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Sample records for forest health status

  1. Forest health status in North America.

    PubMed

    Tkacz, Borys; Moody, Ben; Villa Castillo, Jaime

    2007-01-01

    The forests of North America provide a variety of benefits including water, recreation, wildlife habitat, timber, and other forest products. However, they continue to face many biotic and abiotic stressors including fires, native and invasive pests, fragmentation, and air pollution. Forest health specialists have been monitoring the health of forests for many years. This paper highlights some of the most damaging forest stressors affecting North American forests in recent years and provides some projections of future risks. PMID:17450278

  2. Relationship between soil properties and forest health status in the Czech Republic

    NASA Astrophysics Data System (ADS)

    Drabek, O.; Šrámek, V.; Tejnecky, V.; Nikodem, A.; Sebek, O.; Fadrhonsová, V.; Boruvka, L.

    2012-12-01

    The aim of this study was to investigate the influence of selected soil characteristics on tree vitality at representative forest monitoring plots. We have chosen 20 stands with prevailing Norway spruce and 20 plots with dominance of European beech across the Czech Republic. Following soil characteristics were determined: pH, content of dissolved organic carbon (DOC), content of exchangeable (extracted by 0.1 M BaCl2) Ca, Mg and K, and major organic (formic, acetic and oxalic) and inorganic (e.g. sulphate and nitrate) anions in the aqueous extracts. Moreover, major Al forms in aqueous and 0.5 M KCl soil extracts were determined by means of HPLC/IC. Health of forest stands, expressed as crown defoliation, was assessed repeatedly. Overall, Al speciation in aqueous extracts was significantly affected by the DOC content and by the concentration of low molecular mass organic acids (LMMOA). The DOC content and composition is strongly dependent on tree species. We have observed higher proportion of organically bound Al in soil aqueous extracts under Norway spruce compared to European beech. This is probably caused by higher share of LMMOA from the total DOC content under Norway spruce. The health status of forest stands expressed as defoliation was negatively influenced by the contents of exchangeable Al3+ species and positively by the contents of exchangeable Ca and Mg in soils (Fig. 1). Potentially phytotoxic Al3+ was assessed as the prevailing Al exchangeable form. The beach stands is generally showed higher presence of Al3+, compared to the spruce stands. The Norway spruce stands exhibited different composition of DOC in soil, showing a higher share of LMMOA which might mitigate Al toxicity there. This study was supported by the Ministry of Agriculture of the Czech Republic (project no. QI92A216). Fig. 1 The relationship between the crown defoliation and the content of exchangeable Al forms (left) and contents of exchangeable Ca, Mg and K (right); based on results

  3. Forest Health Detectives

    ERIC Educational Resources Information Center

    Bal, Tara L.

    2014-01-01

    "Forest health" is an important concept often not covered in tree, forest, insect, or fungal ecology and biology. With minimal, inexpensive equipment, students can investigate and conduct their own forest health survey to assess the percentage of trees with natural or artificial wounds or stress. Insects and diseases in the forest are…

  4. Airborne laser scanning for forest health status assessment and radiative transfer modelling

    NASA Astrophysics Data System (ADS)

    Novotny, Jan; Zemek, Frantisek; Pikl, Miroslav; Janoutova, Ruzena

    2013-04-01

    Structural parameters of forest stands/ecosystems are an important complementary source of information to spectral signatures obtained from airborne imaging spectroscopy when quantitative assessment of forest stands are in the focus, such as estimation of forest biomass, biochemical properties (e.g. chlorophyll /water content), etc. The parameterization of radiative transfer (RT) models used in latter case requires three-dimensional spatial distribution of green foliage and woody biomass. Airborne LiDAR data acquired over forest sites bears these kinds of 3D information. The main objective of the study was to compare the results from several approaches to interpolation of digital elevation model (DEM) and digital surface model (DSM). We worked with airborne LiDAR data with different density (TopEye Mk II 1,064nm instrument, 1-5 points/m2) acquired over the Norway spruce forests situated in the Beskydy Mountains, the Czech Republic. Three different interpolation algorithms with increasing complexity were tested: i/Nearest neighbour approach implemented in the BCAL software package (Idaho Univ.); ii/Averaging and linear interpolation techniques used in the OPALS software (Vienna Univ. of Technology); iii/Active contour technique implemented in the TreeVis software (Univ. of Freiburg). We defined two spatial resolutions for the resulting coupled raster DEMs and DSMs outputs: 0.4 m and 1 m, calculated by each algorithm. The grids correspond to the same spatial resolutions of hyperspectral imagery data for which the DEMs were used in a/geometrical correction and b/building a complex tree models for radiative transfer modelling. We applied two types of analyses when comparing between results from the different interpolations/raster resolution: 1/calculated DEM or DSM between themselves; 2/comparison with field data: DEM with measurements from referential GPS, DSM - field tree alometric measurements, where tree height was calculated as DSM-DEM. The results of the analyses

  5. Forest health and global change.

    PubMed

    Trumbore, S; Brando, P; Hartmann, H

    2015-08-21

    Humans rely on healthy forests to supply energy, building materials, and food and to provide services such as storing carbon, hosting biodiversity, and regulating climate. Defining forest health integrates utilitarian and ecosystem measures of forest condition and function, implemented across a range of spatial scales. Although native forests are adapted to some level of disturbance, all forests now face novel stresses in the form of climate change, air pollution, and invasive pests. Detecting how intensification of these stresses will affect the trajectory of forests is a major scientific challenge that requires developing systems to assess the health of global forests. It is particularly critical to identify thresholds for rapid forest decline, because it can take many decades for forests to restore the services that they provide. PMID:26293952

  6. Forest health conditions in North America.

    PubMed

    Tkacz, Borys; Moody, Ben; Castillo, Jaime Villa; Fenn, Mark E

    2008-10-01

    Some of the greatest forest health impacts in North America are caused by invasive forest insects and pathogens (e.g., emerald ash borer and sudden oak death in the US), by severe outbreaks of native pests (e.g., mountain pine beetle in Canada), and fires exacerbated by changing climate. Ozone and N and S pollutants continue to impact the health of forests in several regions of North America. Long-term monitoring of forest health indicators has facilitated the assessment of forest health and sustainability in North America. By linking a nationwide network of forest health plots with the more extensive forest inventory, forest health experts in the US have evaluated current trends for major forest health indicators and developed assessments of future risks. Canada and Mexico currently lack nationwide networks of forest health plots. Development and expansion of these networks is critical to effective assessment of future forest health impacts. PMID:18479794

  7. Comparing Health Status

    PubMed Central

    Shah, C.P.; Johnson, R.

    1992-01-01

    European settlers in Canada, Australia, and New Zealand each developed similar policies in dealing with the indigenous peoples of the land they colonized. As a result of contact with the Europeans, these peoples experinced dispossession, deprivation, and demographic decline. Their morbidity and mortality retes are consistently higher than those of the nonindigenous population. To achieve further improvement in their health status, indigenous peoples must begin to play a dominant role in the planning and delivery of health care services. PMID:21221339

  8. FOREST HEALTH MONITORING FIELD METHODS GUIDE

    EPA Science Inventory

    This EMAP-FHM methods Guide is intended to instruct forest Health Monitors when collecting data on forest health indicators; site condition, growth and regeneration, crown condition, tree damage and mortality assessment, photosynthetically active radiation, vegetation structure, ...

  9. A tool for assessing ecological status of forest ecosystem

    NASA Astrophysics Data System (ADS)

    Rahman Kassim, Abd; Afizzul Misman, Muhammad; Azahari Faidi, Mohd; Omar, Hamdan

    2016-06-01

    Managers and policy makers are beginning to appreciate the value of ecological monitoring of artificially regenerated forest especially in urban areas. With the advent of more advance technology in precision forestry, high resolution remotely sensed data e.g. hyperspectral and LiDAR are becoming available for rapid and precise assessment of the forest condition. An assessment of ecological status of forest ecosystem was developed and tested using FRIM campus forest stand. The forest consisted of three major blocks; the old growth artificially regenerated native species forests, naturally regenerated forest and recent planted forest for commercial timber and other forest products. Our aim is to assess the ecological status and its proximity to the mature old growth artificially regenerated stand. We used airborne LiDAR, orthophoto and thirty field sampling quadrats of 20x20m for ground verification. The parameter assessments were grouped into four broad categories: a. forest community level-composition, structures, function; landscape structures-road network and forest edges. A metric of parameters and rating criteria was introduced as indicators of the forest ecological status. We applied multi-criteria assessment to categorize the ecological status of the forest stand. The paper demonstrates the application of the assessment approach using FRIM campus forest as its first case study. Its potential application to both artificially and naturally regenerated forest in the variety of Malaysian landscape is discussed

  10. Forest health monitoring: Field methods guide

    SciTech Connect

    Tallent-Halsell, N.G.

    1994-10-01

    This guide is intended to instruct Forest Health Monitors when collecting data on forest health indicators; site condition, growth and regeneration, crown condition, tree damage and mortality assessment, photosynthetically active radiation, vegetation structure, ozone bioindicator species, lichen community structure and field logistics. This guide contains information on measuring, observing and recording data related to the above listed forest health indicators. Pertinent quality assurance information is also included.

  11. Value orientation and forest management: the forest health debate.

    PubMed

    Abrams, Jesse; Kelly, Erin; Shindler, Bruce; Wilton, James

    2005-10-01

    Among both forest practitioners and the general public, "forest health" has become an issue of contention. Whereas the debate over which treatments will best achieve healthy forests has been framed largely by the popular media and politicians as a struggle between industry and environmentalists, the views of the general public remain unexplored. Survey results from Oregon and Washington residents were used to assess the relationships between respondents' self-described environmental or economic priorities and the following two variables: (1) acceptability of forest management practices and (2) perceived threats to forest health. Findings indicate that active management was generally accepted by a majority of respondents regardless of their environmental or economic orientation. Disagreement emerged, however, when the appropriateness of specific management practices within specific forest conditions was examined. Additionally, strong evidence was found for a relationship between self-described environmental or economic orientation and perceived threats to forest health. Those with an environmentally oriented viewpoint tended to perceive human-caused factors as the largest threats, whereas those with an economic orientation saw naturally occurring processes as the greatest threats. These findings suggest that the issue of contention is not active management per se. Rather, the major divisions in the forest health debate are defined by specific contexts and circumstances, as well as the management practices used. PMID:16222459

  12. Stigma, status, and population health

    PubMed Central

    Phelan, Jo C.; Lucas, Jeffrey W.; Ridgeway, Cecilia L.; Taylor, Catherine J.

    2014-01-01

    Stigma and status are the major concepts in two important sociological traditions that describe related processes but that have developed in isolation. Although both approaches have great promise for understanding and improving population health, this promise has not been realized. In this paper, we consider the applicability of status characteristics theory (SCT) to the problem of stigma with the goal of better understanding social systemic aspects of stigma and their health consequences. To this end, we identify common and divergent features of status and stigma processes. In both, labels that are differentially valued produce unequal outcomes in resources via culturally shared expectations associated with the labels; macro-level inequalities are enacted in micro-level interactions, which in turn reinforce macro-level inequalities; and status is a key variable. Status and stigma processes also differ: Higher- and lower-status states (e.g., male and female) are both considered normal, whereas stigmatized characteristics (e.g., mental illness) are not; interactions between status groups are guided by “social ordering schemas” that provide mutually agreed-upon hierarchies and interaction patterns (e.g., men assert themselves while women defer), whereas interactions between “normals” and stigmatized individuals are not so guided and consequently involve uncertainty and strain; and social rejection is key to stigma but not status processes. Our juxtaposition of status and stigma processes reveals close parallels between stigmatization and status processes that contribute to systematic stratification by major social groupings, such as race, gender, and SES. These parallels make salient that stigma is not only an interpersonal or intrapersonal process but also a macro-level process and raise the possibility of considering stigma as a dimension of social stratification. As such, stigma’s impact on health should be scrutinized with the same intensity as that of

  13. [Forest health ecological risk assessment in China].

    PubMed

    Xiao, Fengjin; Ouyang, Hua; Cheng, Shulan; Zhang, Qiang

    2004-02-01

    Forest health ecological risk assessment is an important factor in forest resources management. In this paper, we selected forest fire, forest disease-pest disasters and acid rain as main risk sources, described the risk resources by probability, intensity and distributing, and mapped each risk source. The endpoints were the damages that the risk acceptor might and these damages might cause ecosystems' organization and function changing under the uncertainty risk sources. Endpoints of forest might compose of productivity descent, reducing biodiversity, forest degrading, forest ecological function declining, furthermore, forest disappearing. We described exposure in terms of intensity, space, and time. In the exposure and hazard analysis, we used fragile index to show frangibility or resistibility (resistibility is reverse to frangibility), and analyzed the damages by different risk sources. Risk assessment and management was the integrated phase of the research. Because of the spatial heterogeneity of risk sources, all risk index were overlaid in the China map by GIS, which divided the region into 30 ecological risk sub-zones (provinces), according to risk index of each risk sub-zone, and the forest in China was divided into six levels of risk zones. In every level of risk zones, we also put forward the countermeasures for forest health ecological risk management. The result of assessment could provide scientific basis for forest management. PMID:15146655

  14. Light on population health status.

    PubMed Central

    Beyrer, K.; Brauer, G. W.; Fliedner, T. M.; Greiner, C.; Reischl, U.

    1999-01-01

    A new approach to illustrating and analysing health status is presented which allows comparisons of various aspects of health in a population at different times and in different populations during given periods. Both quantitative and qualitative elements can be represented, the impact of interventions can be monitored, and the extent to which objectives are achieved can be assessed. The practical application of the approach is demonstrated with reference to the health profiles to Tunisia in 1966 and 1994. PMID:10083719

  15. IS NITROGEN DEPOSITION ALTERING THE NITROGEN STATUS OF NORTHEASTERN FORESTS?

    EPA Science Inventory

    This paper reviews literature and compiles existing data to address the question "Is N deposition altering the N status in Northeastern forests?" Using correlational techniques and large sample size, three different categories of indicators appear to give different results. The...

  16. Health Status of Older Immigrants to Canada

    ERIC Educational Resources Information Center

    Newbold, K. Bruce; Filice, John K.

    2006-01-01

    Using the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged 55[thorn]) immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to…

  17. [Approaches for assessing forest ecosystem health].

    PubMed

    Chen, Gao; Deng, Hongbing; Wang, Qingli; Dai, Limin; Hao, Zhanqing

    2003-06-01

    Assessment and indicator system become the key issues in the research on ecosystem health in 21st century. Assessing forest ecosystem health gradually attach much attention because it is an important component of terrestrial ecosystem. The definition, measurement, evaluation and its management had been discussed broadly, and some theories, assessing methods and frameworks had been proposed, which provides a new concept and a serial research approaches for dealing with the crisis of terrestrial ecosystems, even the environment problems in the world. Now, the common operational models for assessing forest ecosystem health do not exist owing to the manifold limitations. This paper discussed forest ecosystem health problem, and brought forward three preconditions for assessing forest ecosystem health: 1) a clear conceptual framework; 2) adequate data sets; 3) proper research and analysis techniques. The issues of three preconditions were discussed, and the possible approaches for the assessing research on forest ecosystem health, e.g., long-term studies and environment monitoring, space-for-time substation studies, e.g., history approaches, economics valuation and others were expariated. PMID:12974013

  18. Health status among elderly Hungarians and Americans.

    PubMed

    Buss, T F; Beres, C; Hofstetter, C R; Pomidor, A

    1994-07-01

    Selected health status data for elderly populations from similar industrial cities-Youngstown, Ohio, USA, and Debrecen, Hungary-were compared. Because of their impoverished health care system, unregulated heavily industrialized society, and unhealthful life-styles Hungarians were hypothesized to have poorer health status than Americans, even after taking into account demographic mediating factors. The study provides a health status baseline for elderly Hungarians shortly after communism's fall in 1989-1990 and shows how great a gap exists between Hungarian health status and that in the West. Hungarians were in much poorer health as measured by functional status, symptomatology, medical condition, depression, and subjective health status. Distinctions persisted when controlling for gender, age, and education. Poverty-level (and income) did not explain health status differences. The paper concludes that Hungary should pay more attention to health promotion, prevention, and primary care, as well as to reforming patient management in hospitals, nursing homes, and home care programs. PMID:24390093

  19. Forest health in a changing world.

    PubMed

    Pautasso, Marco; Schlegel, Markus; Holdenrieder, Ottmar

    2015-05-01

    Forest pathology, the science of forest health and tree diseases, is operating in a rapidly developing environment. Most importantly, global trade and climate change are increasing the threat to forest ecosystems posed by new diseases. Various studies relevant to forest pathology in a changing world are accumulating, thus making it necessary to provide an update of recent literature. In this contribution, we summarize research at the interface between forest pathology and landscape ecology, biogeography, global change science and research on tree endophytes. Regional outbreaks of tree diseases are requiring interdisciplinary collaboration, e.g. between forest pathologists and landscape ecologists. When tree pathogens are widely distributed, the factors determining their broad-scale distribution can be studied using a biogeographic approach. Global change, the combination of climate and land use change, increased pollution, trade and urbanization, as well as invasive species, will influence the effects of forest disturbances such as wildfires, droughts, storms, diseases and insect outbreaks, thus affecting the health and resilience of forest ecosystems worldwide. Tree endophytes can contribute to biological control of infectious diseases, enhance tolerance to environmental stress or behave as opportunistic weak pathogens potentially competing with more harmful ones. New molecular techniques are available for studying the complete tree endobiome under the influence of global change stressors from the landscape to the intercontinental level. Given that exotic tree diseases have both ecologic and economic consequences, we call for increased interdisciplinary collaboration in the coming decades between forest pathologists and researchers studying endophytes with tree geneticists, evolutionary and landscape ecologists, biogeographers, conservation biologists and global change scientists and outline interdisciplinary research gaps. PMID:25502075

  20. Tropical forests: present status and future outlook.

    PubMed

    Myers, N

    1991-09-01

    Tropical forests still cover almost 8 million km squared of the humid tropics but they are being destroyed at ever-more rapid rates. In 1989, the area deforested amounted to 142,200 km squared, or nearly 90% more than in 1979. Thus, whereas the 1989 amounted total to 1.8% of the remaining biome, the proportion could well continue to rise for the foreseeable future, until there is little forest in just a few decades. Deforestati on patterns are far from even throughout the biome. In much of the Southeast and Southern Asia, East and West Africa, and Central America, there is likely to be little forest left by the year 2000 or shortly thereafter. But in the Zaire basin, western Brazilian Amazonia, and the Guyana highlands, sizeable expanses of forest could persist a good while longer. The main agent of deforestation in the 'shifted cultivator' or displaced peasant, who, responding to land hunger and general lack of rural development in traditional farming areas of countries concerned, feels there is no alternative but to adopt a slash-and-burn lifestyle in forestlands. This person is now accounting for at least 60% of deforestation, a rapidly expanding proportion. However, he receives far less policy attention than the commercial logger, the cattle rancher, and other agents of deforestation. PMID:12317221

  1. Health of North American forests: Stress and risk assessment

    SciTech Connect

    Smith, W.H. )

    1990-01-01

    The 1980s will be remembered by forest professionals as a decade of intense and widespread societal concern for the vitality and integrity of forest systems. Daily reports of tropical deforestation and temperate forest decline have heightened social consciousness of forest health. It is therefore appropriate, as we enter the 1990s, to assess the health of our forests and propose new initiatives in this critically important area. Making generalizations about the health of North American forests is difficult because of the extraordinary diversity of forests, management regimes, and stress factors. This overview article summarizes forest health fundamentals, significant health risks, and priorities in future forest health management for temperate forests of the United States.

  2. Aging, Nutritional Status and Health

    PubMed Central

    Leslie, Wilma; Hankey, Catherine

    2015-01-01

    The older population is increasing worldwide and in many countries older people will outnumber younger people in the near future. This projected growth in the older population has the potential to place significant burdens on healthcare and support services. Meeting the diet and nutrition needs of older people is therefore crucial for the maintenance of health, functional independence and quality of life. While many older adults remain healthy and eat well those in poorer health may experience difficulties in meeting their nutritional needs. Malnutrition, encompassing both under and over nutrition increases health risks in the older population. More recently the increase in obesity, and in turn the incidence of chronic disease in older adults, now justifies weight management interventions in obese older adults. This growing population group is becoming increasingly diverse in their nutritional requirements. Micro-nutrient status may fluctuate and shortfalls in vitamin D, iron and a number of other nutrients are relatively common and can impact on well-being and quality of life. Aging presents a number of challenges for the maintenance of good nutritional health in older adults. PMID:27417787

  3. Boreal forest health and global change.

    PubMed

    Gauthier, S; Bernier, P; Kuuluvainen, T; Shvidenko, A Z; Schepaschenko, D G

    2015-08-21

    The boreal forest, one of the largest biomes on Earth, provides ecosystem services that benefit society at levels ranging from local to global. Currently, about two-thirds of the area covered by this biome is under some form of management, mostly for wood production. Services such as climate regulation are also provided by both the unmanaged and managed boreal forests. Although most of the boreal forests have retained the resilience to cope with current disturbances, projected environmental changes of unprecedented speed and amplitude pose a substantial threat to their health. Management options to reduce these threats are available and could be implemented, but economic incentives and a greater focus on the boreal biome in international fora are needed to support further adaptation and mitigation actions. PMID:26293953

  4. FOREST HEALTH MONITORING PLOT DESIGN AND LOGISTICS STUDY

    EPA Science Inventory

    Concern over the condition of forests in relation to natural and manmade stresses has led to an interagency Forest Health Monitoring program. o improve the efficiency of forest monitoring, the forest group of EPA's Environmental Monitoring and Assessment Program conducted a field...

  5. Children's Health Problems and Maternal Work Status.

    ERIC Educational Resources Information Center

    Salkever, David S.

    1982-01-01

    This paper estimates the influence on working mothers' employment status of children's health problems. Effects are estimated for several different types of families, various groups of health problems, and differing degrees of problem severity. (CT)

  6. Health for all: analyzing health status and determinants.

    PubMed

    Lerer, L B; Lopez, A D; Kjellstrom, T; Yach, D

    1998-01-01

    An analysis of health status and determinants is presented as a basis for health for all renewal and in order to provide a model linking the health for all vision with strategy and action. Equity and gender, at the core of health for all, directly concern health status and the distribution of health determinants. The role of the various transitions (demographic, epidemiological, health risk and technological) is described, the need to strengthen the link between data and decision-making for health is explained, and the range of health determinants--macroeconomic, demographic/nutritional, environmental, tobacco and alcohol and their implications for policy--is outlined. PMID:9675804

  7. The effects of acid rain on forest nutrient status

    SciTech Connect

    Johnson, D.W.; Turner, J.; Kelly, J.M.

    1982-06-01

    The effects of acidic atmospheric inputs on forest nutrient status must be assessed within the context of natural, internal acid production by carbonic and organic acids as well as the nutrient inputs and drains by management practices such as harvesting, fire, and fertilization. Soil acidification will occur only if the often substantial buffering capacity of the soil in question is exceeded by acid inputs and if cation weathering from primary minerals is insufficient to offset cation losses by leaching. Such circumstances are rare but certainly could occur given sufficiently large acid inputs on poorly buffered soils. Soils most sensitive to change are thought to be those of moderately acid pH and low cation exchange capacity. Neither very acid soils nor neutral, highly buffered soils are sensitive to acidification by acid rain. Given extremely high acid inputs, acid rain can cause temporary increases in nitrogen mineralization and nitrification as well as Al mobilization in soils. While temporary increases in N availability can cause increased forest growth in N-deficient forests, increased Al availability can cause toxic reactions in tree roots. Given sufficiently high inputs on sensitive sites, negative effects of acid rain must occur, as is true of inputs of any substance, including H/sub 2/O. Acid rain inputs of sufficient magnitude to cause acute effects, such as growth increase due to N mobilization or growth decrease due to Al mobilization, are apparently very rare under ambient field conditions. Long-term effects on forest nutrient status can be either beneficial or adverse, depending on site nutrient status, silvicultural practices, and amount of atmospheric inputs. (JMT)

  8. The Effects of Acid Rain on Forest Nutrient Status

    NASA Astrophysics Data System (ADS)

    Johnson, Dale W.; Turner, John; Kelly, J. M.

    1982-06-01

    The effects of acidic atmospheric inputs on forest nutrient status must be assessed within the context of natural, internal acid production by carbonic and organic acids as well as the nutrient inputs and drains by management practices such as harvesting, fire, and fertilization. In all cases the anion associated with acid inputs must be mobile in the soil if leaching is to occur; immobilization of anions can effectively prevent cation leaching. Soil acidification will occur only if the often substantial buffering capacity of the soil in question is exceeded by acid inputs and if cation weathering from primary minerals is insufficient to offset cation losses by leaching. Such circumstances are rare but certainly could occur in theory, at least, given sufficiently large acid inputs on poorly buffered soils. Soils most sensitive to change are thought to be those of moderately acid pH and low cation exchange capacity. Neither very acid soils nor neutral, highly buffered soils are sensitive to acidification by acid rain. Given extremely high acid inputs, acid rain can cause temporary increases in nitrogen mineralization and nitritication as well as Al mobilization in soils. While temporary increases in N availability can cause increased forest growth in N-deficient forests, increased Al availability can cause toxic reactions in tree roots. Little is known about tree Al toxicity levels as yet, however. It must be emphasized that assessment of acid rain effects is a problem of quantification. Given sufficiently high inputs on sensitive sites, negative effects of acid rain must occur, as is true of inputs of any substance, including H2O. Acid rain inputs of sufficient magnitude to cause acute effects, such as growth increase due to N mobilization or growth decrease due to Al mobilization, are apparently very rare under ambient field conditions. Long-term effects on forest nutrient status can be either beneficial or adverse, depending on site nutrient status, silvicultural

  9. Subjective socioeconomic status and health: relationships reconsidered.

    PubMed

    Nobles, Jenna; Weintraub, Miranda Ritterman; Adler, Nancy E

    2013-04-01

    Subjective status, an individual's perception of her socioeconomic standing, is a robust predictor of physical health in many societies. To date, competing interpretations of this correlation remain unresolved. Using longitudinal data on 8430 older adults from the 2000 and 2007 waves of the Indonesia Family Life Survey, we test these oft-cited links. As in other settings, perceived status is a robust predictor of self-rated health, and also of physical functioning and nurse-assessed general health. These relationships persist in the presence of controls for unobserved traits, such as difficult-to-measure aspects of family background and persistent aspects of personality. However, we find evidence that these links likely represent bi-directional effects. Declines in health that accompany aging are robust predictors of declines in perceived socioeconomic status, net of observed changes to the economic profile of respondents. The results thus underscore the social value afforded good health status. PMID:23453318

  10. Health status of prisoners in Canada

    PubMed Central

    Kouyoumdjian, Fiona; Schuler, Andrée; Matheson, Flora I.; Hwang, Stephen W.

    2016-01-01

    Abstract Objective To review the literature for quantitative research on the health status of persons in custody in provincial, territorial, and federal correctional facilities in Canada, and summarize recent evidence. Quality of evidence A search was performed in research databases and the websites of relevant Canadian governmental and non-governmental organizations for quantitative studies of health conducted between 1993 and 2014. Studies were included that provided quantitative data on health status for youth or adults who had been detained or incarcerated in a jail or prison in Canada. Main message The health status of this population is poor compared with the general Canadian population, as indicated by data on social determinants of health, mortality in custody, mental health, substance use, communicable diseases, and sexual and reproductive health. Little is known about mortality after release, chronic diseases, injury, reproductive health, and health care access and quality. Conclusion Health status data should be used to improve health care and to intervene to improve health for persons while in custody and after release, with potential benefits for all Canadians. PMID:27427562

  11. Health Literacy, Social Support, and Health Status among Older Adults

    ERIC Educational Resources Information Center

    Lee, Shoou-Yih D.; Arozullah, Ahsan M.; Cho, Young Ik; Crittenden, Kathleen; Vicencio, Daniel

    2009-01-01

    The study examines whether social support interacts with health literacy in affecting the health status of older adults. Health literacy is assessed using the short version of the Test of Functional Health Literacy in Adults. Social support is measured with the Medical Outcome Study social support scale. Results show, unexpectedly, that rather…

  12. Forest health monitoring: Southeast loblolly/shortleaf pine demonstration interim report

    SciTech Connect

    Lewis, T.E.; Conkling, B.L.

