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Practice Test 2. Do not use a mechanical pencil or pen. Sharing any questions with anyone is a violation of Test Security and Fairness policies and may result in your scores being canceled. Teacher's Notes. Roberts Rachael, Buchanan Heather. Lesson...
Found: 24 May 2021 | Rating: 94/100
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There is only one test! Also very important! Cultural Readers. Tests and Answer Keys. The PDF resources below are password protected. The initial test is a written test that is conducting the check the educational eligibility applicant. The other...
Found: 24 May 2021 | Rating: 96/100
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It describes the epidemiology and symptomology of that deadly viral strain, limited efforts toward prevention and treatment, and the resulting social disruption and its exacerbation by the actions of public officials and the media. The chapter continues with an account of molecular studies underway to determine the origin of the virus and the source s of its exceptional virulence.
Found: 24 Apr 2021 | Rating: 85/100
Clues are being sought by examining viruses preserved in frozen and fixed tissues of victims of the flu. Characterization of five of the eight RNA segments of the influenza virus indicates that it was the common ancestor of both subsequent human and swine H1N1 lineages, and experiments testing models of virulence using reverse genetics approaches with influenza genes have begun in hopes of identifying genetic features that confer virulence in humans. In a parallel effort, subsequently described, epidemiologists are analyzing death records and serological data to better understand patterns of transmission, morbidity, and mortality in past influenza pandemics. Such findings could inform planning for public health interventions to reduce the incidence of severe outcomes in future pandemics.
Found: 1 Apr 2021 | Rating: 92/100
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If such a shift could be recognized in incipient pandemics, it might allow sufficient time for the production and distribution of vaccine and antiviral drugs before the worst pandemic impact occurs. Barry Distinguished Visiting Scholar Center for Bioenvironmental Research at Tulane and Xavier Universities The — influenza pandemic killed more people in absolute numbers than any other disease outbreak in history. A contemporary estimate put the death toll at 21 million, a figure that persists in the media today, but understates the real number. Epidemiologists and scientists have revised that figure several times since then.
Found: 24 Apr 2021 | Rating: 90/100
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Each and every revision has been upward. Frank Macfarlane Burnet, who won his Nobel Prize for immunology but who spent most of his life studying influenza, estimated the death toll as probably 50 million, and possibly as high as million. A epidemiologic study also estimates the deaths at between 50 and million Johnson and Mueller, The world population in was only 28 percent of today's population. Adjusting for population, a comparable toll today would be to million. By comparison, at this writing AIDS has killed approximately 24 million, and an estimated 40 million more people are infected with the virus. A letter from a physician at one U. Army camp to a colleague puts a more human face on those numbers: These men start with what appears to be an ordinary attack of LaGrippe or Influenza, and when brought to the Hosp. It is only a matter of a few hours then until death comes….
Found: 22 Apr 2021 | Rating: 90/100
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It is horrible. One can stand it to see one, two or twenty men die, but to see these poor devils dropping like flies…. We have been averaging about deaths per day…. Pneumonia means in about all cases death…. We have lost an outrageous number of Nurses and Drs. It takes special trains to carry away the dead. For several days there were no coffins and the bodies piled up something fierce…. It beats any sight they ever had in France after a battle. An extra long barracks has been vacated for the use of the Morgue, and it would make any man sit up and take notice to walk down the long lines of dead soldiers all dressed and laid out in double rows…. Good By old Pal, God be with you till we meet again Grist, That letter reflected a typical experience in American Army cantonments. The civilian experience was not much better. In preparing for another pandemic, it is useful to examine events of for lessons, warnings, and areas for further inquiry. The Virus Itself The pandemic in was hardly the first influenza pandemic, nor was it the only lethal one.
Found: 3 Apr 2021 | Rating: 85/100
Throughout history, there have been influenza pandemics, some of which may have rivaled 's lethality. In , another pandemic started in Asia, then spread to Africa, Europe, and even America despite the fact that it took 6 weeks to cross the ocean. A mutated or new virus continued to plague Europe and America again in and Massachusetts in In London in and , more people died from influenza than from the terrible cholera epidemic of In and , a great and violent worldwide pandemic struck again Beveridge, But seems to have been particularly violent. It began mildly, with a spring wave. In fact, it was so mild that some physicians wonder if this disease actually was influenza. Within a few weeks of that Lancet article appearing, a second pandemic wave swept around the world. It also initially caused investigators to doubt that the disease was influenza—but this time because it was so virulent.
