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result(s) for
"Col. Edward D"
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Comparison of Body Composition Metrics for United States Air Force Airmen
2018
The United States Air Force currently uses AFI 36-2905 for cardiovascular fitness standards and evaluation. Regarding its fitness test, the Air Force considers waist circumference (WC) twice as important as push-ups or sit-ups. Because of this weighting, one assumes that the Air Force considers WC relatively correlated with overall fitness or at least cardiovascular fitness. To our knowledge, the Air Force has not considered on a large scale how body mass index (BMI), height-to-weight ratio (H-W), or waist-to-height ratio (WHtR) compares with WC with respect to its fitness test.
Using a 5.38 million record database from the Air Force Fitness Management System, we evaluated how WC, BMI, WHtR, and H-W correlate with fitness as assessed by the 1.5-mile run in addition to total fitness, which incorporates the 1.5-mile run time, number of push-ups and sit-ups. As this previously collected data were anonymous to us, this study fell under the definition of exempt status and approved by the institutional review board overseeing Joint Base San Antonio. For each waist metric, we performed a simple ordinary least squares regression to ascertain the correlation between that particular metric and either run time or total fitness; when incorporating more than one explanatory variable or covariate (to control for age and/or sex), we performed multiple ordinary least squares regressions. Due to the large database size and to mitigate against a type I error, we used an alpha of 0.001 for all statistical hypothesis tests.
Approximately 18% of the 5.38 million records belonged to women. With respect to sex differences, males appeared noticeably faster and performed more push-ups on average than females. The number of sit-ups completed was more comparable, with males having a slight advantage. Males also appeared to have larger WC, BMI, H-W, and WHtR measurements. We compared the ordinary least squares results between WC, H-W, WHtR, and BMI and ranked them by R2. Models varied in R2 from 1% to 46% depending on the covariates in the model, with sex having a greater effect than age. Whether individually or adjusting for age and sex, WHtR performed better than the other body composition variables with an average rank score of 1.1 and a median improvement of approximately 4% to the current Air Force metric of WC.
From our findings, we present a 20-point WHtR scoring system for the Air Force to use in lieu of its traditional usage of WC. We used this assessment chart to score all Airmen in our database and compared the results to their current scores on the abdominal circumference portion of the test with respect to predicting run time, after accounting for sex, age, and number of push-ups and sit-ups. The R2 value improved from 40.3 to 43.6, a relative improvement of approximately 8%, a fairly significant effect given the database consisted of over 5 million records. Future studies should investigate the longitudinal effect of varying waist metrics over time on run time or total fitness performance.
Journal Article
Exploring PERFORMANCE IN AIR FORCE SCIENCE and Technology Programs
by
White, Edward D
,
Drylie, Scott T
,
Ritschel, Jonathan D
in
Aeronautics
,
Defense
,
Defense programs
2021
[...]the nature of the S&T program is important, with aerospace programs more likely to technologically mature than human systems programs. Prior analyses of program performance in defense programs, however, have focused almost exclusively on larger, more mature programs that have reached the Engineering and Manufacturing Development (EMD) phase of the life cycle or beyond. Rather, this article seeks to ignite the spark that spawns the intellectual curiosity and research of others in S&T programs. [...]the purpose of this article is to identify initial insights regarding relationships that may impact cost, schedule, and performance in S&T programs. Detailed TRL definitions and descriptions can be found in Appendix A. It is believed that \"programs that enter the Engineering and Manufacturing Development (EMD) phase of the Defense Acquisition System and have immature technologies will incur cost growth and schedule slippage\" (DoD, 2009).
