The document describes a day in the life of an animal checking on its territory and family, smelling a fox in the garden and finding one cat ignoring it, but ultimately finding other animals to play a game with it until everyone was tired and resting.
Keynote presentation for the National Colloquium on Professional Learning Communities organized by the Department of Basic Education (DBE) - South Africa
Sergio Silva wakes up at 9 am on Saturdays and has a typical daily routine. He has breakfast at 9:30 am, washes his patio at 10:30 am, watches TV at 11:30 am, goes to an internet cafe to do homework at 12:30 pm, exercises at 1 pm, eats lunch at 3 pm, watches more TV at 4 pm, plays soccer in the street from 6-9 pm, takes a shower after arriving home at 9 pm, and goes to bed at 10 pm.
Students on a Spanish language course had a fun and engaging learning experience where they were able to interact with other students from around the world. They participated in a variety of activities both inside and outside the classroom, such as performances, singing, discussions, hiking, canoeing, games, exploring caves, soccer, ice skating, trips, archery, and dancing. Many students commented that the course allowed them to learn Spanish in a carefree environment while making lifelong friendships with other students and learning about different cultures.
Devon House is a historic mansion in Kingston, Jamaica that has undergone renovations. The mansion was originally built in the 1730s but fell into disrepair by the 1970s. It has since been restored to its former glory through an extensive renovations project that has returned the building to its original architectural splendor and transformed it into a popular tourist attraction.
The document discusses Mahatma Gandhi's marketing techniques during the Indian independence movement. It explains that Gandhi used symbolic acts like making homespun khadi clothing to promote non-violence. A key event was Gandhi's Dandi March, where he led thousands of followers to the coast to collect salt in protest of British taxes. The march generated widespread publicity for Indian independence. Gandhi's non-violent techniques were later adopted by civil rights leaders like Martin Luther King Jr. and Nelson Mandela to promote their causes. Gandhi remains a globally recognized symbol of non-violence and his methods continue to influence political movements and brands today.
The document describes a day in the life of an animal checking on its territory and family, smelling a fox in the garden and finding one cat ignoring it, but ultimately finding other animals to play a game with it until everyone was tired and resting.
Keynote presentation for the National Colloquium on Professional Learning Communities organized by the Department of Basic Education (DBE) - South Africa
Sergio Silva wakes up at 9 am on Saturdays and has a typical daily routine. He has breakfast at 9:30 am, washes his patio at 10:30 am, watches TV at 11:30 am, goes to an internet cafe to do homework at 12:30 pm, exercises at 1 pm, eats lunch at 3 pm, watches more TV at 4 pm, plays soccer in the street from 6-9 pm, takes a shower after arriving home at 9 pm, and goes to bed at 10 pm.
Students on a Spanish language course had a fun and engaging learning experience where they were able to interact with other students from around the world. They participated in a variety of activities both inside and outside the classroom, such as performances, singing, discussions, hiking, canoeing, games, exploring caves, soccer, ice skating, trips, archery, and dancing. Many students commented that the course allowed them to learn Spanish in a carefree environment while making lifelong friendships with other students and learning about different cultures.
Devon House is a historic mansion in Kingston, Jamaica that has undergone renovations. The mansion was originally built in the 1730s but fell into disrepair by the 1970s. It has since been restored to its former glory through an extensive renovations project that has returned the building to its original architectural splendor and transformed it into a popular tourist attraction.
The document discusses Mahatma Gandhi's marketing techniques during the Indian independence movement. It explains that Gandhi used symbolic acts like making homespun khadi clothing to promote non-violence. A key event was Gandhi's Dandi March, where he led thousands of followers to the coast to collect salt in protest of British taxes. The march generated widespread publicity for Indian independence. Gandhi's non-violent techniques were later adopted by civil rights leaders like Martin Luther King Jr. and Nelson Mandela to promote their causes. Gandhi remains a globally recognized symbol of non-violence and his methods continue to influence political movements and brands today.
Dokumen tersebut merupakan pedoman umum pembelajaran dalam kurikulum 2013 yang mencakup empat substansi yaitu strategi pembelajaran, sistem kredit semester, penilaian hasil belajar, dan layanan bimbingan dan konseling. Dokumen tersebut menjelaskan konsep pembelajaran yang berpusat pada peserta didik, mengembangkan kreativitas, dan memberdayakan potensi peserta didik menjadi kompetensi. Dokumen tersebut juga membahas dua mod
Devon House is a historic mansion in Kingston, Jamaica that has undergone renovations. The mansion was originally built in the 1860s but fell into disrepair by the 1970s. It has since been restored to its former glory through an extensive rehabilitation project that has preserved the building's original architecture and details.