Found: 21 Apr 2021 | Rating: 85/100
It was followed by a third wave in , and significant disease also struck in Victims of the first wave enjoyed significant resistance to the second and third waves, offering compelling evidence that all were caused by the same virus. It is worth noting that the — pandemic also came in waves, but the third wave seemed to be the most lethal. The virus, especially in its second wave, was not only virulent and lethal, but extraordinarily violent. It created a range of symptoms rarely seen with the disease. In fact, investigators in described every pathological change seen with H5N1 and more Jordon, : — Symptoms in were so unusual that initially influenza was misdiagnosed as dengue, cholera, or typhoid. Twelve had a true hemotypsis, bright red blood with no admixture of mucus…. The virus also targeted young adults. In South African cities, those between the ages of 20 and 40 accounted for 60 percent of the deaths Katzenellenbogen, In Chicago the deaths among those aged 20 to 40 nearly quintupled deaths of those aged 41 to 60 Van Hartesveldt, More people died in each one of those 5-year groups than the total deaths among all those over age 60, and the combined deaths of those aged 20 to 34 more than doubled the deaths of all those over 50 U.
Found: 14 Apr 2021 | Rating: 90/100
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Bureau of the Census, The single group most likely to die if infected were pregnant women. In 13 studies of hospitalized pregnant women during the pandemic, the death rate ranged from 23 to 71 percent Jordon, : Of the pregnant women who survived, 26 percent lost the child Harris, As far back as , people connected influenza with miscarriage and the death of pregnant women. The case mortality rate varied widely. An overall figure is impossible to obtain, or even estimate reliably, because no solid information about total cases exists.
Found: 24 Apr 2021 | Rating: 91/100
Army camps where reasonably reliable statistics were kept, case mortality often exceeded 5 percent, and in some circumstances exceeded 10 percent. In the British Army in India, case mortality for white troops was 9. In isolated human populations, the virus killed at even higher rates. In the Fiji islands, it killed 14 percent of the entire population in 16 days. In Labrador and Alaska, it killed at least one-third of the entire native population Jordan, ; Rice, But perhaps most disturbing and most relevant for today is the fact that a significant minority—and in some subgroups of the population a majority—of deaths came directly from the virus, not from secondary bacterial pneumonias.
Found: 18 Apr 2021 | Rating: 89/100
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In , pathologists were intimately familiar with the condition of lungs of victims of bacterial pneumonia at autopsy. But the viral pneumonias caused by the influenza pandemic were so violent that many investigators said the only lungs they had seen that resembled them were from victims of poison gas. One cannot extrapolate from this directly to the civilian population. Army figures represent a special case both in terms of demographics and environment, including overcrowded barracks.
Found: 16 Apr 2021 | Rating: 85/100
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Even so, the fact that ARDS likely caused more than half the deaths among young adults sends a warning. In a pandemic, ICUs would be quickly overwhelmed, representing a major challenge for public health planners. Treatment and Prevention in Physicians tried everything they knew, everything they had ever heard of, from the ancient art of bleeding patients, to administering oxygen, to developing new vaccines and sera chiefly against what we now call Hemophilus influenzae—a name derived from the fact that it was originally considered the etiological agent—and several types of pneumococci. Only one therapeutic measure, transfusing blood from recovered patients to new victims, showed any hint of success. Meanwhile, the public used home remedies of every description. None showed any evidence of effect. Some nonmedical interventions did succeed. Total isolation, cutting a community off from the outside world, did work if done early enough.
Found: 23 Apr 2021 | Rating: 92/100
Gunnison, Colorado, a town that was a rail center and was large enough to have a college, succeeded in isolating itself. So did Fairbanks, Alaska. American Samoa escaped without a single case, while a few miles away in Western Samoa, 22 percent of the entire population died. Even if isolation only slowed the virus, it had some value. One of the more interesting epidemiologic findings in was that the later in the second wave someone got sick, the less likely he or she was to die, and the more mild the illness was likely to be. This was true in terms of how late in the second wave the virus struck a given area, and, more curiously, it was also true within an area. That is, cities struck later tended to suffer less, and individuals in a given city struck later also tended to suffer less. Thus west coast American cities, hit later, had lower death rates than east coast cities, and Australia, which was not hit by the second wave until , had the lowest death rate of any developed country.
