Analysis of forest health monitoring surveys on the Allegheny National Forest (1998-2001)

Treesearch

Randall S. Morin; Andrew M Liebhold; K.W. Gottschalk; Chris W. Woodall; Daniel B. Twardus; Robert L. White; Stephen B. Horsley; Todd E. Ristau

2006-01-01

Describes forest vegetation and health conditions on the Allegheny National Forest (ANF). During the past 20 years, the ANF has experienced four severe droughts, several outbreaks of exotic and native insect defoliators, and the effects of other disturbance agents. An increase in tree mortality has raised concerns about forest health. Historical aerial surveys (1984-98...

Fecal-indicator bacteria in the Allegheny, Monongahela, and Ohio Rivers and selected tributaries, Allegheny County, Pennsylvania, 2001-2005

USGS Publications Warehouse

Buckwalter, Theodore F.; Zimmerman, Tammy M.; Fulton, John W.

2006-01-01

Concentrations of fecal-indicator bacteria were determined in 1,027 water-quality samples collected from July 2001 through August 2005 during dry- (72-hour dry antecedent period) and wet-weather (48-hour dry antecedent period and at least 0.3 inch of rain in a 24-hour period) conditions in the Allegheny, Monongahela, and Ohio Rivers (locally referred to as the Three Rivers) and selected tributaries in Allegheny County. Samples were collected at five sampling sites on the Three Rivers and at eight sites on four tributaries to the Three Rivers having combined sewer overflows. Water samples were analyzed for three fecal-indicator organisms fecal coliform, Escherichia coli (E. coli), and enterococci bacteria. Left-bank and right-bank surface-water samples were collected in addition to a cross-section composite sample at each site. Concentrations of fecal coliform, E. coli, and enterococci were detected in 98.6, 98.5, and 87.7 percent of all samples, respectively. The maximum fecal-indicator bacteria concentrations were collected from Sawmill Run, a tributary to the Ohio River; Sawmill Run at Duquesne Heights had concentrations of fecal coliform, E. coli, and enterococci of 410,000, 510,000, and 180,000 col/100 mL, respectively, following a large storm. The samples collected in the Three Rivers and selected tributaries frequently exceeded established recreational standards and criteria for bacteria. Concentrations of fecal coliform exceeded the Pennsylvania water-quality standard (200 col/100 mL) in approximately 63 percent of the samples. Sample concentrations of E. coli and enterococci exceeded the U.S. Environmental Protection Agency (USEPA) water-quality criteria (235 and 61 col/100 mL, respectively) in about 53 and 47 percent, respectively, of the samples. Fecal-indicator bacteria were most strongly correlated with streamflow, specific conductance, and turbidity. These correlations most frequently were observed in samples collected from tributary sites. Fecal

77 FR 38035 - Boundary Establishment for the Allegheny National Wild and Scenic River, Allegheny National...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-26

... DEPARTMENT OF AGRICULTURE Forest Service Boundary Establishment for the Allegheny National Wild... Section 3(b) of the Wild and Scenic Rivers Act, the USDA Forest Service, Allegheny National Forest... Allegheny National Wild and Scenic River. This document was published before sufficient consultation with...

Geospatial analytics to evaluate point-of-dispensing sites for mass immunizations in Allegheny County, Pennsylvania.

PubMed

Everett, Kibri H; Potter, Margaret A; Wheaton, William D; Gleason, Sherrianne M; Brown, Shawn T; Lee, Bruce Y

2013-01-01

Public health agencies use mass immunization locations to quickly administer vaccines to protect a population against an epidemic. The selection of such locations is frequently determined by available staffing levels and in some places, not all potential sites can be opened, often because of a lack of resources. Public health agencies need assistance in determining which n sites are the prime ones to open given available staff to minimize travel time and travel distance for those in the population who need to get to a site to receive treatment. Employ geospatial analytical methods to identify the prime n locations from a predetermined set of potential locations (eg, schools) and determine which locations may not be able to achieve the throughput necessary to reach the herd immunity threshold based on varying R0 values. Spatial location-allocation algorithms were used to select the ideal n mass vaccination locations. Allegheny County, Pennsylvania, served as the study area. The most favorable sites were selected and the number of individuals required to be vaccinated to achieve the herd immunity threshold for a given R0, ranging from 1.5 to 7, was determined. Locations that did not meet the Centers for Disease Control and Prevention throughput recommendation for smallpox were identified. At R0 = 1.5, all mass immunization locations met the required throughput to achieve the herd immunity threshold within 5 days. As R0s increased from 2 to 7, an increasing number of sites were inadequate to meet throughput requirements. Identifying the top n sites and categorizing those with throughput challenges allows health departments to adjust staffing, shift length, or the number of sites. This method has the potential to be expanded to select immunization locations under a number of additional scenarios.

77 FR 58371 - Allegheny Hydro No. 8, L.P., Allegheny Hydro No. 9, L.P., and U.S. Bank National Association...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-20

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 3021-088] Allegheny Hydro No. 8, L.P., Allegheny Hydro No. 9, L.P., and U.S. Bank National Association Allegheny Hydro, LLC... 31, 2012, Allegheny Hydro No. 8, L.P., Allegheny Hydro No. 9, L.P., and U.S. Bank National...

77 FR 51512 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-24

... DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in...: The following business will be conducted: Allegheny Resource Advisory Committee members will solicit...

77 FR 38271 - Voluntary Termination of Foreign-Trade Subzone 33B Verosol USA, Inc. Kennedy Township, Allegheny...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-27

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Order No. 1829] Voluntary Termination of Foreign-Trade Subzone 33B Verosol USA, Inc. Kennedy Township, Allegheny County, PA Pursuant to the authority... the establishment of Foreign-Trade Subzone 33B at the Verosol USA, Inc., plant in Kennedy Township...

Chemical quality of surface water in the Allegheny River basin, Pennsylvania and New York

USGS Publications Warehouse

McCarren, Edward F.

1967-01-01

The Allegheny River is the principal source of water to many industries and to communities in the upper Ohio River Valley. The river and its many tributaries pass through 19 counties in northwestern and western Pennsylvania. The population in these counties exceeds 3 million. A major user of the Allegheny River is the city of Pittsburgh, which has a population greater than The Allegheny River is as basic to the economy of the upper Ohio River Valley in western Pennsylvania as are the rich deposits of bituminous coal, gas, and oil that underlie the drainage basin. During the past 5 years many streams that flow into the Allegheny have been low flowing because of droughts affecting much of the eastern United States. Consequently, the concentration of solutes in some streams has been unusually high because of wastes from coal mines and oil wells. These and other water-quality problems in the Allegheny River drainage basin are affecting the economic future of some areas in western Pennsylvania. Because of environmental factors such as climate, geology, and land and water uses, surface-water quality varies considerably throughout the river basin. The natural quality of headwater streams, for example, is affected by saltwater wastes from petroleum production. One of the streams most affected is Kinzua Creek, which had 2,900 parts per million chloride in a sample taken at Westline on September 2, 1959. However, after such streams as the Conewango, Brokenstraw, Tionesta, Oil, and French Creeks merge with the Allegheny River, the dissolved-solids and chloride concentrations are reduced by dilution. Central segments of the main river receive water from the Clarion River, Redbank, Mahoning, and Crooked Creeks after they have crossed the coal fields of west-central Pennsylvania. At times, therefore, these streams carry coal-mine wastes that are acidic. The Kiskiminetas River, which crosses these coal fields, discharged sulfuric acid into the Allegheny at a rate of 299 tons a

76 FR 50993 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-17

... DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Warren, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self...

76 FR 38109 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-29

... DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Marienville, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self...

76 FR 45227 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-28

... DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Clarendon, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self...

76 FR 50994 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-17

... DEPARTMENT OF AGRICULTURE Forest Service Allegheny Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Allegheny Resource Advisory Committee will meet in Clarendon, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self...

78 FR 13493 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Revision to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-28

... Pennsylvania. This revision pertains to the Air Pollution Control portion of the Allegheny County Health... pertaining to the Air Pollution Control portion of the Allegheny County Health Department (ACHD) Rules and... of Subjects in 40 CFR Part 52 Environmental protection, Air pollution control, Carbon monoxide...

Water resources of Indiana County, Pennsylvania

USGS Publications Warehouse

Williams, D.R.; McElroy, T.A.

1997-01-01

Indiana County, west-central Pennsylvania, is a major producer of coal and natural gas. Water managers and residents are concerned about the effects of mining and natural gas exploration on the surface- and ground-water resources of the county. This study assesses the quality and quantity of water in Indiana County. Ground- and surface-water sources are used for public supplies that serve 61 percent of the total population of the county. The remaining 39 percent of the population live in rural areas and rely on cisterns and wells and springs that tap shallow aquifers. Most of the county is underlain by rocks of Middle to Upper Pennsylvanian age. From oldest to youngest, they are the Allegheny Group, the Glenshaw Formation, the Casselman Formation, and the Monongahela Group. Almost all the coals mined are in the Allegheny Group and the Monongahela Group. Ground water in Indiana County flows through fractures in the rock. The size and extent of the fractures, which are controlled by lithology, topography, and structure, determine the sustained yield of wells. Topography has a significant control over the yields of wells sited in the Allegheny Group. Properly sited wells in the Glenshaw Formation may have yields adequate for municipal, commercial, or industrial uses. The Casselman Formation yields adequate amounts of water for domestic use. Yield of the Monongahela Group is small, and the water may not be of suitable quality for most uses. Yields of hilltop wells may be marginal, but valley wells may yield sufficient amounts for large-volume users. Data on the other rock units are sparse to nonexistent. Few wells in the county yield more than 40 gallons per minute. Most of the wells that do are in valleys where alluvial deposits are extensive enough to be mapable. Short-term water-level fluctuations are variable from well to well. Seasonal water-level fluctuations are controlled by time of year and amount of precipitation. The quality of water from the Casselman

76 FR 61738 - Notice of Lodging of Consent Decree Under the Clean Air Act

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-05

... United States and the Allegheny County Health Department for violations of the Clean Air Act, 42 U.S.C... and the Allegheny County Health Department allege that Eastman violated the Clean Air Act by failing... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby...

Summary groundwater resources of Centre County, Pennsylvania

USGS Publications Warehouse

Wood, Charles R.

1980-01-01

The northwest third of Centre County lies in the Appalachian Plateaus physiographic province. The higher altitudes are underlain by the Conemaugh, Allegheny, and Pottsville Groups, which consist of sandstone, shale, and thin limestone and coal beds. The average yield of nondomestic wells in the Allegheny Group is 20 gpm (gallons per minute) and that in the Pottsville Group 100 gpm. Water from wells in these groups commonly has a high concentration of iron. Most of the rest of the Appalachian Plateaus province is underlain by the Burgoon Sandstone. The Burgoon yields soft water, and the average yield of nondomestic wells is 70 gpm.

Identification of canopy strata in Allegheny hardwood stands

Treesearch

David W. McGill; Stephen B. Jones; Christopher A. Nowak

1995-01-01

Allegheny hardwood stands typically develop vertical canopy layers, or strata, due to differential species-specific growth rates and tolerance to shade. Across the Allegheny Plateau, black cherry dominates the main canopy, while sugar maple, American beech, and red maple are relegated to subcanopy strata.

Fecal-indicator bacteria in the Allegheny, Monongahela, and Ohio Rivers, near Pittsburgh, Pennsylvania, July-September 2001

USGS Publications Warehouse

Fulton, John W.; Buckwalter, Theodore F.

2004-01-01

This report presents the results of a study by the Allegheny County Health Department (ACHD) and the U.S. Geological Survey (USGS) to determine the concentrations of fecal-indicator bacteria in the Allegheny, Monongahela, and Ohio Rivers (Three Rivers) in Allegheny County, Pittsburgh, Pa. Water-quality samples and river-discharge measurements were collected from July to September 2001 during dry- (72-hour dry antecedent period), mixed-, and wet-weather (48-hour dry antecedent period and at least 0.3 inch of rain in a 6-hour period) conditions at five sampling sites on the Three Rivers in Allegheny County. Water samples were collected weekly to establish baseline conditions and during successive days after three wet-weather events. Water samples were analyzed for fecal-indicator organisms including fecal-coliform (FC) bacteria, Escherichia coli (E. coli), and enterococci bacteria. Water samples were collected by the USGS and analyzed by the ACHD Laboratory. At each site, left-bank and right-bank surface-water samples were collected in addition to a composite sample (discharge-weighted sample representative of the channel cross section as a whole) at each site. Fecal-indicator bacteria reported in bank and composite samples were used to evaluate the distribution and mixing of bacteria-source streams in receiving waters such as the Three Rivers. Single-event concentrations of enterococci, E. coli, and FC during dry-weather events were greater than State and Federal water-quality standards (WQS) in 11, 28, and 28 percent of the samples, respectively; during mixed-weather events, concentrations of fecal-indicator bacteria were greater than WQS in 28, 37, and 43 percent of the samples, respectively; and during wet-weather events, concentrations of fecal-indicator bacteria were greater than WQS in 56, 71, and 81 percent of samples, respectively. Single-event, wet-weather concentrations exceeded those during dry-weather events for all sites except the Allegheny River at

Pruning Allegheny hardwoods

Treesearch

W. D. Zeedyk; A. F. Hough

1958-01-01

The continuing heavy demand for high-quality Allegheny hardwoods, particularly black cherry and sugar maple, impresses on us the need for more information responses of hardwoods to pruning. Pruning may have beneficial effects: it may increase quality without sacrificing growth. Or it may have detrimental effects: it may cause dieback of cambium, decay, staining and...

Opinions of campers and boaters at the Allegheny reservoir

Treesearch

George H. Moeller; Rodney G. Larson; Douglas A. Morrison

1974-01-01

Interviews with 157 campers and 281 boaters near the Allegheny reservoir on the Allegheny National Forest revealed that their perceptions of management problems differed from those of managers. Different users had different attitudes toward recreation use controls, fee policies, recreation zoning, law enforcement, and facility development needs. This diversity...

Field testing a soil site field guide for Allegheny hardwoods

Treesearch

S.B. Jones

1991-01-01

A site quality evaluation decision model, developed for Allegheny hardwoods on the non-glaciated Allegheny Plateau of Pennsylvania and New York, was field tested by International Paper (IP) foresters and the author, on sites within the region of derivation and on glaciated sites north and west of the Wisconsin drift line. Results from the field testing are presented...

Growth response in Allegheny hardwood forests after diameter-limit pulpwood cuttings

Treesearch

A. F. Hough

1954-01-01

Valuable second-growth Allegheny hardwood-hemlock forests are found in the High Plateau section of the northern Allegheny Plateau. These forests are valuable as a habitat for wildlife, for regulating streamflow and protecting against erosion, for recreation, and as a source of timber products for industry.

Allegheny woodrat (Neotoma magister) use of rock drainage channels on reclaimed mines in southern West Virginia

USGS Publications Warehouse

Chamblin, H.D.; Wood, P.B.; Edwards, J.W.

2004-01-01

Allegheny woodrats (Neotoma magister) currently receive protected status throughout their range due to population declines. Threats associated with habitat fragmentation (e.g., introduced predators, disease, loss of connectivity among subpopulations and habitat loss) may explain why Allegheny woodrats are no longer found in many areas where they existed just 25 y ago. In southern West Virginia, surface coal mining is a major cause of forest fragmentation. Furthermore, mountaintop mining, the prevalent method in the region, results in a loss of rock outcrops and cliffs within forested areas, typical habitat of the Allegheny woodrat To determine the extent that Allegheny woodrats make use of reclaimed mine land, particularly rock drainages built during reclamation, we sampled 24 drainage channels on reclaimed surface mines in southern West Virginia, collected habitat data at each site and used logistic regression to identify habitat variables related to Allegheny woodrat presence. During 187 trap nights, 13 adult, 2 subadult and 8 juvenile Allegheny woodrats were captured at 13 of the 24 sites. Percent of rock as a groundcover and density of stems >15 cm diameter-at-breast-height (DBH) were related to Allegheny woodrat presence and were significantly greater at sites where Allegheny woodrats were present than absent. Sites where Allegheny woodrats were present differed substantially from other described habitats in West Virginia, though they may simulate boulder piles that occur naturally. Our findings suggest the need for additional research to examine the dynamics between Allegheny woodrat populations inhabiting rock outcrops in forests adjacent to mines and populations inhabiting constructed drainage channels on reclaimed mines. However, if Allegheny woodrats can use human-created habitat, our results will be useful to surface mine reclamation and to other mitigation efforts where rocky habitats are lost or disturbed.

33 CFR 147.819 - Allegheny Tension Leg Platform safety zone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Platform safety zone. (a) Description. The Allegheny Tension Leg Platform (Allegheny TLP), Green Canyon Block 254A (GC 254A), is located at position 27°41′29.65″ N, 90°16′31.93″ W. The area within 500 meters (1640.4 feet) from each point on the structure's outer edge is a safety zone. (b) Regulation. No vessel...

Tree grade distribution in Allegheny hardwoods

Treesearch

Richard L. Ernst; David A. Marquis

1978-01-01

Estimates of the distribution of tree grades by diameter class were developed for six hardwood species on the Allegheny Plateau. These estimates can be used to calculate present and projected stand values when actual tree grade measurements are not available.

Associations Between County Wealth, Health and Social Services Spending, and Health Outcomes.

PubMed

McCullough, J Mac; Leider, Jonathon P

2017-11-01

Each year, the County Health Rankings rate the health outcomes of each county in the U.S. A common refrain is that poor counties perform worse than wealthier ones. This article examines that assumption and specifically analyzes characteristics of counties that have performed better in terms of health outcomes than their wealth alone would suggest. Data from the 2013 County Health Rankings were used, as were 2012 financial and demographic information collected by the U.S. Census Bureau. A logistic model was constructed to examine the odds of a county "overperforming" in the rankings relative to community wealth. Analyses were performed in 2016. Communities that were wealthier performed better on the rankings. However, more than 800 of 3,141 counties overperformed by ranking in a better health outcomes quartile than their county's wealth alone would suggest. Regression analyses found that for each additional percentage point of total public spending that was allocated toward community health care and public health, the odds of being an overperformer increased by 3.7%. Community wealth correlates with health, but not always. Population health outcomes in hundreds of counties overperform what would be expected given community wealth alone. These counties tend to invest more in community health care and public health spending and other social services. Although the level of a community's wealth is outside the control of practitioners, shifting the proportion of spending to certain social services may positively impact population health. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Influence of geologic and pedologic factors on health of sugar maple on the Allegheny Plateau

Treesearch

Scott W. Bailey; Stephen B. Horsley; Robert P. Long; Richard A. Hallett

1999-01-01

Decline of sugar maple (Acer saccharum Marsh.) has been a problem on the Allegheny Plateau of Pennsylvania since the mid-1980's (Kolb and McCormick 1993; Williams et al. 1996). Horsley et al. (this volume) found that declining stands were distinguished from non-declining stands by a combination of repeated insect defoliation and low foliar...

76 FR 76490 - PPL Susquehanna, LLC and Allegheny Electric Cooperative, Inc.-Acquisition Exemption-Pennsylvania...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-07

..., LLC and Allegheny Electric Cooperative, Inc.-- Acquisition Exemption--Pennsylvania Department of Transportation PPL Susquehanna, LLC, and Allegheny Electric Cooperative, Inc. (collectively PPLS), both... Department of Transportation (PennDOT), of an approximately 7-mile line of railroad (the Line), a portion of...

Sampling to assess species diversity of herbaceous layer vegetation in Allegheny hardwood forests

Treesearch

Todd E. Ristau; Stephen B. Horsley; Larry H. McCormick

2001-01-01

The optimum frequency and time of sampling required to generate comprehensive diversity indices of herbaceous species in Allegheny hardwood forests was studied. Four 8-ha sites on the Allegheny National Forest were sampled monthly from May to August in 1992 and 1993 for herbaceous layer species composition and percent cover.

Inherent agricultural constraints in Allegheny Plateau soils

USDA-ARS?s Scientific Manuscript database

World population increases demand increased agricultural production. This can be accomplished through improved cultivars and production techniques or increased use of previously marginal agricultural regions. In the Allegheny Plateau (AP) region of the Appalachian Mountains, acid soils with toxic ...

A Stocking Guide for Allegheny Hardwoods and Its Use in Controlling Intermediate Cuttings

Treesearch

Benjamin A. Roach

1977-01-01

A stocking guide for stands of Allegheny hardwoods (sugar maple or sugar maple-beech with varying admixtures of black cherry, red maple, white ash, sweet birch, and other species) on the Allegheny Plateau in northwestern Pennsylvania. Included are procedures for evaluating stocking and stand conditions, thinning even-aged stands, determining minimum residual stocking,...

76 FR 23275 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-26

... Clarendon, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self... inspect comments received at 4 Farm Colony Drive, Warren, Pennsylvania, 16365. Please call ahead to Kathy... CONTACT: Kathy Mohney, RAC Coordinator, Allegheny National Forest Supervisor's Office, 4 Farm Colony Drive...

76 FR 30904 - Allegheny Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

... Clarendon, Pennsylvania. The committee is authorized under the Secure Rural Schools and Community Self... Farm Colony Drive, Warren, Pennsylvania 16365. Please call ahead to Kathy Mohney at (814) 728-6298 to... Coordinator, Allegheny National Forest Supervisor's Office, 4 Farm Colony Drive, Warren, Pennsylvania 16365...

Use of monitoring and adaptive management to promote regeneration on the Allegheny National Forest

Treesearch

Lois DeMarco; Susan L. Stout

2001-01-01

Forest regeneration in the Allegheny Plateau Region of Pennsylvania is a continual challenge due to an overabundance of white-tailed deer (Odocoileus virginianus Zimmerman) and the resulting density of interfering plants on the forest floor. Guidelines developed to establish regeneration on the Allegheny National Forest rely on the silvical...

Persistence of Allegheny woodrats Neotoma magister across the mid-Atlantic Appalachian Highlands landscape, USA

Treesearch

W. Mark Ford; Steven B. Castleberry; Michael T. Mengak; Jane L. Rodrigue; Daniel J. Feller; Kevin R. Russell

2006-01-01

We examined a suite of macro-habitat and landscape variables around active and inactive Allegheny woodrat Neotoma magister colony sites in the Appalachian Mountains of the mid-Atlantic Highlands of Maryland, Virginia, and West Virginia using an information-theoretic modeling approach. Logistic regression analyses suggested that Allegheny woodrat presence was related...

77 FR 66606 - Allegheny Electric Cooperative, Inc. and the Connecticut Bank and Trust Company, National...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-06

... Electric Cooperative, Inc. and the Connecticut Bank and Trust Company, National Association; Notice of..., Allegheny Electric Cooperative, Inc. (AECI) and The U.S. Bank National Association, (as successor in..., Allegheny Electric Cooperative, Inc., 212 Locust Street, Harrisburg, PA 17101, phone (717) 233-5704. Mr...

Allegheny College Hosts Neuroscience and Humanities Summer Institute

PubMed Central

Macel, Emily M.

2004-01-01

The Neuroscience and Humanities Summer Institute, hosted by Allegheny College, opened doors of opportunity, perception, and creativity for faculty and students across the nation. Offered first in 2002, and a second time in June of 2004, this weeklong event was designed to provide a medium for fostering development of interdisciplinary courses linking neuroscience and the humanities (e.g., the fine arts, philosophy and language). During the Institute, participants attended presentations by Allegheny faculty introducing the six courses of this type that they have developed starting in 2000, lectures by guest speakers, workshops, and discussion modules. Participants were encouraged to gather ideas about Allegheny’s neuroscience and humanities courses and formulate specific plans to take back to their schools. These opportunities and experiences resulted in the formation of valuable connections and the development of ideas around the links between neuroscience and humanities. PMID:23493745

Fleas (Siphonaptera) of the Allegheny woodrat (Neotoma magister) in West Virginia with comments on host specificity

USGS Publications Warehouse

Castleberry, S.B.; Castleberry, N.L.; Wood, P.B.; Ford, W.M.; Mengak, M.T.

2003-01-01

Previous research has indicated fewer host-specific ectoparasites on woodrats of the eastern United States as compared to western woodrat species. The Allegheny woodrat (Neotoma magister) is a species of conservation concern that is associated with rocky habitats in the Appalachian and Interior Highland regions in the eastern United States. We examined Allegheny woodrat flea parasites in the core of the distribution to further elucidate patterns of ectoparasite host specificity in woodrats of the eastern United States. Of 346 fleas collected from 62 Allegheny woodrats, all but 1 were identified as Orchopeas pennsylvanicus. The single exception was a male Epitedia cavernicola, which represents only the second collection of this species from West Virginia. Unlike the eastern woodrat (Neotoma floridana), which hosts a variety of generalist flea parasites, Allegheny woodrats in our study were host to only 2 flea species, both of which are host specific to woodrats. We suggest that flea host specificity may be related to the specific habitat requirements of this species.

Interference by weeds and deer with Allegheny hardwood reproduction

Treesearch

Stephen B. Horsley; David A. Marquis

1983-01-01

Deer browsing and interference from forest weeds, particularly hayscented fem (Dennstaedtia punctilobula (Michx.) Moore), New York fern (Thelypteris noveboracensis L.), and short husk grass (Brachyelytrnm erectum Schreb.), influence the establishment of Allegheny hardwood reproduction. We determined the...

County Context and Mental Health Service Utilization by Older Hispanics.

PubMed

Kim, Kyeongmo

2018-04-16

Although older Hispanics experience high rates of depression, they tend to underuse mental health services. The study examined the association between county characteristics and mental health service use among older Hispanics, controlling for individual characteristics. The study used the 2008-2012 Medical Expenditure Panel Study and linked county-level data from the 2013-2014 Area Health Resources Files and the 2008-2012 Chronic Conditions Data Warehouse, using the Federal Information Processing Standard county code. The sample includes 1,143 community-dwelling Hispanics ages 60 years or older (Level 1) and 156 counties (Level 2) where the sample resides. The single dichotomous measure of mental health service utilization was based on whether or not the respondent met one or more of three conditions: (1) the respondent received care from a mental health professional, (2) received a service including mental health counseling or psychotherapy, or (3) received a service that was related to the International Classification of Diseases. Multilevel logistic regression analysis was used to examine the role of county context. The proportion of older adults and the existence of community mental health centers at the county-level were associated with mental health services use among this population. At the individual-level, education and mental health status were also associated with using mental health services. The county context plays an important role in understanding mental health services use among older Hispanics, indicating the need for intervention strategies at the county level.

Ranking Community Health Status to Stimulate Discussion of Local Public Health Issues: The Wisconsin County Health Rankings

PubMed Central

Peppard, Paul E.; Kindig, David A.; Dranger, Elizabeth; Jovaag, Amanda; Remington, Patrick L.

2008-01-01

United Health Foundation’s America’s Health Rankings, which ranks the states from “least healthy” to “healthiest,” receives wide press coverage and promotes discussion of public health issues. The University of Wisconsin Population Health Institute used the United Health Foundation’s model to develop the Wisconsin County Health Rankings (“Health Rankings”) from existing county-level data. The institute first released the rankings in 2004. A survey of the Wisconsin county health officers indicated that they intend to use the rankings for needs assessment, program planning, and discussion with county health boards. The institute implemented many of the health officers’ suggestions for improvement of the rankings in subsequent editions. The methods employed to create the rankings should be applicable in other states. PMID:18172156

40 CFR 52.2033 - Control strategy: Sulfur oxides.

Code of Federal Regulations, 2010 CFR

2010-07-01

... demonstration State Implementation Plan for the Conewango Township, Pleasant Township, Glade Township, and City... Monongahela River Valley areas of the Allegheny County Air Basin in Allegheny County, submitted by the...

"Top Performing" US Hospitals and the Health Status of Counties they Serve.

PubMed

Maraccini, Amber M; Yang, Wei; Slonim, Anthony D

2018-06-01

This study (a) examined the relationships between "top performing" US hospitals and the health status of counties they serve and (b) compared the health status of "top performing" US hospital counties versus that of remaining US counties. Statistical analyses considered US News and World Report Honor Roll ranking data, as a measure of hospital performance, and County Health Rankings (CHR) data, as a measure of county health status. "Top performing" hospital Honor Roll scores were correlated with measures of Clinical Care (p < 0.001). Counties with "top performing" US hospitals presented greater health status with regard to All Health Outcomes (p < 0.001), Length of Life (p < 0.001), Quality of Life (p < 0.001), All Health Factors (p < 0.001), Health Behaviors (p < 0.001), and Clinical Care (p < 0.001), than compared to remaining US counties. Hospital impact on county health status remains primarily recognized in clinical care and not in overall health. Also, counties that contain a "top performing" US hospital tend to present lower health risks to their citizens than compared to other US counties.

[Health protection and health promotion in formal structures of executive county authorities and executive offices of municipalities having the county status].

PubMed

Nosko, Jan; Marcinkiewicz, Andrzej

2009-01-01

An analysis of the role of public administration in the Polish health system, essential for the effectiveness of health protection and health promotion, is a very important and urgent task faced by scholars. This issue also concerns the authorities of counties (powiaty) and municipalities having the county status (MHCS), and these structures were chosen as the subject of our study. The aim of the study was to analyze whether health related rules and regulations of these administrative structures comply with the requirements of relevant Polish legislation acts. The survey, performed in 2008, covered all the 378 counties and municipalities having the county status. On the basis of 171 Acts reviewed, a list of 11 groups of obligations and duties assigned to county and municipality units were prepared and used as a research tool. It was found that the provisions of the Health Care Institutions Act of 1991 were most evidently (87%) reflected in the rules and regulations of the studies structures; more than a half (57%) refer to prophylaxis and health promotion, however, the most important Act as far as health protection and health promotion are concerned, i.e., the Act of 2004 was reflected in only 11.6%. Also the presence of some outdated regulations was discovered. The results of the study may indicate that the mechanisms, by which the execution of legal regulations on health protection and health promotion tasks should be supervised, are insufficient.

Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013-2014.

PubMed

Moore, Kristin L; Mercado, Jenny; Hill, Jana; Katz, Sarah C

2016-03-31

The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population. From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (≥18 years) Sonoma County sample from the California Health Interview Survey for 2011-2012. Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011-2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001). We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system.

75 FR 73064 - Lock Hydro Friends Fund XLI; Allegheny 7 Hydro, LLC; Notice of Competing Preliminary Permit...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-29

.... 13777-000] Lock Hydro Friends Fund XLI; Allegheny 7 Hydro, LLC; Notice of Competing Preliminary Permit..., 2010, Lock Hydro Friends Fund XLI, and Allegheny 7 Hydro, LLC filed applications, pursuant to section 4.... 7 Projects Lock Hydro Friends Fund XLI's project (Project No. 13736-000) would consist of: (1) Two...

Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013–2014

PubMed Central

Mercado, Jenny; Hill, Jana; Katz, Sarah C.

2016-01-01

Introduction The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population. Methods From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (≥18 years) Sonoma County sample from the California Health Interview Survey for 2011–2012. Results Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011–2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001). Conclusion We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system. PMID:27032988

Returns on Investment in California County Departments of Public Health.

PubMed

Brown, Timothy T

2016-08-01

To estimate the average return on investment for the overall activities of county departments of public health in California. I gathered the elements necessary to estimate the average return on investment for county departments of public health in California during the period 2001 to 2008-2009. These came from peer-reviewed journal articles published as part of a larger project to develop a method for determining return on investment for public health by using a health economics framework. I combined these elements by using the standard formula for computing return on investment, and performed a sensitivity analysis. Then I compared the return on investment for county departments of public health with the returns on investment generated for various aspects of medical care. The estimated return on investment from $1 invested in county departments of public health in California ranges from $67.07 to $88.21. The very large estimated return on investment for California county departments of public health relative to the return on investment for selected aspects of medical care suggests that public health is a wise investment.

Allegheny hardwood regeneration response to even-age harvesting methods

Treesearch

John C. Bjorkbom; Russell S. Walters; Russell S. Walters

1986-01-01

Allegheny hardwood regeneration response to block clearcutting, alternate strip clearcutting, and two-cut shelterwood, and in an uncut control was compared. Stand regeneration success was evaluated 5 years after harvest. Clearcutting resulted in high mortality of advance regeneration. Thus, regeneration by block clearcutting was not successful, though both alternate...

12. Photocopy of lithograph (source unknown) The Armor Lithograph Company, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Photocopy of lithograph (source unknown) The Armor Lithograph Company, Ltd., Pittsburgh, Pennsylvania, ca. 1888 COURTHOUSE AND JAIL, FROM THE WEST - Allegheny County Courthouse & Jail, 436 Grant Street (Courthouse), 420 Ross Street (Jail), Pittsburgh, Allegheny County, PA

Evaluation of Planning for Fish and Wildlife at Corps of Engineers Reservoirs, Allegheny Reservoir Project, Pennsylvania.

DTIC Science & Technology

1982-09-01

hunters presently reside within known drawing dis- tance of the project area. To this number ay be added approximately 64,000 unlicensed children and...approximately 770,000 licensed fishermen and about 260,000 unlicensed children and retired adults who fish. Depending upon the quality of the project...Allegheny National Forest, USFS, porn . Comm., 1981). Average annual warnuater angling man-day use on Allegheny Lake was esti- mated at approximately 166,700

Returns on Investment in California County Departments of Public Health

PubMed Central

2016-01-01

Objectives. To estimate the average return on investment for the overall activities of county departments of public health in California. Methods. I gathered the elements necessary to estimate the average return on investment for county departments of public health in California during the period 2001 to 2008–2009. These came from peer-reviewed journal articles published as part of a larger project to develop a method for determining return on investment for public health by using a health economics framework. I combined these elements by using the standard formula for computing return on investment, and performed a sensitivity analysis. Then I compared the return on investment for county departments of public health with the returns on investment generated for various aspects of medical care. Results. The estimated return on investment from $1 invested in county departments of public health in California ranges from $67.07 to $88.21. Conclusions. The very large estimated return on investment for California county departments of public health relative to the return on investment for selected aspects of medical care suggests that public health is a wise investment. PMID:27310339

Measurement of atmospheric pollutants associated with oil and natural gas exploration and production activity in Pennsylvania's Allegheny National Forest.

PubMed

Pekney, Natalie J; Veloski, Garret; Reeder, Matthew; Tamilia, Joseph; Rupp, Erik; Wetzel, Alan

2014-09-01

Oil and natural gas exploration and production (E&P) activities generate emissions from diesel engines, compressor stations, condensate tanks, leaks and venting of natural gas, construction of well pads, and well access roads that can negatively impact air quality on both local and regional scales. A mobile, autonomous air quality monitoring laboratory was constructed to collect measurements of ambient concentrations of pollutants associated with oil and natural gas E&P activities. This air-monitoring laboratory was deployed to the Allegheny National Forest (ANF) in northwestern Pennsylvania for a campaign that resulted in the collection of approximately 7 months of data split between three monitoring locations between July 2010 and June 2011. The three monitoring locations were the Kane Experimental Forest (KEF) area in Elk County, which is downwind of the Sackett oilfield; the Bradford Ranger Station (BRS) in McKean County, which is downwind of a large area of historic oil and gas productivity; and the U.S. Forest Service Hearts Content campground (HC) in Warren County, which is in an area relatively unimpacted by oil and gas development and which therefore yielded background pollutant concentrations in the ANF. Concentrations of criteria pollutants ozone and NO2 did not vary significantly from site to site; averages were below National Ambient Air Quality Standards. Concentrations of volatile organic compounds (VOCs) associated with oil and natural gas (ethane, propane, butane, pentane) were highly correlated. Applying the conditional probability function (CPF) to the ethane data yielded most probable directions of the sources that were coincident with known location of existing wells and activity. Differences between the two impacted and one background site were difficult to discern, suggesting the that the monitoring laboratory was a great enough distance downwind of active areas to allow for sufficient dispersion with background air such that the localized

Reinvigorating public health core functions: restructuring Los Angeles county's public health system.

PubMed

Fielding, Jonathan E; Luck, Jeff; Tye, Grace

2003-01-01

In 1997, the Los Angeles County Department of Health Services launched an effort to revitalize its Public Health Services division. County investments resulted in the creation of 241 new positions, facilitating the establishment of new offices addressing neglected chronic disease prevention, staff development, training, and communication. Service effectiveness and community responsiveness were enhanced by decentralizing leadership through eight Area Health Offices and strengthening partnerships with private health care providers, community-based organizations, and managed care organizations. Infrastructure enhancements included the development of program performance measures, countywide health indicators, a central health assessment and epidemiology office, and a new countywide biennial survey.