Journal Article
Assessment of Deployment-Related Exposures on Risk of Incident Mental Health Diagnoses Among Air Force Medical Service Personnel: Nested Case–Control Study
by
White, Edward D
,
Tvaryanas, Anthony P
,
Mahaney, Heather J
in
Adult
,
Afghan Campaign 2001
,
Area Under Curve
2018
Recent military conflicts in Iraq (Operation Iraqi Freedom), Afghanistan (Operation Enduring Freedom), and elsewhere have been associated with psychological impacts among military personnel. However, relatively little is known about the relationship between those conflicts and psychological health of military health care professionals. Previous work has shown certain demographic factors associated with diagnosed mental health conditions after deployment. However, unique exposures in the deployed environment may be present that are also associated. Understanding the relationship between the demographic factors, exposures, and post-deployment mental health (PDMH) conditions has not been investigated. The purpose of this study was to determine the association between occupational and/or environmental exposures and incident PDMH conditions in a defined population of United States Air Force health care personnel returning from the deployed environment (i.e., deployment-related exposures).
A nested case-control study compared cohort members with (N = 4,114) and without (N = 14,073) a PDMH condition in terms of deployment-related occupational and/or environmental exposures. PDMH conditions were identified using the electronic health record and exposures were determined using post-deployment health assessments. Demographic-adjusted multivariable logistic regression models were used to compute odds ratios (ORs).
The final regression model comprised five exposure and 12 demographic variables. Reported exposures were not strongly associated with incident PDMH conditions (OR ranged from 1.22 to 1.38) and were lower than some demographic factors. Demographic characteristics with relatively large effect sizes (ORs less than 0.5 or greater than 1.5) included the protective factors of Air Force Guardsman (OR: 0.45), reservists (OR: 0.34), and surgeons (OR: 0.32), as well as the risk factor of nurses (OR: 1.51). All model parameters had a p-value less than 0.0001 and the area under the receiver operating characteristic curve was 0.668.
Given the low area under the receiver operating characteristic, the final statistical model had only marginal performance in its ability to correctly identify cases. Thus, other factors should be studied to identify additional predictors for PDMH conditions.
Journal Article
Snowmass2021 CMB-HD White Paper
by
Essinger-Hileman, Thomas
,
Oppenheimer, Benjamin D
,
Mandal, Sayan
in
Astronomical models
,
Big Bang theory
,
Birefringence
2022
CMB-HD is a proposed millimeter-wave survey over half the sky that would be ultra-deep (0.5 uK-arcmin) and have unprecedented resolution (15 arcseconds at 150 GHz). Such a survey would answer many outstanding questions about the fundamental physics of the Universe. Major advances would be 1.) the use of gravitational lensing of the primordial microwave background to map the distribution of matter on small scales (k~10 h Mpc^(-1)), which probes dark matter particle properties. It will also allow 2.) measurements of the thermal and kinetic Sunyaev-Zel'dovich effects on small scales to map the gas density and velocity, another probe of cosmic structure. In addition, CMB-HD would allow us to cross critical thresholds: 3.) ruling out or detecting any new, light (< 0.1 eV) particles that were in thermal equilibrium with known particles in the early Universe, 4.) testing a wide class of multi-field models that could explain an epoch of inflation in the early Universe, and 5.) ruling out or detecting inflationary magnetic fields. CMB-HD would also provide world-leading constraints on 6.) axion-like particles, 7.) cosmic birefringence, 8.) the sum of the neutrino masses, and 9.) the dark energy equation of state. The CMB-HD survey would be delivered in 7.5 years of observing 20,000 square degrees of sky, using two new 30-meter-class off-axis crossed Dragone telescopes to be located at Cerro Toco in the Atacama Desert. Each telescope would field 800,000 detectors (200,000 pixels), for a total of 1.6 million detectors.
Intraperitoneal Radioimmunochemotherapy of Ovarian Cancer: A Phase I Study
by
Kilgore, Larry C.
,
Meredith, Ruby F.
,
Austin, J. Maxwell
in
Antineoplastic agents
,
Biological and medical sciences
,
Combined treatments (chemotherapy of immunotherapy associated with an other treatment)
2001
Journal Article