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21.
Adam D. Bramoweth James Luther Barbara H. Hanusa Jon D. Walker Charles W. Atwood Jr. Anne Germain 《Defence and Peace Economics》2018,29(1):78-90
AbstractInsomnia is prevalent among Veterans with post-traumatic stress disorder (PTSD), it exacerbates PTSD symptoms, and it contributes to impaired functioning and quality of life. To improve treatment outcomes, it is important to identify risk factors for insomnia and sedative-hypnotic use. Classification and regression trees and logistic regression models were used to identify variables associated with insomnia or sedative-hypnotic use. Key findings include low insomnia diagnosis rates (3.5–5.6%) and high rates of sedative-hypnotics (44.2–49.0%). Younger Veterans and those without a breathing-related sleep disorder (BRSD) were more likely to receive an insomnia diagnosis. Veterans with greater service connection and those with an alcohol/substance use disorder were more likely to be prescribed sedative-hypnotics. Interaction terms may have identified potential groups at risk of being under-diagnosed with insomnia (i.e. non-black Veterans with psychiatric co-morbidity, black Veterans without psychiatric co-morbidity) as well as groups at risk for sedative-hypnotic use (i.e. younger Veterans without BRSD). In sum, Veterans with PTSD have high rates of sedative-hypnotic use despite minimal evidence they are effective. This is counter to recommendations indicating behavioral interventions are the first-line treatment. Policy changes are needed to reduce use of sedative-hypnotics and increase access to behavioral insomnia interventions. 相似文献
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Let X1 < X2 <… < Xn denote an ordered sample of size n from a Weibull population with cdf F(x) = 1 - exp (?xp), x > 0. Formulae for computing Cov (Xi, Xj) are well known, but they are difficult to use in practice. A simple approximation to Cov(Xi, Xj) is presented here, and its accuracy is discussed. 相似文献
24.
Computerized Scheduling of Seagoing Tankers The tanker scheduling problem considered in this paper is that of the Defense Fuel Supply Center (DFSC) and the Military Sealift Command (MSC) in the worldwide distribution of bulk petroleum products. Routes and cargoes which meet delivery schedule dates for a multiplicity of product requirements at minimum cost are to be determined for a fleet of tankers. A general mathematical programming model is presented, and then a mixed integer model is developed which attempts to reflect the true scheduling task of DFSC and MSC as closely as possible. The problem is kept to within a workable size by the systematic construction of a set of tanker routes which does not contain many possible routes that can be judged unacceptable from practical considerations alone. 相似文献
25.
A modified generalized programming procedure is presented for solving concave programming problems with equality constraints. The procedure constructs convenient linear approximations of the gradient of the dual and finds points where the approximating functions vanish. In the quadratic programming case, the procedure is finitely convergent. Global convergence is established for the non-quadratic case. Illustrative numerical examples are included. 相似文献
26.
Charles H. Heider 《海军后勤学研究》1973,20(4):699-724
The component placement problem is a specialization of the quadratic assignment problem that has been extensively studied for a decade and which is of considerable practical value. Recently, interest in component placement algorithms has risen primarily as a result of increased activity in the field of computer-aided design automation. This paper deals with the methodology of component placement and is based on the results of considerable operational experience. A tutorial presentation of tree search placement algorithms is provided, and an improved placement procedure is described which is demonstrated to be effective in generating near optimal solutions to the component placement problem. These solutions are completely reproducible and are obtained at an acceptable expenditure of computational resources. An additional objective is an assessment of performance of the class of near optimal algorithms. In particular, the question- how close to optimal are the near optimal solutions- is examined. 相似文献
27.
H. W. Kuhn 《海军后勤学研究》2005,52(1):7-21
This paper has been presented with the Best Paper Award. It will appear in print in Volume 52, No. 1, February 2005. 相似文献
28.
Harald Høiback 《战略研究杂志》2013,36(6):879-900
‘Doctrine’ has been part of military vernacular for at least a century. Nonetheless, it is a concept which is rather under-explored. The aim of this article is thus to break doctrine down into its component parts in order to grasp what a military doctrine actually is. Thereafter, the article points out different ways to utilise doctrine as a military devise. A doctrine cannot be, or rather should not be, all things to all men. On the contrary, doctrine can be a tool of command, tool of education or a tool of change. The main upshot of the article is that the future of doctrine is far brighter than its critics want us to believe. 相似文献
29.
John H. Maurer 《战略研究杂志》2013,36(1):102-127
Brian Johnson, The Secret War. London: BBC, 1978. Pp. 352; £6.50. R. V. Jones, Most Secret War: British Scientific Intelligence 1939–45. London: Hamish Hamilton, 1978. Pp. xx + 556; £7.95. Solly Zuckerman, From Apes to Warlords 1904–46. London: Hamish Hamilton, 1978. Pp. 00 (Information not available from publisher); £8.50. Adrian Preston, ed., General Staffs and Diplomacy before the Second War. London: Croom Helm, 1978. Pp. 138; £5.95. W. G. F. Jackson. ’Overlord’: Normandy 1944. London: Davis Poynter, 1978. Pp. 250; £6.75. Richard K. Betts, Soldiers, Statesmen, and Cold War Crises. Cambridge, Mass. and London: Harvard University Press, 1977. Pp. 292 + index + appendices; Np. Gerard J. Mangone, Marine policy for America—The United States at Sea. Lexington, Mass.: Lexington Books, 1977. Pp. 370, £17.50. F. M. Richardson, Fighting Spirit. London: Leo Cooper, 1978. Pp. 189 + xv; £7.50. Allen R. Millet, Ed., A Short History of the Vietnam War. London &; Bloomington: Indiana University Press, 1978. Pp. 169; £2.75. Robert P. Berman, Soviet Airpower in Transition. Washington: Brookings, 1978. Pp. 82; $2.95 (Paper). 相似文献
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