Found: 13 Apr 2021 | Rating: 87/100
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Again, more curiously, someone who got sick 4 days into an outbreak in one place was more likely to develop a viral pneumonia that progressed to ARDS than someone who got sick 4 weeks into the outbreak in the same place. They were also more likely to develop a secondary bacterial pneumonia, and to die from it. The best data on this comes from the U. Of the Army's 20 largest cantonments, in the first five affected, roughly 20 percent of all soldiers with influenza developed pneumonia. Of those, In the last five camps affected—on average 3 weeks later—only 7. Only
Found: 26 Apr 2021 | Rating: 92/100
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What transaction code is used to mod 2. Which of the functions CAN 3. What is the default maximum number o 4. What is the only wildcard character d. Set default table size. Which of the functions CAN. All required columns of information will display on the results c. The runtime will be shorter and the report will contain more focused results b. Which of the following is NOT a reason to create a report variant? A variant ensures consistency in reporting, because you are always using the same selection criteria. Standard Report d. Custom Report b. Create variant. What must you do to ensure that a report always displays with the changes you made to the layout? Entering adequate selection criteria on the initial report screen ensures which of the following? Determine the transaction code for the report b. Recent Downloads answers for what restaurant level 9 ccna 3 packet tracer 5 6 1 answers e english 4b answers aptitude test questions and answers in english ap statistics chapter 18 reading guide answers ssd 2 module 3 practical exercise answers alcoholedu exam answer key lo1 chapter 7 standardized test right triangles and trigonometry answers create bubble answer sheet excel ratifying the constitution chapter 2 section 5 answers observing osmosis gummy bear lab answer key answer key of net june chemical science edexcel igcse chemistry textbook answers pdf answers for nims test answers to chapter 20 21 ap world history test physics unit vi worksheet 1 answers jamb questions and answers pdf chemistry unit 4 test answer key standardized test practice chapter 1 chemistry answers everfi alcohol edu exam answers.
Found: 15 Apr 2021 | Rating: 92/100
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Search Menu Abstract Dietary changes can be helpful in preventing or treating a variety of prevalent health problems. Physicians can be helpful in helping patients make positive dietary changes, be physically active and lose weight, but, for a variety of reasons, many physicians do little nutrition counseling. There is a need for brief, user-friendly tools to enable physicians to rapidly and accurately assess patients' diets and exercise habits as well as provide information to aid the physician in delivering effective nutrition counseling. The purpose of this paper is to discuss two new tools, WAVE and REAP, that have been developed by the Nutrition Academic Award to help physicians and other health care providers conduct nutrition assessment and counseling with their patients in a practical and effective manner.
Found: 4 Apr 2021 | Rating: 85/100
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The Rapid Eating and Activity Assessment for Patients REAP is a brief validated questionnaire that is designed to aid providers in performing a brief assessment of diet and physical activity. An accompanying Physician Key aids the provider in discussing the patient's answers and counseling them appropriately. Depending on patients' health priorities and how much time is available, these tools can be used in a variety of ways to discuss nutrition with patients during a clinical encounter in 1—9 min. Nutritional problems are very prevalent in the United States.
Found: 1 Apr 2021 | Rating: 89/100
The 1st TSC Sets The Theater For GCSS-Army Wave 2 Conversion | Article | The United States Army
Despite this evidence, many physicians do little nutrition counseling themselves nor do they refer patients to dietitians 49 — Physicians often do not counsel overweight and obese patients to lose weight 57 , 58 , and physicians do not regularly counsel patients on physical activity and, when they do, it is often when the patient is already overweight or ill 59 , Several barriers to conducting nutrition counseling in the physician's office have been identified.
Found: 23 Apr 2021 | Rating: 93/100
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Patients consistently report preventive services as a high priority for their health care and want physicians to provide nutrition counseling Such data show that patients want their physicians to be involved in nutrition counseling, and they are willing to try to make changes. Patients, rather than being alienated by physician inquiry about lifestyle, expect and may even welcome it Patients also cite physicians' failure to give such information as reasons not to request preventive services. Diet counseling of patients can strengthen the patient-physician relationship, enhance the quality of care received and enhance the patient's satisfaction with treatment Thus, the lack of nutritional counseling by physicians is problematic When dietary counseling does occur, advice given may not be optimally effective in bringing about behavioral change. In all of these instances, more effective advice could be given if the physician were able to provide more specific counseling based on the patient's baseline diet.