How to Create Content People Actually Care AboutJay Acunzo
A course taught at Boston's Intelligent.ly by Jay Acunzo of HubSpot. Learn how to create content scalably and sustainably through the right strategy, including buyer personas and the proper process behind your content marketing.
Intuit leverages social media through an integrated culture and set of tools. Key lessons include: 1) maximize Facebook for acquisition, sales and experiments; 2) use lean experimentation to test hypotheses before decisions; 3) identify and prompt advocates to share through easy and incentivized ways; 4) Facebook sales campaigns and partnerships can increase traffic; 5) infographics drive sharing more than blogs; 6) build thought leadership through relationships. The presentation emphasizes measuring social impact, adapting practices, and focusing on customers.
【Maclean liu技术分享】拨开oracle cbo优化器迷雾,探究histogram直方图之秘 0321maclean liu
The document discusses histograms in Oracle's cost-based optimizer (CBO). Histograms help improve cardinality estimates when data is skewed, leading to better query plans. They were introduced in Oracle 8 and are now automatically collected, with the number of buckets and type (frequency or height balanced) depending on the number of distinct values. The document provides background on histograms and how the CBO uses them to estimate selectivity and cardinality.
Presentacion coleccion GUAU RE MIAU BY MARIA TRAPOSMARIA TRAPOS
Guau Re miau, es una marca desarrollada por MARIA TRAPOS, en donde diseñamos y elaboramos accesorios para guaus y miaus, además encontrarás muchos productos para los amantes de los animalitos
Collaboaration tools for non profit agenciesmewren
IBM Open Doors presentation as part of the IBM Centenial Cellebrations. Covers suggested free and low-cost collaboratoin tools for non-profit organizations
Aston Hall is a grand Jacobean mansion located in Birmingham, England built between 1618-1635 by Thomas Holte. [1] It was built to reflect Thomas' high social status and wealth at the time. [2] During the English Civil War, King Charles I stayed at Aston Hall before losing the Battle of Edgehill, and it was badly damaged during a subsequent three-day siege by Parliamentarians. [3] Today it operates as a museum and visitors can learn about its historic role in the Civil War.
The document discusses choosing positive perspectives through managing emotions and expectations. It emphasizes recognizing achievements and blessings to reduce stress and appreciate accomplishments. It provides tips for using affirmations and visualizations to develop attitudes and beliefs that align with goals and direct thoughts positively. It also encourages counting achievements and blessings to build self-confidence and gratitude.
El documento presenta el currículum básico de Fernando Muñoz Santiago, nacido el 31 de mayo de 1965. Asistió al Colegio Patricio Mekis para 3° y 4° básico. Sus objetivos para el año 2010 eran lograr aprendizajes significativos en todos los alumnos a nivel laboral y entregar todos los trabajos de evaluación a nivel académico.
This document discusses various techniques for optimizing JDBC performance when accessing an Oracle database. It provides examples of common issues like repeatedly opening and closing database connections, failing to close result sets and statements, and not using prepared statements with bind variables. The solutions outlined include using connection, statement and result set pools, try-finally blocks to ensure proper closing, and leveraging features like prepared statements, bind variables, batching, and prefetching to reduce round trips.
This document provides information about the different regions of the United States and the states located within each region. It divides the US into four main regions: Northeastern states along the Atlantic coast, Southern states in the lower right, Midwestern states in the middle towards the top, and Western states on the west side of the map. It also provides a brief overview of Michigan, highlighting its location on two peninsulas between four Great Lakes, its capital of Lansing, largest city of Detroit, and nickname of "Great Lake State."
The Military Medical Community Within NATO and its Multinational Challenges- ...Leishman Associates
The document discusses the military medical community within NATO and its multinational challenges. It describes NATO and the Committee of Chiefs of Military Medical Services in NATO (COMEDS). Some of the key challenges for multinational military medicine include ensuring compatibility of equipment and interoperability of support structures between nations, addressing differing standards of medical care and information exchange while maintaining confidentiality, and optimizing limited resources through coordination and modular approaches. Integrating medical assets and recruiting qualified personnel across multiple countries adds further complexity.