    1994-04-01

    The U.S. Environmental Protection Agency's Office of Research and Development is conducting an Environmental Monitoring and Assessment Program (EMAP) with other federal agencies to establish the status of and trends in the ecological health of the Nation's natural resources. The forest component of EMAP is a multiagency effort referred to as Forest Health Monitoring (FHM). The FHM program conducted a two year demonstration study to test a suite of indicators considered important in assessing forest health. The study is referred to in this report as the Southeast Loblolly/Shortleaf Pine Demonstration, or SE DEMO. The interim report describes the results from the first year of the SE DEMO. The use of such data is encouraged by EMAP to foster a better understanding of the anticipated performance of an indicator prior to large investments in funding for field research. These data were used to the extent possible to determine the current status of each indicator with respect to the six criteria.

  13. Inorganic nitrogen deposition in China's forests: Status and characteristics

    NASA Astrophysics Data System (ADS)

    Du, Enzai; Jiang, Yuan; Fang, Jingyun; de Vries, Wim

    2014-12-01

    Nitrogen (N) deposition in China has been dramatically enhanced by anthropogenic emissions and has aroused great concerns of its impacts on forest ecosystems. This study synthesized data on ammonium (NH4+) and nitrate (NO3-) contents in bulk precipitation and throughfall from 38 forest stands in published literature to assess the status and characteristics of N deposition to typical forests in China between 1995 and 2010. Our results showed that ammonium dominated N deposition in this period, with a mean NH4+-N:NO3--N ratio of ˜2.5 in bulk deposition and throughfall. Mean throughfall N deposition in China's forests was as high as 14.0 kg N ha-1 yr-1 for ammonium, 5.5 kg N ha-1 yr-1 for nitrate and 21.5 kg N ha-1 yr-1 for total inorganic N (TIN), respectively. Mean bulk deposition was 9.4 kg N ha-1 yr-1 for ammonium, 3.9 kg N ha-1 yr-1 for nitrate and 14.0 kg N ha-1 yr-1 for TIN, respectively. Canopy captured dry deposition, calculated as the difference between throughfall and bulk deposition, was thus approximately half of the bulk deposition. Spatial patterns of N deposition were in accordance with our urban hotspot hypothesis, showing a strong power-law reduction of ammonium with increasing distance to large cities but only slightly lower nitrate deposition. Our results suggest that high N deposition, especially of ammonium, exceeds critical N loads for large areas of China's forests.

  14. Benchmarking dairy herd health status using routinely recorded herd summary data.

    PubMed

    Parker Gaddis, K L; Cole, J B; Clay, J S; Maltecca, C

    2016-02-01

    Genetic improvement of dairy cattle health through the use of producer-recorded data has been determined to be feasible. Low estimated heritabilities indicate that genetic progress will be slow. Variation observed in lowly heritable traits can largely be attributed to nongenetic factors, such as the environment. More rapid improvement of dairy cattle health may be attainable if herd health programs incorporate environmental and managerial aspects. More than 1,100 herd characteristics are regularly recorded on farm test-days. We combined these data with producer-recorded health event data, and parametric and nonparametric models were used to benchmark herd and cow health status. Health events were grouped into 3 categories for analyses: mastitis, reproductive, and metabolic. Both herd incidence and individual incidence were used as dependent variables. Models implemented included stepwise logistic regression, support vector machines, and random forests. At both the herd and individual levels, random forest models attained the highest accuracy for predicting health status in all health event categories when evaluated with 10-fold cross-validation. Accuracy (SD) ranged from 0.61 (0.04) to 0.63 (0.04) when using random forest models at the herd level. Accuracy of prediction (SD) at the individual cow level ranged from 0.87 (0.06) to 0.93 (0.001) with random forest models. Highly significant variables and key words from logistic regression and random forest models were also investigated. All models identified several of the same key factors for each health event category, including movement out of the herd, size of the herd, and weather-related variables. We concluded that benchmarking health status using routinely collected herd data is feasible. Nonparametric models were better suited to handle this complex data with numerous variables. These data mining techniques were able to perform prediction of health status and could add evidence to personal experience in herd

  15. A Canadian Indian Health Status Index.

    PubMed

    Connop, P J

    1983-01-01

    Health care services for registered "band" Indians in Ontario are provided primarily by the Canadian Federal Government. Complex management methods preclude the direct involvement of Indian people in the decisions for their health resource allocation. Health indicators, need, and health status indexes are reviewed. The biostatistics of mortality and demography of the Indian and reference populations are aggregated with hospitalization/morbidity experience as the Chen G'1 Index, as an indicator of normative and comparative need. This is weighted by linear measurements of perceived need for preventive medicine programs, as ranked and scaled values of priorities, Zj. These were determined by community survey on 11 Indian reserves using a non-probabilistic psychometric method of "pair comparisons," based upon "Thurstone's Law of Comparative Judgement.," The calculation of the aggregate single unit Indian Health Status Index [Log.G'1].Zj and its potential application in a "zero-base" budget is described. PMID:6601223

  16. Health status of ayahuasca users.

    PubMed

    Barbosa, Paulo Cesar Ribeiro; Mizumoto, Suely; Bogenschutz, Michael P; Strassman, Rick J

    2012-01-01

    Ayahuasca is a psychedelic brew originally used for magico-religious purposes by Amerindian populations of the western Amazon Basin. Throughout the last four decades, the use of ayahuasca spread towards major cities in all regions of Brazil and abroad. This trend has raised concerns that regular use of this N,N-dimethyltryptamine- and harmala-alkaloid-containing tea may lead to mental and physical health problems associated typically with drug abuse. To further elucidate the mental and physical health of ayahuasca users, we conducted a literature search in the international medical PubMed database. Inclusion criteria were evaluation of any related effect of ayahuasca use that occurred after the resolution of acute effects of the brew. Fifteen publications were related to emotional, cognitive, and physical health of ayahuasca users. The accumulated data suggest that ayahuasca use is safe and may even be, under certain conditions, beneficial. However, methodological bias of the reviewed studies might have contributed to the preponderance of beneficial effects and to the few adverse effects reported. The data up to now do not appear to allow for definitive conclusions to be drawn on the effects of ayahuasca use on mental and physical health, but some studies point in the direction of beneficial effects. Additional studies are suggested to provide further clarification. PMID:22761152

  17. Socioeconomic status and health of immigrants.

    PubMed

    Vacková, Jitka; Brabcová, Iva

    2015-01-01

    The aim of this article is to acquaint the general public with select socioeconomic status (SES) parameters (type of work, education level, employment category, and net monthly income) of select nationalities (Ukrainians, Slovaks, Vietnamese, Poles, and Russians) from a total of 1,014 immigrants residing in the Czech Republic. It will also present a subjective assessment of socioeconomic status and its interconnection with subjective assessment of health status. This work was carried out as part of the "Social determinants and their impact on the health of immigrants living in the Czech Republic" project (identification number LD 13044), which was conducted under the auspices of the European Cooperation in Science and Technology (COST) agency. Quantitative methodology in the form of a questionnaire was selected to facilitate the research aim. Data was processed using the Statistical Package for Social Sciences (SPSS), version 16.0 (SPSS, Inc., Chicago, IL, USA). Statistical analyses were performed using the Pearson chi-square test, adjusted residual analysis, and multivariate correspondence analysis. The results of these tests demonstrated a statistically significant relationship between subjective assessments of socioeconomic status and the following related select characteristics: type of work performed (manual/intellectual), employment categories, education, and net monthly income. Results indicate that those situated lowest on the socioeconomic ladder feel the poorest in terms of health; not only from a subjective perspective, but also in terms of objective parameter comparisons (e.g. manual laborers who earn low wages). As the level of subjective SES assessment increases, the level of subjective health assessment increases, as well. Thus, the relationship has a natural gradient, as was described by Wilkinson and Marmot in 2003. Our study found no evidence of a healthy immigrant effect. Therefore, it was not possible to confirm that health status deteriorates

  18. Telemental health: A status update.

    PubMed

    Aboujaoude, Elias; Salame, Wael; Naim, Lama

    2015-06-01

    A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the "therapeutic alliance", privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities. PMID:26043340

  19. Telemental health: A status update

    PubMed Central

    Aboujaoude, Elias; Salame, Wael; Naim, Lama

    2015-01-01

    A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the “therapeutic alliance”, privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities. PMID:26043340

  20. Quality of Life, Health Status, and Depression

    PubMed Central

    Pike, Nancy A.; Evangelista, Lorraine S.; Doering, Lynn V.; Eastwood, Jo-Ann; Lewis, Alan B.; Child, John S.

    2012-01-01

    Background Quality of life (QOL) in adolescents and adults who have undergone the Fontan procedure and are living with only 1 ventricle is presumed to be diminished. Objectives This study aimed to compare QOL, health status, and prevalence of depression in adolescents/adults after the Fontan procedure with healthy counterparts and to identify predictors of QOL in the Fontan group. Methods Using a comparative, cross-sectional design, 54 adolescents and adults with single ventricle congenital heart disease who have undergone the Fontan procedure were compared with 66 age-matched healthy counterparts. Quality of life, health status, depression, and social support were measured using the Satisfaction With Life Scale, Short Form Survey Version 2, Patient Health Questionnaire Depression Module, and Multidimensional Scale of Perceived Social Support. Clinical variables were abstracted from medical records. Predictors of QOL were determined using multiple linear regression. Results Adolescents and adults in the Fontan group reported lower physical health status (mean [SD] = 46.5 [9.3] vs mean [SD] = 55.9 [5.1], P < .001) and were more depressed (mean [SD] = 7.3 [5.9] vs mean [SD] = 4.5 [4.3], P < .004) than their healthy counterparts. There were no differences in QOL, mental health status, or social support between the 2 groups. Functional status (New York Heart Association class), depression, and social support accounted for 55% of the variance in QOL in the Fontan group. Conclusions Despite lower levels of physical health, the QOL of Fontan patients was comparable with that of their healthy counterparts; this finding contradicts previous proxy reports, self-reports, and assumptions that QOL is lower in patients with complex single ventricle congenital heart disease. However, because Fontan patients were more depressed than their healthy counterparts, the need for early screening and detection is warranted. PMID:21912272

  1. Pet Ownership and Health Status during Bereavement.

    ERIC Educational Resources Information Center

    Akiyama, Hiroko; And Others

    1987-01-01

    Investigated impact of pet ownership on the health status of recently widowed urban middle-class women. Findings suggest pet ownership may have a salutary effect on the adjustment of recently widowed women in terms of symptom experiences and proneness to utilization of medication. (Author/KS)

  2. Adjusting Population Risk for Functional Health Status.

    PubMed

    Fuller, Richard L; Hughes, John S; Goldfield, Norbert I

    2016-04-01

    Risk adjustment accounts for differences in population mix by reducing the likelihood of enrollee selection by managed care plans and providing a correction to otherwise biased reporting of provider or plan performance. Functional health status is not routinely included within risk-adjustment methods, but is believed by many to be a significant enhancement to risk adjustment for complex enrollees and patients. In this analysis a standardized measure of functional health was created using 3 different source functional assessment instruments submitted to the Medicare program on condition of payment. The authors use a 5% development sample of Medicare claims from 2006 and 2007, including functional health assessments, and develop a model of functional health classification comprising 9 groups defined by the interaction of self-care, mobility, incontinence, and cognitive impairment. The 9 functional groups were used to augment Clinical Risk Groups, a diagnosis-based patient classification system, and when using a validation set of 100% of Medicare data for 2010 and 2011, this study found the use of the functional health module to improve the fit of observed enrollee cost, measured by the R(2) statistic, by 5% across all Medicare enrollees. The authors observed complex nonlinear interactions across functional health domains when constructing the model and caution that functional health status needs careful handling when used for risk adjustment. The addition of functional health status within existing risk-adjustment models has the potential to improve equitable resource allocation in the financing of care costs for more complex enrollees if handled appropriately. (Population Health Management 2016;19:136-144). PMID:26348621

  3. Temperate forest health in an era of emerging megadisturbance.

    PubMed

    Millar, Constance I; Stephenson, Nathan L

    2015-08-21

    Although disturbances such as fire and native insects can contribute to natural dynamics of forest health, exceptional droughts, directly and in combination with other disturbance factors, are pushing some temperate forests beyond thresholds of sustainability. Interactions from increasing temperatures, drought, native insects and pathogens, and uncharacteristically severe wildfire are resulting in forest mortality beyond the levels of 20th-century experience. Additional anthropogenic stressors, such as atmospheric pollution and invasive species, further weaken trees in some regions. Although continuing climate change will likely drive many areas of temperate forest toward large-scale transformations, management actions can help ease transitions and minimize losses of socially valued ecosystem services. PMID:26293954

  4. [Health status of delinquent male youths].

    PubMed

    Oliván Gonzalvo, G

    2002-04-30

    Objective. To assess the health status of delinquent male youths at the time of their admission to a juvenile correctional center.Design. Cross-sectional descriptive study over a 6-year period (1995-2000). Setting. Health primary care. Juvenile correctional center in Zaragoza, Spain. Participants. Two hundred forty male adolescents were admitted during the study period. Mean age was 15 years (SD, 1.3) (range, 13-17 years). Measurements and main results. Health status via medical history and physical examination was assessed according to standard protocols and individualized complementary laboratory examinations were performed. Most frequent health problems were smoking habit (97.1%), drug/alcohol abuse (54.1%), odontologic (40%), psychopathologic disorders (17.1%), incomplete immunization status (16.6%), growth and nutritional disorders (14.5%) growth delay (5.8%), malnutrition (3.3%), overweight (2.1%), obesity (3.3%) , infectious diseases associated with intravenous drug use and/or risk sexual behaviors (10.4%) hepatitis C (4.6%), hepatitis B (2.9%), AIDS (2.1%), syphilis (0.8%) , dermatological (10%), opthalmological (7.5%), and respiratory (5%). Less prevalent health problems were orthopedic (3.3%), anemia (3.3%), otic (2.5%), cardiovascular (2.5%), and intestinal parasitism (1.6%). Conclusions. Early intervention during the stay into juvenile correctional center regarding their physical health and especially their mental health, from the sanitary and educative viewpoint, presents a unique opportunity to solve the basic health needs of these high-risk adolescents. PMID:12031238

  5. Developing a Forest Health Index for public engagement and decision support using local climatic, ecological, and socioeconomic data

    NASA Astrophysics Data System (ADS)

    Arnott, J. C.; Katzenberger, J.; Cundiff, J.

    2013-12-01

    Forest health is an oft-used term without a generally accepted definition. Nonetheless, the concept of forest health continues to permeate scientific, resource management, and public discourse, and it is viewed as a helpful communication device for engagement on issues of concern to forests and their surrounding communities. Notwithstanding the challenges associated with defining the concept of 'forest health,' we present a model for assessing forest health at a watershed scale. Utilizing the Roaring Fork Valley, Colorado--a mountain watershed of 640,000 forested acres--as a case study, we have created a Forest Health Index that integrates a range of climatic, ecological, and socioeconomic data into an assessment organized along a series of public goals including, 1) Ecosystem Services, 2) Public Health & Safety, 3) Sustainable Use & Management, and 4) Ecological Integrity. Methods for this index were adopted from an earlier effort called the Ocean Health Index by Halpern et al, 2012. Indicators that represent drivers of change, such as temperature and precipitation, as well as effects of change, such as primary productivity and phenology, were selected. Each indicator is assessed by comparing a current status of that indicator to a reference scenario obtained through one of the following methods: a) statistical analysis of baseline data from the indicator record, b) commonly accepted normals, thresholds, limits, concentrations, etc., and c) subjective expert judgment. The result of this assessment is a presentation of graphical data and accompanying ratings that combine to form an index of health for the watershed forest ecosystem. We find this product to have potential merit for communities working to assess the range of conditions affecting forest health as well as making sense of the outcomes of those affects. Here, we present a description of the index methodology, data results from engagement with forest watershed stakeholders, example results of data

  6. Health Insurance Status May Affect Cancer Patients' Survival

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_160304.html Health Insurance Status May Affect Cancer Patients' Survival 2 studies ... certain cancers in America could depend on your health insurance status. Despite improvements in cancer diagnosis and treatment, ...

  7. Remote sensing assessment of forest health in the Bohemian forests of central Europe

    SciTech Connect

    Entcheva, P.K.; Rock, B.N.; Lauten, G.N.; Cibula, W.G.

    1996-12-31

    Current studies using Landsat TM data for assessment of forest damage in the Czech Republic and Germany have demonstrated that tree levels of forest damage (light, moderate and heavy) can be discriminated applying logit regression methods, when on the ground foresters can recognize a total of five levels of decline. Field studies using portable spectrometer and a narrow-band video camera provide evidence for recent improvement in forest health and demonstrate that monitoring of the red edge portion of the visible/near infrared region of the spectrum may provide the early warning capabilities, missing when using broad band sensor systems. Detailed measurements of initial stages of damage suggest that hyperspectral sensors, such as the Lewis HSI scheduled for launch in 1997, will provide the capabilities for detection and identification of the initial stages of forest damage.

  8. Remote Sensing of Bioindicators for Forest Health Assessment

    NASA Astrophysics Data System (ADS)

    Kefauver, Shawn Carlisle

    The impacts of tropospheric ozone on forest health in Mediterranean type climates in California, USA and Catalonia, Spain were investigated using a combination of remote sensing, Geographic Information System (GIS), and field studies focused on sensitive bioindicator conifer species and ambient ozone monitoring. For the field validation of impacts of tropospheric ozone on conifer health, the Ozone Injury Index (OII) was applied to the bioindicator species Pinus ponderosa, Pinus jeffreyi, and Pinus uncinata. Combining these three tools, it was possible to build meaningful ecological models covering large areas to enhance our understanding of the biotic and abiotic interactions which affect forest health. Regression models predicting ozone injury improved considerably when incorporating ozone exposure with GIS related to plant water status, including water availability and water usage, as a proxies for estimating the stomatal conductance and ozone uptake R2=0.35, p = 0.016 in Catalonia, R2=0.36, p < 0.001 in Yosemite and R2=0.33, p = 0.007 in Sequoia/Kings Canyon National Parks in California). Individual OII components in Catalonia were modeled with improved success compared to the original full OII, in particular visible chlorotic mottling (R2=0.60, p < 0.001). The visual chlorotic mottling component of the OII was the most strongly correlated to remote sensing indices, in particular the photochemical reflectance index (PRI; R2=0.28, p=0.0044 for OIIVI-amount and R 2=0.33 and p=0.0016 for OIIVI -severity). Regression models assessing ozone injury to conifers using imaging spectroscopy techniques also improved when incorporating the GIS proxies of stomatal conductance (R 2=0.59, p<0.0001 for OII in California and R2=0.68, p<0.0001 for OIIVI in Catalonia). Finally, taking advantage of a time series of ambient ozone monitoring in Catalonia, it was found that all models improved when incorporating the cumulative exposure to ozone over a period of three years (R2=0.56, p

  9. Tribes in Karnataka: Status of health research.

    PubMed

    Roy, Subarna; Hegde, Harsha V; Bhattacharya, Debdutta; Upadhya, Vinayak; Kholkute, Sanjiva D

    2015-05-01

    The south Indian State of Karnataka, once part of several kingdoms and princely states of repute in the Deccan peninsula, is rich in its historic, cultural and anthropological heritage. The State is the home to 42,48,987 tribal people, of whom 50,870 belong to the primitive group. Although these people represent only 6.95 per cent of the population of the State, there are as many as 50 different tribes notified by the Government of India, living in Karnataka, of which 14 tribes including two primitive ones, are primarily natives of this State. Extreme poverty and neglect over generations have left them in poor state of health and nutrition. Unfortunately, despite efforts from the Government and non-Governmental organizations alike, literature that is available to assess the state of health of these tribes of the region remains scanty. It is however, interesting to note that most of these tribes who had been original natives of the forests of the Western Ghats have been privy to an enormous amount of knowledge about various medicinal plants and their use in traditional/folklore medicine and these practices have been the subject matter of various scientific studies. This article is an attempt to list and map the various tribes of the State of Karnataka and review the studies carried out on the health of these ethnic groups, and the information obtained about the traditional health practices from these people. PMID:26139788

  10. Tribes in Karnataka: Status of health research

    PubMed Central

    Roy, Subarna; Hegde, Harsha V.; Bhattacharya, Debdutta; Upadhya, Vinayak; Kholkute, Sanjiva D.

    2015-01-01

    The south Indian State of Karnataka, once part of several kingdoms and princely states of repute in the Deccan peninsula, is rich in its historic, cultural and anthropological heritage. The State is the home to 42,48,987 tribal people, of whom 50,870 belong to the primitive group. Although these people represent only 6.95 per cent of the population of the State, there are as many as 50 different tribes notified by the Government of India, living in Karnataka, of which 14 tribes including two primitive ones, are primarily natives of this State. Extreme poverty and neglect over generations have left them in poor state of health and nutrition. Unfortunately, despite efforts from the Government and non-Governmental organizations alike, literature that is available to assess the state of health of these tribes of the region remains scanty. It is however, interesting to note that most of these tribes who had been original natives of the forests of the Western Ghats have been privy to an enormous amount of knowledge about various medicinal plants and their use in traditional/folklore medicine and these practices have been the subject matter of various scientific studies. This article is an attempt to list and map the various tribes of the State of Karnataka and review the studies carried out on the health of these ethnic groups, and the information obtained about the traditional health practices from these people. PMID:26139788

  11. Status of forest birds on Rota, Mariana Islands

    USGS Publications Warehouse

    Camp, Richard J.; Brinck, Kevin W.; Gorresen, P. Marcos; Amidon, Fred A.; Radley, Paul M.; Berkowitz, S. Paul; Banko, Paul C.

    2014-01-01

    The western Pacific island of Rota is the third largest human inhabited island in the Mariana archipelago, and is designated an Endemic Bird Area. Between 1982 and 2012, 12 point-transect distance sampling surveys were conducted to assess population status. Surveys did not consistently sample the entire island; thus, we used a ratio estimator to estimate bird abundances in strata not sampled during every survey. Occupancy models of the 2012 survey revealed general patterns of habitat use and detectability among 11 species that could be reliably modeled. The endangered Mariana crow (Corvus kubaryi) was dispersed around the periphery of the island in steep forested habitats. In contrast, the endangered Rota white-eye (Zosterops rotensis) was restricted to the high-elevation mesa. Precision of detection probabilities and occupancy estimates and effects of habitat types, sampling conditions, and specific observers varied considerably among species, indicating that more narrowly defined classifications and additional observer training may improve the accuracy of predictive modeling. Population estimates of five out of ten native bird species, including collared kingfisher (Todiramphus chloris orii), Mariana crow, Mariana fruit-dove (Ptilinopus roseicapilla), Micronesian myzomela (Myzomela rubrata), and white-throated ground-dove (Gallicolumba xanthonura) declined over the 30-year time series. The crow declined sharply to fewer than 200 individuals (upper 95% confidence interval). Trends increased for Micronesian starling (Aplonis opaca), rufous fantail (Rhipidura rufifrons mariae), and white tern (Gygis alba). Rota white-eye numbers declined from 1982 to the late 1990s, but returned to 1980s levels by 2012. The trend for the yellow bittern (Ixobrychus sinensis) was inconclusive. The alien Eurasian tree sparrow (Passer montanus) apparently increased in number despite an unreliable trend assessment. Declines were noted in the other two alien birds, black drongo (Dicrurus

  12. Status of forest resources and the environment in Siberia

    SciTech Connect

    Danilin, I.; Sokoly, V.

    1997-12-31

    The Siberian forests are considered to be one of the most important biomes on earth. The forested area of Siberia constitutes about 20 percent of the total world forested area and nearly 50 percent of the total world coniferous forested area. About 605 million hectares are covered with stands, these areas make up about 48 percent of the total area. Nearly 450 million hectares are covered with coniferous species. The total growing stock of stemwood is 61.4 billion m{sup 3} as compared to North America - 50.3 billion m{sup 3} of which 51 billion m{sup 3} is made up of coniferous species. About 38.5 billion m{sup 3} (nearly 63 percent) of the growing stock are classified as mature and overmature forests. Nearly 65 percent of the Siberian forests are growing in areas with permafrost and more than 60 percent of the forested areas are classified as mountain forests. The carbon stock, accumulated in forest ecosystems of Siberia, exceeds 94 billion tons in total, with annual carbon sequestration at more than 170 million tons. This sink could be significantly increased by implementation of rational forestry in Siberia. Average stock per 1 ha of mature and overmature stands is 148 m{sup 3}. Average annual growth per 1 ha of forest-forming species is 1.31 m{sup 3}, among them conifers - 1.17 m{sup 3}. Siberia has roughly 40% of its original forests intact (the United States has less than 5% of its ancient forests).

  13. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Health care claim status transaction. 162.1401 Section 162.1401 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care...

  14. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Health care claim status transaction. 162.1401 Section 162.1401 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care...

  15. Health Status of Migrant Farmworkers: A Literature Review and Commentary.

    ERIC Educational Resources Information Center

    Rust, George S.

    1990-01-01

    Reviews the medical literature on the health status of migrant farmworkers. Finds adequate coverage of dental health, nutrition, and childhood health, as well as several disease categories. Finds that more research is needed on population estimates, basic health status indicators, and the prevalence rates of the most common causes of death. (FMW)

  16. Health status: patient and physician judgments.

    PubMed Central

    Martini, C J; McDowell, I

    1976-01-01

    Patients at a rehabilitation center in Derbyshire, England, were asked to assess their own functional abilities at admission and again at discharge, using an 82-item questionnaire concerning 12 areas of daily living. Questionnaire responses were correlated with results of physical examinations, assessments by center personnel, and assessments of capacity for specific body movements. The highest correlations were observed in areas that related most directly to physical movements and to dressing and toileting. The results suggest that self-assessment of health status using this questionnaire may provide a viable alternative to judgments made by trained assessors. PMID:1025054

  17. Wage differences according to health status in France.

    PubMed

    Ben Halima, Mohamed Ali; Rococo, Emeline

    2014-11-01

    Many OECD countries have implemented anti-discrimination laws in recent decades. However, according to the annual report published in 2010 by the French High Authority for the Fight against Discrimination and for Equality, the second most commonly cited factor in discrimination claims since 2005 is a handicap or health status. The aim of this research is to estimate the level of unexplained components in the wage gap that can be attributed to wage discrimination based on health status in France in 2010 utilizing data from the Health, Healthcare and Insurance survey among 1594 individuals. Three health indicators are used: self-perceived health status, activity limitations and long-term chronic illness. To measure the wage gap according to an individual's health status, the analysis considers the endogenous selection of health status and unobserved differences in productivity. The results demonstrate that wage discrimination is experienced by individuals in poor health regardless of the health indicator utilized. The hourly wage rate among individuals with poor self-assessed health status is on average 14.2% lower than among individuals with good self-assessed health status. However, for individuals suffering from a long-term chronic illness or an activity limitation, the gap is 6.3% and 4.5%, respectively. The decomposition performed on wage differences according to health status by correcting for health status selection bias and controlling for unobserved differences in productivity indicates that the 'unexplained component' that can be attributed to wage discrimination is equal to 50%. PMID:25262313

  18. Socioeconomic status and allied health use

    PubMed Central

    Yau, Ivan; Kendall, Claire

    2016-01-01

    Abstract Objective To identify whether socioeconomic status is associated with allied health use among patients in a large academic family health team (FHT). Design Data were collected through a retrospective chart review using an electronic medical record system. Setting A large academic FHT in Ottawa, Ont. Participants Patients with at least 1 in-person clinician encounter between January 1, 2012, and December 31, 2013. Main outcome measures Descriptive statistics were used to compare patients who accessed allied health services with those who did not. We conducted logistic regression analyses to determine whether income quintile was independently associated with allied health use after adjusting for other patient characteristics. Results The inclusion criteria identified 2938 unique patients, of whom 949 (32.3%) saw an allied health provider (AHP) during the study period. While patients in the fourth income quintile had the greatest AHP use per person (41.2% of patients had at least 1 AHP visit), those in the lowest income quintile had the greatest mean number of AHPs seen (mean [SD] = 1.48 [0.80]). After adjustment, the odds of seeing an AHP were significantly increased with older age (odds ratio [OR] = 1.02, 95% CI 1.01 to 1.02) and female sex (OR = 1.81, 95% CI 1.48 to 2.22). Compared with patients in the highest income quintile, patients in the lowest (OR = 1.33, 95% CI 1.02 to 1.72) and fourth (OR = 1.88, 95% CI 1.33 to 2.66) income quintiles had significantly higher odds of seeing AHPs. Conclusion Within an academic FHT, lower-income patients were more likely to use allied health services, suggesting equitable allocation of resources. We encourage other FHTs to similarly assess their allied health resource allocation as an important outcome for investments in Ontario FHTs.

