Federal Transit Administration

Research was conducted for the FTA Office of Program Management to refine contingency estimation and application within the transit project development process. General analytical methodologies were developed for contingencies, and applications were suggested for the estimation of contingency values, including cost and schedule contingencies proposed for the related Project Management Oversight Program guidance. The results present various cost and schedule contingency approaches that have been applied successfully to major transit projects and other public infrastructure projects examined within the research. The results of the research indicate which contingency applications and values may contribute to more successful project management in the future. These strategies, tools, and techniques form the basis to the conclusions for this research. The cost performance of construction projects is a key success criterion for project sponsors, including the grantees and the FTA. Major transit capital projects have, at times, overrun initial and subsequent project budgets. Cost contingency has been proposed by many funding and research organizations to manage cost escalation and maintain project budgets. Schedule contingencies have been proposed more recently similarly to control and manage schedule delays, because of their identified cost impacts. Estimation of cost and schedule contingencies and its ultimate adequacy is of critical importance to projects. The results of the research present various cost and schedule contingency concepts, including definition of terms, estimation of values, and application of contingency approaches within the transit project development process.

OBJECTIVE: To investigate potential savings obtained from restoring productivity in employees with chronic MSK pain through a digital care program (DCP). METHODS: Secondary analysis of a prospective longitudinal study assessing cumulative savings overall or across several industry sectors by analyzing changes in Work Productivity and Activities Impairment (WPAI questionnaire). RESULTS: Employees from 50 U.S. states started the program ( n = 5032). Significant improvements in productivity impairment were observed across all industries, yielding median cumulative savings from $151 (95% confidence interval [CI], 128-174) to $294 (95% CI, 286-303) per participant at treatment end. Twelve-month projections estimated median savings of $2916 (95% CI, 2861-2972). Additionally, significant improvements in non-work-related daily activities were observed. CONCLUSIONS: This study underlines the burden of MSK-related productivity loss on employers' financial balance, illustrating the importance of a DCP to assist patients to recover quality of life and succeed professionally.

(Abstracted from Am J Obstet Gynecol 2019;220:89.e1–89.e8) Vulvodynia is a chronic pain syndrome characterized by symptoms such as stinging, burning, irritation, or itching of the vulva. Women with vulvodynia experience deficits across all aspects of sexual function.

Article1 March 1955THE UTILIZATION OF PSYCHIATRIC MARGINAL MANPOWER IN MILITARY SERVICEE. L. CAVENYE. L. CAVENYSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-3-659 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn recent years we have been hearing more and more about the broad and important subject of mental health. Lay and professional people are waking up to the realization of its tremendous implications. Most assuredly, it is a subject that has wide ramifications and in varying degrees affects all social and working groups—schools and teachers, churches and ministers, states and legislators, the armed forces and military personnel, medicine and physicians. In this ever-increasing problem, the burden as well as the guidance will continue to be that of the medical profession: the general practitioner and the psychiatrist alike.Today's subject matter,...Bibliography1. LingZausmerHope TMDMM: Occupational rehabilitation of psychiatric cases; follow-up study of 115 cases, Am. J. Psychiat. 109: 172-176 (Sept.) 1952. CrossrefMedlineGoogle Scholar2. FrazerBunburyDaniellBarlingWaldronKempLee REBMEFEPMI: Incidence of neurosis among factory workers, Industrial Health Research Board, Report No. 90, 1947, His Majesty's Stationery Office, London. Google Scholar3. EganJacksonEanes JRLRH: Study of neuropsychiatric rejectees, J. A. M. A. 145: 466-469 (Feb. 17) 1951. CrossrefMedlineGoogle Scholar4. BrillBeebe NQGW: Some applications of follow-up study to psychiatric standards for mobilization, Am. J. Psychiat. 109: 401-410 (Dec.) 1952. CrossrefMedlineGoogle Scholar5. Research studies conducted by the Neuropsychiatry Branch of the Professional Division, Bureau of Medicine and Surgery, Navy Department, Washington, D. C., 1949-1954. Google Scholar6. HuntWittsonBurton WACLWB: Validation study of naval neuropsychiatric screening, J. Consulting Psychology 19: 35-39 (Feb.) 1950. CrossrefGoogle Scholar7. HuntWittsonHunt WACLEB: Military performance of group of marginal neuropsychiatric cases, Am. J. Psychiat. 109: 168-171 (Sept.) 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: MC USN Washington, D. C.*Presented as a Morning Lecture at the Annual Session of The American College of Physicians, Chicago, Illinois, April 7, 1954.The opinions expressed are those of the author and do not necessarily represent the opinions or policies of the Navy Department.†Present address: Medical College of Alabama, Birmingham 5, Ala. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 March 1955Volume 42, Issue 3Page: 659-667KeywordsArmed forcesHearingMilitary medicinePsychiatry and mental health Issue Published: 1 March 1955 PDF downloadLoading ...

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