The document discusses Christchurch Polytechnic Institute of Technology's (CPIT) introduction and development of its self-assessment and external evaluation processes from 2007-2011. It outlines CPIT's principles for self-assessment, including embedding it in regular practice and focusing on student learning outcomes and stakeholder feedback. The document also describes CPIT's generic self-assessment process of stocktaking, evaluative conversations, reporting, and closing loops.
General physicians known as consultant physician/pediatricians (CPPs) have undergone rigorous medical training but their skills vary widely. They are well-trained in diagnosing and managing complex medical conditions. CPPs could serve in several roles for the ADF, including providing consultations for individual service members, advising on health policy, and working in level 2 or 3 medical facilities. A short modular training program could help update CPPs on relevant areas like emergency medicine and tropical diseases to better prepare them for operational roles.
CAPT Neil Westphalen provided an overview of the Royal Australian Navy's (RAN) response to the presence of non-exempt asbestos containing materials (ACM) in its stores system and aboard ships. The initial responses included appointing lead authorities to manage the ACM response across Defence and within the Navy. Comcare inspections found ACM aboard some ships and establishments, and a full audit was ordered of all ADF units. Internal Navy audits also found ACM aboard ships. Training and revised procedures were implemented to safely manage and dispose of ACM, and health surveillance was increased through standardized questionnaires. The presentation concluded that while an issue, the ACM was generally in good condition with low risk to personnel health.
Endurance, Courage and Care: The 1942 Kokoda Track Campaign of Captain Alan W...Leishman Associates
The 2/4th Field Ambulance played a crucial role in providing medical care during the Kokoda Track campaign. Led by Lt. Col. Arthur Hobson, the unit consisted of officers and other ranks who worked tirelessly to treat wounded soldiers amid difficult terrain, weather, supply and enemy challenges. Captain Alan Watson provided emergency dental care to over 200 patients and administered general anesthesia, while also organizing the aeromedical evacuation of hundreds of casualties. The proximity of the Field Ambulance's surgical team enabled immediate treatment of severe wounds. Despite shortages, the unit improvised constantly to care for soldiers and evacuate them from the frontlines.
The document summarizes the medical aspects of the sinking of HMAS SYDNEY II after encountering the German raider KORMORAN in 1941. It describes that SYDNEY had 10 medical staff including 2 doctors and was likely hit by over 200,000 shell fragments, resulting in over 70% casualties of the 645 crew including 225 killed in action and 225 wounded in action. The document pays tribute to the medical personnel who all perished when the ship sank with no survivors.
Dokumen tersebut merupakan pedoman umum pembelajaran dalam kurikulum 2013 yang mencakup empat substansi yaitu strategi pembelajaran, sistem kredit semester, penilaian hasil belajar, dan layanan bimbingan dan konseling. Dokumen tersebut menjelaskan konsep pembelajaran yang berpusat pada peserta didik, mengembangkan kreativitas, dan memberdayakan potensi peserta didik menjadi kompetensi. Dokumen tersebut juga membahas dua mod
Devon House is a historic mansion in Kingston, Jamaica that has undergone renovations. The mansion was originally built in the 1860s but fell into disrepair by the 1970s. It has since been restored to its former glory through an extensive rehabilitation project that has preserved the building's original architecture and details.
How to Create Content People Actually Care AboutJay Acunzo
A course taught at Boston's Intelligent.ly by Jay Acunzo of HubSpot. Learn how to create content scalably and sustainably through the right strategy, including buyer personas and the proper process behind your content marketing.
Intuit leverages social media through an integrated culture and set of tools. Key lessons include: 1) maximize Facebook for acquisition, sales and experiments; 2) use lean experimentation to test hypotheses before decisions; 3) identify and prompt advocates to share through easy and incentivized ways; 4) Facebook sales campaigns and partnerships can increase traffic; 5) infographics drive sharing more than blogs; 6) build thought leadership through relationships. The presentation emphasizes measuring social impact, adapting practices, and focusing on customers.
【Maclean liu技术分享】拨开oracle cbo优化器迷雾,探究histogram直方图之秘 0321maclean liu
The document discusses histograms in Oracle's cost-based optimizer (CBO). Histograms help improve cardinality estimates when data is skewed, leading to better query plans. They were introduced in Oracle 8 and are now automatically collected, with the number of buckets and type (frequency or height balanced) depending on the number of distinct values. The document provides background on histograms and how the CBO uses them to estimate selectivity and cardinality.
