicity, the problem is presented with only two levels: high and low. If the low-classification component designs are stored in the high network, they become inaccessible to persons working on a low network. In order to keep the networks separate, the component designs may be duplicated in all networks, resulting in a synchronization problem. Alternatively, they may be stored in the low network and brought into the high network when needed. The lattermore » solution results in the use of sneaker-net (copying the files from the low system to a tape and carrying the tape to a high system) or a file transfer guard. This paper shows how an FTP Guard was constructed and implemented without degrading the security of the underlying B3 platform. The paper then shows how the guard can be extended to an FTP proxy server or an HTTP proxy server. The extension is accomplished by allowing the high-side user to select among items that already exist on the low-side. No high-side data can be directly compromised by the extension, but a mechanism must be developed to handle the low-bandwidth covert channel that would be introduced by the application.« less

Practical results from a mathematical analysis of guard patrols

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

Indusi, Joseph P.

1978-12-01

Using guard patrols as a primary detection mechanism is not generally viewed as a highly efficient detection method when compared to electronic means. Many factors such as visibility, alertness, and the space-time coincidence of guard and adversary presence all have an effect on the probability of detection. Mathematical analysis of the guard patrol detection problem is related to that of classical search theory originally developed for naval search operations. The results of this analysis tend to support the current practice of using guard forces to assess and respond to previously detected intrusions and not as the primary detection mechanism. 6more » refs.« less

Management evaluation about introduction of electric medical record in the national hospital organization.

PubMed

Nakagawa, Yoshiaki; Tomita, Naoko; Irisa, Kaoru; Yoshihara, Hiroyuki; Nakagawa, Yoshinobu

2013-01-01

Introduction of Electronic Medical Record (EMR) into a hospital was started from 1999 in Japan. Then, most of all EMR company said that EMR improved efficacy of the management of the hospital. National Hospital Organization (NHO) has been promoting the project and introduced EMR since 2004. NHO has 143 hospitals, 51 hospitals offer acute-phase medical care services, the other 92 hospitals offer medical services mainly for chronic patients. We conducted three kinds of investigations, questionnaire survey, checking the homepage information of the hospitals and analyzing the financial statements of each NHO hospital. In this financial analysis, we applied new indicators which have been developed based on personnel costs. In 2011, there are 44 hospitals which have introduced EMR. In our result, the hospital with EMR performed more investment of equipment/capital than personnel expenses. So, there is no advantage of EMR on the financial efficacy.

A Comparison of the Fit between the Organizational Climate of the Coast Guard, the Job/Career Expectations of Black College Graduates, and Their Perceptions about the Coast Guard.

DTIC Science & Technology

1980-12-01

ORGANIZA- TIONAL CLIMATE OF THE COAST GUARD, THE JOB/ CAREER EXPECTATIONS OF BLACK COLLEGE GRADUATES AND THEIR PERCEPTIONS ABOUT THE COAST GUARD by... climate of the Coast Guard. Their perceptions about the Coast Guard are generally positive. Their expectaticns were higher than their perceptions . Thus the... perceptions and expectations of Black college graduates were generally higher than all Coast Guard officers’ view of the organizational climate of the

75 FR 47311 - National Offshore Safety Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-05

... DEPARTMENT OF HOMELAND SECURITY Coast Guard [USCG-2010-0489] National Offshore Safety Advisory... Offshore Safety Advisory Committee (NOSAC) will meet by teleconference to discuss items related to safety... advice and makes recommendations to the Coast Guard on [[Page 47312

50. Elevation view underway, showing "new" coast guard paint scheme ...

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

50. Elevation view underway, showing "new" coast guard paint scheme and A-frame crane. Note crews quarters expanded over turtle deck at stern. - U.S. Coast Guard Cutter WHITE SUMAC, U.S. Coast Guard 8th District Base, 4640 Urquhart Street, New Orleans, Orleans Parish, LA

Pediatric disaster preparedness and response and the nation's children's hospitals.

PubMed

Lyle, Kristin C; Milton, Jerrod; Fagbuyi, Daniel; LeFort, Roxanna; Sirbaugh, Paul; Gonzalez, Jacqueline; Upperman, Jeffrey S; Carmack, Tim; Anderson, Michael

2015-01-01

Children account for 30 percent of the US population; as a result, many victims of disaster events are children. The most critically injured pediatric victims would be best cared for in a tertiary care pediatric hospital. The Children's Hospital Association (CHA) undertook a survey of its members to determine their level of readiness to respond to a mass casualty disaster. The Disaster Response Task Force constructed survey questions in October 2011. The survey was distributed via e-mail to the person listed as an "emergency manager/disaster contact" at each association member hospital and was designed to take less than 15 minutes to complete. The survey sought to determine how children's hospitals address disaster preparedness, how prepared they feel for disaster events, and how CHA could support their efforts in preparedness. One hundred seventy-nine surveys were distributed with a 36 percent return rate. Seventy percent of respondent hospitals have a structure in place to plan for disaster response. There was a stronger level of confidence for hospitals in responding to local casualty events than for those responding to large-scale regional, national, and international events. Few hospitals appear to interact with nonmedical facilities with a high concentration of children such as schools or daycares. Little commonality exists among children's hospitals in approaches to disaster preparedness and response. Universally, respondents can identify a disaster response plan and routinely participate in drills, but the scale and scope of these plans and drills vary substantially.

Coast guard : as deepwater systems integrator, coast guard Is reassessing costs and capabilities but lags in applying its disciplined acquisition approach.

DOT National Transportation Integrated Search

2009-07-01

The Deepwater Program includes efforts to build or modernize ships and aircraft and to procure other capabilities. In 2002, the Coast Guard contracted with Integrated Coast Guard Systems (ICGS) to manage the acquisition as systems integrator. After a...

The effect of contextual factors on unintentional injury hospitalization: from the Korea National Hospital Discharge Survey.

PubMed

Lee, Hye Ah; Han, Hyejin; Lee, Seonhwa; Park, Bomi; Park, Bo Hyun; Lee, Won Kyung; Park, Ju Ok; Hong, Sungok; Kim, Young Taek; Park, Hyesook

2018-03-13

It has been suggested that health risks are affected by geographical area, but there are few studies on contextual effects using multilevel analysis, especially regarding unintentional injury. This study investigated trends in unintentional injury hospitalization rates over the past decade in Korea, and also examined community-level risk factors while controlling for individual-level factors. Using data from the 2004 to 2013 Korea National Hospital Discharge Survey (KNHDS), trends in age-adjusted injury hospitalization rate were conducted using the Joinpoint Regression Program. Based on the 2013 KNHDS, we collected community-level factors by linking various data sources and selected dominant factors related to injury hospitalization through a stepwise method. Multilevel analysis was performed to assess the community-level factors while controlling for individual-level factors. In 2004, the age-adjusted unintentional injury hospitalization rate was 1570.1 per 100,000 population and increased to 1887.1 per 100,000 population in 2013. The average annual percent change in rate of hospitalizations due to unintentional injury was 2.31% (95% confidence interval: 1.8-2.9). It was somewhat higher for females than for males (3.25% vs. 1.64%, respectively). Both community- and individual-level factors were found to significantly influence unintentional injury hospitalization risk. As community-level risk factors, finance utilization capacity of the local government and neighborhood socioeconomic status, were independently associated with unintentional injury hospitalization after controlling for individual-level factors, and accounted for 19.9% of community-level variation in unintentional injury hospitalization. Regional differences must be considered when creating policies and interventions. Further studies are required to evaluate specific factors related to injury mechanism.

1. AERIAL VIEW TO WEST OF COAST GUARD AIR STATION ...

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

1. AERIAL VIEW TO WEST OF COAST GUARD AIR STATION SAN FRANCISCO, SHOWING ALL MAJOR BUILDINGS. 8X10 black and white silver gelatin print. United States Coast Guard, February 1962. - U.S. Coast Guard Air Station San Francisco, 1020 North Access Road, San Francisco, San Francisco County, CA

2. AERIAL VIEW TO SOUTHEAST OF COAST GUARD AIR STATION ...

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

2. AERIAL VIEW TO SOUTHEAST OF COAST GUARD AIR STATION SAN FRANCISCO, SHOWING ALL MAJOR BUILDINGS. 8X10 black and white silver gelatin print. United States Coast Guard, February 1962. - U.S. Coast Guard Air Station San Francisco, 1020 North Access Road, San Francisco, San Francisco County, CA

45 CFR 60.17 - Information which hospitals must request from the National Practitioner Data Bank.

Code of Federal Regulations, 2013 CFR

2013-10-01

... National Practitioner Data Bank. 60.17 Section 60.17 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NATIONAL PRACTITIONER DATA BANK Disclosure of Information by the National Practitioner Data Bank § 60.17 Information which hospitals must request from the National Practitioner Data...