Prescribing silvicultural treatments in hardwood stands of the Alleghenies. (Revised)

Treesearch

David A. Marquis; Richard L. Ernst; Susan L. Stout

1992-01-01

This publication brings together the results of 20 years of research and experience in the silviculture of hardwood forests in the Allegheny region. It provides a summary of silvicultural knowledge, and guidelines, decision tables, and step-by-step instructions for determining silviculutural prescriptions in individual stands.

Communicating old-growth forest management on the Allegheny National Forest

Treesearch

Brad Nelson; Chris Nowak; Dave deCalesta; Steve Wingate

1997-01-01

Successful communication of old-growth management, including the role of silviculture, is achieved by integrating as a working whole the topics addressed in this workshop. We have used research, technology transfer and adaptive management to achieve this integration on the Allegheny National Forest. Program success depends on scientists and practitioners working...

Black cherry site index curves for the Allegheny Plateau

Treesearch

L.R. Auchmoody; C.O. Rexrode; C.O. Rexrode

1984-01-01

Black cherry site index curves were developed for the Allegheny Plateau in northwestern Pennsylvania. They show for this region that height rises less sharply prior to the index age and is maintained for a longer period thereafter than described by existing curves. An equation to predict site index from height and age is furnished to allow the use of these curves in...

The impact of deer browsing on Allegheny hardwood regeneration

Treesearch

David A. Marquis

1974-01-01

To evaluate the impact of deer browsing on Allegheny hardwood regeneration, surveys were made of vegetation inside and outside deer exclosures in 13 stands that had been clearcut 5 to 16 years earlier. The surveys showed that browsing by white-tailed deer has resulted in regeneration failures in 25 to 40 percent of the areas studied. Pin cherry and sugar maple were the...

Communicating the story of silviculture on the Allegheny National Forest

Treesearch

Lois M. DeMarco; Susan L. Stout

1997-01-01

To communicate the story of silviculture on the Allegheny National Forest, we need to distinguish silviculture-the art and science of manipulating forest vegetation to achieve management objectives-from forest management. During the field trip for the National Silviculture Workshop we visited five sites that demonstrate how inventory and monitoring, resource management...

Guidelines for evaluating regeneration before and after clearcutting Allegheny hardwoods

Treesearch

David A. Marquis; John C. Bjorkbom

1982-01-01

Use of the guides presented here will enable selection of Allegheny hardwood stands most likely to regenerate successfully after clearcutting. The guides are based on how well before-logging criteria predicted success in a number of stands 5 years after cutting. In comparison to earlier information, these guidelines recommend more small reproduction and higher quality...

Developing the foundation for syndromic surveillance and health information exchange for yolo county, california.

PubMed

Chaudhary, Osama

2012-01-01

This report delineates Yolo County Health Department's process to ascertain its optimal methods of participation in syndromic surveillance and health information exchange. As a health department serving a county of just 200,000 residents, Yolo County Health Department needed to operate within strict financial constraints. Meaningful Use legislation enabled it to pursue both syndromic surveillance and health information exchange participation whilst complying with its budgetary restrictions. The Health Information Technology for Economic and Clinical Health (HITECH), a segment of the American Recovery and Reinvestment Act of 2009, has incentivized the 'Meaningful Use' of electronic health records (EHRs) by providing incentive reimbursements and non-compliance penalties. The Meaningful Use of EHRs is to take place over 3 Stages: Stage 1 has begun, Stage 2 is imminent, and Stage 3 is currently being discussed. Having been solicited by both health information exchange and syndromic surveillance options which were cost-prohibitive, Yolo County Health Department focused attention on BioSense 2.0, a Meaningul Use-ready and virtually free syndromic surveillance program developed by the Federal Centers for Disease Control and Prevention. In collaboration with Sacramento County Department of Health and Human Services, and with support from several other area counties, Yolo County Health Department submitted a Funding Opportunity application for BioSense 2.0 regional implementation. Through this collaboration, Yolo County Health Department has begun participating in the formative stages of the Sacramento Area Center for Advanced Biosurveillance (SAC-B). Via SAC-B, Yolo County Health Department will be able to participate in syndromic surveillance in the BioSense 2.0 program, and simultaneously expand its electronic health data sharing towards a more comprehensive health information exchange. LASTLY, OVER THE COURSE OF THESE PROJECTS, THREE OTHER METHODS OF PARTICIPATING IN

The convergence of Chinese county government health expenditures: capitation and contribution.

PubMed

Zhang, Guoying; Zhang, Luwen; Wu, Shaolong; Xia, Xiaoqiong; Lu, Liming

2016-08-19

The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest developing country. The convergence method of neoclassical economics was adopted to test the convergence of China's regional government health expenditure. Data were obtained from Provinces, Prefectures and Counties Fiscal Statistical Yearbook (2003-2007) edited by the Chinese Ministry of Finance, and published by the Chinese Finance & Economics Publishing House. The existence of σ-convergence and long-term and short-term β-convergence indicated the effectiveness of the capitation subsidy method in the New Rural Cooperative Medical Scheme on narrowing county government health expenditure disparities. The supply-side variables contributed the most to the county government health expenditure convergence, and factors contributing to convergence of county government health expenditures per capita were different in three regions. The narrowing disparity between county government health expenditures across regions supports the effectiveness of the capitation subsidy method adopted by China's New Rural Cooperative Scheme. However, subsidy policy still requires further improvement.

Using Roundup and Oust to control interfering understories in Allegheny hardwood stands

Treesearch

S.B. Horsley

1991-01-01

Allegheny hardwood stands in the Pennsylvania portion of the type frequently contain dense understories of undesirable species such as hayscented fern (Dennstaedtia punctilobula (Michx.) Moore), New York fern (Thelypteris noveboracensis L.), grasses and sedges (Carex spp.), striped maple (Acer...

Influence of fertilizer on seed production in Allegheny hardwood stands

Treesearch

John C. Bjorkbom; L.R. Auchmoody; Donald E. Dorn

1979-01-01

Fertilizers applied in spring can stimulate production of black cherry and red maple seeds in Allegheny hardwood stands. Increased seed production begins in the year after application, but lasts only about 2 years. However, fertilizers do not increase seed production of individual black cherry trees that have a history of poor production, and they do not eliminate seed...

Deer and diversity in Allegheny hardwood forests: managing an unlikely challenge

Treesearch

David S. deCalesta

1994-01-01

High white-tailed deer (Odocoileus virginianus) density and interfering vegetation were identified as factors affecting the regeneration of hardwood forests in the Allegheny National Forest and surrounding forests in northwestern Pennsylvania. Research was designed by Forest Service scientists to quantify these effects. A high degree of interest in...

Seed production and advance regeneration in Allegheny hardwood forests

Treesearch

John C. Bjorkbom

1979-01-01

The production of flowers and seeds of black cherry, red maple, sugar maple, and white ash and their relation to advance regeneration were observed from 1971 through 1976 on the Allegheny Plateau of northwestern Pennsylvania. There were good seed crops 1 year out of 2 for black cherry, 1 year out of 3 for red maple, and 1 year out of 6 for sugar maple. No white ash...

Factors influencing avian communities in high-elevation southern Allegheny mountain forests

Treesearch

Harry A. Kahler; James T. Anderson

2010-01-01

Myriad factors may influence bird community characteristics among subalpine, central, and northern hardwood forest cover types of the southern Allegheny Mountains. Differences in forest cover types may result from natural characteristics, such as tree species composition, topography, or elevation, as well as from past influences, such as poor logging practices. Our...

Characteristics of Declining Forest Stands on the Allegheny National Forest

Treesearch

William H. McWilliams; Robert White; Stanford L. Arner; Christopher, A. Nowak; Susan L. Stout; Susan L. Stout

1996-01-01

Forest stands with advanced symptoms of forest decline located on the Allegheny National Forest in northwestern Pennsylvania were studied to describe contemporary stand structure and composition, and the status of regeneration. Across all 340 stands, 12 percent of the total basal area per acre was in dead trees and 16 percent was in trees at high risk of mortality. For...

Bibliography of the Northeastern and Allegheny Forest Experiment Stations 1923-1949

Treesearch

V. L. Harper

1950-01-01

This bibliography lists the contributions to forest-research literature of the Federal forest experiment stations that have served the Northeast during the period 1923-49. At one time two such stations served the region: the Northeastern Forest Experiment Station, established in 1923 at Amherst, Mass., later moved to New Haven, Conn., and the Allegheny Forest...

Health Policy Responsiveness: Lessons Learned from Maryland and Prince George's County.

PubMed

Sogie-Thomas, Byron; Sankofa, John; Reed, Crystal; Mfume, Kweisi; Doamekpor, Lauren Abla

2018-04-01

Effective, timely, and intentional policy efforts can significantly impact and improve the public's health and reduce racial and ethnic health disparities across the nation. Creating and implementing responsive policies at the state and county level is essential to supporting community efforts to improve health behaviors and health outcomes, particularly for communities of color who bear the brunt of disease risk and negative health outcomes. Using policy examples from the State of Maryland and Prince George's County, the largest and wealthiest predominately African-American county in the USA, this case study highlights the importance of state and county policy action when presented with opportunities to affect long-lasting, positive change. We examine each jurisdiction's policy response through the lens of timeliness, intentionality, and effectiveness. At first glance, it would appear that Maryland responded effectively to the rise in tobacco use. Similarly, at face value, it appears that Prince George's County's unchecked rise in obesity rates among African-Americans is an example of nonresponsiveness among local policymakers in the face of an obesity epidemic. However-guided by a more nuanced understanding of "policy responsiveness"-this analysis uncovers a more revealing picture, with important strengths and limitations seen in both policy situations. This analysis raises critical questions about the determinants of jurisdictions' health policy capacity and how policymakers might best be supported in their efforts to build an arsenal of health policies that are timely, effective, and intentional in meeting the needs of vulnerable communities.

Distribution-of-cut guides for thinning in Allegheny hardwoods: a review

Treesearch

Christopher A. Nowak; David A. Marquis

1997-01-01

Distribution-of-cut guidelines describe the amount of stand density to be removed from broad size classes of trees to attain a target residual stand density and stand structure. Current guides for thinning Allegheny hardwoods recommend that 75 percent of the cut relative stand density be taken from below the average stand diameter and 25 percent from above. These...

75 FR 60865 - Surety Companies Acceptable on Federal Bonds: Amendment-Allegheny Casualty Company

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-01

... 20782. Dated: September 24, 2010. Laura Carrico, Director, Financial Accounting and Services Division...-- Allegheny Casualty Company AGENCY: Financial Management Service, Fiscal Service, Department of the Treasury... notice may be directed to the U.S. Department of the Treasury, Financial Management Service, Financial...

Evaluation of cleanings to maintain oak forests on the Allegheny National Forest

Treesearch

Kurt W. Gottschalk; Gary W. Miller; Robert L. White; Andrea Hille; Thomas M. Schuler

2014-01-01

Ten-year results for an administrative study on the Allegheny National Forest (ANF) that examined their cleaning (precommercial thinning) prescriptions and standards for success in maintaining oak (Quercus spp.) composition in young stands and maintaining oak stems in a competitive position are presented. Two studies were installed. One study was in...

County-level job automation risk and health: Evidence from the United States.

PubMed

Patel, Pankaj C; Devaraj, Srikant; Hicks, Michael J; Wornell, Emily J

2018-04-01

Previous studies have observed a positive association between automation risk and employment loss. Based on the job insecurity-health risk hypothesis, greater exposure to automation risk could also be negatively associated with health outcomes. The main objective of this paper is to investigate the county-level association between prevalence of workers in jobs exposed to automation risk and general, physical, and mental health outcomes. As a preliminary assessment of the job insecurity-health risk hypothesis (automation risk → job insecurity → poorer health), a structural equation model was used based on individual-level data in the two cross-sectional waves (2012 and 2014) of General Social Survey (GSS). Next, using county-level data from County Health Rankings 2017, American Community Survey (ACS) 2015, and Statistics of US Businesses 2014, Two Stage Least Squares (2SLS) regression models were fitted to predict county-level health outcomes. Using the 2012 and 2014 waves of the GSS, employees in occupational classes at higher risk of automation reported more job insecurity, that, in turn, was associated with poorer health. The 2SLS estimates show that a 10% increase in automation risk at county-level is associated with 2.38, 0.8, and 0.6 percentage point lower general, physical, and mental health, respectively. Evidence suggests that exposure to automation risk may be negatively associated with health outcomes, plausibly through perceptions of poorer job security. More research is needed on interventions aimed at mitigating negative influence of automation risk on health. Copyright © 2018 Elsevier Ltd. All rights reserved.

Historical carbon footprinting and implications for sustainability planning: a case study of the Pittsburgh region.

PubMed

Hoesly, Rachel; Blackhurst, Mike; Matthews, H Scott; Miller, Jeffrey F; Maples, Amy; Pettit, Matthew; Izard, Catherine; Fischbeck, Paul

2012-04-17

This study estimates fossil-based CO(2) emissions and energy use from 1900-2000 for Allegheny County, PA. Total energy use and emissions increased from 1900 to 1970, reflecting the significant industrial, economic, and population growth that occurred in Allegheny County. From 1970 to 2000, Allegheny County experienced a 30% decrease in total emissions and energy use from peak values, primarily because of a decline in industrial activity (40% decrease in value added) and the loss of a quarter of its population. Despite these dramatic economic and demographic transitions, per capita emissions remained stable from 1970 to 2000, buoyed by relatively stable or slightly increasing emissions in the commercial and transportation sectors. Allegheny County's history suggests the scale of change needed to achieve local emissions reductions may be significant; given years of major technological, economic, and demographic changes, per capita emissions in 1940 were nearly the same in 2000. Most local governments are planning emissions reductions rates that exceed 1% per year, which deviate significantly from historical trends. Our results suggest additional resources and improved planning paradigms are likely necessary to achieve significant emissions reductions, especially for areas where emissions are still increasing.

Relationships between trip motivations and selected variables among Allegheny National forest visitors

Treesearch

Alan R. Graefe; Brijesh Thapa; John J. Confer; James D. Absher

2000-01-01

To meet visitors’ needs, managers must understand the motivations driving visitors to wilderness areas. This paper compares the motivations of different segments of Allegheny National Forest users. Factor analysis identified 5 motivation factors (social, escape, fun, nature and learning), with two items retained as single item dimensions (close to home and challenge)....

Assessment of ebola virus disease, health care infrastructure, and preparedness - four counties,Southeastern Liberia, august 2014.

PubMed

Forrester, Joseph D; Pillai, Satish K; Beer, Karlyn D; Neatherlin, John; Massaquoi, Moses; Nyenswah, Tolbert G; Montgomery, Joel M; De Cock, Kevin

2014-10-10

Ebola virus disease (Ebola) is a multisystem disease caused by a virus of the genus Ebolavirus. In late March 2014, Ebola cases were described in Liberia, with epicenters in Lofa County and later in Montserrado County. While information about case burden and health care infrastructure was available for the two epicenters, little information was available about remote counties in southeastern Liberia. Over 9 days, August 6-14, 2014, Ebola case burden, health care infrastructure, and emergency preparedness were assessed in collaboration with the Liberian Ministry of Health and Social Welfare in four counties in southeastern Liberia: Grand Gedeh, Grand Kru, River Gee, and Maryland. Data were collected by health care facility visits to three of the four county referral hospitals and by unstructured interviews with county and district health officials, hospital administrators, physicians, nurses, physician assistants, and health educators in all four counties. Local burial practices were discussed with county officials, but no direct observation of burial practices was conducted. Basic information about Ebola surveillance and epidemiology, case investigation, contact tracing, case management, and infection control was provided to local officials.

County Variation in Children's and Adolescent's Health Status and School District Performance in California

PubMed Central

Jung, Sunyoung

2008-01-01

Objectives. We examined the association between county-level estimates of children's health status and school district performance in California. Methods. We used 3 data sources: the California Health Interview Survey, district archives from the California Department of Education, and census-based estimates of county demographic characteristics. We used logistic regression to estimate whether a school district's failure to meet adequate yearly progress goals in 2004 to 2005 was a function of child and adolescent's health status. Models included district- and county-level fixed effects and were adjusted for the clustering of districts within counties. Results. County-level changes in children's and adolescent's health status decreased the likelihood that a school district would fail to meet adequate yearly progress goals during the investigation period. Health status did not moderate the relatively poor performance of predominantly minority districts. Conclusions. We found empirical support that area variation in children's and adolescent's health status exerts a contextual effect on school district performance. Future research should explore the specific mechanisms through which area-level child health influences school and district achievement. PMID:18309137

Health Needs Assessment of Plain Populations in Lancaster County, Pennsylvania.

PubMed

Miller, Kirk; Yost, Berwood; Abbott, Christina; Thompson, Scottie; Dlugi, Emily; Adams, Zachary; Schulman, Meryl; Strauss, Nicole

2017-02-01

We performed a health needs assessment for three Plain communities in Lancaster County, Pennsylvania from a random sample of households. Compared with the general population of adults, Plain respondents were more likely to be married, to have children, and they had large families; they were more likely to drink well water, to eat fruit and vegetables, to drink raw milk, and to live on a farm. Plain respondents had better physical and mental health and were less likely to have been diagnosed with various medical conditions compared with the general population of adults in Lancaster County but Old Order Mennonite respondents were more likely to have been diagnosed compared with Old Order Amish respondents. Plain respondents usually have a regular doctor and often receive preventive care but Old Order Mennonite respondents were more likely to have a regular doctor, to receive preventive care, to have had their children vaccinated, and to receive routine dental care compared with Old Order Amish respondents. Despite their relative geographic and genetic isolation, and despite the small, relative differences noted, the health of Plain communities in Lancaster County is similar to that of other adults in the County.

Consortium--A New Direction for Staff Development

ERIC Educational Resources Information Center

Cope, Adrienne B.

1976-01-01

The shared services and joint planning of the area-wide continuing education program of the Northwest Allegheny Hospitals Corporation (a Consortium of seven acute care and two rehabilitation centers in Allegheny County, Pennsylvania) are described. (LH)

Assessing Native American disturbances in mixed oak forests of the Allegheny Plateau

Treesearch

Charles M. Ruffner; Andrew Sluyter; Marc D. Abrams; Charlie Crothers; Jack McLaughlin; Richard Kandare

1997-01-01

Although much has been written concerning the ecology and disturbance history of hemlock - white pine - northern hardwood (Nichols 1935; Braun 1950) forests of the Allegheny Plateau (Lutz 1930a; Morey 1936; Hough and Forbes 1943; Runkle 1981 ; Whitney 1990; Abrams and Owig 1996) few studies have investigated the distribution and successional dynamics of oak in this...

The Mecklenburg County Interlocal Agreement: An 18-Year Collaboration Between Medicine and Public Health.

PubMed

Piper, Crystal N; Plescia, Marcus; Keener, Stephen R; DeHaven, Mark

Better integration of public health and medical services has been a long-standing goal in the United States and has been widely discussed in the scientific literature. To identify key lessons and outcomes of the Mecklenburg County Interlocal Agreement, one of the longest running efforts integrating health care delivery and public health services in a major metropolitan area. In-depth key informant interviews and brief questionnaires of leaders involved in the Mecklenburg County Interlocal Agreement. Charlotte-Mecklenburg County, North Carolina. Convenience sample of 15 past and present employees and administrative leaders of the Mecklenburg County Privatization Initiative from the Mecklenburg County Health Department (N = 7) and Carolinas Healthcare System (N = 8). Attitudes reflecting the effects of the Mecklenburg County Privatization Initiative, based on 6 "synergies" for evaluating the effectiveness of health care and public health system collaboration. Mean scores were calculated for 21 questionnaire items, using 5-point Likert scales (1 = no impact; 5 = great impact). Mean scores were calculated by averaging the multiple-item question sets reflecting each of the 6 synergies. Synergy scores ranged from a low of 3.1 (3 items reflecting whether the collaboration "Used clinical practice to identify and address community health problems") to a high of 3.7 (3 items reflecting whether the collaboration "Improved health care by coordinating services for individuals"). The in-depth interviews indicated a clear impact for the 2 synergies linked to individual care. Increased access to care emerged as a strong theme, along with the belief that medical care services were improved and that these improvements persist. The findings of this study provide perspective from an 18-year contractual agreement for a large health care system to operate county public health functions. Implications include the need to incorporate well-defined public health principles in any

GENERAL VIEW OF SOUTH END OF NEW KENSINGTON WORKS, LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GENERAL VIEW OF SOUTH END OF NEW KENSINGTON WORKS, LOOKING NORTHEAST FROM BLUFF ON WEST SIDE OF ALLEGHENY RIVER - Alcoa-New Kensington Works, Ninth Street to Sixteenth Street, adjacent to Allegheny River, New Kensington, Westmoreland County, PA

White ash (Fraxinus americana) health in the Allegheny plateau region, Pennsylvania: Evaluating the relationship between FIA phase 3 crown variables and a categorical rating system

Treesearch

Alejandro A. Royo; Kathleen S. Knight; Jamie M. Himes; Ashley N. Will

2012-01-01

Following the detection of white ash (Fraxinus americana) decline in the Allegheny National Forest (ANF) of Pennsylvania, we established an intensified white ash monitoring network throughout the ANF. We rated crowns using both a categorical system as well as Forest Inventory and Analyses (FIA) Phase 3 measures of uncompacted live crown ratio,...

Lessons Learned From the Environmental Public Health Tracking Sub-County Data Pilot Project.

PubMed

Werner, Angela K; Strosnider, Heather; Kassinger, Craig; Shin, Mikyong

2017-12-07

Small area data are key to better understanding the complex relationships between environmental health, health outcomes, and risk factors at a local level. In 2014, the Centers for Disease Control and Prevention's National Environmental Public Health Tracking Program (Tracking Program) conducted the Sub-County Data Pilot Project with grantees to consider integration of sub-county data into the National Environmental Public Health Tracking Network (Tracking Network). The Tracking Program and grantees developed sub-county-level data for several data sets during this pilot project, working to standardize processes for submitting data and creating required geographies. Grantees documented challenges they encountered during the pilot project and documented decisions. This article covers the challenges revealed during the project. It includes insights into geocoding, aggregation, population estimates, and data stability and provides recommendations for moving forward. National standards for generating, analyzing, and sharing sub-county data should be established to build a system of sub-county data that allow for comparison of outcomes, geographies, and time. Increasing the availability and accessibility of small area data will not only enhance the Tracking Network's capabilities but also contribute to an improved understanding of environmental health and informed decision making at a local level.

77 FR 34300 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Revision to...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-11

... Control portion of the Allegheny County Health Department (ACHD) Rules and Regulations, relating to ACHD's... methods. A. www.regulations.gov . Follow the on-line instructions for submitting comments. B. Email: Cox[email protected] . C. Mail: EPA-R03-OAR-2012-0378, Kathleen Cox, Associate Director, Office of Permits and...

History of deer population trends and forest cutting on the Allegheny National Forest

Treesearch

Jim Redding

1995-01-01

The forests of the Allegheny Plateau section of northwestern Pennsylvania have been severely impacted for more than 70 years by selective browsing by white-tailed deer (Odocoileus virginianus). Historical and ecological interactions of deer and the forest ecosystem in this region from pre-settlement times to the present are presented based on data...

NAWQA, National Water-Quality Assessment Program; Allegheny-Monongahela River Basin

USGS Publications Warehouse

McAuley, Steven D.; Brown, Juliane B.; Sams, James I.

1997-01-01

Surface-water and ground-water quality and aquatic life can be significantly affected by the following principal issues identified in the Allegheny-Monongahela River Basin:Contaminants common to surface and under-ground coal mine discharge such as acidity, iron, aluminum, manganese, and sulfate.Volatile organic compounds (VOC’s), pesti-cides, and nutrients from increased urbanization.Runoff and loading of nutrients and pesticides to streams from nonpoint and point sources such as agricultural land uses.Radon in ground water.

30. VIEW OF THE WESTERN SIDEWALK ON PIER 5, SHOWING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

30. VIEW OF THE WESTERN SIDEWALK ON PIER 5, SHOWING DEDICATION PLAQUE ON EASTERN PIER TOWER, LOOKING EAST - West End-North Side Bridge, Spanning Ohio River, approximately 1 mile downstream from confluence of Monongahela & Allegheny rivers, Pittsburgh, Allegheny County, PA

3. Photocopy of original drawing belonging to the Pittsburgh Department ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. Photocopy of original drawing belonging to the Pittsburgh Department of Public Works, (n.d.). DRAWING NO. 1963: STRESS AND SECTION SHEET FOR 531' STEEL SPANS. - North Side Point Bridge, Spanning Allegheny River at Point of Pittsburgh, Pittsburgh, Allegheny County, PA

Probabilistic, Decision-theoretic Disease Surveillance and Control

PubMed Central

Wagner, Michael; Tsui, Fuchiang; Cooper, Gregory; Espino, Jeremy U.; Harkema, Hendrik; Levander, John; Villamarin, Ricardo; Voorhees, Ronald; Millett, Nicholas; Keane, Christopher; Dey, Anind; Razdan, Manik; Hu, Yang; Tsai, Ming; Brown, Shawn; Lee, Bruce Y.; Gallagher, Anthony; Potter, Margaret

2011-01-01

The Pittsburgh Center of Excellence in Public Health Informatics has developed a probabilistic, decision-theoretic system for disease surveillance and control for use in Allegheny County, PA and later in Tarrant County, TX. This paper describes the software components of the system and its knowledge bases. The paper uses influenza surveillance to illustrate how the software components transform data collected by the healthcare system into population level analyses and decision analyses of potential outbreak-control measures. PMID:23569617

Composition and structure of hemlock-dominated riparian forests of the northern Allegheny plateau: a baseline assessment

Treesearch

Charles E. Williams; William J. Moriarity

2000-01-01

We assessed the species composition and structure of three riparian forest stands of differing ages (old-growth, late-successional, mid-successional), dominated by eastern hemlock (Tsuga canadensis Carr.), in the Allegheny National Forest of northwestern Pennsylvania.

Ground-water quality and geochemistry of aquifers associated with coal in the Allegheny and Monongahela formations, southeastern Ohio

USGS Publications Warehouse

Razem, A.C.; Sedam, A.C.

1985-01-01

Ground water from aquifers associated with coal beds in the Allegheny and Monongahela Formations in southeastern Ohio is predominantly a calcium magnesium bicarbonate type. Sodium bicarbonate type water is less common. Isolated areas of sodium chloride and calcium sulfate types also are present. The water is predominantly very hard, and has a median hardness concentration of 258 milligrams per liter as calcium carbonate and a median dissolved-solids concentration of 436 milligrams per liter. Few wells contain water with dissolved-solids concentrations in excess of 1,000 milligrams per liter. Bicarbonate concentration in ground water was found to be significantly different among coals, whereas concentrations of bicarbonate, hardness, calcium, magnesium, sodium, iron, manganese, and strontium were significantly different between ground water in the Allegheny and Monongahela Formations. Many constituents are significantly correlated, but few correlation coefficients are high. The presence of sulfate or iron is attributed to the kinetic mechanism operating during the oxidation of pyrite. The position along the sulfide or ferrous-iron oxidation pathways controls the reaction products of pyrite found in solution, and the formation of either the sulfate of iron constituents. The availability and rate of diffusion of oxygen in the formations exerts control on the water quality. Discriminant-function analysis correctly classifies 89 percent of the observations into the Allegheny or Monongahela Formations. As a verifications, 39 of 41 observations from another study were correctly classified by formation. The differences in water chemistry between the Allegheny and the Monongahela Formations are gradational and are attributed the oxidation of iron sulfide. The diffusion and availability of oxygen, which controls the chemical reaction, is regulated by the porosity and permeability of the rock with respect to oxygen and the presence or absence of carbonates, which controls the

Facilitating the development of a county health coverage plan with data from a community-based health survey.

PubMed

Kruger, Daniel J; Hamacher, Linda; Strugar-Fritsch, Donna; Shirey, Lauren; Renda, Emily; Zimmerman, Marc A

2010-07-01

Community-Based Participatory Research (CBPR) has the twin goals of generating data and shaping policy decisions, yet examples that combine these goals are scarce in the literature. We describe how a community-based survey was created and used to help develop a county health plan. The Genesee Health Plan (GHP), a community-initiated non-profit organization, provides primary care, prescription drugs, and specialty care to uninsured, low-income adults through a network of independent physicians, clinics, and hospital systems. As part of an advocacy effort, GHP supporters used results from the Speak to Your Health! Community Survey to gain financial and political support for GHP. Our study, which used CBPR principles, was created by the community, local health department, and university partners. As a result, Genesee County became one of the first counties in the United States to make basic health care available to nearly all of its uninsured, low-income adults.

Addressing the social determinants of health through the Alameda County, California, place matters policy initiative.

PubMed

Schaff, Katherine; Desautels, Alexandra; Flournoy, Rebecca; Carson, Keith; Drenick, Teresa; Fujii, Darlene; Lee, Anna; Luginbuhl, Jessica; Mena, Mona; Shrago, Amy; Siegel, Anita; Stahl, Robert; Watkins-Tartt, Kimi; Willow, Pam; Witt, Sandra; Woloshin, Diane; Yamashita, Brenda

2013-11-01

In Alameda County, California, significant health inequities by race/ethnicity, income, and place persist. Many of the county's low-income residents and residents of color live in communities that have faced historical and current disinvestment through public policies. This disinvestment affects community conditions such as access to economic opportunities, well-maintained and affordable housing, high-quality schools, healthy food, safe parks, and clean water and air. These community conditions greatly affect health. At the invitation of the Joint Center for Political and Economic Studies' national Place Matters initiative, Alameda County Supervisor Keith Carson's Office and the Alameda County Public Health Department launched Alameda County Place Matters, an initiative that addresses community conditions through local policy change. We describe the initiative's creation, activities, policy successes, and best practices.

Development of reproduction in Allegheny hardwood stands after herbicide-clearcuts and herbicide-shelterwood cuts

Treesearch

Stephen B. Horsley

1982-01-01

Dense ground covers of fern and grass interfere with the regeneration of Allegheny hardwoods. An herbicide containing N-phosphonomethyl glycine controls the fern and grass, but also kills advance reproduction of desirable tree species. Preliminary results of an experiment comparing regeneration 3 years after herbicide-clearcuts and herbicide-shelterwood seed cuts...

Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative

PubMed Central

Schaff, Katherine; Flournoy, Rebecca; Carson, Keith; Drenick, Teresa; Fujii, Darlene; Lee, Anna; Luginbuhl, Jessica; Mena, Mona; Shrago, Amy; Siegel, Anita; Stahl, Robert; Watkins-Tartt, Kimi; Willow, Pam; Witt, Sandra; Woloshin, Diane; Yamashita, Brenda

2013-01-01

In Alameda County, California, significant health inequities by race/ethnicity, income, and place persist. Many of the county's low-income residents and residents of color live in communities that have faced historical and current disinvestment through public policies. This disinvestment affects community conditions such as access to economic opportunities, well-maintained and affordable housing, high-quality schools, healthy food, safe parks, and clean water and air. These community conditions greatly affect health. At the invitation of the Joint Center for Political and Economic Studies' national Place Matters initiative, Alameda County Supervisor Keith Carson's Office and the Alameda County Public Health Department launched Alameda County Place Matters, an initiative that addresses community conditions through local policy change. We describe the initiative's creation, activities, policy successes, and best practices. PMID:24179279

Wood volume increment in thinned, 50- to 55-year-old, mixed-species Allegheny hardwoods

Treesearch

Christopher A. Nowak

1996-01-01

A thinning study in 50- to 55-year-old, even-aged, mixed species Allegheny hardwoods produced highly variable merchantable stemwood volume increment responses. Regression equations relating parameters of stand growth (ingrowth, mortality, survivor growth, net growth, and gross growth) to relative stand density had R2 values ranging from 0.07 to 0...

Area-Wide Analysis of Hardwood Defoliator Effects on Tree Conditions in the Allegheny Plateau

Treesearch

Randall S. Morin; Andrew M. Liebhold; Kurt W. Gottschalk

2004-01-01

The effects of defoliation caused by three foliage feeding insects, the gypsy moth (Lymantria dispar), the cherry scallopshell moth (Hydria prunivorata), and the elm spanworm (Ennomos subsignarius), on tree mortality and crown conditions were evaluated using data collected from 1984 to 1999 in the Allegheny National Forest located in northwestern Pennsylvania. While...

Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

PubMed Central

2013-01-01

Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions Most of villages are in underserved health services areas. An unequal distribution of health service

RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY

EPA Science Inventory

RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY
Allison L. Naleway*, Nancy L. Sprince?, Erik R. Svendsen?, Ann M. Stromquist?, James A. Merchant?
*Marshfield Medical Research and Education Foundation, Marshfield, WI; ?University of Iowa Co...

Effects of high salinity wastewater discharges on unionid mussels in the Allegheny River, Pennsylvania

USGS Publications Warehouse

Kathleen Patnode,; Hittle, Elizabeth A.; Robert Anderson,; Lora Zimmerman,; Fulton, John W.

2015-01-01

We examined the effect of high salinity wastewater (brine) from oil and natural gas drilling on freshwater mussels in the Allegheny River, Pennsylvania, during 2012. Mussel cages (N = 5 per site) were deployed at two sites upstream and four sites downstream of a brine treatment facility on the Allegheny River. Each cage contained 20 juvenile northern riffleshell mussels Epioblasma torulosa rangiana). Continuous specific conductance and temperature data were recorded by water quality probes deployed at each site. To measure the amount of mixing throughout the entire study area, specific conductance surveys were completed two times during low-flow conditions along transects from bank to bank that targeted upstream (reference) reaches, a municipal wastewater treatment plant discharge upstream of the brine-facility discharge, the brine facility, and downstream reaches. Specific conductance data indicated that high specific conductance water from the brine facility (4,000–12,000 µS/cm; mean 7,846) compared to the reference reach (103–188 µS/cm; mean 151) is carried along the left descending bank of the river and that dilution of the discharge via mixing does not occur until 0.5 mi (805 m) downstream. Juvenile northern riffleshell mussel survival was severely impaired within the high specific conductance zone (2 and 34% at and downstream of the brine facility, respectively) and at the municipal wastewater treatment plant (21%) compared to background (84%). We surveyed native mussels (family Unionidae) at 10 transects: 3 upstream, 3 within, and 4 downstream of the high specific conductance zone. Unionid mussel abundance and diversity were lower for all transects within and downstream of the high conductivity zone compared to upstream. The results of this study clearly demonstrate in situ toxicity to juvenile northern riffleshell mussels, a federally endangered species, and to the native unionid mussel assemblage located downstream of a brine discharge to the

78 FR 77112 - FirstEnergy Generation, LLC; Notice of Application Tendered for Filing With the Commission and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-20

... Allegheny Reservoir near the City of Warren, in Warren County, Pennsylvania. The project occupies 221.59.... The existing Kinzua Pumped Storage Project pumps water from the Corps' Allegheny Reservoir (lower reservoir) to the project's upper reservoir to be used for power generation. The project has an installed...

Value of training on motivation among health workers in Narok County, Kenya.

PubMed

Momanyi, George Osoro; Adoyo, Maureen Atieno; Mwangi, Eunice Muthoni; Mokua, Dennis Okari

2016-01-01

Training, as an additive human resources intervention is decisive to organizational performance. Employees require constant update of formal and informal knowledge alongside positive attitudes that have been defined as necessary in motivation leading to effectiveness in performance hence workplace training is tied to achieving organizational aims and objectives. The objective of this study was to determine the influence of training on motivation among health workers in Narok County, Kenya. A cross-sectional study utilizing a self administered questionnaire, targeting 237 health workers and 21 health managers was used. Data analysis was done using SPSS version 21 using descriptive statistics. Factor analysis was done on the training perception in relation to motivation. Majority of the respondents rated their motivation between 7 and 9 in the current health facility (35.4%), Sub-county (33.8%) and County (32.9%) with the median motivation level of 5. Majority of health workers 194 (81.9%) had received a form of training, of whom 191 (98.5%) indicated that on-job training was relevant to their tasks and that it motivated 192 (99.0%) of them to perform better due to coining skills to motivation. Training significantly predicted general motivation (p-value = 0.013), job satisfaction (p-value = .001), intrinsic job satisfaction (p-value = .001) and organisational commitment (p-value <.001). The researchers concluded that there is a relationship between training and motivated health workforce in Narok County and recommended strengthening of current training initiatives by ensuring trainings are more regular and involvement of health workers in discussing their career development prospects.