Found: 11 Apr 2021 | Rating: 86/100
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Unfortunately for physicians who lack formal training in nutrition, an inability to gather baseline dietary information from patients may represent a significant barrier to delivering effective counseling. For these physicians, tools enabling them to rapidly and accurately assess patients' diets and exercise habits could be instrumental in allowing them to more effectively counsel patients. Furthermore, the utility of such tools could be increased if they were to provide information aiding the physician in discussing the patient's answers and counseling them appropriately. The purpose of this paper is to discuss two new tools that have been developed by the Nutrition Academic Award NAA 4 Program to help physicians and other health care providers conduct nutrition assessment and counseling with their patients in a practical and effective manner.
Found: 3 Apr 2021 | Rating: 86/100
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The NAA is discussed in detail in the overview paper of this symposium series. One of the first needs that the NAA investigators identified was for tools to help incorporate nutrition assessment into the medical interview. Tools that use brief acronyms have been used to help physicians identify alcoholism 77 — 81 and sleep disorders 82 , 83 in their patients. NAA wanted to develop a similar type of tool for nutrition. WAVE has been described in more detail elsewhere Briefly, the objectives of WAVE are to 1 provide a quick tool for primary care providers to discuss weight, physical activity and eating habits with their adult patients; 2 present a four-letter acronym that is easy to remember and use in provider-patient interactions; 3 identify weight, nutrition and physical activity issues that need to be addressed during the office visit or by referral to a dietitian; and 4 reinforce the importance of nutrition and physical activity in health promotion and disease prevention The front side addresses the assessment component Fig.
Found: 22 Apr 2021 | Rating: 91/100
Photo Credit: U. For 10 days, these combat enablers and many others across the theater went into an automation blackout. This blackout required logisticians to revert to manual supply and maintenance operations while their logistics information systems were transitioned to the Global Combat Support System-Army GCSS-Army. Converting logistics technology while major combat operations are underway presents operational risk.
Found: 11 Apr 2021 | Rating: 93/100
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These organizations accomplished the most complex and challenging logistics automation conversion of the entire GCSS-Army wave 2 fielding. They did this while providing uninterrupted sustainment support to all of the elements across the U. Central Command area of responsibility AOR. This officer, Maj. Paul C. Hurley, provided a valuable strategic perspective and spearheaded the cultural change required for subordinate commands and organizations to understand the meticulous planning and preparation required to successfully complete the Army's enterprise resource planning conversion process. Hurley, the former commander of the 1st TSC, was no stranger to the conversion process or to what many leaders and Soldiers have referred to as "fly-by fielding.
Found: 23 Apr 2021 | Rating: 86/100
During that ROC drill, a wave 2 overview briefing generated some very intense moments, discussions, and feelings of discomfort when participants assessed theater requirements from a macro level. The session highlighted significant shortfalls in the conversion process, which the Project Management Office PMO GCSS-Army was not prepared for, mainly because a theater conversion had never been accomplished. Hurley was vocal about theater turbulence, operational challenges, and commanders' expectations. The war would not stop for a system fielding and neither would sustainment operations. The initial ROC drill dove deep into operational issues. It gave the PMO and CASCOM a chance to study the theater's unique challenges in order to develop mitigation strategies, work through problem sets, determine a way forward, and provide a back brief at the final ROC drill that was scheduled to be held days before the blackout of U.
Found: 25 Apr 2021 | Rating: 87/100
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During the ROC drill, Maj. Hurley shared some lessons he learned from his experience dealing with the wave 1 fielding. A combined effort and a series of working groups led to plans for the mission, timeline, and execution strategy for the conversion. Based on lessons from the ROC drill, the TSC, PMO, and fielding element representatives by business areas supply, maintenance, and logistics automation held weekly battle rhythm working groups. These working groups helped to synchronize conversion preparation efforts. This area comprised enduring theater units, rotational forces, contracted maintenance activities, and theater-provided equipment TPE sets from property offices in both Kuwait and Afghanistan. Wave 2 conversion for the theater consisted of 14 fielding elements in two fielding groups across nine countries, which were to be converted while they continued to support the major combat operations across the battlespace.