45 CFR 60.17 - Information which hospitals must request from the National Practitioner Data Bank.

Code of Federal Regulations, 2014 CFR

2014-10-01

... National Practitioner Data Bank. 60.17 Section 60.17 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION NATIONAL PRACTITIONER DATA BANK Disclosure of Information by the National Practitioner Data Bank § 60.17 Information which hospitals must request from the National Practitioner Data...

Cytochemical and Cytofluorometric Evidence for Guard Cell Photosystems 1

PubMed Central

Vaughn, Kevin C.; Outlaw, William H.

1983-01-01

Evidence for photosynthetic linear electron transport in guard cells was obtained with two sensitive methods of high spacial resolution. Light-dependent diaminobenzidine oxidation (an indicator of PSI) and DCMU-sensitive, light-dependent thiocarbamyl nitroblue tetrazolium reduction (an indicator of PSII) were observed in guard cell plastids of Hordeum vulgare L. cv Himalaya using electron microscopic cytochemical procedures. DCMU-sensitive Chl a fluorescence induction (an indicator of PSII) was detected in individual guard cell pairs of Vicia faba L. cv Longpod using an ultramicrofluorometer. At least for these species, we conclude these results are proof for the presence of PSII in guard cell chloroplasts, which until now has been somewhat controversial. Images Fig. 2 Fig. 1 PMID:16662840

SPERTI Instrument Cell Building (PER606) elevation; plan of Guard House ...

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

SPERT-I Instrument Cell Building (PER-606) elevation; plan of Guard House (PER-607); elevations for Pit Building (PER-605) southwest, southeast, and northeast sides. Earthen shield is mounded between back wall of Instrument Cell Building and the southwest elevation of Pit Building. Detail of filtered louver in door of Instrument Cell Building. Idaho Operations Office PER-605-IDO-3. INEEL index no. 761-0605-00-396-109183 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID

30 CFR 56.12066 - Guarding trolley wires and bare powerlines.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Guarding trolley wires and bare powerlines. 56... Electricity § 56.12066 Guarding trolley wires and bare powerlines. Where metallic tools or equipment can come in contact with trolley wires or bare powerlines, the lines shall be guarded or deenergized. ...

30 CFR 56.12066 - Guarding trolley wires and bare powerlines.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Guarding trolley wires and bare powerlines. 56... Electricity § 56.12066 Guarding trolley wires and bare powerlines. Where metallic tools or equipment can come in contact with trolley wires or bare powerlines, the lines shall be guarded or deenergized. ...

30 CFR 57.12066 - Guarding trolley wires and bare powerlines.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Guarding trolley wires and bare powerlines. 57... MINES Electricity Surface Only § 57.12066 Guarding trolley wires and bare powerlines. Where metallic tools or equipment can come in contact with trolley wires or bare powerlines, the lines shall be guarded...

30 CFR 57.12066 - Guarding trolley wires and bare powerlines.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Guarding trolley wires and bare powerlines. 57... MINES Electricity Surface Only § 57.12066 Guarding trolley wires and bare powerlines. Where metallic tools or equipment can come in contact with trolley wires or bare powerlines, the lines shall be guarded...

Guarded Flat Plate Cryogenic Test Apparatus and Calorimeter

NASA Technical Reports Server (NTRS)

Fesmire, James E. (Inventor); Johnson, Wesley L. (Inventor)

2017-01-01

A test apparatus for thermal energy measurement of disk-shaped test specimens has a cold mass assembly locatable within a sealable chamber with a guard vessel having a guard chamber to receive a liquid fluid and a bottom surface to contact a cold side of a test specimen, and a test vessel having a test chamber to receive a liquid fluid and encompassed on one side by a center portion of the bottom surface shared with the guard vessel. A lateral wall assembly of the test vessel is closed by a vessel top, the lateral wall assembly comprising an outer wall and an inner wall having opposing surfaces that define a thermal break including a condensable vapor pocket to inhibit heat transfer through the lateral wall from the guard vessel to the test vessel. A warm boundary temperature surface is in thermal communication with a lower surface of the test specimen.

Childhood trauma, combat trauma, and substance use in National Guard and reserve soldiers.

PubMed

Vest, Bonnie M; Hoopsick, Rachel A; Homish, D Lynn; Daws, Rachel C; Homish, Gregory G

2018-02-27

The goal of this work was to examine associations among childhood trauma, combat trauma, and substance use (alcohol problems, frequent heavy drinking [FHD], current cigarette smoking, and current/lifetime drug use) and the interaction effects of childhood trauma and combat exposure on those associations among National Guard/reserve soldiers. Participants (N = 248) completed an electronic survey asking questions about their military experiences, physical and mental health, and substance use. Childhood trauma and combat exposure were examined jointly in regression models, controlling for age, marital satisfaction, and number of deployments. Childhood trauma was associated with current drug use (trend level, odds ratio [OR] = 1.44, 95% confidence interval [CI]: 0.97, 2.14; P = .072) in the main effect model; however, there was not a significant interaction with combat. Combat exposure had a significant interaction with childhood trauma on alcohol problems (b = -0.56, 95% CI: -1.12, -0.01; P = .048), FHD (b = -0.27, 95% CI: -0.47, -0.08; P = .007), and lifetime drug use (OR = 1.78, 95% CI: 1.04, 3.04; P = .035). There were no associations with either of the trauma measures and current cigarette smoking. These results demonstrate that childhood and combat trauma have differential effects on alcohol use, such that combat trauma may not add to the effect on alcohol use in those with greater child maltreatment but may contribute to greater alcohol use among those with low child maltreatment. As expected, childhood and combat trauma had synergistic effects on lifetime drug use. Screening for multiple types of trauma prior to enlistment and/or deployment may help to identify at-risk individuals and allow time for early intervention to prevent future adverse outcomes.

30 CFR 77.510 - Resistors; location and guarding.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Resistors; location and guarding. 77.510 Section 77.510 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE... COAL MINES Electrical Equipment-General § 77.510 Resistors; location and guarding. Resistors, heaters...

Coast Guard Compass

Science.gov Websites

responsibility, authority and accountability from one person to another. An APD deploying a Higgins Boats. Given the "Dixie Cup" white hats worn by the Coast Guard crew, this photo was likely shot during : Douglas Denman - Silver Star Bosun of USS Colhoun Douglas Denman was one of many combat heroes who have

Heap/stack guard pages using a wakeup unit

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

Gooding, Thomas M; Satterfield, David L; Steinmacher-Burow, Burkhard

A method and system for providing a memory access check on a processor including the steps of detecting accesses to a memory device including level-1 cache using a wakeup unit. The method includes invalidating level-1 cache ranges corresponding to a guard page, and configuring a plurality of wakeup address compare (WAC) registers to allow access to selected WAC registers. The method selects one of the plurality of WAC registers, and sets up a WAC register related to the guard page. The method configures the wakeup unit to interrupt on access of the selected WAC register. The method detects access ofmore » the memory device using the wakeup unit when a guard page is violated. The method generates an interrupt to the core using the wakeup unit, and determines the source of the interrupt. The method detects the activated WAC registers assigned to the violated guard page, and initiates a response.« less

Experience of implementing a National pre-hospital Code Red bleeding protocol in Scotland.

PubMed

Reed, Matthew J; Glover, Alison; Byrne, Lauren; Donald, Michael; McMahon, Niall; Hughes, Neil; Littlewood, Nicola K; Garrett, Justin; Innes, Catherine; McGarvey, Margaret; Hazra, Eleanor; Rawlinson, P Sam M

2017-01-01

The Scottish Transfusion and Laboratory Support in Trauma Group (TLSTG) have introduced a unified National pre-hospital Code Red protocol. This paper reports the results of a study aiming to establish whether current pre-hospital Code Red activation criteria for trauma patients successfully predict need for in hospital transfusion or haemorrhagic death, the current admission coagulation profile and Concentrated Red Cell (CRC): Fresh Frozen Plasma (FFP) ratio being used, and whether use of the protocol leads to increased blood component discards? Prospective cohort study. Clinical and transfusion leads for each of Scotland's pre-hospital services and their receiving hospitals agreed to enter data into the study for all trauma patients for whom a pre-hospital Code Red was activated. Outcome data collected included survival 24h after Code Red activation, survival to hospital discharge, death in the Emergency Department and death in hospital. Between June 1st 2013 and October 31st 2015 there were 53 pre-hospital Code Red activations. Median Injury Severity Score (ISS) was 24 (IQR 14-37) and mortality 38%. 16 patients received pre-hospital blood. The pre-hospital Code Red protocol was sensitive for predicting transfusion or haemorrhagic death (89%). Sensitivity, specificity, positive and negative predictive values of the pre-hospital SBP <90mmHg component were 63%, 33%, 86% and 12%. 19% had an admission prothrombin time >14s and 27% had a fibrinogen <1.5g/L. CRC: FFP ratios did not drop to below 2:1 until 150min after arrival in the ED. 16 red cell units, 33 FFP and 6 platelets were discarded. This was not significantly increased compared to historical data. A National pre-hospital Code Red protocol is sensitive for predicting transfusion requirement in bleeding trauma patients and does not lead to increased blood component discards. A significant number of patients are coagulopathic and there is a need to improve CRC: FFP ratios and time to transfusion support

29 CFR 1915.73 - Guarding of deck openings and edges.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Guarding of deck openings and edges. 1915.73 Section 1915..., Ladders and Other Working Surfaces § 1915.73 Guarding of deck openings and edges. (a) The provisions of... coamings to a height of 24 inches or around other large openings, the edge of the opening shall be guarded...