Value of training on motivation among health workers in Narok County, Kenya

PubMed Central

Momanyi, George Osoro; Adoyo, Maureen Atieno; Mwangi, Eunice Muthoni; Mokua, Dennis Okari

2016-01-01

Introduction Training, as an additive human resources intervention is decisive to organizational performance. Employees require constant update of formal and informal knowledge alongside positive attitudes that have been defined as necessary in motivation leading to effectiveness in performance hence workplace training is tied to achieving organizational aims and objectives. The objective of this study was to determine the influence of training on motivation among health workers in Narok County, Kenya. Methods A cross-sectional study utilizing a self administered questionnaire, targeting 237 health workers and 21 health managers was used. Data analysis was done using SPSS version 21 using descriptive statistics. Factor analysis was done on the training perception in relation to motivation. Results Majority of the respondents rated their motivation between 7 and 9 in the current health facility (35.4%), Sub-county (33.8%) and County (32.9%) with the median motivation level of 5. Majority of health workers 194 (81.9%) had received a form of training, of whom 191 (98.5%) indicated that on-job training was relevant to their tasks and that it motivated 192 (99.0%) of them to perform better due to coining skills to motivation. Training significantly predicted general motivation (p-value = 0.013), job satisfaction (p-value = .001), intrinsic job satisfaction (p-value = .001) and organisational commitment (p-value <.001). Conclusion The researchers concluded that there is a relationship between training and motivated health workforce in Narok County and recommended strengthening of current training initiatives by ensuring trainings are more regular and involvement of health workers in discussing their career development prospects. PMID:27516826

Measuring stress and recovery in limed sugar maple on the Allegheny Plateau of north-central Pennsylvania

Treesearch

Philip M. Wargo; Rakesh Minocha; Betty L. Wong; Robert P. Long; Stephen B. Horsley; Thomas J. Hall

2003-01-01

A long-term study to evaluate the effects of lime fertilization on growth, crown vitality, and flower and seed production in declining sugar maple was established in stands in the Susquehannock State Forest on the Allegheny Plateau in north-central Pennsylvania in 1985.

Effect of deer browsing on timber production in Allegheny hardwood forests of Northwestern Pennsylvania

Treesearch

David A. Marquis

1981-01-01

Regeneration surveys in fenced and unfenced portions of thirteen 9- to 22-year-old clearcuts on the Allegheny Plateauof Northwestern Pennsylvania show that deer browsing has resulted in (a) inadequate stocking of tree species, (b) delay in establishment, and (c) less valuable species composition. Ninety-two percent of the fenced areas, but only 38 percent of the...

Influence of urbanization level and gross domestic product of counties in Croatia on access to health care.

PubMed

Bagat, Mario; Drakulić, Velibor; Sekelj Kauzlarić, Katarina; Vlahusić, Andro; Bilić, Ivica; Matanić, Dubravka

2008-06-01

To examine the association of counties' urbanization level and gross domestic product (GDP) per capita on the access to health care. Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100,000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians' workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties and between richer and poorer counties. Our study included only GP teams and outpatient clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician's data. There was no significant difference in the total number of physicians per 100,000 inhabitants between predominantly urban and predominantly rural counties (206.9+/-41.0 vs 175.4+/-30.3; P=0.067, t test) nor between richer and poorer counties (194.5+/-49.8 vs 187.7+/-25.3; P=0.703, t test). However, there were significantly fewer GPs per 100,000 inhabitants in rural than urban counties (49.0+/-5.5 vs 56.7+/-4.6; P=0.003, t test). GPs in rural counties had more insurants than those working in urban counties (1.749.8+/-172.8 vs 1.540.7+/-106.3; P=0.004, t test). The

Health-Related Quality of Life Among Central Appalachian Residents in Mountaintop Mining Counties

PubMed Central

Hendryx, Michael

2011-01-01

Objectives. We examined the health-related quality of life of residents in mountaintop mining counties of Appalachia using the 2006 national Behavioral Risk Factor Surveillance System. Methods. Dependent variables included self-rated health; the number of poor physical, poor mental, and activity limitation days (in the past 30 days); and the Healthy Days Index. Independent variables included metropolitan status, primary care physician supply, and Behavioral Risk Factor Surveillance System behavioral and demographic variables. We compared dependent variables across 3 categories: mountaintop mining (yes or no), other coal mining (yes or no), and a referent nonmining group. We used SUDAAN MULTILOG and multiple linear regression models with post hoc least squares means to test mountaintop mining effects after adjusting for covariates. Results. Residents of mountaintop mining counties reported significantly more days of poor physical, mental, and activity limitation and poorer self-rated health (P < .01) compared with the other county groupings. Results were generally consistent in separate analyses by gender and age. Conclusions. Mountaintop mining areas are associated with the greatest reductions in health-related quality of life even when compared with counties with other forms of coal mining. PMID:21421943

The effects of stand structure after thinning on the growth of an Allegheny hardwood stand

Treesearch

David A. Marquis; Richard L. Ernst

1991-01-01

A 50-year-old Allegheny hardwood stand in which the crown canopy had stratified into distinct species groups was thinned to 60% relative density leaving dramatically different stand structures and species composition. Treatments included combined thinning, thin from middle, thin from above, thin from below, and unthinned control. Individual tree growth was stimulated...

Effects of coal-mine drainage on stream water quality in the Allegheny and Monongahela River Basins-Sulfate transport and trends

USGS Publications Warehouse

Sams, James I.; Beer, Kevin M.

2000-01-01

In 1980, the Allegheny and Monongahela Rivers transported a sulfate load of 1.2 million and 1.35 million tons, respectively, to the Ohio River at Pittsburgh. The Monongahela River Basin had a sulfate yield of 184 tons per square mile per year compared to 105 tons per square mile per year for the Allegheny River Basin. Within the large Allegheny and Monongahela River Basins, the subbasins with the highest sulfate yields in tons per square mile per year were those of Redstone Creek (580), Blacklick Creek (524), Conemaugh River (292), Buffalo Creek (247), Stonycreek River (239), Two Lick Creek (231), Dunkard Creek (212), and Loyalhanna Creek (196). These basins have been extensively mined. The sulfate yields of Brokenstraw and Conewango Creeks, which are outside the area underlain by coal and thus contain no coal mines, were 25 and 24 tons per square mile per year, respectively.Within the Allegheny and Monongahela River Basins, seven sites showed significant trends in sulfate concentration from 1965 to 1995. Dunkard Creek and Stonycreek River show significant upward trends in sulfate concentration. These trends appear to be related to increases in coal production in the two basins from 1965 to 1995. Blacklick Creek at Josephine and Loyalhanna Creek at Loyalhanna Dam show significant downward trends in sulfate concentration between 1965 and 1995. Blacklick Creek had a 50-percent decrease in sulfate concentration. Coal production in the Blacklick Creek Basin, which reached its peak at almost 4 million tons per year in the 1940's, dropped to less than 1 million tons per year by 1995. In the Loyalhanna Creek Basin, which had a 41-percent decrease in sulfate concentration, coal-production rates dropped steadily from more than 1.5 million tons per year in the 1940's to less than 200,000 tons per year in 1995.

Listening to old beech and young cherry trees - long-term research in the Alleghenies

Treesearch

Susan L. Stout; Coeli M. Hoover; Todd E. Ristau

2006-01-01

Long-term research results have been a foundation of forestry practice on the Allegheny Plateau since the 1970s. This includes results from monitoring reference conditions in areas set aside for this purpose and from long-running manipulative studies, some dating back to the 1920s. The success of long-term research in this region reflects the commitment of a handful of...

Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand.

PubMed

Fanwei, Q U; Yanling, J; Chongsuvivatwong, V; Liabsuetrakul, T; Yan, L; Le, C; Runsheng, J

2017-01-01

To compare health status between Hat Yai city of Songkhla Province in Thailand and Yulong county of Yunnan province in China about rural health care workers and local residents, analyzing of both differences, learning from the advanced experience and practice of Thailand, adjusting policy, especially for the implementation of measures to improve the lack of human resources construction of Yulong County rural health, promote the level of rural health service of Lijiang. A qualitative study consisting of focus group discussions and individual in-depth interviews were conducted in Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand from. Compared to 41(100%) bachelor's degree of medical staffs in Hat Yai, this accounted only 94 (42%) bachelor's degree of medical staffs in Yulong county hospital, and 31 (12%)in townships hospitals. For medical workers in Hat Yai, they have at least one time on-job training per year, but for Yulong county, only 144 (29%)of the medical personnel participated in the training per year. Health expenditures of Yulong county was mainly borne by the local government, and medical insurance coverage rate is 217,107 (99%). Insurance average awareness of Hat Yai is 4449 (66.4%), Yulong County is 62,501 (28.5%), P<0.001, there are statistically significant differences between two cities. Thailand has good experience in training, well-paid, motivating and retaining talent for rural health human resources; multi-pronged, mechanism innovation, establish and perfect the system of human resources for health, is the essential way to solve the problem.

Targeted health department expenditures benefit birth outcomes at the county level.

PubMed

Bekemeier, Betty; Yang, Youngran; Dunbar, Matthew D; Pantazis, Athena; Grembowski, David E

2014-06-01

Public health leaders lack evidence for making decisions about the optimal allocation of resources across local health department (LHD) services, even as limited funding has forced cuts to public health services while local needs grow. A lack of data has also limited examination of the outcomes of targeted LHD investments in specific service areas. This study used unique, detailed LHD expenditure data gathered from state health departments to examine the influence of maternal and child health (MCH) service investments by LHDs on health outcomes. A multivariate panel time-series design was used in 2013 to estimate ecologic relationships between 2000-2010 LHD expenditures on MCH and county-level rates of low birth weight and infant mortality. The unit of analysis was 102 LHD jurisdictions in Washington and Florida. Results indicate that LHD expenditures on MCH services have a beneficial relationship with county-level low birth weight rates, particularly in counties with high concentrations of poverty. This relationship is stronger for more targeted expenditure categories, with expenditures in each of the three specific examined MCH service areas demonstrating the strongest effects. Findings indicate that specific LHD investments in MCH have an important effect on related health outcomes for populations in poverty and likely help reduce the costly burden of poor birth outcomes for families and communities. These findings underscore the importance of monitoring the impact of these evolving investments and ensuring that targeted, beneficial investments are not lost but expanded upon across care delivery systems. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Health resource allocation and productive efficiency of Chinese county hospitals: data from 1993 to 2005.

PubMed

Gai, Ruoyan Y; Zhou, Chengchao C; Xu, Lingzhong Z; Zhu, Min; Wang, Xingzhou Z; Li, Shixue X; Zheng, Wengui G; Song, Peipei P; Yang, Xuelai L; Fang, Liyi Y; Zhen, Yancheng C; Tang, Wei

2010-10-01

This study aims to assess trends in the productive efficiency of China's county hospitals during the economic transition using data from 1993 to 2005. A data envelopment analysis (DEA) framework was used to calculate the efficiency score of county hospitals in all 31 provinces. A C²R model and a BC² model were devised to respectively calculate overall and scale efficiency and pure technical efficiency at the hospital's current scale. Models included four inputs (number of medical staff; number of beds; value of fixed capital; and hospital expenditures) and three outputs (outpatient and emergency visits, number of inpatients, and hospital revenue) in total. As the results, geographical disparities in health resource allocation and county hospital productivity were noted. From 1993 to 2005, the number of county hospitals increased and their inputs, e.g. fixed capital in particular, grew rapidly. However, the amount of both outpatient and inpatient services declined somewhat especially in the middle and the western regions. The overall efficiency at the national level decreased slightly. County hospitals in the eastern region tended to have better overall, scale, and technical efficiency in comparison to the middle and the western regions. In conclusion, county hospitals are inefficient due to their enlarged scale and the reduced amount of health care services they provide. This issue should be addressed especially in the middle and the western regions, where health resources are far more limited and yet wasted. The effects of ongoing health sector reform on the productivity of county hospitals must be monitored and evaluated.

Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

PubMed Central

Rust, George; Baltrus, Peter; Ye, Jiali; Daniels, Elvan; Quarshie, Alexander; Boumbulian, Paul; Strothers, Harry

2009-01-01

CONTEXT Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. PURPOSE We compared uninsured ED visit rates between rural counties in Georgia which have a community health center clinic site vs. counties without a CHC presence. METHODS We analyzed data from 100% of ED visits occurring in 117 rural (non-metropolitan statistical area [MSA]) counties in Georgia from 2003-2005. Counties were classified as having a CHC presence if a federally funded (Section 330) community health center had a primary care delivery site in that county throughout the study period. The main outcome measure was uninsured ED visit rates among the uninsured (all-cause ED visits and visits for ambulatory care sensitive conditions). Poisson regression models were used to examine the relationship between ED rates and presence of a CHC. To assure that the effects were unique to the uninsured population, we ran similar analyses on insured ED visits. FINDINGS Counties without a community health center primary care clinic site had 33% higher rates of uninsured all-cause ED visits per 10,000 uninsured population compared with non-CHC counties (rate ratio=1.33, 95% CI=1.11-1.59). Higher ED visit rates remained significant (RR=1.21, 95% CI=1.02-1.42) after adjustment for percent of population below poverty level, percent black, and number of hospitals. Uninsured ED visit rates were also higher for various categories of diagnoses, but remained statistically significant on multivariate analysis only for ambulatory care sensitive conditions (adjusted RR=1.22, 95% CI=1.01-1.47). No such relationship was found for ED visit rates of insured patients (RR=1.06, 95% CI=0.92-1.22). CONCLUSIONS Absence of a community health center is associated with a substantial excess in uninsured ED visits in

County community health associations of net voting shift in the 2016 U.S. presidential election.

PubMed

Wasfy, Jason H; Stewart, Charles; Bhambhani, Vijeta

2017-01-01

In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear. To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012. Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression. General community. All counties in the United States. Physically unhealthy days, mentally unhealthy days, percent food insecure, teen birth rate, primary care physician visit rate, age-adjusted mortality rate, violent crime rate, average health care costs, percent diabetic, and percent overweight or obese. The percentage of Donald Trump votes in 2016 minus percentage of Mitt Romney votes in 2012 ("net voting shift"). Complete public health data was available for 3,009 counties which were included in the analysis. The mean net voting shift was 5.4% (+/- 5.8%). Of these 3,009 counties, 2,641 (87.8%) had positive net voting shift (shifted towards Trump) and 368 counties (12.2%) had negative net voting shift (shifted away from Trump). The first principal component ("unhealthy score") accounted for 68% of the total variance in the data. The unhealthy score included all health variables except primary care physician rate, violent crime rate, and health care costs. The mean unhealthy score for counties was 0.39 (SD 0.16). Higher normalized unhealthy score was associated with positive net voting shift (22.1% shift per unit unhealthy, p < 0.0001). This association was stronger in states that switched Electoral College votes from 2012 to 2016 than in other states (5.9% per unit unhealthy, p <0.0001). Substantial association exists between a shift toward voting for Donald Trump in 2016 relative to Mitt Romney in 2012 and

Ten-year results of using oak Cleanings to maintain oak species dominance on the Allegheny National Forest

Treesearch

Kurt W. Gottschalk; Gary W. Miller; Robert White; Andrea Hille; Thomas M. Schuler

2014-01-01

The Allegheny National Forest (ANF) in northwestern Pennsylvania implemented precommercial thinning in young stands to maintain oak (Quercus spp.) stems in a competitive position. This administrative study was developed to test ANF standards for precommercial thinning for success in maintaining oak composition. An additional objective was to examine...

A county-level cross-sectional analysis of positive deviance to assess multiple population health outcomes in Indiana.

PubMed

Hendryx, Michael; Guerra-Reyes, Lucia; Holland, Benjamin D; McGinnis, Michael Dean; Meanwell, Emily; Middlestadt, Susan E; Yoder, Karen M

2017-10-11

To test a positive deviance method to identify counties that are performing better than statistical expectations on a set of population health indicators. Quantitative, cross-sectional county-level secondary analysis of risk variables and outcomes in Indiana. Data are analysed using multiple linear regression to identify counties performing better or worse than expected given traditional risk indicators, with a focus on 'positive deviants' or counties performing better than expected. Counties in Indiana (n=92) constitute the unit of analysis. Per cent adult obesity, per cent fair/poor health, low birth weight per cent, per cent with diabetes, years of potential life lost, colorectal cancer incidence rate and circulatory disease mortality rate. County performance that outperforms expectations is for the most part outcome specific. But there are a few counties that performed particularly well across most measures. The positive deviance approach provides a means for state and local public health departments to identify places that show better health outcomes despite demographic, social, economic or behavioural disadvantage. These places may serve as case studies or models for subsequent investigations to uncover best practices in the face of adversity and generalise effective approaches to other areas. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Influence of Urbanization Level and Gross Domestic Product of Counties in Croatia on Access to Health Care

PubMed Central

Bagat, Mario; Drakulić, Velibor; Sekelj Kauzlarić, Katarina; Vlahušić, Andro; Bilić, Ivica; Matanić, Dubravka

2008-01-01

Aim To examine the association of counties’ urbanization level and gross domestic product (GDP) per capita on the access to health care. Methods Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100 000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians’ workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties, and between richer and poorer counties. Our study included only GP teams and outpatients’ clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician’s data. Results There was no significant difference in the total number of physicians per 100 000 inhabitants between predominantly urban and predominantly rural counties (206.9 ± 41.0 vs 175.4 ± 30.3; P = 0.067, t test) nor between richer and poorer counties (194.5 ± 49.8 vs 187.7 ± 25.3; P = 0.703, t test). However, there were significantly fewer GPs per 100 000 inhabitants in rural than urban counties (49.0 ± 5.5 vs 56.7 ± 4.6; P = 0.003, t test). GPs in rural counties had more insurants than those

Rearrest and linkage to mental health services among clients of the Clark County mental health court program.

PubMed

Herinckx, Heidi A; Swart, Sandra C; Ama, Shane M; Dolezal, Cheri D; King, Steve

2005-07-01

This study examined rearrest and linkage to mental health services among 368 misdemeanants with severe and persistent mental illness who were served by the Clark County Mental Health Court (MHC). This court, established in April 2000, is based on the concepts of therapeutic jurisprudence. This study addressed the following questions about the effectiveness of the Clark County MHC: Did MHC clients receive more comprehensive mental health services? Did the MHC successfully reduce recidivism? Were there any client or program characteristics associated with recidivism? A secondary analysis of use of mental health services and jail data for the MHC clients enrolled from April 2000 through April 2003 was conducted. The authors used a 12-month pre-post comparison design to determine whether MHC participants experienced reduced rearrest rates for new offenses, reduced probation violations, and increased mental health services 12 months postenrollment in the MHC compared with 12 months preenrollment. The overall crime rate for MHC participants was reduced 4.0 times one year postenrollment in the MHC compared with one year preenrollment. One year postenrollment, 54 percent of participants had no arrests, and probation violations were reduced by 62 percent. The most significant factor in determining the success of MHC participants was graduation status from the MHC, with graduates 3.7 times less likely to reoffend compared with nongraduates. The Clark County MHC successfully reduced rearrest rates for new criminal offenses and probation violations and provided the mental health support services to stabilize mental health consumers in the community.

Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states.

PubMed

Probst, Janice C; Laditka, James N; Laditka, Sarah B

2009-07-31

Federally qualified community health centers (CHCs) and rural health clinics (RHCs) are intended to provide access to care for vulnerable populations. While some research has explored the effects of CHCs on population health, little information exists regarding RHC effects. We sought to clarify the contribution that CHCs and RHCs may make to the accessibility of primary health care, as measured by county-level rates of hospitalization for ambulatory care sensitive (ACS) conditions. We conducted an ecologic analysis of the relationship between facility presence and county-level hospitalization rates, using 2002 discharge data from eight states within the US (579 counties). Counties were categorized by facility availability: CHC(s) only, RHC(s) only, both (CHC and RHC), and neither. US Agency for Healthcare Research and Quality definitions were used to identify ACS diagnoses. Discharge rates were based on the individual's county of residence and were obtained by dividing ACS hospitalizations by the relevant county population. We calculated ACS rates separately for children, working age adults, and older individuals, and for uninsured children and working age adults. To ensure stable rates, we excluded counties having fewer than 1,000 residents in the child or working age adult categories, or 500 residents among those 65 and older. Multivariate Poisson analysis was used to calculate adjusted rate ratios. Among working age adults, rate ratio (RR) comparing ACS hospitalization rates for CHC-only counties to those of counties with neither facility was 0.86 (95% Confidence Interval, CI, 0.78-0.95). Among older adults, the rate ratio for CHC-only counties compared to counties with neither facility was 0.84 (CI 0.81-0.87); for counties with both CHC and RHC present, the RR was 0.88 (CI 0.84-0.92). No CHC/RHC effects were found for children. No effects were found on estimated hospitalization rates among uninsured populations. Our results suggest that CHCs and RHCs may play a

Health reform and primary care capacity: evidence from Houston/Harris County, Texas.

PubMed

Begley, Charles; Le, Phuc; Lairson, David; Hanks, Jeanne; Omojasola, Anthony

2012-02-01

This study estimated the possible surge in demand for primary care among the low-income population in Houston/Harris County under the Patient Protection and Affordable Care Act, and related it to existing supply by safety-net providers. A model of the demand for primary care visits was developed based on California Health Interview Survey data and applied to the Houston/Harris County population. The current supply of primary care visits by safety-net providers was determined by a local survey. Comparisons indicate that safety-net providers in Houston/Harris County are currently meeting about 30% of the demand for primary care visits by the low-income population, and the rest are either met by private practice physicians or are unmet. Demand for primary care by this population is projected to increase by 30% under health reform leading to a drop in demand met by safety-net providers to less than 25%.

Report of the Aircraft Systems/Flight Test Workshop (1979) Aircraft Engineering Division, Systems and Flight Test Branches, held October 2 - 10, 1979, NASA/AMES Research Center, Moffett Field, CA

DTIC Science & Technology

1979-10-10

intercept the ILS at Allegheny County. The outside air temperature was +60 at 3000 feet. It was possible to perform the ILS approach within one dot...stMatr wW lrve of the Aru paca roferomd -L Zt* AMU taliax. JAM4 0. E8DLMSM cc: P-13Ol/13iA/1O/203/200/g-21-O/23/C-E’Ifl-4 no 0Ai3 ..c /2 .89 AGENDA ITEM...to intercept the ILS at Allegheny County. The outside air temperature was +60 at 3000 feet. It was possible to perform the ILS approach within one dot

Patterns of exotic plant invasions in Pennsylvania's Allegheny National Forest using intensive Forest Inventory and Analysis plots

Treesearch

Cynthia D. Huebner; Randall S. Morin; Ann Zurbriggen; Robert L. White

2009-01-01

Intensive Forest Inventory and Analysis (FIA) plot data collected in the Allegheny National Forest (ANF), Pennsylvania, between 1999 and 2006 were evaluated for their ability to predict ANF's vulnerability to invasion by exotic plants. A total of 26 variables classified by biotic, abiotic, or disturbance characteristics were examined. Likelihood of colonization by...

County community health associations of net voting shift in the 2016 U.S. presidential election

PubMed Central

Stewart, Charles; Bhambhani, Vijeta

2017-01-01

Importance In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear. Objective To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012. Design Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression. Setting General community. Participants All counties in the United States. Exposures Physically unhealthy days, mentally unhealthy days, percent food insecure, teen birth rate, primary care physician visit rate, age-adjusted mortality rate, violent crime rate, average health care costs, percent diabetic, and percent overweight or obese. Main outcome The percentage of Donald Trump votes in 2016 minus percentage of Mitt Romney votes in 2012 (“net voting shift”). Results Complete public health data was available for 3,009 counties which were included in the analysis. The mean net voting shift was 5.4% (+/- 5.8%). Of these 3,009 counties, 2,641 (87.8%) had positive net voting shift (shifted towards Trump) and 368 counties (12.2%) had negative net voting shift (shifted away from Trump). The first principal component (“unhealthy score”) accounted for 68% of the total variance in the data. The unhealthy score included all health variables except primary care physician rate, violent crime rate, and health care costs. The mean unhealthy score for counties was 0.39 (SD 0.16). Higher normalized unhealthy score was associated with positive net voting shift (22.1% shift per unit unhealthy, p < 0.0001). This association was stronger in states that switched Electoral College votes from 2012 to 2016 than in other states (5.9% per unit unhealthy, p <0.0001). Conclusions and relevance

77 FR 20019 - FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM Interconnection, L.L.C...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-03

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL12-50-000] FirstEnergy Solutions Corp., Allegheny Energy Supply Company, LLC v. PJM Interconnection, L.L.C.; Notice of Complaint... 206 of the Federal Energy Regulatory Commission's Rules of Practice and Procedure, 18 CFR 385.206 and...

Voluntary psychiatric emergencies in Los Angeles County after funding of California's Mental Health Services Act.

PubMed

Bruckner, Tim A; Yonsu, Kim; Chakravarthy, Bharath; Brown, Timothy Tyler

2012-08-01

Since 2006, California's Mental Health Services Act (MHSA) has distributed an estimated $6 billion in new tax revenues to county mental health systems. Although evaluations of MHSA's effectiveness find favorable outcomes among high-risk individuals that represent 6% of all mental health clients, scant research has tested whether MHSA funds improve the overall functioning of the public mental health system. The authors analyzed whether the incidence of voluntary emergency psychiatric visits, a key gauge of the functioning of the mental health system, fell below expected levels after the disbursement of MHSA funds. Los Angeles County, the most populous county in California, was examined. The authors obtained the monthly incidence of emergency psychiatric visits among Medi-Cal patients for 96 months spanning July 2000 to June 2008 (5.9 million overall admissions, of which 47,328 were emergency visits). Time-series methods controlled for temporal patterns in emergency visits as well as other potential confounders (unemployment, for example) that could induce spurious associations. The incidence of voluntary psychiatric emergencies fell below expected levels eight to 12 months after the disbursement of MHSA funds. After one year, emergency visits returned to their long-term mean level. Results remained robust after analyses controlled for outliers and potential confounders. In the short term, an infusion of public funds devoted to mental health services appeared to reduce psychiatric emergency visits. Explanations for the transient nature of the decline in emergency visits in Los Angeles County are discussed.

Fayette County Better Buildings Initiative

DOE Office of Scientific and Technical Information (OSTI.GOV)

Capella, Arthur

The Fayette County Better Buildings Initiative represented a comprehensive and collaborative approach to promoting and implementing energy efficiency improvements. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. The ultimate goal of Fayette County’s Better Buildings Initiative was to implement a total of 1,067 residential energy efficiency retrofits with a minimum 15% estimated energy efficiency savings per unit. Program partners included: United States Department of Energy, Allegheny Power, and Private Industry Council of Westmoreland-Fayette, Fayette County Redevelopment Authority, and various local partners.more » The program was open to any Fayette County residents who own their home and meet the prequalifying conditions. The level of assistance offered depended upon household income and commitment to undergo a BPI – Certified Audit and implement energy efficiency measures, which aimed to result in at least a 15% reduction in energy usage. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. Additionally, the program had components that involved recruitment and training for employment of persons in the energy sector (green jobs), as well as marketing and implementation of a commercial or community facilities component. The residential component of Fayette County’s Better Buildings Initiative involved a comprehensive approach, providing assistance to low- moderate- and market-rate homeowners. The initiative will also coordinate activities with local utility providers to further incentivize energy efficiency improvements among qualifying homeowners. The commercial component of Fayette County’s Better Building Initiative involved

Geotagged US Tweets as Predictors of County-Level Health Outcomes, 2015-2016.

PubMed

Nguyen, Quynh C; McCullough, Matt; Meng, Hsien-Wen; Paul, Debjyoti; Li, Dapeng; Kath, Suraj; Loomis, Geoffrey; Nsoesie, Elaine O; Wen, Ming; Smith, Ken R; Li, Feifei

2017-11-01

To leverage geotagged Twitter data to create national indicators of the social environment, with small-area indicators of prevalent sentiment and social modeling of health behaviors, and to test associations with county-level health outcomes, while controlling for demographic characteristics. We used Twitter's streaming application programming interface to continuously collect a random 1% subset of publicly available geo-located tweets in the contiguous United States. We collected approximately 80 million geotagged tweets from 603 363 unique Twitter users in a 12-month period (April 2015-March 2016). Across 3135 US counties, Twitter indicators of happiness, food, and physical activity were associated with lower premature mortality, obesity, and physical inactivity. Alcohol-use tweets predicted higher alcohol-use-related mortality. Social media represents a new type of real-time data that may enable public health officials to examine movement of norms, sentiment, and behaviors that may portend emerging issues or outbreaks-thus providing a way to intervene to prevent adverse health events and measure the impact of health interventions.

Inequalities in multiple health outcomes by education, sex, and race in 93 US counties: Why we should measure them all

PubMed Central

2014-01-01

Introduction Regular reporting of health inequalities is essential to monitoring progress of efforts to reduce health inequalities. While reporting of population health became increasingly common, reporting of a subpopulation group breakdown of each indicator of the health of the population is rarely a standard practice. This study reports education-, sex-, and race-related inequalities in four health outcomes in each of the selected 93 counties in the United States in a systematic and comparable manner. Methods This study is a cross-sectional analysis of large, publicly available data, 2008, 2009, and 2010 Behavioral Risk Factor Surveillance System (BRFSS) Selected Metropolitan/Micropolitan Area Risk Trends (SMART) and 2008, 2009, and 2010 United States Birth Records from the National Vital Statistics System. The study population is American adults older than 25 years of age residing in the selected 93 counties, representing about 30% of the US population, roughly equally covering all geographic regions of the country. Main outcome measures are: (1) Attribute (group characteristic)-specific inequality: education-, sex-, or race-specific inequality in each of the four health outcomes (poor or fair health, poor physical health days, poor mental health days, and low birthweight) in each county; (2) Overall inequality: the average of these three attribute-specific inequalities for each health outcome in each county; and (3) Summary inequality in total morbidity: the weighted average of the overall inequalities across the four health outcomes in each county. Results The range of inequality across the counties differed considerably by health outcome; inequality in poor or fair health had the widest range and the highest median among inequalities in all health outcomes. In more than 70% of the counties, education-specific inequality was the largest in all health outcomes except for low birthweight. Conclusions It is feasible to extend population health reporting to

Inequalities in multiple health outcomes by education, sex, and race in 93 US counties: why we should measure them all.

PubMed

Asada, Yukiko; Whipp, Alyce; Kindig, David; Billard, Beverly; Rudolph, Barbara

2014-06-13

Regular reporting of health inequalities is essential to monitoring progress of efforts to reduce health inequalities. While reporting of population health became increasingly common, reporting of a subpopulation group breakdown of each indicator of the health of the population is rarely a standard practice. This study reports education-, sex-, and race-related inequalities in four health outcomes in each of the selected 93 counties in the United States in a systematic and comparable manner. This study is a cross-sectional analysis of large, publicly available data, 2008, 2009, and 2010 Behavioral Risk Factor Surveillance System (BRFSS) Selected Metropolitan/Micropolitan Area Risk Trends (SMART) and 2008, 2009, and 2010 United States Birth Records from the National Vital Statistics System. The study population is American adults older than 25 years of age residing in the selected 93 counties, representing about 30% of the US population, roughly equally covering all geographic regions of the country. Main outcome measures are: (1) Attribute (group characteristic)-specific inequality: education-, sex-, or race-specific inequality in each of the four health outcomes (poor or fair health, poor physical health days, poor mental health days, and low birthweight) in each county; (2) Overall inequality: the average of these three attribute-specific inequalities for each health outcome in each county; and (3) Summary inequality in total morbidity: the weighted average of the overall inequalities across the four health outcomes in each county. The range of inequality across the counties differed considerably by health outcome; inequality in poor or fair health had the widest range and the highest median among inequalities in all health outcomes. In more than 70% of the counties, education-specific inequality was the largest in all health outcomes except for low birthweight. It is feasible to extend population health reporting to include reporting of a subpopulation group

76 FR 4892 - Lock+ Hydro Friends Fund XXXIX, FFP Missouri 3, LLC, Allegheny 3 Hydro, LLC, Three Rivers Hydro...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-27

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project Nos. 13740-000, 13749-000, 13775-000, 13781-000] Lock+ Hydro Friends Fund XXXIX, FFP Missouri 3, LLC, Allegheny 3 Hydro, LLC, Three..., Pennsylvania.\\1\\ The applications were filed by Lock+ Hydro Friends Fund XXXIX, for Project No. 13740-000, FFP...

77 FR 9225 - Allegheny Electric Cooperative, Inc., et al. v. PJM Interconnection, L.L.C.; Organization of PJM...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-16

...-58-010] Allegheny Electric Cooperative, Inc., et al. v. PJM Interconnection, L.L.C.; Organization of PJM States, Inc., et al. v. PJM Interconnection, L.L.C.; Notice of Filing Take notice that on February... by section 18.17.4 of the Amended and Restated Operating Agreement of PJM Interconnection, L.L.C. and...

Public health assessment for petitioned public health assessment, Old Douglas County Landfill (a/k/a Douglas County/Cedar Mountain Landfill), Douglasville, Douglas County, Georgia, Region 4: CERCLIS Number GAD984279232. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

The Old Douglas County Landfill in Douglasville, Georgia, operated from 1973 until 1987 as a municipal waste landfill. Existing landfill records specify that household wastes were received, however, industrial wastes are suspected to have been disposed at this landfill. The Agency for Toxic Substances and Disease Registry (ATSDR) concludes that private well water near the landfill is safe to drink. The surface water from Gothard`s Creek and the settling ponds on the landfill do not have chemicals present at levels of public health concern. The settling ponds on the landfill and parts of Gothard`s Creek contain elevated levels of lead,more » manganese, and iron in the sediment that are not harmfull to humans under typical exposure conditions. The soil located on- and off-site also had elevated levels of lead, manganese, and iron, however, these metals do not pose a threat to human health under typical exposure conditions. Currently, human contact with contaminants in soil, sediment, and surface water associated with Old Douglas County Landfill is not expected to result in adverse health effects. ATSDR determined that the methane monitoring locations and frequency at the landfill are inadequate to fully evaluate conditions at the perimeter of the landfill or near adjacent houses.« less

[Analysis on effect of health promotion project for pupils in Wushan County].

PubMed

Lei, Hong-xia; Zhong, Ji-rong

2010-04-01

To evaluate the effect of health promotion project ahout hepatitis for pupils, and provide strategies for health promotion. Health promotion program was implemented through health education classes, along with many entertainments and lively activities. 213 teachers, pupils and parents from schools in the county were surveyed. The awareness of them were 100%, and the inoculating rates of hepatitis A vaccine and hepatitis B vaccine were hoth improved to 93%. Health promotion program plays an important role to promote the healthy knowledge of pupils.

The allegheny general modification of the Harvard Breast Cosmesis Scale for the retreated breast.

PubMed

Trombetta, Mark; Julian, Thomas B; Kim, Yongbok; Werts, E Day; Parda, David

2009-10-01

The use of brachytherapy--and to a lesser extent, external-beam radiotherapy--in the management of locally recurrent breast cancer following ipsilateral breast tumor recurrence (IBTR) followed by repeat breast-conservation surgery and irradiation is currently an area of intense study. The current cosmetic scoring system is inadequate to score the outcome resulting from retreatment because it does not account for the cosmetic effect of the initial treatment. We propose a modification of the scale for patients who undergo retreatment--the Allegheny General Modification of the Harvard/NSABP/RTOG scoring scale.

76 FR 6612 - Lock+ Hydro Friends Fund XL; FFP Missouri 4, LLC; Allegheny 4 Hydro, LLC; Three Rivers Hydro, LLC...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-07

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 13746-000; Project No. 13750-000; Project No. 13776-000; Project No. 13782-000] Lock+ Hydro Friends Fund XL; FFP Missouri 4..., LLC--Project No. 13750-000 3. Allegheny 4 Hydro, LLC--Project No. 13776-000 4. Lock+ Hydro Friends...

Geotagged US Tweets as Predictors of County-Level Health Outcomes, 2015–2016

PubMed Central

McCullough, Matt; Meng, Hsien-wen; Paul, Debjyoti; Li, Dapeng; Kath, Suraj; Loomis, Geoffrey; Nsoesie, Elaine O.; Wen, Ming; Smith, Ken R.; Li, Feifei

2017-01-01

Objectives. To leverage geotagged Twitter data to create national indicators of the social environment, with small-area indicators of prevalent sentiment and social modeling of health behaviors, and to test associations with county-level health outcomes, while controlling for demographic characteristics. Methods. We used Twitter’s streaming application programming interface to continuously collect a random 1% subset of publicly available geo-located tweets in the contiguous United States. We collected approximately 80 million geotagged tweets from 603 363 unique Twitter users in a 12-month period (April 2015–March 2016). Results. Across 3135 US counties, Twitter indicators of happiness, food, and physical activity were associated with lower premature mortality, obesity, and physical inactivity. Alcohol-use tweets predicted higher alcohol-use–related mortality. Conclusions. Social media represents a new type of real-time data that may enable public health officials to examine movement of norms, sentiment, and behaviors that may portend emerging issues or outbreaks—thus providing a way to intervene to prevent adverse health events and measure the impact of health interventions. PMID:28933925

4. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING WEST FACADE. VIEW ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING WEST FACADE. VIEW TO NORTHEAST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

Cross-Jurisdictional Sharing for Emergency Management-Related Public Health: Exploring the Experiences of Tribes and Counties in California

PubMed Central

Wimsatt, Maureen A.