  19. Mechanisms by which Childhood Personality Traits Influence Adult Health Status

    PubMed Central

    Hampson, Sarah E.; Goldberg, Lewis R.; Vogt, Thomas M.; Dubanoski, Joan P.

    2008-01-01

    Objective To test a lifespan health-behavior model in which educational attainment and health behaviors (eating habits, smoking, and physical activity) were hypothesized as mechanisms to account for relations between teacher ratings of childhood personality traits and self-reported health status at midlife. Design The model was tested on 1,054 members of the Hawaii Personality and Health cohort, which is a population-based cohort participating in a longitudinal study of personality and health spanning 40 years from childhood to midlife. Outcome Self-reported health status as a latent construct indicated by general health, functional status, and body mass index. Results Childhood Agreeableness, Conscientiousness, and Intellect/Imagination influenced adult health status indirectly through educational attainment, healthy eating habits, and smoking. Several direct effects of childhood traits on health behaviors and health status were also observed. Conclusion The model extends past associations found between personality traits and health behaviors or health status by identifying a life-course pathway based on the health-behavior model through which early childhood traits influence adult health status. The additional direct effects of personality traits indicate that health-behavior mechanisms may not provide a complete account of relations between personality and health. PMID:17209705

  20. Vitamin D status and childhood health.

    PubMed

    Shin, Youn Ho; Shin, Hye Jung; Lee, Yong-Jae

    2013-10-01

    Vitamin D is an essential component of bone and mineral metabolism; its deficiency causes growth retardation and skeletal deformities in children and osteomalacia and osteoporosis in adults. Hypovitaminosis D (vitamin D insufficiency or deficiency) is observed not only in adults but also in infants, children, and adolescents. Previous studies suggest that sufficient serum vitamin D levels should be maintained in order to enhance normal calcification of the growth plate and bone mineralization. Moreover, emerging evidence supports an association between 25-hydroxyvitamin D (25[OH]D) levels and immune function, respiratory diseases, obesity, metabolic syndrome, insulin resistance, infection, allergy, cancers, and cardiovascular diseases in pediatric and adolescent populations. The risk factors for vitamin D insufficiency or deficiency in the pediatric population are season (winter), insufficient time spent outdoors, ethnicity (non-white), older age, more advanced stage of puberty, obesity, low milk consumption, low socioeconomic status, and female gender. It is recommended that all infants, children, and adolescents have a minimum daily intake of 400 IU (10 µg) of vitamin D. Since the vitamin D status of the newborn is highly related to maternal vitamin D levels, optimal vitamin D levels in the mother during pregnancy should be maintained. In conclusion, given the important role of vitamin D in childhood health, more time spent in outdoor activity (for sunlight exposure) and vitamin D supplementation may be necessary for optimal health in infants, children, and adolescents. PMID:24244209

  1. Ocelot Population Status in Protected Brazilian Atlantic Forest

    PubMed Central

    Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

    2015-01-01

    Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators. PMID:26560347

  2. Ocelot Population Status in Protected Brazilian Atlantic Forest.

    PubMed

    Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

    2015-01-01

    Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators. PMID:26560347

  3. Beyond Status: Relating Status Inequality to Performance and Health in Teams

    ERIC Educational Resources Information Center

    Christie, Amy M.; Barling, Julian

    2010-01-01

    Status structures in organizations are ubiquitous yet largely ignored in organizational research. We offer a conceptualization of team status inequality, or the extent to which status positions on a team are dispersed. Status inequality is hypothesized to be negatively related to individual performance and physical health for low-status…

  4. Assessment of calcium status in Maine forests: Review and future projection

    USGS Publications Warehouse

    Huntington, T.G.

    2005-01-01

    Forest harvesting and acidic deposition can cause substantial decreases in the calcium (Ca) inventory of forest soils if such losses are not replenished through mineral weathering, atmospheric deposition, or fertilization. The net balance between losses and gains defines the forest Ca status. Site-specific studies have measured Ca pools and fluxes in Maine forests, but no synthesis has been published. In this paper, I review the literature on forest Ca and assess the current status and potential future trends. Forest soils in Maine are currently at lesser risk of Ca depletion compared with many forest soils in the central and southeastern United States, because levels of acidic deposition and rates of Ca accumulation in trees are lower in Maine. The rate of Ca accumulation in trees is reduced in Maine as a result of lower growth rates and a higher proportion of conifer trees that require less Ca than hardwoods. However, field-scale biogeochemical studies in Maine and New Hampshire, and regional estimates of harvest removals and soil inventories coupled with low weathering estimates, indicate that Ca depletion is a realistic concern in Maine. The synthesis of site-specific and regional data for Maine in conjunction with the depletion measured directly in surrounding areas indicates that the Ca status of many forest soils in Maine is likely declining. Ca status could decrease further in the future if forest growth rates increase in response to climate trends and recovery from insect-induced mortality and excessive harvesting in recent years. Proposed climate change induced reductions in spruce and fir and increases in hardwoods would also increase the risk of Ca depletion. ?? 2005 NRC.

  5. 75 FR 65608 - Flathead National Forest-Swan Lake Ranger District, Montana; Wild Cramer Forest Health and Fuels...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... Forest Service Flathead National Forest--Swan Lake Ranger District, Montana; Wild Cramer Forest Health... Wild Cramer Project, Swan Lake District Ranger, 200 Ranger Station Road, Bigfork, MT 59911. Comments may also be sent via e-mail to comments-northern-flathead-swan-lake@fs.fed.us with ``Wild...

  6. Folate status and health: challenges and opportunities.

    PubMed

    Obeid, Rima; Oexle, Konrad; Rißmann, Anke; Pietrzik, Klaus; Koletzko, Berthold

    2016-04-01

    Each year approximately 2400 pregnancies develop folic acid-preventable spina bifida and anencephaly in Europe. Currently, 70% of all affected pregnancies are terminated after prenatal diagnosis. The prevalence of neural tube defects (NTDs) has been significantly lowered in more than 70 countries worldwide by applying fortification with folic acid. Periconceptional supplementation of folic acid also reduces the risk of congenital heart diseases, preterm birth, low birth weight, and health problems associated with child mortality and morbidity. All European governments failed to issue folic acid fortification of centrally processed and widely eaten foods in order to prevent NTDs and other unwanted birth outcomes. The estimated average dietary intake of folate in Germany is 200 μg dietary folate equivalents (DFE)/day. More than half of German women of reproductive age do not consume sufficient dietary folate to achieve optimal serum or red blood cell folate concentrations (>18 or 1000 nmol/L, respectively) necessary to prevent spina bifida and anencephaly. To date, targeted supplementation is recommended in Europe, but this approach failed to reduce the rate of NTDs during the last 10 years. Public health centers for prenatal care and fortification with folic acid in Europe are urgently needed. Only such an action will sufficiently improve folate status, prevent at least 50% of the NTD cases, reduce child mortality and morbidity, and alleviate other health problems associated with low folate such as anemia. PMID:25825915

  7. Status Epilepticus: Epidemiology and Public Health Needs.

    PubMed

    Sánchez, Sebastián; Rincon, Fred

    2016-01-01

    Status epilepticus (SE) is defined as a continuous clinical and/or electrographic seizure activity lasting five minutes or more or recurrent seizure activity without return to baseline. There is a paucity of epidemiological studies of SE, as most research is derived from small population studies. The overall incidence of SE is 9.9 to 41 per 100,000/year, with peaks in children and the elderly and with febrile seizures and strokes as its main etiologies. The etiology is the major determinant of mortality. Governments and the academic community should predominantly focus on the primary prevention of etiologies linked to SE, as these are the most important risk factors for its development. This review describes the incidence, prevalence, etiology, risk factors, outcomes and costs of SE and aims to identify future research and public health needs. PMID:27537921

  8. Status Epilepticus: Epidemiology and Public Health Needs

    PubMed Central

    Sánchez, Sebastián; Rincon, Fred

    2016-01-01

    Status epilepticus (SE) is defined as a continuous clinical and/or electrographic seizure activity lasting five minutes or more or recurrent seizure activity without return to baseline. There is a paucity of epidemiological studies of SE, as most research is derived from small population studies. The overall incidence of SE is 9.9 to 41 per 100,000/year, with peaks in children and the elderly and with febrile seizures and strokes as its main etiologies. The etiology is the major determinant of mortality. Governments and the academic community should predominantly focus on the primary prevention of etiologies linked to SE, as these are the most important risk factors for its development. This review describes the incidence, prevalence, etiology, risk factors, outcomes and costs of SE and aims to identify future research and public health needs. PMID:27537921

  9. Status of mature and old-growth forests in the Pacific Northwest.

    PubMed

    Strittholt, James R; DellaSala, Dominick A; Jiang, Hong

    2006-04-01

    Nearly 10 million ha of federal lands in the Pacific Northwest have been managed under the Northwest Forest Plan since 1994. The plan reduced logging levels by 80%; only recently, however have inventories on status and condition of mature and old-growth forests become available. Our objectives were to (1) determine the areal extent of old (> 150 years) and mature (50-150 years) conifer forests based on 2000 Landsat 7 ETM+ imagery, (2) examine levels of protection, (3) determine the degree of additional protection afforded to old and mature conifer forests if late-successional reserves (LSRs) and inventoried roadless areas (IRAs) were fully protected, and (4) review management options to achieve greater protection of older forests. The historical extent of old-growth forest in the Pacific Northwest was roughly two-thirds (16,672,976 ha) of the total land area. Since the time of European settlement, approximately 72% of the original old-growth conifer forest has been lost, largely through logging and other developments. Of the remaining old growth, the Central and Southern Cascades and Klamath-Siskiyou account for nearly half Mature conifer area (4,758,596 ha) nearly equaled the amount of old conifer More than 78% of the old growth and 50% of mature forest were located on public lands. Approximately one-quarter (1,201,622 ha) of the old-growth conifer (or 7% of the historical old-growth area) was classified as GAP status 1 (strictly protected) or GAP status 2 (moderately protected). The total area of LSRs was slightly more than 3 million ha, approximately 36% (1,073,299 ha) of which contained old-growth conifer forest. Combined old and mature conifer within LSRs was approximately 59% of the total LSR area. The total amount of IRA for the Pacific Northwest was approximately 1,563,370 ha; of this, 526,912 ha (34%) was old growth. The combined area of old-growth conifer forest accounted for by protected areas (GAP 1 and 2), LSRs, and IRAs was 2,401,780 ha, which

  10. Forest health monitoring 1992 annual statistical summary. Project report

    SciTech Connect

    Aalexander, S.A.; Barnard, J.E.

    1994-04-01

    In 1990, the U.S. Department of Agriculture (USDA) Forest Service (FS) and the U.S. Environmental Protection Agency (EPA) initiated a cooperative national program to monitor the condition of the nation's forests. This multi-agency effort, within EPA's Environmental Monitoring and Assessment Program (EMAP), is called the Forest Health Monitoring (FHM) program. In 1992, Detection Monitoring activities were conducted in twelve states: Alabama; Connecticut; Delaware; Georgia; Maine; Maryland; Massachusetts; New Hampshire; New Jersey; Rhode Island; Vermont; and Virginia. Data analysis results for the following indicators are presented; tree species and stand density (mensuration); tree crown condition; tree species diversity; and air pollution bioindicator plants. The cumulative distribution function methods used in the analysis provide a statistical summary of most measurements. Tabular summaries were also prepared in some cases.

  11. Health status, socioeconomic status and utilization of outpatient services for members of a prepaid group practice.

    PubMed

    Freeborn, D K; Pope, C R; Davis, M A; Mullooly, J P

    1977-02-01

    When evaluating the effectiveness of medical care programs, one concern is whether receipt of care is based upon health care needs or upon socioeconomic status. This study describes the relation between health status and socioeconomic status and attempts to determine which has the greater effect on ambulatory care utilization. The study setting was an operating HMO serving a cross-sectional membership of nearly 200,000 persons. Outpatient utilization data were derived from the medical records of a five per cent sample of health plan members for 1969 and 1970. Social, economic, situational, and attitudinal data were provided by 2,603 respondents in a household interview survey. Since a population's perceived health status may reflect health need, information from the survey provided measures of health status that ranged from specific symptoms and complaints to a general measure of perceived health status. Although the findings varied somewhat according to which variables were considered, they generally showed health status to correlate more highly than socioeconomic factors with the utilization of services in this medical care system. An exception was the use of preventive services, which was not significantly related to health status measures but rather, for women, to education and, to a lesser extent, income. PMID:839867

  12. Vitamin D Status of College Students: Implications for Health Leaders

    ERIC Educational Resources Information Center

    Cress, Eileen McKenna

    2014-01-01

    Vitamin D deficiency is considered to be a pandemic with implications for compromised bone health and other chronic diseases. Few studies have examined vitamin D status in college-aged individuals where prevention of future health consequences is still possible. Serum vitamin D 25(OH)D status and vitamin D intake were examined in 98 college…

  13. Assessing human health risk in the USDA forest service

    SciTech Connect

    Hamel, D.R.

    1990-12-31

    This paper identifies the kinds of risk assessments being done by or for the US Department of Agriculture (USDA) Forest Service. Summaries of data sources currently in use and the pesticide risk assessments completed by the agency or its contractors are discussed. An overview is provided of the agency`s standard operating procedures for the conduct of toxicological, ecological, environmental fate, and human health risk assessments.

  14. Neighborhood socioeconomic status, depression, and health status in the Look AHEAD (Action for health in diabetes) study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Depression and diminished health status are common in adults with diabetes, but few studies have investigated associations with socio-economic environment. The objective of this manuscript was to evaluate the relationship between neighborhood-level SES and health status and depression. Individual-le...

  15. The Value Adults Place on Child Health and Functional Status

    PubMed Central

    Craig, Benjamin M.; Brown, Derek S.; Reeve, Bryce B.

    2015-01-01

    Objectives By summarizing the value adults place on child health and functional status, this study provides a new quantitative tool that enhances our understanding of the benefits of new health technologies and illustrates the potential contributions of existing datasets for comparative effectiveness research in pediatrics. Methods Respondents, ages 18 and older, were recruited from a nationally representative panel between August 2012 and February 2013 to complete an online survey. The survey included a series of paired comparisons that asked respondents to choose between child health and functional status outcomes, which were described using the National Survey of Children with Special Health Care Needs, a 14-item descriptive system of child health outcomes. Using respondent choices regarding an unnamed 7- or 10-year-old child, generalized linear model analyses estimated the value of child health and functional status on a quality-adjusted life year scale. Results Across the domains of health and functional status, repeated or chronic physical pain, feeling anxious or depressed, and behavioral problems (such as acting out, fighting, bullying, or arguing) were most valuable, as indicated by adult respondents’ preference of other health problems to avoid outcomes along these domains. Discussion These findings may inform comparative effectiveness research, health technology assessments, clinical practice guidelines, and public resource allocation decisions by enhancing understanding of the value adults place on health and functional status of children. Improved measurement of public priorities can promote national child health by drawing attention to what adults value most and complementing conventional measures of public health surveillance. PMID:26091599

  16. The status of conservation of urban forests in eastern Amazonia.

    PubMed

    Amaral, D D; Vieira, I C G; Salomão, R P; Almeida, S S; Jardim, M A G

    2012-05-01

    This study aims to identify the remnant tree flora in six forest fragments in the metropolitan area of Belém and to analyze these fragments in terms of biological conservation, species richness and diversity in the local urban landscape. The fragments and their respective sampling areas were as follows: Amafrutas reserve (15 ha), Trambioca Is. reserve (2 ha), Bosque Rodrigues Alves city park (15 ha), Combu Is. reserve (10 ha), Gunma Park reserve (10 ha) and Mocambo reserve (5 ha). Inventories were built from lineal plots of 250 m² and included trees with DBH equal to or greater than 10 cm at a height of 1.3 m above ground. Sixty-nine families and 759 species, of which eight were officially listed as endangered (Brazilian National Flora: Ministry of Environment, Normative Instruction of September, 2008; Pará State Flora: Decree Nº. 802 of February 2008) were recorded. These endangered species are: Aspidosperma desmanthum Benth. ex Müll. Arg. (Apocynaceae), Cedrela odorata L. (Meliaceae), Eschweilera piresii S.A Mori (Lecythidaceae), Euxylophora paraensis Huber (Rutaceae), Hymenolobium excelsum Ducke (Leguminosae), Manilkara huberi (Ducke) Chevalier (Sapotaceae), Tabebuia impetiginosa (Mart. ex DC.) Standl. (Bignoniaceae), Mezilaurus itauba (Meisn.) Taub. ex Mez (Lauraceae) and Qualea coerulea Aubl. (Vochysiaceae). Emergency actions such as implementing management plans for already existing Conservation Units, the creation of new such units in areas of primary forest fragments (as in the case of the Amafrutas reserve), as well as the intensification of actions of surveillance and monitoring, should be undertaken by Federal, State, and Municipal environmental agencies so as to ensure the conservation of these last primary forest remnants in the metropolitan area of Belém. PMID:22735132

  17. Status and changes of mangrove forest in Mekong Delta: Case study in Tra Vinh, Vietnam

    NASA Astrophysics Data System (ADS)

    Thu, Phan Minh; Populus, Jacques

    2007-01-01

    Because shrimp culture in the Mekong Delta develops rapidly, it has negatively impacted the environment, socio-economics and natural resources. In particular, mangrove forests have been altered by the shrimp culture. The area of mangrove forests in the region has been reduced and this is seen especially in Tra Vinh province. The results obtained from GIS (Geography Information System) and RS (Remote Sensing) show the status of mangrove forests in Tra Vinh province in 1965, 1995 (Northeastern part of Tra Vinh Province) and 2001. In 1965, the area of mangrove forests was 21,221 ha making up 56% of total land-use, while in 2001 it was 12,797 ha making up 37% of total land-use. Also based on GIS analysis, over the 36 years (1965-2001), the total coverage of mangrove forests have decreased by 50% since 1965. However, the speed of mangrove forest destruction in the period from 1965 to 1995 was much less than that in the period from 1995 to 2001. The average annual reduction in mangrove forest coverage in the first period (1965-1995) was 0.2% whereas it was 13.1% in the later period (1995-2001). For the long time, mangrove deforestation has been caused by war, collection of firewood and clearing for agriculture, and recently, shrimp farming has significantly contributed rate of mangrove destruction.

  18. Effects of Social Capital on General Health Status

    PubMed Central

    Yamaguchi, Ayano

    2014-01-01

    This paper discusses the concept of social capital as a potential factor in understanding the controversial relationship between income inequality and individual health status, arguing a positive, important role for social capital. Most of the health research literature focuses on individual health status and reveals that social capital increases individual health. However, the difficulty in measuring social capital, together with what may be the nearly impossible task of attributing causality, should relegate the concept to a more theoretical role in health research. Nonetheless, social capital receives academic attention as a potentially important factor in health research. This paper finds that the mixed results of empirical research on income inequality and health status remain a problem in the context of defining a stable relationship between socioeconomic status and health status. Clearly, further research is needed to elaborate on the income inequality and health relationship. In addition, focused, rigorous examination of social capital in a health context is needed before health researchers can comfortably introduce it as a concept of influence or significance. PMID:24762345

  19. Health status of anthracite surface coal miners

    SciTech Connect

    Amandus, H.E.; Petersen, M.R.; Richards, T.B.

    1989-03-01

    In 1984-1985, medical examinations consisting of a chest radiograph, spirometry test, and questionnaire on work history, respiratory symptoms, and smoking history were administered to 1,061 white males who were employed at 31 coal cleaning plants and strip coal mines in the anthracite coal region of northeastern Pennsylvania. The prevalence of radiographic evidence of International Labour Office (ILO) category 1 or higher small opacities was 4.5% in 516 men who had never been employed in a dusty job other than in surface coal mining. Among these 516 workers, all 4 cases of ILO radiographic category 2 or 3 rounded opacities and 1 case of large opacities had been employed as a highwall drill operator or helper. The prevalence of category 1 or higher opacities increased with tenure as a highwall drill operator or helper (2.7% for 0 y, 6.5% for 1-9 yr, 25.0% for 10-19 y, and 55.6% for greater than or equal to 20 y drilling). Radiographic evidence of small rounded opacities, dyspnea, and decreases in FEV1.0, FVC, and peak flow were significantly related to tenure at drilling operations after adjusting for age, height, cigarette smoking status, and exposures in dusty jobs other than in surface coal mining. However, tenure in coal cleansing plants and other surface coal mine jobs were not related to significant health effects. The apparent excess prevalence of radiographic small rounded opacities in anthracite surface coal mine drillers suggests that quartz exposures have been increased. Average respirable quartz concentrations at surface coal mine drilling operations should be evaluated to determine whether exposures are within existing standards, and dust exposures should be controlled.

  20. Functional Status and Health Information in Canada: Proposals and Prospects

    PubMed Central

    Bickenbach, Jerome E.

    2003-01-01

    The primary obstacle to evidence-based health care quality assessment in Canada is reliable data on health encounters and episodes of care. The recent Federal/Provincial Health Accord will enhance health data collection, including standardized functional status information (FSI) for administrative records. Canadian health policy developers also agree that FSI is needed to bridge data gaps since alterations in functional status create the continuity that links all episodes of care and health service utilization. Given Canada's universal, single-payer, health financing structure, the prospects for coherent and systemwide data collection are good. This article describes the Canadian health care from the perspective of health information, and surveys proposals in electronic health technology development, the obstacles that need to be faced, and the prospects of doing so. PMID:12894637

  1. Phosphorus status of soils from contrasting forested ecosystems in southwestern Siberia

    NASA Astrophysics Data System (ADS)

    Achat, D. L.; Bakker, M. R.; Zeller, B.; Derrien, D.; Barsukov, P.; Nikitich, P.

    2011-12-01

    Phosphorus is one of the most limiting nutrients in many ecosystems and mineral reserves available for fertilizer production are forecasted to last for no more than 100 yrs. Crop requirements for P are often lower in forests than in agriculture and P fertilization to forest ecosystems is not very common on a global scale. In southern Siberia, expected climate change would lead to higher overall precipitation, higher temperatures and subsequently to changes in land use (i.e. agricultural land could increase on detriment of forests). In the present work we evaluated P status in four forested ecosystems in southwestern Siberia including 1 site with lowland Populus tremula, and 3 upland sites in the Salair mountains with Populus tremula, Abies siberica or with small forest openings. The upland sites feature twice higher productivity than the lowland sites and it was suggested that thick snow cover on those sites would enable winter activity of microbial communities leading to faster soil degradation processes and higher nutrient availability. We thus wanted to test whether biological processes in the upland sites were of larger impact on P status than in the lowland sites. We combined 32P isotopic dilution techniques (for diffusive P), chemical extractions (for total P, organic P) and fumigation/incubation/respiration methods (for microbial P) to test this hypothesis. Additional soil analyses (C, N and othes) were performed. Results will be interpreted in the light of the exising knowledge on botany, climate, pedology and expected implications for future land use, would this occur to change.

  2. Health insurance and subjective health status: data from the 1987 National Medical Expenditure survey.

    PubMed Central

    Franks, P; Clancy, C M; Gold, M R; Nutting, P A

    1993-01-01

    OBJECTIVES. The relationship between health insurance and subjective health status was investigated. It was hypothesized that persons without health insurance would have lower levels of subjective health status than those with health insurance and that this relationship would hold for both poor and nonpoor persons. METHODS. Data from the 1987 National Medical Expenditure Survey were analyzed to examine the relationship between health insurance and self-reported health status. The analysis controlled for sociodemographic and attitudinal variables and medical conditions. RESULTS. Persons without health insurance had significantly lower levels of subjective health status than did persons with insurance. This adverse effect persisted after adjustments were made for the effects of age, sex, race, income, attitude toward the value of medical care and health insurance, and medical conditions. The detrimental effect of lacking health insurance on subjective health status was present for persons at all income levels and was greater than the effect on subjective health status found for 2 of the 11 reported medical conditions. CONCLUSIONS. Lacking health insurance is associated with clinically significant lower levels of subjective health status in both poor and non-poor persons. PMID:8363006

  3. Immigration, Generational Status and Health Literacy in Canada

    ERIC Educational Resources Information Center

    Ng, Edward; Omariba, D. Walter R.

    2014-01-01

    Background: Immigrants, a fast-growing population in Canada, score below the national average in health literacy, but the reasons behind the low scores are largely unknown. Also, there is a need to understand the long-term impact of immigration by examining health literacy by generational status. Objective: To examine health literacy differentials…

  4. An Overview of Oral Health Status, Resources, and Care Delivery.

    ERIC Educational Resources Information Center

    White, B. Alex

    1994-01-01

    An overview of the current oral health status of Americans looks at the epidemiology of oral/dental diseases, rates of use of dental services, and expenditures for dental health care. Substantial progress in improving oral health is seen as are particular challenges resulting from the aging and ethnic diversification of the population. (MSE)

  5. The current status of the Korean student health examination

    PubMed Central

    2013-01-01

    Recent trends place an emphasis on school health care, the ultimate goal of which is to protect, maintain, and promote students' health. School health care is a program that integrates health care services, health education, health counseling, and local social health services. The student health examination (SHE) system is a part of school health care and schools and communities must be available to provide professional health services. Pediatricians also have important roles as experts in both school health care and the SHE system. In this article, the history of school health care, its legal basis, and the current status of the SHE system in Korea are reviewed. Furthermore, sample surveys from the past few years are reviewed. Through this holistic approach, future directions are proposed for the improvement of SHE and school health care. PMID:24019840

  6. Health Inequalities Policy in Korea: Current Status and Future Challenges

    PubMed Central

    Lee, Sang-il

    2012-01-01

    In recent years, health inequalities have become an important public health concern and the subject of both research and policy attention in Korea. Government reports, as well as many epidemiological studies, have provided evidence that a wide range of health outcomes and health-related behaviors are socioeconomically patterned, and that the magnitude of health inequalities is even increasing. However, except for the revised Health Plan 2010 targets for health equity, few government policies have explicitly addressed health inequalities. Although a number of economic and social policies may have had an impact on health inequalities, such impact has scarcely been evaluated. In this review, we describe the current status of research and policy on health inequalities in Korea. We also suggest future challenges of approaches and policies to reduce health inequalities and highlight the active and intensive engagement of many policy sectors and good evidence for interventions that will make meaningful reduction of health inequalities possible. PMID:22661869

  7. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

    PubMed Central

    Liu, Yong-Bing; Liu, Liu; Li, Yan-Fei; Chen, Yan-Li

    2015-01-01

    Background: Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008) and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452). Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points). There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p < 0.001). The health literacy score was significantly associated with smoking, drinking, physical exercise, and health examination (p < 0.001). The elderly with higher health literacy scores were significantly less likely to have risky behaviors (smoking, regular

  8. The third world health status of black American males.

    PubMed Central

    Gadson, Sandra L.

    2006-01-01

    In contrast to their white counterparts, black men in the United States live sicker and die younger. This longstanding phenomenon is sharply reflected in the poor international health status of black males. The NMA president discusses major health issues facing black males and posits a multidimensional strategy for addressing racial disparities in men's health, with a national focus on health promotion and disease prevention, improving healthcare quality and access, and eliminating structural inequities. PMID:16623060

  9. Using Community Health Assessment to Teach and Explore Health Status Disparities

    ERIC Educational Resources Information Center

    Sullivan, Marianne; Levine, Jack

    2014-01-01

    Introduction: Community health assessment (CHA) is a useful tool for identifying health status disparities at the community level. Developing the skills of master's level public health students to conduct CHA addresses a number of the Association of Schools of Public Health Core competencies for graduate public health education. Teaching…

  10. Perceived health status and daily activity participation of older Malaysians.

    PubMed

    Ng, Sor Tho; Tengku-Aizan, Hamid; Tey, Nai Peng

    2011-07-01

    This article investigates the influence of perceived health status on the daily activity participation of older Malaysians. Data from the Survey on Perceptions of Needs and Problems of the Elderly, which was conducted in 1999, were used. The negative binomial regression results show that older persons with good perceived health status reported more varieties of daily activity participation, especially among the uneducated and those with below-average self-esteem. The multinomial logistic regression model suggests that older persons with good perceived health status tended to engage daily in paid work only or with leisure activities, whereas those perceived to have poor health were more likely to engage in leisure activities only or leisure and family role activities. Promotion of a healthy lifestyle at a younger age encourages every person to monitor and take responsibility for their own health, which is a necessary strategy to ensure active participation at an older age, and thus improve their well-being. PMID:20685663

  11. Code Status and Resuscitation Options in the Electronic Health Record

    PubMed Central

    Bhatia, Haresh L.; Patel, Neal R.; Choma, Neesha N.; Grande, Jonathan; Giuse, Dario A.; Lehmann, Christoph U.