4. AERIAL VIEW TO SOUTHEAST OF ENTIRE COAST GUARD AIR ...

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

4. AERIAL VIEW TO SOUTHEAST OF ENTIRE COAST GUARD AIR STATION SAN FRANCISCO. 8X10 black and white silver gelatin print. United States Coast Guard Official Photograph, 12th District, File No. 62751-22 A.S. Date unknown. - U.S. Coast Guard Air Station San Francisco, 1020 North Access Road, San Francisco, San Francisco County, CA

Effect of a grounded object on radon measurement using AlphaGUARD.

PubMed

Ichitsubo, Hirokazu; Yamada, Yuji

2004-07-01

ABSTRACT-: The effects on radon concentration measurement of a grounded object near the opening of a cylindrical ionization chamber were studied using AlphaGUARD. AlphaGUARD comes with a flow measurement adapter that fits on the front of the AlphaGUARD ionization chamber. If the adapter nozzle is grounded, the radon concentration is falsely measured at 0 Bq m. A metal connector for use between the AlphaGUARD and the air duct wall was manufactured in our laboratory. When the connector is grounded, the radon concentration is again falsely measured as 0 Bq m. If the nozzle or connector is ungrounded, the AlphaGUARD measures radon concentration accurately. Health Phys.

Associations of coping processes with posttraumatic stress disorder symptoms in national guard/reserve service members deployed during the OEF-OIF era.

PubMed

Rodrigues, Camila S; Renshaw, Keith D

2010-10-01

Studies have identified coping processes as one potential factor influencing PTSD in veterans. This study examined the associations between coping, combat exposure, and PTSD among 218 National Guard veterans deployed overseas since 2001. Problem-focused coping was unrelated to combat exposure and PTSD symptoms. In contrast, increased levels of emotion focused coping (EFC) were found in veterans who reported higher levels of combat exposure. Moreover, the severity of combat was a curvilinear moderator of the relation between coping process and PTSD, such that EFC was unrelated to PTSD symptom severity at low levels of combat, associated with higher symptom severity at moderate levels of combat, and associated with lower symptom severity at high levels of combat. These findings indicate that the type and severity of trauma may moderate the association of coping and psychological outcomes, and that these associations might not be linear. Published by Elsevier Ltd.

Risk and Protective Factors for Difficulty Controlling Violent Behavior in National Guard and Reserve Service Members.

PubMed

Worthen, Miranda; Rathod, Sujit D; Cohen, Gregory; Sampson, Laura; Ursano, Robert; Gifford, Robert; Fullerton, Carol; Galea, Sandro; Ahern, Jennifer

2017-11-01

Violent behavior is an important problem for military service members and veterans. A representative cohort of U.S. Reserve and National Guard personnel ( N = 1,293) were interviewed to assess self-reported problems controlling violent behavior, deployment traumas, posttraumatic stress disorder (PTSD), alcohol abuse, and social support. Poisson regression models were used to estimate the associations of violent behavior with risk and protective factors. Problems controlling violent behavior were uncommon among male (3.3%) and female (1.7%) service members. Adjusted prevalence ratios (aPR) showed associations between violent behavior and deployment traumas (aPR = 1.67, 95% confidence interval [CI] = [1.34, 2.08]), PTSD (aPR = 9.95, 95% CI = [5.09, 19.48]), and PTSD symptom severity (aPR for each additional PTSD symptom = 1.07, 95% CI = [1.06, 1.09]). Social support was associated with lower prevalence of violent behavior (aPR = 0.62, 95% CI = [0.52, 0.76]). The association between violent behavior and alcohol abuse was not statistically significant (aPR = 1.94, 95% CI = [0.92, 4.09]). Results were consistent when the population was restricted to personnel who had deployed to a war zone. Problems controlling violent behavior were less common in this cohort than has been documented in other studies. Associations of violent behavior with risk and protective factors are consistent with prior research.

ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014.

PubMed

Pedersen, Craig A; Schneider, Philip J; Scheckelhoff, Douglas J

2015-07-01

The results of the 2014 ASHP national survey of pharmacy practice in hospital settings that pertain to dispensing and administration are described. A stratified random sample of pharmacy directors at 1435 general and children's medical-surgical hospitals in the United States were surveyed by mail. In this national probability sample survey, the response rate was 29.7%. Ninety-seven percent of hospitals used automated dispensing cabinets in their medication distribution systems, 65.7% of which used individually secured lidded pockets as the predominant configuration. Overall, 44.8% of hospitals used some form of machine-readable coding to verify doses before dispensing in the pharmacy. Overall, 65% of hospital pharmacy departments reported having a cleanroom compliant with United States Pharmacopeia chapter 797. Pharmacists reviewed and approved all medication orders before the first dose was administered, either onsite or by remote order view, except in procedure areas and emergency situations, in 81.2% of hospitals. Adoption rates of electronic health information have rapidly increased, with the widespread use of electronic health records, computer prescriber order entry, barcodes, and smart pumps. Overall, 31.4% of hospitals had pharmacists practicing in ambulatory or primary care clinics. Transitions-of-care services offered by the pharmacy department have generally increased since 2012. Discharge prescription services increased from 11.8% of hospitals in 2012 to 21.5% in 2014. Approximately 15% of hospitals outsourced pharmacy management operations to a contract pharmacy services provider, an increase from 8% in 2011. Health-system pharmacists continue to have a positive impact on improving healthcare through programs that improve the efficiency, safety, and clinical outcomes of medication use in health systems. Copyright © 2015 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.

PubMed

DeFrances, Carol J; Cullen, Karen A; Kozak, Lola Jean

2007-12-01

This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes. The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,000 discharges. Of the 473 eligible nonfederal short-stay hospitals in the sample, 444 (94 percent) responded to the survey. An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patient's home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it was performed during less than one of every five vaginal deliveries (19 percent).

About Coast Guard Maritime Commons « Coast Guard Maritime Commons

Science.gov Websites

occasional post by our senior leaders (including the Commandant of the Coast Guard). External Link Disclaimer retains the discretion to determine which comments it will post and which it will not. We expect all contributors to be respectful. We will not post comments that contain personal attacks of any kind; refer to

30 CFR 77.509 - Transformers; installation and guarding.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Transformers; installation and guarding. 77.509... COAL MINES Electrical Equipment-General § 77.509 Transformers; installation and guarding. (a) Transformers shall be of the totally enclosed type, or shall be placed at least 8 feet above the ground, or...

30 CFR 77.509 - Transformers; installation and guarding.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Transformers; installation and guarding. 77.509... COAL MINES Electrical Equipment-General § 77.509 Transformers; installation and guarding. (a) Transformers shall be of the totally enclosed type, or shall be placed at least 8 feet above the ground, or...

30 CFR 77.509 - Transformers; installation and guarding.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Transformers; installation and guarding. 77.509... COAL MINES Electrical Equipment-General § 77.509 Transformers; installation and guarding. (a) Transformers shall be of the totally enclosed type, or shall be placed at least 8 feet above the ground, or...

30 CFR 77.509 - Transformers; installation and guarding.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Transformers; installation and guarding. 77.509... COAL MINES Electrical Equipment-General § 77.509 Transformers; installation and guarding. (a) Transformers shall be of the totally enclosed type, or shall be placed at least 8 feet above the ground, or...

30 CFR 77.509 - Transformers; installation and guarding.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Transformers; installation and guarding. 77.509... COAL MINES Electrical Equipment-General § 77.509 Transformers; installation and guarding. (a) Transformers shall be of the totally enclosed type, or shall be placed at least 8 feet above the ground, or...

Are severely injured trauma victims in Norway offered advanced pre-hospital care? National, retrospective, observational cohort.