2017-01-01

Each American Indian tribe is unique in several ways, including in its relationships with local governments and risk for emergencies. Cross-jurisdictional sharing (CJS) arrangements are encouraged between tribes and counties for emergency management-related population health, but researchers have not yet explored CJS experiences of tribes and counties for emergency management. This investigation used collaboration theory and a CJS spectrum framework to assess the scope and prevalence of tribe–county CJS arrangements for emergency management in California as well as preconditions to CJS. Mixed-methods survey results indicate that tribes and counties have varied CJS arrangements, but many are informal or customary. Preconditions to CJS include tribe–county agreement about having CJS, views of the CJS relationship, barriers to CJS, and jurisdictional strengths and weaknesses in developing CJS arrangements. Areas for public health intervention include funding programs that build tribal capacity in emergency management, reduce cross-jurisdictional disagreement, and promote ongoing tribe–county relationships as a precursor to formal CJS arrangements. Study strengths, limitations, and future directions are also discussed. PMID:28983479

Potential health impacts of heavy-metal exposure at the Tar Creek Superfund site, Ottawa County, Oklahoma.

PubMed

Neuberger, John S; Hu, Stephen C; Drake, K David; Jim, Rebecca

2009-02-01

The potential impact of exposure to heavy metals and health problems was evaluated at the Tar Creek Superfund site, Ottawa County, Oklahoma, USA. Observed versus expected mortality was calculated for selected conditions in the County and exposed cities. Excess mortality was found for stroke and heart disease when comparing the exposed County to the state but not when comparing the exposed cities to the nonexposed rest of the County. However, sample sizes in the exposed area were small, population emigration has been ongoing, and geographic coding of mortality data was incomplete. In an exposed community, 62.5% of children under the age of 6 years had blood lead levels exceeding 10 microg/dl. The relationships between heavy-metal exposure and children's health and chronic disease in adults are suggestive that a more thorough investigation might be warranted. A number of possible environmental and health studies are suggested, including those focusing on possible central nervous system impacts. Unfortunately, the exposed population is dispersing. One lesson learned at this site is that health studies need to be conducted as soon as possible after an environmental problem is identified to both study the impact of the most acute exposures and to maximize study sample size-including those exposed to higher doses-and minimize the loss of individuals to follow-up.

Disparities in health system input between minority and non-minority counties and their effects on maternal mortality in Sichuan province of western China.

PubMed

Ren, Yan; Qian, Ping; Duan, Zhanqi; Zhao, Ziling; Pan, Jay; Yang, Min

2017-09-29

The maternal mortality rate (MMR) markedly decreased in China, but there has been a significant imbalance among different geographic regions (east, central and west regions), and the mortality in the western region remains high. This study aims to examine how much disparity in the health system and MMR between ethnic minority and non-minority counties exists in Sichuan province of western China and measures conceivable commitments of the health system determinants of the disparity in MMR. The MMR and health system data of 67 minority and 116 non-minority counties were taken from Sichuan provincial official sources. The 2-level Poisson regression model was used to identify health system determinants. A series of nested models with different health system factors were fitted to decide contribution of each factor to the disparity in MMR. The MMR decreased over the last decade, with the fastest declining rate from 2006 to 2010. The minority counties experienced higher raw MMR in 2002 than non-minority counties (94.4 VS. 58.2), which still remained higher in 2014 (35.7 VS. 14.3), but the disparity of raw MMR between minority and non-minority counties decreased from 36.2 to 21.4. The better socio-economic condition, more health human resources and higher maternal health care services rate were associated with lower MMR. Hospital delivery rate alone explained 74.5% of the difference in MMR between minority and non-minority counties. All health system indicators together explained 97.6% of the ethnic difference in MMR, 59.8% in the change trend, and 66.3% county level variation respectively. Hospital delivery rate mainly determined disparity in MMR between minority and non-minority counties in Sichuan province. Increasing hospital birth rates among ethnic minority counties may narrow the disparity in MMR by more than two-thirds of the current level.

Impermanent politics: the Hillsborough County health care plan and community innovation for the uninsured.

PubMed

Brown, Lawrence D

2006-01-01

Most communities support their safety-net facilities, but few supply health coverage for uninsured residents. In 1991 Hillsborough County, Florida, created a health care plan that raised the sales tax by a half-cent, used the proceeds to cover about 30,000 uninsured county residents, and assured the public that this would save money. In time, however, various conflicts combined to call into question the plan's ends and means. These challenges reinvigorated advocacy by the plan's supporters, who steered the adoption of changes that seemed to have "institutionalized" it. Community-based reformers might find this local innovation instructive as they ponder how to build enduring programs.

Natural communities of the central Appalachian red spruce ecosystem and their conservation significance

Treesearch

Elizabeth A. Byers

2010-01-01

Natural communities within the red spruce ecosystem of the central Appalachians are characterized by exceptionally high biodiversity and conservation value. This ecosystem stretches in a southwest - northeast trending band for 250 km along the high elevations of the Allegheny Mountains, from Greenbrier County, WV to Garrett County, MD.

Supportive supervision for medicines management in government health facilities in Kiambu County, Kenya: a health workers' perspective.

PubMed

Agoro, Oscar Otieno; Osuga, Ben Onyango; Adoyo, Maureen

2015-01-01

Effective supportive supervision is widely recognized as essential for optimal management of medicines in government health facilities and also in contributing towards improved access and utilization of health services. This study sought to examine the extent supportive supervision for medicines management in government health facilities from a health worker perspective. A cross-sectional study was done targeting health workers managing medicines in government health facilities in Kiambu County. One hundred and thirty eight respondents took part in the study which explored the quality of supportive supervision from a health worker's perspective, and also examined the factors influencing their contentment with the level of supervision received. A statistical analysis was done using SPSS 21 and Excel 2013. Supervisory visits from all levels of health management were not regularly done, standard checklists were not routinely used, and action plans irregularly developed and followed up. Only 54 (38.6%) respondents were satisfied with the levels of supportive supervision that they received, with satisfaction significantly differing across the professional cadres, χ (2) (12, n = 138) = 29.762, p = .003; across the different tiers of health facilities, r s (138) = 0.341, p < .001; and with the education levels of the respondents, r s (138) = 0.381, p < .001. The study concluded that supportive supervision for medicines management that government health facilities received was still inadequate, and health workers were dissatisfied with the level of supervision that they received. The study recommends a review of the support supervision policy at the county level to address the unearthed inefficiencies and improve supervision for medicines management in government health facilities.

4. BASEMENT WALL BENEATH SOUTH PASSAGE SHOWING STEAM TUNNEL OPENING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. BASEMENT WALL BENEATH SOUTH PASSAGE SHOWING STEAM TUNNEL OPENING IN SOUTH WALL. - Pennsylvania Railroad Station, South Baggage Passage & Canopy, 1101 Liberty Avenue, Pittsburgh, Allegheny County, PA

5. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING PRINCIPAL, EAST, ENTRY. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING PRINCIPAL, EAST, ENTRY. VIEW TO WEST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

8. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING VESTIBULE. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING VESTIBULE. VIEW TO WEST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

Health Impact Assessment (HIA) of Proposed Code Changes Regarding Onsite Sewage Disposal Systems in Suffolk County, NY

EPA Science Inventory

The U.S. Environmental Protection Agency (EPA) conducted a Health Impact Assessment (HIA) of proposed code changes regarding residential onsite sewage disposal systems (OSDS) in Suffolk County, New York. Of the approximately 569,000 housing units in Suffolk County, 365,000 are no...

Stream ecosystem response to limestone treatment in acid impacted watersheds of the allegheny plateau

USGS Publications Warehouse

McClurg, S.E.; Petty, J.T.; Mazik, P.M.; Clayton, J.L.

2007-01-01

Restoration programs are expanding worldwide, but assessments of restoration effectiveness are rare. The objectives of our study were to assess current acid-precipitation remediation programs in streams of the Allegheny Plateau ecoregion of West Virginia (USA), identify specific attributes that could and could not be fully restored, and quantify temporal trends in ecosystem recovery. We sampled water chemistry, physical habitat, periphyton biomass, and benthic macroinvertebrate and fish community structure in three stream types: acidic (four streams), naturally circumneutral (eight streams), and acidic streams treated with limestone sand (eight streams). We observed no temporal trends in ecosystem recovery in treated streams despite sampling streams that ranged from 2 to 20 years since initial treatment. Our results indicated that the application of limestone sand to acidic streams was effective in fully recovering some characteristics, such as pH, alkalinity, Ca2+, Ca:H ratios, trout biomass and density, and trout reproductive success. However, recovery of many other characteristics was strongly dependent upon spatial proximity to treatment, and still others were never fully recovered. For example, limestone treatment did not restore dissolved aluminum concentrations, macroinvertebrate taxon richness, and total fish biomass to circumneutral reference conditions. Full recovery may not be occurring because treated streams continue to drain acidic watersheds and remain isolated in a network of acidic streams. We propose a revised stream restoration plan for the Allegheny Plateau that includes restoring stream ecosystems as connected networks rather than isolated reaches and recognizes that full recovery of acidified watersheds may not be possible. ?? 2007 by the Ecological Society of America.

1. GENERAL EXTERIOR VIEW OF THE ELECTRIC FURNACE STEELMAKING PLANT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. GENERAL EXTERIOR VIEW OF THE ELECTRIC FURNACE STEELMAKING PLANT LOOKING NORTHEAST. - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

2. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING EAST AND NORTH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. DETAIL VIEW OF ADMINISTRATION BUILDING SHOWING EAST AND NORTH FACADES. VIEW TO SOUTHWEST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

How does decentralisation affect health sector planning and financial management? a case study of early effects of devolution in Kilifi County, Kenya.

PubMed

Tsofa, Benjamin; Molyneux, Sassy; Gilson, Lucy; Goodman, Catherine

2017-09-15

A common challenge for health sector planning and budgeting has been the misalignment between policies, technical planning and budgetary allocation; and inadequate community involvement in priority setting. Health system decentralisation has often been promoted to address health sector planning and budgeting challenges through promoting community participation, accountability, and technical efficiency in resource management. In 2010, Kenya passed a new constitution that introduced 47 semi-autonomous devolved county governments, and a substantial transfer of responsibility for healthcare from the central government to these counties. This study analysed the effects of this major political decentralization on health sector planning, budgeting and overall financial management at county level. We used a qualitative, case study design focusing on Kilifi County, and were guided by a conceptual framework which drew on decentralisation and policy analysis theories. Qualitative data were collected through document reviews, key informant interviews, and participant and non-participant observations conducted over an eighteen months' period. We found that the implementation of devolution created an opportunity for local level prioritisation and community involvement in health sector planning and budgeting hence increasing opportunities for equity in local level resource allocation. However, this opportunity was not harnessed due to accelerated transfer of functions to counties before county level capacity had been established to undertake the decentralised functions. We also observed some indication of re-centralisation of financial management from health facility to county level. We conclude by arguing that, to enhance the benefits of decentralised health systems, resource allocation, priority setting and financial management functions between central and decentralised units are guided by considerations around decision space, organisational structure and capacity, and

Health care utilization patterns for young children in rural counties of the I-95 corridor of South Carolina.

PubMed

McElligott, James T; Summer, Andrea P

2013-01-01

The objective of this study was to assess health care utilization patterns for young children with Medicaid insurance in the rural counties of the I-95 corridor in South Carolina relative to other regions of the state. We hypothesize that young children received less well care and higher levels of tertiary care in the rural counties along the I-95 corridor (I-95) of South Carolina. A Medicaid cohort of children less than 3 years of age was used to compare Early, Periodic, Diagnosis, Screening and Treatment (EPSDT) visits; preventable emergency department (ED) visits; and inpatient visits between I-95, other rural and urban county groupings. The adjusted odds of a child having had 80% of the recommended EPSDT visits were reduced for I-95 compared to other rural counties. The odds of a preventable inpatient or ED visit were increased for all rural counties, with the highest rates in the other rural counties. Children accessed well care less in the I-95 corridor compared to other rural areas of South Carolina. Rural children accessed tertiary care more often than urban children, a finding most prominent outside the I-95 corridor, likely attributable to more available access of tertiary care in rural counties outside the I-95 corridor. © 2012 National Rural Health Association.

Multilevel model to estimate county-level untreated dental caries among US children aged 6-9years using the National Health and Nutrition Examination Survey.

PubMed

Lin, Mei; Zhang, Xingyou; Holt, James B; Robison, Valerie; Li, Chien-Hsun; Griffin, Susan O

2018-06-01

Because conducting population-based oral health screening is resource intensive, oral health data at small-area levels (e.g., county-level) are not commonly available. We applied the multilevel logistic regression and poststratification method to estimate county-level prevalence of untreated dental caries among children aged 6-9years in the United States using data from the National Health and Nutrition Examination Survey (NHANES) 2005-2010 linked with various area-level data at census tract, county and state levels. We validated model-based national estimates against direct estimates from NHANES. We also compared model-based estimates with direct estimates from select State Oral Health Surveys (SOHS) at state and county levels. The model with individual-level covariates only and the model with individual-, census tract- and county-level covariates explained 7.2% and 96.3% respectively of overall county-level variation in untreated caries. Model-based county-level prevalence estimates ranged from 4.9% to 65.2% with median of 22.1%. The model-based national estimate (19.9%) matched the NHANES direct estimate (19.8%). We found significantly positive correlations between model-based estimates for 8-year-olds and direct estimates from the third-grade State Oral Health Surveys (SOHS) at state level for 34 states (Pearson coefficient: 0.54, P=0.001) and SOHS estimates at county level for 53 New York counties (Pearson coefficient: 0.38, P=0.006). This methodology could be a useful tool to characterize county-level disparities in untreated dental caries among children aged 6-9years and complement oral health surveillance to inform public health programs especially when local-level data are not available although the lack of external validation due to data unavailability should be acknowledged. Published by Elsevier Inc.

Community-wide cardiovascular disease prevention programs and health outcomes in a rural county, 1970-2010.

PubMed

Record, N Burgess; Onion, Daniel K; Prior, Roderick E; Dixon, David C; Record, Sandra S; Fowler, Fenwick L; Cayer, Gerald R; Amos, Christopher I; Pearson, Thomas A

2015-01-13

Few comprehensive cardiovascular risk reduction programs, particularly those in rural, low-income communities, have sustained community-wide interventions for more than 10 years and demonstrated the effect of risk factor improvements on reductions in morbidity and mortality. To document health outcomes associated with an integrated, comprehensive cardiovascular risk reduction program in Franklin County, Maine, a low-income rural community. Forty-year observational study involving residents of Franklin County, Maine, a rural, low-income population of 22,444 in 1970, that used the preceding decade as a baseline and compared Franklin County with other Maine counties and state averages. Community-wide programs targeting hypertension, cholesterol, and smoking, as well as diet and physical activity, sponsored by multiple community organizations, including the local hospital and clinicians. Resident participation; hypertension and hyperlipidemia detection, treatment, and control; smoking quit rates; hospitalization rates from 1994 through 2006, adjusted for median household income; and mortality rates from 1970 through 2010, adjusted for household income and age. More than 150,000 individual county resident contacts occurred over 40 years. Over time, as cardiovascular risk factor programs were added, relevant health indicators improved. Hypertension control had an absolute increase of 24.7% (95% CI, 21.6%-27.7%) from 18.3% to 43.0%, from 1975 to 1978; later, elevated cholesterol control had an absolute increase of 28.5% (95% CI, 25.3%-31.6%) from 0.4% to 28.9%, from 1986 to 2010. Smoking quit rates improved from 48.5% to 69.5%, better than state averages (observed - expected [O - E], 11.3%; 95% CI, 5.5%-17.7%; P < .001), 1996-2000; these differences later disappeared when Maine's overall quit rate increased. Franklin County hospitalizations per capita were less than expected for the measured period, 1994-2006 (O - E, -17 discharges/1000 residents; 95% CI

Building Community Disaster Resilience: Perspectives From a Large Urban County Department of Public Health

PubMed Central

Fielding, Jonathan E.; Chandra, Anita; Williams, Malcolm; Eisenman, David; Wells, Kenneth B.; Law, Grace Y.; Fogleman, Stella; Magaña, Aizita

2013-01-01

An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory—specifically, the focus on incorporating equity and social justice considerations in preparedness planning and response. We also examine the challenges of integrating community resilience with traditional public health practices and the importance of developing metrics for evaluation and strategic planning purposes. Using the example of the Los Angeles County Community Disaster Resilience Project, we discuss our experience and perspective from a large urban county to better understand how to implement a community resilience framework in public health practice. PMID:23678937

5. EXTERIOR VIEW OF ELECTROSTATIC PRECIPITATORS FOR OPEN HEARTH NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. EXTERIOR VIEW OF ELECTROSTATIC PRECIPITATORS FOR OPEN HEARTH NO. 5 (Martin Stupich) - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

4. EXTERIOR VIEW OF ELECTROSTATIC PRECIPITATORS FOR OPEN HEARTH NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. EXTERIOR VIEW OF ELECTROSTATIC PRECIPITATORS FOR OPEN HEARTH NO. 5 (Martin Stupich) - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

10. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING SECOND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING SECOND FLOOR CORRIDOR. VIEW TO NORTH. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

9. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING FIRST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING FIRST FLOOR CORRIDOR. VIEW TO SOUTH. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 HOUSE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 HOUSE IN PENNSYLVANIA - Structures on Old National Trail, House in Pennsylvania, U.S. Route 40, Pittsburgh, Allegheny County, PA

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 DETAIL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 DETAIL OF BRIDGE IN PENNSYLVANIA - Structures on Old National Trail, Bridge, U.S. Route 40, Pittsburgh, Allegheny County, PA

44. LOOKING SOUTH IN MOULD CONDITIONING BUILDING, WITH HOT TOPPING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

44. LOOKING SOUTH IN MOULD CONDITIONING BUILDING, WITH HOT TOPPING PLATFORM ON LEFT. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

31. INTERIOR VIEW OF PLATFORM ALONG WESTERN WALL OF CLEAN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

31. INTERIOR VIEW OF PLATFORM ALONG WESTERN WALL OF CLEAN STEEL PRODUCTION BUILDING. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

The impact of commercially treated oil and gas produced water discharges on bromide concentrations and modeled brominated trihalomethane disinfection byproducts at two downstream municipal drinking water plants in the upper Allegheny River, Pennsylvania, USA.

PubMed

Landis, Matthew S; Kamal, Ali S; Kovalcik, Kasey D; Croghan, Carry; Norris, Gary A; Bergdale, Amy

2016-01-15

In 2010, a dramatic increase in the levels of total trihalomethane (THM) and the relative proportion of brominated species was observed in finished water at several Pennsylvania water utilities (PDW) using the Allegheny River as their raw water supply. An increase in bromide (Br(-)) concentrations in the Allegheny River was implicated to be the cause of the elevated water disinfection byproducts. This study focused on quantifying the contribution of Br(-) from a commercial wastewater treatment facility (CWTF) that solely treats wastes from oil and gas producers and discharges into the upper reaches of the Allegheny River, and impacts on two downstream PDWs. In 2012, automated daily integrated samples were collected on the Allegheny River at six sites during three seasonal two-week sampling campaigns to characterize Br(-) concentrations and river dispersion characteristics during periods of high and low river discharges. The CWTF discharges resulted in significant increases in Br(-) compared to upstream baseline values in PDW raw drinking water intakes during periods of low river discharge. During high river discharge, the assimilative dilution capacity of the river resulted in lower absolute halide concentrations, but significant elevations Br(-) concentrations were still observed at the nearest downstream PDW intake over baseline river levels. On days with active CWTF effluent discharge the magnitude of bromide impact increased by 39 ppb (53%) and 7 ppb (22%) for low and high river discharge campaigns, respectively. Despite a declining trend in Allegheny River Br(-) (2009-2014), significant impacts from CWTF and coal-fired power plant discharges to Br(-) concentrations during the low river discharge regime at downstream PDW intakes was observed, resulting in small modeled increases in total THM (3%), and estimated positive shifts (41-47%) to more toxic brominated THM analogs. The lack of available coincident measurements of THM, precursors, and physical parameters

Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach.

PubMed

Choi, HwaJung; Burgard, Sarah; Elo, Irma T; Heisler, Michele

2015-09-01

We assessed the potential contextual effect of income inequality on health by: 1) comparing individuals with similar socioeconomic status (SES) but who reside in counties with different levels of income inequality; and 2) examining whether the potential effect of county-level income inequality on health varies across SES groups. We used the Health and Retirement Study, a nationally representative study of Americans over the age of 50. Using propensity score matching, we selected SES-comparable individuals living in high-income inequality counties and in low-income inequality counties. We examined differences in self-rated overall health outcomes and in other specific physical/mental health outcomes between the two groups using logistic regression (n = 34,994) and imposing different sample restrictions based on residential duration in the area. We then used logistic regression with interactions to assess whether, and if so how, health outcomes differed among participants of different SES groups defined by wealth, income, and education. In bivariate analyses of the unmatched full sample, adults living in high-income inequality counties have worse health outcomes for most health measures. After propensity score matching, adults in high-income inequality counties had worse self-rated health status (AOR = 1.12; 95% CI 1.04-1.19) and were more likely to report diagnosed psychiatric problems (AOR = 1.08; 95% CI 0.99-1.19) than their matched counterparts in low-income inequality counties. These associations were stronger with longer-term residents in the area. Adverse health outcomes associated with living in high-income inequality counties were significant particularly for individuals in the 30(th) or greater percentiles of income/wealth distribution and those without a college education. In summary, after using more precise matching methods to compare individuals with similar characteristics and addressing measurement error by excluding more recently arrived county

Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach

PubMed Central

Choi, HwaJung; Burgard, Sarah; Elo, Irma T.; Heisler, Michele

2015-01-01

We assessed the potential contextual effect of income inequality on health by: 1) comparing individuals with similar socioeconomic status (SES) but who reside in counties with different levels of income inequality; and 2) examining whether the potential effect of county-level income inequality on health varies across SES groups. We used the Health and Retirement Study, a nationally representative study of Americans over the age of 50. Using propensity score matching, we selected SES-comparable individuals living in high-income inequality counties and in low-income inequality counties. We examined differences in self-rated overall health outcomes and in other specific physical/mental health outcomes between the two groups using logistic regression (n=34,994) and imposing different sample restrictions based on residential duration in the area. We then used logistic regression with interactions to assess whether, and if so how, health outcomes differed among participants of different SES groups defined by wealth, income, and education. In bivariate analyses of the unmatched full sample, adults living in high-income inequality counties have worse health outcomes for most health measures. After propensity score matching, adults in high-income inequality counties had worse self-rated health status (AOR=1.12; 95% CI 1.04–1.19) and were more likely to report diagnosed psychiatric problems (AOR=1.08; 95% CI 0.99–1.19) than their matched counterparts in low-income inequality counties. These associations were stronger with longer-term residents in the area. Adverse health outcomes associated with living in high-income inequality counties were significant particularly for individuals in the 30th or greater percentiles of income/wealth distribution and those without a college education. In summary, after using more precise matching methods to compare individuals with similar characteristics and addressing measurement error by excluding more recently arrived county residents

20. Jack E. Boucher, Photogtapher, May 1974. CLOSEUP VIEW OF ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

20. Jack E. Boucher, Photogtapher, May 1974. CLOSE-UP VIEW OF PAULI-LENTICULAR TRUSS SYSTEM, CENTRAL AREA. - Smithfield Street Bridge, Spanning Monongahela River on Smithfield Street, Pittsburgh, Allegheny County, PA

6. VIEW NORTH, LOWER STATION EAST SIDE. Monongahela Incline ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW NORTH, LOWER STATION EAST SIDE. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

3. INCLINE PLANE CAR INTERIOR, UPPER COMPARTMENT. Monongahela Incline ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. INCLINE PLANE CAR INTERIOR, UPPER COMPARTMENT. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

26. UPPER STATION, LOWER FLOOR, BULL WHEEL. Monongahela Incline ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

26. UPPER STATION, LOWER FLOOR, BULL WHEEL. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

7. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING VESTIBULE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW SHOWING VESTIBULE AND COPY ROOM. VIEW TO EAST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

21. VIEW OF CLARK OXYGEN BOOSTER COMPRESSOR IN THE HIGH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. VIEW OF CLARK OXYGEN BOOSTER COMPRESSOR IN THE HIGH PURITY OXYGEN BUILDING LOOKING SOUTH. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

29. INTERIOR VIEW OF FLUX HANDLING BUILDING, LOOKING SOUTH AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

29. INTERIOR VIEW OF FLUX HANDLING BUILDING, LOOKING SOUTH AT THE VIBRATING CAR SHAKER. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

28. LOOKING NORTH AT FLUX HANDLING BUILDING AND TRESTLE, WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

28. LOOKING NORTH AT FLUX HANDLING BUILDING AND TRESTLE, WITH BOP SHOP IN BACKGROUND. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Understanding the Gap: Perceived Health Literacy Levels Among Spanish-Speaking Immigrants in Miami-Dade County, 2016.

PubMed

Moore, Emily; Cordero, Christina

2018-06-20

Health literacy levels among immigrant populations in Miami-Dade County have yet to be examined. This study investigates perceived health literacy ability and measured health literacy scores among Miami-Dade County immigrants. Patients seen in the Refugee Health Assessment Program and Family Planning Program completed a health literacy assessment in November 2016. Participants were immigrants from Spanish-speaking countries who reported living in the U.S. for ≤ 10 years. Logistic regression models were used to determine predictors of agreement. 283 patients responded. No characteristics were significant predictors of agreement; However, we found lower agreement among participants that were 18-24 years old (49%), received medical information from the internet/television (46%), and had lived in the U.S. for only 6-12 months (49%). Our findings suggest that immigrant patients may have limited understanding of their health literacy abilities. Clinicians need to take health literacy levels into account when interacting with patients.

Looking west inside of the machine/forge shop at chargin door ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking west inside of the machine/forge shop at chargin door of the forging furnace. - U.S. Steel Edgar Thomson Works, Auxiliary Buildings & Shops, Along Monongahela River, Braddock, Allegheny County, PA

19. Jack E, Boucher, Photographer, May 1974. CLOSEUP DETAIL VIEW ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

19. Jack E, Boucher, Photographer, May 1974. CLOSE-UP DETAIL VIEW OF PAULI-LENTICULAR TRUSS SYSTEM, CENTRAL AREA. - Smithfield Street Bridge, Spanning Monongahela River on Smithfield Street, Pittsburgh, Allegheny County, PA

40 CFR 62.9610 - Identification of plan-negative declaration

Code of Federal Regulations, 2010 CFR

2010-07-01

... Pennsylvania Total Reduced Sulfur Emissions from Existing Kraft Pulp Mills § 62.9610 Identification of plan—negative declaration (a) The Allegheny County Bureau of Air Pollution Control submitted a letter on...

16. UPPER STATION, WEST FACADE, LOOKING EAST SOUTHEAST. Monongahela ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. UPPER STATION, WEST FACADE, LOOKING EAST SOUTHEAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

29. NORTHWEST VIEW OF BOILER FEEDWATER CHEMICAL REACTION TANKS, WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

29. NORTHWEST VIEW OF BOILER FEEDWATER CHEMICAL REACTION TANKS, WITH FORMER GENERAL OFFICE BUILDING IN BACKGROUND. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

49. EASTERN VIEW OF DORROLIVER VACUUM DRUM FILTER ASSEMBLY IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

49. EASTERN VIEW OF DORR-OLIVER VACUUM DRUM FILTER ASSEMBLY IN THE FILTER CAKE HOUSE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Looking southeast at bottom house with open hearth building attached ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking southeast at bottom house with open hearth building attached to the right. - U.S. Steel National Tube Works, Open Hearth Steelmaking Plant, Along Monongahela River, McKeesport, Allegheny County, PA

33. LOOKING EAST AT SPARE BUTTERFLY VALVE FOR BURNER CONNECTION ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

33. LOOKING EAST AT SPARE BUTTERFLY VALVE FOR BURNER CONNECTION ON HOT BLAST STOVES. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

23. INTERIOR VIEW OF THE OLDEST SECTION OF PUMP HOUSE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

23. INTERIOR VIEW OF THE OLDEST SECTION OF PUMP HOUSE No. 1. Jet Lowe, Photographer, 1989. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

11. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW ON SECOND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. DETAIL VIEW OF ADMINISTRATION BUILDING. INTERIOR VIEW ON SECOND FLOOR SHOWING TYPICAL OFFICE. VIEW TO NORTHWEST. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

76 FR 61689 - FirstEnergy Generation Corporation Project No. 13889-000

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-05

... the Allegheny Reservoir near the City of Warren, in Warren County, Pennsylvania. The project occupies... containing a description of the existing project and proposed project facilities and mode of operation, a...

35. VIEW OF DUAL VENTURI GAS WASHER IN THE GAS ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

35. VIEW OF DUAL VENTURI GAS WASHER IN THE GAS WASHER PUMP HOUSE LOOKING NORTHEAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

45. SOUTHERN INTERIOR VIEW OF MOULD CONDITIONING BUILDING SHOWING FINK ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

45. SOUTHERN INTERIOR VIEW OF MOULD CONDITIONING BUILDING SHOWING FINK TRUSSES AND CORRUGATED METAL SHEETING. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

20. VIEW OF WORTHINGTON BASE LOAD OXYGEN COMPRESSOR IN THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

20. VIEW OF WORTHINGTON BASE LOAD OXYGEN COMPRESSOR IN THE HIGH PURITY OXYGEN BUILDING LOOKING NORTH. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

30. LOOKING SOUTHEAST AT THE CLEAN STEEL PRODUCTION BUILDING WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

30. LOOKING SOUTHEAST AT THE CLEAN STEEL PRODUCTION BUILDING WITH THE BOP SHOP IN BACKGROUND. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

2. WESTWARD VIEW OF LOW PURITY BULK OXYGEN BUILDING, AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. WESTWARD VIEW OF LOW PURITY BULK OXYGEN BUILDING, AND FERROMANGANESE GAS CLEANING PLANT ON LEFT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Health providers' perspectives on delivering public health services under the contract service policy in rural China: evidence from Xinjian County.

PubMed

Zhou, Huixuan; Zhang, Weijun; Zhang, Shengfa; Wang, Fugang; Zhong, You; Gu, Linni; Qu, Zhiyong; Liang, Xiaoyun; Sa, Zhihong; Wang, Xiaohua; Tian, Donghua

2015-02-27

To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. Official documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy. While the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service. Contract service is a crucial step for the government to

Acceptance, Benefits, and Challenges of Public Health-Oriented Pet Business Regulations in King County, Washington.

PubMed

Wierenga, Janelle; Thiede, Hanne; Helms, Leah; Hopkins, Sharon

2016-01-01

New regulations were implemented in King County, Washington, in 2010 requiring pet businesses to obtain a permit from Public Health-Seattle & King County (Public Health) and undergo annual inspections to provide education and ensure compliance with regulatory standards. The regulations were developed as a tool for zoonotic disease control and prevention education for businesses and their customers, as well as for environmental protection. To assess the acceptance, benefits, and challenges of the new regulations and identify ways for Public Health to improve educational efforts and assist businesses with compliance. Cross-sectional survey. King County, Washington. Pet businesses with Public Health permits in 2013. Self-administered survey responses. The response rate was 40.5%. The majority of respondents provided grooming, pet day care, and kennel/boarding services from small, independent businesses. Sixty-one percent reported Public Health inspections as beneficial, especially concerning disinfection procedures and using an infection control plan. Almost three-fourths of respondents used the Public Health template to develop the infection control plan. Forty-four percent reported using the educational materials provided by Public Health, and 62% used educational materials from other sources. Most respondents reported that they gained benefits from the pet business permit, although fewer agreed that they obtained a good value from the permit and fee. The most common benefits reported were protection of animal and human health and establishing the credibility of the pet business. Major challenges with the implementation of the pet business regulations were not generally reported by respondents. Most respondents reported a collaborative relationship between Public Health and the pet businesses. Improvements in infection control practices and positive responses to the inspections were reported by pet businesses. Survey results were used to improve infection control

Pandemics and health equity: lessons learned from the H1N1 response in Los Angeles County.

PubMed

Plough, Alonzo; Bristow, Benjamin; Fielding, Jonathan; Caldwell, Stephanie; Khan, Sinan

2011-01-01

Pandemic preparedness and response (as with all public health actions) occur within a social, cultural, and historical context of preexisting health disparities and, in some populations, underlying mistrust in government. Almost 200,000 people received H1N1 vaccine at 109 free, public mass vaccination clinics operated by the Los Angeles County Department of Public Health between October 23, 2009, and December 8, 2009. Wide racial/ethnic disparities in vaccination rates were observed with African Americans having the lowest rate followed by whites. Demographic information, including race/ethnicity, was obtained for 163 087 of the Los Angeles County residents who received vaccine. This information was compared with estimates of the Los Angeles County population distribution by race/ethnicity. Rate ratios of vaccination were as follows: white, reference; African American, 0.5; Asian, 3.2; Hispanic, 1.5; Native American, 1.9; and Pacific Islander, 4.3. Significant political challenges and media coverage focused on equity in vaccination access specifically in the African American population. An important challenge was community-level informal messaging that ran counter to the "official" messages. Finally, we present a partnership strategy, developed in response to the challenges, to improve outreach and build trust and engagement with African Americans in Los Angeles County.

78 FR 54651 - Sole Source Cooperative Agreement Award to the National Association of County and City Health...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-05

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Sole Source Cooperative Agreement Award to the National...: Notification of a Sole Source Cooperative Agreement Award to the National Association of County and City Health... resilience, and strengthen health care, public health, and emergency management systems. One of the...

The "Health Belief Model" Applied to Two Preventive Health Behaviors Among Women from a Rural Pennsylvania County. AE & RS 115.

ERIC Educational Resources Information Center

Hazen, Mary E.

In order to test the usefulnes of the Health Belief Model (a model designed to measure health practices, attitudes, and knowledge), a survey of Potter County, Pennsylvania was conducted, and 283 responses from adult females without chronic illnesses were analyzed. The dependent variables employed were regulating diet and getting regular exercise.…

25. INTERIOR OF ROTARY CAR DUMPER BUILDING WITH VIEW OF ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. INTERIOR OF ROTARY CAR DUMPER BUILDING WITH VIEW OF ROTARY CAR DUMPER LOOKING NORTHEAST. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

7. LOWER STATION, FIRST FLOOR, WAITING ROOM, LOOKING EAST. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. LOWER STATION, FIRST FLOOR, WAITING ROOM, LOOKING EAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

14. UPPER STATION, FRONT AND WEST FACADES, LOOKING NORTHEAST. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. UPPER STATION, FRONT AND WEST FACADES, LOOKING NORTHEAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

15. UPPER STATION, FRONT AND EAST FACADES, LOOKING NORTH. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. UPPER STATION, FRONT AND EAST FACADES, LOOKING NORTH. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

20. UPPER STATION, LOWER FLOOR, MOTOR ROOM, SWITCHING PANEL. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

20. UPPER STATION, LOWER FLOOR, MOTOR ROOM, SWITCHING PANEL. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

25. UPPER STATION, LOWER FLOOR, MOTOR ROOM, GOVERNOR SWITCH. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. UPPER STATION, LOWER FLOOR, MOTOR ROOM, GOVERNOR SWITCH. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

2. SALEMBROSIUS CONTINUOUS GASFIRED HEAT TREATING LINE AT HEAT TREATMENT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. SALEM-BROSIUS CONTINUOUS GAS-FIRED HEAT TREATING LINE AT HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

1. VIEW LOOKING SOUTHEAST INSIDE OF THE HEAT TREATMENT BUILDING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. VIEW LOOKING SOUTHEAST INSIDE OF THE HEAT TREATMENT BUILDING AT BATCH FURNACES, QUENCHING PIT IN FOREGROUND. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

34. ROUGH GAS MAIN RUNNING SOUTHEAST FROM THE BOP SHOP ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

34. ROUGH GAS MAIN RUNNING SOUTHEAST FROM THE BOP SHOP TO THE DUAL VENTURI GAS WASHERS. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

50. VIEW OF CHEMICAL FEED PUMP HOUSE AND NEUTRALIZATION TANK ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

50. VIEW OF CHEMICAL FEED PUMP HOUSE AND NEUTRALIZATION TANK FOR WASTE WATER TREATMENT LOOKING EAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

8. VIEW OF BATCHING HOPPER ON SERVICE FLOOR OF FURNACE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. VIEW OF BATCHING HOPPER ON SERVICE FLOOR OF FURNACE AISLE IN BOP SHOP LOOKING SOUTH. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Spatial path models with multiple indicators and multiple causes: mental health in US counties.