    2014-01-01

    Aim The advance discussion and documentation of code-status is important in preventing undesired cardiopulmonary resuscitation and related End of Life interventions. Code-status documentation remains infrequent and paper-based, which limits its usefulness. This study evaluates a tool to document code-status in the electronic health records at a large teaching hospital, and analyzes the corresponding data. Methods Encounter data for patients admitted to the Medical Center were collected over a period of 12 months (01-APR-2012 – 31-MAR-2013) and the code-status attribute was tracked for individual patients. The code-status data were analyzed separately for adult and pediatric patient populations. We considered 131,399 encounters for 83,248 adult patients and 80,778 encounters for 55,656 pediatric patients in this study. Results 71% of the adult patients and 30% of the pediatric patients studied had a documented code-status. Age and severity of illness influenced the decision to document code-status. Demographics such as gender, race, ethnicity, and proximity of primary residence were also associated with the documentation of code-status. Conclusion Absence of a recorded code-status may result in unnecessary interventions. Code-status in paper charts may be difficult to access in cardiopulmonary arrest situations and may result in unnecessary and unwanted interventions and procedures. Documentation of Code-status in electronic records creates a readily available reference for care providers. PMID:25447035

  12. Assessment of soil calcium status in red spruce forests in the northeastern United States

    USGS Publications Warehouse

    Lawrence, G.B.; David, M.B.; Bailey, S.W.; Shortle, W.C.

    1997-01-01

    Long-term changes in concentrations of available Ca in soils of red spruce forests have been documented, but remaining questions about the magnitude and regional extent of these changes have precluded an assessment of the current and future status of soil Ca. To address this problem, soil samples were collected in 1992-93 from 12 sites in New York, Vermont, New Hampshire, and Maine to provide additional data necessary to synthesize all available research results on soil Ca in red spruce forests. Sites were chosen to encompass the range of environmental conditions experienced by red spruce. Concentrations of exchangeable Ca ranged from 2.13 to 21.6 cmol(c) kg-1 in the Oa horizon, and from 0.11 to 0.68 cmol(c) kg-1 in the upper 10 cm of the B horizon. These measurements expanded the range of exchangeable Ca reported in the literature for both horizons in northeastern red spruce forests. Exchangeable Ca was the largest Ca fraction in the forest floor at most sites (92% of acid-extractable Ca), but mineral Ca was the largest fraction at the three sites that also had the highest mineral-matter concentrations. The primary factor causing variability in Ca concentrations among sites was the mineralogy of parent material, but exchangeable concentrations in the B horizon of all sites were probably reduced by acidic deposition. Because the majority of Ca in the forest floor is in a readily leachable form, and Ca inputs to the forest floor from the mineral soil and atmospheric deposition have been decreasing in recent decades, the previously documented decreases in Ca concentrations in the forest floor over previous decades may extend into the future.

  13. Quantifying spatial patterns in the Yakama Nation Tribal Forest and Okanogan-Wenatchee National Forest to assess forest health

    NASA Astrophysics Data System (ADS)

    Wilder, T. F.

    2013-05-01

    Over the past century western United States have experienced drastic anthropogenic land use change from practices such as agriculture, fire exclusion, and timber harvesting. These changes have complex social, cultural, economic, and ecological interactions and consequences. This research studied landscapes patterns of watersheds with similar LANDFIRE potential vegetation in the Southern Washington Cascades physiographic province, within the Yakama Nation Tribal Forest (YTF) and Okanogan-Wenatchee National Forest, Naches Ranger District (NRD). In the selected watersheds, vegetation-mapping units were delineated and populated based on physiognomy of homogeneous areas of vegetative composition and structure using high-resolution aerial photos. Cover types and structural classes were derived from the raw, photo-interpreted vegetation attributes for individual vegetation mapping units and served as individual and composite response variables to quantify and assess spatial patterns and forest health conditions between the two ownerships. Structural classes in both the NRD and YTF were spatially clustered (Z-score 3.1, p-value 0.01; Z-score 2.3, p-value 0.02, respectively), however, ownership and logging type both explained a significant amount of variance in structural class composition. Based on FRAGSTATS landscape metrics, structural classes in the NRD displayed greater clustering and fragmentation with lower interspersion relative to the YTF. The NRD landscape was comprised of 47.4% understory reinitiation structural class type and associated high FRAGASTAT class metrics demonstrated high aggregation with moderate interspersion. Stem exclusion open canopy displayed the greatest dispersal of structural class types throughout the NRD, but adjacencies were correlated to other class types. In the YTF, stem exclusion open canopy comprised 37.7% of the landscape and displayed a high degree of aggregation and interspersion about clusters throughout the YTF. Composite cover

  14. First molar health status in different craniofacial relationships

    PubMed Central

    Linjawi, Amal I

    2016-01-01

    Objective To investigate the association between the health status of permanent first molars and different craniofacial relationships among adolescents. Study design This is a retrospective study on patients’ records aged 11–15 years. Sex, skeletal relationship, vertical growth pattern, malocclusion, overjet, and overbite were assessed. The health status of permanent first molars was recorded from the orthopantomograms and intraoral photographs as “sound” and “not sound”. Chi-square, Mann–Whitney U and Kruskal–Wallis tests, and Pearson’s correlation coefficient were used to analyze and correlate the assessed variables. Significance level was set at P<0.05. Results A total of 210 records were evaluated; 81 were male, 68 had Class I and 91 had Class II skeletal relationships. More than half of the subjects had normal (n=67) to moderate deep bite (n=72); normal (n=91), moderately increased (n=54), to severely increased (n=50) overjet; and Class I (n=106) and Class II division 1 (n=75) malocclusion. Significant differences were found in the health status of the permanent first molars with respect to sex (P=0.034), vertical growth pattern (P=0.01), and overbite (P=0.047). Strong correlations were only found between the health status of the permanent first molars and the following variables: sex (P=0.036) and vertical growth pattern (P=0.004). Significant correlation was further found between the upper left first molar health status and sex (P=0.019) and the lower right first molar health status and the vertical growth pattern (P=0.001). No significant association was found with the anteroposterior craniofacial relationships (P>0.05). Conclusion Sex difference and vertical growth patterns were found to be potential predictors of the health status of the permanent first molars. No significant association was found with the anteroposterior craniofacial relationships. PMID:27462176

  15. Status of the Southern Carpathian forests in the long-term ecological research network.

    PubMed

    Badea, Ovidiu; Bytnerowicz, Andrzej; Silaghi, Diana; Neagu, Stefan; Barbu, Ion; Iacoban, Carmen; Iacob, Corneliu; Guiman, Gheorghe; Preda, Elena; Seceleanu, Ioan; Oneata, Marian; Dumitru, Ion; Huber, Viorela; Iuncu, Horia; Dinca, Lucian; Leca, Stefan; Taut, Ioan

    2012-12-01

    Air pollution, bulk precipitation, throughfall, soil condition, foliar nutrients, as well as forest health and growth were studied in 2006-2009 in a long-term ecological research (LTER) network in the Bucegi Mountains, Romania. Ozone (O(3)) was high indicating a potential for phytotoxicity. Ammonia (NH(3)) concentrations rose to levels that could contribute to deposition of nutritional nitrogen (N) and could affect biodiversity changes. Higher that 50% contribution of acidic rain (pH < 5.5) contributed to increased acidity of forest soils. Foliar N concentrations for Norway spruce (Picea abies), Silver fir (Abies alba), Scots pine (Pinus sylvestris), and European beech (Fagus sylvatica) were normal, phosphorus (P) was high, while those of potassium (K), magnesium (Mg), and especially of manganese (Mn) were significantly below the typical European or Carpathian region levels. The observed nutritional imbalance could have negative effects on forest trees. Health of forests was moderately affected, with damaged trees (crown defoliation >25%) higher than 30%. The observed crown damage was accompanied by the annual volume losses for the entire research forest area up to 25.4%. High diversity and evenness specific to the stand type's structures and local climate conditions were observed within the herbaceous layer, indicating that biodiversity of the vascular plant communities was not compromised. PMID:22234644

  16. Physician use in Ontario and the United States: The impact of socioeconomic status and health status.

    PubMed Central

    Katz, S J; Hofer, T P; Manning, W G

    1996-01-01

    OBJECTIVES: This study compared physician use in Ontario and the midwestern and northeastern United States for persons of different socioeconomic status and health status. The distribution of health problems associated with the most recent physician visit also was compared. METHODS: The design of the study was cross sectional; data derived from the 1990 Ontario Health Survey and the 1990 US National Health Interview Survey were used in analyses. RESULTS: Overall, persons in Ontario averaged 19% more visits than US residents, but differences varied markedly across income and health status. At each level of health status, low- income Canadians had 25% to 33% more visits than their US counterparts. However, among higher income persons, those in excellent or very good health had 22% more visits than Americans, while those in good, fair, or poor health had 10% fewer visits than Americans. Higher visit rates in Ontario were not associated with a greater prevalence of low- priority visits. CONCLUSIONS: Under the Canadian single- payer system, medical care in Ontario has been redistributed to low-income persons and the elderly. Compared with the United States, there has been a lower intensity of medical care for the sick higher income population. PMID:8604782

  17. Profiles of Risk: Maternal Health, Socioeconomic Status, and Child Health

    PubMed Central

    Hardie, Jessica Halliday; Landale, Nancy S.

    2013-01-01

    Child health is fundamental to well-being and achievement throughout the life course. Prior research has demonstrated strong associations between familial socioeconomic resources and children’s health outcomes, with especially poor health outcomes among disadvantaged youth who experience a concentration of risks, yet little is known about the influence of maternal health as a dimension of risk for children. This research used nationally representative U.S. data from the National Health Interview Surveys in 2007 and 2008 (N = 7,361) to evaluate the joint implications of maternal health and socioeconomic disadvantage for youth. Analyses revealed that maternal health problems were present in a substantial minority of families, clustered meaningfully with other risk factors, and had serious implications for children’s health. These findings support the development of health policies and interventions aimed at families. PMID:23794751

  18. The health status of women in the world-system.

    PubMed

    Dyches, H; Rushing, B

    1993-01-01

    The health status of women is examined within the context of a global political economy. The authors present a beginning attempt to model some key macrolevel processes linked to the health of women. In particular, a structural modeling technique known as LVPLS (or "soft modeling") is used to empirically test one recent formulation of world-system theory. The findings give added emphasis to the importance of the larger economic forces that affect women's health. PMID:8500952

  19. Home health care with telemonitoring improves health status for older adults with heart failure.

    PubMed

    Madigan, Elizabeth; Schmotzer, Brian J; Struk, Cynthia J; DiCarlo, Christina M; Kikano, George; Piña, Ileana L; Boxer, Rebecca S

    2013-01-01

    Home telemonitoring can augment home health care services during a patient's transition from hospital to home. Home health care agencies commonly use telemonitors for patients with heart failure although studies have shown mixed results in the use of telemonitors to reduce rehospitalizations. This randomized trial investigated if older patients with heart failure admitted to home health care following a hospitalization would have a reduction in rehospitalizations and improved health status if they received telemonitoring. Patients were followed up to 180 days post-discharge from home health care services. Results showed no difference in the time to rehospitalization or emergency visit between those who received telemonitoring versus usual care. Older heart failure patients who received telemonitoring had better health status by home health care discharge than those who received usual care. Therefore, for older adults with heart failure, telemonitoring may be an important adjunct to home health care services to improve health status. PMID:23438509

  20. Health Status of Homeless and Marginally Housed Users of Mental Health Self-Help Agencies.

    ERIC Educational Resources Information Center

    Segal, Steven P.; Gomory, Tomi; Silverman, Carol J.

    1998-01-01

    Investigates the health status of 310 homeless and marginally housed people to determine the usefulness of mental health self-help agencies (SHAs) in addressing their physical health needs. Findings indicated that frequencies of health problems among respondents were similar to those of other homeless or marginally housed groups and that the study…

  1. Perceptions of Forest Health among Preservice Educators and Implication for Teaching Youth

    ERIC Educational Resources Information Center

    Monroe, Martha C.; Lauretta, Sarah

    2014-01-01

    The objectives of this study were to (a) determine preservice educators' perceptions of forest health, (b) define the experiences which may have influenced their understanding, and (c) identify the approaches they might use to convey forest health information. Twelve interviews were conducted with preservice science and agriculture education…

  2. Social capital, health, and elderly driver status

    PubMed Central

    Isbel, Stephen T.; Berry, Helen L.

    2016-01-01

    Driving a car enables many people to engage in meaningful activities that, in turn, help develop and maintain personal social capital. Social capital, a combination of community participation and social cohesion, is important in maintaining well-being. This paper argues that social capital can provide a framework for investigating the general role of transportation and driving a car specifically to access activities that contribute to connectedness and well-being among older people. This paper proposes theoretically plausible and empirically testable hypotheses about the relationship between driver status, social capital, and well-being. A longitudinal study may provide a new way of understanding, and thus of addressing, the well-being challenges that occur when older people experience restrictions to, or loss of, their driver’s license. PMID:27505020

  3. Effects of acid deposition on calcium nutrition and health of Southern Appalachian spruce fir forests

    SciTech Connect

    McLaughlin, S.B.; Wullschleger, S.; Stone, A.; Wimmer, R.; Joslin, J.D.

    1995-02-01

    The role of acid deposition in the health of spruce fir forests in the Southern Appalachian Mountains has been investigated by a wide variety of experimental approaches during the past 10 years. These studies have proceeded from initial dendroecological documentation of altered growth patterns of mature trees to increasingly more focused ecophysiological research on the causes and characteristics of changes in system function associated with increased acidic deposition. Field studies across gradients in deposition and soil chemistry have been located on four mountains spanning 85 km of latitude within the Southern Appalachians. The conclusion that calcium nutrition is an important component regulating health of red spruce in the Southern Appalachians and that acid deposition significantly reduces calcium availability in several ways has emerged as a consistent result from multiple lines or research. These have included analysis of trends in wood chemistry, soil solution chemistry, foliar nutrition, gas exchange physiology, root histochemistry, and controlled laboratory and field studies in which acid deposition and/or calcium nutrition has been manipulated and growth and nutritional status of saplings or mature red spruce trees measured. This earlier research has led us to investigate the broader implications and consequences of calcium deficiency for changing resistance of spruce-fir forests to natural stresses. Current research is exploring possible relationships between altered calcium nutrition and shifts in response of Fraser fir to insect attack by the balsam wooly adelgid. In addition, changes in wood ultrastructural properties in relation to altered wood chemistry is being examined to evaluate its possible role in canopy deterioration, under wind and ice stresses typical of high elevation forests.

  4. Nutrient status and plant growth effects of forest soils in the Basin of Mexico.

    PubMed

    Fenn, M E; Perea-Estrada, V M; de Bauer, L I; Pérez-Suárez, M; Parker, D R; Cetina-Alcalá, V M

    2006-03-01

    The nutrient status of forest soils in the Mexico City Air Basin was evaluated by observing plant growth responses to fertilization with N, P or both nutrients combined. P deficiency was the most frequent condition for soil from two high pollution sites and N deficiency was greatest at a low N deposition site. Concentrations of Pb and Ni, and to a lesser extent Zn and Co, were higher at the high pollution sites. However, positive plant growth responses to P and sometimes to N, and results of wheat root elongation bioassays, suggest that heavy metal concentrations were not directly phytotoxic. Further studies are needed to determine if heavy metal toxicity to mycorrhizal symbionts of eucalyptus (Eucalyptus camaldulensis Dehnh.) from high pollution sites may explain the P deficiency and stunted growth. P deficiency is expected to limit the capacity for biotic N retention in N saturated forested watersheds in the Basin of Mexico dominated by Andisols. PMID:16168537

  5. Ownership Status and Home Health Care Performance

    PubMed Central

    Grabowski, David C.; Huskamp, Haiden A.; Stevenson, David G.; Keating, Nancy L.

    2009-01-01

    Few studies have analyzed for-profit and nonprofit differences in the home health care sector. Using data from the National Home and Hospice Care Survey, we found that patients in nonprofit agencies were more likely to be discharged within 30 days under Medicare cost-based payment compared to patients in for-profit agencies. However, this difference in length of enrollment did not translate into meaningful differences in discharge outcomes between nonprofit and for-profit patients, suggesting that – under a cost-based payment system – nonprofits may behave more efficiently relative to for-profits. These results highlight the importance of organizational and payment factors in the delivery of home health care services. PMID:19333838

  6. International Students: A Comparison of Health Status and Physical Health before and after Coming to the United States

    ERIC Educational Resources Information Center

    Msengi, Clementine M.; Msengi, Israel G.; Harris, Sandra; Hopson, Michael

    2011-01-01

    The purpose of this study was to assess the health status and physical health of international students at five American universities. International students in the United States were asked to compare the status of their health before and after coming to the United States. Findings suggested that health status of international students declined…

  7. Forest cover associated with improved child health and nutrition: evidence from the Malawi Demographic and Health Survey and satellite data.

    PubMed

    Johnson, Kiersten B; Jacob, Anila; Brown, Molly E

    2013-08-01

    Healthy forests provide human communities with a host of important ecosystem services, including the provision of food, clean water, fuel, and natural medicines. Yet globally, about 13 million hectares of forests are lost every year, with the biggest losses in Africa and South America. As biodiversity loss and ecosystem degradation due to deforestation continue at unprecedented rates, with concomitant loss of ecosystem services, impacts on human health remain poorly understood. Here, we use data from the 2010 Malawi Demographic and Health Survey, linked with satellite remote sensing data on forest cover, to explore and better understand this relationship. Our analysis finds that forest cover is associated with improved health and nutrition outcomes among children in Malawi. Children living in areas with net forest cover loss between 2000 and 2010 were 19% less likely to have a diverse diet and 29% less likely to consume vitamin A-rich foods than children living in areas with no net change in forest cover. Conversely, children living in communities with higher percentages of forest cover were more likely to consume vitamin A-rich foods and less likely to experience diarrhea. Net gain in forest cover over the 10-year period was associated with a 34% decrease in the odds of children experiencing diarrhea (P = .002). Given that our analysis relied on observational data and that there were potential unknown factors for which we could not account, these preliminary findings demonstrate only associations, not causal relationships, between forest cover and child health and nutrition outcomes. However, the findings raise concerns about the potential short- and long-term impacts of ongoing deforestation and ecosystem degradation on community health in Malawi, and they suggest that preventing forest loss and maintaining the ecosystem services of forests are important factors in improving human health and nutrition outcomes. PMID:25276536

  8. Forest Cover Associated with Improved Child Health and Nutrition: Evidence from the Malawi Demographic and Health Survey and Satellite Data

    NASA Technical Reports Server (NTRS)

    Johnson, Kiersten B.; Jacob, Anila; Brown, Molly Elizabeth

    2013-01-01

    Healthy forests provide human communities with a host of important ecosystem services, including the provision of food, clean water, fuel, and natural medicines. Yet globally, about 13 million hectares of forests are lost every year, with the biggest losses in Africa and South America. As biodiversity loss and ecosystem degradation due to deforestation continue at unprecedented rates, with concomitant loss of ecosystem services, impacts on human health remain poorly understood. Here, we use data from the 2010 Malawi Demographic and Health Survey, linked with satellite remote sensing data on forest cover, to explore and better understand this relationship. Our analysis finds that forest cover is associated with improved health and nutrition outcomes among children in Malawi. Children living in areas with net forest cover loss between 2000 and 2010 were 19% less likely to have a diverse diet and 29% less likely to consume vitamin A-rich foods than children living in areas with no net change in forest cover. Conversely, children living in communities with higher percentages of forest cover were more likely to consume vitamin A-rich foods and less likely to experience diarrhea. Net gain in forest cover over the 10-year period was associated with a 34% decrease in the odds of children experiencing diarrhea (P5.002). Given that our analysis relied on observational data and that there were potential unknown factors for which we could not account, these preliminary findings demonstrate only associations, not causal relationships, between forest cover and child health and nutrition outcomes. However, the findings raise concerns about the potential short- and long-term impacts of ongoing deforestation and ecosystem degradation on community health in Malawi, and they suggest that preventing forest loss and maintaining the ecosystems services of forests are important factors in improving human health and nutrition outcomes.

  9. The health status of minority populations in the United States.

    PubMed Central

    Nickens, H. W.

    1991-01-01

    There is increasing national recognition that while our nation's health care system is the most expensive in the world, the health care status of Americans overall ranks poorly compared with other Western, industrialized nations. In the United States we tend to look at minority-majority variations of health status, as well as the variations of many other indicators by race or ethnicity, because race and ethnicity are particularly important components of our society. In general, health status indicators of minority Americans are worse than those of whites. In some locales, death rates of minority Americans are comparable to those of Third World nations. At the same time, minority Americans make up a rapidly increasing proportion of the nation's population and work force. Our baseline national data on some minority groups, however, currently are inadequate to detect shifts in health status. Finally, the rapidly expanding problem of the acquired immunodeficiency syndrome among some minority populations provides both an imperative and an opportunity to learn how model prevention programs should be designed and executed. PMID:1877226

  10. Calcium oxalate contribution to calcium cycling in forests of contrasting nutrient status

    USGS Publications Warehouse

    Dauer, Jenny M.; Perakis, Steven S.

    2014-01-01

    Calcium oxalate (Ca oxalate) is an insoluble biomineral that forms in plants and fungi, and occurs in soils across many types of ecosystems. Assessing how Ca oxalate may shape ecosystem Ca cycling requires information on the distribution of Ca oxalate among plant biomass, detritus, and mineral soil, and how it varies with ecosystem Ca status. We compared two Douglas-fir forests of contrasting ecosystem Ca availability, and found that Ca oxalate was partitioned similarly among plant biomass, detritus and mineral soil major ecosystem compartments at both sites, and total pools of Ca oxalate were greater in the high-Ca forest. However, the proportional importance of Ca oxalate was greater in the low-Ca than high-Ca forest (18% versus 4% of actively cycling ecosystem Ca, respectively). And calcium oxalate in mineral soil, which is of particular interest as a potential long-term Ca reservoir, was a larger portion of total available Ca (exchangeable Ca plus Ca oxalate Ca) in the low-Ca site than the high-Ca site (9% versus 1% of available soil Ca, respectively). Calcium oxalate was the dominant form of Ca returned from plants to soil as leaf litterfall at the high-Ca site, yet calcium oxalate disappeared rapidly from decomposing litter (0.28 yr−1 or faster) at both sites. We conclude that accumulation of Ca oxalate in forest ecosystems appears most closely related to overall Ca supply for live biomass pools, and that the accumulation of Ca oxalate in forest floor and mineral soil is limited by rapid microbial degradation of putatively unavailable Ca oxalate.

  11. [Evaluation of world health: current status].

    PubMed

    Berthet, E

    1985-12-01

    In this first article dedicated to the balance of the world health, the author gives the main reasons which explain the spectacular growth of the world population. From 1950 to 1984, population increased by 93% shifting from 2.5 to 4.8 thousand millions among which 3.5 are living in Third World countries and 1.3 in industrialized ones. Then he studies the factors which originate the inequality of men in the face of disease and death, and gives some details on causes for mortality to-day. In industrialized countries, three fourth of deaths are due to two diseases, which are cardio-vascular diseases (48%), and cancer (19%), while in Third World countries, the major risk factors are transmissible diseases, malnutrition and lack of environmental hygiene. Infantile mortality makes it clear; out of 122 millions children born in 1980, according to WHO evaluation, more than 10 millions die before they get one year old, and 5 millions between one and five years of age. This inequality of people in the face of life and death is one of the biggest scandals of our time, especially because we have the technical means to reduce it. It will require a considerable effort from governments, international organizations and NGOs to reach the WHO object of "Health for All by the year 2000". These prospects for the future will be developed in the second part of this article to be published in a next issue of Hygie. PMID:4093135

  12. Health status in immigrants and native early adolescents in Italy.

    PubMed

    Vieno, Alessio; Santinello, Massimo; Lenzi, Michela; Baldassari, Daniela; Mirandola, Massimo

    2009-06-01

    The aim of the study was to compare health status between native and immigrant early adolescents in Italy and to analyze related psychosocial factors. Data were taken from "Health Behavior in School Aged Children", a cross-sectional survey investigating health behaviors among early adolescents in selected European countries. A representative sample of 6,744 (50.4% males) Italian students (11, 13 and 15-years-old) completed a questionnaire. Students were assessed for demographics characteristics, socio-economic conditions, social support and bullying victimization, and, as dependent variables, for health complaints, self-reported health, life satisfaction and happiness. It turned out that immigrant adolescents, as compared to natives, are more often affected by psychosomatic symptoms, less satisfied about their health and about life, and less happy. A multiple regression model showed that migration itself is related to life satisfaction and happiness. Socio-economic inequalities, lack of social integration and victimization determine the differences between immigrants and natives in terms of health symptoms and self-reported health. Immigrant adolescents demonstrated worse health status then their native classmates. However, the differences in terms of subjective well-being are not explained by socio-economic differences, lack of social integration and discrimination. PMID:19152071

  13. The effect of relationship status on health with dynamic health and persistent relationships.

    PubMed

    Kohn, Jennifer L; Averett, Susan L

    2014-07-01

    The dynamic evolution of health and persistent relationship status pose econometric challenges to disentangling the causal effect of relationships on health from the selection effect of health on relationship choice. Using a new econometric strategy we find that marriage is not universally better for health. Rather, cohabitation benefits the health of men and women over 45, being never married is no worse for health, and only divorce marginally harms the health of younger men. We find strong evidence that unobservable health-related factors can confound estimates. Our method can be applied to other research questions with dynamic dependent and multivariate endogenous variables. PMID:24769050

  14. Comparison of Health Status and Health Behaviors between Female Graduate and Undergraduate College Students

    ERIC Educational Resources Information Center

    Bulmer, Sandra Minor; Irfan, Syed; Barton, Barbara; Vancour, Michele; Breny, Jean

    2010-01-01

    Objective: Graduate females represent a substantial and growing proportion of the college student population, yet health promotion research and programming has traditionally focused on undergraduates. This study compared health status and health behaviors of female graduate and undergraduate students at a public university in the northeastern U.S.…

  15. Health Status and Leisure Behavior of Sexual Assault Victims: Educational Opportunities for Health and Leisure Professionals.