Found: 7 Apr 2021 | Rating: 91/100
A follow-on lab was conducted in February to confirm these processes. As the th ESC prepared to deploy and replace the st ESC, the 1st TSC planners brought the inbound unit in on the ground level of planning, identified a team of warrant officers, and developed detailed plans to accomplish this complex mission. This provided th ESC personnel with an understanding of the complexities and gave them a better grasp of the overall mission. This group and all the units involved in the initial fielding would face more challenges than any other fielding group in the theater. Facing these challenges required intense assistance from the PMO at Fort Lee with a team working alternate schedules to match that of those in theater. Structural issues, roles and permissions, and Department of Defense activity address code DODAAC realignments continued to impair units deploying into the theater several months after their go-live dates.
Found: 8 Apr 2021 | Rating: 89/100
Several deploying units arrived without the correct sustainment structure and financial sets, causing them to experience significant operational challenges that affected supply chain processes, maintenance support, and property management capabilities. Upon entry into the theater gateway, these outliers expected rapid resolution to issues with turnaround times of 24 hours or less to correct shortfalls from the time of their deployment notification to arrival in theater. The ARCENT and 1st TSC chief warrant officers possessing conversion knowledge clearly understood these observations were preventable, and through hard work and proactive steps, they effectively managed an entire theater conversion. All these efforts ensured units remained on the conversion glide path according to the PMO's milestones.
Found: 16 Apr 2021 | Rating: 93/100
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As part of the mitigation strategy, the conversion team routinely reviewed all conversion templates with incoming units and specialists from the PMO to guide action officers and ensure correct structure was established. This strategy eliminated operational vulnerability and capitalized on previous lessons learned at the tactical level. The ARCENT conversion team placed significant emphasis on accurate completion and timely submission of critical force element and position templates. Collectively, ARCENT and 1st TSC chief warrant officers at the operational command post had participated in one or more wave 2 conversions and knew exactly what to prepare for to prevent operational disruptions in theater in accordance with general officer priorities, which eliminated the need for damage control.
Found: 7 Apr 2021 | Rating: 89/100
The 1st TSC Sets The Theater For GCSS-Army Wave 2 Conversion
This experience made theater commands optimistic that a wave 2 conversion across multiple combined joint operations areas could be achieved with minimal impacts to readiness. The key was to establish the sustainment structure. The team was fully aware of its importance, the necessity of accuracy, and the need to support how units were aligned and equipped to fight from an authorization document and nonconventional TPE and special operations structure standpoint.
Found: 16 Apr 2021 | Rating: 92/100
Based on lessons learned from previous fielding groups across all components, success was measured by converted units' ability or inability to perform logistics functions once their five-week conversion was complete. Structural template experts at the PMO provided invaluable assistance for each fielding element in both fielding groups to correct the 3,line position structure and other critical templates after hours and over weekends. The maintenance operations in Afghanistan are mainly contracted, which required additional planning to ensure the contractor's system operators would be able to access the system and perform functions in support of their customers without an issued common access card or military identification card.
Found: 19 Apr 2021 | Rating: 90/100
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The solution for this was for contracting officer's representatives to sponsor these contractors in Army Knowledge Online for a. The 1st TSC sent team members out in three waves, with the first heading to the remote conversion site for Fielding Group 27 in Taji, Iraq, a week before brownout to assist in site preparation, coordination, and solutions to last-minute challenges. The second wave was sent out at the same time for Fielding Group 29 to assist in site preparations, coordination, and solutions to last-minute challenges. The third wave was sent out at the tail end of post go-live activities and over-the-shoulder support to assist with solutions to any final challenges that required ARCENT and TSC guidance and to provide some one-on-one and small-team training to system users as an augmentation to the PMO trainers.
Found: 5 Apr 2021 | Rating: 90/100
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This team traveled between all three sites as the final effort to ensure successful conversion of all elements was accomplished. The main objective of the theater synchronization cell was to act as a central hub to assist Army commands with force projection sustainment processes ranging from premobilization to employment to redeployment. This cell facilitated the distribution of sources of information to help units see themselves as they prepared for deployment. Part of rotational forces' reception into the ARCENT AOR includes establishing structural force element relationships within GCSS-Army that are essential to maintaining and sustaining supported and supporting relationships, property accountability, field maintenance, and organizational supply operations.
Found: 10 Apr 2021 | Rating: 92/100
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