PubMed

Congdon, Peter

2011-06-01

This paper considers a structural model for the impact on area mental health outcomes (poor mental health, suicide) of spatially structured latent constructs: deprivation, social capital, social fragmentation and rurality. These constructs are measured by multiple observed effect indicators, with the constructs allowed to be correlated both between and within areas. However, in the scheme developed here, particular latent constructs may also be influenced by known variables, or, via path sequences, by other constructs, possibly nonlinearly. For example, area social capital may be measured by effect indicators (e.g. associational density, charitable activity), but influenced as causes by other constructs (e.g. area deprivation), and by observed features of the socio-ethnic structure of areas. A model incorporating these features is applied to suicide mortality and the prevalence of poor mental health in 3141 US counties, which are related to the latent spatial constructs and to observed variables (e.g. county ethnic mix). Copyright © 2011 Elsevier Ltd. All rights reserved.

The National Environmental Public Health Tracking Network Access to Parks Indicator: A National County-Level Measure of Park Proximity

PubMed Central

Ussery, Emily Neusel; Yngve, Leah; Merriam, Dee; Whitfield, Geoffrey; Foster, Stephanie; Wendel, Arthur; Boehmer, Tegan

2017-01-01

EXECUTIVE SUMMARY Parks and recreation departments and public health organizations both work to improve the well-being of their communities. Measuring residential proximity to parks could be a specific area of shared interest, given that proximity to parks is needed for walking access, and the use of parks is, in turn, associated with many physical, social, and mental health benefits. The CDC’s publicly available National Environmental Public Health Tracking Network (NEPHTN) Access to Parks Indicator (API) focuses on one major component of access, residential proximity to parks. The API uses a commercial parks database and U.S. Census data to estimate the number and percentage of individuals in the U.S. that live within a half-mile of a park boundary, a measure commonly used to represent park proximity. The API is calculated at the state and county levels and is available for all states and counties in the U.S. Using estimates from the API, we examined the distribution of residential proximity to parks by geography and race/ethnicity. Additionally, we evaluated differences in park proximity by rural/urban status of counties. In 2010, 39% of the total U.S. population lived within a half-mile of a park. This percentage varied widely between states, ranging from 9% in West Virginia to 67% in Hawaii and 88% in the District of Columbia (DC). Park proximity was lowest among non-Hispanic whites (34.2%) and highest among individuals belonging to the non-Hispanic other race category (52.0%). Metropolitan counties had the highest percentage of residents living within a half-mile of a park (43.3%); the percentage was lower in non-metropolitan counties adjacent to a metropolitan county (15.0%) and non-metropolitan counties not adjacent to a metropolitan county (18.5%). Park proximity was higher in metropolitan counties with a larger population size and in non-metropolitan counties with a higher degree of urbanization. The NEPHTN Access to Parks Indicator provides an

The National Environmental Public Health Tracking Network Access to Parks Indicator: A National County-Level Measure of Park Proximity.

PubMed

Ussery, Emily Neusel; Yngve, Leah; Merriam, Dee; Whitfield, Geoffrey; Foster, Stephanie; Wendel, Arthur; Boehmer, Tegan

2016-01-01

Parks and recreation departments and public health organizations both work to improve the well-being of their communities. Measuring residential proximity to parks could be a specific area of shared interest, given that proximity to parks is needed for walking access, and the use of parks is, in turn, associated with many physical, social, and mental health benefits. The CDC's publicly available National Environmental Public Health Tracking Network (NEPHTN) Access to Parks Indicator (API) focuses on one major component of access, residential proximity to parks. The API uses a commercial parks database and U.S. Census data to estimate the number and percentage of individuals in the U.S. that live within a half-mile of a park boundary, a measure commonly used to represent park proximity. The API is calculated at the state and county levels and is available for all states and counties in the U.S. Using estimates from the API, we examined the distribution of residential proximity to parks by geography and race/ethnicity. Additionally, we evaluated differences in park proximity by rural/urban status of counties. In 2010, 39% of the total U.S. population lived within a half-mile of a park. This percentage varied widely between states, ranging from 9% in West Virginia to 67% in Hawaii and 88% in the District of Columbia (DC). Park proximity was lowest among non-Hispanic whites (34.2%) and highest among individuals belonging to the non-Hispanic other race category (52.0%). Metropolitan counties had the highest percentage of residents living within a half-mile of a park (43.3%); the percentage was lower in non-metropolitan counties adjacent to a metropolitan county (15.0%) and non-metropolitan counties not adjacent to a metropolitan county (18.5%). Park proximity was higher in metropolitan counties with a larger population size and in non-metropolitan counties with a higher degree of urbanization. The NEPHTN Access to Parks Indicator provides an opportunity to understand

EXTERIOR VIEW OF THE 140' PLATE MILL. SECTION ON THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

EXTERIOR VIEW OF THE 140' PLATE MILL. SECTION ON THE RIGHT ONCE HOUSED THE 32' UNIVERSAL SLABBING MILL - U.S. Steel Homestead Works, 140" Plate Mill, Along Monongahela River, Homestead, Allegheny County, PA

17. UPPER STATION, FIRST FLOOR, WAITING ROOM, LOOKING WEST, NORTHWEST. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. UPPER STATION, FIRST FLOOR, WAITING ROOM, LOOKING WEST, NORTHWEST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

18. UPPER STATION, FIRST FLOOR, OPERATOR'S CABIN, LOOKING NORTH, NORTHEAST. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. UPPER STATION, FIRST FLOOR, OPERATOR'S CABIN, LOOKING NORTH, NORTHEAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

27. UPPER STATION, LOWER FLOOR, BULL WHEEL, BRAKE AIR CYLINDER. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

27. UPPER STATION, LOWER FLOOR, BULL WHEEL, BRAKE AIR CYLINDER. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

5. DETAIL VIEW OF AJAX MAGNETHERMIC HEAT TREATING LINE AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. DETAIL VIEW OF AJAX MAGNETHERMIC HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

4. GENERAL VIEW OF AJAX MAGNETHERMIC HEAT TREATING LINE AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. GENERAL VIEW OF AJAX MAGNETHERMIC HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

25. VIEW TO THE SOUTH OF INDUCED DRAFT FANS ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. VIEW TO THE SOUTH OF INDUCED DRAFT FANS ON THE SIXTH FLOOR OF THE CENTRAL BOILER HOUSE. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

27. VIEW OF PIN CONNECTION AT L2, AND FLOOR BEAK ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

27. VIEW OF PIN CONNECTION AT L2, AND FLOOR BEAK SUPPORT, EAST TRUSS, SPAN 1, LOOKING WEST - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

5. VIEW OF CENTER PIER AND ADJACENT STRUCTURE, SHOWING PIER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF CENTER PIER AND ADJACENT STRUCTURE, SHOWING PIER STONE MASONRY AND LOWER PIN CONNECTIONS, LOOKING SOUTH - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

Looking southeast down the Turtle Creek Valley at the Edgar ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking southeast down the Turtle Creek Valley at the Edgar Thomson works from a bluff at North Braddock (Martin Stupich) - U.S. Steel Edgar Thomson Works, Along Monongahela River, Braddock, Allegheny County, PA

3. EXTERIOR VIEW INTO PART OF OPEN HEARTH NO. 5 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. EXTERIOR VIEW INTO PART OF OPEN HEARTH NO. 5 WITH RAILROAD TRESTLE IN FOREGROUND. (Jet Lowe) - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

3. INTERIOR OF SOUTHEAST CORNER OF OPEN CONCOURSE, SHOWING WOODFRAMED ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. INTERIOR OF SOUTHEAST CORNER OF OPEN CONCOURSE, SHOWING WOOD-FRAMED WINDOWS AND CEMENTED TILE AND STEEL CEILING - Pennsylvania Railroad Station, Open Concourse & Concourse Roof Extension, 1101 Liberty Avenue, Pittsburgh, Allegheny County, PA

44. NORTHEAST VIEW OF IRON DESULPHERIZATION BUILDING, WITH CALCIUM CARBIDE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

44. NORTHEAST VIEW OF IRON DESULPHERIZATION BUILDING, WITH CALCIUM CARBIDE SILO ADJACENT TO BUILDING ON RIGHT. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 TOLL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Historic American Buildings Survey, A.S. Burns, Photographer December, 1933 TOLL HOUSE (DETAIL OF PLAQUE SHOWING TOLL RATES) - Structures on Old National Trail, Toll House, U.S. Route 40, Pittsburgh, Allegheny County, PA

Looking southwest toward the basic oxygen steelmaking plant from a ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking southwest toward the basic oxygen steelmaking plant from a neighborhodd in Braddock by Eleventh Street. - U.S. Steel Edgar Thomson Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Braddock, Allegheny County, PA

Edentulism in high poverty rural counties.

PubMed

Mitchell, Jordan; Bennett, Kevin; Brock-Martin, Amy

2013-01-01

To examine the differences in oral health status among residents of high-poverty counties, as compared to residents of other rural or urban counties, specifically on the prevalence of edentulism. We used the 2005 Behavioral Risk Factor Surveillance System (BRFSS) and the 2006 Area Resource File (ARF). All analyses were conducted with SAS and SAS-callable SUDAAN, in order to account for weighting and the complex sample design. Characteristics significantly related to edentulism include: geographic location, gender, race, age, health status, employment, insurance, not having a usual source of care, education, marital status, presence of chronic disease, having an English interview, not deferring care due to cost, income, and dentist saturation within the county. Significant associations between high-poverty rural and other rural counties and edentulism were found, and other socioeconomic and health status indicators remain strong predictors of edentulism. © 2012 National Rural Health Association.

Simulation of Streamflow Regulation Effects on the Water Quality of the Allegheny River,

DTIC Science & Technology

1983-02-01

from the Clarion River south to the mouth of the Allegheny River. The severely degrided Kiskiminetas 6 River, however, is the most significant single...3eh’r Re’,,,rjo i r ani I-u ’ag iye r t n; iv t he pr inc ipal and crucial roles in titU (,rrd Ioi. A ~ ~ ~ ~ ~ ~ ~ c c’r:l3- r r )a.s op enof t it mouth ...G 2 i tA:3 rL C~b 2r~~ a;.1C:~-lt Floc’.- , Alleghenyv River ~UPA. :?i77 ; turlv Period 1 0I F,- B 2-LCL 1n l b;~~o idCmuc"F w 117 :ti) 4ro DRY 120 .0

[Prediction model of health workforce and beds in county hospitals of Hunan by multiple linear regression].

PubMed

Ling, Ru; Liu, Jiawang

2011-12-01

To construct prediction model for health workforce and hospital beds in county hospitals of Hunan by multiple linear regression. We surveyed 16 counties in Hunan with stratified random sampling according to uniform questionnaires,and multiple linear regression analysis with 20 quotas selected by literature view was done. Independent variables in the multiple linear regression model on medical personnels in county hospitals included the counties' urban residents' income, crude death rate, medical beds, business occupancy, professional equipment value, the number of devices valued above 10 000 yuan, fixed assets, long-term debt, medical income, medical expenses, outpatient and emergency visits, hospital visits, actual available bed days, and utilization rate of hospital beds. Independent variables in the multiple linear regression model on county hospital beds included the the population of aged 65 and above in the counties, disposable income of urban residents, medical personnel of medical institutions in county area, business occupancy, the total value of professional equipment, fixed assets, long-term debt, medical income, medical expenses, outpatient and emergency visits, hospital visits, actual available bed days, utilization rate of hospital beds, and length of hospitalization. The prediction model shows good explanatory and fitting, and may be used for short- and mid-term forecasting.

U.S., Pennsylvania Collaborate on Well-Plugging Case to Protect Drinking Water

EPA Pesticide Factsheets

A case that led to prison and fines for an operator who improperly plugged old oil wells in the Allegheny Forest in Elk County, Pennsylvania, began when EPA’s Dave Rectenwald noticed something amiss.

40 CFR 62.9601 - Identification of plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Allegheny County Bureau of Air Pollution Control submitted a letter on August 18, 1978 certifying that there.... 9, 1982, as amended at 50 FR 47735, Nov. 20, 1985] Total Reduced Sulfur Emissions From Existing...

4. VIEW SOUTHWEST, LOWER STATION FRONT, INCLINE PLANE TRACK, UPPER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. VIEW SOUTHWEST, LOWER STATION FRONT, INCLINE PLANE TRACK, UPPER STATION. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

5. VIEW SOUTHWEST, LOWER STATION FRONT, INCLINE PLANE TRACK, UPPER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW SOUTHWEST, LOWER STATION FRONT, INCLINE PLANE TRACK, UPPER STATION. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

22. UPPER STATION, LOWER FLOOR, MOTOR ROOM, VERTICAL DEFLECTOR SHEAVE, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

22. UPPER STATION, LOWER FLOOR, MOTOR ROOM, VERTICAL DEFLECTOR SHEAVE, MOTORS. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

23. UPPER STATION, LOWER FLOOR, MOTOR ROOM, VERTICAL DEFLECTOR SHEAVE, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

23. UPPER STATION, LOWER FLOOR, MOTOR ROOM, VERTICAL DEFLECTOR SHEAVE, MOTORS. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

2. VIEW SOUTH, INCLINE PLANE CAR, INCLINE PLANE TRACK, UPPER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. VIEW SOUTH, INCLINE PLANE CAR, INCLINE PLANE TRACK, UPPER STATION. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

6. HOT BED FOR THE AJAX MAGNETHERMIC HEAT TREATING LINE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. HOT BED FOR THE AJAX MAGNETHERMIC HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

6. VIEW LOOKING WEST FROM THE POURING AISLE OF THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW LOOKING WEST FROM THE POURING AISLE OF THE ELECTRIC FURNACE BUILDING AT ELECTRIC FURNACE X-3. - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

16. VIEW OF PIN CONNECTION AT U1, AND BENT TOP ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. VIEW OF PIN CONNECTION AT U1, AND BENT TOP LATERAL BAR, WEST TRUSS, SPAN 1, LOOKING WEST - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

12. CAPSTANS OF FRONT DECK. MIDDLE DOOR IS OPEN. ALL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. CAPSTANS OF FRONT DECK. MIDDLE DOOR IS OPEN. ALL DOORS COULD OPEN, TO GIVE OPERATOR AN UNIMPEDED VIEW. - Dredge CINCINNATI, Docked on Ohio River at foot of Lighthill Street, Pittsburgh, Allegheny County, PA

Looking northwest at the teeming aisle building of the basic ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking northwest at the teeming aisle building of the basic oxygen plant; furnace building is in background. - U.S. Steel Edgar Thomson Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Braddock, Allegheny County, PA

8. VIEW OF AFTERCOOLER FOR ALLISCHALMER AXIAL AIR COMPRESSORS IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. VIEW OF AFTERCOOLER FOR ALLIS-CHALMER AXIAL AIR COMPRESSORS IN THE LOW PURITY BULK OXYGEN BUILDING LOOKING WEST. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

3. SOUTHWEST VIEW OF LOW PURITY BULK OXYGEN BUILDING, WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. SOUTHWEST VIEW OF LOW PURITY BULK OXYGEN BUILDING, WITH THE LINDE LOW PURITY OXYGEN FRACTIONATING TOWERS ON LEFT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

21. 175 TON CAPACITY TEEMING LADLES ON THE NEAR WESTERN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. 175 TON CAPACITY TEEMING LADLES ON THE NEAR WESTERN TEEMING AISLE OF THE BOP SHOP LOOKING SOUTHEAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

40. LOOKING SOUTHWEST AT GAS COOLING TOWERS No. 1 AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

40. LOOKING SOUTHWEST AT GAS COOLING TOWERS No. 1 AND No. 2, WITH DORR-OLIVER THICKENER IN FOREGROUND. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

9. VIEW OF AFTERCOOLER FOR ALLISCHALMER AXIAL AIR COMPRESSORS IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. VIEW OF AFTERCOOLER FOR ALLIS-CHALMER AXIAL AIR COMPRESSORS IN THE LOW PURITY BULK OXYGEN BUILDING LOOKING WEST. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

4. FLUX STORAGE HOPPERS ON THE WEIGHING FLOOR OF THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. FLUX STORAGE HOPPERS ON THE WEIGHING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP LOOKING SOUTHWEST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

24. SOUTHEAST VIEW OF LADLE REPAIR PIT ON THE WESTERN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

24. SOUTHEAST VIEW OF LADLE REPAIR PIT ON THE WESTERN TEEMING AISLE OF THE BOP SHOP. LOOKING SOUTHEAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

43. NORTHEASTERN VIEW OF MOULD CONDITIONING BUILDING AND BOP SHOP, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

43. NORTHEASTERN VIEW OF MOULD CONDITIONING BUILDING AND BOP SHOP, WITH OPEN HEARTH No. 2 BUILDING ON LEFT. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

21. UPPER STATION, LOWER FLOOR, MOTOR ROOM, SWITCHING PANEL, ELECTRICAL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. UPPER STATION, LOWER FLOOR, MOTOR ROOM, SWITCHING PANEL, ELECTRICAL POWER ENTRY. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

3. INTERIOR OF SOUTH BAGGAGE PASSAGE LOOKING EAST, SHOWING ROOF ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. INTERIOR OF SOUTH BAGGAGE PASSAGE LOOKING EAST, SHOWING ROOF OF WOOD, GLASS, AND STEEL (TARRED ON EXTERIOR, PAINTED ON INTERIOR) - Pennsylvania Railroad Station, South Baggage Passage & Canopy, 1101 Liberty Avenue, Pittsburgh, Allegheny County, PA

26. VIEW OF PIN CONNECTION AT L2, SIDE VIEW, AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

26. VIEW OF PIN CONNECTION AT L2, SIDE VIEW, AND FLOOR BEAN SUPPORT, EAST TRUSS, SPAN 1, LOOKING NORTH - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

11. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM. LOOKING NORTH. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

28. UPPER STATION, LOWER FLOOR, BULL WHEEL ROOM, SAFETY BRAKE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

28. UPPER STATION, LOWER FLOOR, BULL WHEEL ROOM, SAFETY BRAKE ADJUSTING MACHINERY. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

1. VIEW WEST SOUTHWEST, UPPER STATION. INCLINE PLANE TRACK AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. VIEW WEST SOUTHWEST, UPPER STATION. INCLINE PLANE TRACK AND LOWER STATION. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

8. QUENCHING MECHANISM FOR THE CONTINUOUS ELECTRIC FURNACE HEAT TREATING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. QUENCHING MECHANISM FOR THE CONTINUOUS ELECTRIC FURNACE HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

53. LOOKING EAST IN GRAVITY FILTER BUILDING AT THE DELAVAL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

53. LOOKING EAST IN GRAVITY FILTER BUILDING AT THE DELAVAL GRAVITY FILTER (ON LEFT) AND THE BACKWASH HOLDING TANK. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

26. NORTHERN VIEW OF ORE YARD WITH ORE BRIDGES IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

26. NORTHERN VIEW OF ORE YARD WITH ORE BRIDGES IN THE BACKGROUND. BLAST FURNACES ALONG THE RIGHT SIDE. (Martin Stupich) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

7. VIEW OF CARRIE No. 3 AND No. 4 ORE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. VIEW OF CARRIE No. 3 AND No. 4 ORE BRIDGE, ORE YARD AND FURNACES FROM THE HOT METAL BRIDGE. - U.S. Steel Homestead Works, Blast Furnace Plant, Along Monongahela River, Homestead, Allegheny County, PA

4th floor sacking deck looking east from 1945 elevator to ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4th floor sacking deck looking east from 1945 elevator to 1913 elevator indicating spout used to load bulk grain into rail cars - Stewart Company Grain Elevator, 16 West Carson Street, Pittsburgh, Allegheny County, PA

19. 1500 CUBIC FEET CAPACITY SCRAP STEEL CHARGING BOX ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

19. 1500 CUBIC FEET CAPACITY SCRAP STEEL CHARGING BOX ON THE CHARGING AISLE OF THE BOP SHOP LOOKING NORTHWEST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

23. 175 TON CAPACITY CHARGING LADLE ON THE CHARGING AISLE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

23. 175 TON CAPACITY CHARGING LADLE ON THE CHARGING AISLE OF THE BOP SHOP LOOKING SOUTH. HISTORIAN FOR SCALE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

2. SOUTHEAST VIEW OF TRIPPER CAR ON THE FLUX STORAGE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. SOUTHEAST VIEW OF TRIPPER CAR ON THE FLUX STORAGE FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

18. LOOKING EAST AT THE HOT METAL RELADLING PIT No. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. LOOKING EAST AT THE HOT METAL RELADLING PIT No. 1 ON THE CHARGING AISLE OF THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

An Analysis of North Carolina's Rural Health Problems as Perceived by County Rural Development Panels.

ERIC Educational Resources Information Center

Hamilton, Vance E., Comp.

A State Task Force on Rural Health was formed (January 1973) by the State Rural Development Committee to identify and analyze major rural health problems in North Carolina and to recommend alleviation strategies. The Task Force submitted open-ended questionnaires to members of the County Rural Development Panels to secure their perceptions of…

DDT, DDD, and DDE in soil of Xiangfen County, China: Residues, sources, spatial distribution, and health risks.

PubMed

Ma, Jin; Pan, Li-Bo; Yang, Xiao-Yang; Liu, Xiao-Ling; Tao, Shi-Yang; Zhao, Long; Qin, Xiao-Peng; Sun, Zai-Jin; Hou, Hong; Zhou, Yong-Zhang

2016-11-01

We collected and analyzed 128 surface soil samples from Xiangfen County for dichlorodiphenyltrichloroethane (DDT), dichlorodiphenyldichloroethane (DDD), and dichlorodiphenyldichloroethylene (DDE). Total DDT concentrations (DDTs; sum of p,p'-DDD, p,p'-DDE, and p,p'-DDT) ranged from ND to 427.81 ng g(-1) (dry weight, dw), with a mean of 40.26 ng g(-1) (dw). Among the three compounds, p,p'-DDD was the most dominant. The DDTs in Xiangfen County soils mainly originated from historical DDT use, but there were also new inputs likely related to dicofol use. The DDTs in Xiangfen County soils were mainly degraded under anaerobic conditions, and direct degradation to DDD was the main degradation route. Regions with relatively high concentrations of DDTs were mainly located in North and South Xiangfen County. In these regions, many soil samples contained p,p'-DDT as the predominant pollutant, suggestive of extensive new inputs of DDT. A health risk assessment revealed that there are no serious long-term health impacts of exposure to DDTs in soil, for adults or children. Copyright © 2016 Elsevier Ltd. All rights reserved.

Occurrence and trends in the concentrations of fecal-indicator bacteria and the relation to field water-quality parameters in the Allegheny, Monongahela, and Ohio Rivers and selected tributaries, Allegheny County, Pennsylvania, 2001–09

USGS Publications Warehouse

Fulton, John W.; Koerkle, Edward H.; McCoy, Jamie L.; Zarr, Linda F.

2016-01-21

A total of 1,742 water samples were collected at 52 main-stem and tributary sites. Quantifiable concentrations of Escherichia coli (E. coli) were reported in 1,667 samples, or 97.0 percent of 1,719 samples; concentrations in 853 samples (49.6 percent) exceeded the U.S. Environmental Protection Agency (EPA) recreational water-quality criterion of 235 colonies per 100 milliliters (col/100 mL). Quantifiable concentrations of fecal coliform (FC) bacteria were reported in 1,693 samples, or 98.8 percent of 1,713 samples; concentrations in 780 samples (45.5 percent) exceeded the Commonwealth of Pennsylvania water contact criterion of 400 col/100 mL. Quantifiable concentrations of enterococci bacteria were reported in 912 samples, or 87.5 percent of 1,042 samples; concentrations in 483 samples (46.4 percent) exceeded the EPA recreational water-quality criterion of 61 col/100 mL. The median percentage of samples in which bacteria concentrations exceeded recreational water-quality standards across all sites with five or more samples was 48 for E. coli, 43 for FC, and 75 for enterococci. E. coli, FC, and enterococci concentrations at main-stem sites had significant positive correlations with streamflow under all weather conditions, with rho values ranging from 0.203 to 0.598. Seasonal Kendall and logistic regression were evaluated to determine whether statistically significant trends were present during the period 2001–09. In general, Seasonal Kendall tests for trends in E. coli and FC bacteria were inconclusive. Results of logistic regression showed no significant trends in dry-weather exceedance of the standards; however, significant decreases in the likelihood that wet-weather E. coli and FC bacteria concentrations will exceed EPA recreational standards were found at the USGS streamgaging station Allegheny River at 9th Street Bridge. Nonparametric correlation analysis, including Spearman’s rho and the paired Prentice-Wilcoxon test, was used to screen for associations

A community college model to support nursing workforce diversity.

PubMed

Colville, Janet; Cottom, Sherry; Robinette, Teresa; Wald, Holly; Waters, Tomi

2015-02-01

Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative.

Does Sodium Knowledge Affect Dietary Choices and Health Behaviors? Results From a Survey of Los Angeles County Residents.

PubMed

Dewey, George; Wickramasekaran, Ranjana N; Kuo, Tony; Robles, Brenda

2017-11-22

In 2010, the Los Angeles County Department of Public Health launched a local sodium-reduction initiative to address the rising prevalence of high blood pressure (hypertension) and related cardiovascular conditions in the population. To inform this effort, we evaluated self-reported knowledge and health behaviors related to sodium intake among Los Angeles County residents. We administered 3 cross-sectional Internet panel surveys on knowledge about dietary sodium to a sample of Los Angeles County adults, at intervals from December 2014 through August 2016. Multinomial and logistic regression models were constructed to describe associations between sodium knowledge and self-reported health behaviors. A total of 7,067 panel subjects clicked into the online survey, and 2,862 completed the survey (adjusted response rate = 40.5%). Only 102 respondents (3.6%) were able to accurately report the recommended milligrams of sodium that an average adult should consume daily (1,500 mg to 2300 mg). Knowing about daily sodium intake recommendations was associated with increased odds of using Nutrition Facts labels to make food purchase decisions (adjusted odds ratio [AOR], 3.48; 95% confidence interval [CI], 1.59-7.60) and with decreased odds of taking measures to prevent hypertension (AOR, 0.38; 95% CI, 0.19-0.74). Los Angeles County residents had a limited knowledge of recommended daily sodium intake. Efforts to increase understanding of these recommendations may encourage wider engagement in healthy behaviors. Health agencies should integrate sodium reduction messages in their diet and nutrition educational efforts.

Los Angeles County Department of Public Health's Health Hazard Assessment: putting the "health" into hazard assessment.

PubMed

Dean, Brandon; Bagwell, Dee Ann; Dora, Vinita; Khan, Sinan; Plough, Alonzo

2013-01-01

A ll communities, explicitly or implicitly, assess and prepare for the natural and manmade hazards that they know could impact their community. The commonality of hazard-based threats in most all communities does not usually result in standard or evidence-based preparedness practice and outcomes across those communities. Without specific efforts to build a shared perspective and prioritization, "all-hazards" preparedness can result in a random hodgepodge of priorities and preparedness strategies, resulting in diminished emergency response capabilities. Traditional risk assessments, with a focus on physical infrastructure, do not present the potential health and medical impacts of specific hazards and threats. With the implementation of Centers for Disease Control and Prevention's capability-based planning, there is broad recognition that a health-focused hazard assessment process--that engages the "Whole of Community"--is needed. Los Angeles County's Health Hazard Assessment and Prioritization tool provides a practical and innovative approach to enhance existing planning capacities. Successful utilization of this tool can provide a way for local and state health agencies and officials to more effectively identify the health consequences related to hazard-specific threats and risk, determine priorities, and develop improved and better coordinated agency planning, including community engagement in prioritization.

View looking southwest at rollup ports of no. 1 billet ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

View looking southwest at roll-up ports of no. 1 billet heating furnace for no. 1 seamless line. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

PERSPECTIVE VIEW FROM SOUTHWEST OF THE ALCOA BUILDING, A WELLKNOWN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

PERSPECTIVE VIEW FROM SOUTHWEST OF THE ALCOA BUILDING, A WELL-KNOWN POST-WAR CORPORATE SKYSCRAPER BUILT IN 1953 AND DESIGNED BY THE FIRM OF HARRISON AND ABRAMOVITZ. - ALCOA Building, 425 Sixth Avenue, Pittsburgh, Allegheny County, PA

10. LOWER STATION, FIRST FLOOR, INCLINE PLANE TRCK LOOKING SOUTH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. LOWER STATION, FIRST FLOOR, INCLINE PLANE TRCK LOOKING SOUTH SOUTHEAST, UPPER STATION. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

3. HOT BED FOR SALEMBROSIUS CONTINUOUS GASFIRED HEAT TREATING LINE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. HOT BED FOR SALEM-BROSIUS CONTINUOUS GAS-FIRED HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

INTERIOR VIEW LOOKING EAST, SHOWING HEROULT NO. 2 FURNACE (ca. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR VIEW LOOKING EAST, SHOWING HEROULT NO. 2 FURNACE (ca. 1920) AND DETAIL OF CABLES AND BUS BARS (which convey power to electrodes) - Braeburn Alloy Steel, Braeburn Road at Allegheny River, Lower Burrell, Westmoreland County, PA

2. DETAIL VIEW OF ANIMAL HOUSE SHOWING NORTHEAST AND SOUTHEAST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. DETAIL VIEW OF ANIMAL HOUSE SHOWING NORTHEAST AND SOUTHEAST FACADES AND CONNECTION TO SOUTHEAST FACADE OF STATION GARAGE. VIEW TO WEST. - VA Medical Center, Aspinwall Division, Animal House, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

Northwest view of steel plate "cans" in bay 7 of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Northwest view of steel plate "cans" in bay 7 of the main pipe mill building. Historian for scale. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

7. SOUTHEASTERN VIEW TOWARD THE COMPRESSOR END OF TWO ALLISCHALMER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. SOUTHEASTERN VIEW TOWARD THE COMPRESSOR END OF TWO ALLIS-CHALMER AXIAL AIR COMPRESSORS IN THE LOW PURITY BULK OXYGEN BUILDING. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

6. FLUX WEIGH HOPPERS AND SCALES ON THE BATCHING FLOOR ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. FLUX WEIGH HOPPERS AND SCALES ON THE BATCHING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP LOOKING SOUTHWEST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

16. LOOKING SOUTHEAST AT THE LINDE 1000 TONS PER DAY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. LOOKING SOUTHEAST AT THE LINDE 1000 TONS PER DAY HIGH PURITY OXYGEN MAKING PLANT SHOWING THE TWIN OXYGEN FRACTIONATING TOWERS. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

14. NORTHEASTERN VIEW OF ORIGINAL DEMAG AIR COMPRESSOR UNIT FOR ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. NORTHEASTERN VIEW OF ORIGINAL DEMAG AIR COMPRESSOR UNIT FOR THE LINDE 1000 TONS PER DAY HIGH PURITY OXYGEN MAKING PLANT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

39. LOOKING SOUTH AT GAS COOLING TOWERS No. 1 (ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

39. LOOKING SOUTH AT GAS COOLING TOWERS No. 1 (ON RIGHT) AND No. 2, WITH DORR-OLIVER THICKENER IN FOREGROUND. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Effects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the U.S

PubMed Central

Choi, Sunha; Kim, Giyeon

2016-01-01

Using the 2004–2007 Medical Expenditure Panel Survey data that are linked to county-level data from the Area Health Resources Files, this study examined whether the healthy immigrant effect applies to mental health of foreign-born older adults. Additionally, testing a protective ethnic density effect on older foreign-born individuals’ mental health, this study examined how the percentage of foreign-born population in the county affected the relationship between older adults’ immigration status (U.S.-nativity and length of residence in the U.S.) and their mental health status. The sample included 29,011 individuals (level-1) from 920 counties (level-2) across 50 states and D.C. Using the Mental Component Summary of the Short-Form 12, the Kessler Index (K-6), and the Patient Health Questionnaire (PHQ-2), U.S.-born individuals (n = 24,225), earlier immigrants (≥15 years in the U.S.; n = 3866), and recent immigrants (<15 years in the U.S.; n = 920) were compared. The results indicate that recent immigrants showed worse mental health on all three measures compared with U.S.-born individuals and on the K-6 and PHQ-2 compared with earlier immigrants. Higher county-level foreign-born densities were associated with worse mental health status of individuals. However, the significant interactions found in the full conditional multilevel models indicated that the high foreign-born density functioned as a risk factor for worse mental health only among recent immigrants but not among the U.S.-born. In conclusion, the results revealed the vulnerability of older recent immigrants, especially those living in the counties with high foreign-born densities. PMID:26910461

Effects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the U.S.

PubMed

Choi, Sunha; Kim, Giyeon; Lee, Sungkyu

2016-12-01

Using the 2004-2007 Medical Expenditure Panel Survey data that are linked to county-level data from the Area Health Resources Files, this study examined whether the healthy immigrant effect applies to mental health of foreign-born older adults. Additionally, testing a protective ethnic density effect on older foreign-born individuals' mental health, this study examined how the percentage of foreign-born population in the county affected the relationship between older adults' immigration status (U.S.-nativity and length of residence in the U.S.) and their mental health status. The sample included 29,011 individuals (level-1) from 920 counties (level-2) across 50 states and D.C. Using the Mental Component Summary of the Short-Form 12, the Kessler Index (K-6), and the Patient Health Questionnaire (PHQ-2), U.S.-born individuals (n = 24,225), earlier immigrants (≥15 years in the U.S.; n = 3866), and recent immigrants (<15 years in the U.S.; n = 920) were compared. The results indicate that recent immigrants showed worse mental health on all three measures compared with U.S.-born individuals and on the K-6 and PHQ-2 compared with earlier immigrants. Higher county-level foreign-born densities were associated with worse mental health status of individuals. However, the significant interactions found in the full conditional multilevel models indicated that the high foreign-born density functioned as a risk factor for worse mental health only among recent immigrants but not among the U.S.-born. In conclusion, the results revealed the vulnerability of older recent immigrants, especially those living in the counties with high foreign-born densities.

The Relationship of Individual, Family, and Community Characteristics with Physical Health: An Adult Study in 27 Rural Minnesota Counties

ERIC Educational Resources Information Center

Wickrama, K. A. Thulitha; Wickrama, K. A. S.; Romas, John A.

2005-01-01

Context and Purpose: This study investigates associations between the proportion of farm families in rural counties and the health of rural individuals, independent of county poverty rate and individual and family socioeconomic factors. This study also examines relationships of these socioeconomic factors and prevalence of specific diseases.…

Proximal and distal determinants of access to health care among Hispanics in El Paso County, Texas.

PubMed

Law, Jon; VanDerslice, James

2011-04-01

In the United States, having health insurance is an important determinant of health care access and individual health outcomes. Nationwide, a significant proportion of the population does not have health insurance. Hispanics, in particular, are less likely than non-Hispanics to have insurance. A framework was established to examine the relationships between the determinants of insurance coverage and health care affordability in El Paso County, Texas. Data from the 2005 Behavioral Risk Factor Surveillance System were used to examine the relationships described by this framework. The sample included 653 adults, of those 477 self-identified as Hispanic or Latino. In El Paso County, almost half of adult Hispanics lack any type of health insurance coverage, three times the rate of non-Hispanics. Among Hispanics, the lack of health insurance was strongly associated with reduced affordability of health care. Employment status, income, and age were found to have significant associations with insurance coverage and health care affordability. Sex and education level were relevant, yet distal determinants of these outcomes. Ongoing conversations about health care reform should take into account the patterns of coverage within the Hispanic population. Knowing how economic and social factors affect coverage is necessary to inform policy that can effectively alleviate disparities experienced by Hispanics.

Is healthcare caring in Hawai'i? Preliminary results from a health assessment of lesbian, gay, bisexual, transgender, questioning, and intersex people in four counties.

PubMed

Stotzer, Rebecca L; Ka'opua, Lana Sue I; Diaz, Tressa P

2014-06-01

This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai'i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai'i, Honolulu, Kaua'i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as "very good" or "excellent," but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai'i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai'i's counties did not have a clear rural disadvantage. Honolulu and Kaua'i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai'i.

