Narrow your search
Listing 1 - 9 of 9
Sort by

Book
Human sexuality : function, dysfunction, paraphilias, and relationships
Authors: ---
ISBN: 0128191759 0128191740 9780128191750 9780128191743 Year: 2021 Publisher: London, England : Academic Press,

Loading...
Export citation

Choose an application

Bookmark

Abstract

"Human sexuality touches us all, pun intended. We all either enjoy it, struggle with it, or may have been victims of it. Sexuality is not just about sex, but about human sexual function, the physiology of sex, the hormones involved and how they affect us, and the cultural norms related to it. Sexual function and dysfunction are closely tied to one's self-esteem, self-respect, and to relationships with intimate partners. Human Sexuality: Function, Dysfunction, Paraphilias, and Relationships, explores the interplay of intimacy and sexuality; how it can enhance relationships, and how it can negatively affect them, or be affected by them. When individuals or partners encounter sexual problems or dysfunctions it can have a long-lasting affect both biologically and psychologically. Dr. Rokach explores the causes and the reasons that these dysfunctions are maintained, and successful treatment methods. Chapters on sexual offenses and paraphilias and what treatment options are available to sexual offenders are also included. This book is the first book to place sexuality where it belongs, within the context of relationships demonstrating how sexuality relates to intimacy by both enhancing and negatively affecting it." --


Book
Health Care Resource Allocation Decisionmaking During a Pandemic
Authors: --- ---
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

Loading...
Export citation

Choose an application

Bookmark

Abstract

In the COVID-19 pandemic, many health system and state policymakers are working with no established methods for making decisions about allocation of scarce but lifesaving health care resources for patients and personal protective equipment for health care and long-term care workers. In many settings, decisions are being made ad hoc, with limited information and no input from patients and families, and criteria for allocation of scarce medical resources are not settled. Recognizing that these challenges threaten the quality of health care resource allocation decisions, the authors created a rapid response guidance checklist to support health care resource allocation decisionmaking during the COVID-19 crisis. The Core Guidance Checklist was created from a consensus discussion process with bioethicists, health system leaders, clinicians, patient advocates, and representatives of affected communities. It is intended for use by decisionmakers within health systems, as well as state-level policymakers, to strengthen resource allocation policy development and implementation and improve the decisions that result. The Core Guidance Checklist can be used to guide evaluation of allocation guidance policy, both the content and the consequent decisionmaking, to spur improvements and to increase public trust.

Keywords


Book
Critical Care Surge Response Strategies for the 2020 COVID-19 Outbreak in the United States
Authors: --- --- --- --- --- et al.
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

Loading...
Export citation

Choose an application

Bookmark

Abstract

The coronavirus disease 2019 (COVID-19) virus is creating unprecedented stresses on hospital and critical care systems. Hospitals, health care systems, states, and regions urgently need to assess their resources, identify potential bottlenecks, and create strategies for increasing critical care surge capacity, which refers to the resources needed to care for the sickest patients with the novel coronavirus. In this report, the authors present a list of strategies for creating critical care surge capacity and estimate the number of patients accommodated, given the number of available critical care doctors and nurses, respiratory therapists, ventilators, and hospital beds. They also document the development of a user-friendly, Microsoft Excel–based tool that allows decisionmakers at all levels — hospitals, health care systems, states, regions — to estimate current critical care capacity and rapidly explore strategies for increasing it. The strategies are organized into two tiers. Tier 1 includes contingency capacity strategies: adaptations to medical care spaces, staffing constraints, and supply shortages in a way that can increase capacities without significant impact on medical care delivery. Tier 2 includes crisis capacity strategies: changes that likely will have significant impact on routine care delivery and operations.

Keywords


Book
The Building Resilient Infrastructure and Communities Mitigation Grant Program: Incorporating Hazard Risk and Social Equity into Decisionmaking Processes
Authors: --- --- --- --- --- et al.
Year: 2022 Publisher: RAND Corporation

Loading...
Export citation

Choose an application

Bookmark

Abstract

Natural disasters have become more frequent and destructive. In 2020, the United States experienced the most billion-dollar disasters ever, with a total cost of


Book
Leveraging Commercial Space Services: Opportunities and Risks for the Department of the Air Force

Loading...
Export citation

Choose an application

Bookmark

Abstract

The expanding global commercial space industry offers new opportunities — such as technological advances in small satellites, lower launch costs, and innovative satellite applications — that could help the U.S. Department of Defense (DoD) meet its mission requirements more efficiently and give it access to a broader innovation pool. The Department of the Air Force (DAF), particularly the U.S. Space Force (USSF), is increasing its partnership activities with the commercial space industry to take advantage of these opportunities. As the DAF makes investment decisions to leverage commercial space capabilities, it needs a better understanding of opportunities, risks, and challenges it might encounter. To help the DAF evaluate these potential benefits and risks, RAND researchers examined two space-related markets that together represent the widest variation in market and firm maturity: the commercial space-based positioning, navigation, and timing (PNT) market (an emerging market) and the commercial satellite communications (SATCOM) market (an established market). This variation between the two markets is useful for identifying distinct and cross-cutting themes that could be generalized to other commercial space markets not analyzed in this research. In this report, the researchers describe their analysis and provide findings and recommendations for the DAF.