    ERIC Educational Resources Information Center

    Sheffield, Emilyn A.; And Others

    The health status and leisure behavior of victims of sexual assault were studied. Data concerning present illness symptoms, past illness symptoms, negative health behavior, family health history, and female reproductive physiology illness symptoms were obtained and analyzed. Sexual assault victims were similar to nonvictims demographically except…

  16. The Impact of Preventive Health Behaviors and Risk Factors on Health Status of Ghanaians

    PubMed Central

    Saeed, Bashiru I. I.; Abdul-Aziz, A. R.; Nguah, Samuel Blay; Zhao, Xicang

    2013-01-01

    The article here investigated the impact of Preventive Health Behaviors and Risk Factors as measures of Health Status of Ghanaians. We carry out a cross-sectional analysis of 5573 adults who participated and had indicated that they needed to state their health description in the three years prior to the phase 2007 World Health Organization, a study on Global Ageing and Adult health (SAGE) conducted in Ghana. The ordinal logistic regression model was employed for analysis using R. The results suggest that, there is incontrovertible evidence showing a strong relationship between preventive health behaviors and health status of Ghanaians. Again, the lifestyle of Ghanaians clearly manifests in their positive correlation with the good and moderate health state due to the high percentage (38.96% and 39.04%) respectively. The outcome points to a potential link with the Ghanaian social and health policies. PMID:23985114

  17. Neighborhood Socioeconomic Status, Depression, and Health Status in the Look AHEAD (Action for Health in Diabetes) Study

    PubMed Central

    2011-01-01

    Background Depression and diminished health status are common in adults with diabetes, but few studies have investigated associations with socio-economic environment. The objective of this manuscript was to evaluate the relationship between neighborhood-level SES and health status and depression. Methods Individual-level data on 1010 participants at baseline in Look AHEAD (Action for Health in Diabetes), a trial of long-term weight loss among adults with type 2 diabetes, were linked to neighborhood-level SES (% living below poverty) from the 2000 US Census (tracts). Dependent variables included depression (Beck Inventory), and health status (Medical Outcomes Study (SF-36) scale). Multi-level regression models were used to account simultaneously for individual-level age, sex, race, education, personal yearly income and neighborhood-level SES. Results Overall, the % living in poverty in the participants' neighborhoods varied, mean = 11% (range 0-67%). Compared to their counterparts in the lowest tertile of neighborhood poverty (least poverty), those in the highest tertile (most poverty) had significantly lower scores on the role-limitations(physical), role limitations(emotional), physical functioning, social functioning, mental health, and vitality sub-scales of the SF-36 scale. When evaluating SF-36 composite scores, those living in neighborhoods with more poverty had significantly lower scores on the physical health (β-coefficient [β] = -1.90 units, 95% CI: -3.40,-0.039), mental health (β = -2.92 units, -4.31,-1.53) and global health (β = -2.77 units, -4.21,-1.33) composite scores. Conclusion In this selected group of weight loss trial participants, lower neighborhood SES was significantly associated with poorer health status. Whether these associations might influence response to the Look AHEAD weight loss intervention requires further investigation. PMID:22182286

  18. [Transitional health system and health status in Hungary].

    PubMed

    Schultz, Joseph

    2002-01-01

    The road towards political freedom has been painful to the Hungarian population. After 1989, the per capita GDP has sharply decreased, and the 1989 level has been reached again only a decade later. During the period, a great number of reforms have been launched in the health field: privatisation, adoption of a Bismarckian-like model, decentralization, performance-search measures... One cannot say however that these reforms have been successful. Low priority for health, vastage of the scarce resources allocated to the health care system, conflicts for power between the groups and institutions ... have seriously weakened the performance of all the system. Simultaneously, the financial burden charged to the patients has increased and the unhealthy lifestyle of the population has not decreased. In its 2000 Report on the world health, WHO has noted that Hungary is ranked 36th for per capita GDP, 59th for per capita health expenditures but 105th for the performance of its health care system. PMID:12050939

  19. The Health Status of Children Living in Urban Appalachian Neighborhoods.

    ERIC Educational Resources Information Center

    Brown, M. Kathryn; Obermiller, Phillip J.

    This study compares the health status of Appalachian children living in Cincinnati neighborhoods to that of children living in five predominantly low-income black neighborhoods and children living in the rest of Cincinnati. Age-specific, standardized morbidity ratio analyses were performed to compare the frequency of admissions to hospital and…

  20. The Health Status of Adults on the Autism Spectrum

    ERIC Educational Resources Information Center

    Croen, Lisa A.; Zerbo, Ousseny; Qian, Yinge; Massolo, Maria L.; Rich, Steve; Sidney, Stephen; Kripke, Clarissa

    2015-01-01

    Compared to the general pediatric population, children with autism have higher rates of co-occurring medical and psychiatric illnesses, yet very little is known about the general health status of adults with autism. The objective of this study was to describe the frequency of psychiatric and medical conditions among a large, diverse, insured…

  1. Alcohol consumption and health status in very old veterans.

    PubMed

    Denneson, Lauren M; Lasarev, Michael R; Dickinson, Kathryn C; Dobscha, Steven K

    2011-03-01

    Previous research has linked drinking with health, but has yet to address alcohol consumption and the relationship between drinking and health among very old veterans. To help fill this gap, the authors present a cross-sectional self-report study on 1105 veterans age 90 and older who completed the national Veteran's Affairs (VA) Survey of the Health Experiences of Patients (SHEP) for fiscal year (FY) 2005. Alcohol consumption was measured using Alcohol Use Disorders Identification Test scores (AUDIT-C). Health status was measured using the Veterans Rand Health Survey: VR-12. Among men (n = 1063), 60% were abstainers. No significant differences in mental health component (MCS; F(3,1040) = 1.80, P = .15) or physical health component (PCS; F(3,1040) = 1.48, P = .22) scores were detected across consumption categories. Among women (n = 42), 47% were abstainers. These results suggest many very old veterans abstain from alcohol and, among men, the associations between health status and drinking observed in younger groups may not be present in very old age. PMID:21156988

  2. The concept of race and health status in America.

    PubMed Central

    Williams, D R; Lavizzo-Mourey, R; Warren, R C

    1994-01-01

    Race is an unscientific, societally constructed taxonomy that is based on an ideology that views some human population groups as inherently superior to others on the basis of external physical characteristics or geographic origin. The concept of race is socially meaningful but of limited biological significance. Racial or ethnic variations in health status result primarily from variations among races in exposure or vulnerability to behavioral, psychosocial, material, and environmental risk factors and resources. Additional data that capture the specific factors that contribute to group differences in disease must be collected. However, reductions in racial disparities in health will ultimately require change in the larger societal institutions and structures that determine exposure to pathogenic conditions. More attention needs to be given to the ways that racism, in its multiple forms, affects health status. Socio-economic status is a central determinant of health status, overlaps the concept of race, but is not equivalent to race. Inadequate attention has been given to the range of variation in social, cultural, and health characteristics within and between racial or ethnic minority populations. There is a growing emphasis, both within and without the Federal Government, on the collection of racial or ethnic identifiers in health data systems, but noncoverage of the Asian and Pacific Islander population, Native Americans, and subgroups of the Hispanic population is still a major problem. However, for all racial or ethnic groups, we need not only more data but better data. We must be more active in directly measuring the health-related aspects of belonging to these social categories. PMID:8303011

  3. Quality of Life, Health Status, and Health Service Utilization Related to a New Measure of Health Literacy FLIGHT/VIDAS

    PubMed Central

    Ownby, Raymond L; Acevedo, Amarilis; Jacobs, Robin J.; Caballero, Joshua; Waldrop-Valverde, Drenna

    2014-01-01

    Objective Researchers have identified significant limitations in some currently-used measures of health literacy. The purpose of this paper is to present data on the relation of health-related quality of life, health status, and health service utilization to performance on a new measure of health literacy in a nonpatient population. Methods The new measure was administered to 475 English- and Spanish-speaking community-dwelling volunteers along with existing measures of health literacy and assessments of health-related quality of life, health status, and healthcare service utilization. Relations among measures were assessed via correlations and health status and utilization was tested across levels of health literacy using ANCOVA models. Results The new health literacy measure is significantly related to existing measures of health literacy as well as to participants’ health-related quality of life. Persons with lower levels of health literacy reported more health conditions, more frequent physical symptoms, and greater healthcare service utilization. Conclusion The new measure of health literacy is valid and shows relations to measures of conceptually-related constructs such as quality of life and health behaviors. Practice Implications: FLIGHT/VIDAS may be useful to researchers and clinicians interested in a computer administered and scored measure of health literacy. PMID:24856447

  4. Employment Status and Perceived Health Status in Younger and Older People with Multiple Sclerosis

    ERIC Educational Resources Information Center

    Krokavcova, Martina; Nagyova, Iveta; Rosenberger, Jaroslav; Gavelova, Miriam; Middel, Berrie; Gdovinova, Zuzana; Groothoff, Johan W.; van Dijk, Jitse P.

    2012-01-01

    This study explores how employment is associated with perceived physical and mental health status in people with multiple sclerosis (MS) adjusted for sociodemographic and clinical variables stratified by age. The sample consisted of 184 MS patients divided into a younger (less than 45 years) and an older (greater than or equal to 45 years) age…

  5. Observation of influences of mental health promotion and mental intervention on mental health status of professionals

    PubMed Central

    Jiang, Shu-Qiang; Zhang, Jian-Ling

    2015-01-01

    Objective: To observe the influences of mental health promotion and mental intervention on mental health status of professionals. Method: 2878 professionals for physical examination were selected and randomly divided into treatment group and control group, with 1443 professionals and 1435 professionals, respectively. Then, the difference of mental health status before and after mental intervention between two groups was compared. Results: In treatment group, the proportion of people with healthy mental and modest pressure after mental intervention was higher than that before mental intervention and that in control group after mental intervention (P<0.01); the proportion of people with psychological sub-heath and moderate pressure after mental intervention was significantly lower than that before mental intervention and that in control group after mental intervention (P<0.05). There was no significant difference in mental health status in control group before and after mental intervention (P>0.05). Mental health consciousness, health status, self pressure-relief capability, job satisfaction, and happiness index of professionals were up to 63.3%~78.8%. Conclusions: Mental health promotion and mental intervention may significantly improve mental health status of professionals. PMID:26221385

  6. Subjective Social Status and Health Behaviors Among African Americans

    PubMed Central

    Reitzel, Lorraine R.; Nguyen, Nga; Strong, Larkin L.; Wetter, David W.; McNeill, Lorna H.

    2012-01-01

    Objectives To examine associations of the US and community subjective social status (SSS) ladders with smoking status, at-risk drinking, fruit and vegetable intake, physical activity, and body mass index among 1467 church-going African American adults from a larger cohort study. Methods Regression analyses, adjusted for sociodemographics, examined associations between SSS ladders and health behaviors. Results The SSS-US ladder was significantly associated with fruit and vegetable consumption (p = .007) and physical activity (p = .005). The SSS-community ladder was not significantly associated with any health behaviors. Conclusions Among this sample of African Americans, the SSS-US ladder is more predictive of some health behaviors than is the SSS-community ladder. PMID:22943107

  7. Health Status of People Undergoing Foreclosure in the Philadelphia Region

    PubMed Central

    Lynch, Julia

    2009-01-01

    Objectives. We assessed the health status of people undergoing mortgage foreclosure in the Philadelphia region to determine if there was a relationship between foreclosure and health. Methods. Participants were recruited in partnership with a mortgage counseling agency. Participants' health status and health care use were compared with a community sample from the 2008 Southeastern Pennsylvania Household Health Survey. We used publicly filed foreclosure records to assess response bias. Results. Of the 250 people recruited, 36.7% met screening criteria for major depression. The foreclosure sample was significantly more likely than the community sample to not have insurance coverage (adjusted odds ratio [AOR] = 2.28; 95% confidence interval [CI] = 1.49, 3.48) and to not have filled a prescription because of cost in the preceding year (AOR = 3.44; 95% CI = 2.45, 4.83). Approximately 9% of the participants reported that their own or a family member's medical condition was the primary reason they were undergoing foreclosure. More than a quarter of those in foreclosure (27.7%) stated that they owed money to medical creditors. Conclusions. Foreclosure affects already-vulnerable populations. Public health practitioners may be able to leverage current efforts to connect homeowners with mortgage counseling agencies to improve health care access. PMID:19696373

  8. 75 FR 34537 - Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-17

    ... Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection...-AB68 Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a... Consumer Information and Insurance Oversight, Department of Health and Human Services. ACTION:...

  9. Selected Health Status Measures of Children from US Immigrant Families

    PubMed Central

    Yu, Stella M.; Lin, Sue C.; Adirim, Terry

    2013-01-01

    Using the 2007 National Survey of Children's Health (N = 91,532), we studied the relationship between the joint effects of immigrant family type (foreign-born children, US-born children/one foreign-born parent, US-born children/both foreign-born parents, and US-born children/US-born parents) and race/ethnicity on various health measures (parent-reported physical and dental health, obesity/overweight, breast-feeding, school absence, injury, and chronic condition). We used weighted logistic regression to examine the independent effects of the 12-level joint variable on various health status measures while controlling for confounding factors. Overall, nearly one-third of families with both foreign-born parents were poor, and one-quarter of the parents in these households did not complete high school. Compared with non-Hispanic White US-born children, multivariable analyses indicate that all Hispanic children have higher odds of obesity, poor physical and dental health, with Hispanic foreign-born children 7 times as likely to report poor/fair physical health. Most children of immigrant parents were more likely to have been breast-fed and less likely to miss school more than 11 days. Child age and household poverty status were independently associated with most of the health status measures. Combined race/ethnicity and immigrant family type categories have heterogeneous associations with each health outcome measure examined. Culturally competent interventions and policies should be developed to serve these expanding communities. PMID:23936667

  10. Preschool child feeding, health and nutritional status in Gualaceo, Ecuador.

    PubMed

    Novotny, R

    1987-09-01

    Anthropologic, survey, dietary recall and anthropometric techniques were used to study the correlates of nutritional status of preschool children under five years of age in Gualaceo Ecuador. A widespread stunting was found among the children. Nutritional status was worst among infants comprised between 12 and 23 months old but it improved between April and August, thus suggesting seasonality changes of nutritional status. The correlates of nutritional status (expressed as Z score of weight-for-age) were dietary diversity, birth-spacing, fertility, migration, household income, material goods owned, and parental education. A regression model with these variables predicted 63% of the variability in weight-for-age. The prediction of height-for-age was similar, but only predicted 43% of the variability in height-for-age. Correlates of dietary diversity, birth-spacing, fertility, and migration were child age, maternal age and arm circumference, parental education, use of birth control, household food expenditure, material goods owned, and the raising of animals. Parental education was a correlate of dietary diversity, fertility and migration. Parental education was related to change in weight-for-age in the longitudinal subset. Pre-harvest time and a pathway of illness leading to decreased dietary diversity and to decreased nutritional status in April, were suggested as important to preschool child nutritional status. Hot-cold ideology--resulting in food withdrawal during illness and restriction of high-protein and high-calorie foods--appears to be an important mechanism determining preschool child nutritional status. Breast-feeding, sanitary, higienic, birth control, and drinking (alcohol) practices were suggested as areas that could be improved, in order to improve preschool child nutritional status. Communication between parents and western health care providers was also suggested as an area for improvement. PMID:3506399

  11. Elder Mistreatment and Health Status of Rural Older Adults.

    PubMed

    Chokkanathan, Srinivasan

    2015-11-01

    There is limited information on the nature of and health factors associated with elder mistreatment in rural areas. To address this gap in the literature, the current study described the nature of such mistreatment and investigated the association between different types of mistreatment and health factors among 897 randomly selected elderly persons in rural India. The results show that elder mistreatment was widely prevalent (21%). Furthermore, the higher frequency of and simultaneous occurrence of multiple types of mistreatment (83.4%) suggest that mistreatment was a continuous stressor. The presence of overall mistreatment was positively associated with depression symptoms and subjective health status. The higher levels of chronicity and multiple mistreatments further increased depression symptoms and lowered the health status of those who were mistreated. Although women, more than men, were more likely to experience mistreatment, chronic mistreatment, and multiple mistreatments, there were no significant gender differences in the mistreatment-health relationship. These findings suggest that older adults with depression symptoms and poor health should be screened for mistreatment. PMID:25381286

  12. Ecological health of river basins in forested regions of eastern Washington and Oregon. Forest Service general technical report

    SciTech Connect

    Wissmar, R.C.; Smith, J.E.; McIntosh, B.A.; Li, H.W.; Reeves, G.H.

    1994-02-01

    A retrospective examination of the history of the cumulative influences of past land water uses on the ecological health of select river basins in forest regions of eastern Washington and Oregon indicates the loss of fish and riparian habitat diversity and quality since the 19th century. The study focuses on impacts of timber harvest, fire management, live stock grazing, mining and irrigation management practices on stream and riparian ecosystems. An examination of past environmental management approaches for assessing stream, riparian, and watershed conditions in forest regions shows numerous advantages and shortcomings. Rcommendations for ecosystem management with emphasis on monitoring and restoration activities are provided.

  13. Health and nutritional status of old-old African Americans.

    PubMed

    Bernard, M A; Anderson, C; Forgey, M

    1995-01-01

    This study reports the initial results of a baseline cross-sectional evaluation of the health and nutritional status of 58 old-old African Americans, 74 years of age and older, residing in low income housing complexes in metropolitan Oklahoma City. Although the population had a high overall functional status, cognitive status, and mood, there were a number of nutritional parameters suggestive of nutritional risk. In particular, 20% of subjects had relatively low serum albumin levels, 14% had serum cholesterol levels below 160 mg/dl, and a subset of the population reported low intake during 24 hour dietary recall. The National Center and Caucus on Black Aged report that 60% of African American elders live at or below the poverty level. These study findings suggest that the present cohort of African American elders may be at nutritional risk. PMID:7602459

  14. Health Status and Health Risks of the "Hidden Majority" of Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Emerson, Eric

    2011-01-01

    Little is known about the health status of and health risks faced by adults with intellectual disability who do not use intellectual disability services. Self-report data collected from 1,022 people with mild intellectual disability in England indicated that people who do not use intellectual disability services are more likely to smoke tobacco…

  15. Effect of health development assistance on health status in sub-Saharan Africa

    PubMed Central

    Negeri, Keneni Gutema; Halemariam, Damen

    2016-01-01

    Introduction Data on the effect of health aid on the health status in developing countries are inconclusive. Moreover, studies on this issue in sub-Saharan Africa are scarce. Therefore, this study aims to analyze the effect of health development aid in sub-Saharan Africa. Methods Using panel data analytic method, as well as infant mortality rate as a proxy for health status, this study examines the effect of health aid on infant mortality rate in sub-Saharan Africa. The panel was constructed from data on 43 countries for the period 1990–2010. Fixed effect, random effect, and first difference generalized method of moments estimator were used for estimation. Results Health development aid has a statistically significant positive effect. A 1% increase of health development assistance per capita saves the lives of two infants per 1,000 live births (P=0.000) in the region. Conclusion Contrary to health aid pessimists’ view, this study observes the fact that health development assistance has strong favorable effect in improving health status in sub-Saharan Africa. PMID:27103844

  16. Health Status of Visitors and Temporary Residents, United States

    PubMed Central

    Marano, Nina; Stauffer, William M.; Barnett, Elizabeth D.; Cano, Maria; Cetron, Martin S.

    2009-01-01

    Human mobility has always been associated with the spread of infection, and mobility of nonimmigrant visitors and temporary residents to the United States is increasing, from ≈12 million in 1987 to ≈37 million in 2007. Lack of information about the health status of these populations upon arrival and their need for and use of medical services in the United States hinders development of public health policy, education, and provision of adequate clinical care. After these issues and needs are clarified, intervention programs should be developed to increase access and decrease the disparities of care experienced by these populations. PMID:19891856

  17. Certification programs for eHealth--status quo.

    PubMed

    Urbauer, Philipp; Herzog, Juliane; Pohn, Birgit; Forjan, Mathias; Sauermann, Stefan

    2014-01-01

    The skills of the workforce are a core factor for the quality of healthcare systems. On top of the basic education, postgraduate training is an important factor for continuously maintaining as well as improving the workforce qualification level. Advanced training often provides certification of the acquired skills. This paper analyses the status quo of international certification programs in the sector of eHealth (EU, US, Global). It uses available literature and observations from international educational expert's workgroups. It identifies gaps regarding certifications in eHealth and suggests steps for solutions. Despite little attention to legal and financial eHealth related content in certification programs in the EU as well as a low degree of harmonization of international certifications in general, there are strong activities especially in the international scope towards personal certification programs in eHealth. Major changes are to be expected within the coming years. PMID:24825699

  18. Health status assessment via the World Wide Web.

    PubMed Central

    Bell, D. S.; Kahn, C. E.

    1996-01-01

    We explored the use of the World Wide Web to collect health status information for medical outcomes research. The RAND 36-Item Health Survey 1.0 (RAND-36), which contains the 36 multiple-choice questions of the Medical Outcomes Study SF-36 "Short Form" and differs only in its simplified scoring scheme, was made available for anonymous use on the Internet. Participation in the survey was invited through health-related Internet news groups and mailing lists. Participants entered data and received, their scores using the World Wide Web protocol. Entries were recorded from 15 June 1995 to 14 June 1996 (1 year). The survey was completed anonymously by 4876 individuals with access to the World Wide Web. Two-thirds completed the survey within 5 minutes, and 97% did so within 10 minutes. The item-completion rate was 99.28%. Values of Cronbach's alpha of 0.76 to 0.90 for the scoring scales matched the high reliability found in the Medical Outcomes Study. The World Wide Web provides a method of rapidly measuring individual health status and may play an important role in advancing health services research and outcomes-based patient care. PMID:8947684

  19. Self-Esteem, Oral Health Behaviours, and Clinical Oral Health Status in Chinese Adults: An Exploratory Study

    ERIC Educational Resources Information Center

    Chin, Luzy Siu-Hei; Chan, Joanne Chung-Yan

    2013-01-01

    Objectives: This is an exploratory study to examine the relations among self-esteem, oral health behaviours and clinical oral health status in Chinese adults. In addition, gender differences in clinical oral health status and oral health behaviours were explored. Methods: Participants were 192 patients from a private dental clinic in Hong Kong…

  20. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health care claim status transaction... for health care claim status transaction. The Secretary adopts the following standards for the health care claim status transaction: (a) For the period from October 16, 2003 through March 16, 2009: The...

  1. Health literacy, socioeconomic status and self-rated health in Japan.

    PubMed

    Furuya, Yoko; Kondo, Naoki; Yamagata, Zentaro; Hashimoto, Hideki

    2015-09-01

    Health literacy (HL) is a key determinant of health in a contemporary society characterized by abundant information. Previous studies have suggested that basic or functional HL is positively associated with health, whereas evidences on the association between health and communicative/critical HL are scarce. Furthermore, confounding by socioeconomic status on HL-health association has been poorly tested. Using cross-sectional data from a nationally representative community-based survey in Japan, we investigated whether communicative/critical HL is associated with self-rated health independent of socioeconomic status. A total of 1237 subjects participated in this study; the response rate was 62%. To measure communicative/critical HL, we used three questions assessing the respondents' ability to select, to communicate to others and to evaluate specific health-related information. Potential confounders included demographic factors, household income, employment status, and educational attainment. A multivariate model revealed that good self-reported health was significantly associated with younger age [odds ratio (OR), 0.99; 95% confidence interval (CI), 0.97-0.99], employment (OR, 2.89; 95% CI, 1.06-7.88) and higher communicative/critical HL scores (OR 2.75; 95%CI, 1.93-3.90). Respondents with lower education were likely to have poorer communicative/critical HL. These results imply that to close the health gap, policy interventions should focus on the promotion of HL among deprived sociodemographic groups. PMID:24131729

  2. The influence of ecosystem nitrogen status on carbon cycling in forests

    NASA Astrophysics Data System (ADS)

    Ollinger, S. V.; Smith, M.; Richardson, A.; Hollinger, D. Y.; Martin, M.; Jenkins, J.

    2006-12-01

    The carbon and nitrogen cycles in terrestrial ecosystems are tightly coupled through a shared set of biological processes. The N status of plant canopies exerts a direct influence on carbon assimilation through its well-known effect on net photosynthesis. In soils, both the accumulation of N and the decay of organic matter are often related to the initial C/N ratio of litterfall. Similarly, respiration rates in both roots and foliage have been shown to be positively correlated with tissue N concentrations. These linkages suggest that the N status of ecosystems may provide a useful indicator of their overall C metabolism. Further, evidence from both CO2 and N enrichment experiments indicates that alteration of one cycle can have important implications for the other. This is significant in that global cycles of both C and N have been greatly perturbed by humans. Despite the well-known influence of nitrogen availability on fluxes of carbon, few studies have explicitly examined the role of nitrogen as it pertains to spatial and temporal variation in carbon cycling. This is due, in part, to limited crossover between different scientific communities, but also stems from some very real methodological limitations that make regional-scale assessment of N status difficult. Here, we report on an NACP investigation that examines the degree to which rates of carbon assimilation and growth in forests can be related to both local and regional variation in ecosystem N status. Field measurements from a series of forested research sites within the AmeriFlux network have been combined with hyperspectral remote sensing data from the AVIRIS and Hyperion instruments. Results from a cross-site synthesis indicate a positive relationship between canopy N and the maximum rate of carbon assimilation, as measured by flux towers. Because existing methods of canopy N detection are restricted to small landscapes, a parallel investigation involves developing generalizeable canopy N detection

  3. 78 FR 14072 - Trestle Forest Health Project, Eldorado National Forest, El Dorado County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... conditions for: (1) Reduced tree density; (2) sustained old forest conditions; (3) enhanced wildlife habitat... dips with inadequate water runoff control, gate installation to control seasonal use or replacement...

  4. 78 FR 38287 - Bitterroot National Forest, Darby Ranger District, Como Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    .... Correction In the Federal Register of June 17, 2013, in FR DOC 2013- 14229 on page 36163 in the second column...,640 acres of national forest between Lake Como and Lost Horse roads, about 6 miles northwest of...

  5. 78 FR 36163 - Bitterroot National Forest, Darby Ranger District, Como Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-17

    ... FHP covers approximately 5,640 acres of national forest land between Lake Como and Lost Horse Roads... project area lies between Lake Como Road and Lost Horse Road, about three miles northwest of...