Is Healthcare Caring in Hawai‘i? Preliminary Results from a Health Assessment of Lesbian, Gay, Bisexual, Transgender, Questioning, and Intersex People in Four Counties

PubMed Central

Ka‘opua, Lana Sue I; Diaz, Tressa P

2014-01-01

This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai‘i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai‘i, Honolulu, Kaua‘i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as “very good” or “excellent,” but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai‘i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai‘i's counties did not have a clear rural disadvantage. Honolulu and Kaua‘i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai‘i. PMID:24959391

10. INTERIOR NORTHERN VIEW OF STOCKHOUSE No. 1 WITH COKE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. INTERIOR NORTHERN VIEW OF STOCKHOUSE No. 1 WITH COKE BIN IN CENTER AND COKE BREEZE REMOVAL CONVEYOR ON RIGHT. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

24. INTERIOR VIEW OF SUBTERRANEAN LEVEL OF PUMP HOUSE. No. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

24. INTERIOR VIEW OF SUBTERRANEAN LEVEL OF PUMP HOUSE. No. 1, FLOODED AT THE TIME OF THE SURVEY. Jet Lowe, Photographer, 1989. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

12. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM, NORTHWEST WALL. FIREPLACE DETAIL. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

19. UPPER STATION, FIRST FLOOR, OPERATOR'S CABIN, DOORS TO INCLINE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

19. UPPER STATION, FIRST FLOOR, OPERATOR'S CABIN, DOORS TO INCLINE PLANE CARS, LOOKING WEST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

2. EXTERIOR VIEW LOOKING SOUTHEAST AT ELECTRIC FURNACE BUILDING AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. EXTERIOR VIEW LOOKING SOUTHEAST AT ELECTRIC FURNACE BUILDING AND ELECTRIC FURNACE OFFICE & CHEMICAL LABORATORY BUILDING. INGOT MOLDS IN RIGHT FOREGROUND. - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

4. LOOKING SOUTHEAST INSIDE OF ELECTRIC FURNACE BUILDING ON GROUND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. LOOKING SOUTHEAST INSIDE OF ELECTRIC FURNACE BUILDING ON GROUND FLOOR OF CHARGING AISLE. VIEW OF 50 TON CAPACITY CHARGING BUCKET. - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

13. VIEW OF TOP LATERAL STRUT AND BRACING, U10 IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. VIEW OF TOP LATERAL STRUT AND BRACING, U10 IN TOP FOREGROUND, U9 IN LOWER CENTER, SPAN 2, LOOKING NORTH - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

Looking south at the open hearth steelmaking plant; open hearth ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking south at the open hearth steelmaking plant; open hearth stockhouse in foreground and open hearth furnace building in background - U.S. Steel Edgar Thomson Works, Open Hearth Steelmaking Plant, Along Monongahela River, Braddock, Allegheny County, PA

10. LOOKING NORTHEAST AT THE LINDE 400 TONS PER DAY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. LOOKING NORTHEAST AT THE LINDE 400 TONS PER DAY LOW PURITY OXYGEN MAKING PLANT IN THE LOW PURITY BULK OXYGEN BUILDING. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

12. LOOKING WEST AT THE LINDE 400 TONS PER DAY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. LOOKING WEST AT THE LINDE 400 TONS PER DAY LOW PURITY OXYGEN MAKING PLANT IN THE LOW PURITY BULK OXYGEN BUILDING. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

10. LOOKING SOUTH IN BOP SHOP AT FUME HOOD AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. LOOKING SOUTH IN BOP SHOP AT FUME HOOD AND SPARE OXYGEN LANCES ON THE SERVICE FLOOR OF THE FURNACE AISLE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

32. SOUTHEASTERN VIEW OF GAS CLEANING PLANT, WITH BOP SHOP ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

32. SOUTHEASTERN VIEW OF GAS CLEANING PLANT, WITH BOP SHOP IN BACKGROUND AND OPEN HEARTH STEELMAKING OFFICE BUILDING TO THE RIGHT. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

7. NORTHWEST VIEW OF FLUX CONVEYORS FEEDING BATCH HOPPERS ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. NORTHWEST VIEW OF FLUX CONVEYORS FEEDING BATCH HOPPERS ON THE BATCHING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

13. LOOKING WEST AT THE LINDE 400 TONS PER DAY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. LOOKING WEST AT THE LINDE 400 TONS PER DAY LOW PURITY OXYGEN MAKING PLANT IN THE LOW PURITY BULK OXYGEN BUILDING. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

20. 175 TON CAPACITY TEEMING LADLES ON THE NEAR WESTERN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

20. 175 TON CAPACITY TEEMING LADLES ON THE NEAR WESTERN TEEMING AISLE OF THE BOP SHOP LOOKING SOUTHEAST. HISTORIAN FOR SCALE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

12. SOUTHWEST VIEW OF BASIC OXYGEN FURNACE No. 2 ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. SOUTHWEST VIEW OF BASIC OXYGEN FURNACE No. 2 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

The reforms of the Chinese health care system: county level changes: the Jiangxi Study.

PubMed

Zheng, X; Hillier, S

1995-10-01

A survey of the economic performance of county hospitals in middle income counties in Jiangxi province was undertaken in 1989. The survey considered the impact of health policy changes in the P.R.C., especially cost recovery, decentralization, managerial changes and the promotion of traditional medicine. The financial records of county level hospitals and traditional medicine hospitals for the period 1980-89 were examined, as were patient expenditures. Opinions of those responsible for policy execution were surveyed. The data showed that hospitals from which state subsidy had been removed had become dependent on medicine sales and increasing itemization of treatment to recover costs. The insurance status of patients influenced the length of stay and levels of payment. Uninsured peasants had a shorter stay and were charged more for items of treatment. Traditional Medicine hospitals saw more outpatients than County hospitals, but were more likely to have a deficit. They were also very dependent on medicine sales for income. Most officials questioned felt that the changing system caused problems, but at the same time were eager to invest in equipment as a source of revenue.

Impact of free delivery policy on utilization of maternal health services in county referral hospitals in Kenya.

PubMed

Njuguna, John; Kamau, Njoroge; Muruka, Charles

2017-06-21

Kenya has a high maternal mortality rate. Provision of skilled delivery plays a major role in reducing maternal mortality. Cost is a hindrance to the utilization of skilled delivery. The Government of Kenya introduced a policy of free delivery services in government facilities beginning June 2013. We sought to determine the impact of this intervention on facility based deliveries in Kenya. We compared deliveries and antenatal attendance in 47 county referral hospitals and 30 low cost private hospitals not participating in the free delivery policy for 2013 and 2014 respectively. The data was extracted from the Kenya Health Information System. Multiple regression was done to assess factors influencing increase in number of deliveries among the county referral hospitals. The number of deliveries and antenatal attendance increased by 26.8% and 16.2% in county referral hospitals and decreased by 11.9% and 5.4% respectively in low cost private hospitals. Increase in deliveries among county referral hospitals was influenced by population size of county and type of county referral hospital. Counties with level 5 hospitals recorded more deliveries compared to those with level 4 hospitals. This intervention increased the number of facility based deliveries. Policy makers may consider incorporating low cost private hospitals so as to increase the coverage of this intervention.

Does Sodium Knowledge Affect Dietary Choices and Health Behaviors? Results From a Survey of Los Angeles County Residents

PubMed Central

Dewey, George; Wickramasekaran, Ranjana N.; Kuo, Tony

2017-01-01

Introduction In 2010, the Los Angeles County Department of Public Health launched a local sodium-reduction initiative to address the rising prevalence of high blood pressure (hypertension) and related cardiovascular conditions in the population. To inform this effort, we evaluated self-reported knowledge and health behaviors related to sodium intake among Los Angeles County residents. Methods We administered 3 cross-sectional Internet panel surveys on knowledge about dietary sodium to a sample of Los Angeles County adults, at intervals from December 2014 through August 2016. Multinomial and logistic regression models were constructed to describe associations between sodium knowledge and self-reported health behaviors. Results A total of 7,067 panel subjects clicked into the online survey, and 2,862 completed the survey (adjusted response rate = 40.5%). Only 102 respondents (3.6%) were able to accurately report the recommended milligrams of sodium that an average adult should consume daily (1,500 mg to 2300 mg). Knowing about daily sodium intake recommendations was associated with increased odds of using Nutrition Facts labels to make food purchase decisions (adjusted odds ratio [AOR], 3.48; 95% confidence interval [CI], 1.59–7.60) and with decreased odds of taking measures to prevent hypertension (AOR, 0.38; 95% CI, 0.19–0.74). Conclusions Los Angeles County residents had a limited knowledge of recommended daily sodium intake. Efforts to increase understanding of these recommendations may encourage wider engagement in healthy behaviors. Health agencies should integrate sodium reduction messages in their diet and nutrition educational efforts. PMID:29166247

Providing engineering services to counties.

DOT National Transportation Integrated Search

2008-09-01

An engineer is required by law to safeguard the health, safety and welfare of the public. The current Kansas : statute state, The Board of County Commissioners of each county shall appoint a licensed professional : engineer, whose title shall be c...

Rotary roller of no. 2 seamless line in bays 19 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Rotary roller of no. 2 seamless line in bays 19 and 20 of the main pipe mill building looking north. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Taylorwilson four roll straightener of the no. 1 seamless line ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Taylor-wilson four roll straightener of the no. 1 seamless line in bay 12 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

8. LOWER STATION, FIRST FLOOR, EAST SIDE ACCESS TO INCLINE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. LOWER STATION, FIRST FLOOR, EAST SIDE ACCESS TO INCLINE PLANE CARS, LOOKING NORTH NORTHEAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

7. VIEW OF THE HOT BED FOR THE CONTINUOUS ELECTRIC ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. VIEW OF THE HOT BED FOR THE CONTINUOUS ELECTRIC FURNACE HEAT TREATING LINE AT THE HEAT TREATMENT PLANT OF THE DUQUESNE WORKS. - U.S. Steel Duquesne Works, Heat Treatment Plant, Along Monongahela River, Duquesne, Allegheny County, PA

3. INSIDE BATCH FURNACE BUILDING, VIEW LOOKING NORTH AT REGENERATIVE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. INSIDE BATCH FURNACE BUILDING, VIEW LOOKING NORTH AT REGENERATIVE BATCH FURNACES ON LEFT AND 5 TON CAPACITY CHARGING MACHINE ON RIGHT. - U.S. Steel Duquesne Works, 22-Inch Bar Mill, Along Monongahela River, Duquesne, Allegheny County, PA

17. NORTHWEST VIEW OF LINDE 1000 TONS PER DAY HIGH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. NORTHWEST VIEW OF LINDE 1000 TONS PER DAY HIGH PURITY OXYGEN MAKING PLANT SHOWING FRACTIONATING TOWER, NITROGEN REGENERATORS, AND REVERSING HEAT EXCHANGERS. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

4. CLOSEUP VIEW INTO A REHEATING FURNACE IN THE No. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. CLOSE-UP VIEW INTO A REHEATING FURNACE IN THE No. 2 FORGE SHOP. THE FURNACE IS MISSING ITS REFRACTORY BRICK LINING. - U.S. Steel Homestead Works, Press Shop No. 2, Along Monongahela River, Homestead, Allegheny County, PA

51. LOOKING NORTHEAST AT EIMCO WASTE WATER TREATMENT THICKENER No. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

51. LOOKING NORTHEAST AT EIMCO WASTE WATER TREATMENT THICKENER No. 2, ELECTRIC POWERHOUSE No. 2, AND OUTDOOR ELECTRICAL SUBSTATION IN BACKGROUND. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

3. LOOKING WEST INSIDE ELECTRIC FURNACE BUILDING ON CHARGING FLOOR. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. LOOKING WEST INSIDE ELECTRIC FURNACE BUILDING ON CHARGING FLOOR. VIEW OF 7 1/2 TON CAPACITY ALLIANCE SIDE DOOR CHARGING MACHINE. - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

8. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD HIGH LEVEL BRIDGE. NO. 2 FORGE SHOP IS VISIBLE ON THE RIGHT - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

9. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD HIGH LEVEL BRIDGE. NO. 2 FORGE SHOP IS VISIBLE ON THE RIGHT. - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

7. LOOKING EAST AT HOIST HOUSE No. 1 AND BLAST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. LOOKING EAST AT HOIST HOUSE No. 1 AND BLAST FURNACE No. 1, WITH ORE YARD AND ORE BRIDGES IN FOREGROUND. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Northern view of inside diameter welding station of the saw ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Northern view of inside diameter welding station of the saw line in bay9 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

50. NORTHERN VIEW OF NONEVAPORATIVE WASTE WATER TREATMENT COOLING TOWERS ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

50. NORTHERN VIEW OF NON-EVAPORATIVE WASTE WATER TREATMENT COOLING TOWERS IN CENTER, AND EVAPORATIVE WASTE WATER COOLING TOWERS ON RIGHT. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

1. LOOKING SOUTH AT LOW PURITY BULK OXYGEN BUILDING (FORMERLY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. LOOKING SOUTH AT LOW PURITY BULK OXYGEN BUILDING (FORMERLY BLOW ENGINE HOUSE No. 1), WITH LIQUID OXYGEN STORAGE TANKS IN THE FOREGROUND. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

9. LOOKING NORTH IN BOP SHOP ON SERVICE FLOOR OF ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. LOOKING NORTH IN BOP SHOP ON SERVICE FLOOR OF FURNACE AISLE AT FUME HOOD SHOWING COLLAR AND ENTRANCE FOR OXYGEN LANCES. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

14. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 1 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 1 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

11. VIEW OF THE LINDE 400 TONS PER DAY LOW ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. VIEW OF THE LINDE 400 TONS PER DAY LOW PURITY OXYGEN MAKING PLANT IN THE LOW PURITY BULK OXYGEN BUILDING LOOKING NORTH. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

3. EASTERN VIEW OF HOISTING RIG FOR OXYGEN LANCES ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. EASTERN VIEW OF HOISTING RIG FOR OXYGEN LANCES ON THE FLUX STORAGE FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

15. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 2 ON THE GROUND FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

38. DETAIL OF COOLING WATER BOOSTER PUMP FOR OXYGEN FURNACES, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

38. DETAIL OF COOLING WATER BOOSTER PUMP FOR OXYGEN FURNACES, LANCES, AND FUME HOODS IN THE GAS WASHER PUMP HOUSE LOOKING EAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

13. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. WESTERN VIEW OF INVERTED BASIC OXYGEN FURNACE No. 2 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013.

PubMed

Mwatondo, Athman Juma; Ng'ang'a, Zipporah; Maina, Caroline; Makayotto, Lyndah; Mwangi, Moses; Njeru, Ian; Arvelo, Wences

2016-01-01

Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a cross-sectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting. Adequately-reporting facilities were defined as those which submitted >10 weekly reports during a twelve-week period and a poor reporting facilities were those which submitted <10 weekly reports. Multivariate logistic regression with backward selection was used to identify risk factors associated with adequate reporting. From September 2 through November 30, 2013, we enrolled 175 health facilities; 130(74%) were private and 45(26%) were public. Of the 175 health facilities, 77 (44%) facilities classified as adequate reporting and 98 (56%) were reporting poorly. Multivariate analysis identified three factors to be independently associated with weekly adequate reporting: having weekly reporting forms at visit (AOR19, 95% CI: 6-65], having posters showing IDSR functions (AOR8, 95% CI: 2-12) and having a designated surveillance focal person (AOR7, 95% CI: 2-20). The majority of health facilities in Nairobi County were reporting poorly to IDSR and we recommend that the Ministry of Health provide all health facilities in Nairobi County with weekly reporting tools and offer specific trainings on IDSR which will help designate a focal surveillance person.

Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013

PubMed Central

Mwatondo, Athman Juma; Ng'ang'a, Zipporah; Maina, Caroline; Makayotto, Lyndah; Mwangi, Moses; Njeru, Ian; Arvelo, Wences

2016-01-01

Introduction Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a cross-sectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. Methods Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting. Adequately-reporting facilities were defined as those which submitted >10 weekly reports during a twelve-week period and a poor reporting facilities were those which submitted <10 weekly reports. Multivariate logistic regression with backward selection was used to identify risk factors associated with adequate reporting. Results From September 2 through November 30, 2013, we enrolled 175 health facilities; 130(74%) were private and 45(26%) were public. Of the 175 health facilities, 77 (44%) facilities classified as adequate reporting and 98 (56%) were reporting poorly. Multivariate analysis identified three factors to be independently associated with weekly adequate reporting: having weekly reporting forms at visit (AOR19, 95% CI: 6-65], having posters showing IDSR functions (AOR8, 95% CI: 2-12) and having a designated surveillance focal person (AOR7, 95% CI: 2-20). Conclusion The majority of health facilities in Nairobi County were reporting poorly to IDSR and we recommend that the Ministry of Health provide all health facilities in Nairobi County with weekly reporting tools and offer specific trainings on IDSR which will help designate a focal surveillance person. PMID:27303581

Self-reported physical activity in a rural county: a New York county health census.

PubMed Central

Eaton, C B; Nafziger, A N; Strogatz, D S; Pearson, T A

1994-01-01

OBJECTIVES. Few studies have described physical activity in rural populations. This study describes the frequency, types, and correlates of physical activity in 29,304 free-living adults in a rural county in New York State. METHODS. Self-reported responses about regular physical activity (maintained long enough to work up a sweat) were analyzed from a private household census of Otsego County with an 86.6% response rate. RESULTS. This survey categorized 46.2% of county residents as sedentary. Walking, the most frequent choice of activity (62% of the women, 36% of the men), increased in frequency with age of respondents whereas cycling, jogging, aerobics, team sports, and swimming (listed in rank order of frequency) generally tended to decrease in frequency with age. Farmers demonstrated an increased amount of "sweat activity" compared with persons in most other occupations. CONCLUSIONS. This descriptive study of physical activity in a rural county shows that sedentary lifestyle is of high prevalence. The high frequency of walking and the gender differences in both the levels and choice of activity suggest that further research and public policy recommendations focus on these issues. PMID:8279607

Rotary roller mandrel of no. 2 seamless line in bays ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Rotary roller mandrel of no. 2 seamless line in bays 19 and 20 of the main pipe mill building looking south. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Looking north at the threading machine of the no. 1 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking north at the threading machine of the no. 1 seamless line in bay 11 of the main pipe mill building - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

18. CLOSEUP OF NITROGEN REGENERATOR IN FOREGROUND AND VERMICULITE STORAGE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. CLOSE-UP OF NITROGEN REGENERATOR IN FOREGROUND AND VERMICULITE STORAGE TOWER FOR THE LINDE 1000 TONS PER DAY HIGH PURITY OXYGEN MAKING PLANT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

5. LOOKING SOUTHWEST INSIDE OF ELECTRIC FURNACE BUILDING ON GROUND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. LOOKING SOUTHWEST INSIDE OF ELECTRIC FURNACE BUILDING ON GROUND FLOOR OF POURING AISLE. VIEW OF THE NATION'S FIRST VACUUM DEGASSING UNIT (1956). - U.S. Steel Duquesne Works, Electric Furnace Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Looking north at uing press of the submerged arc weld ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking north at u-ing press of the submerged arc weld (saw) line of the main pipe mill building, bay 7. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

PERSPECTIVE VIEW FROM NORTHWEST OF PITTSBURGH HIGH SCHOOL FOR THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

PERSPECTIVE VIEW FROM NORTHWEST OF PITTSBURGH HIGH SCHOOL FOR THE CREATIVE AND PERFORMING ARTS, BUILT 2003 BY THE FIRM OF MACLACHLAN CORNELIUS AND FILONI. - Pittsburgh High School for the Creative & Performing Arts, 111 Ninth Street, Pittsburgh, Allegheny County, PA

14. INTERIOR OF MAIN DECKNOTE LEVERS FROM CEILING CONTROLLED BY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. INTERIOR OF MAIN DECK--NOTE LEVERS FROM CEILING CONTROLLED BY OPERATOR. LEFT HAND LEVER CONTROLLED THROTTLE, RIGHT HAND LEVER CONTROLLED SHOT GUN SWINGER. - Dredge CINCINNATI, Docked on Ohio River at foot of Lighthill Street, Pittsburgh, Allegheny County, PA

Influence of Urbanicity and County Characteristics on the ...

EPA Pesticide Factsheets

Background: Air pollution epidemiology studies, often conducted in large metropolitan areas due to proximity to regulatory monitors, are limited in their ability to examine potential associations between air pollution exposures and health effects in rural locations. Methods: In a time-stratified case-crossover framework, we examined associations between asthma emergency department (ED) visits in North Carolina (2006-2008) collected by a surveillance system, and short-term ozone exposures using predicted concentrations from the Community Multiscale Air Quality (CMAQ) model. Associations were estimated by county groupings based on four urbanicity classifications (representative of county size and urban proximity) and county health. Results: Ozone was associated with asthma ED visits in all-year and warm season (April-October) analyses [Odds Ratio (OR) =1.019; 95% CI: 0.998, 1.040; OR=1.020; 95% CI: 0.997, 1.044, respectively, for a 20 ppb increase in lag 0-2 days ozone]. The association was strongest in Less Urbanized counties, with no evidence of a positive association in Rural counties. Associations were similar when adjusted for fine particulate matter in copolluant models. Associations were stronger for children (5-17 years of age) compared with other age groups, and for individuals living in counties with poorer health status compared with counties that had the highest health rankings, although estimated associations for these subgroups were imprecise. Conclu

Water quality in the Allegheny and Monongahela River basins, Pennsylvania, West Virginia, New York, and Maryland, 1996-98

USGS Publications Warehouse

Anderson, Robert M.; Beer, Kevin M.; Buckwalter, Theodore F.; Clark, Mary E.; McAuley, Steven D.; Sams, James I.; Williams, Donald R.

2000-01-01

Major influences and findings for ground water quality, surface water quality, and biology in the Allegheny and Monongahela River basins are described and illustrated. Samples were collected in a variety of media to determine trace elements, sulfate, pesticides, nitrate, volatile organic compounds, organochlorine compounds, and radon-222. This report discusses the influences of several land-use practices, such as coal mining, urbanization, agriculture, and forestry. The report also includes a summary of a regional investigation of water quality and quality invertebrates in the Northern and Central Appalachian coal regions.

The Pulse of Allegheny County and Pittsburgh.

DOT National Transportation Integrated Search

2016-01-01

Cities are increasingly equipped with low-resolution cameras. They are cheap to : buy, install, and maintain, and thus are usually the choice of departments of : transportation and their contractors. Pittsburgh or New York City have networks of : hun...

A National Study of the Association between Food Environments and County-Level Health Outcomes

ERIC Educational Resources Information Center

Ahern, Melissa; Brown, Cheryl; Dukas, Stephen

2011-01-01

Purpose: This national, county-level study examines the relationship between food availability and access, and health outcomes (mortality, diabetes, and obesity rates) in both metro and non-metro areas. Methods: This is a secondary, cross-sectional analysis using Food Environment Atlas and CDC data. Linear regression models estimate relationships…

Southwest view of rotary hearth furnace of the no. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Southwest view of rotary hearth furnace of the no. 2 seamless line in bays 17 and 18 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Northwest view of rotary hearth furnace of the no. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Northwest view of rotary hearth furnace of the no. 2 seamless line in bays 17 and 18 of the main pipe mill building. - U.S. Steel National Tube Works, Skelp Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Southwest view of rotary hearth furnace of the no. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Southwest view of rotary hearth furnace of the no. 2 seamless line in bays 17 and 18 of the main pipe mill building. - U.S. Steel National Tube Works, Skelp Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

View looking east in the main pipe mill building at ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

View looking east in the main pipe mill building at the operators pulpit of the east-west reelers, no. 2 seamless line. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Northwest view of rotary hearth furnace of the no. 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Northwest view of rotary hearth furnace of the no. 2 seamless line in bays 17 and 18 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Inside the covered hopper car loading dock at railroad level, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Inside the covered hopper car loading dock at railroad level, looking east from the 1945 elevator into the 1913 elevator, control for the railroad car puller in background - Stewart Company Grain Elevator, 16 West Carson Street, Pittsburgh, Allegheny County, PA

13. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. LOWER STATION, SECOND FLOOR, BOARD OF DIRECTORS' MEETING ROOM, SOUTHWEST WALL, MONONGAHELA INCLINE PLANE COMPANY SAFE. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

24. UPPER STATION, LOWER FLOOR, MOTOR ROOM, OFF VERTICAL DEFLECTOR ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

24. UPPER STATION, LOWER FLOOR, MOTOR ROOM, OFF VERTICAL DEFLECTOR SHEAVE, MOTOR, BRAKE, PINION SHAFT, DRIVE WHEEL. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

9. LOWER STATION, FIRST FLOOR, DOORS FOR EAST SIDE ACCESS ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. LOWER STATION, FIRST FLOOR, DOORS FOR EAST SIDE ACCESS TO INCLINE PLANE CARS, LOOKING EAST SOUTHEAST. - Monongahela Incline Plane, Connecting North side of Grandview Avenue at Wyoming Street with West Carson Street near Smithfield Street, Pittsburgh, Allegheny County, PA

49. LOOKING NORTH AT EVAPORATIVE WASTE WATER TREATMENT COOLING TOWERS, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

49. LOOKING NORTH AT EVAPORATIVE WASTE WATER TREATMENT COOLING TOWERS, WITH BLOW ENGINE HOUSE No. 3 ON RIGHT, AND FILTER CAKE HOUSE IN FOREGROUND. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

4. OVERALL VIEW TO NORTH SHOWING (LEFT TO RIGHT) AMBULANT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. OVERALL VIEW TO NORTH SHOWING (LEFT TO RIGHT) AMBULANT QUARTERS, STOREHOUSE, BOILER HOUSE (LARGELY OBSCURED), SMOKESTACK, STATION GARAGE, ANIMAL HOUSE, AND WATER SOFTENER BUILDING - VA Medical Center, Aspinwall Division, 5103 Delafield Avenue (O'Hara Township), Aspinwall, Allegheny County, PA

2. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. VIEW OF OPEN HEARTH NO. 5 FROM THE HOMESTEAD HIGH LEVEL BRIDGE. NO. 2 FORGE SHOP IS VISIBLE ON THE RIGHT. (Jet Lowe) - U.S. Steel Homestead Works, Open Hearth Steelmaking Plant, Along Monongahela River, Homestead, Allegheny County, PA

4. VIEW LOOKING WEST FROM BASEMENT UNDER OPEN CONCOURSE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. VIEW LOOKING WEST FROM BASEMENT UNDER OPEN CONCOURSE - CEILING OF BRICK ARCHES; WOOD PANELS MARK LOCATION OF ORIGINAL GLASS PRISM SKYLIGHTS REPLACED WITH CONCRETE - Pennsylvania Railroad Station, Open Concourse & Concourse Roof Extension, 1101 Liberty Avenue, Pittsburgh, Allegheny County, PA

4th level of 1913 elevator indicating sacking scale, part of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4th level of 1913 elevator indicating sacking scale, part of the bagging system and nate to the sewing machine. Discharge spout for the grain bin to the left - Stewart Company Grain Elevator, 16 West Carson Street, Pittsburgh, Allegheny County, PA

General view of outside diameter welding stations of the saw ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

General view of outside diameter welding stations of the saw line in bay 8 of the main pipe mill building looking northwest. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

1. GENERAL OFFICE BUILDING FOR THE HOMESTEAD WORKS, DESIGNED BY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. GENERAL OFFICE BUILDING FOR THE HOMESTEAD WORKS, DESIGNED BY HOFFMAN & CRUMPTON OF PITTSBURGH. THE BUILDING WAS DESIGNED TO SHOWCASE THE ARCHITECTURAL POSSIBILITIES OF STEEL. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

11. SOUTHWEST VIEW OF BASIC OXYGEN FURNACES No. 1 AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. SOUTHWEST VIEW OF BASIC OXYGEN FURNACES No. 1 AND No. 2 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

5. MOTOR/WINCH DRUM ASSEMBLY FOR OXYGEN LANCE HOISTING RIG ON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. MOTOR/WINCH DRUM ASSEMBLY FOR OXYGEN LANCE HOISTING RIG ON THE WEIGHING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP LOOKING SOUTHEAST. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

17. SOUTHEAST VIEW OF THE TAPPING SIDE OF BASIC OXYGEN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. SOUTHEAST VIEW OF THE TAPPING SIDE OF BASIC OXYGEN FURNACE No. 2 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Long-term effects of health factor modification in Milwaukee County.

PubMed

Shi, Lu; van Meijgaard, Jeroen; Fielding, Jonathan E

2013-01-01

We use the UCLA Health Forecasting Tool to forecast the 2011-2050 health trends in Milwaukee County. We first simulate a baseline scenario (S-1) that assumes no health behavior change, and compare this with three simulated intervention scenarios: expansion of Quitline reach to enhance smoking cessation (S-2), an increased penetration of diabetes screening (S-3) and construction of additional recreational facilities (S-4). We compared the disease-free life years (DFLY) gained from each intervention scenario by 2050 on a year-by-year and cumulative basis. Simulation results show that increasing access to recreational facilities achieves the greatest gain in DFLYs for every year from 2011 to 2050. By 2050, the cumulative DFLY gain is 22 393, 5956 and 41 396 for S-2, S-3, and S-4, respectively. The cost-effectiveness ratios for Quitline expansion, diabetes screening, and recreational facility construction are $1802, $1285, and $1322, per DFLY gained, respectively.

Hazard-ranking of agricultural pesticides for chronic health effects in Yuma County, Arizona.

PubMed

Sugeng, Anastasia J; Beamer, Paloma I; Lutz, Eric A; Rosales, Cecilia B

2013-10-01

With thousands of pesticides registered by the United States Environmental Protection Agency, it not feasible to sample for all pesticides applied in agricultural communities. Hazard-ranking pesticides based on use, toxicity, and exposure potential can help prioritize community-specific pesticide hazards. This study applied hazard-ranking schemes for cancer, endocrine disruption, and reproductive/developmental toxicity in Yuma County, Arizona. An existing cancer hazard-ranking scheme was modified, and novel schemes for endocrine disruption and reproductive/developmental toxicity were developed to rank pesticide hazards. The hazard-ranking schemes accounted for pesticide use, toxicity, and exposure potential based on chemical properties of each pesticide. Pesticides were ranked as hazards with respect to each health effect, as well as overall chronic health effects. The highest hazard-ranked pesticides for overall chronic health effects were maneb, metam-sodium, trifluralin, pronamide, and bifenthrin. The relative pesticide rankings were unique for each health effect. The highest hazard-ranked pesticides differed from those most heavily applied, as well as from those previously detected in Yuma homes over a decade ago. The most hazardous pesticides for cancer in Yuma County, Arizona were also different from a previous hazard-ranking applied in California. Hazard-ranking schemes that take into account pesticide use, toxicity, and exposure potential can help prioritize pesticides of greatest health risk in agricultural communities. This study is the first to provide pesticide hazard-rankings for endocrine disruption and reproductive/developmental toxicity based on use, toxicity, and exposure potential. These hazard-ranking schemes can be applied to other agricultural communities for prioritizing community-specific pesticide hazards to target decreasing health risk. Copyright © 2013 Elsevier B.V. All rights reserved.

Hazard-Ranking of Agricultural Pesticides for Chronic Health Effects in Yuma County, Arizona

PubMed Central

Sugeng, Anastasia J.; Beamer, Paloma I.; Lutz, Eric A.; Rosales, Cecilia B.

2013-01-01

With thousands of pesticides registered by the United States Environmental Protection Agency, it not feasible to sample for all pesticides applied in agricultural communities. Hazard-ranking pesticides based on use, toxicity, and exposure potential can help prioritize community-specific pesticide hazards. This study applied hazard-ranking schemes for cancer, endocrine disruption, and reproductive/developmental toxicity in Yuma County, Arizona. An existing cancer hazard-ranking scheme was modified, and novel schemes for endocrine disruption and reproductive/developmental toxicity were developed to rank pesticide hazards. The hazard-ranking schemes accounted for pesticide use, toxicity, and exposure potential based on chemical properties of each pesticide. Pesticides were ranked as hazards with respect to each health effect, as well as overall chronic health effects. The highest hazard-ranked pesticides for overall chronic health effects were maneb, metam sodium, trifluralin, pronamide, and bifenthrin. The relative pesticide rankings were unique for each health effect. The highest hazard-ranked pesticides differed from those most heavily applied, as well as from those previously detected in Yuma homes over a decade ago. The most hazardous pesticides for cancer in Yuma County, Arizona were also different from a previous hazard-ranking applied in California. Hazard-ranking schemes that take into account pesticide use, toxicity, and exposure potential can help prioritize pesticides of greatest health risk in agricultural communities. This study is the first to provide pesticide hazard-rankings for endocrine disruption and reproductive/developmental toxicity based on use, toxicity, and exposure potential. These hazard-ranking schemes can be applied to other agricultural communities for prioritizing community-specific pesticide hazards to target decreasing health risk. PMID:23783270

Dog bites in a U.S. county: age, body part and breed in paediatric dog bites.

PubMed

Ramgopal, Sriram; Brungo, Lauren Bealafeld; Bykowski, Michael R; Pitetti, Raymond D; Hickey, Robert W

2018-05-01

To compare characteristics of gender, age, body part and breed in dog bites. We reviewed 14 956 dog bites (4195 paediatric) reported to the Allegheny County Health Department, USA, between 2007 and 2015. Using predefined age groups, we performed linear regression to assess for subject age and bite frequency and used binary logistic regression to evaluate for differences in gender and body part. We used chi-squared test with Bonferroni correction to evaluate for differences in reported breeds with age. There was a negative correlation (-0.80, r 2 = 0.64) between age and bite frequency. Children 0-3 years had a higher odds ratio (OR) of bites to the face [21.12, 95% confidence interval (CI): 17.61-25.33] and a lower OR of bites to the upper (OR: 0.14, 95% CI: 0.12-0.18) and lower (OR: 0.19, 95% CI: 0.14-0.27) extremities. 'Pit bulls' accounted for 27.2% of dog bites and were more common in children 13-18 years (p < 0.01). Shih-Tzu bites were more common in children three years of age and younger (p < 0.01). Dog bites occur with higher frequency at younger ages, and head and neck injuries are more common in younger children. Pit bull bites are more common in adolescents and Shih-Tzu bites more common in younger children. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Bat activity in harvested and intact forest stands in the allegheny mountains

USGS Publications Warehouse

Owen, S.F.; Menzel, M.A.; Edwards, J.W.; Ford, W.M.; Menzel, J.M.; Chapman, B.R.; Wood, P.B.; Miller, K.V.

2004-01-01

We used Anabat acoustical monitoring devices to examine bat activity in intact canopy forests, complex canopy forests with gaps, forests subjected to diameter-limit harvests, recent deferment harvests, clearcuts and unmanaged forested riparian areas in the Allegheny Mountains of West Virginia in the summer of 1999. We detected eight species of bats, including the endangered Indiana bat (Myotis sodalis). Most bat activity was concentrated in forested riparian areas. Among upland habitats, activity of silver-haired bats (Lasionycteris noctivagans) and hoary bats (Lasiurus cinereus) was higher in open, less cluttered vegetative types such as recent deferment harvests and clearcuts. Our results suggest that bat species in the central Appalachians partially segregate themselves among vegetative conditions based on differences in body morphology and echolocation call characteristics. From the standpoint of conserving bat foraging habitat for the maximum number of species in the central Appalachians, special emphasis should be placed on protecting forested riparian areas.

Looking south at the aetna standard piercer and mannesman rolls ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking south at the aetna standard piercer and mannesman rolls of the no. 2 seamless line in bay 19 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

Martin Luther King, Jr. East Busway in Pittsburgh, PA

DOT National Transportation Integrated Search

1987-10-01

The Port Authority of Allegheny County (PAT), the primary public transit operator in Pittsburgh, PA, built an exclusive roadway for buses which opened for service in February 1983. The two-lane, 6.8-mile facility serves the eastern suburbs via a righ...