PubMed

Wisborg, T; Ellensen, E N; Svege, I; Dehli, T

2017-08-01

Studies of severely injured patients suggest that advanced pre-hospital care and/or rapid transportation provides a survival benefit. This benefit depends on the disposition of resources to patients with the greatest need. Norway has 19 Emergency Helicopters (HEMS) staffed by anaesthesiologists on duty 24/7/365. National regulations describe indications for their use, and the use of the national emergency medical dispatch guideline is recommended. We assessed whether severely injured patients had been treated or transported by advanced resources on a national scale. A national survey was conducted collecting data for 2013 from local trauma registries at all hospitals caring for severely injured patients. Patients were analysed according to hospital level; trauma centres or acute care hospitals with trauma functions. Patients with an Injury Severity Score (ISS) > 15 were considered severely injured. Three trauma centres (75%) and 17 acute care hospitals (53%) had data for trauma patients from 2013, a total of 3535 trauma registry entries (primary admissions only), including 604 victims with an ISS > 15. Of these 604 victims, advanced resources were treating and/or transporting 51%. Sixty percent of the severely injured admitted directly to trauma centres received advanced services, while only 37% of the severely injured admitted primarily to acute care hospitals received these services. A highly developed and widely distributed HEMS system reached only half of severely injured trauma victims in Norway in 2013. © 2017 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.

Women's Fertility Status Alters Other Women's Jealousy and Mate Guarding.

PubMed

Hurst, Ashalee C; Alquist, Jessica L; Puts, David A

2017-02-01

Across three studies, we tested the hypothesis that women exhibit greater jealousy and mate guarding toward women who are in the high (vs. low) fertility phase of their cycle. Women who imagined their partner with a woman pictured at high fertility reported more jealousy than women who imagined their partner with a woman pictured at low fertility (Studies 1 and 2). A meta-analysis across studies manipulating fertility status of the pictured woman found a significant effect of fertility status on both jealousy and mate guarding. Women with attractive partners viewed fertile-phase women as less trustworthy, which led to increased mate guarding (Study 2). In Study 3, the closer women were to peak fertility, the more instances they reported of other women acting jealously and mate guarding toward them. These studies provide evidence that women selectively exhibit jealousy and mate guarding toward women who are near peak fertility.

46 CFR 64.37 - Valve and fitting guard.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 2 2012-10-01 2012-10-01 false Valve and fitting guard. 64.37 Section 64.37 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND... be protected from mechanical damage by— (a) The tank; (b) A tank saddle; (c) The framework; or (d) A...

46 CFR 64.37 - Valve and fitting guard.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Valve and fitting guard. 64.37 Section 64.37 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND... be protected from mechanical damage by— (a) The tank; (b) A tank saddle; (c) The framework; or (d) A...

46 CFR 64.37 - Valve and fitting guard.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 2 2013-10-01 2013-10-01 false Valve and fitting guard. 64.37 Section 64.37 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND... be protected from mechanical damage by— (a) The tank; (b) A tank saddle; (c) The framework; or (d) A...

46 CFR 64.37 - Valve and fitting guard.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 2 2011-10-01 2011-10-01 false Valve and fitting guard. 64.37 Section 64.37 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND... be protected from mechanical damage by— (a) The tank; (b) A tank saddle; (c) The framework; or (d) A...

46 CFR 64.37 - Valve and fitting guard.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 2 2014-10-01 2014-10-01 false Valve and fitting guard. 64.37 Section 64.37 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND... be protected from mechanical damage by— (a) The tank; (b) A tank saddle; (c) The framework; or (d) A...

Installation-Restoration Program. Preliminary assessment; records search for the 155th Tactical Reconnaissance Group, Nebraska Air National Guard, Lincoln Municipal Airport, Lincoln, Nebraska

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

Not Available

1987-11-01

The Hazardous Materials Technical Center (HMTC) was retained in May 1986 to conduct the Installation-Restoration Program (IRP) Preliminary Assessment (PA) - Records Search for the 155th Tactical Reconnaissance Group (TRG), Nebraska Air National Guard, Lincoln Municipal Airport, Lincoln, Nebraska (hereinafter referred to as the Base). The Records Search included: an onsite visit including interviews with 19 Base personnel conducted by HMTC personnel on 21-23 May 1986; the acquisition and analysis of pertinent information and records on hazardous materials use and hazardous-waste generation and disposal at the Base; the acquisition and analysis of available geologic, hydrologic, meteorologic, and environmental data frommore » pertinent Federal, State, and local agencies; and the identification of sites on the Base that may be potentially contaminated with hazardous materials/hazardous wastes (HM/HW).« less

In-hospital mortality and treatment patterns in acute myocardial infarction patients admitted during national cardiology meeting dates.

PubMed

Mizuno, Seiko; Kunisawa, Susumu; Sasaki, Noriko; Fushimi, Kiyohide; Imanaka, Yuichi

2016-10-01

Many hospitals experience a reduction in the number of available physicians on days when national scientific meetings are conducted. This study investigates the relationship between in-hospital mortality in acute myocardial infarction (AMI) patients and admission during national cardiology meeting dates. Using an administrative database, we analyzed patients with AMI admitted to acute care hospitals in Japan from 2011 to 2013. There were 3 major national cardiology meetings held each year. A hierarchical logistic regression model was used to compare in-hospital mortality and treatment patterns between patients admitted on meeting dates and those admitted on identical days during the week before and after the meeting dates. We identified 6,332 eligible patients, with 1,985 patients admitted during 26 meeting days and 4,347 patients admitted during 52 non-meeting days. No significant differences between meeting and non-meeting dates were observed for in-hospital mortality (7.4% vs. 8.5%, respectively; p=0.151, unadjusted odds ratio: 0.861, 95% confidence interval: 0.704-1.054) and the proportion of percutaneous coronary intervention (PCI) performed on the day of admission (75.9% vs. 76.2%, respectively; p=0.824). We also found that some low-staffed hospitals did not treat AMI patients during meeting dates. Little or no "national meeting effect" was observed on in-hospital mortality in AMI patients, and PCI rates were similar for both meeting and non-meeting dates. Our findings also indicated that during meeting dates, AMI patients may have been consolidated to high-performance and sufficiently staffed hospitals. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Credit BG. View looking north northeast at Guard House and ...

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

Credit BG. View looking north northeast at Guard House and entrance to Building 4505 complex. This Guard House was built in 1993 as a portable unit; it replaced an older structure. The Building 4505 complex is surrounded by a security fence. Building 4496 appears to immediate right of view - Edwards Air Force Base, North Base, Guard House, Northeast of A Street, Boron, Kern County, CA

Truck side guard technical overview : safety and operational considerations

DOT National Transportation Integrated Search

2015-04-23

This technical overview provides safety and operational considerations for truck side guards. Truck side guards are designed to keep pedestrians, bicyclists, and motorcyclists - known as vulnerable road users (VRUs) from being run over by a large tru...

Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit.

PubMed

Nolan, Jerry P; Soar, Jasmeet; Smith, Gary B; Gwinnutt, Carl; Parrott, Francesca; Power, Sarah; Harrison, David A; Nixon, Edel; Rowan, Kathryn

2014-08-01

To report the incidence, characteristics and outcome of adult in-hospital cardiac arrest in the United Kingdom (UK) National Cardiac Arrest Audit database. A prospectively defined analysis of the UK National Cardiac Arrest Audit (NCAA) database. 144 acute hospitals contributed data relating to 22,628 patients aged 16 years or over receiving chest compressions and/or defibrillation and attended by a hospital-based resuscitation team in response to a 2222 call. The main outcome measures were incidence of adult in-hospital cardiac arrest and survival to hospital discharge. The overall incidence of adult in-hospital cardiac arrest was 1.6 per 1000 hospital admissions with a median across hospitals of 1.5 (interquartile range 1.2-2.2). Incidence varied seasonally, peaking in winter. Overall unadjusted survival to hospital discharge was 18.4%. The presenting rhythm was shockable (ventricular fibrillation or pulseless ventricular tachycardia) in 16.9% and non-shockable (asystole or pulseless electrical activity) in 72.3%; rates of survival to hospital discharge associated with these rhythms were 49.0% and 10.5%, respectively, but varied substantially across hospitals. These first results from the NCAA database describing the current incidence and outcome of adult in-hospital cardiac arrest in UK hospitals will serve as a benchmark from which to assess the future impact of changes in service delivery, organisation and treatment for in-hospital cardiac arrest. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

U.S. Coast Guard cutter personnel on Sweetbriar train their fire ...

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

U.S. Coast Guard cutter personnel on Sweetbriar train their fire hoses on a burning pleasure boat in an Alaskan harbor. A U.S. Coast Guard rigid-hull inflatable helps with the fire-fighting effort - U.S. Coast Guard Cutter SWEETBRIER, Cordova, Valdez-Cordova Census Area, AK

The dysfunctional consequences of a performance measurement system: the case of the Iranian national hospital grading programme.