  6. Oral health status in children and adolescents with haemophilia.

    PubMed

    Othman, N A A; Sockalingam, S N M P; Mahyuddin, A

    2015-09-01

    This case-controlled study aimed to evaluate the existing oral health status in children and adolescents with haemophilia. A total of 50 haemophilia patients and 50 matched controls aged seven to 16 years were recruited into the study. Clinical examination was carried out to determine dental caries experience, oral hygiene status and gingival condition in these two groups. Information regarding previous dental history, oral hygiene practices and dietary habits were also obtained. No significant difference was found in mean caries experience in primary and secondary dentitions (P = 0.86 and 0.32) and in Simplified Oral Hygiene Index (OHI-S, P = 0.20) between both groups. However, a significantly higher proportion of haemophilia patients (24%) had better oral hygiene status as compared to the controls (2%, P = 0.004). Furthermore, there was a significant difference in Modified Gingival Index (MGI, P = 0.02) between the two groups with the study group having less gingival inflammation. A total of 88% (n = 44) of the haemophilia patients were registered and received dental treatment in specialist dental clinics. More than half (56%, n = 28) had frequent dental visits and only one-third of the haemophilia patients had history of hospitalization due to oral problems. There was no significant difference in oral hygiene practices and dietary habits between both groups. In general, haemophilia children and adolescents in this study had similar caries experience, a significantly better oral hygiene status and gingival health as compared to healthy controls. The main reason for this is the multidisciplinary approach implemented by medical health-care professionals as primary care provider and the dental team. PMID:25757137

  7. Planted forest health: The need for a global strategy.

    PubMed

    Wingfield, M J; Brockerhoff, E G; Wingfield, B D; Slippers, B

    2015-08-21

    Several key tree genera are used in planted forests worldwide, and these represent valuable global resources. Planted forests are increasingly threatened by insects and microbial pathogens, which are introduced accidentally and/or have adapted to new host trees. Globalization has hastened tree pest emergence, despite a growing awareness of the problem, improved understanding of the costs, and an increased focus on the importance of quarantine. To protect the value and potential of planted forests, innovative solutions and a better-coordinated global approach are needed. Mitigation strategies that are effective only in wealthy countries fail to contain invasions elsewhere in the world, ultimately leading to global impacts. Solutions to forest pest problems in the future should mainly focus on integrating management approaches globally, rather than single-country strategies. A global strategy to manage pest issues is vitally important and urgently needed. PMID:26293956

  8. Correlates of the health statuses of the faculty at midlife

    PubMed Central

    Galeon, Galvin Alaan

    2016-01-01

    Background: Between the school years of 2009-2012, the turnover record of the University of San Jose-Recoletos (USJ-R), Cebu City, Philippines showed that permanent faculty members who left the institution were all midlifers. Their reasons varied from health issues to greener pasture elsewhere. Materials and Methods: This study then sought to explore the health statuses of the faculty midlifers of the USJ-R. The data were collected through survey conducted among the 106 faculty midlifers of the university. This study applied multivariate analyses to the survey data using Pearson-moment of correlation to determine the relationship between the sociodemographic profile of the research participants and their health statuses. Results: This research revealed that faculty midlifers are generally well physically. They showed emotional maturity and have positive outlook toward midlife. More so, their health conditions are significantly related with their sex, age, years of teaching, educational attainment, and income. Conclusion: At midlife, the faculty members of USJ-R can still generally be considered physically well. Thus, if they are well-managed, they can become relevant and better contributors to the attainment of the basic goals and objectives of the educational institution and the educational system in general. PMID:27134476

  9. Heavy metal pollution and forest health in the Ukrainian Carpathians.

    PubMed

    Shparyk, Y S; Parpan, V I

    2004-07-01

    The Ukrainian Carpathians are characterized by high air pollution caused by emissions from numerous industries. We have been monitoring the state of forests in this region since 1989. The highest levels of tree defoliation (>30%) are found close to industrial emission sources and in the upper mountain forests of the Ivano-Frankivsk and Chernivtsi regions. This is caused by a combination of strong anthropogenic influences (pollution, illegal uses, recreation) as well as poor site and climatic conditions. In the Ivano-Frankivsk region, Cd and Mo accumulate in forest soils; Cr, Mo and Zn soil concentrations are higher than their limit levels; and Pb concentrations exceed toxic levels close to industrial areas (10% of the region territory). Local background levels of heavy metals are greatly exceeded in snow close to industrial regions. Analysis of correlation matrices shows that the chemical elements Ba, Cd, Co, Cr, Cu, Mo, Ni, Pb, V and Zn occur at pollution levels in natural ecosystems in the Ukrainian Carpathians. Maximum concentrations of toxic elements occur in the oak forest zone; the most industrially developed area of the region. Toxic heavy metals in the Ukrainian Carpathians forests enter with precipitation and dustfall, then become fixed in soil and accumulate in leaves, needles of vascular plants and mosses. Concentrations of these metals decrease with altitude: highest in the oak forests, less in beech, and lowest in the spruce forest zones. However, some chemical elements have the highest concentrations in spruce forests; V in needles, As in snow, and Ba and Al in soils. PMID:15046840

  10. WHO's ICF and Functional Status Information in Health Records

    PubMed Central

    Üstün, T. Bedirhan; Chatterji, Somnath; Kostansjek, Nenad; Bickenbach, Jerome

    2003-01-01

    A common framework for describing functional status information (FSI) in health records is needed in order to make this information comparable and of value. The World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF), which has been approved by all its member States, provides this common language and framework. The biopsychosocial model of functioning and disability embodied in the ICF goes beyond disease and conceptualizes functioning from the individual's body, person, and lived experience vantage points, thereby allowing for planning interventions targeted at the individual's body, the individual as a whole or toward the environment. This framework then permits the evaluation of both the effectiveness and cost effectiveness of these different interventions in devising programs at the personal or societal level. PMID:12894636

  11. Irregular breakfast eating and health status among adolescents in Taiwan

    PubMed Central

    Yang, Rea-Jeng; Wang, Edward K; Hsieh, Yeu-Sheng; Chen, Mei-Yen

    2006-01-01

    Background Regular breakfast eating (RBE) is an important contributor to a healthy lifestyle and health status. The aims of the present study were to evaluate the relationships among irregular breakfast eating (IRBE), health status, and health promoting behavior (HPB) for Taiwanese adolescents. Methods A cross-sectional, descriptive design was used to investigate a cluster sample of 1609 (7th -12th grade) adolescents located in the metropolitan Tao-Yuan area during the 2005 academic year. The main variables comprised breakfast eating pattern, body weight, and health promoting behaviors. Data were collected by a self-administered questionnaire. Results A total of 1609 participants were studied, 64.1% in junior high school and 35.9% in high school, boys (47.1%) and girls (52.9%) ranging in age from 12–20 years. Of the total participant population, 28.8% were overweight and nearly one quarter (23.6%) reported eating breakfast irregularly during schooldays. The findings indicated that adolescents with RBE had a lower risk of overweight (OR for IRBE vs. RBE = 1.51, 95% CI: 1.12, 2.04), and that the odds of becoming overweight were 51% greater for IRBE than for RBE even after controlling for demographical and HPB variables. IRBE also was a strong indicator for HPB. However, the profile of the high-risk IRBE group was predominantly junior high schoolchildren and/or children living without both parents. Conclusion This study provides valuable information about irregular breakfast eating among adolescents, which is associated with being overweight and with a low frequency of health promoting behavior. School and family health promotion strategies should be used to encourage all adolescents to eat breakfast regularly. PMID:17150112

  12. Identification of COPD patients' health status using an intelligent system in the CHRONIOUS wearable platform.

    PubMed

    Bellos, Christos C; Papadopoulos, Athanasios; Rosso, Roberto; Fotiadis, Dimitrios I

    2014-05-01

    The CHRONIOUS system offers an integrated platform aiming at the effective management and real-time assessment of the health status of the patient suffering from chronic obstructive pulmonary disease (COPD). An intelligent system is developed for the analysis and the real-time evaluation of patient's condition. A hybrid classifier has been implemented on a personal digital assistant, combining a support vector machine, a random forest, and a rule-based system to provide a more advanced categorization scheme for the early and in real-time characterization of a COPD episode. This is followed by a severity estimation algorithm which classifies the identified pathological situation in different levels and triggers an alerting mechanism to provide an informative and instructive message/advice to the patient and the clinical supervisor. The system has been validated using data collected from 30 patients that have been annotated by experts indicating 1) the severity level of the current patient's health status, and 2) the COPD disease level of the recruited patients according to the GOLD guidelines. The achieved characterization accuracy has been found 94%. PMID:24808219

  13. Relationship between socioeconomic status, health status, and lifestyle practices of American Indians: evidence from a Plains reservation population.

    PubMed Central

    Cheadle, A; Pearson, D; Wagner, E; Psaty, B M; Diehr, P; Koepsell, T

    1994-01-01

    This paper presents information on the prevalence of a variety of health behaviors and health conditions on an American Indian reservation in the Plains region of the western United States. In addition, data from two non-Indian comparison groups were used to examine the extent to which differences in health status and health behaviors between Indians and non-Indians could be explained by differences in socioeconomic status. The American Indian data were from a survey conducted in 1988 during an evaluation of a local community-based health promotion program, part of the Kaiser Family Foundation's Community Health Promotion Grants Program. The comparison groups were 12 communities in California surveyed in evaluating the Community Health Promotion Grants Program and three Plains States participating in the Behavioral Risk Factor Surveillance Survey. The results show that the higher prevalences of risk-taking behavior among Indians and their poorer self-reported health status remained after adjustment for socioeconomic status. Also, among Indians, higher levels of income and education were not associated with improved self-reported health status and lower prevalence of tobacco use, as was the case with the comparison groups. The higher prevalences of risk-taking behaviors and ill health among American Indians residing on one reservation, even among those with higher socioeconomic status, suggests a need for the investigation of other social and environmental influences. PMID:8190864

  14. Status of simulation in health care education: an international survey

    PubMed Central

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages. PMID:25489254

  15. Health status among prehistoric Eskimos from Point Hope, Alaska.

    PubMed

    Dabbs, Gretchen R

    2011-09-01

    Using the protocol outlined in The Backbone of History: Health and Nutrition in the Western Hemisphere (BBH) (Steckel and Rose. 2002a. The backbone of history: health and nutrition in the Western Hemisphere. Cambridge: Cambridge University Press), this project compares the Mark I Health Index (MIHI) scores of the Ipiutak (n = 76; 100BCE-500CE) and Tigara (n = 298; 1200-1700CE), two samples of North American Arctic Eskimos excavated from Point Hope, Alaska. Macroscopic examination of skeletal remains for evidence of anemia, linear enamel hypoplasias (LEH), infection, trauma, dental health, and degenerative joint disease (DJD) was conducted to assess differences in health status resulting from a major economic shift at Point Hope. These data demonstrate that despite differences in settlement pattern, economic system, and dietary composition, the MIHI scores for the Ipiutak (82.1) and Tigara (84.6) are essentially equal. However, their component scores differ considerably. The Ipiutak component scores are suggestive of increased prevalence of chronic metabolic and biomechanical stresses, represented by high prevalence of nonspecific infection and high frequencies of DJD in the hip/knee, thoracic vertebrae, and wrists. The Tigara experienced more acute stress, evidenced by higher prevalence of LEH and trauma. Comparison of overall health index scores with those published in BBH shows the MIHI score for the Ipiutak and Tigara falling just above the average for sites in the Western Hemisphere, adding support to the argument that the human capacity for cultural amelioration of environmental hardships is quite significant. PMID:21766284

  16. Health status: does it predict choice in further education?

    PubMed Central

    Koivusilta, L; Rimpelä, A; Rimpelä, M

    1995-01-01

    STUDY OBJECTIVE--To study the significance of a young person's health to his or her choice of further education at age 16. DESIGN--A cross sectional population survey SETTING--The whole of Finland. PARTICIPANTS--A representative sample of 2977 Finnish 16 year olds. The response rate was 83%. MEASUREMENTS AND MAIN RESULTS--The three outcome variables reflected successive steps on the way to educational success: school attendance after the completion of compulsory schooling, the type of school, and school achievement for those at school. Continuing their education and choosing upper secondary school were most typical of young people from upper social classes. Female gender and living with both parents increased the probability of choosing to go on to upper secondary school. Over and above these background variables, some health factors had additional explanatory power. Continuing their education, attending upper secondary schools, and good achievement were typical of those who considered their health to be good. Chronically ill adolescents were more likely to continue their education than the healthy ones. CONCLUSIONS--School imposes great demands on young people, thus revealing differences in personal health resources. Adaptation to the norms of a society in which education is highly valued is related to satisfying health status. In a welfare state that offers equal educational opportunities for everyone, however, chronically ill adolescents can add to their resources for coping through schooling. Health related selection thus works differently for various indicators of health and in various kinds of societies. Social class differences in health in the future may be more dependent on personally experienced health problems than on medically diagnosed diseases. PMID:7798039

  17. Effects of TCMC on Transformation of Good Health Status to Suboptimal Health Status: A Nested Case-Control Study

    PubMed Central

    Wang, Tian; Chen, Jieyu; Sun, Xiaomin; Xiang, Lei; Zhou, Lin; Li, Fei; Lin, Changsong; Jiang, Pingping; Wu, Shengwei; Xiao, Ya; Cheng, Jingru; Luo, Ren; Liu, Yanyan; Zhao, Xiaoshan

    2015-01-01

    To explore the effects of traditional Chinese medicine constitution (TCMC) on transformation of good health status to suboptimal health status (SHS), we conducted a nested case-control study among college students in China. During the 18-month mean follow-up time, 543 cases of SHS (42.7%) occurred in 1273 healthy students. There was a significant (P = 0.000) and marked reduction in SHMS V1.0 total score in the case group at the 18-month follow-up (69.32 ± 5.45) compared with baseline (78.60 ± 4.70), but there was no significant change in the control group. Conditional logistic regression analysis showed that respondents reporting Yin-deficiency and Qi-deficiency were, respectively, 2.247 and 2.198 times more likely to develop SHS, while tendency to Yin-deficiency and tendency to Damp-heat were, respectively, 1.642 and 1.506 times more likely to develop SHS. However, the Balanced Constitution was a significant protective factor (OR 0.649; P < 0.05). Altogether, these findings demonstrate that Yin-deficiency, Qi-deficiency, tendency to Yin-deficiency, and tendency to Damp-heat appeared to induce a change in health status to SHS, while the Balanced Constitution seemed to restrain this change. We conclude that regulating the unbalanced TCMC (such as Yin-deficiency and Qi-deficiency) may prevent a healthy status developing into SHS or lead to the regression of SHS. PMID:26346320

  18. Plant health sensing system for determining nitrogen status in plants

    NASA Astrophysics Data System (ADS)

    Thomasson, J. A.; Sui, Ruixiu; Read, John J.; Reddy, K. R.

    2004-03-01

    A plant health sensing system was developed for determining nitrogen status in plants. The system consists of a multi-spectral optical sensor and a data-acquisition and processing unit. The optical sensor"s light source provides modulated panchromatic illumination of a plant canopy with light-emitting diodes, and the sensor measures spectral reflectance through optical filters that partition the energy into blue, green, red, and near-infrared wavebands. Spectral reflectance of plants is detected in situ, at the four wavebands, in real time. The data-acquisition and processing unit is based on a single board computer that collects data from the multi-spectral sensor and spatial information from a global positioning system receiver. Spectral reflectance at the selected wavebands is analyzed, with algorithms developed during preliminary work, to determine nitrogen status in plants. The plant health sensing system has been tested primarily in the laboratory and field so far, and promising results have been obtained. This article describes the development, theory of operation, and test results of the plant health sensing system.

  19. Utilisation of oral health services, oral health needs and oral health status in a peri-urban informal settlement.

    PubMed

    Westaway, M S; Viljoen, E; Rudolph, M J

    1999-04-01

    Interviews were conducted with 294 black residents (155 females and 138 males) of a peri-urban informal settlement in Gauteng to ascertain utilisation of oral health services, oral health needs and oral health status. Only 37 per cent of the sample had consulted a dentist or medical practitioner, usually for extractions. Teenagers and employed persons were significantly less likely to utilise dentists than the older age groups and unemployed persons. Forty per cent were currently experiencing oral health problems such as a sore mouth, tooth decay and bleeding/painful gums. Two hundred and twelve (73 per cent) interviewees wanted dental treatment or advice. Residents who rated their oral health status as fair or poor appeared to have the greatest need for oral health services. The use of interviews appears to be a cost-effective method of determining oral morbidity. PMID:10518916

  20. Current Status and Problems in Certification of Sustainable Forest Management in China

    NASA Astrophysics Data System (ADS)

    Zhao, Jingzhu; Xie, Dongming; Wang, Danyin; Deng, Hongbing

    2011-12-01

    Forest certification is a mechanism involving the regulation of trade of forest products in order to protect forest resources and improve forest management. Although China had a late start in adopting this process, the country has made good progress in recent years. As of July 31, 2009, 17 forest management enterprises and more than one million hectares of forests in China have been certified by the Forest Stewardship Council (FSC). Several major factors affect forest certification in China. The first set is institutional in nature. Forest management in China is based on centralized national plans and therefore lacks flexibility. A second factor is public awareness. The importance and value of forest certification are not widely understood and thus consumers do not make informed choices regarding certified forest products. The third major factor is the cost of certification. Together these factors have constrained the development of China's forest certification efforts. However, the process does have great potential. According to preliminary calculations, if 50% of China's commercial forests were certified, the economic cost of forest certification would range from US0.66-86.63 million while the economic benefits for the forestry business sector could exceed US150 million. With continuing progress in forest management practices and the development of international trade in forest products, it becomes important to improve the forest certification process in China. This can be achieved by improving the forest management system, constructing and perfecting market access mechanisms for certificated forest products, and increasing public awareness of environmental protection, forest certification, and their interrelationship.

  1. Current status and problems in certification of sustainable forest management in China.

    PubMed

    Zhao, Jingzhu; Xie, Dongming; Wang, Danyin; Deng, Hongbing

    2011-12-01

    Forest certification is a mechanism involving the regulation of trade of forest products in order to protect forest resources and improve forest management. Although China had a late start in adopting this process, the country has made good progress in recent years. As of July 31, 2009, 17 forest management enterprises and more than one million hectares of forests in China have been certified by the Forest Stewardship Council (FSC). Several major factors affect forest certification in China. The first set is institutional in nature. Forest management in China is based on centralized national plans and therefore lacks flexibility. A second factor is public awareness. The importance and value of forest certification are not widely understood and thus consumers do not make informed choices regarding certified forest products. The third major factor is the cost of certification. Together these factors have constrained the development of China's forest certification efforts. However, the process does have great potential. According to preliminary calculations, if 50% of China's commercial forests were certified, the economic cost of forest certification would range from US$0.66-86.63 million while the economic benefits for the forestry business sector could exceed US$150 million. With continuing progress in forest management practices and the development of international trade in forest products, it becomes important to improve the forest certification process in China. This can be achieved by improving the forest management system, constructing and perfecting market access mechanisms for certificated forest products, and increasing public awareness of environmental protection, forest certification, and their interrelationship. PMID:21327561

  2. The health status of rural primary schoolchildren in Central Zambia.

    PubMed

    Ng'andu, N H; Nkowane, B M; Watts, T E

    1991-06-01

    In a study of 528 rural primary schoolchildren in Central Zambia, it was found that the health status of the schoolchildren was not good as indicated by inadequate nutrition, a high prevalence of S. haematobium (18%), hookworm (33%), and malaria (43%) infections. There were no statistically significant differences in prevalence of undernutrition between girls and boys and there were no significant trends with age. The treatment and control of hookworm disease, urinary schistosomiasis and malaria deserve a high priority in this area. As for malaria, until an international programme on its control can be developed, the acquisition of protective immunity is of paramount importance. This study shows how the use of 'simple' screening procedures can provide information to direct health education and other disease control measures in school health programmes. As the economic situation in Zambia is not good, the best hope for improvement of the children's health lies with environmental improvement in sanitation, water supplies and provision of basic health education. PMID:1711129

  3. 78 FR 2947 - Manti-La Sal National Forest, Utah; Maverick Point Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-15

    ... increasing aspen and ponderosa pine forest stand resilience and resistance to insects, disease, drought, and..., increasing temperatures, insects, and diseases affect many aspen clones. Ungulate grazing can also, and in... includes building resistance to climate-related stressors (drought, wildfire, insects, and disease)...

  4. The health status burden of people with fibromyalgia: a review of studies that assessed health status with the SF-36 or the SF-12

    PubMed Central

    Hoffman, D L; Dukes, E M

    2008-01-01

    Objective The current review describes how the health status profile of people with fibromyalgia (FM) compares to that of people in the general population and patients with other health conditions. Methods A review of 37 studies of FM that measured health status with the 36-item Medical Outcomes Study Short-Form Health Survey (SF-36) or the 12-item Short-Form Health Survey (SF-12). Results Studies performed worldwide showed that FM groups were significantly more impaired than people in the general population on all eight health status domains assessed. These domains include physical functioning, role functioning difficulties caused by physical problems, bodily pain, general health, vitality (energy vs. fatigue), social functioning, role functioning difficulties caused by emotional problems and mental health. FM groups had mental health summary scores that fell 1 standard deviation (SD) below the general population mean, and physical health summary scores that fell 2 SD below the general population mean. FM groups also had a poorer overall health status compared to those with other specific pain conditions. FM groups had similar or significantly lower (poorer) physical and mental health status scores compared to those with rheumatoid arthritis, osteoarthritis, osteoporosis, systemic lupus erythematosus, myofacial pain syndrome, primary Sjögren's syndrome and others. FM groups scored significantly lower than the pain condition groups mentioned above on domains of bodily pain and vitality. Health status impairments in pain and vitality are consistent with core features of FM. Conclusions People with FM had an overall health status burden that was greater in magnitude compared to people with other specific pain conditions that are widely accepted as impairing. Review Criteria Studies in this review were identified through a search of electronic databases (MEDLINE: 1990–2006; EMBASE: 1990–2006). Search terms included: ‘fibromyalgia’, ‘health status’,

  5. Status and distribution of mangrove forests of the world using earth observation satellite data

    USGS Publications Warehouse

    Giri, C.; Ochieng, E.; Tieszen, L.L.; Zhu, Z.; Singh, A.; Loveland, T.; Masek, J.; Duke, N.

    2011-01-01

    Aim Our scientific understanding of the extent and distribution of mangrove forests of the world is inadequate. The available global mangrove databases, compiled using disparate geospatial data sources and national statistics, need to be improved. Here, we mapped the status and distributions of global mangroves using recently available Global Land Survey (GLS) data and the Landsat archive.Methods We interpreted approximately 1000 Landsat scenes using hybrid supervised and unsupervised digital image classification techniques. Each image was normalized for variation in solar angle and earth-sun distance by converting the digital number values to the top-of-the-atmosphere reflectance. Ground truth data and existing maps and databases were used to select training samples and also for iterative labelling. Results were validated using existing GIS data and the published literature to map 'true mangroves'.Results The total area of mangroves in the year 2000 was 137,760 km2 in 118 countries and territories in the tropical and subtropical regions of the world. Approximately 75% of world's mangroves are found in just 15 countries, and only 6.9% are protected under the existing protected areas network (IUCN I-IV). Our study confirms earlier findings that the biogeographic distribution of mangroves is generally confined to the tropical and subtropical regions and the largest percentage of mangroves is found between 5?? N and 5?? S latitude.Main conclusions We report that the remaining area of mangrove forest in the world is less than previously thought. Our estimate is 12.3% smaller than the most recent estimate by the Food and Agriculture Organization (FAO) of the United Nations. We present the most comprehensive, globally consistent and highest resolution (30 m) global mangrove database ever created. We developed and used better mapping techniques and data sources and mapped mangroves with better spatial and thematic details than previous studies. ?? 2010 Blackwell

  6. Status and distribution of mangrove forests of the world using earth observation satellite data

    USGS Publications Warehouse

    Giri, Chandra; Ochieng, E.; Tieszen, Larry L.; Zhu, Zhi-Liang; Singh, Ashbindu; Loveland, Thomas R.; Masek, Jeffery G.; Duke, Norm

    2011-01-01

    Aim  Our scientific understanding of the extent and distribution of mangrove forests of the world is inadequate. The available global mangrove databases, compiled using disparate geospatial data sources and national statistics, need to be improved. Here, we mapped the status and distributions of global mangroves using recently available Global Land Survey (GLS) data and the Landsat archive. Methods  We interpreted approximately 1000 Landsat scenes using hybrid supervised and unsupervised digital image classification techniques. Each image was normalized for variation in solar angle and earth–sun distance by converting the digital number values to the top-of-the-atmosphere reflectance. Ground truth data and existing maps and databases were used to select training samples and also for iterative labelling. Results were validated using existing GIS data and the published literature to map ‘true mangroves’. Results  The total area of mangroves in the year 2000 was 137,760 km2 in 118 countries and territories in the tropical and subtropical regions of the world. Approximately 75% of world's mangroves are found in just 15 countries, and only 6.9% are protected under the existing protected areas network (IUCN I-IV). Our study confirms earlier findings that the biogeographic distribution of mangroves is generally confined to the tropical and subtropical regions and the largest percentage of mangroves is found between 5° N and 5° S latitude. Main conclusions  We report that the remaining area of mangrove forest in the world is less than previously thought. Our estimate is 12.3% smaller than the most recent estimate by the Food and Agriculture Organization (FAO) of the United Nations. We present the most comprehensive, globally consistent and highest resolution (30 m) global mangrove database ever created. We developed and used better mapping techniques and data sources and mapped mangroves with better spatial and thematic details than previous studies.

  7. Social Health Status in Iran: An Empirical Study

    PubMed Central

    AMINI RARANI, Mostafa; RAFIYE, Hassan; KHEDMATI MORASAE, Esmaeil

    2013-01-01

    Background: As social health is a condition-driven, dynamic and fluid concept, it seems necessary to construct and obtain a national and relevant concept of it for every society. Providing an empirical back up for Iran’s concept of social health was the aim of the present study. Methods: This study is an ecologic study in which available data for 30 provinces of Iran in 2007 were analyzed. In order to prove construct validity and obtain a social health index, an exploratory factor analysis was conducted on six indicators of population growth, willful murder, poverty, unemployment, insurance coverage and literacy. Results: Following the factor analysis, two factors of Diathesis (made up of high population growth, poverty, low insurance coverage and illiteracy) and Problem (made up of unemployment and willful murder) were extracted. The diathesis and problem explained 48.6 and 19.6% of social health variance respectively. From provinces, Sistan & Baluchistan had the highest rate of poverty and violence and the lowest rate of literacy and insurance coverage. In terms of social health index, Tehran, Semnan, Isfahan, Bushehr and Mazandaran had the highest ranks while Sistan and Baluchistan, Lurestan, Kohkiloyeh and Kermanshah occupied the lowest ones. Conclusion: There are some differences and similarities between Iranian concept of social health and that of other societies. However, a matter that makes our concept special and different is its attention to population. The increase in literacy rate and insurance coverage along with reduction of poverty, violence and unemployment rates can be the main intervention strategies to improve social health status in Iran. PMID:23515572

  8. Current status of health promotion activities in four midwest cities.

    PubMed

    Weisbrod, R R; Bracht, N F; Pirie, P L; Veblen-Mortenson, S

    1991-01-01

    Community-wide surveys were conducted in Winona and St. Cloud, MN, Eau Claire, WI, and Sioux Falls, SD, in 1986 and 1987 to determine the current status of the supply and demand of health promotion activities in nine categories. Supply and demand indicators were conceptualized and defined as program options (different activities in a coded list) and participation (registrations). An annual inventory of all health promotion activities in each community was complied from interviews with providers of such activities. Interviews of probable community providers was followed by a nomination process to identify others. Providers at worksites were interviewed in a separate study with matching data endpoints. Results show that exercise programs have the highest levels of options and participation in all four cities. On the supply side of total programs offered, there was similarity in rates among three of the cities, with only Winona offering more health promotion opportunities. There was similarity also in the areas of health where most programs are offered, favoring exercise, followed by the heart disease risk factor areas of screening, smoking cessation, and nutrition education. On the demand side of participation, there was similarity in total participation rates among three of the four cities with Sioux Falls showing substantially higher demand. Exercise showed the highest participation in all cities, but there was little similarity among the cities in ranking participation in the other areas of health promotion. In the four cities combined, high levels of program options with low participation were characteristic of smoking cessation. In contrast, low levels of program options and high participation were shown in chemical dependency. Worksites are the main providers of health promotion programs for adults, with schools and colleges also major program providers. Educational organizations account for the largest percentage of total participation in health promotion

  9. Deported Mexican migrants: health status and access to care

    PubMed Central

    Fernández-Niño, Julián Alfredo; Ramírez-Valdés, Carlos Jacobo; Cerecero-Garcia, Diego; Bojorquez-Chapela, Ietza

    2014-01-01

    OBJECTIVE To describe the health status and access to care of forced-return Mexican migrants deported through the Mexico-United States border and to compare it with the situation of voluntary-return migrants. METHODS Secondary data analysis from the Survey on Migration in Mexico’s Northern Border from 2012. This is a continuous survey, designed to describe migration flows between Mexico and the United States, with a mobile-population sampling design. We analyzed indicators of health and access to care among deported migrants, and compare them with voluntary-return migrants. Our analysis sample included 2,680 voluntary-return migrants, and 6,862 deportees. We employ an ordinal multiple logistic regression model, to compare the adjusted odds of having worst self-reported health between the studied groups. RESULTS As compared to voluntary-return migrants, deportees were less likely to have medical insurance in the United States (OR = 0.05; 95%CI 0.04;0.06). In the regression model a poorer self-perceived health was found to be associated with having been deported (OR = 1.71, 95%CI 1.52;1.92), as well as age (OR = 1.03, 95%CI 1.02;1.03) and years of education (OR = 0.94 95%CI 0.93;0.95). CONCLUSIONS According to our results, deportees had less access to care while in the United States, as compared with voluntary-return migrants. Our results also showed an independent and statistically significant association between deportation and having poorer self-perceived health. To promote the health and access to care of deported Mexican migrants coming back from the United States, new health and social policies are required. PMID:25119943

  10. Characterization of P status in forest soils: stocks, fluxes and models

    NASA Astrophysics Data System (ADS)

    Achat, D. L.; Morel, C.; Bakker, M.; Augusto, L.; Gallet-Budynek, A.; Gonzalez, M.; Jonard, M.

