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This streamlined, web-based handbook and PDF for offline use are intended for use by military site prevention activity implementation teams that have obtained Getting To Outcomes (GTO) training and are working to plan and implement or evaluate a sexual assault prevention activity. The handbook will lead users through the ten steps of GTO to assist with the planning, implementation, evaluation, continuous quality improvement, and sustainability of military sexual assault prevention activities. The handbook contains guidance for completing each of the ten GTO steps, additional resources, and a detailed example. GTO is a user-friendly, ten-step process for comprehensive planning, implementation guidance, and evaluation of programs and community initiatives. Research has shown that organizations that use GTO improve their programs and get better outcomes than organizations that do not use GTO.

Getting To Outcomes (GTO) helps users prioritize among problems, select evidence-based measurable and attainable goals, and then implement them with the highest quality possible while monitoring the process and outcomes. Learning the GTO process is a way to think critically about current efforts, remaining gaps and priorities, and new initiatives that have the potential for positive impact. GTO can be used to help U.S. Air and Space Force Community Action Teams efficiently and effectively develop a high-quality Community Action Plan (CAP). Each chapter in the Handbook includes guidance and tools to help an installation develop a CAP. The tools are worksheets that prompt GTO users to consider a variety of planning and evaluation issues and record the results of their decisions. The supplementary Resource Guide provides links to other information and helpful tips for completing the tools. A companion Workbook contains blank versions of the tools.

RAND researchers explore how intermediaries use school networks and continuous improvement processes to address disparities in high school graduation and college enrollment rates among Black and Latino students and students experiencing poverty.

The COVID-19 pandemic focused attention on long-term care facilities' need for infection-control policies that balanced community safety and individual well-being. Infection-control policies were often developed, implemented, and mandated without the input or involvement of those who are most affected: residents and their family members, administrators, and staff. This failure led to declines in residents' physical and mental health. The pandemic exposed an opportunity-and an imperative-to reimagine long-term care in a way that is centered on the needs and preferences of those who receive care, their family members, and those who provide care. This report lays the groundwork for cultural change and a move toward inclusive policy decisionmaking in long-term care through a review of infection-control policy decisions and action items proposed in guided discussions with a diversity of stakeholders-long-term care residents, direct care staff, and consumer advocates to facility administrators, clinicians, researchers, and industry organizations. Transforming the culture of long-term care to elevate the needs of residents will require attention to facility leadership, along with steps to increase inclusiveness, transparency, and accountability in decisionmaking.

"The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on a wide variety of risk behaviors and indicators that are considered during security, suitability, and credentialing investigations and adjudications. Given that the U.S. government personnel vetting process is focused on detecting risk and assessing an individual for their trustworthiness, such changes in behavior related to the COVID-19 pandemic have the potential to affect decisionmaking and adjudication regarding what constitutes risky behavior for the purposes of personnel vetting. This is particularly important when considering the risk an individual might present if granted a security clearance and access to classified information. In this report, the authors abstracted adjudicative factors likely to have been affected by the pandemic or pandemic-specific circumstances from pertinent personnel vetting documents and organized them into categories, including financial hardship and unemployment, alcohol abuse or misuse, drug and substance abuse or misuse, mental and emotional health and well-being, and changes or increases in remote or virtual work. They then conducted an academic literature and open-source data search to explore how these risk factors might have been affected by the pandemic and interviewed subject-matter and field experts to further understand how changes in these risk behaviors might affect the adjudication process. Potential action areas where the vetting processes could be adapted include monitoring risk behavior changes as social conditions change, assessing fairness to applicants, developing or formalizing mitigation actions, and addressing vetting workforce challenges during a pandemic or similar event."--

Certains critères ne peuvent être évalués chez tous les patients d'un essai clinique, pour des raisons de coût, de faisabilité ou d'éthique. Une étude ancillaire peut alors être intégrée au protocole principal. Elle aura pour but l'évaluation de critères définis, dans une sous-population sélectionnée. L'objectif de l'étude ancillaire décrite, est l'exploration des paramètres lipidiques dans un groupe de patients inclus dans un essai de phase III sur un antidiabétique insulino-sensibilisateur (molécule S780 versus molécule de référence). Ce travail décrit l'élaboration du projet ancillaire, en abordant la méthodologie suivie pour le choix des critères d'évaluation et de la sous-population étudiée et en s'intéressant aux différentes considérations pratiques dont il a fallu tenir compte lors de la rédaction. La partie réglementaire est ensuite traitée, avec la soumission du protocole aux différentes autorités concernées. L'interprétation des résultats de cette étude ancillaire permettra d'évaluer l'effet des 2 molécules sur le facteur de risque associé au diabète de type 2 qu'est la dyslipidémie.

In this collection of excerpts, enjoy a taste of Sarah Pekkanen’s captivating novels, including The Opposite of Me, Skipping a Beat, These Girls, and The Best of Us.

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