PubMed

Aryankhesal, Aidin; Sheldon, Trevor A; Mannion, Russell; Mahdipour, Saeade

2015-07-01

Performance measurement systems are increasingly used to reward and improve provider performance. However, such initiatives may also inadvertently induce a range of unintended and dysfunctional side-effects. This study explores the unintended and adverse consequences induced by the Iranian national hospital grading programme, which incorporates financial incentives for meeting nationally defined standards. We interviewed key informants across four key groups with a legitimate interest in healthcare performance: four purposively selected hospitals; four health insurance organizations; the Iranian hospital accreditation body; and one grading agency. The transcribed interviews and field notes were analysed thematically, and subsequently, member checking was conducted. Seven dysfunctional consequences were identified: misrepresentation of data by hospitals; increased anxiety and stress among hospital employees; tunnel vision; financial pressures on poorly graded hospitals; incentives to purchase unnecessary equipment; erosion of public trust; and restricting access to hospital services by patients. These were caused by the way the grading system was implemented: poor standards of audit; the way in which the audit process was conducted; and the timing of audits. The pay for performance element of the grading system and the focus on structural aspects in the standards made improvement in grading particularly difficult for those hospitals that had been assessed as under-performing. Although the Iranian hospital grading system has resulted in a significant increase in the adoption of national standards, it has nevertheless induced a range of perverse outcomes. To mitigate these requires further refinement and recalibration of the system. © The Author(s) 2015.

Commandant Instructions 5354.6A: Administering the Coast Guard Recruiting Initiative for the Twenty-First Century (CGRIT) to the U.S. Coast Guard Academy

DOT National Transportation Integrated Search

1997-03-25

Promulgates procedures to coordinate and administer the Coast Guard Recruiting : Initiative for the 21st century (CGRIT)program and prescribes application : procedures to the U.S. Coast Guard Academy.

Biomechanical efficiency of wrist guards as a shock isolator.

PubMed

Hwang, Il-Kyu; Kim, Kyu-Jung; Kaufman, Kenton R; Cooney, William P; An, Kai-Nan

2006-04-01

Despite the use of wrist guards during skate- and snowboard activities, fractures still occur at the wrist or at further proximal locations of the forearm. The main objectives of this study were to conduct a human subject testing under simulated falling conditions for measurement of the impact force on the hand, to model wrist guards as a shock isolator, to construct a linear mass-spring-damper model for quantification of the impact force attenuation (Q-ratio) and energy absorption (S-ratio), and to determine whether wrist guards play a role of an efficient shock isolator. While the falling direction (forward and backward) significantly influenced the impact responses, use of wrist guards provided minimal improvements in the Q- and S-ratios. It was suggested based on the results under the submaximal loading conditions that protective functions of the common wrist guard design could be enhanced with substantial increase in the damping ratio so as to maximize the energy absorption. This would bring forth minor deterioration in the impact force attenuation but significant increase in the energy absorption by 19%, which would help better protection against fall-related injuries of the upper extremity.

77 FR 26699 - Safety Zone; Coast Guard Exercise, Hood Canal, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-07

... would be impracticable to delay this important exercise to allow for a delayed effective date...-AA00 Safety Zone; Coast Guard Exercise, Hood Canal, WA AGENCY: Coast Guard, DHS. ACTION: Temporary... a Coast Guard Ready for Operations exercise in Hood Canal, WA that will take place between May 08...

Male songbirds provide indirect parental care by guarding females during incubation

USGS Publications Warehouse

Fedy, B.C.; Martin, T.E.

2009-01-01

Across many taxa, guarding of fertile mates is a widespread tactic that enhances paternity assurance. However, guarding of mates can also occur during the nonfertile period, and the fitness benefits of this behavior are unclear. Male songbirds, for example, sometimes guard nonfertile females during foraging recesses from incubation. We hypothesized that guarding postreproductive mates may have important, but unrecognized, benefits by enhancing female foraging efficiency, thereby increasing time spent incubating eggs. We tested the hypothesis in 2 songbird species by examining female behavior during natural and experimentally induced absences of males. Male absence caused increased vigilance in foraging females that decreased their efficiency and resulted in less time spent incubating eggs. Male guarding of nonfertile females can thus provide a previously unrecognized form of indirect parental care.

Register of Cutters of the U.S. Coast Guard

DOT National Transportation Integrated Search

1996-11-18

The Manual Publishes the Register of Cutters of the U.S. Coast Guard and : provides an official listing of all Coast Guard cutters as of 01 August 1996. : It includes permanent stations and selected characteristics of all cutters. : Endurance figures...

Superfund Record of Decision (EPA Region 1): Otis Air National Guard/Camp Edwards, MA. (First remedial action), May 1992. Interim report

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

Not Available

1992-05-20

The 22,000-acre Otis National Guard/Camp Edwards site is a former military vehicle maintenance facility on Cape Cod, Massachusetts, within the Massachusetts Military Reservation (MMR). The Area of Contamination Chemical Spill Area Number 4 (AOC CS-4) plume extends 11,000 feet and is located 1.1 miles from the southern boundary of MMR. Wastes and equipment handled at AOC CS-4 included oils, solvents, antifreeze, battery electrolytes, paint, and waste fuels. Additionally, the northern portion of AOC CS-4 was used as a storage yard for wastes generated by shops and laboratories operating at MMR. Liquid wastes were stored in containers or underground storage tanksmore » (USTs) in an unbermed area or deposited in USTs designated for motor gasoline. The ROD addresses OU2, the interim action for MMR AOC CS-4 ground water to prevent further down gradient migration of the contaminants. The primary contaminants of concern affecting the ground water are VOCs, including PCE and TCE.« less

Acute Kidney Injury With the RenalGuard System in Patients Undergoing Transcatheter Aortic Valve Replacement: The PROTECT-TAVI Trial (PROphylactic effecT of furosEmide-induCed diuresis with matched isotonic intravenous hydraTion in Transcatheter Aortic Valve Implantation).

PubMed

Barbanti, Marco; Gulino, Simona; Capranzano, Piera; Immè, Sebastiano; Sgroi, Carmelo; Tamburino, Claudia; Ohno, Yohei; Attizzani, Guilherme F; Patanè, Martina; Sicuso, Rita; Pilato, Gerlando; Di Landro, Alessio; Todaro, Denise; Di Simone, Emanuela; Picci, Andrea; Giannetto, Giuliana; Costa, Giuliano; Deste, Wanda; Giannazzo, Daniela; Grasso, Carmelo; Capodanno, Davide; Tamburino, Corrado

2015-10-01

The purpose of this study was to investigate the effect of the RenalGuard System (PLC Medical Systems, Milford, Massachusetts) on prevention of acute kidney injury (AKI) in patients undergoing transcatheter aortic valve replacement (TAVR). TAVR is associated with varying degrees of post-procedural AKI. The RenalGuard System is a dedicated device designed for contrast-induced AKI prevention. Whether this device is also effective in patients with severe aortic stenosis undergoing TAVR is unexplored. The present is an investigator-driven, single-center, prospective, open-label, registry-based randomized study that used the TAVR institutional registry of the Ferrarotto Hospital in Catania, Italy, as the platform for randomization, data collection, and follow-up assessment. A total of 112 consecutive patients undergoing TAVR were randomly assigned to hydration with normal saline solution controlled by the RenalGuard system and furosemide (RenalGuard group) or normal saline solution (control group). The primary endpoint was the incidence of Valve Academic Research Consortium-defined AKI in the first 72 h after the procedure. The AKI rate was lower in the RenalGuard group than in the control group (n = 3 [5.4%] vs. n =14 [25.0%], respectively, p = 0.014). The majority of patients (5.4% vs. 23.2%) developed a mild AKI (stage 1); severe damage (stage 3) occurred only in 1 patient in the control group (0.0% vs. 1.8%). No case of in-hospital renal failure requiring dialysis was reported. No significant differences in terms of mortality, cerebrovascular events, bleeding, and hospitalization for heart failure were noted in both groups at 30 days. Furosemide-induced diuresis with matched isotonic intravenous hydration using the RenalGuard system is an effective therapeutic tool to reduce the occurrence of AKI in patients undergoing TAVR. Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Scientific evaluation of the ArmorGuard mobile barrier system.

DOT National Transportation Integrated Search

2011-06-17

"Accidents and injuries occur during maintenance activities that could be protected by the ArmorGuard or BalsiBeam mobile barrier systems. The main purpose of this study is to perform a scientific evaluation of the utility of the ArmorGuard system in...

46 CFR 32.02-15 - Guards at dangerous places-TB/ALL.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 1 2013-10-01 2013-10-01 false Guards at dangerous places-TB/ALL. 32.02-15 Section 32..., AND HULL REQUIREMENTS Safety Requirements § 32.02-15 Guards at dangerous places—TB/ALL. All exposed and dangerous places such as gears and machinery shall be properly protected with covers, guards or...

