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Reviews TQM implementation by the Naval Air Systems Command (NAVAIR) since the early 1980s. Outlines the benefits, to date, of TQM efforts as well as lessons learnt from applying for, and winning, the Presidential Award for Quality and Productivity Improvement. Outlines the challenges facing NAVAIR′s leadership ‐ cuts in defence spending and a reduced force level ‐ and concludes that TQM is the key to meeting these challenges.

In the binary sex-segregated space of professional sports, sex-gender diversity is met with suspicion, derision and exclusion. In the United States, along with widespread anti-trans policies at various societal levels, legislations and regulations are being pushed to limit or eliminate transgender athletes from competing in all levels of sports. However, little scholarship has considered the implications of the presence of nonbinary athletes, those who identify outside the spectrum of man and woman, beyond the conversation of a ‘third gender’ category in sport. In this chapter, I seek to examine how nonbinary athletes embody disobedience by challenging the binary categorization of sex-gender within professional sports. I explore the racialized embodiment of sex and gender in professional women's sports, specifically WNBA player Layshia Clarendon. I explore how disobedience is employed to incite resistance against the narrow sex-gender categories that are forced upon athletes. Finally, I argue that embodied disobedience provides a key pathway for nonbinary athletes to undermine the regulatory nature of sex-gender categorization in sport. Particularly, nonbinary athletes may seek medical and social forms of gender affirmation, while simultaneously embodying disobedience by continuing to actively participate in professional sports categories in which they may not neatly fit.

Several emergency public health issues have a tremendous impact on and rely upon close coordination with law enforcement officials. Most interactions involve law enforcement personnel providing security, crowd control, and/or traffic control during public health related incidents. However, as varied chemical and biological threats have emerged over the years, this interaction has increased to include joint investigations between the two disciplines. Certain biological threats, such as pandemics, pose direct threats to the law enforcement agency operations. Understanding the role of public health in emergencies, the overlapping missions, and the threats at all levels allows law enforcement professionals to better prepare themselves and their organizations for coordinating operations and maintaining continuity of law enforcement services.

This chapter aims to analyze the sociabilities, information-sharing behaviors, and types of social support among users of French non-mixed trans Facebook groups. First, our national survey (N = 405) reveals that the different uses of these groups (information retrieval, emotional support, etc.) vary according to the age and education levels of their trans users, or according to their progress on the transition pathways. Second, we perform a lexical analysis of the messages (N = 70,488) posted, since 2013, in a sample of 24 groups, in order to identify the main topics of discussion. This analysis leads us to emphasize the diversity of social support provided by trans people to one another, via posts and comments. These findings deemphasize the benefits of institutional support because they suggest, alternatively, that trans people are organizing themselves to avoid challenges associated with medical institutions and the French “therapeutic shield.. Such individuals use Facebook to this end, sharing information or support in order to create a safe space managed with a transfeminist ethic, and allowing themselves to make gender-related choices more autonomously, far away from normative judgements (in particular those expressed by the medical profession).

This study aims to examine the relationship between neutrophil to lymphocyte ratio (NLR), handgrip strength (HGS) and nutritional status in non-critically ill patients and outpatients.

A cross-sectional study was conducted on 80 geriatric patients. Nutritional status was evaluated using the Mini Nutritional Assessment Short Form, Geriatric Nutritional Risk Index, some anthropometric and biochemical parameters. NLR was calculated from the complete blood count results. Data were analyzed using SPSS 24.0.

While 38.3% of patients were malnourished or at risk of malnutrition, 61.7% had normal nutritional status. Mini Nutritional Assessment Short Form was not correlated with NLR, whereas it showed a weak positive correlation with HGS. According to the logistic regression analysis, age, HGS, hemoglobin and platelet to lymphocyte ratio were significant independent factors for predicting malnutrition or risk of malnutrition. The receiver operator characteristic curve analysis showed that the optimum HGS cut-off point for patients with malnourished or at risk of malnutrition was 13.2. In conclusion, HGS was associated with the nutritional status. NLR was not associated with nutritional status but associated with nutritional risk.

It is well known that malnutrition is a serious health problem among older adults, and it is important to assess the nutritional status of older adults because of the adverse health effects. In addition, to the best of the authors’ knowledge, this is the first study to determine the relationship between NLR, HGS and nutritional status in non-critically ill patients and outpatients.