WEST END OF SOUTH FACADE OF MACHINE SHOP No. 1. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

WEST END OF SOUTH FACADE OF MACHINE SHOP No. 1. BRICK SECTION ON THE LEFT IS THE FORMER OFFICE OF THE ARMOR PLATE DIVISION BUILT IN 1899 - U.S. Steel Homestead Works, Machine Shop No. 1, Along Monongahela River, Homestead, Allegheny County, PA

9. Photocopy of original construction drawing, dated February 1932 (original ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. Photocopy of original construction drawing, dated February 1932 (original print in possession of Veterans Administration, Oakland Branch, Pittsburgh, Pennsylvania). DRAWING 103-26 -- PLOT PLAN -- SHOWING NEW CONSTRUCTION - VA Medical Center, Aspinwall Division, 5103 Delafield Avenue (O'Hara Township), Aspinwall, Allegheny County, PA

42. NORTHEAST VIEW OF BLOW ENGINE HOUSE No. 3, WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

42. NORTHEAST VIEW OF BLOW ENGINE HOUSE No. 3, WITH FILTER CAKE HOSUE IN CENTER FOREGROUND, AND EVAPORATIVE WASTE WATER TREATMENT COOLING TOWER TO THE LEFT. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

39. PORTAL ELEVATION. Photocopy of engraving from illustrated pamphlet titled ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

39. PORTAL ELEVATION. Photocopy of engraving from illustrated pamphlet titled 'Wrought Iron Bridges Built by Wrought Iron Bridge Company,' Wrought Iron Bridge Company, Canton, Ohio, 1885 (artist unknown). - Emlenton Bridge, Spanning Allegheny River, Travel Route 38 (Legislative Route 75), Emlenton, Venango County, PA

3. DETAIL VIEW OF STATION GARAGE SHOWING SOUTHEAST FACADE WITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. DETAIL VIEW OF STATION GARAGE SHOWING SOUTHEAST FACADE WITH WATER SOFTENER BUILDING (BUILDING NO. 42) TO LEFT AND ANIMAL HOUSE (BUILDING NO. 26) TO REAR. VIEW TO WEST. - VA Medical Center, Aspinwall Division, Station Garage, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

6. VIEW OF LATHE OF EAST END OF MACHINE SHOP ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW OF LATHE OF EAST END OF MACHINE SHOP No. 2 ADDITION. THE 78 1/2' X 100 LATHE BORES OUT CENTERS, OR TREPANNS, OF FORGING. - U.S. Steel Homestead Works, Machine Shop No. 2, Along Monongahela River, Homestead, Allegheny County, PA

16. LOOKING WEST AT THE MOTOR DRIVE ASSEMBLY FOR THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. LOOKING WEST AT THE MOTOR DRIVE ASSEMBLY FOR THE BASIC OXYGEN FURNACE No. 2 ON THE OPERATING FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

36. EASTERN VIEW OF BOTTOM CONE OF GAS COOLING TOWER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

36. EASTERN VIEW OF BOTTOM CONE OF GAS COOLING TOWER No. 1 AND TWO GAS COOLING TOWER SERVICE WATER PUMPS IN THE GAS WASHER PUMP HOUSE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Looking east at the basic oxygen furnace building with gas ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking east at the basic oxygen furnace building with gas cleaning plants in foreground on the left and the right side of the furnace building. - U.S. Steel Edgar Thomson Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Braddock, Allegheny County, PA

EFFECT OF THE PITTSBURGH AIR POLLUTION EPISODE UPON PULMONARY FUNCTION IN SCHOOL CHILDREN

EPA Science Inventory

Due to increasing atmospheric concentrations of particulates, five of Allegheny County's seven monitoring areas were placed on first stage air pollution alert by November 18, 1975. The Liberty Borough area reached second stage alert, and then emergency stage the morning of Novemb...

Comparison of Skylab and Landsat Lineaments with Joint Orientations in Northcentral Pennsylvania. [on Allegheny Plateau

NASA Technical Reports Server (NTRS)

Mcmurtry, G. J.; Petersen, G. W. (Principal Investigator); Kowalik, W. S.

1975-01-01

The author has identified the following significant results. The histogram peaks of lineaments mapped from Skylab photograph at a scale of 1:517,000 lie subparallel, within 20 deg, to major shale joints and coal cleats on part of the Allegheny Plateau. The Landsat lineament, mapped at 1:989,000 are biased by illumination and scan line directions. While there is an illumination bias in the Skylab photograph, its direction does not coincide with the main transverse lineament trend, thus providing an independent assessment of the illumination direction bias. The coincidence in direction regardless of scale of the linear features suggests a mechanical relationship between joints, fracture traces, and lineaments which is more consistent with a tensional model than a shear model of origin.

A comparative analysis of health-related quality of life for residents of U.S. counties with and without coal mining.

PubMed

Zullig, Keith J; Hendryx, Michael

2010-01-01

We compared health-related quality of life (HRQOL) in mining and non-mining counties in and out of Appalachia using the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey. Dependent variables included self-rated health, the number of poor physical and mental health days, the number of activity limitation days (in the last 30 days), and the Centers for Disease Control and Prevention Healthy Days Index. Independent variables included the presence of coal mining, Appalachian region residence, metropolitan status, primary care physician supply, and BRFSS behavioral (e.g., smoking, body mass index, and alcohol consumption) and demographic (e.g., age, gender, race, and income) variables. We compared dependent variables across a four-category variable: Appalachia (yes/ no) and coal mining (yes/no). We used SUDAAN Multilog and multiple linear regression models with post-hoc least-squares means to test for Appalachian coal-mining effects after adjusting for covariates. Residents of coal-mining counties inside and outside of Appalachia reported significantly fewer healthy days for both physical and mental health, and poorer self-rated health (p < 0.0005) when compared with referent U.S. non-coal-mining counties, but disparities were greatest for people residing in Appalachian coal-mining areas. Furthermore, results remained consistent in separate analyses by gender and age. Coal-mining areas are characterized by greater socioeconomic disadvantage, riskier health behaviors, and environmental degradation that are associated with reduced HRQOL.

Hurricane exposure and county fetal death rates, utilization of a county environmental quality index for confounding control.

EPA Science Inventory

The effects of natural disasters on public health are a rising concern, with increasing severity of disaster events. Many disaster studies utilize county-level analysis, however most do not control for county level environmental factors. Hurricane exposure during pregnancy could ...

Ecosystem Health Assessment at County-Scale Using the Pressure-State-Response Framework on the Loess Plateau, China.

PubMed

Liu, Delin; Hao, Shilong

2016-12-22

Assessing ecosystem health is helpful to determine reasonable eco-environmental restoration and resource management strategies. Based on a pressure-state-response (PSR) framework, a set of comprehensive indicators including natural, social and economic aspects was proposed and applied for assessing the ecosystem health of Yuanzhou County, Loess Plateau, Ningxia Province, China. The basic data used to calculate the values of the assessment indicators include Landsat TM image and socio-economic data, and remote sensing (RS) and the geographic information system (GIS) were used to process image data. The results showed that the ecosystem health conditions of most townships in Yuanzhou County were at the moderately healthy level, three townships were at the healthy level, and only two townships were at the unhelathy level; the areas (percentage) at the unhealthy, moderately healthy and healthy levels were 443.91 km² (12.66%), 2438.75 km² (69.54%) and 624.50 km² (17.81%), respectively. The results could provide useful information for local residents and the government to take measures to improve the health conditions of their township ecosystem.

Ecosystem Health Assessment at County-Scale Using the Pressure-State-Response Framework on the Loess Plateau, China

PubMed Central

Liu, Delin; Hao, Shilong

2016-01-01

Assessing ecosystem health is helpful to determine reasonable eco-environmental restoration and resource management strategies. Based on a pressure-state-response (PSR) framework, a set of comprehensive indicators including natural, social and economic aspects was proposed and applied for assessing the ecosystem health of Yuanzhou County, Loess Plateau, Ningxia Province, China. The basic data used to calculate the values of the assessment indicators include Landsat TM image and socio-economic data, and remote sensing (RS) and the geographic information system (GIS) were used to process image data. The results showed that the ecosystem health conditions of most townships in Yuanzhou County were at the moderately healthy level, three townships were at the healthy level, and only two townships were at the unhelathy level; the areas (percentage) at the unhealthy, moderately healthy and healthy levels were 443.91 km2 (12.66%), 2438.75 km2 (69.54%) and 624.50 km2 (17.81%), respectively. The results could provide useful information for local residents and the government to take measures to improve the health conditions of their township ecosystem. PMID:28025518

Decomposing Mortality Disparities in Urban and Rural U.S. Counties.

PubMed

Spencer, Jennifer C; Wheeler, Stephanie B; Rotter, Jason S; Holmes, George M

2018-05-30

To understand the role of county characteristics in the growing divide between rural and urban mortality from 1980 to 2010. Age-adjusted mortality rates for all U.S. counties from 1980 to 2010 were obtained from the CDC Compressed Mortality File and combined with county characteristics from the U.S. Census Bureau, the Area Health Resources File, and the Inter-University Consortium for Political and Social research. We used Oaxaca-Blinder decomposition to assess the extent to which rural-urban mortality disparities are explained by observed county characteristics at each decade. Decomposition shows that, at each decade, differences in rural/urban characteristics are sufficient to explain differences in mortality. Furthermore, starting in 1990, rural counties have significantly lower predicted mortality than urban counties when given identical county characteristics. We find changes in the effect of characteristics on mortality, not the characteristics themselves, drive the growing mortality divide. Differences in economic and demographic characteristics between rural and urban counties largely explain the differences in age-adjusted mortality in any given year. Over time, the role these characteristics play in improving mortality has increased differentially for urban counties. As characteristics continue changing in importance as determinants of health, this divide may continue to widen. © Health Research and Educational Trust.

40 CFR 62.9630 - Identification of plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) APPROVAL AND PROMULGATION OF STATE PLANS FOR DESIGNATED FACILITIES AND POLLUTANTS Pennsylvania Landfill Gas Emissions from Existing Municipal Solid Waste Landfills (section 111(d) Plan) § 62.9630 Identification of plan. Section 111(d) plan for municipal solid waste landfills and the associated Allegheny County...

Overview of the status of the Cheat Mountain salamander

Treesearch

Thomas K. Pauley

2010-01-01

Plethodon nettingi, the Cheat Mountain salamander, is endemic to the high elevations of the Allegheny Mountains in eastern West Virginia. In 1938, N.B. Green named the species from specimens collected at Barton Knob, Randolph County, in honor of his friend and colleague Graham Netting.

15. 3,000TON DAVYUNITED PRESS AND STEAM INTENSIFIER IN THE BLACKSMITH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. 3,000-TON DAVY-UNITED PRESS AND STEAM INTENSIFIER IN THE BLACKSMITH SHOP. (THIS MACHINE WAS NOT EXTANT AT THE TIME OF THE INVENTORY.) Jet Lowe, Photographer, 1989. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

76 FR 34000 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Revisions to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-10

... nonattainment area in Allegheny County by incorporating Federal modeling requirements. EPA is approving these... for sources locating in or impacting a nonattainment area by incorporating Federal modeling... incorporating the modeling requirements from 40 CFR part 51, subpart I, entitled ``Review of New Sources and...

16. DETAIL, VERTICAL MEMBER L2U2 FROM BELOW AND EAST. UNUSUALLY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. DETAIL, VERTICAL MEMBER L2-U2 FROM BELOW AND EAST. UNUSUALLY SHAPED DESIGN REFLECTS COLUMN STRESSES ALSO NOTE LACING, WHICH COMPRISES ANGLES RATHER THAN COMMON FLAT BARS - Coraopolis Bridge, Spanning Ohio River back channel at Ferree Street & Grand Avenue, Coraopolis, Allegheny County, PA

57. GENERAL VIEW OF FURNACES No. 3 AND No. 4 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

57. GENERAL VIEW OF FURNACES No. 3 AND No. 4 TO THE LEFT OF THE FURNACES IS THE ORE BRIDGE, THE TURBO-GENERATOR BUILDING, AND THE WATER FILTER TANKS. - U.S. Steel Homestead Works, Blast Furnace Plant, Along Monongahela River, Homestead, Allegheny County, PA

56. GENERAL VIEW OF FURNACES No. 3 AND No. 4 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

56. GENERAL VIEW OF FURNACES No. 3 AND No. 4 TO THE LEFT OF THE FURNACES IS THE ORE BRIDGE, THE TURBO-GENERATOR BUILDING, AND THE WATER FILTER TANKS. - U.S. Steel Homestead Works, Blast Furnace Plant, Along Monongahela River, Homestead, Allegheny County, PA

52. NORTHEASTERN EXTERIOR VIEW OF DOOROLIVER WAST WATER TREATMENT THICKENER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

52. NORTHEASTERN EXTERIOR VIEW OF DOOR-OLIVER WAST WATER TREATMENT THICKENER No. 1. ELECTRIC POWERHOUSE No. 2 AND BLOW ENGINE HOUSE No. 3 IS IN THE BACKGROUND. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

General view, looking SE during repainting, restoration, and rebuilding of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

General view, looking SE during repainting, restoration, and rebuilding of roadway and bridge truss system. Scaffolding designed to minimize environmental damage from paint chips, paint vapors, and dirt. - Schenley Park Bridge over Panther Hollow, Spanning Panther Hollow at Panther Hollow Road, Pittsburgh, Allegheny County, PA

1. EAST END OF MACHINE SHOP No. 2. THE TALL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. EAST END OF MACHINE SHOP No. 2. THE TALL STRUCTURE IS THE VERTICAL FURNACE BUILDING, AND THE TWO-STORY BRICK BUILDING WAS THE HEAT TREATING AND FORGING OFFICE. - U.S. Steel Homestead Works, Machine Shop No. 2, Along Monongahela River, Homestead, Allegheny County, PA

10. INTERIOR OF THE VERTICAL FURNACE BUILDING OF MACHINE SHOP ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. INTERIOR OF THE VERTICAL FURNACE BUILDING OF MACHINE SHOP No. 2. STRUCTURE IN THE FOREGROUND IS THE UPENDER. THE QUENCH TOWER AND FURNACES ARE IN THE BACKGROUND. - U.S. Steel Homestead Works, Machine Shop No. 2, Along Monongahela River, Homestead, Allegheny County, PA

6. LOOKING WEST IN LOW PURITY BULK OXYGEN BUILDING AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. LOOKING WEST IN LOW PURITY BULK OXYGEN BUILDING AT STEAM TURBINE END OF TWO ALLIS-CHALMERS AXIAL AIR COMPRESSORS FOR 1000 TON PER DAY HIGH PURITY OXYGEN MAKING PLANT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

5. LOOKING WEST IN LOW PURITY BULK OXYGEN BUILDING AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. LOOKING WEST IN LOW PURITY BULK OXYGEN BUILDING AT STEAM TURBINE END OF TWO ALLIS-CHALMER AXIAL AIR COMPRESSORS FOR 1000 TON PER DAY HIGH PURITY OXYGEN MAKING PLANT. - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

What predicts recovery orientation in county departments of mental health? A pilot study.

PubMed

Brown, Timothy T; Mahoney, Christine B; Adams, Neal; Felton, Mistique; Pareja, Candy

2010-09-01

In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education level of staff/influential stakeholders, satisfying transformational leadership outcomes, and larger mental health budgets per capita. Policy implications are discussed.

Kent County Health Department: Using an Agency Strategic Plan to Drive Improvement.

PubMed

Saari, Chelsey K

The Kent County Health Department (KCHD) was accredited by the Public Health Accreditation Board (PHAB) in September 2014. Although Michigan has had a state-level accreditation process for local health departments since the late 1990s, the PHAB accreditation process presented a unique opportunity for KCHD to build on successes achieved through state accreditation and enhance performance in all areas of KCHD programs, services, and operations. PHAB's standards, measures, and peer-review process provided a standardized and structured way to identify meaningful opportunities for improvement and to plan and implement strategies for enhanced performance and established a platform for being recognized nationally as a high-performing local health department. The current case report highlights the way in which KCHD has developed and implemented its strategic plan to guide efforts aimed at addressing gaps identified through the accreditation process and to drive overall improvement within our agency.

The epidemiology of maternal overweight in Dane County, Wisconsin.

PubMed

Zeal, Carley; Remington, Patrick; Ndiaye, Mamadou; Stewart, Katharina; Stattelman-Scanlan, Daniel

2014-02-01

Research shows that maternal obesity leads not only to adverse pregnancy outcomes but also can act as a predictor of poor health of future generations. The Public Health Madison & Dane County Fetal and Infant Mortality Review Board observed poor health associated with prepregnancy BMI > or = 25, prompting further exploration of this issue in the Dane County, Wisconsin population. This is a descriptive epidemiologic study of the problem of maternal overweight defined as prepregnancy BMI > or = 25 in Dane County. Data were abstracted from the Secure Public Health Electronic Records Environment (SPHERE) on births in Dane County in 2011. Risk ratios were used to determine associations between race, education, parity, gravidity, and place of residence and maternal overweight. A t test was completed to determine differences in mean age of overweight and healthy weight mothers. Approximately half (50.6%) of Dane County mothers in 2011 were overweight or obese prepregnancy. Results showed increased risk of overweight for black mothers and multiparous/multigravidous mothers. There was no difference in mean age of overweight and healthy weight mothers. Overweight rates varied considerably by ZIP code of residence. Rates of maternal overweight vary significantly in Dane County by social and demographic factors. This information can be used to design and target interventions and monitor trends over time.

Counties eliminating racial disparities in colorectal cancer mortality.

PubMed

Rust, George; Zhang, Shun; Yu, Zhongyuan; Caplan, Lee; Jain, Sanjay; Ayer, Turgay; McRoy, Luceta; Levine, Robert S

2016-06-01

Although colorectal cancer (CRC) mortality rates are declining, racial-ethnic disparities in CRC mortality nationally are widening. Herein, the authors attempted to identify county-level variations in this pattern, and to characterize counties with improving disparity trends. The authors examined 20-year trends in US county-level black-white disparities in CRC age-adjusted mortality rates during the study period between 1989 and 2010. Using a mixed linear model, counties were grouped into mutually exclusive patterns of black-white racial disparity trends in age-adjusted CRC mortality across 20 three-year rolling average data points. County-level characteristics from census data and from the Area Health Resources File were normalized and entered into a principal component analysis. Multinomial logistic regression models were used to test the relation between these factors (clusters of related contextual variables) and the disparity trend pattern group for each county. Counties were grouped into 4 disparity trend pattern groups: 1) persistent disparity (parallel black and white trend lines); 2) diverging (widening disparity); 3) sustained equality; and 4) converging (moving from disparate outcomes toward equality). The initial principal component analysis clustered the 82 independent variables into a smaller number of components, 6 of which explained 47% of the county-level variation in disparity trend patterns. County-level variation in social determinants, health care workforce, and health systems all were found to contribute to variations in cancer mortality disparity trend patterns from 1990 through 2010. Counties sustaining equality over time or moving from disparities to equality in cancer mortality suggest that disparities are not inevitable, and provide hope that more communities can achieve optimal and equitable cancer outcomes for all. Cancer 2016;122:1735-48. © 2016 American Cancer Society. © 2016 American Cancer Society.

Longitudinal study of rural health workforce in five counties in China: research design and baseline description

PubMed Central

2013-01-01

Background The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce. Methods The self-administered structured Village Clinic Questionnaire and Village Doctor Questionnaire, which were modified from the official questionnaires of the Ministry of Health, were constructed after three focus groups, in-depth interviews in Hebei Province, and a pilot survey in Sichuan Province. Using a stratified multistage cluster sampling process, we gathered baseline data for a longitudinal survey of village doctors, village clinics from Changshu County, Liyang County, Yongchuan District, Mianzhu County, and Jingning County in China in 2011. Well-trained interviewers and strict procedures were employed to ensure the quality of this survey. Descriptive and correlation analyses were performed with Stata 12.0. Results After four months of surveying, 1,982 Village Doctor Questionnaires were collected, and the response rate was 88.1%. There were 1,507 (76.0%) male and 475 (24.0%) female doctors, with an average age of 51.3 years. The majority of village doctors (58.5%) practiced both western medicine and Traditional Chinese Medicine, and 91.2% of the doctors received their education below college level. Their practice methods were not correlated with education level (P = 0.43), but closely related to the way they obtained their highest degree (that is, prior to starting work or as on-the-job training) (P < 0.01). The mean income of the village doctors was 1,817 (95% CI 1,733 to 1,900) RMB per month in 2011; only 757 (41.3%) doctors had pensions, and the self-reported expected pension was 1,965 RMB per month. Conclusions Village doctors

DRAFT LANDSAT DATA MOSAIC: MONTGOMERY COUNTY, TEXAS; HARRIS COUNTY, TEXAS; FORT BEND COUNTY, TEXAS; BRAZORIA COUNTY, TEXAS; GALVESTON COUNTY, TEXAS

EPA Science Inventory

This is a draft Landsat Data Mosaic, which contains remote sensing information for Montgomery County, Texas Harris County, Texas Fort Bend County, Texas Brazoria County, Texas Galveston County, and Texas Imagery dates on the following dates: October 6, 1999 and September 29, 200...

Southern view of the aetna standard piercer and mandrel carriage ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Southern view of the aetna standard piercer and mandrel carriage with mandrel bits on left. No. 2 seamless line in bay 19 of the main pipe mill building. - U.S. Steel National Tube Works, Main Pipe Mill Building, Along Monongahela River, McKeesport, Allegheny County, PA

76 FR 34020 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Revisions to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-10

... Department of Environmental Protection (PADEP). This change to Allegheny County's Air Pollution Control Rules... Rules section of this Federal Register, EPA is approving the State's SIP submittal as a direct final.... http://www.regulations.gov . Follow the online instructions for submitting comments. B. E-mail: cox...

1. EAST AND SOUTH SIDES OF STATION, SHOWING (LEFT BACKGROUND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. EAST AND SOUTH SIDES OF STATION, SHOWING (LEFT BACKGROUND TO CENTER FOREGROUND) SOUTH CANOPY, OPEN CONCOURSE ROOF, AND CONCOURSE ROOF EXTENSION (SMALL BUILDING UNDER CONCOURSE ROOF IS TEMPORARY AMTRAK STATION) - Pennsylvania Railroad Station, Open Concourse & Concourse Roof Extension, 1101 Liberty Avenue, Pittsburgh, Allegheny County, PA

13. Photocopy of original construction drawing, dated November 1932 (original ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. Photocopy of original construction drawing, dated November 1932 (original print in possession of Veterans Administration, Oakland Branch, Pittsburgh, Pennsylvania). DRAWING 32-3 -- ADMINISTRATION BUILDING, BUILDING NO. 32 -- FIRST AND SECOND FLOOR PLANS. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

12. Photocopy of original construction drawing, dated November 1932 (original ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Photocopy of original construction drawing, dated November 1932 (original print in possession of Veterans Administration, Oakland Branch, Pittsburgh, Pennsylvania). DRAWING 32-2 -- ADMINISTRATION BUILDING, BUILDING NO. 32 -- BASEMENT PLAN AND CUPOLA DETAIL. - VA Medical Center, Aspinwall Division, Administration Building, 5103 Delafield Avenue, Aspinwall, Allegheny County, PA

4th level of 1945 warehouse indicating drag conveyor. From here ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4th level of 1945 warehouse indicating drag conveyor. From here screenings were pumped from the elevator leg to this conveyor. The grains were ground, then conveyed back down to the first floor for bagging. - Stewart Company Grain Elevator, 16 West Carson Street, Pittsburgh, Allegheny County, PA

Two-Year Community: The Impact of the Clinical Social Worker in a Community College Biotech Program: A Cohort Study

ERIC Educational Resources Information Center

Tanski, Anne E.; Bobick, Sandra; Mosley-Turner, Katherine; Garofalo, Giovanni

2016-01-01

Given biotechnology's emergence as a major competitor in the Pittsburgh region, critically linking education to industry through the Community College of Allegheny County's Biotechnology Workforce Collaborative (BWC) provided a well-trained workforce. The collaborative also sought to increase the number of women in the sciences, specifically…

Looking east inside of the ingot mold stripper building for ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking east inside of the ingot mold stripper building for the 44" slab mill at a row of ingots. A row of ingot molds are pictured east on the left. - U.S. Steel Edgar Thomson Works, 44" Slab Mill, Along Monongahela River, Braddock, Allegheny County, PA

22. VIEW LOOKING FROM FRONT LEFT OF DREDGE TOWARDS GEAR ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

22. VIEW LOOKING FROM FRONT LEFT OF DREDGE TOWARDS GEAR DRIVE OF MAIN (HOISTING) ENGINE. ARM ON RIGHT IS PART OF VALVE LINKAGE. BOX ABOVE THAT IS THE CYLINDER OIL LUBRICATOR. - Dredge CINCINNATI, Docked on Ohio River at foot of Lighthill Street, Pittsburgh, Allegheny County, PA

25. LOOKING SOUTH AT THE MAIN CONTROL PANEL FOR BASIC ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. LOOKING SOUTH AT THE MAIN CONTROL PANEL FOR BASIC OXYGEN FURNACE No. 1 IN THE BOP SHOP'S No. 1 CONTROL ROOM ON THE OPERATING FLOOR OF THE FURNACE AISLE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Urban-rural differences in excess mortality among high-poverty populations: evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health.

PubMed

Geronimus, Arline T; Colen, Cynthia G; Shochet, Tara; Ingber, Lori Barer; James, Sherman A

2006-08-01

Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.

Implementation of mass media community health education: the Forsyth County Cervical Cancer Prevention Project.

PubMed

Dignan, M; Bahnson, J; Sharp, P; Beal, P; Smith, M; Michielutte, R

1991-09-01

The Forsyth County Cervical Cancer Prevention Project (FCP) is a community-based health education project funded by the National Cancer Institute. The target population includes around 25 000 black women age 18 and older who reside in Forsyth County, North Carolina. The overall goal of the program is to prevent mortality from cervical cancer by promoting Pap smears and return for follow-up care when needed. Based on the principles of social marketing, a plan to reach the target population with mass media educational messages through electronic and print channels was developed. Guided by marketing objectives, the target population was divided into relatively discrete segments. The segments included church attenders, patients in waiting rooms of public and selected health providers, female students at local colleges, shoppers, viewers of radio and television, newspaper readers, and business owners and managers. Introduction of the program was based on strategies developed for reaching the target population in each segment with television, radio and print mass media messages. Qualitative assessment of the mass media developed by the program indicated that all forms of communication helped to increase awareness of the program.

Use of process evaluation to guide health education in Forsyth County's project to prevent cervical cancer.

PubMed

Dignan, M B; Michielutte, R; Sharp, P C; Young, L D; Daniels, L A

1991-01-01

The Forsyth County, NC, Cervical Cancer Prevention Project is a 5-year public health education program designed to increase the proportion of black women in the county who are appropriately screened for cervical cancer. In this paper, the authors report on process evaluation--the procedures used to monitor the intervention and to insure that the target population was reached with a high quality, community-based health education program. A system that encompasses documentation of program activities, interviews with women in waiting rooms of primary care providers, semiannual interviews with a panel of approximately 100 women from the target population, and telephone followup with participants in direct education workshops was designed and implemented. Through October 1990, more than 2,100 interviews had been conducted. Data from these activities have facilitated continued development and refinement of educational materials, provided guidance for developing new strategies for reaching the target population, and provided continuous feedback to program managers to allow monitoring the impact of all program activities.

Social health assistance schemes: the case of Medical Financial Assistance for the rural poor in four counties of China

PubMed Central

2011-01-01

Background Economic transition which took place in China over the last three decades, has led to a rapid marketization of the health care sector. Today inequity in health and poverty resulting from major illness has become a serious problem in rural areas of China. Medical Financial Assistance (MFA) is a health assistance scheme that helps rural poor people cope with major illness and alleviate their financial burden from major illness, which will definitely play a significant role in the process of rebuilding Chinese new rural health system. It mainly provides assistance to cover medical expenditure for inpatient services or the treatment of major illnesses, with joint funding from the central and local government. The purpose of this paper is to review the design, funding, implementation and to explore the preliminary effects of four counties' MFA in Hubei and Sichuan province of China. Methods We used an analytical framework built around the main objective of any social assistance scheme. The framework contains six 'targeting' procedural 'steps' which may explain why a specific group does not receive the assistance it ought to receive. More specifically, we explored to what extent the targeting, a key component of social assistance programs, is successful, based on the qualitative and quantitative data collected from four representative counties in central and western China. Results In the study sites, the budget of MFA ranged from 0.8 million Yuan to 1.646 million Yuan in each county and the budget per eligible person ranged from 32.67 Yuan to 149.09 Yuan. The preliminary effects of MFA were quite modest because of the scarcity of funds dedicated to the scheme. The coverage rate of MFA ranged from 17.8% to 24.1% among the four counties. MFA in the four counties used several ways to ration a restricted budget and provided only limited assistance. Substantial problems remained in terms of eligibility and identification of the beneficiaries, utilization and

Health assessment for Tansitor Electronics, Inc. Site, Bennington County, Vermont, Region 1. CERCLIS No. VTD000509174. Preliminary report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1991-03-26

The Tansitor Electronics, Inc. site, located in Bennington, Bennington County, Vermont, has been proposed by the Environmental Protection Agency for inclusion onto the National Priorities List (NPL). Most of the investigations into site contamination have been coordinated by the Vermont Department of Environmental Conservation. Tansitor Electronics, Inc. operates an electronic capacitor manufacturing facility on a 36-acre parcel located along Route 9 and about 3 miles west of downtown Bennington, Bennington County, Vermont. The site is of potential public health concern because of the risk to human health resulting from possible exposure to hazardous substances at concentrations that may result inmore » adverse health effects. There are no monitoring data or information indicating that appreciable human exposure to site-related contaminants is currently occurring. However, additional monitoring data or information is needed to evaluate the on-site and off-site ground water (shallow aquifer and bedrock aquifer), ambient air, sediment, surface soil, and surface water. The monitoring data or information may form the basis of future ATSDR evaluation of the undefined human exposure pathways and public health implications associated with these pathways. The site is not recommended for follow-up health activities at this time.« less

Media Outlet and Consumer Reactions to Promotional Activities of the Choose Health LA Restaurants Program in Los Angeles County.

PubMed

Gase, Lauren N; Montes, Christine; Robles, Brenda; Tyree, Rachel; Kuo, Tony

2016-01-01

This study sought to assess promotional activities undertaken to raise public awareness of the Choose Health LA Restaurants program in Los Angeles County, an environmental change strategy that recognizes restaurants for offering reduced-size and healthier menu options. We used multiple methods to assess public awareness of and reactions to the promotional activities, including an assessment of the reach of core promotional activities, a content analysis of earned media, and an Internet panel survey. The study was conducted in Los Angeles County, home to more than 10 million residents. An online survey firm recruited participants for an Internet panel survey; to facilitate generalization of results to the county's population, statistical weights were applied to analyses of the survey data. Promotional activities to raise awareness of the program included community engagement, in-store promotion, and a media campaign. Outcomes included media impressions, the number of people who reported seeing the Choose Health LA Restaurants logo, and a description of the themes present in earned media. Collectively, paid media outlets reported 335 587 229 total impressions. The Internet panel survey showed that 12% of people reported seeing the program logo. Common themes in earned media included the Choose Health LA Restaurants program aims to provide restaurant patrons with more choices, represents a new opportunity for restaurants and public health to work together, will benefit participating restaurants, and will positively impact health. Promotional activities for the Choose Health LA Restaurants program achieved modest reach and positive reactions from media outlets and consumers. The program strategy and lessons learned can help inform present and future efforts to combine environmental and individually focused strategies that target key influences of consumer food selection.

Progress in reducing premature deaths in Wisconsin counties, 2000-2010.

PubMed

Nonnweiler, Thomas; Pollock, Elizabeth A; Rudolph, Barbara; Remington, Patrick L

2013-10-01

Measuring trends in a county's premature death rate is a straightforward method that can be used to assess a county's progress in improving the health of the population. Age-adjusted premature death rate data from Wisconsin Interactive Statistics on Health for persons less than 75 years of age were collected for the years 2000-2010. Overall 10-year percent change was calculated, compared, and ranked for all Wisconsin counties during this time period. Progress was assessed as excellent (25.0% or greater decline), very good (20.0%-24.9% decline), good (10.0%-19.9% decline), fair (0.0%-9.9% decline), or poor (any increase). Overall, premature death rates in counties declined by 16.8% over the 10-year period 2000-2010 in Wisconsin. Trends varied by county, with 8, 15, 37, 9, and 3 counties having excellent, very good, good, fair, and poor progress, respectively. The most improvement was seen in Kewaunee County (decreasing 38.3%) and the least progress in Lafayette County (increasing 4.8%). Trends in premature death rates were not related to the county's initial death rate, population, rurality, or income. Although premature death rates declined overall in Wisconsin during the 2000s, this progress varied across counties and was not related to baseline mortality rates or other county characteristics.

Surveying Local Health Departments and County Emergency Management Offices on Cooling Centers as a Heat Adaptation Resource in New York State.

PubMed

Nayak, Seema G; Lin, Shao; Sheridan, Scott C; Lu, Yi; Graber, Nathan; Primeau, Michael; Rafferty, Claudine Jones; Hwang, Syni-An

2017-02-01

Local agencies in New York State (NYS) set up cooling centers to provide relief from summer-time heat especially for people with limited access to air-conditioning. We aimed to determine cooling center locations in NYS, and explore county agencies' involvement in organizing and promoting utilization of cooling centers. We conducted a survey among county health and emergency preparedness offices in NYS (excluding NYC) and explored official county websites. We identified 377 cooling centers, mostly in metropolitan areas of NYS. Although 47 % of counties listed locations online, only 29 % reported locations via survey. Radio (90 %) and internet (84 %) were popular for information dissemination. Air-conditioning was available at all indoor cooling center facilities. Cooling centers in 13 % of the counties were accessible by either public transportation or shuttles arranged by the facility. About 38 % counties do not consider cooling centers important in their region or promote informal cooling centers. More than a third of New York counties had neither cooling centers nor plans to establish a cooling center as extreme heat was not perceived as a threat in their region.

6. GENERAL VIEW OF FURNACES No. 3 AND No. 4 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. GENERAL VIEW OF FURNACES No. 3 AND No. 4 TO THE LEFT OF THE FURNACES ARE THE ORE BRIDGE, THE TURBO-GENERATOR BUILDING, AND THE WATER FILTER TANKS. Jet Lowe, Photographer, 1989. - U.S. Steel Homestead Works, Blast Furnace Plant, Along Monongahela River, Homestead, Allegheny County, PA

77 FR 50012 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-20

..., Amdt 2 Oklahoma City, OK, Will Rogers World, Takeoff Minimums and Obstacle DP, Amdt 1 Portland, OR... CLOSE PARALLEL), Amdt 4, CANCELED Philadelphia, PA, Philadelphia Intl, ILS PRM RWY 27L (SIMULTANEOUS CLOSE PARALLEL), Amdt 3, CANCELED Pittsburgh, PA, Allegheny County, ILS OR LOC RWY 10, Amdt 6 Pittsburgh...

"Do You Want Somebody Treating Your Sister Like That?": Qualitative Exploration of How African American Families Discuss and Promote Healthy Teen Dating Relationships

ERIC Educational Resources Information Center

Akers, Aletha Y.; Yonas, Michael; Burke, Jessica; Chang, Judy C.

2011-01-01

The article discusses a study conducted between December 2007 and March 2008 that involved 19 gender-stratified focus groups with African American parents and adolescents from Allegheny County, Pennsylvania, to explore the process and content of parent-adolescent communication about sex. Discussions about intimate partner violence (IPV) and…

Welding III.

ERIC Educational Resources Information Center

Allegheny County Community Coll., Pittsburgh, PA.

Instructional objectives and performance requirements are outlined in this course guide for Welding III, an advanced course in arc welding offered at the Community College of Allegheny County to provide students with the proficiency necessary for industrial certification. The course objectives, which are outlined first, specify that students will…

26. LOOKING SOUTH AT THE MOTOR CONTROL SWITCHING PANEL FOR ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

26. LOOKING SOUTH AT THE MOTOR CONTROL SWITCHING PANEL FOR BASIC OXYGEN FURNACE No. 2 IN THE BOP SHOP'S MOTOR CONTROL CENTER No. 2 ON THE GROUND FLOOR OF THE FURNACE AISLE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Child Health and Well-Being in Miami-Dade County: 2007 Baseline Survey Results. Final Report

ERIC Educational Resources Information Center

Lippman, Laura; Guzman, Lina; Vandivere, Sharon; Atienza, Astrid; Rivers, Andrew

2007-01-01

In January through April 2007, the Children's Trust sponsored a population-based survey of parents of children ages birth through 17 in Miami-Dade County to provide a baseline of data on child health and well-being, and to discern unmet needs for services in the Trust's primary impact areas and strategic investments. The survey was conducted by…

Challenges in responding to the ebola epidemic - four rural counties, Liberia, August-November 2014.

