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121.
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
122.
Carlos Martí Sempere 《Defence and Peace Economics》2018,29(3):225-246
This article surveys the body of available evidence regarding the spill-over effects of defence R&D. It reviews the routes through which defence R&D spills over to the economy with positive externalities – in terms of new products, technologies or processes; the barriers that impede or block such a process; potential negative repercussions, and the measure of such effects. The main conclusion is that the uncertainty of these effects, and the inaccurate appraisal of their value, hardly supports informed decisions concerning defence R&D policies. 相似文献
123.
针对传统的基于区域的主动轮廓模型在分割灰度不均匀图像和噪声图像存在效果不佳的问题,提出结合全局项与局部项的主动轮廓分割模型。全局项由CV(Chan-Vese)模型的保真项构成,局部项的构建考虑局部区域信息的同时引入反映图像灰度特性的局部熵信息。依据图像灰度的特点,选择合理的全局项和局部项参数,并加入正则项保证曲线在演化过程中保持平滑,保障分割结果的可靠性。通过变分水平集方法最小化能量泛函,依据梯度下降流迭代更新水平集,完成曲线演化。采用模拟图像和实际图像进行实验分析,结果表明,所提出的结合全局项和局部项的主动轮廓模型可以高效地分割噪声严重以及灰度分布不均匀的图像。 相似文献
124.
Major William Selber 《Small Wars & Insurgencies》2018,29(2):344-366
Since the fall of the Taliban in late 2001, the Islamic Republic of Afghanistan (GIRoA), the United States, the United Nations, and the International Security Assistance Force (ISAF) have funded and led three different Disarmament, Demobilization, and Reintegration (DDR) programs. Despite a significant investment in time and treasure, all of them have failed to significantly reduce the number of insurgents or arbaki (militia). This article explores why these programs failed despite incorporating ideas from the prominent DDR schools of thought. Utilizing Stathis Kalyvas’ theory of The Logic of Violence in Civil War as a lens, this article argues that GIRoA and ISAF did not have sufficient control of territory to entice insurgents or arbaki to reconcile and/or reintegrate with the government. Further, in areas GIRoA nominally controlled in northern and western Afghanistan, regional powerbrokers who controlled these areas balked at these programs. 相似文献
125.
超低照度下(环境照度小于2×10~(-3)lux)微光图像具有低信噪比、低对比度等特点,使目标难以辨识,严重影响观察效果。为了提高超低照度下微光图像质量,设计了一种用于微光图像增强的卷积自编码深度神经网络,并针对传统的均方误差损失函数不符合人类视觉感知特性等问题,结合现有的全参考图像质量评价指标,研究了包括感知损失在内的几种损失函数,并提出了一种新的可微分损失函数。实验结果表明,在网络结构不发生改变的情况下,所提损失函数具有更好的性能,在提高微光图像信噪比和对比度的同时,能够有效地增强图像内部细节信息。 相似文献
126.
利用COSMIC掩星任务自2010年至2014年的电离层电子密度廓线,使用只考虑廓线自身特性的4种参数进行质量检核,并对廓线质量的时空分布进行分析。发现在廓线质量的空间分布上,廓线不合格率在高纬地区最高,其次是低纬地区,在中纬地区最低,这可能与电子密度分布在磁赤道附近存在赤道异常、两极地区的磁场强度最大有关。廓线质量的季节变化较明显,在南、北半球,冬、春两季的廓线不合格率均显著高于夏、秋两季。另外,廓线质量具有一定昼夜分布特性,不合格率白天明显较夜晚低,且在晨昏分界线上变化较大。合格廓线的电子密度峰值和峰值高度分布在磁赤道附近明显高于其他区域,呈现"双驼峰"现象。 相似文献
127.
128.
习主席在庆祝改革开放40周年大会上的重要讲话,是新时代改革开放再出发的宣言书和动员令。学习贯彻习主席重要讲话精神,关键要全面推进学校深化改革创新,深刻认清弘扬改革创新精神对于建设世界一流高等教育院校的重大意义,牢牢扭住全面深化改革创新的主攻方向,科学处理深化改革创新的重大关系,既以顽强的战略定力坚定不移深化改革,又运用科学的工作方法积极稳妥地推进改革。 相似文献
129.
130.
Resequencing with parallel queues to minimize the maximum number of items in the overflow area 下载免费PDF全文
This article treats an elementary optimization problem, where an inbound stream of successive items is to be resequenced with the help of multiple parallel queues in order to restore an intended target sequence. Whenever early items block the one item to be currently released into the target sequence, they are withdrawn from their queue and intermediately stored in an overflow area until their actual release is reached. We aim to minimize the maximum number of items simultaneously stored in the overflow area during the complete resequencing process. We met this problem in industry practice at a large German automobile producer, who has to resequence containers with car seats prior to the assembly process. We formalize the resulting resequencing problem and provide suited exact and heuristic solution algorithms. In our computational study, we also address managerial aspects such as how to properly avoid the negative effects of sequence alterations. © 2016 Wiley Periodicals, Inc. Naval Research Logistics 63: 401–415, 2016 相似文献