Presentacion coleccion GUAU RE MIAU BY MARIA TRAPOSMARIA TRAPOS
Guau Re miau, es una marca desarrollada por MARIA TRAPOS, en donde diseñamos y elaboramos accesorios para guaus y miaus, además encontrarás muchos productos para los amantes de los animalitos
Collaboaration tools for non profit agenciesmewren
IBM Open Doors presentation as part of the IBM Centenial Cellebrations. Covers suggested free and low-cost collaboratoin tools for non-profit organizations
Aston Hall is a grand Jacobean mansion located in Birmingham, England built between 1618-1635 by Thomas Holte. [1] It was built to reflect Thomas' high social status and wealth at the time. [2] During the English Civil War, King Charles I stayed at Aston Hall before losing the Battle of Edgehill, and it was badly damaged during a subsequent three-day siege by Parliamentarians. [3] Today it operates as a museum and visitors can learn about its historic role in the Civil War.
The document discusses choosing positive perspectives through managing emotions and expectations. It emphasizes recognizing achievements and blessings to reduce stress and appreciate accomplishments. It provides tips for using affirmations and visualizations to develop attitudes and beliefs that align with goals and direct thoughts positively. It also encourages counting achievements and blessings to build self-confidence and gratitude.
El documento presenta el currículum básico de Fernando Muñoz Santiago, nacido el 31 de mayo de 1965. Asistió al Colegio Patricio Mekis para 3° y 4° básico. Sus objetivos para el año 2010 eran lograr aprendizajes significativos en todos los alumnos a nivel laboral y entregar todos los trabajos de evaluación a nivel académico.
This document discusses various techniques for optimizing JDBC performance when accessing an Oracle database. It provides examples of common issues like repeatedly opening and closing database connections, failing to close result sets and statements, and not using prepared statements with bind variables. The solutions outlined include using connection, statement and result set pools, try-finally blocks to ensure proper closing, and leveraging features like prepared statements, bind variables, batching, and prefetching to reduce round trips.
This document provides information about the different regions of the United States and the states located within each region. It divides the US into four main regions: Northeastern states along the Atlantic coast, Southern states in the lower right, Midwestern states in the middle towards the top, and Western states on the west side of the map. It also provides a brief overview of Michigan, highlighting its location on two peninsulas between four Great Lakes, its capital of Lansing, largest city of Detroit, and nickname of "Great Lake State."
The Military Medical Community Within NATO and its Multinational Challenges- ...Leishman Associates
The document discusses the military medical community within NATO and its multinational challenges. It describes NATO and the Committee of Chiefs of Military Medical Services in NATO (COMEDS). Some of the key challenges for multinational military medicine include ensuring compatibility of equipment and interoperability of support structures between nations, addressing differing standards of medical care and information exchange while maintaining confidentiality, and optimizing limited resources through coordination and modular approaches. Integrating medical assets and recruiting qualified personnel across multiple countries adds further complexity.
The document discusses Christchurch Polytechnic Institute of Technology's (CPIT) introduction and development of its self-assessment and external evaluation processes from 2007-2011. It outlines CPIT's principles for self-assessment, including embedding it in regular practice and focusing on student learning outcomes and stakeholder feedback. The document also describes CPIT's generic self-assessment process of stocktaking, evaluative conversations, reporting, and closing loops.
General physicians known as consultant physician/pediatricians (CPPs) have undergone rigorous medical training but their skills vary widely. They are well-trained in diagnosing and managing complex medical conditions. CPPs could serve in several roles for the ADF, including providing consultations for individual service members, advising on health policy, and working in level 2 or 3 medical facilities. A short modular training program could help update CPPs on relevant areas like emergency medicine and tropical diseases to better prepare them for operational roles.
CAPT Neil Westphalen provided an overview of the Royal Australian Navy's (RAN) response to the presence of non-exempt asbestos containing materials (ACM) in its stores system and aboard ships. The initial responses included appointing lead authorities to manage the ACM response across Defence and within the Navy. Comcare inspections found ACM aboard some ships and establishments, and a full audit was ordered of all ADF units. Internal Navy audits also found ACM aboard ships. Training and revised procedures were implemented to safely manage and dispose of ACM, and health surveillance was increased through standardized questionnaires. The presentation concluded that while an issue, the ACM was generally in good condition with low risk to personnel health.