Keywords


Book
An Initial Methodology for Evaluating Social Equity Performance in Disaster Mitigation Grants: The Building Resilient Infrastructure and Communities Program

Loading...
Export citation

Choose an application

Bookmark

Abstract

Some U.S. communities, such as low-income or minority communities, are disproportionately affected by the impact of disasters. Distribution of both mitigation funding and recovery funding has not been equitably applied to all communities, with disadvantaged communities receiving less of both funds. Weather and climate disasters continued to escalate in 2021, resulting in billions of dollars in disaster costs and hundreds of fatalities in the United States. Predisaster mitigation is meant to lessen the damaging effects of future storms — thereby reducing the losses to both infrastructure and communities. The Building Resilient Infrastructure and Communities (BRIC) grant program aims to help communities undertake predisaster mitigation to reduce natural hazard risk. In response to an executive order to address inequitable funding systems that impede progress toward community resilience, an explicit guiding principle of BRIC is to promote social equity and help members of disadvantaged groups. To track progress toward equitable outcomes, BRIC is in the process of developing equity evaluation methods. In this report, the authors describe the development of an equity action-logic model and example metrics. The relationship of community characteristics to participation and success in BRIC's first competitive cycle (fiscal year 2020) is examined. Recommendations address (1) how the BRIC program could evolve to track social equity outcomes in a meaningful way; (2) the value of integrated data sets and analytic methods for understanding the characteristics of communities that are applying for BRIC funding and those that are successful; and (3) the barriers disadvantaged communities face when applying for BRIC funding.

Keywords


Book
The Budgetary Effects of Climate Change and Their Potential Influence on Legislation: Recommendations for a Model of the Federal Budget

Loading...
Export citation

Choose an application

Bookmark

Abstract

Climate change will induce increasingly severe and frequent hazards, such as heatwaves, wildfires, droughts, and floods. In turn, these hazards lead to increased spending in such areas as disaster relief, health care, and insurance programs. Climate change will also likely lead to a net reduction in revenue by affecting productivity, labor hours, and total labor force. The combination of these factors results in a substantial net loss to the federal budget because of climate change. However, these losses are currently underrepresented by the methodology used to quantify the costs and benefits of climate policy. In this report, the authors examine the ways that climate change and climate change mitigation policy affect the federal budget. They recommend ways to improve the modeling of such effects and provide an overview of a budget model that can be used to score legislation. This report is intended for modelers seeking to capture important relationships between climate, federal policy, and the economy. The authors aim to inform the eventual development of such a model. In particular, the report's analysis might be useful for analysts involved in budget modeling at policy research organizations, such as the Congressional Budget Office and Office of Management and Budget, and other policymakers involved with scoring legislation.

Keywords


Book
How Do We Know Whether Federal Disaster Programs Are Equitable? An Initial Methodology for Evaluating Social Equity Performance of the Building Resilient Infrastructure and Communities Mitigation Grant Program

Loading...
Export citation

Choose an application

Bookmark

Abstract

Some communities, such as low-income or minority communities, are disproportionately affected by the impact of disasters, in part because they have fewer financial resources available to prepare for or recover from damages to property or livelihoods. The federal government has established several grant programs — such as the Building Resilient Infrastructure and Communities (BRIC) hazard mitigation grant program — that provide funding to support mitigation before a disaster and recovery after a disaster hits. However, distribution of both mitigation and recovery funding has not been equitably applied to all communities, with underserved communities receiving less of both. The Federal Emergency Management Agency (FEMA) engaged the Homeland Security Operational Analysis Center (HSOAC), a federally funded research and development center (FFRDC) operated by the RAND Corporation for the U.S. Department of Homeland Security, to help explore how the BRIC hazard mitigation grant program is addressing social equity considerations. This report provides an initial methodology for how BRIC can assess the program's social equity performance. It also identifies community characteristics and natural hazard risks related to participation and success of subapplications in the first year of the BRIC grant cycle (fiscal year 2020).

Keywords


Book
Challenges and opportunities for the Puerto Rico economy : a review of evidence and options following Hurricanes Irma and Maria in 2017

Loading...
Export citation

Choose an application

Bookmark

Abstract

Recovery of the Puerto Rico economy in the aftermath of Hurricanes Irma and Maria means not only rebuilding the public and private infrastructure, supply chains, human capital, and other contributors to economic output but also reversing negative economic trends that existed and presented major challenges to growth even before the storms hit. In their report, the authors explain the history of economic development and policy in Puerto Rico and discuss the state of the prestorm economy, including key economic challenges. They use the historical data on overall economic activity (unrelated to the hurricanes) to construct a counterfactual to assess the net causal effect of Hurricanes Irma and Maria on Puerto Rico's economy. The counterfactual examines what would have happened to employment, labor, population, and tourism, as well as the government of Puerto Rico's fiscal position, had the hurricanes not occurred. Observed economic indicators following the storms are then compared to this counterfactual to estimate the real net economic consequences of the hurricanes, including overall damage from the storms and the effect of the recovery effort. The analysis provides considerable detail on the conditions in Puerto Rico before and after the 2017 hurricane season so that decisionmakers can adopt better policies in rebuilding a sustainable and healthy economic sector and, more broadly, the whole of Puerto Rico. The authors recommend a set of principles based on economic theory and provide courses of action included in the recovery plan compiled from their findings about prestorm conditions and trends and the input/observations of on-the-ground partners and stakeholders in the recovery effort.

Listing 1 - 9 of 9
Sort by