PubMed

Summers, Aimee; Nyenswah, Tolbert G; Montgomery, Joel M; Neatherlin, John; Tappero, Jordan W; T, Nyenswah; M, Fahnbulleh; M, Massaquoi

2014-12-19

The first cases of Ebola virus disease (Ebola) in West Africa were identified in Guinea on March 22, 2014. On March 30, the first Liberian case was identified in Foya Town, Lofa County, near the Guinean border. Because the majority of early cases occurred in Lofa and Montserrado counties, resources were concentrated in these counties during the first several months of the response, and these counties have seen signs of successful disease control. By October 2014, the epidemic had reached all 15 counties of Liberia. During August 27-September 10, 2014, CDC in collaboration with the Liberian Ministry of Health and Social Welfare assessed county Ebola response plans in four rural counties (Grand Cape Mount, Grand Bassa, Rivercess, and Sinoe, to identify county-specific challenges in executing their Ebola response plans, and to provide recommendations and training to enhance control efforts. Assessments were conducted through interviews with county health teams and health care providers and visits to health care facilities. At the time of assessment, county health teams reported lacking adequate training in core Ebola response strategies and reported facing many challenges because of poor transportation and communication networks. Development of communication and transportation network strategies for communities with limited access to roads and limited means of communication in addition to adequate training in Ebola response strategies is critical for successful management of Ebola in remote areas.

Eight Americas: investigating mortality disparities across races, counties, and race-counties in the United States.

PubMed

Murray, Christopher J L; Kulkarni, Sandeep C; Michaud, Catherine; Tomijima, Niels; Bulzacchelli, Maria T; Iandiorio, Terrell J; Ezzati, Majid

2006-09-01

The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the "eight Americas," to explore the causes of the disparities that can inform specific public health intervention policies and programs. The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks) and 12.8 y for females (Asians versus low-income southern rural blacks). Mortality disparities among the eight Americas were largest for young (15-44 y) and middle-aged (45-59 y) adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of Americans, are enormous by all international standards. The

14. Photographic copy of original Survey Data drawing of the ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. Photographic copy of original Survey Data drawing of the Loleta Dams, date and engineer unknown (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest). - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

11. Photographic copy of original Lower Dam for Loleta Camp ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. Photographic copy of original Lower Dam for Loleta Camp Ground drawing by Paul Wakefield, 1933 (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest). - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

13. Photographic copy of original Design For New Sluice Gate ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. Photographic copy of original Design For New Sluice Gate drawing, date and engineer unknown (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest). - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

Career Education Program for the Talented. Final Report.

ERIC Educational Resources Information Center

Allegheny Intermediate Unit, Pittsburgh, PA.

Two hundred and fifty talented children in grades 4-9 from suburban school districts in Allegheny County, Pennsylvania, participated in the pilot program, Career Education Program for the Talented (CEPT). Practicing professional artists discussed their careers at monthly Saturday workshops which focused on the incorporation of the arts (music,…

A Survey of Computer Use in Associate Degree Programs in Engineering Technology.

ERIC Educational Resources Information Center

Cunningham, Pearley

As part of its annual program review process, the Department of Engineering Technology at the Community College of Allegheny County, in Pennsylvania, conducted a study of computer usage in community college engineering technology programs across the nation. Specifically, the study sought to determine the types of software, Internet access, average…

PERSPECTIVE VIEW OF FRONT ELEVATION OF PYTHIAN TEMPLE/NEW GRANADA THEATER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

PERSPECTIVE VIEW OF FRONT ELEVATION OF PYTHIAN TEMPLE/NEW GRANADA THEATER FROM NORTHEAST. THIS 1927 STRUCTURE WAS DESIGNED BY ARCHITECT LOUIS A. BELLINGER FOR THE KNIGHTS OF PYTHIAS. IT WAS CONVERTED INTO THE NEW GRANADA THEATER DURING THE 1930S. - Pythian Temple, 2007-2013 Centre Avenue, Pittsburgh, Allegheny County, PA

INTERIOR VIEW OF TRANSFORMER ROOM FOR FURNACE NO. 2 LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR VIEW OF TRANSFORMER ROOM FOR FURNACE NO. 2 LOOKING SOUTHEAST, SHOWING BACK OF CONTROL PANEL AND TRANSFORMER (GE, 3000 KUA water cooled, 60 cycles, U.S. patent 1900585. Transformer dates from 1937, control panel GE resistors) - Braeburn Alloy Steel, Braeburn Road at Allegheny River, Lower Burrell, Westmoreland County, PA

18. VIEW OF THE PINKERTON LANDING SITE FROM THE 1892 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. VIEW OF THE PINKERTON LANDING SITE FROM THE 1892 HOMESTEAD STRIKE. STRUCTURES FROM LEFT TO RIGHT INCLUDE, THE GENERAL LABOR BUILDING, WATER TOWER, MAIN ROLL SHOP, PUMP HOUSE No. 1, AND CONCRETE RETAINING WALL. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

Welding IV.

ERIC Educational Resources Information Center

Allegheny County Community Coll., Pittsburgh, PA.

Instructional objectives and performance requirements are outlined in this course guide for Welding IV, a competency-based course in advanced arc welding offered at the Community College of Allegheny County to provide students with proficiency in: (1) single vee groove welding using code specifications established by the American Welding Society…

"When a woman is pregnant, her grave is open": health beliefs concerning dietary practices among pregnant Kalenjin women in rural Uasin Gishu County, Kenya.

PubMed

Riang'a, Roselyter Monchari; Nangulu, Anne Kisaka; Broerse, Jacqueline E W

2017-12-16

Reducing malnutrition remains a major global challenge especially in low- and middle-income countries. Lack of knowledge on the motive of nutritional behaviour could ultimately cripple nutrition intervention outcomes. The purpose of this study was to investigate how health beliefs influence nutritional behaviour intention of the pregnant Kalenjin women of rural Uasin Gishu County in Kenya. The study findings provide useful information for culturally congruent nutrition counselling and intervention. In this qualitative study semi-structured interviews were conducted with 42 pregnant and post-natal (with children less than one year) Kalenjin women in selected rural public health facilities of Uasin Gishu County Kenya. Furthermore, key informant interviews took place with 6 traditional birth attendants who were also pregnancy herbalists, two community health workers and one nursing officer in charge of Maternal and Child Health (MCH) for triangulation and provision of in-depth information. Content analysis of interview transcripts followed a grounded theory (Protection Motivation Theory) approach, using software MAXQDA version 12.1.3. Abstracted labour (big babies and lack of maternal strength), haemorrhage (low blood), or having other diseases and complications (evil or bad food) were the major perceived health threats that influence nutritional behaviour intention of the pregnant Kalenjin women in rural Uasin Gishu County in Kenya. The pregnancy nutritional behaviour and practices of the Kalenjin women in rural Uasin Gishu County act as an adaptive response to the perceived health threats, which seem to be within the agency of pregnant women. As a result, just giving antenatal nutritional counselling without addressing these key health assumptions that underlie a successful pregnancy outcome is unlikely to lead to changes in nutritional behaviour.

System Transformation Under the California Mental Health Services Act: Implementation of Full-Service Partnerships in L.A. County.

PubMed

Starks, Sarah L; Arns, Paul G; Padwa, Howard; Friedman, Jack R; Marrow, Jocelyn; Meldrum, Marcia L; Bromley, Elizabeth; Kelly, Erin L; Brekke, John S; Braslow, Joel T

2017-06-01

The study evaluated the effect of California's Mental Health Services Act (MHSA) on the structure, volume, location, and patient centeredness of Los Angeles County public mental health services. This prospective mixed-methods study (2006-2013) was based in five Los Angeles County public mental health clinics, all with usual care and three with full-service partnerships (FSPs). FSPs are MHSA-funded programs designed to "do whatever it takes" to provide intensive, recovery-oriented, team-based, integrated services for clients with severe mental illness. FSPs were compared with usual care on outpatient services received (claims data) and on organizational climate, recovery orientation, and provider-client working alliance (surveys and semistructured interviews), with regression adjustment for client and provider characteristics. In the first year after admission, FSP clients (N=174) received significantly more outpatient services than did usual care clients (N=298) (5,238 versus 1,643 minutes, p<.001), and a larger proportion of these services were field based (22% versus 2%, p<.001). Compared with usual care clients, FSP clients reported more recovery-oriented services (p<.001) and a better provider-client working alliance (p=.01). Compared with usual care providers (N=130), FSP providers (N=42) reported more stress (p<.001) and lower morale (p<.001). Los Angeles County's public mental health system was able to transform service delivery in response to well-funded policy mandates. For providers, a structure emphasizing accountability and patient centeredness was associated with greater stress, despite smaller caseloads. For clients, service structure and volume created opportunities to build stronger provider-client relationships and address their needs and goals.

Health Concerns of Northeastern Pennsylvania Residents Living in an Unconventional Oil and Gas Development County.

PubMed

McDermott-Levy, Ruth; Garcia, Victoria

2016-11-01

This study was conducted to describe the health concerns of residents of an unconventional oil and natural gas development (UOGD) community and identify methods to best disseminate health information to the residents. A qualitative descriptive study of 27 residents of Wyoming County, Pennsylvania, was conducted. Residents described their health concerns in terms of their changing community as a result of UOGD, their feelings of stress and powerlessness related to these changes, and the limited response of their local policymakers and protective agencies. There were indications of misinformation related to routine environmental health and UOGD environmental risks. Web-based educational programs with downloadable printed materials to bridge the knowledge gaps of residents and health professionals are recommended. Recommendations include public health nurses providing education to communities and other health professionals regarding environmental health risks, working with communities to advocate for health-protective regulations, and adopting a community-based participatory approach to meet the needs of community members. © 2016 Wiley Periodicals, Inc.

Landscape consequences of natural gas extraction in Bradford and Washington Counties, Pennsylvania, 2004-2010

USGS Publications Warehouse

Slonecker, E.T.; Milheim, L.E.; Roig-Silva, C.M.; Malizia, A.R.; Marr, D.A.; Fisher, G.B.

2012-01-01

Increased demands for cleaner burning energy, coupled with the relatively recent technological advances in accessing unconventional hydrocarbon-rich geologic formations, led to an intense effort to find and extract natural gas from various underground sources around the country. One of these sources, the Marcellus Shale, located in the Allegheny Plateau, is undergoing extensive drilling and production. The technology used to extract gas in the Marcellus Shale is known as hydraulic fracturing and has garnered much attention because of its use of large amounts of fresh water, its use of proprietary fluids for the hydraulic-fracturing process, its potential to release contaminants into the environment, and its potential effect on water resources. Nonetheless, development of natural gas extraction wells in the Marcellus Shale is only part of the overall natural gas story in the area of Pennsylvania. Coalbed methane, which is sometimes extracted using the same technique, is often located in the same general area as the Marcellus Shale and is frequently developed in clusters across the landscape. The combined effects of these two natural gas extraction methods create potentially serious patterns of disturbance on the landscape. This document quantifies the landscape changes and consequences of natural gas extraction for Bradford County and Washington County, Pennsylvania, between 2004 and 2010. Patterns of landscape disturbance related to natural gas extraction activities were collected and digitized using National Agriculture Imagery Program (NAIP) imagery for 2004, 2005/2006, 2008, and 2010. The disturbance patterns were then used to measure changes in land cover and land use using the National Land Cover Database (NLCD) of 2001. A series of landscape metrics is used to quantify these changes and are included in this publication.

6. Photographic copy of historic photograph (date and photograph unknown) ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. Photographic copy of historic photograph (date and photograph unknown) of upper dam showing retaining walls (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest). VIEW WEST - Loleta Recreation Area, Upper Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

14. BLACKSMITH SHOP IN THE CENTER OF PHOTOGRAPH. TO THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. BLACKSMITH SHOP IN THE CENTER OF PHOTOGRAPH. TO THE LEFT IS MACHINE SHOP No. 1, AND TO THE RIGHT IS THE CHIPPING YARD. THE RUINS IN THE FOREGROUND IS THE FORMER ELECTRIC DEPARTMENT. Jet Lowe, Photographer, 1989. - U.S. Steel Homestead Works, Auxiliary Buildings & Shops, Along Monongahela River, Homestead, Allegheny County, PA

GENERAL VIEW OF SOUTH AND WEST FACADES OF PACKING AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GENERAL VIEW OF SOUTH AND WEST FACADES OF PACKING AND JOB SHOP; BUILDING TO LEFT IS PRODUCTION FACILITY FOR ALCOA, SMALL BRICK BUILDING AT FAR RIGHT ON HIGHER GROUND IS THE FORMER ELECTRIC LIGHT PLANT FOR ALLEGHENY VALLEY LIGHT COMPANY - Alcoa-New Kensington Works, Packing & Job Shop, New Kensington, Westmoreland County, PA

Framework for Collaboration: Integrating School and Human Services Data in Pittsburgh. OCD Special Report

ERIC Educational Resources Information Center

University of Pittsburgh Office of Child Development, 2011

2011-01-01

This Special Report discusses how the Allegheny County Department of Human Services and Pittsburgh Public Schools took a major step toward closing a knowledge gap that prevents schools and human service agencies around the country from developing a deeper understanding of the children in their systems and collaborating on more effective, better…

A Community Organizes for Action: A Case Study of the Mon-Yough Region in Pennsylvania.

ERIC Educational Resources Information Center

Avery, Robert W.; Chesler, Herbert A.

This case study examines the development and problems of the Mon-Yough Community Action Committee, Inc. (MYCAC), one of the local anti-poverty agencies in Allegheny County, Pennsylvania. The agency's major effort is to overcome problems created by the decline of the local steel industry by supporting existing welfare agencies, and through such…

Linking Bonds between Art and Chemistry.

ERIC Educational Resources Information Center

Waltz, Esther

For 8 years, the Community College of Allegheny County has offered a non-traditional science course, Chemistry of Art, which enables students to appreciate more fully the bonds and commonalities existing between the sciences and the arts, where creativity is common to both and where hands-on experience, visualization, and critical thinking can…

15. GENERAL EASTERN VIEW OF LINDE 1000 TONS PER DAY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. GENERAL EASTERN VIEW OF LINDE 1000 TONS PER DAY HIGH PURITY OXYGEN MAKING PLANT SHOWING TWIN OXYGEN FRACTIONATING TOWER (ON RIGHT), VERMICULITE STORAGE TOWERS (ON LEFT FOREGROUND), AND AN ARGON FRACTIONATING TOWER (BEHIND VERMICULITE STORAGE TOWER). - U.S. Steel Duquesne Works, Fuel & Utilities Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Suicide Among Military Personnel and Veterans Aged 18-35 Years by County-16 States.

PubMed

Logan, Joseph E; Fowler, Katherine A; Patel, Nimeshkumar P; Holland, Kristin M

2016-11-01

Suicide among military personnel and young Veterans remains a health concern. This study examined stateside distribution of suicides by U.S. county to help focus prevention efforts. Using 2005-2012 National Violent Death Reporting System data from 16 states (963 counties, or county-equivalent entities), this study mapped the county-level distribution of suicides among current military and Veteran decedents aged 18-35 years. This study also compared incident circumstances of death between decedents in high-density counties (i.e., counties with the highest proportion of deaths) versus those in medium/low-density counties to better understand the precipitators of suicide in counties most affected. Last, this study identified potential military and Veteran Health Administration intervention sites. All analyses were conducted in 2015. Within the National Violent Death Reporting System participating states, an estimated 262 (33%) current military suicides occurred in just ten (1.0%) counties, and 391 (33%) Veteran suicides occurred in 33 (3.4%) counties. Mental health and intimate partner problems were common precipitating circumstances, and some circumstances differed between cases in high- versus those in medium/low-density counties. Multiple potential intervention sites were identified in high-density counties. These findings suggest that military and Veteran suicides are concentrated in a small number of counties. Increased efforts at these locales might be beneficial. Published by Elsevier Inc.

Geographic health inequalities in Norway: a Gini analysis of cross-county differences in mortality from 1980 to 2014.

PubMed

Skaftun, Eirin K; Verguet, Stéphane; Norheim, Ole F; Johansson, Kjell A

2018-05-24

This study aims at quantifying the level and changes over time of inequality in age-specific mortality and life expectancy between the 19 Norwegian counties from 1980 to 2014. Data on population and mortality by county was obtained from Statistics Norway for 1980-2014. Life expectancy and age-specific mortality rates (0-4, 5-49 and 50-69 age groups) were estimated by year and county. Geographic inequality was described by the absolute Gini index annually. Life expectancy in Norway has increased from 75.6 to 82.0 years, and the risk of death before the age of 70 has decreased from 26 to 14% from 1980 to 2014. The absolute Gini index decreased over the period 1980 to 2014 from 0.43 to 0.32 for life expectancy, from 0.012 to 0.0057 for the age group 50-69 years, from 0.0038 to 0.0022 for the age group 5-49 years, and from 0.0009 to 0.0006 for the age group 0-4 years. It will take between 2 and 32 years (national average 7 years) until the counties catch up with the life expectancy in the best performing county if their annual rates of increase remain unchanged. Using the absolute Gini index as a metric for monitoring changes in geographic inequality over time may be a valuable tool for informing public health policies. The absolute inequality in mortality and life expectancy between Norwegian counties has decreased from 1980 to 2014.

The public sector nursing workforce in Kenya: a county-level analysis

PubMed Central

2014-01-01

Background Kenya’s human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. Methods National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Results Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value <0.0001). Conclusions An overall shortage of nurses (range of 1.2 to 0.08 per 1,000) in the public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved. PMID:24467776

The public sector nursing workforce in Kenya: a county-level analysis.

PubMed

Wakaba, Mabel; Mbindyo, Patrick; Ochieng, Jacob; Kiriinya, Rose; Todd, Jim; Waudo, Agnes; Noor, Abdisalan; Rakuom, Chris; Rogers, Martha; English, Mike

2014-01-27

Kenya's human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value <0.0001). An overall shortage of nurses (range of 1.2 to 0.08 per 1,000) in the public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved.

The University of Washington's Community-Oriented Public Health Practice program and Public Health-Seattle & King County partnership.

PubMed

House, Peter J; Hartfield, Karen; Nicola, Bud; Bogan, Sharon L

2014-01-01

The Community-Oriented Public Health Practice (COPHP) program, a 2-year in-residence MPH degree program in the University of Washington School of Public Health, has partnered with Public Health-Seattle & King County (PHSKC) since 2002 to create a mutually beneficial set of programs to improve teaching and address community-based public health problems in a practice setting. The COPHP program uses a problem-based learning approach that puts students in small groups to work on public health problems. Both University of Washington-based and PHSKC-based faculty facilitate the classroom work. In the first year for students, COPHP, in concert with PHSKC, places students in practicum assignments at PHSKC; in the second year, students undertake a master's project (capstone) in a community or public health agency. The capstone project entails taking on a problem in a community-based agency to improve either the health of a population or the capacity of the agency to improve population health. Both the practicum and the capstone projects emphasize applying classroom learning in actual public health practice work for community-based organizations. This partnership brings PHSKC and COPHP together in every aspect of teaching. In essence, PHSKC acts as the "academic health department" for COPHP. There are detailed agreements and contracts that guide all aspects of the partnership. Both the practicum and capstone projects require written contracts. The arrangements for getting non-University of Washington faculty paid for teaching and advising also include formal contracts.

Functional Characteristics of Health Coalitions in Local Public Health Systems: Exploring the Function of County Health Councils in Tennessee.

PubMed

Barnes, Priscilla; Erwin, Paul; Moonesinghe, Ramal; Brooks, Ashley; Carlton, Erik L; Behringer, Bruce

Partnerships are emerging as critically important vehicles for addressing health in local communities. Coalitions involving local health departments can be viewed as the embodiment of a local public health system. Although it is known that these networks are heavily involved in assessment and community planning activities, limited studies have evaluated whether health coalitions are functioning at an optimal capacity. This study assesses the extent to which health coalitions met or exceeded expectations for building functional capacity within their respective networks. An evaluative framework was developed focusing on 8 functional characteristics of coalitions previously identified by Erwin and Mills. Twenty-nine indicators were identified that served as "proxy" measures of functional capacity within health coalitions. Ninety-three County Health Councils (CoHCs) in Tennessee. Diverse member representation; formal rules, roles, and procedures; open, frequent interpersonal communication; task-focused climate; council leadership; resources; active member participation; and external linkages were assessed to determine the level of functionality of CoHCs. Scores across all CoHCs were analyzed using descriptive statistics such as frequency distributions, measures of central tendency, and measures of variability. Data were analyzed using SAS 9.3. Of 68 CoHCs (73% response rate), the total mean score for the level of functional characteristics was 30.5 (median = 30.5; SD = 6.3; range, 18-44). Of the 8 functional characteristics, CoHCs met or exceeded all indicators associated with council leadership, tasked-focused climate, and external linkages. Lowest scores were for having a written communications plan, written priorities or goals, and opportunities for training. This study advances the research on health coalitions by establishing a process for quantifying the functionality of health coalitions. Future studies will be conducted to examine the association between health

Eight Americas: Investigating Mortality Disparities across Races, Counties, and Race-Counties in the United States

PubMed Central

Murray, Christopher J. L; Kulkarni, Sandeep C; Michaud, Catherine; Tomijima, Niels; Bulzacchelli, Maria T; Iandiorio, Terrell J; Ezzati, Majid

2006-01-01

Background The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the “eight Americas,” to explore the causes of the disparities that can inform specific public health intervention policies and programs. Methods and Findings The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks) and 12.8 y for females (Asians versus low-income southern rural blacks). Mortality disparities among the eight Americas were largest for young (15–44 y) and middle-aged (45–59 y) adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. Conclusions Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of Americans

RACISM IN ORGANIZATIONS: THE CASE OF A COUNTY PUBLIC HEALTH DEPARTMENT.

PubMed

Griffith, Derek M; Childs, Erica L; Eng, Eugenia; Jeffries, Vanessa

2007-01-01

Racism is part of the foundation of U.S. society and institutions, yet few studies in community psychology or organizational studies have examined how racism affects organizations. This paper proposes a conceptual framework of institutional racism, which describes how, in spite of professional standards and ethics, racism functions within organizations to adversely affect the quality of services, the organizational climate, and staff job satisfaction and morale. Grounded in systems theory and organizational empowerment, the framework is based on data that describe how racism was made manifest in a county public health department. The findings highlight the importance of understanding how organizations are influenced by external forces and can negatively affect clients, communities, and their own staff members.

RACISM IN ORGANIZATIONS: THE CASE OF A COUNTY PUBLIC HEALTH DEPARTMENT

PubMed Central

Griffith, Derek M.; Childs, Erica L.; Eng, Eugenia; Jeffries, Vanessa

2008-01-01

Racism is part of the foundation of U.S. society and institutions, yet few studies in community psychology or organizational studies have examined how racism affects organizations. This paper proposes a conceptual framework of institutional racism, which describes how, in spite of professional standards and ethics, racism functions within organizations to adversely affect the quality of services, the organizational climate, and staff job satisfaction and morale. Grounded in systems theory and organizational empowerment, the framework is based on data that describe how racism was made manifest in a county public health department. The findings highlight the importance of understanding how organizations are influenced by external forces and can negatively affect clients, communities, and their own staff members. PMID:18852826

Health assessment for Vogel Paint and Wax, Maurice, Sioux County, Iowa, Region 7. CERCLIS No. IAD980630487. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1989-04-29

The Vogel Paint and Wax National Priority List site is situated in northwest Iowa in Sioux County. Contaminants found at the site consist of heavy metals (particularly cadmium, chromium, lead, and mercury) and volatile organic compounds (benzene, ethylbenzene, methyl ethyl ketone, toluene, and xylene). Two towns, Maurice and Struble, and the Southern Sioux County Rural Water System well field are located within three miles of the site, and two families live within 1600 feet of the waste-disposal site. Environmental pathways include contaminated soil and ground water, as well as potential surface water and air contamination. Although there does not appearmore » to be any immediate public health threat, the site is of potential health concern because of the possibility for further off-site migration of contaminants into the ground water aquifer and for direct on-site contact.« less

Williamsburg County Human Resources Campus (WCHRC): Planning Report.

ERIC Educational Resources Information Center

Wynn, Eddie D.; And Others

Investigating the feasibility of a human resources campus designed to locate all Williamsburg County (a rurally disadvantaged South Carolina county) health and social service agencies in one consolidated area, project objectives were to investigate: agency characteristics; ownership, management, and financing aspects of the campus concept;…

12. Photographic copy of original scale map and sections of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Photographic copy of original scale map and sections of upper and lower dams at Loletta by Paul Wakefield, 1934 (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest). - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

10. Photocopy copy of historic photograph showing retaining wall and ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. Photocopy copy of historic photograph showing retaining wall and gabeon of lower dam. Date and photographer unknown. (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest) VIEW NORTHEAST - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

National Water-Quality Assessment Program; the Allegheny-Monongahela River Basin

USGS Publications Warehouse

McAuley, Steven D.

1995-01-01

In 1991, the U.S. Geological Survey (USGS) began a National Water-Quality Assessment (NAWQA) program. The three major objectives of the NAWQA program are to provide a consistent description of current water-quality conditions for a large part of the Nation's water resources, define long-term trends in water quality, and identify, describe, and explain the major factors that affect water-quality conditions and trends. The program produces water-quality information that is useful to policy makers and managers at the National, State, and local levels.The program will be implemented through 60 separate investigations of river basins and aquifer systems called study units. These study-unit investigations will be conducted at the State and local level and will form the foundation on which national- and regional-level assessments are based. The 60 study units are hydrologic systems that include parts of most major river basins and aquifer systems. The study-unit areas range from 1,000 to more than 60,000 square miles and include about 60 to 70 percent of the Nation's water use and population served by public water supplies. Twenty studyunit investigations were started in 1991, 20 started in 1994, and 20 more are planned to start in 1997. The Allegheny-Monongahela River Basin was selected to begin assessment activities as a NAWQA study unit in 1994. The study team will work from the office of the USGS in Pittsburgh, Pa.

The "sugar pack" health marketing campaign in Los Angeles County, 2011-2012.

PubMed

Barragan, Noel C; Noller, Ali J; Robles, Brenda; Gase, Lauren N; Leighs, Michael S; Bogert, Suzanne; Simon, Paul A; Kuo, Tony

2014-03-01

As part of a comprehensive approach to combating the obesity epidemic, the Los Angeles County Department of Public Health launched the "Sugar Pack" health marketing campaign in fall 2011. Carried out in three stages, the campaign sought to educate and motivate the public to reduce excess calorie intake from sugar-sweetened beverage consumption. The primary Sugar Pack creative concepts provided consumers with information about the number of sugar packs contained in sugary drinks. Data from formative market research as well as lessons from previous campaigns in other U.S. jurisdictions informed the development of the materials. These materials were disseminated through a multipronged platform that included paid outdoor media on transit and billboards and messaging using social media (i.e., Twitter, Facebook, YouTube, and sendable e-cards). Initial findings from a postcampaign assessment indicate that the Sugar Pack campaign reached broadly into targeted communities, resulting in more than 515 million impressions. Lessons learned from the campaign suggest that employing health marketing to engage the public can lead to increased knowledge, favorable recognition of health messages, and self-reported intention to reduce sugar-sweetened beverage consumption, potentially complementing other obesity prevention strategies in the field.

The Impact of a Community-Based Chronic Disease Prevention Initiative: Evaluation Findings from "Steps to Health King County"

ERIC Educational Resources Information Center

Cheadle, Allen; Bourcier, Emily; Krieger, James; Beery, William; Smyser, Michael; Vinh, Diana V.; Lessler, Dan; Alfonsi, Lorrie

2011-01-01

"Steps to Health King County" ("Steps KC"; Seattle, Washington) was one of 40 community-level initiatives funded in 2003 as part of the "Steps to a HealthierUS" initiative. "Steps KC" goals included reducing the impact of chronic diseases through a comprehensive, coordinated approach and reducing health…

Hydrogeologic framework of LaSalle County, Illinois

USGS Publications Warehouse

Kay, Robert T.; Bailey, Clinton R.

2016-10-28

Water-supply needs in LaSalle County in northern Illinois are met by surface water and groundwater. Water-supply needs are expected to increase to serve future residential and mining uses. Available information on water use, geology, surface-water and groundwater hydrology, and water quality provides a hydrogeologic framework for LaSalle County that can be used to help plan the future use of the water resources.The Illinois, Fox, and Vermilion Rivers are the primary surface-water bodies in LaSalle County. These and other surface-water bodies are used for wastewater disposal in the county. The Vermilion River is used as a drinking-water supply in the southern part of the county. Water from the Illinois and Fox Rivers also is used for the generation of electric power.Glacial drift aquifers capable of yielding sufficient water for public supply are expected to be present in the Illinois River Valley in the western part of the county, the Troy Bedrock Valley in the northwestern part of the county, and in the Ticona Bedrock Valley in the south-central part of the county. Glacial drift aquifers capable of yielding sufficient water for residential supply are present in most of the county, although well yield often needs to be improved by using large-diameter wells. Arsenic concentrations above health-based standards have been detected in some wells in this aquifer. These aquifers are a viable source for additional water supply in some areas, but would require further characterization prior to full development.Shallow bedrock deposits comprising the sandstone units of the Ancell Group, the Prairie du Chien Group, dolomite of the Galena and Platteville Groups, and Silurian-aged dolomite are utilized for water supply where these units are at or near the bedrock surface or where overlain by Pennsylvanian-aged deposits. The availability of water from the shallow bedrock deposits depends primarily on the geologic unit analyzed. All these deposits can yield sufficient water for

Landscape consequences of natural gas extraction in Armstrong and Indiana Counties, Pennsylvania, 2004–2010

USGS Publications Warehouse

Slonecker, Terry E.; Milheim, Lesley E.; Roig-Silva, Coral M.; Malizia, Alexander R.

2013-01-01

Increased demands for cleaner burning energy, coupled with the relatively recent technological advances in accessing unconventional hydrocarbon-rich geologic formations, have led to an intense effort to find and extract natural gas from various underground sources around the country. One of these sources, the Marcellus Shale, located in the Allegheny Plateau, is currently undergoing extensive drilling and production. The technology used to extract gas in the Marcellus Shale is known as hydraulic fracturing and has garnered much attention because of its use of large amounts of fresh water, its use of proprietary fluids for the hydraulic-fracturing process, its potential to release contaminants into the environment, and its potential effect on water resources. Nonetheless, development of natural gas extraction wells in the Marcellus Shale is only part of the overall natural gas story in this area of Pennsylvania. Conventional natural gas wells are commonly located in the same general area as the Marcellus Shale and are frequently developed in clusters across the landscape. The combined effects of these two natural gas extraction methods create potentially serious patterns of disturbance on the landscape. This document quantifies the landscape changes and consequences of natural gas extraction for Armstrong County and Indiana County in Pennsylvania between 2004 and 2010. Patterns of landscape disturbance related to natural gas extraction activities were collected and digitized using National Agriculture Imagery Program (NAIP) imagery for 2004, 2005/2006, 2008, and 2010. The disturbance patterns were then used to measure changes in land cover and land use using the National Land Cover Database (NLCD) of 2001. A series of landscape metrics is also used to quantify these changes and is included in this publication.

Mortality, nutrition and health in Lofa County Liberia five years post-conflict.

PubMed

Doocy, Shannon; Lewy, Daniela; Guenther, Tanya; Larrance, Ryan

2010-01-01

Liberia remains in transition from a state of humanitarian emergency to development, and Lofa County was the epicentre of recent conflict. This study aimed to estimate mortality and malnutrition and evaluate access to health services, water and sanitation. The survey was conducted in April 2009 and employed a 46 cluster×20 design (n=920 households) with probability proportional to size sampling. The crude mortality rate was 24.3/1000/year (CI: 19.0 to 29.6) or 0.67/10,000/day (CI: 0.52 to 0.81). The global acute malnutrition rate was 7.9% (CI: 5.4 to 8.9), and the severe acute malnutrition rate was 4.5% (CI: 2.9 to 6.7). Access to basic health services was relatively good according to a variety of indicators; however, access to sanitation was low, with 39.5% of households reporting access to toilets or latrines. Despite high rates of displacement and infrastructure destruction, population health appears to be relatively stable 5 years post-conflict, though a continued focus on reconstruction and development is needed.

The Impact of Commercially Treated Oil and Gas Produced Water Discharges on Bromide Concentrations and Modeled Brominated Trihalomethane Disinfection Byproducts at two Downstream Municipal Drinking Water Plants in the Upper Allegheny River, Pennsylvania, USA

EPA Science Inventory

In 2010, a dramatic increase in the levels of total trihalomethane (THM) and the relative proportion of brominated species were observed in finished water at several Western Pennsylvania water utilities (PDW) using the Allegheny River as their raw water supply. An increase in br...

County-level environmental quality and associations with individual - and county-level preterm birth

EPA Science Inventory

Human health is influenced by simultaneous exposure to stressors and amenities, but research usually considers single exposures. We constructed a county-level Environmental Quality Index (EQI) using principal components analysis with data from five domains (air, water, land, buil...

LGBT health and vaccinations: Findings from a community health survey of Lexington-Fayette County, Kentucky, USA.

PubMed

Jones, Jeff; Poole, Asheley; Lasley-Bibbs, Vivian; Johnson, Mark

2016-04-07

Data on adult immunization coverage at the state level and for LGBT Americans in particular are sparse. This study reports the results of a 2012 Lexington-Fayette County, Kentucky, community health assessment's results asking about eight adult vaccinations among 218 lesbian, gay, bisexual, and transgendered (LGBT) respondents. Researchers collected data using an online survey distributed through LGBT social media, posters, and LGBT print media. The LGBT sample largely matches the demographics of the county as a whole except this group reports higher level of education and fewer uninsured individuals. Among LGBT respondents, immunization prevalence reaches 68.0% (annual Influenza), 65.7% (Hepatitis B), 58.8% (Chickenpox/Varicella), 55.9% (Hepatitis A), 41.2% (Smallpox), and 25.8% (Pneumonia). Among respondents who are currently within the recommended 19-26 years age range for the Human Papillomavirus (HPV) vaccine, the LGBT females are less likely to report receiving the vaccine (15.4%) compared to the national coverage percentage of 34.5%. Males, however, are more likely to have received the vaccine (10.3%) than the national percentage of 2.3%. The small number of LGBT seniors in the study report a much higher prevalence of the Shingles (Herpes Zoster) vaccines than for U.S. seniors 60 and older (71.4% compared to 20.1% nationally). LGBT respondents report higher percentages of adult vaccination. Copyright © 2016 Elsevier Ltd. All rights reserved.

A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health

PubMed Central

Lee, Chul-joo; Kim, Daniel

2014-01-01

The goals of this study were to validate a number of available collective social capital measures at the U.S. state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the U.S. state level included aggregate indices based on the Annenberg National Health Communication Survey (ANHCS) and the Behavioral Risk Factor Surveillance System (BRFSS), Petris Social Capital Index (PSCI), Putnam’s index, and Kim et al.’s scales. County-level measures consisted of Rupasingha et al.’s social capital index (RGFI) and a BRFSS-derived measure. These measures, except for the PSCI, showed evidence of acceptable validity. Moreover, we observed differences across the social capital measures in their associations with population health outcomes. The implications of the findings for future research in this area are discussed. PMID:25574069

From GUIDON to NEOMYCIN and HERACLES in Twenty Short Lessons.

DTIC Science & Technology

1986-07-01

Buxton Towers University of Leyden AFOSR Baltimore, MD 21204 Education Research Center Boilling AFB Boerhaavelaan 2 Washington, DC 20332 Dr. Davida...Charney 2334 EN Leyden Department of Psychology The NETHERLANDS Defense Technical Carnegie-Mellon University Information Center Schenley Park LT Judy...Wetenschappen Dr. Kathleen McKeown Community College of Rijksuniversiteit Groningen Columbia UniversityAllegheny County Oude Boteringestraat 23

9. Photographic copy of historic photograph showing lower dam without ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

9. Photographic copy of historic photograph showing lower dam without stone apron and water flowing over the overspill. Date and photographer unknown. (original in possession of United States Department of Agriculture-Forest Service-Allegheny National Forest) VIEW WEST - Loleta Recreation Area, Lower Dam, 6 miles Southeast of interesection of State Route 24041 & State Route 66, Loleta, Elk County, PA

Glade Valley School: 1909-1985.

ERIC Educational Resources Information Center

Dickson, Kay Reita

This book is a comprehensive history of the Glade Valley School in Allegheny County, North Carolina. It is filled with letters, newspaper reports, first-hand accounts, and photographs that trace the lives of its students and faculty back to opening day in January 1911. The school's site was chosen in 1909 and was deemed favorable because it was…

9. GENERAL INTERIOR VIEW OF THE VERTICAL FURNACE BUILDING (PART ...