Endurance, Courage and Care: The 1942 Kokoda Track Campaign of Captain Alan W...Leishman Associates
The 2/4th Field Ambulance played a crucial role in providing medical care during the Kokoda Track campaign. Led by Lt. Col. Arthur Hobson, the unit consisted of officers and other ranks who worked tirelessly to treat wounded soldiers amid difficult terrain, weather, supply and enemy challenges. Captain Alan Watson provided emergency dental care to over 200 patients and administered general anesthesia, while also organizing the aeromedical evacuation of hundreds of casualties. The proximity of the Field Ambulance's surgical team enabled immediate treatment of severe wounds. Despite shortages, the unit improvised constantly to care for soldiers and evacuate them from the frontlines.
The document summarizes the medical aspects of the sinking of HMAS SYDNEY II after encountering the German raider KORMORAN in 1941. It describes that SYDNEY had 10 medical staff including 2 doctors and was likely hit by over 200,000 shell fragments, resulting in over 70% casualties of the 645 crew including 225 killed in action and 225 wounded in action. The document pays tribute to the medical personnel who all perished when the ship sank with no survivors.
Recognising early deteriorating signs a project at kapooka health centre pociusLeishman Associates
The document summarizes a project conducted from October 2009 to April 2010 at Kapooka Health Centre to develop and trial an observation chart called REDS (Recognition of Early Deteriorating Signs) to help identify deteriorating patients. It provides background on the need to comply with national standards. It describes the demographics of patients seen at the health center and justification for the project. It outlines how the REDS chart was developed based on research and implemented, including staff education. Initial findings showed most charts were for acute patients. Monitoring included audits and a staff survey. The outcomes were improved compliance, staff preference to continue the chart, and earlier intervention for deteriorating patients.
Pilot selection anthropometry a comparison with measures taken by a single a...Leishman Associates
This document summarizes a study that found significant inaccuracies and inconsistencies in anthropometric measurements of student pilots taken at different military and recruiting centers. Measurements of sitting height, in particular, frequently differed by more than 5 centimeters between initial recordings and later measurements, with under-recording being more common. The inaccuracies appeared greater for measurements near anthropometric limits and at some military centers compared to recruiting centers. The document suggests improved training, standardized equipment and procedures, and potentially centralized anthropometry could help address the unreliable measurements that may not adequately inform pilot selection.
Introduction of the mrh90 helicopter and top owl helmet for operational use b...Leishman Associates
The document discusses flight trials of the MRH90 helicopter and TopOwl helmet system conducted by the Australian Navy. It provides details on the First of Class Flight Trials (FOCFT) which assess the suitability of new aircraft and ship combinations. FOCFT tests of the MRH90 identified a satisfactory adaptation to the visual distortions caused by the TopOwl helmet during deck operations. While further testing is required, initial results suggest the MRH90 and TopOwl system show promise for shipboard aviation missions.
Understanding the impact of military deployment on families an australian stu...Leishman Associates
This document summarizes a study on the impacts of military deployment on Australian military families. The study aims to determine any physical, mental, or social health impacts on families when a service member deploys, as well as identify risk and protective factors for family coping. The methodology includes focus groups with military spouses and a quantitative survey. Preliminary focus group findings revealed common experiences at different stages of the deployment cycle like anticipation pre-deployment, establishing new routines during sustainment, and mixed emotions at redeployment. The study aims to help support programs for military families.
Innovation in joint health command clinical governance murphyLeishman Associates
This document outlines the implementation of a Governance and Assurance System (GAS) within the Joint Health Command. It discusses the research and design phase where requirements for various accreditations were identified. A two-year period was used to design the policies, procedures, tools and forms needed for the system. An initial validation was conducted in 2010, followed by a pilot implementation between 2010-2011 where audits were performed at various health facilities. The findings identified areas for improvement such as communication, medical records management, and clinical handover processes. Future plans include expanding the system and moving to a more risk-based audit schedule.
Managing expectations can we really call on our big blue brother- buschLeishman Associates
This document outlines the organizational structure of the United Nations Department of Peacekeeping Operations and Department of Field Support. It includes a breakdown of the offices, divisions, and services within DPKO and DFS that plan and support UN peacekeeping missions. It also provides an example of how military and police components contribute to and integrate with UN missions. Finally, it notes some observations about contracting resources, troop and police contributing countries, and starting up peacekeeping operations.