    2010-12-01

    Phosphorus (P) is a critical limiting factor of plant growth and production in many ecosystems, which often require to be fertilized. However, there is an increasing concern regarding appropriate local and global management of phosphorus resources, since the existing finite phosphate reserves are rapidly being depleted. This implies to understand what processes (biological, physico-chemical) are governing soil P availability in agroecosystems, and in particular in forests, which will be increasingly managed for their C-sink potential in the future. We characterized the P status in forest soils of the largest managed pine forest in Europe (Landes of Gascogne, southwest of France) using isotopic and extraction methods, as well as modelling approaches. Total P concentration in topsoils were extremely low, ranging from 7 to 195 mg Pkg-1. The concentration of phosphate ions in solution decreased with depth and was related to the Al and Fe oxide content, which controlled the diffusion of P from the soil solid phase to the solution. The gross amount of diffusive P in one week as determined by 32P isotopic dilution in batch experiments was low, ranging from 0.2 to 52 mg P kg-1 in the topsoil layer, and could be predicted by pedotransfer functions built on the Al and Fe oxide and soil organic matter contents. Organic P represented 80% of total P in litter and 60% in the surface mineral soil layer, suggesting a higher contribution of biological processes to soil P cycling. Biological mineralization of organic P was quantified using a long-term incubation study (154 days) of a low-sorbing soil labelled with 33P, associated with a batch experiment with 32P labelled soil: gross mineralization of dead soil organic matter and diffusive phosphate P were low (<1 mg kg-1 ) compared to the remineralization of microbial P (14mg kg-1). A modelling approach combined to these isotopic measurements showed that 80 % of microbial P turned over very quickly (5-9 days), while 20% turned over

  11. The effects of Taiwan's National Health Insurance on access and health status of the elderly.

    PubMed

    Chen, Likwang; Yip, Winnie; Chang, Ming-Cheng; Lin, Hui-Sheng; Lee, Shyh-Dye; Chiu, Ya-Ling; Lin, Yu-Hsuan

    2007-03-01

    The primary objective of this paper is to evaluate the impact of Taiwan's National Health Insurance program (NHI), established in 1995, on improving elderly access to care and health status. Further, we estimate the extent to which NHI reduces gaps in access and health across income groups. Using data from a longitudinal survey, we adopt a difference-in-difference methodology to estimate the causal effect of Taiwan's NHI. Our results show that Taiwan's NHI has significantly increased utilization of both outpatient and inpatient care among the elderly, and such effects were more salient for people in the low- or middle-income groups. Our findings also reveal that although Taiwan's NHI greatly increased the utilization of both outpatient and inpatient services, this increased utilization of health services did not reduce mortality or lead to better self-perceived general health status for Taiwanese elderly. Measures more sensitive than mortality and self-perceived general health may be necessary for discerning the health effects of NHI. Alternatively, the lack of NHI effects on health may reflect other quality and efficiency problems inherent in the system not yet addressed by NHI. PMID:16929478

  12. Religiosity dimensions and subjective health status in Greek students.

    PubMed

    Kioulos, K T; Bergiannaki, J D; Glaros, A; Vassiliadou, M; Alexandri, Z; Papadimitriou, G

    2015-01-01

    The quest for existential meaning constitutes a universal phenomenon traditionally manifested in official religions (religiosity) or personal modes of transcendence (spirituality). Religiosity and spirituality have been found to be associated with a variety of mental health and illness parameters. In the last decades there is an increasing number of publications with interesting results on the relationship between religiosity and mental health, both on a theoretical and a clinical level. Recent research suggests the presence of clinically important interactions between religious beliefs and mental health, although the exact nature of the associations remains unclear. The aim of the present study is to investigate subjective health status in relation to specific dimensions of religiosity and spirituality in Greek students; 202 students of the faculty of Theology of the University of Athens were interviewed using the Brief Multidimensional Measurement of Religiousness/Spirituality (BMMRS), which assesses the dimensions of "daily spiritual experiences", "meaning", "values/beliefs", "forgiveness", "private religious practices", "religious/spiritual coping", "religious support", "religious/ spiritual history", "commitment", "organizational religiousness", and "religious preferences". Subjective health status was measured by the General Health Questionnaire (GHQ-28) which examines four areas of health in the following sub-scales: (a) somatic symptoms, (b) anxiety and insomnia, (c) social dysfunction and (d) severe depression. Pearson correlations coefficients and linear regression analyses were used to estimate the associations of GHQ-28 subscales with religiosity dimensions. High scores in each dimension of BMMRS corresponded to a low level of religiosity. The dimension of "daily spiritual experiences" was positively correlated with the subscales of anxiety/ insomnia, social dysfunction and severe depression, while the dimension of "values/beliefs" with social

  13. Health Literacy, Cognitive Ability, and Functional Health Status among Older Adults

    PubMed Central

    Serper, Marina; Patzer, Rachel E; Curtis, Laura M; Smith, Samuel G; O'Conor, Rachel; Baker, David W; Wolf, Michael S

    2014-01-01

    Objective To investigate whether previously noted associations between health literacy and functional health status might be explained by cognitive function. Data Sources/Study Setting Health Literacy and Cognition in Older Adults (“LitCog,” prospective study funded by National Institute on Aging). Data presented are from interviews conducted among 784 adults, ages 55–74 years receiving care at an academic general medicine clinic or one of four federally qualified health centers in Chicago from 2008 to 2010. Study Design Study participants completed structured, in-person interviews administered by trained research assistants. Data Collection Health literacy was measured using the Test of Functional Health Literacy in Adults, Rapid Estimate of Adult Literacy in Medicine, and Newest Vital Sign. Cognitive function was assessed using measures of long-term and working memory, processing speed, reasoning, and verbal ability. Functional health was assessed with SF-36 physical health summary scale and Patient Reported Outcomes Measurement Information System short form subscales for depression and anxiety. Principal Findings All health literacy measures were significantly correlated with all cognitive domains. In multivariable analyses, inadequate health literacy was associated with worse physical health and more depressive symptoms. After adjusting for cognitive abilities, associations between health literacy, physical health, and depressive symptoms were attenuated and no longer significant. Conclusions Cognitive function explains a significant proportion of the associations between health literacy, physical health, and depression among older adults. Interventions to reduce literacy disparities in health care should minimize the cognitive burden in behaviors patients must adopt to manage personal health. PMID:24476068

  14. The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure

    PubMed Central

    Nguyen, Muoi T.; Chan, Winnie Y.; Keeler, Courtney

    2015-01-01

    Abstract Both clinical diagnoses and self-rated measures of mental illness are associated with a variety of outcomes, including physical well-being, health utilization, and expenditure. However, much of current literature primarily utilizes clinically diagnosed data. This cross-sectional study explores the impact of mental illness and health care expenditure using 2 self-rated measures: self-rated measured of perceived mental health status (SRMH) and Kessler Screening Scale for Psychological Distress (K6). Data from the 2011 Medical Expenditure Panel Survey Household Component, a nationally representative sample of noninstitutionalized individuals (n = 18,295), were analyzed using bivariate χ2 tests and a 2-part model (logistics regression and generalized linear model regression for the first and second stages, respectively). Although predictive of any health expenditure, SRMH alone was not highly predictive of the dollar value of that health expenditure conditional on any spending. By comparison, the K6 measure was significantly and positively associated with the probability of any health expenditure as well as the dollar value of that spending. Taken together, both the K6 and SRMH measures suggest a positive relationship between poor mental health and the probability of any health expenditure and total expenditure conditional on any spending, even when adjusting for other confounding factors such as race/ethnicity, sex, age, educational attainment, insurance status, and some regional characteristics. Our results suggest that psychological distress and SRMH may represent potential pathways linking poor mental health to increased health care expenditure. Further research exploring the nuances of these relationships may aid researchers, practitioners, and policy makers in addressing issues of inflated health care expenditure in populations at risk for poor mental health. PMID:26334899

  15. Measurement of socioeconomic status in health disparities research.

    PubMed Central

    Shavers, Vickie L.

    2007-01-01

    Socioeconomic status (SES) is frequently implicated as a contributor to the disparate health observed among racial/ ethnic minorities, women and elderly populations. Findings from studies that examine the role of SES and health disparities, however, have provided inconsistent results. This is due in part to the: 1) lack of precision and reliability of measures; 2) difficulty with the collection of individual SES data; 3) the dynamic nature of SES over a lifetime; 4) the classification of women, children, retired and unemployed persons; 5) lack of or poor correlation between individual SES measures; and 6) and inaccurate or misleading interpretation of study results. Choosing the best variable or approach for measuring SES is dependent in part on its relevance to the population and outcomes under study. Many of the commonly used compositional and contextual SES measures are limited in terms of their usefulness for examining the effect of SES on outcomes in analyses of data that include population subgroups known to experience health disparities. This article describes SES measures, strengths and limitations of specific approaches and methodological issues related to the analysis and interpretation of studies that examine SES and health disparities. PMID:17913111

  16. Veterinary public health in India: current status and future needs.

    PubMed

    Ghatak, S; Singh, B B

    2015-12-01

    Veterinary public health (VPH) assumes huge significance in developing countries such as India. However, the implementation of VPH services throughout the country is still in its infancy. From 1970 onwards, many institutes, national and international organisations, professional societies, policies and personalities have contributed towards the development of VPH in India. Nevertheless, there is an urgent need to develop VPH still further as there are many issues, such as high population density, the re-emergence of zoonotic pathogens, environmental pollution and antimicrobial resistance, that require attention. The time has surely come to involve all stakeholders, ranging from primary producers (e.g., farmers) to policy-makers, so as to garner support for the holistic implementation of VPH services in India. To improve VPH activities and services, science-based policies enforced through stringent regulation are required to improve human, animal and environmental health. The emergence of the 'One Health' concept has ushered in new hopes for the resurrection of VPH in India. Applying tools such as the World Organisation for Animal Health (OlE) Day One Competencies and the OlE Tool for the Evaluation of Performance of Veterinary Services (PVS Tool) is essential to improve the quality of national Veterinary Services and to identify gaps and weaknesses in service provision, which can be remedied to comply with the OlE international standards. VPH initiatives started modestly but they continue to grow. The present review is focused on the current status and future needs of VPH in India. PMID:27044147

  17. A Geospatial Assessment of Mountain Pine Beetle Infestations and Their Effect on Forest Health in Okanogan-Wenatchee National Forest

    NASA Astrophysics Data System (ADS)

    Allain, M.; Nguyen, A.; Johnson, E.; Williams, E.; Tsai, S.; Prichard, S.; Freed, T.; Skiles, J. W.

    2010-12-01

    Fire-suppression over the past century has resulted in an accumulation of forest litter and increased tree density. As nutrients are sequestered in forest litter and not recycled by forest fires, soil nutrient concentrations have decreased. The forests of Northern Washington are in poor health as a result of these factors coupled with sequential droughts. The mountain pine beetle (MPB) thrives in such conditions, giving rise to an outbreak in Washington’s Okanogan-Wenatchee National Forest. These outbreaks occur in three successive stages— the green, red, and gray stages. Beetles first infest the tree in the green phase, leading to discoloration of needles in the red phase and eventually death in the gray phase. With the use of geospatial technology, these outbreaks can be better mapped and assessed to evaluate forest health. Field work on seventeen randomly selected sites was conducted using the point-centered quarter method. The stratified random sampling technique ensured that the sampled trees were representative of all classifications present. Additional measurements taken were soil nutrient concentrations (sodium [Na+], nitrate [NO3-], and potassium [K+]), soil pH, and tree temperatures. Satellite imagery was used to define infestation levels and geophysical parameters, such as land cover, vegetation classification, and vegetation stress. ASTER images were used with the Ratio Vegetation Index (RVI) to explore the differences in vegetation, while MODIS images were used to analyze the Disturbance Index (DI). Four other vegetation indices from Landsat TM5 were used to distinguish the green, red and gray phases. Selected imagery from the Hyperion sensor was used to run a minimum distance supervised classification in ENVI, thus testing the ability of Hyperion imagery to detect the green phase. The National Agricultural Imagery Program (NAIP) archive was used to generate accurate maps of beetle-infested regions. This algorithm was used to detect bark beetle

  18. Race, socioeconomic status, and health: accounting for race differences in health.

    PubMed

    Schoenbaum, M; Waidmann, T

    1997-05-01

    This article uses the Asset and Health Dynamics Among the Oldest Old (AHEAD) study to examine the extent to which observed differences in the prevalence of chronic conditions and functional limitations between Black and White adults (aged 70+) in the United States can be attributed to differences in various aspects of socioeconomic status (SES) between these groups. We use linear and logistic regression techniques to model the relationships between health outcomes and SES. Our findings indicate that race differences in measurable socioeconomic characteristics indeed explain a substantial fraction, but in general not all, of Black/White differences in health status. While our findings do not suggest that low SES directly "causes" poor health, any more than being Black does so, they do suggest that research and policy intended to address the deficit in health status among Blacks (when compared to Whites) in the U.S. would be well-served to begin with the deficit in wealth, education, and other SES measures. PMID:9215358

  19. Cardiovascular Health Status by Occupational Group - 21 States, 2013.

    PubMed

    Shockey, Taylor M; Sussell, Aaron L; Odom, Erika C

    2016-01-01

    Cardiovascular disease (CVD) accounts for one of every three deaths in the United States, making it the leading cause of mortality in the country (1). The American Heart Association established seven ideal cardiovascular health behaviors or modifiable factors to improve CVD outcomes in the United States. These cardiovascular health metrics (CHMs) are 1) not smoking, 2) being physically active, 3) having normal blood pressure, 4) having normal blood glucose, 5) being of normal weight, 6) having normal cholesterol levels, and 7) eating a healthy diet (2). Meeting six or all seven CHMs is associated with a lower risk for all-cause, CVD, and ischemic heart disease mortalities compared with the risk to persons who meet none or only one CHM (3). Fewer than 2% of U.S. adults meet all seven of the American Heart Association's CHMs (4). Cardiovascular morbidity and mortality account for an estimated annual $120 billion in lost productivity in the workplace; thus, workplaces are viable settings for effective health promotion programs (5). With over 130 million employed persons in the United States, accounting for about 55% of all U.S. adults, the working population is an important demographic group to evaluate with regard to cardiovascular health status. To determine if an association between occupation and CHM score exists, CDC analyzed data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) industry and occupation module, which was implemented in 21 states. Among all occupational groups, community and social services employees (14.6%), transportation and material moving employees (14.3%), and architecture and engineering employees (11.6%) had the highest adjusted prevalence of meeting two or fewer CHMs. Transportation and material moving employees also had the highest prevalence of "not ideal" ("0" [i.e., no CHMs met]) scores for three of the seven CHMs: physical activity (54.1%), blood pressure (31.9%), and weight (body mass index [BMI]; 75.5%). Disparities

  20. Health Status and Health Service Access and Use Among Children in U.S. Immigrant Families

    PubMed Central

    Huang, Zhihuan Jennifer; Yu, Stella M.; Ledsky, Rebecca

    2006-01-01

    Objectives. We examined the health status and patterns of health care use of children in US immigrant families. Methods. Data from the 1999 National Survey of America’s Families were used to create 3 subgroups of immigrant children: US-born children with noncitizen parents, foreign-born children who were naturalized US citizens, and foreign-born children with noncitizen parents. Chi-square and logistic regression analyses were used to examine relationships between immigrant status and health access variables. Subgroup analyses were conducted with low-income families. Results. Foreign-born noncitizen children were 4 times more likely than children from native families to lack health insurance coverage and to have not visited a mental health specialist in the preceding year. They were 40% and 80% more likely to have not visited a doctor or dentist in the previous year and twice as likely to lack a usual source of care. US-born children with noncitizen parents were also at a disadvantage in many of these aspects of care. Conclusions. We found that, overall, children from immigrant families were in worse physical health than children from non-immigrant families and used health care services at a significantly lower frequency. PMID:16507736

  1. Inappropriate overuse of inhaled corticosteroids for COPD patients: impact on health costs and health status.

    PubMed

    de Miguel-Díez, Javier; Carrasco-Garrido, Pilar; Rejas-Gutierrez, Javier; Martín-Centeno, Antonio; Gobartt-Vázquez, Elena; Hernandez-Barrera, Valentín; Gil de, Miguel Angel; Jimenez-Garcia, Rodrigo

    2011-06-01

    The aim of this study was to evaluate the relationship between inappropriate overuse of inhaled corticosteroids and self-reported health status and the annual cost of patients with stable chronic obstructive pulmonary disease (COPD) recruited in the primary-care setting. An observational, crossover, descriptive study was conducted. Patients with stable COPD and aged ≥40 years, evaluated in primary care, were included. Data collected were demographic variables, clinical characteristics, self-reported health status (SF-12), the severity of the illness, treatment, and health-care resource utilization in the past year. The patients were recruited during a period of 3 months (from January 1 to March 31, 2003). Use was considered inappropriate when corticosteroids were prescribed by physicians for patients not meeting criteria for its use as recommended in guidelines. A total of 10,711 patients [75.6% males; mean age = 67.1 (SD = 9.66) years] were evaluated. Disease severity was mild in 35.5% of the cases, moderate in 53.4%, and severe in 11.2%. Among them, 3,697 (34.5%) subjects were prescribed inhaled corticosteroids or drug combinations containing such therapies, with a rate of inappropriate use of 18.2%. Physical health status was significantly lower among patients showing inappropriate corticosteroids use: 37.35 (SD = 9.53) vs. 40.7 (SD = 9.80) (p < 0.05). The annual cost per patient of COPD management was significantly higher in the group with inappropriate inhaled corticosteroids use: 1,590 (SD = 1,834) vs. 1,157 (SD = 1,536) (p < 0.05). Factors statistically associated with inappropriate use of corticosteroids were educational attainment [OR: 2.77 (95% CI: 1.36-5.63) for nonuniversity training], a history of heart disease [OR: 1.42 (95% CI: 1.02-1.97)], depression [OR: 1.47 (95% CI: 1.05-2.05)], any allergy [OR 1.69 (95% CI: 1.13-2.54)], and physical health status [OR 0.97 (95% CI: 0.96-0.98)]. Lack of adherence to the

  2. The image of health status and quality of life in a Caribbean society

    PubMed Central

    Bourne, Paul A.; McGrowder, Donovan A.; Charles, Christopher A.D.; Francis, Cynthia G.

    2010-01-01

    Background: Health is defined as the presence or absence of illness. This conceptualization of health status is dominant in health treatment and in fashioning the health care system. However, very little research has been done on how Jamaicans view health status and quality of life (QoL). Aims: This article seeks to understand how Jamaicans conceptualize health status and QoL because definitional content has implications for their health. Material and Methods: The current study utilized two national cross-sectional probability surveys from the Centre for Leadership and Governance (CLG) which looked at QoL among other variables and the Jamaican Survey of Living Conditions (JSLC) which measured living standards including health status. The sample in both surveys was 8,120 participants. Results: The majority of the respondents in the CLG (54%) and the JSLC (82.2%) surveys reported good health status. There was a strong statistical relationship between area of residence and health status (P < 0.0001) unlike the relationship between area of residence and quality of life (P < 0.137). The respondents dichotomized health status and QoL and a significant relationship was found between both variables (P < 0.0001). The respondents’ dichotomization of health status and QoL is explained by the significant relationship between health status and self reported illness (P < 0.0001) where respondents view health status as the absence or presence of illness, excluding QoL. Conclusion: Health status means the presence or absence of illness and excludes QoL which is not in keeping with previous findings. This distinction is culturally determined. PMID:22624140

  3. Oral Health Status and Behaviour of Mauritians Visiting Private Dental Clinics

    ERIC Educational Resources Information Center

    Gunsam, P. Pugo; Banka, S.

    2011-01-01

    Purpose: This paper seeks to assess the oral health status and behaviour of a sample of the Mauritian population visiting private dental clinics. Design/methodology/approach: Oral health status was determined using the World Health Organization (Decayed, Missing, Filled Teeth (DMFT) index indicating the prevalence of caries, and factors associated…

  4. Health Status and Health Determinants of Older Immigrant Women in Canada: A Scoping Review

    PubMed Central

    Guruge, Sepali; Birpreet, Birpreet; Samuels-Dennis, Joan A.

    2015-01-01

    Increasing international migration in the context of aging populations makes a comprehensive understanding of older immigrant women's health status and determinants of their health particularly urgent. Using Arksey and O'Malley's framework, we conducted a scoping review to examine the available literature on the health of older immigrant women in Canada. We searched CINAHL, PsycINFO, Embase, Medline, and Cochrane databases for the period of 1990 to 2014 for Canadian-based, peer-reviewed studies on the topic. A total of 20 articles met the inclusion criteria. These articles were divided into six areas of focus: physical health; mental health; abuse; health promotion and chronic disease prevention; barriers to healthcare access and utilization; and health beliefs, behaviours, and practices. Our results show that the health of older immigrant women is affected by the interplay of various social determinants of health including the physical and social environment; economic conditions; cultural beliefs; gendered norms; and the healthcare delivery system. Our results also revealed that older immigrant women tend to have more health problems, underutilize preventive services, such as cancer screening, and experience more difficulties in accessing healthcare services. PMID:26273480

  5. Mortality rates associated with crown health for eastern forest tree species.

    PubMed

    Morin, Randall S; Randolph, KaDonna C; Steinman, Jim

    2015-03-01

    The condition of tree crowns is an important indicator of tree and forest health. Crown conditions have been evaluated during inventories of the US Forest Service Forest Inventory and Analysis (FIA) program since 1999. In this study, remeasured data from 55,013 trees on 2616 FIA plots in the eastern USA were used to assess the probability of survival among various tree species using the suite of FIA crown condition variables. Logistic regression procedures were employed to develop models for predicting tree survival. Results of the regression analyses indicated that crown dieback was the most important crown condition variable for predicting tree survival for all species combined and for many of the 15 individual species in the study. The logistic models were generally successful in representing recent tree mortality responses to multiyear infestations of beech bark disease and hemlock woolly adelgid. Although our models are only applicable to trees growing in a forest setting, the utility of models that predict impending tree mortality goes beyond forest inventory or traditional forestry growth and yield models and includes any application where managers need to assess tree health or predict tree mortality including urban forest, recreation, wildlife, and pest management. PMID:25655130

  6. Mental health status, aggression, and poor driving distinguish traffic offenders from non-offenders but health status predicts driving behavior in both groups

    PubMed Central

    Abdoli, Nasrin; Farnia, Vahid; Delavar, Ali; Dortaj, Fariborz; Esmaeili, Alireza; Farrokhi, Noorali; Karami, Majid; Shakeri, Jalal; Holsboer-Trachsler, Edith; Brand, Serge

    2015-01-01

    Background In Iran, traffic accidents and deaths from traffic accidents are among the highest in the world, and generally, driver behavior rather than technical failures or environmental conditions are responsible for traffic accidents. In a previous study, we showed that among young Iranian male traffic offenders, poor mental health status, along with aggression, predicted poor driving behavior. The aims of the present study were twofold, to determine whether this pattern could be replicated among non-traffic offenders, and to compare the mental health status, aggression, and driving behavior of male traffic offenders and non-offenders. Methods A total of 850 male drivers (mean age =34.25 years, standard deviation =10.44) from Kermanshah (Iran) took part in the study. Of these, 443 were offenders (52.1%) and 407 (47.9%) were non-offenders with lowest driving penalty scores applying for attaining an international driving license. Participants completed a questionnaire booklet covering socio-demographic variables, traits of aggression, health status, and driving behavior. Results Compared to non-offenders, offenders reported higher aggression, poorer mental health status, and worse driving behavior. Among non-offenders, multiple regression indicated that poor health status, but not aggression, independently predicted poor driving behavior. Conclusion Compared to non-offenders, offenders reported higher aggression, poorer health status and driving behavior. Further, the predictive power of poorer mental health status, but not aggression, for driving behavior was replicated for male non-offenders. PMID:26300646

  7. Factors Associated with Oral Health Status in American Indian Children.

    PubMed

    Tiwari, Tamanna; Quissell, David O; Henderson, William G; Thomas, Jacob F; Bryant, Lucinda L; Braun, Patricia A; Albino, Judith E

    2014-09-01

    The literature reports psychosocial, environmental, and cultural factors related to Early Childhood Caries (ECC), but few studies have included American Indian/Alaska Native (AI/AN) populations. AI/AN children have the highest prevalence of ECC among any population group in the United States. This study examined socio-demographic characteristics of children and their parents/caregivers and psychosocial characteristics of parents/caregivers as risk factors for baseline oral health status of preschool children in the Navajo Nation, as part of a 3-year cluster randomized clinical trial to evaluate the effectiveness of trained community workers providing a fluoride varnish and oral health promotion intervention to. The study recruited 1,015 children at 52 Head Start Centers. Baseline ECC data were collected by calibrated dental hygienists for 981 of the children ages of 3-5 years, and a Basic Research Factors Questionnaire (BRFQ) was completed by their parents/caregivers. Bivariable analysis revealed that dmfs was higher in older children; in males; in children with male parents/caregivers; and when the parent/caregiver had less education and income, worse oral health behavior in caring for their children's teeth, and higher scores for external powerful others and external chance locus of control, greater perceived susceptibility and barriers, and lower scores for community risky behavior. In a multiple linear regression model, the variables that remained statistically significant were child's age and gender, and oral health behavior score of the parent/caregiver. Intervening to improve parent/caregiver oral health behavior in caring for the teeth of children potentially could in AI/AN children. PMID:25232515

  8. Forest health in the Blue Mountains: Science perspectives. A management strategy for fire-adapted ecosystems. Forest Service general technical report

    SciTech Connect

    Mutch, R.W.; Arno, S.F.; Brown, J.K.; Carlson, C.E.; Ottmar, R.D.

    1993-02-01

    The fire-adapted forests of the Blue Mountains are suffering from a forest health problem of catastrophic proportions. The composition of the forest at lower elevations has shifted from historically open-growth stands of primarily ponderosa pine and western larch to stands with dense understories of Douglas-fir and grand fir. Epidemic levels of insect infestations and large wildfires adversely affect visual quality, wildlife habitat, stream sedimentation, and timber values. A management strategy to restore forest health at lower elevations will require that the seral ponderosa pine and western larch stands be managed for much lower tree densities and a more open coniferous understory. A combination of silvicultural partial cutting and prescribed fire on a large scale will be needed to produce the desired future condition of healthy, open, and park-like forests.

  9. Carbon sequestration by forests of the United States. Current status and projections to the year 2040

    NASA Astrophysics Data System (ADS)

    Turner, David P.; Koerper, Greg J.; Harmon, Mark E.; Lee, Jeffrey J.

    1995-02-01

    National-level forest carbon budgets are of interest in relation to understanding the global carbon cycle, comparing anthropogenic and biogenic sources of carbon, and developing possible strategies for conserving and sequestering carbon. In this study, forest carbon pools and flux for timberlands in the conterminous United States were projected over the coming 50years by coupling a forest economics model, a forest inventory model and a forest carbon model. In the base case scenario, US forests sequestered carbon in the 1990s at a rate of 80 Tg yr-1 but came close to carbon equilibrium by the 2020s. The dominant factors driving this change were an increasing forest harvest, a decreasing forest land base, and a reduction in average stand age. Scenarios in which alternative forest policy options were implemented related to increased paper recycling and increased afforestation (5×106 ha) produced long-term increases in carbon sequestration on the forest land base of up to 15 Tg yr-1. The carbon sink on the forest land base currently offsets 6% of US fossil carbon emissions but that proportion is likely to decrease over the coming decades.

  10. Challenges in researching migration status, health and health service use: an intersectional analysis of a South London community

    PubMed Central

    Gazard, Billy; Frissa, Souci; Nellums, Laura; Hotopf, Matthew; Hatch, Stephani L.

    2015-01-01

    Objectives. This study aimed to investigate the associations between migration status and health-related outcomes and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, first language, reason for migration and combined with ethnicity. Design. A total of 1698 adults were interviewed from 1076 randomly selected households in two South London boroughs. We described the socio-demographic and socio-economic differences between migrants and non-migrants and compared the prevalence of health-related outcomes by migration status, length of residence, first language, reason for migration and migration status within ethnic groups. Unadjusted models and models adjusted for socio-demographic and socio-economic indicators are presented. Results. Migrants were disadvantaged in terms of socio-economic status but few differences were found between migrant and non-migrants regarding health or health service use indicators; migration status was associated with decreased hazardous alcohol use, functional limitations due to poor mental health and not being registered with a general practitioner. Important differences emerged when migration status was disaggregated by length of residence in the UK, first language, reason for migration and intersected with ethnicity. The association between migration status and functional limitations due to poor mental health was only seen in White migrants, migrants whose first language was not English and migrants who had moved to the UK for work or a better life or for asylum or political reasons. There was no association between migration status and self-rated health overall, but Black African migrants had decreased odds for reporting poor health compared to their non-migrant counterparts [odds ratio = 0.15 (0.05–0.48), p < 0.01]. Conclusions. Disaggregating migration status by length of residence, first language and reason for migration as well as intersecting it with ethnicity leads

  11. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers

    PubMed Central

    Papathanasiou, Ioanna V.

