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The U.S. Navy has implemented the Fleet Response Plan (FRP), which provides for an increased surge capability by Carrier Strike Groups. Although regularly scheduled six-month deployments still occur, aircraft carriers achieve a high state of readiness early and sustain the readiness for a longer period. This increased readiness provides the Navy with a more responsive aircraft carrier fleet and with the ability to employ aircraft carriers more flexibly. The analysis focused on the demands of ten Nimitz-class carriers, which will be in operation over the next two decades. We used a model based on the supply of and demand for workers at the primary naval shipyards that service aircraft carriers, to estimate the magnitude and timing of work (demand). The modeling used naval shipyard-provided data that forecast the supply of workers and maintenance demands of aircraft carriers and all other ships. We varied the aircraft carrier maintenance cycles and size of work packages to focus on the effects that they would have on the demand for workers at Norfolk Naval Shipyard and Puget Sound Naval Shipyard and Intermediate Maintenance Facility. The Program Executive Office for Aircraft Carriers tasked the RAND Corporation to examine the effect of the extension of time between depot maintenance availabilities, the increased use of continuous-maintenance periods, and the potential reductions in the size of the aircraft carrier fleet on the industrial base for aircraft carrier maintenance-the public and private shipyards and depots that maintain and repair aircraft carriers. The modeling revealed that increasing carrier maintenance-cycle length can reduce the number of carriers in maintenance and make more carriers available to deploy or surge. However, implementing longer cycles must be timed carefully to prevent problems in managing the workforce of the maintenance industrial base. This report should be of interest to persons concerned with the operational availability and readiness of Navy aircraft carriers under the Fleet Response Plan, including those in the Naval Sea Systems Command (NAVSEA), the Fleet Forces Command, and the Type Commanders.

Aircraft carriers --- Queuing theory. --- Maintenance and repair. --- United States. --- Operational readiness.

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When the domestic government, the private sector, and people in various professional fields talk about long-term care issues, they all focus on creating a warm and home-like care institution. However, we actively emphasize the importance of community-based long-term care. For “aging in place”, the development of domestic non-institutional care is still in its infancy, and some long-term care needs must still be met through institutional care, and the facilitation of the extension or outreach of community-based care and respite service platforms for the development of community-based long-term care still rely on institutional care. The history of the development of long-term care in Taiwan is much shorter than that of Japan, Europe, the United States, and Canada. Despite years of hard work and rapid development, the long-term care resources needed to establish a complete system in terms of universalization, fairness, accessibility, and selectivity are not available. In the future, based on the soundness of institutional care, it hoped that outreach will move toward the goals of community care and aging in place. We hope the studies in this Special Issue will help further develop clinical medicine for healthcare and stainability.

sarcopenia --- bioimpedance analysis --- computed tomography --- discordance --- effect --- protection --- catheter --- hemodialysis --- meta-analysis --- trial sequential analysis --- Long-term oxygen therapy --- home mechanical ventilation --- patient-reported experience measures --- quality of care --- healthcare --- sustainability --- hepatocellular carcinoma --- health-related quality of life --- minimal clinically important difference --- survival --- serum urate --- menopause --- hypertension --- xanthine dehydrogenase --- cross-sectional cohort study --- diabetic foot ulcer --- peripheral arterial disease --- incidence --- prevalence --- cost --- National Health Insurance Service data --- erythrodermic psoriasis --- secukinumab --- addiction --- smoking --- alcohol --- cannabis --- virtual reality --- musculoskeletal disorders --- randomized controlled tria --- ceftaroline --- ceftriaxone --- community-acquired pneumonia --- safety --- eravacycline --- complicated intra-abdominal infection --- efficacy --- mortality --- laparoscopic --- open surgery --- non-metastatic colorectal cancer --- surgical complication --- oncologic outcome --- single surgeon experience --- doripenem --- acute bacterial infection --- pneumonia --- intra-abdominal infection --- complicated urinary tract infection --- ultrasound-guided injection --- laser assisted --- long-axis injection --- chronic disease --- multimorbidity --- suicidal thoughts --- suicidal plans --- stroke --- post-acute care --- medical referral system --- propensity score matching --- resistance training --- arterial pressure --- disease prevention --- caffeine --- older adults --- frailty --- medication --- primary care --- white matter hyperintensity --- MRI --- healthcare quotient --- chronic --- older adults living in super-aging society --- mild cognitive impairment --- walking speed --- depression --- urinary tract infection --- rapid culture --- antibiotic susceptibility testing (AST), evidence-based prescription --- antibiotics --- antimicrobial resistance (AMR), rapid diagnostics --- prediction --- deep learning --- conventional neural network --- bariatric surgery --- hospital emergency department --- queuing theory --- decision support --- cost optimization --- health behavior --- socioeconomic status --- Korea --- cardiovascular disease --- postprandial --- hypotension --- blood pressure --- elderly --- lung cancer --- physical activity --- season --- preoperative --- wearable --- macrosomia --- large for gestational age --- machine learning --- ensemble methods --- sensitivity --- specificity --- clinical deterioration --- early medical intervention --- electronic health records --- hospital rapid response team --- intensive care units --- medical records system --- computerized --- osteoporosis screening --- artificial intelligence --- convolutional neural networks --- dental panoramic radiographs --- palliative care --- nursing homes --- symptom assessment --- drug therapy --- therapeutics --- longitudinal studies --- occupational medicine --- forensic medicine --- insurance medicine --- psychoactive substances --- clinical --- forensic --- law --- ethics --- uric acid --- risk factor --- epidemiology --- cardiometabolic diseases --- healthcare and sustainability --- therapy of internal medicine diseases