46 CFR 32.02-15 - Guards at dangerous places-TB/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 1 2011-10-01 2011-10-01 false Guards at dangerous places-TB/ALL. 32.02-15 Section 32..., AND HULL REQUIREMENTS Safety Requirements § 32.02-15 Guards at dangerous places—TB/ALL. All exposed and dangerous places such as gears and machinery shall be properly protected with covers, guards or...

46 CFR 32.02-15 - Guards at dangerous places-TB/ALL.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 1 2014-10-01 2014-10-01 false Guards at dangerous places-TB/ALL. 32.02-15 Section 32..., AND HULL REQUIREMENTS Safety Requirements § 32.02-15 Guards at dangerous places—TB/ALL. All exposed and dangerous places such as gears and machinery shall be properly protected with covers, guards or...

46 CFR 32.02-15 - Guards at dangerous places-TB/ALL.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 1 2012-10-01 2012-10-01 false Guards at dangerous places-TB/ALL. 32.02-15 Section 32..., AND HULL REQUIREMENTS Safety Requirements § 32.02-15 Guards at dangerous places—TB/ALL. All exposed and dangerous places such as gears and machinery shall be properly protected with covers, guards or...

77 FR 59083 - Safety Zone; Coast Guard Exercise, Hood Canal, Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

... 1625-AA00 Safety Zone; Coast Guard Exercise, Hood Canal, Washington AGENCY: Coast Guard, DHS. ACTION... involved in a Coast Guard Ready for Operations exercise in Hood Canal, WA that will take place between Oct... during the exercise and will do so by prohibiting any person or vessel from entering or remaining in the...

Frederick National Lab Aids Liberian Hospitals Through Project C.U.R.E. | Frederick National Laboratory for Cancer Research

Cancer.gov

When Project C.U.R.E.'s much-needed medical supplies and equipment arrive in Liberia, the Frederick National Lab’s Kathryn Kynvin is there to receive and distribute the donations to hospitals who continue to treat survivors of the most recent Ebola

ASHP national survey of hospital-based pharmaceutical services--1992.

PubMed

Crawford, S Y; Myers, C E

1993-07-01

The results of a national mail survey of pharmaceutical services in community hospitals conducted by ASHP during summer 1992 are reported and compared with the results of earlier ASHP surveys. A simple random sample of community hospitals (short-term, nonfederal) was selected from community hospitals registered by the American Hospital Association. Questionnaires were mailed to each director of pharmacy. The adjusted gross sample size was 889. The net response rate was 58% (518 usable replies). The average number of hours of pharmacy operation per week was 105. Complete unit dose drug distribution was offered by 90% of the respondents, and 67% offered complete, comprehensive i.v. admixture programs. A total of 73% of the hospitals had centralized pharmaceutical services. Some 83% provided services to ambulatory-care patients, including clinic patients, emergency room patients, patients being discharged, employees, home care patients, and the general public. A computerized pharmacy system was present in 75% of the departments, and 86% had at least one microcomputer. More than 90% participated in adverse drug reaction, drug-use evaluation, drug therapy monitoring, and medication error management programs. Two thirds of the respondents regularly provided written documentation of pharmacist interventions in patients' medical records, and the same proportion provided patient education or counseling. One third provided drug management of medical emergencies. One fifth provided drug therapy management planning, and 17% provided written histories. Pharmacokinetic consultations were provided by 57% and nutritional support consultations by 37%; three fourths of pharmacist recommendations were adopted by prescribers. A well-controlled formulary system was in place in 51% of the hospitals; therapeutic interchange was practiced by 69%. A total of 99% participated in group purchasing, and 95% used a prime vendor. The 1992 ASHP survey revealed a continuation of the changes in

The Unmanned Initiative: A Strategic Appraisal of Coast Guard Unmanned Aerial Systems

DTIC Science & Technology

2011-06-01

King also designated the Coast Guard as the service responsible for helicopter training, research and development. With no established training...Guard Deepwater Acquisition Programs,” Congressional Research Service (Washington, DC, Mar 30, 2010), 25. 15 U.S. Coast Guard, Land-Based UAS, 1-4...preproduction and research , the Coast Guard terminated its UAS program, citing “development risks and a lack of funding.”17 The lack of a cutter-based UAS

Redesign of Advanced Education Processes the United States Coast Guard

DTIC Science & Technology

1999-09-01

educational level. Els are assigned to help track individuals with specialized training and to facilitate statistical data collection. The El is used by...just like every other officer in the Coast Guard. Currently, the Coast Guard’s personnel database does not include data on advanced education ...Appendix A. 56 • Advanced Education is not a searchable field in the Coast Guard’s Personnel Data System. PMs and AOs do not have direct access to

GUARD HOUSE AND SOUTH FIRE HOUSE, VICINITY MAP. (Shows the ...

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

GUARD HOUSE AND SOUTH FIRE HOUSE, VICINITY MAP. (Shows the Guard House and Barracks, and South Fire House in relation to nearby roads, railroad tracks, and the piers). Navy Yard, Mare Island, California. P.W. Drawing No. C-1899, approved 1941; file no. 930-C-1. Scale one inch to forty feet. 72 cn x 97 cm. Ink on vellum - Mare Island Naval Shipyard, Guard House & Barracks, Railroad Avenue near Eighteenth Street, Vallejo, Solano County, CA

Public hospital quality report awareness: evidence from National and Californian Internet searches and social media mentions, 2012.

PubMed

Huesch, Marco D; Currid-Halkett, Elizabeth; Doctor, Jason N

2014-03-11

Publicly available hospital quality reports seek to inform consumers of important healthcare quality and affordability attributes, and may inform consumer decision-making. To understand how much consumers search for such information online on one Internet search engine, whether they mention such information in social media and how positively they view this information. A leading Internet search engine (Google) was the main focus of the study. Google Trends and Google Adwords keyword analyses were performed for national and Californian searches between 1 August 2012 and 31 July 2013 for keywords related to 'top hospital', best hospital', and 'hospital quality', as well as for six specific hospital quality reports. Separately, a proprietary social media monitoring tool was used to investigate blog, forum, social media and traditional media mentions of, and sentiment towards, major public reports of hospital quality in California in 2012. (1) Counts of searches for keywords performed on Google; (2) counts of and (3) sentiment of mentions of public reports on social media. National Google search volume for 75 hospital quality-related terms averaged 610 700 searches per month with strong variation by keyword and by state. A commercial report (Healthgrades) was more commonly searched for nationally on Google than the federal government's Hospital Compare, which otherwise dominated quality-related search terms. Social media references in California to quality reports were generally few, and commercially produced hospital quality reports were more widely mentioned than state (Office of Statewide Healthcare Planning and Development (OSHPD)), or non-profit (CalHospitalCompare) reports. Consumers are somewhat aware of hospital quality based on Internet search activity and social media disclosures. Public stakeholders may be able to broaden their quality dissemination initiatives by advertising on Google or Twitter and using social media interactively with consumers looking

33 CFR 67.50-50 - Seventeenth Coast Guard District.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Seventeenth Coast Guard District. 67.50-50 Section 67.50-50 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District...

33 CFR 67.50-45 - Thirteenth Coast Guard District.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Thirteenth Coast Guard District. 67.50-45 Section 67.50-45 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District...

33 CFR 67.50-50 - Seventeenth Coast Guard District.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Seventeenth Coast Guard District. 67.50-50 Section 67.50-50 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District...

33 CFR 67.50-45 - Thirteenth Coast Guard District.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Thirteenth Coast Guard District. 67.50-45 Section 67.50-45 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District...

Maternal and foetal outcome of 206 high risk pregnancy cases in border guard hospital, dhaka.

PubMed

Shapla, N R; Islam, M A; Shahida, S M; Parveen, Z; Lipe, Y S

2015-04-01

This observational study was carried out to identify the various types of high risk pregnancy and to determine the maternal and foetal outcome. The study was carried out on 206 pregnant high risk women in the Gynecology and Obstetrics department of Border Guard Hospital, Dhaka from January 2012 to December 2012. During mentioned period among 598 pregnant women 206 high risk pregnancy cases were randomly selected. Pregnant women (gestational age from 34 weeks upto 40 weeks) having medical condition and pregnancy related high risk factors were included and uncomplicated pregnancy, pregnancy before 37 weeks, post dated pregnancy were excluded from this study. Data was collected from semi structured history sheet and data analysis done by percentage. High risk pregnant women were grouped into three. Group A and Group B includes pregnant women having medical condition before and during pregnancy respectively. Group C consists of pregnant women had pregnancy related high risk issues. Among 206 high risk pregnancy cases majority 47.57% women had medical condition during pregnancy, 31.55% patient had medical condition before pregnancy. Among them majority 30.58% of the patient suffered from pregnancy induced hypertension, 15.04% patients suffered from gestational Diabetes Mellitus and premature rupture of membranes were 12.13%. In this study majority 43.68% of high risk pregnant patients were in age group of 30-35 years, 19.90% pregnant women were in age group of >35 years and 19.40% were in age group of upto 20 years. Among study groups maximum 65.04% of the patients were multiparous. Among 206 study population 60.19% high risk pregnant women were at term at the time of delivery and 39.8% women delivered their babies preterm. Caesarean section was done in 69.41% of high risk pregnant women. After delivery majority 77.66% women had no complication, only 10.19%, 8.25%, 2.91% and 0.97% high risk pregnant women suffered from fever, UTI, abdominal wound infection and post

Use of Head Guards in AIBA Boxing Tournaments-A Cross-Sectional Observational Study.