Mary Langcake, director of trauma at St. George Hospital in Sydney, discusses her experiences deploying to Afghanistan as part of AUSMTF2 from July to October 2008. She describes the high-intensity trauma experienced, including treating over 130 casualties and performing 158 surgical procedures. She struggled with the emotional challenges of treating many penetrating injuries and casualties, including children. After returning, she was diagnosed with major depression and PTSD. While the deployment had both positive and negative impacts, she believes more pre-deployment training and psychological support could help trauma teams be "ready" for such high-intensity missions.
LtCol Andrew Gordon proposes an improved field Resuscitation and Assessment Post (RAP) based on a box trailer. The RAP-mobile aims to be more mobile, require less time from required care to starting patient care, involve less double handling, be air portable, independent, flexible, simple, and conform to military medical doctrine. It is designed with practical loading, priorities of medical equipment, and considerations for air transport and casualty handling. The RAP-mobile has undergone engineering improvements and is ready for field testing, with the goal of developing a standardized, logistically sound mobile field medical unit.
Are suicide rates for young australian males really falling the recent contr...Leishman Associates
The document discusses the controversy over reported declines in Australian suicide statistics since 1997. While some studies have found significant reductions, others argue the statistics are unreliable due to misclassification of deaths and incomplete reporting to the national database. To address these issues, a national committee was formed in 2009 to standardize suicide reporting procedures across jurisdictions.
This document summarizes the search and discovery of the wreck of the Australian Hospital Ship Centaur, which was sunk by a Japanese submarine in 1943 with the loss of 268 lives, including medical staff, nurses and patients. It outlines the chronology of events, including plotting the last known position using eyewitness accounts. Sonar images and photos show identifying features of the wreck that match details of the Centaur, such as its distinctive bell. The wreck was located on site in waters around 4,000 meters deep, providing closure for relatives after 74 years.
The Uniformed Services University of the Health Sciences- A Unique Resource- ...Leishman Associates
The Uniformed Services University of the Health Sciences is a joint service medical and health sciences university. It provides education and training for military medical professionals across its schools of medicine, nursing, and postgraduate dental studies. USU offers medical, dental, nursing and public health programs to serve the armed forces. It conducts important research through centers like the Armed Forces Radiobiology Research Institute and the Center for Neuroscience and Regenerative Medicine.
The US army public health command initiative transforming public health serv...Leishman Associates
The US Army Public Health Command Initiative aims to transform public health services for the Army. It will establish the US Army Public Health Command to provide centralized public health oversight and services. This will integrate various public health programs and functions currently spread across different commands. The Public Health Command will be headquartered at Joint Base San Antonio and have regional commands located worldwide to provide public health support and services to all Army installations.
The document discusses the Comprehensive Soldier Fitness construct, which aims to improve the health and well-being of soldiers across four pillars: nutrition, physical conditioning, mental health/resilience, and moral/ethical development. It does this through initiatives like nutrition education, physical training programs integrated across the force generation cycle, and mental health support from pre-deployment to post-deployment reintegration. The goal is to enhance soldiers' fighting power by developing their intellect, emotions, motivation, and leadership.
Case report of thoracic spine fractures from ied blast in armoured vehicle Y...Leishman Associates
This document summarizes three cases of thoracic spine fractures in soldiers from a vehicle IED strike in Afghanistan. All three soldiers were seated and wearing body armor at the time of the blast. Two soldiers had compression fractures of T12 that were not initially suspected based on examination alone. CT scans revealed the fractures. Both were treated non-operatively. The third soldier had a burst fracture of T12 also seen on CT scan. A literature review found that spine fractures are common in IED strikes and physical exams can miss injuries. CT scans are recommended to evaluate all back pain cases from IED attacks. Future research on seat design, restraints, and protection from flexion injuries from body armor is discussed.
The document summarizes a study conducted by the RAAF Institute of Aviation Medicine to measure the real-world effectiveness of foam earplugs when used by untrained users, compared to laboratory tests. 43 aircrew had their earplug insertion technique and noise attenuation measured before and after a brief insertion training. Results showed that before training, earplugs provided significantly less attenuation than factory specifications, but attenuation improved by an average of 10 dB after training. The study demonstrates the importance of proper insertion technique training to maximize hearing protection and reduce noise exposure risks for aircrew.