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Nissen S.W.,Carolina National
North Carolina medical journal

The North Carolina National Guard (NCNG) Integrated Behavioral Health System is designed to systematically bring the best internal and external military resources together to function collaboratively for the betterment of behavioral health assessment, crisis intervention, referral, and case management services available to NCNG service members and their families. Source

Wilkins J.,Carolina National
International Journal of Nursing Practice

This article explores the repercussions of workplace bullying on nurses and the health-care profession as a whole. I discuss the nature of workplace bullying and draw upon prior studies to explore some of the barriers that prevent witnesses to bullying from intervening, as well as barriers faced by targets in taking action to stop the bullying. As overt forms of resistance are often not feasible in situations where nurses occupy subordinate positions to their bullies, I propose that cognitive reappraisal can be an effective coping strategy, and situate this perspective within the research on humour, hope and optimism. © 2013 Wiley Publishing Asia Pty Ltd. Source

Summary: The comparison of two or more ordered experimental groups based on multivariate data is common in a variety of applications such as toxicology, clinical trials and drug development, to name just a few. In this article, we develop a nonparametric methodology for analyzing such data. In particular we propose a global K sample nonparametric test for order among vector valued outcomes. The testing procedure can also be used in a post-hoc fashion to answer questions about the ordering of subgroups and/or single outcomes within any subset of experimental groups. Such a methodology does not currently exist. In contrast with standard methodology such as multivariate analysis of variance (MANOVA), and its nonparametric analogues, we do not assume that the groups differ only by a location parameter or that the components of the response vector have the same marginal distributions between and across groups, that is, we allow for the shape of the distribution to change across groups. We emphasize that our test compares the outcome distributions, not just their mean tendencies, and explicitly incorporates and exploits the order constraints. Consequently it is more powerful than the existing unordered tests. The methodology is illustrated using genotoxicity data where the effect of hydrogen peroxide exposure on damage to DNA is evaluated using a comet assay. © 2013, The International Biometric Society. Source

Sitkowski M.,University of Wisconsin - Madison | Kossin J.P.,Carolina National | Kossin J.P.,University of Wisconsin - Madison | Rozoff C.M.,University of Wisconsin - Madison | Knaff J.A.,National Oceanic and Atmospheric Administration
Monthly Weather Review

Flight-level aircraft data are used to examine inner-core thermodynamic changes during eyewall replacement cycles (ERCs) and the role of the relict inner eyewall circulation on the evolution of a hurricane during and following an ERC. Near the end of an ERC, the eye comprises two thermodynamically and kinematically distinct air masses separated by a relict wind maximum, inside of which high inertial stability restricts radial motion creating a ''containment vessel'' that confines the old-eye air mass. Restricted radial flow aloft also reduces subsidence within this confined region. Subsidence-induced warming is thus focused along the outer periphery of the developing post-ERC eye, which leads to a flattening of the pressure profile within the eye and a steepening of the gradient at the eyewall. This then causes a local intensification of the winds in the eyewall. The cessation of active convection and subsidence near the storm center, which has been occurring over the course of the ERC, leads to an increase in minimum pressure. The increase in minimum pressure concurrent with the increase of winds in the developing eyewall can create a highly anomalous pressure-wind relationship. When the relict inner eyewall circulation dissipates, the air masses are free to mix and subsidence can resume more uniformly over the entire eye. © 2012 American Meteorological Society. Source

Reynolds R.W.,Carolina National | Gentemann C.L.,Helios Remote Sensing Systems, Inc. | Corlett G.K.,University of Leicester
Journal of Climate

The purpose of this paper is to investigate two satellite instruments for SST: the infrared (IR) Advanced Along Track Scanning Radiometer (AATSR) and the microwave (MW) Tropical Rainfall Measuring Mission (TRMM) Microwave Imager (TMI). Because of its dual view, AATSR has a potential for lower biases than other IR products such as the Advanced Very High Resolution Radiometer (AVHRR), while the tropical TMI record was available for a longer period of time than the global MW instrument, the Advanced Microwave Scanning Radiometer (AMSR). The results show that the AATSR IR retrievals are good quality with biases lower than or as low as other satellite retrievals between 50°S and 50°N. Furthermore, the dual-view algorithm reduces the influence of aerosol contamination. However, the AATSR coverage is roughly half that of AVHRR. North of 50°N there appear to be biases and high variability in summer daytime retrievals, with smaller but consistent biases observed below 50°S. TMI data can significantly improve coverage offshore in regions where IR retrievals are reduced by cloud cover. However, TMI data have small-scale biases from land contamination that should be removed by modifying the land-sea mask to remove more coastal regions. © 2010 American Meteorological Society. Source

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