PubMed

Loosemore, Michael P; Butler, Charles F; Khadri, Abdelhamid; McDonagh, David; Patel, Vimal A; Bailes, Julian E

2017-01-01

This study looks at the changes in injuries after the implementation of a new rule by the International Boxing Association (AIBA) to remove head guards from its competitions. A cross-sectional observational study performed prospectively. This brief report examines the removal of head guards in 2 different ways. The first was to examine the stoppages due to blows to the head by comparing World Series Boxing (WSB), without head guards, to other AIBA competitions with head guards. Secondly, we examined the last 3 world championships: 2009 and 2011 (with head guards) and 2013 (without head guards). World Series Boxing and AIBA world championship boxing. Boxers from WSB and AIBA world championships. The information was recorded by ringside medical physicians. Stoppages per 10 000 rounds; stoppages per 1000 hours. Both studies show that the number of stoppages due to head blows was significantly decreased without head guards. The studies also showed that there was a notable increase in cuts. Removing head guards may reduce the already small risk of acute brain injury in amateur boxing.

National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola Jean; DeFrances, Carol Jean; Hall, Margaret Jean

2006-10-01

This report presents 2004 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2004, data were collected for approximately 371,000 discharges. Of the 476 eligible nonfederal short-stay hospitals in the sample, 439 (92 percent) responded to the survey. An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2004. They used 167.9 million days of care and had an average length of stay of 4.8 days. Hospital use by age ranged from 4.3 million days of care for patients 5-14 years of age to 31.8 million days of care for 75-84 year olds. Almost a third of patients 85 years and over were discharged from hospitals to long-term care institutions. Diseases of the circulatory system was the leading diagnostic category for males. Childbirth was the leading category for females, followed by circulatory diseases. The proportion of HIV discharges who were 40 years of age and over increased from 40 percent in 1995 to 67 percent in 2004. The rate of cardiac catheterizations was higher for males than for females and higher for patients 65-74 and 75-84 years of age than for older or younger groups. The average length of stay for both vaginal and cesarean deliveries decreased from 1980 through 1995 but stays for vaginal deliveries increased 24 percent during the period from 1995 to 2004.

National Hospital Discharge Survey: 2002 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola J; Owings, Maria F; Hall, Margaret J

2005-03-01

This report presents 2002 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2002, data were collected for approximately 327,000 discharges. Of the 474 eligible non-Federal short-stay hospitals in the sample, 445 (94 percent) responded to the survey. An estimated 33.7 million inpatients were discharged from non-Federal short-stay hospitals in 2002. They used 164.2 million days of care and had an average length of stay of 4.9 days. Common first-listed discharge diagnoses included delivery, ischemic heart disease, psychoses, pneumonia, and malignant neoplasms. Inpatients had 6.8 million cardiovascular procedures and 6.6 million obstetric procedures. Males had higher rates for cardiac procedures such as cardiac catheterization and coronary artery bypass graft, but males and females had similar rates of pacemaker procedures. The number and rate of all cesarean deliveries, primary and repeat, rose from 1995 to 2002; the rate of vaginal birth after cesarean delivery dropped from 35.5 in 1995 to 15.8 in 2002.

The Impact of Excluding Food Guarding from a Standardized Behavioral Canine Assessment in Animal Shelters

PubMed Central

Mohan-Gibbons, Heather; Dolan, Emily D.; Reid, Pamela; Slater, Margaret R.; Mulligan, Hugh; Weiss, Emily

2018-01-01

Simple Summary Recent research has called into question the value of the food guarding assessment as a predictive tool for determining the safety of shelter dogs. This study examined the effect of eliminating the food guarding assessment in nine U.S. animal shelters. It was found that when the food guarding assessment was removed, bites or other injuries to staff or adopters did not increase. However, dogs exhibiting food guarding behavior were less likely to be adopted, had a longer shelter stay, and were more likely to be euthanized than dogs in the general population. Based on previous research and this study’s findings, the authors recommend that shelters discontinue the food guarding assessment. Abstract Many shelters euthanize or restrict adoptions for dogs that exhibit food guarding while in the animal shelter. However, previous research showed that only half the dogs exhibiting food guarding during an assessment food guard in the home. So, dogs are often misidentified as future food guarders during shelter assessments. We examined the impact of shelters omitting food guarding assessments. Nine shelters conducted a two-month baseline period of assessing for food guarding followed by a two-month investigative period during which they omitted the food guarding assessment. Dogs that guarded their food during a standardized assessment were less likely to be adopted, had a longer shelter stay, and were more likely to be euthanized. When the shelters stopped assessing for food guarding, there was no significant difference in the rate of returns of food guarding dogs, even though more dogs were adopted because fewer were identified with food guarding behavior. Additionally, the number of injuries to staff, volunteers, and adopters was low (104 incidents from a total of 14,180 dogs) and did not change when the food guarding assessment was omitted. These results support a recommendation that shelters discontinue the food guarding assessment. PMID:29419746

Photocopy of plan (in collection of U.S. Coast Guard Civil ...

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

Photocopy of plan (in collection of U.S. Coast Guard Civil Engineering Unit Providence, Warwick, RI), U.S. Coast Guard Civil Engineering, third district, marine railway, Sandy Hook Station, Ft. Hancock, Sandy Hook, NJ, repairs, plan sections & framing details, wharf B - U.S. Coast Guard Sandy Hook Station, Western Docking Structure, West of intersection of Canfield Road & Hartshorne Drive, Highlands, Monmouth County, NJ

Photocopy of plan (in collection of U.S. Coast Guard Civil ...

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

Photocopy of plan (in collection of U.S. Coast Guard Civil Engineering Unit Providence, Warwick, RI), U.S. Coast Guard Civil Engineering, third district, Sandy Hook L/B Station showing boat basin plan, circa 1945 Detail of western docking structure - U.S. Coast Guard Sandy Hook Station, Western Docking Structure, West of intersection of Canfield Road & Hartshorne Drive, Highlands, Monmouth County, NJ

33 CFR 67.50-20 - Seventh Coast Guard District.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Seventh Coast Guard District. 67.50-20 Section 67.50-20 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District Regulations...

33 CFR 67.50-20 - Seventh Coast Guard District.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Seventh Coast Guard District. 67.50-20 Section 67.50-20 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District Regulations...

Fostering resilience in National Guard and Reserve families: A contextual adaptation of an evidence-based parenting program.

PubMed

Pinna, Keri L M; Hanson, Sheila; Zhang, Na; Gewirtz, Abigail H

2017-01-01

Military deployment of a parent is a risk factor for children's internalizing and externalizing problems. This risk may be heightened in National Guard and Reserve (NG/R) families who tend to be isolated from other NG/R families and do not benefit from the centralized support system available to active duty families living on military bases. Isolation and trauma-related disorders may complicate the adjustment of military families during reintegration. An evidence-based parent training intervention was modified to meet the unique needs of recently deployed NG/R parents and their spouses, and the modified program was evaluated in a randomized controlled trial. The current study examines engagement and satisfaction with the program. Modifications such as employment of military-connected facilitators sought to maximize engagement in and satisfaction with the program. Engagement and satisfaction were examined between mothers and fathers, as well as between groups led by a military-connected facilitator and those led by civilian facilitators. Significantly greater engagement was noted for groups that were led by a military-connected facilitator (p = .01). There were no differences between genders in attendance rates, though greater positive group experiences were reported by mothers versus fathers (p = .01). Results are discussed in the context of engagement and satisfaction reported for similar programs. Implications for working with military families are also considered. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

[Hospital and organizational dynamics of the National Institutes of Health. Relationship with high-specialty hospitals].

PubMed

Gabilondo Navarro, Fernando

2011-01-01

In order to primarily encourage medical care, teaching and research activities in high specialty regional hospitals (HSRH), a number of strategies are explored to increase the number of patients cared for, improve the quality and timeliness of care and successfully integrate the function of these hospitals within the care and patient flow model expected by the Federal Government. These strategies include the use of information technology systems as platforms for telemedicine, including tele-imaging, tele-education and telepathology, thus fostering the quality and timeliness of medical care and narrow the relationship between these HSRH with the National Health Institutes. Other strategies such as extra-mural surgery, specific theme workshops, resident rotations, the use of simulators and "Science Weeks" are also explored so as to promote teaching and research. Finally, the reference and counter-reference system and the introduction of pension programs are evaluated as possible strategies supporting resource management.

Cameleon calcium indicator reports cytoplasmic calcium dynamics in Arabidopsis guard cells

NASA Technical Reports Server (NTRS)

Allen, G. J.; Kwak, J. M.; Chu, S. P.; Llopis, J.; Tsien, R. Y.; Harper, J. F.; Schroeder, J. I.; Evans, M. L. (Principal Investigator)

1999-01-01

Cytoplasmic free calcium ([Ca2+]cyt) acts as a stimulus-induced second messenger in plant cells and multiple signal transduction pathways regulate [Ca2+]cyt in stomatal guard cells. Measuring [Ca2+]cyt in guard cells has previously required loading of calcium-sensitive dyes using invasive and technically difficult micro-injection techniques. To circumvent these problems, we have constitutively expressed the pH-independent, green fluorescent protein-based calcium indicator yellow cameleon 2.1 in Arabidopsis thaliana (Miyawaki et al. 1999; Proc. Natl. Acad. Sci. USA 96, 2135-2140). This yellow cameleon calcium indicator was expressed in guard cells and accumulated predominantly in the cytoplasm. Fluorescence ratio imaging of yellow cameleon 2.1 allowed time-dependent measurements of [Ca2+]cyt in Arabidopsis guard cells. Application of extracellular calcium or the hormone abscisic acid (ABA) induced repetitive [Ca2+]cyt transients in guard cells. [Ca2+]cyt changes could be semi-quantitatively determined following correction of the calibration procedure for chloroplast autofluorescence. Extracellular calcium induced repetitive [Ca2+]cyt transients with peak values of up to approximately 1.5 microM, whereas ABA-induced [Ca2+]cyt transients had peak values up to approximately 0.6 microM. These values are similar to stimulus-induced [Ca2+]cyt changes previously reported in plant cells using ratiometric dyes or aequorin. In some guard cells perfused with low extracellular KCl concentrations, spontaneous calcium transients were observed. As yellow cameleon 2.1 was expressed in all guard cells, [Ca2+]cyt was measured independently in the two guard cells of single stomates for the first time. ABA-induced, calcium-induced or spontaneous [Ca2+]cyt increases were not necessarily synchronized in the two guard cells. Overall, these data demonstrate that that GFP-based cameleon calcium indicators are suitable to measure [Ca2+]cyt changes in guard cells and enable the pattern of [Ca

Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Hospital and Okayama University Hospital.

PubMed

Kimata, Yoshihiro; Matsumoto, Hiroshi; Sugiyama, Narusi; Onoda, Satoshi; Sakuraba, Minoru

2016-10-01

The risk of surgical site infection (SSI) remains high after major reconstructive surgery of the head and neck. Clinical data regarding SSI in microsurgical tongue reconstruction are described at National Cancer Hospital in Japan, including discussions of unfavorable representative cases, the relationship between SSI and preoperative irradiation at Okayama University Hospital in Japan, and strategies for SSI control in head and neck reconstruction. Local complications are inevitable in patients undergoing reconstruction in the head and neck areas. The frequency of major complications can be decreased, and late postoperative complications can be prevented with the help of appropriate methods. Copyright © 2016 Elsevier Inc. All rights reserved.

Management of postoperative pain: experience of the Niamey National Hospital, Niger

PubMed Central

Chaibou, Maman Sani; Sanoussi, Samuila; Sani, Rachid; Toudou, Nouhou A; Daddy, Hadjara; Madougou, Moussa; Abdou, Idrissa; Abarchi, Habibou; Chobli, Martin

2012-01-01

Objective The aim of this study was to evaluate the management of postoperative pain at the Niamey National Hospital. Methods A prospective study was conducted in the Department of Anesthesiology and Intensive Care at the Niamey National Hospital from March to June, 2009. Data collected included age, sex, literacy, American Society of Anesthesiologists (ASA) physical status classification, type of anesthesia, type of surgery, postoperative analgesics used, and the cost of analgesics. Three types of pain assessment scale were used depending on the patient’s ability to describe his or her pain: the verbal rating scale (VRS), the numerical rating scale (NRS), or the visual analog scale (VAS). Patients were evaluated during the first 48 hours following surgery. Results The sample included 553 patients. The VRS was used for the evaluation of 72% of patients, the NRS for 14.4%, and the VAS for 13.6%. Of the VRS group, 33.9%, 8.3%, and 2.1% rated their pain as 3 or 4 out of 4 at 12, 24, and 48 hours postoperatively, respectively. For the NRS group, 33.8%, 8.8%, and 2.5% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively. For the VAS group, 29.3%, 5.4%, and 0% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively. Conclusion Postoperative pain assessment and management in developing countries has not been well described. Poverty, illiteracy, and inadequate training of physicians and other health personnel contribute to the underutilization of postoperative analgesia. Analysis of the results gathered at the Niamey National Hospital gives baseline data that can be the impetus to increase training in pain management and to establish standardized protocols. PMID:23271923

Management of postoperative pain: experience of the Niamey National Hospital, Niger.

PubMed

Chaibou, Maman Sani; Sanoussi, Samuila; Sani, Rachid; Toudou, Nouhou A; Daddy, Hadjara; Madougou, Moussa; Abdou, Idrissa; Abarchi, Habibou; Chobli, Martin

2012-01-01

The aim of this study was to evaluate the management of postoperative pain at the Niamey National Hospital. A prospective study was conducted in the Department of Anesthesiology and Intensive Care at the Niamey National Hospital from March to June, 2009. Data collected included age, sex, literacy, American Society of Anesthesiologists (ASA) physical status classification, type of anesthesia, type of surgery, postoperative analgesics used, and the cost of analgesics. Three types of pain assessment scale were used depending on the patient's ability to describe his or her pain: the verbal rating scale (VRS), the numerical rating scale (NRS), or the visual analog scale (VAS). Patients were evaluated during the first 48 hours following surgery. The sample included 553 patients. The VRS was used for the evaluation of 72% of patients, the NRS for 14.4%, and the VAS for 13.6%. Of the VRS group, 33.9%, 8.3%, and 2.1% rated their pain as 3 or 4 out of 4 at 12, 24, and 48 hours postoperatively, respectively. For the NRS group, 33.8%, 8.8%, and 2.5% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively. For the VAS group, 29.3%, 5.4%, and 0% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively. Postoperative pain assessment and management in developing countries has not been well described. Poverty, illiteracy, and inadequate training of physicians and other health personnel contribute to the underutilization of postoperative analgesia. Analysis of the results gathered at the Niamey National Hospital gives baseline data that can be the impetus to increase training in pain management and to establish standardized protocols.

30 CFR 56.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Covering or guarding drill holes. 56.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling § 56.7013 Covering or guarding drill holes. Drill holes large enough to...

30 CFR 57.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Covering or guarding drill holes. 57.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Surface Only § 57.7013 Covering or guarding drill holes. Drill holes...

30 CFR 56.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Covering or guarding drill holes. 56.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling § 56.7013 Covering or guarding drill holes. Drill holes large enough to...

30 CFR 56.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Covering or guarding drill holes. 56.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling § 56.7013 Covering or guarding drill holes. Drill holes large enough to...

30 CFR 57.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Covering or guarding drill holes. 57.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Surface Only § 57.7013 Covering or guarding drill holes. Drill holes...

30 CFR 56.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Covering or guarding drill holes. 56.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling § 56.7013 Covering or guarding drill holes. Drill holes large enough to...

30 CFR 57.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Covering or guarding drill holes. 57.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Surface Only § 57.7013 Covering or guarding drill holes. Drill holes...

30 CFR 56.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Covering or guarding drill holes. 56.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling § 56.7013 Covering or guarding drill holes. Drill holes large enough to...

30 CFR 57.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Covering or guarding drill holes. 57.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Surface Only § 57.7013 Covering or guarding drill holes. Drill holes...

30 CFR 57.7013 - Covering or guarding drill holes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Covering or guarding drill holes. 57.7013... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Surface Only § 57.7013 Covering or guarding drill holes. Drill holes...

33 CFR 67.50-30 - Ninth Coast Guard District.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Ninth Coast Guard District. 67.50-30 Section 67.50-30 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES District Regulations § 67...