    2015-01-01

    Introduction: Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslach’s Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers’ mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated

  12. Gender-related differences in lifestyle may affect health status.

    PubMed

    Varì, Rosaria; Scazzocchio, Beatrice; D'Amore, Antonio; Giovannini, Claudio; Gessani, Sandra; Masella, Roberta

    2016-01-01

    Consistent epidemiological and clinical evidence strongly indicates that chronic non-communicable diseases are largely associated with four lifestyle risk factors: inadequate diet, physical inactivity, tobacco use, and excessive alcohol use. Notably, obesity, a worldwide-growing pathological condition determined by the combination between inadequate diet and insufficient physical activity, is now considered a main risk factor for most chronic diseases. Dietary habits and physical activity are strongly influenced by gender attitudes and behaviors that promote different patterns of healthy or unhealthy lifestyles among women and men. Furthermore, different roles and unequal relations between genders strongly interact with differences in social and economic aspects as well as cultural and societal environment. Because of the complex network of factors involved in determining the risk for chronic diseases, it has been promoting a systemic approach that, by integrating sex and gender analysis, explores how sex-specific biological factors and gender-related social factors can interact to influence the health status. PMID:27364389

  13. Health Status in Long-Term Survivors of Pediatric Craniopharyngiomas

    PubMed Central

    Crom, Deborah B.; Smith, Daniel; Xiong, Zang; Onar, Arzu; Hudson, Melissa M.; Merchant, Thomas E.; Morris, E. Brannon

    2016-01-01

    Craniopharyngiomas are the third most common pediatric brain tumor and most common pediatric suprasellar tumor. Contemporary treatment of craniopharyngiomas utilizes limited surgery and radiation in an effort to minimize morbidity, but the long-term health status of patients treated in this fashion has not been well described. The purpose of this study was to analyze the health status of long-term survivors of pediatric craniopharyngioma treated primarily with radiation and conservative surgical resection. Medical records of all long-term survivors of craniopharyngioma treated at St. Jude Children's Research Hospital and then transferred to the long-term follow-up clinic were reviewed. The initial cohort comprised 55 patients. Of these, 51 (93%) were alive at the time of this analysis. The median age at diagnosis was 7.1 years (range, 1.2–17.6 years), and 29 (57%) were male. At the time of analysis, the median survival was 7.6 years (range, 5.0–21.3 years). Diagnosis and treatment included surgical biopsy, resection (n=50), and radiation therapy (n=48). Only one patient received chemotherapy. Polyendocrinopathy was the most common morbidity, with hypothyroidism (96%), adrenocorticotropic hormone deficiency (84%), and diabetes insipidus (53%) occurring most frequently. Half were hypogonadal, and 33 (65%) were overweight or obese. The most common neurologic problems included shunt dependence (37%), seizures (28%), and headaches (39%). Psychological and educational deficits were also identified in a significant number of these individuals. Despite efforts to reduce morbidity in these patients, many survivors remain burdened with significant medical complications. In a small percentage of patients, these may result in death even during extended remission of craniopharyngioma. Due to the broad spectrum or morbidities experienced, survivors of craniopharyngioma continue to benefit from multidisciplinary care. PMID:21207770

  14. Health status in long-term survivors of pediatric craniopharyngiomas.

    PubMed

    Crom, Deborah B; Smith, Daniel; Xiong, Zang; Onar, Arzu; Hudson, Melissa M; Merchant, Thomas E; Morris, E Brannon

    2010-12-01

    Craniopharyngiomas are the third most common pediatric brain tumor and most common pediatric suprasellar tumor. Contemporary treatment of craniopharyngiomas uses limited surgery and radiation in an effort to minimize morbidity, but the long-term health status of patients treated in this fashion has not been well described. The purpose of this study was to analyze the health status of long-term survivors of pediatric craniopharyngioma treated primarily with radiation and conservative surgical resection. Medical records of all long-term survivors of craniopharyngioma treated at St. Jude Children's Research Hospital and then transferred to the long-term follow-up clinic were reviewed. The initial cohort comprised 55 patients. Of these, 51 (93%) were alive at the time of this analysis. The median age at diagnosis was 7.1 years (range, 1.2-17.6 years), and 29 (57%) were male. At the time of analysis, the median survival was 7.6 years (range, 5.0-21.3 years). Diagnosis and treatment included surgical biopsy, resection (n = 50), and radiation therapy (n=48). Only 1 patient received chemotherapy. Polyendocrinopathy was the most common morbidity, with hypothyroidism (96%), adrenocorticotropic hormone deficiency (84%), and diabetes insipidus (53%) occurring most frequently. Half of the patients were hypogonadal, and 33 (65%) were overweight or obese. The most common neurologic problems included shunt dependence (37%), seizures (28%), and headaches (39%). Psychological and educational deficits were also identified in a significant number of these individuals. Despite efforts to reduce morbidity in these patients, many survivors remain burdened with significant medical complications. In a small percentage of patients, complications may result in death even during extended remission of craniopharyngioma. Because of the broad spectrum or morbidities experienced, survivors of craniopharyngioma continue to benefit from multidisciplinary care. PMID:21207770

  15. Mental health status of infertile couples based on treatment outcome

    PubMed Central

    Baghianimoghadam, Mohammad Hosein; Aminian, Amir Hossein; Baghianimoghadam, Behnam; Ghasemi, Nasrin; Abdoli, Ali Mohammad; Seighal Ardakani, Najmeh; Fallahzadeh, Hosein

    2013-01-01

    Background: Infertility is accompanied by numerous psychological and social problems. Infertile couples are more anxious and emotionally distressed than other fertile people. Previous studies suggested that infertility is more stressful for women than men. Objective: The purpose of this study was to determine the status of general health of infertile couples. Materials and Methods: This cross-sectional study evaluated general health of 150 infertile couples attending to Yazd Research and Clinical Center for Infertility that were selected consequently. The data were gathered by the researchers, based on face to face interview before and after three months of treatment by two questionnaires. The first questionnaire had questions on demographic information and the second one was the General Health Questionnaire-28 (GHQ-28). This questionnaire has four sub- scales areas. All data were transferred directly to SPSS 15 and analyzed. Results: The mean age of women was 28.3 and men were 32.4 years. The scores for all sub- scales of GHQ in women were more than men. There was significant difference between age and general health at physical symptoms scales (p=0.002), anxiety and sleep disorders (p=0.003). The age group 25-29 years had higher scores (more than 7) than other age groups. There was significant difference between the scale of social dysfunction and results of treatment. Conclusion: Our results, similar to the previous studies have revealed negetive social and mental effects of infertility on women is more than men, so there is need that they be educated specially. PMID:24639785

  16. Phosphorus status of soils from contrasting forested ecosystems in Southwestern Siberia: combined effects of plant species and climate

    NASA Astrophysics Data System (ADS)

    Achat, D. L.; Bakker, M. R.; Augusto, L.; Derrien, D.; Gallegos, N.; Lashchinskiy, N.; Milin, S.; Nikitich, P.; Raudina, T.; Rusalimova, O.; Zeller, B.; Barsukov, P.

    2012-06-01

    The Russian boreal forest, which mainly consists of extensive forests in Siberia, is the largest continuous forest region on Earth and represents 70 % of the world's boreal forest. Siberian forest is a tremendous repository of terrestrial organic carbon (C), which may increase owing to climate change, potential increases in ecosystem productivity and hence C sequestration. Phosphorus (P) availability could limit the C sequestration potential, but tree roots may mine the soil deeper to increase access to mineral P. Improved understanding and quantification of the processes controlling P availability in surface and deep soil layers of forest ecosystems are thus required. Relative contributions of organic and inorganic P and, consequently, P availability in forest ecosystems depend on decomposition processes, which could be strongly affected by vegetation composition, temperature, precipitation, and their changes due to a warming climate. The objectives of the present study were to (1) evaluate P status of surface and deep forest soil horizons from two contrasted biomes in Southwestern Siberia (i.e. forest steppe in the West Siberian plain and blackish ("chernevaya" in Russian) taiga in the low Salair mountains) and (2) assess the effects of vegetation (siberian fir stand, common aspen stand and herbs in a forest gap) and local climate on soil P fractions. Results revealed high contents in total P (645-1042 mg kg-1 in the surface mineral soils) and available inorganic P (diffusive phosphate ions in one week = 83-126 mg kg-1). In addition, there was an accumulation of diffusive phosphate ions in the subsoils resulting from differences between soil horizons in total inorganic P and soil properties. Consequently, deeper root systems may mine substantial amounts of available P for the trees and the potential enhanced growth and C sequestration due to climate change should thus a~priori not be P-limited. High proportions of total organic P (47-56 % of total P in the

  17. Household portfolio choices, health status and health care systems: A cross-country analysis based on SHARE

    PubMed Central

    Atella, Vincenzo; Brunetti, Marianna; Maestas, Nicole

    2013-01-01

    Health risk is increasingly viewed as an important form of background risk that affects household portfolio decisions. However, its role might be mediated by the presence of a protective full-coverage national health service that could reduce households’ probability of incurring current and future out-of-pocket medical expenditures. We use SHARE data to study the influence of current health status and future health risk on the decision to hold risky assets, across ten European countries with different health systems, each offering a different degree of protection against out-of-pocket medical expenditures. We find robust empirical evidence that perceived health status matters more than objective health status and, consistent with the theory of background risk, health risk affects portfolio choices only in countries with less protective health care systems. Furthermore, portfolio decisions consistent with background risk models are observed only with respect to middle-aged and highly-educated investors. PMID:23885134

  18. Self-Reported Health Status in Primary Health Care: The Influence of Immigration and Other Associated Factors

    PubMed Central

    Salinero-Fort, Miguel Á.; Jiménez-García, Rodrigo; del Otero-Sanz, Laura; de Burgos-Lunar, Carmen; Chico-Moraleja, Rosa M.; Martín-Madrazo, Carmen; Gómez-Campelo, Paloma

    2012-01-01

    Objective The aims of this study are to compare self-reported health status between Spanish-born and Latin American-born Spanish residents, adjusted by length of residence in the host country; and additionally, to analyse sociodemographic and psychosocial variables associated with a better health status. Design This is a cross-sectional population based study of Latin American-born (n = 691) and Spanish-born (n = 903) in 15 urban primary health care centres in Madrid (Spain), carried out between 2007 and 2009. The participants provided information, through an interview, about self-reported health status, socioeconomic characteristics, psychosocial factors and migration conditions. Descriptive and multiple logistic regression analyses were conducted. Results The Spanish-born participants reported a better health status than the Latin America-born participants (79.8% versus 69.3%, p<0.001). Different patterns of self-reported health status were observed depending on the length of residence in the host country. The proportion of immigrants with a better health status is greater in those who have been in Spain for less than five years compared to those who have stayed longer. Better health status is significantly associated with being men, under 34 years old, being Spanish-born, having a monthly incomes of over 1000 euros, and having considerable social support and low stress. Conclusions Better self-reported health status is associated with being Spanish-born, men, under 34 years old, having an uppermiddle-socioeconomic status, adequate social support, and low stress. Additionally, length of residence in the host country is seen as a related factor in the self-reported health status of immigrants. PMID:22675564

  19. Mid-Term Status of the Forest Dragon III: Data Collection and Regional Aboveground Biomass Estimation

    NASA Astrophysics Data System (ADS)

    Pang, Yong; Li, Zengyuan; Liu, Luxia; Lu, Hao; Jia, Wen; Liu, Qingwang; Tian, Xin; Zhang, Ruiying; Shmullius, Christiana

    2014-11-01

    In the 1st two years of Forest Dragon 3 project, Chinese groups engaged in following activities: 1) field measurements and airborne campaigns for forest map validation, 2) regional forest aboveground biomass (AGB) estimation algorithm development and map generation. The AGB estimation by fusion multisensor fusion was investigated. Two campaigns consist of in-situ observation, airborne flight and spaceborne measurements were designed and implemented in the Heilongjiang Province and Yunnan Province of China. The Heilongjiang Province is located in Northeast China and has typical temperate forest. The Yunnan Province is located in Southwest China and contains multiple forest types including tropical forest. By using these observation data from different scales, multi-source satellite data were used to estimate spatial explicit AGB for Da Xinganling study area.

  20. Health status differentials in the People's Republic of China.

    PubMed Central

    Lawson, J S; Lin, V

    1994-01-01

    OBJECTIVES. This study sought to demonstrate that health status varies markedly in different parts of China. METHODS. The main source of data was statistics compiled by the Chinese Ministry for Public Health for 1978 to 1990 regarding causes of death. However, because mortality statistics in China are based on localities that have the capacity to provide data, they are not entirely representative. The international classification of disease categories was also used, together with anatomically based disease descriptions. Rates were calculated using the 1982 and 1990 population censuses. RESULTS. Death rates differ markedly between urban and rural areas. Deaths due to infectious diseases, respiratory diseases, pregnancy and childbirth, and injuries and poisoning are much higher in rural areas; those due to pertussis, dysentery, typhoid, hepatitis, rabies, and anthrax are much more common in the apparently poorer provinces. Schistosomiasis remains a major problem in some provinces. Goiter and cretinism are still major diseases in many parts of China, especially those areas with iodine deficiency. CONCLUSIONS. Cause-of-death patterns in Chinese cities are similar to those of industrially developed countries such as Australia, Japan, and the United States. Such patterns in the poorer rural areas are much more typical of those of developing countries. PMID:8179041

  1. Health status of the Italian people: gender inequalities. Commentary.

    PubMed

    Sabetta, Tiziana; Ricciardi, Walter

    2016-01-01

    Differences between male and female affect diseases onset, evolution and prognosis. In terms of survival, women have a higher life expectancy at birth than men, with strong differences at regional level (the highest values in Trento AP and the lowest in Campania). Smoking, alcohol consumption, overweight and obesity and physical activities indicators are analyzed among men and woman. A reduction in smokers and number of smoked cigarettes is observed, especially among men. Men also show a higher number of ex-smokers than woman. Also for alcohol consumption, the prevalence of consumers at risk is higher among men than women. Overweight and obesity are more prevalent among men than women, the same as physical activity played continuously and occasionally. Gender differences are also shown in hospitalization rate and mortality rate for ischemic heart disease, affecting men twice more than women. The analysis shows a good health status condition of Italian people, but it is important to be aware that gender is one of essential characteristics in health care field, independently of people age. PMID:27364387

  2. Status of the world's remaining closed forests: An assessment using satellite data and policy options

    USGS Publications Warehouse

    Singh, A.; Shi, H.; Foresman, T.; Fosnight, E.A.

    2001-01-01

    Historically, it appears that some of the WRCF have survived because i) they lack sufficient quantity of commercially valuable species; ii) they are located in remote or inaccessible areas; or iii) they have been protected as national parks and sanctuaries. Forests will be protected when people who are deciding the fate of forests conclude than the conservation of forests is more beneficial, e.g. generates higher incomes or has cultural or social values, than their clearance. If this is not the case, forests will continue to be cleared and converted. In the future, the WRCF may be protected only by focused attention. The future policy options may include strategies for strong protection measures, the raising of public awareness about the value of forests, and concerted actions for reducing pressure on forest lands by providing alternatives to forest exploitation to meet the growing demands of forest products. Many areas with low population densities offer an opportunity for conservation if appropriate steps are taken now by the national governments and international community. This opportunity must be founded upon the increased public and government awareness that forests have vast importance to the welfare of humans and ecosystems' services such as biodiversity, watershed protection, and carbon balance. Also paramount to this opportunity is the increased scientific understanding of forest dynamics and technical capability to install global observation and assessment systems. High-resolution satellite data such as Landsat 7 and other technologically advanced satellite programs will provide unprecedented monitoring options for governing authorities. Technological innovation can contribute to the way forests are protected. The use of satellite imagery for regular monitoring and Internet for information dissemination provide effective tools for raising worldwide awareness about the significance of forests and intrinsic value of nature.

  3. Determinants of health and nutritional status of rural Nigerian women.

    PubMed

    Ene-Obong, H N; Enugu, G I; Uwaegbute, A C

    2001-12-01

    This study was undertaken to determine the effects of socioeconomic and cultural factors on the health and nutritional status of 300 women of childbearing age in two rural farming communities in Enugu State, Nigeria. The women were engaged in farming, trading, and teaching. A cross-sectional survey was conducted using both qualitative and quantitative data-collection methods. The study involved focus-group discussions (FGDs), interviews using a questionnaire, measurement of food/nutrient intake, assessment of activity patterns, anthropometry, and observations of clinical signs of malnutrition. The better-educated women had higher incomes than those with little or no education. Poor education was mainly attributed to lack of monetary support by parents (34%), marriage while in school (27%), and sex discrimination (21%). The teachers had significantly (p < 0.05) better health status, health and nutrition knowledge, food habits, nutrient intake, and self-concept, and adhered less to detrimental cultural practices. However, none of the women met their iron, riboflavin and niacin requirements. More cases of chronic energy deficiency were observed among the farmers (16%) and traders (13%) than among the teachers (5%). Generally, the women worked long hours with reported working hours (6-7 hours) being lower than the observed working hours (11 hours) for the traders and teachers. Income had a significant (p < 0.05) positive correlation with all nutritional variables, except vitamin C, age-at-marriage (r = 0.719), and nutrition knowledge (r = 0.601). Age-at-marriage had a positive correlation with body mass index (BMI) and all nutritional variables but was significant (p < 0.05) for protein (r = 0.362), calcium (r = 0.358), iron (r = 0.362), riboflavin (r = 0.364), and vitamin C (r = 0.476). Workload was negatively correlated with protein intake (r = 0.346; p < 0.05). Meal frequencies for more than 70% of the farmers and petty traders and 42% of the teachers were dependent

  4. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Adjustment of status of certain health care workers. 1245.14 Section 1245.14 Aliens and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS ADJUSTMENT OF STATUS TO THAT OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.14 Adjustment of status...

  5. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Adjustment of status of certain health care workers. 1245.14 Section 1245.14 Aliens and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS ADJUSTMENT OF STATUS TO THAT OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.14 Adjustment of status...

  6. Health status and its determinants in South Africa.

    PubMed

    Yach, D

    1994-03-01

    South Africa's apartheid policies have had direct and indirect effects on morbidity and death that will likely remain for decades. Since 1964, the economy has largely been deteriorating, while the population has grown at 2.8%/year, both of which have hampered economic development and health. South Africa needs to supply water, sanitation, and housing to 75% of the population. Rural development is needed to stem malnutrition, soil erosion, and overgrazing. Urban development design and planning must include health. Schooling needs to improve educators can emphasize school health education. Electricity and better lighting are needed to reduce chest diseases and paraffin poisoning and to improve literacy and learning. Labor migration has contributed to a high rate of sexually transmitted diseases and HIV/AIDS in rural areas. In some cases, industry and the public sector have become partners to improve health. The alcohol industry sponsors drive safe campaigns. South Africans need to address inequalities in health status by race, region, and gender, and to follow a holistic development approach. Infant mortality is just 6.4/1000 for Whites, while it is 66.7/1000 for Blacks. It is 1.5 times lower in the best region than it is in the worst region. 2 of every 25 children die before their first birthday among Africans living in the poorest third of South Africa. 42% of Black men who live to 15 years die before their 60th birthday, while just 17.5% of like White women do. Black children less than 5 years old have an almost 9-fold excess in deaths over White children. The tuberculosis rate is among the highest in the world and is likely to increase as HIV/AIDS spreads. Many other preventable diseases occur among South Africans. 5-8% of the population suffer a disability. South Africa has the highest per capita violence mortality rate worldwide (59.2/100,000 vs. 9.6/100,000 in the US). South Africa is likely to face increases in lung cancer, chronic lung disease, heart disease

  7. Time to get healthy: associations of time perspective with perceived health status and health behaviors.

    PubMed

    Griva, Fay; Tseferidi, Sofia-Ioanna; Anagnostopoulos, Fotios

    2015-01-01

    The present study examined the associations of time perspective (TP) with health behaviors including smoking, exercise, and body mass index (BMI), and perceptions of health status after controlling for sociodemographic factors. Participants (N = 413) completed a web-based questionnaire that included a short version of the Zimbardo Time Perspective Inventory, and reported their weight, height, smoking, and exercise frequency. Future TP was associated with more physical exercise, whereas past-negative and present-fatalistic dimensions were associated with higher BMI. Smoking was not associated with any of the TP dimensions. Additionally, all of the dimensions of TP were found to be associated with conceptually relevant perceptions of health status. Research on TP predominantly focuses on the future and the present orientation, but the findings of the present study suggest that all dimensions of TP should be used in health-related research. Also, issues regarding the role of the present-hedonistic dimension are discussed and directions for future research are proposed. PMID:24784153

  8. Environmental monitoring and assessment program forest health monitoring quality assurance project plan for detection monitoring project

    SciTech Connect

    Cline, S.P.; Alexander, S.A.; Barnard, J.E.

    1995-05-01

    The Quality Assurance Project Plan (QAP) is written specifically for the Detection Minitoring project of the interagency Forest Health Monitoring (FHM) program. Sections 1 through 3 briefly explain key features of the Environmental Monitoring and Assessment Program (EMAP), the FHM program, and their interrelationship, respectively. Section 4 describes the general quality assurance (QA) requirements for the FHM Detection Monitoring project. Section 5 contains the separate QAPs for each forest condition indicator: site condition and tree growth and regeneration, tree crown condition, tree damage assessment, photosynthetically active radiation (PAR), vegetation structure, ozone bioindicator plants, and lichen communities.

  9. Older Adults With Intellectual Disability in Residential Care Centers in Israel: Health Status and Service Utilization

    ERIC Educational Resources Information Center

    Merrick, Joav; Davidson, Philip W.; Morad, Mohammed; Janicki, Matthew P.; Wexler, Orren; Henderson, C. Michael

    2004-01-01

    To determine their health status, we studied 2,282 Israeli adults with intellectual disability who were at least 40 years of age and lived in residential care. Results showed that age is a significant factor in health status. The frequency of different disease categories (e.g., cardiovascular disease, cancer, and sensory impairments) increased…

  10. Income Inequality and Health Status in the United States: Evidence from the Current Population Survey.

    ERIC Educational Resources Information Center

    Mellor, Jennifer M.; Milyo, Jeffrey

    2002-01-01

    Current Population Survey data on self-reported health status and income for the general population and those in poverty were analyzed. No consistent association was found between income inequality and individual health status. Previous findings of such an association were attributed to ecological fallacy or failure to control for individual…

  11. Marketing and Quality of Life: A Model for Improving Perinatal Health Status

    ERIC Educational Resources Information Center

    Dever, G. E. Alan; Smith, Leah T.; Stamps, Bunnie V.

    2005-01-01

    Introduction: A marketing/business model using non-traditional Quality of Life measures was developed to assess perinatal health status on a micro-geographic level. This perinatal health status needs assessment study for Georgia South Central Region was conducted for the years 1994-1999. The model may be applied to any geographic unit in the…

  12. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... of Foreign Nursing Schools or the National Board of Certification in Occupational Therapy. ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Adjustment of status of certain health...

  13. Validation and Impact of Caregivers’ Oral Health Knowledge and Behavior on Children’s Oral Health Status

    PubMed Central

    Wilson, Anne R; Brega, Angela G; Campagna, Elizabeth; Braun, Patricia A; Henderson, William G; Bryant, Lucinda L; Batliner, Terrence S; Quissell, David O; Albino, Judith

    2015-01-01

    Purpose The purpose was to validate oral health knowledge and behavior measures from the Basic Research Factors Questionnaire, developed to capture specific themes contributing to children’s oral health outcomes and influence of caregivers. Methods Data were collected as part of a randomized clinical trial (N=992) aimed at reducing dental caries in young children. Participants were American Indian/Alaska Native caregivers with a child aged three to five years enrolled in a Navajo Nation Head Start Center. Caregivers completed the questionnaire at enrollment with concomitant evaluation of children for decayed, missing, and filled tooth surfaces (dmfs). Oral health knowledge and behavior outcomes were compared with convergent measures (participant sociodemographic characteristics, oral health attitudes, indicators of oral health status). Results Caregiver oral health knowledge was significantly associated with education, income, oral health behavior, and all but one of the oral health attitude measures. Behavior was significantly associated with several measures of oral health attitudes and all but one measure of oral health status. As the behavior score improved, dmfs declined, child/caregiver overall oral health status improved, and pediatric oral health quality of life improved. Conclusions Questionnaire measures were valid for predicting specific caregiver factors potentially contributing to children’s oral health status. PMID:26892215

  14. The Influence of Religious Coping and Religious Social Support on Health Behaviour, Health Status and Health Attitudes in a British Christian Sample.

    PubMed

    Brewer, Gayle; Robinson, Sarita; Sumra, Altaf; Tatsi, Erini; Gire, Nadeem

    2015-12-01

    Previous research has established a relationship between religion and health. However, the specific aspects of religion which may influence health are not fully understood. The present study investigates the effect of religious social support and religious coping on health behaviours, health status and attitudes to health whilst controlling for age and non-religious social support. The results indicate religious coping and religious social support positively impact on self-reported current health status, depression, health outlook and resistance susceptibility. However, negative religious coping was predictive of increased alcohol consumption. Overall congregational support and negative religious coping had the greatest impact on health. PMID:25343948

  15. An ecosystem report on the Panama Canal: Monitoring the status of the forest communities and the watershed

    USGS Publications Warehouse

    Ibanez, R.; Condit, R.; Angehr, G.; Aguilar, S.; Garcia, T.; Martinez, R.; Sanjur, A.; Stallard, R.; Wright, S.J.; Rand, A.S.; Heckadon, S.

    2002-01-01

    In 1996, the Smithsonian Tropical Research Institute and the Republic of Panama's Environmental Authority, with support from the United States Agency for International Development, undertook a comprehensive program to monitor the ecosystem of the Panama Canal watershed. The goals were to establish baseline indicators for the integrity of forest communities and rivers. Based on satellite image classification and ground surveys, the 2790 km2 watershed had 1570 km2 of forest in 1997, 1080 km2 of which was in national parks and nature monuments. Most of the 490 km2 of forest not currently in protected areas lies along the west bank of the Canal, and its management status after the year 2000 turnover of the Canal from the U.S. to Panama remains uncertain. In forest plots designed to monitor forest diversity and change, a total of 963 woody plant species were identified and mapped. We estimate there are a total of 850-1000 woody species in forests of the Canal corridor. Forests of the wetter upper reaches of the watershed are distinct in species composition from the Canal corridor, and have considerably higher diversity and many unknown species. These remote areas are extensively forested, poorly explored, and harbor an estimated 1400-2200 woody species. Vertebrate monitoring programs were also initiated, focusing on species threatened by hunting and forest fragmentation. Large mammals are heavily hunted in most forests of Canal corridor, and there was clear evidence that mammal density is greatly reduced in hunted areas and that this affects seed predation and dispersal. The human population of the watershed was 113 000 in 1990, and grew by nearly 4% per year from 1980 to 1990. Much of this growth was in a small region of the watershed on the outskirts of Panama City, but even rural areas, including villages near and within national parks, grew by 2% per year. There is no sewage treatment in the watershed, and many towns have no trash collection, thus streams near large

  16. An ecosystem report on the Panama Canal: monitoring the status of the forest communities and the watershed.

    PubMed

    Ibáñez, Roberto; Condit, Richard; Angehr, George; Aguilar, Salomón; García, Tomas; Martínez, Raul; Sanjur, Amelia; Stallard, Robert; Wright, S Joseph; Rand, A Stanley; Heckadon, Stanley

    2002-11-01

    In 1996, the Smithsonian Tropical Research Institute and the Republic of Panama's Environmental Authority, with support from the United States Agency for International Development, undertook a comprehensive program to monitor the ecosystem of the Panama Canal watershed. The goals were to establish baseline indicators for the integrity of forest communities and rivers. Based on satellite image classification and ground surveys, the 2790 km2 watershed had 1570 km2 of forest in 1997, 1080 km2 of which was in national parks and nature monuments. Most of the 490 km2 of forest not currently in protected areas lies along the west bank of the Canal, and its management status after the year 2000 turnover of the Canal from the U.S. to Panama remains uncertain. In forest plots designed to monitor forest diversity and change, a total of 963 woody plant species were identified and mapped. We estimate there are a total of 850-1000 woody species in forests of the Canal corridor. Forests of the wetter upper reaches of the watershed are distinct in species composition from the Canal corridor, and have considerably higher diversity and many unknown species. These remote areas are extensively forested, poorly explored, and harbor an estimated 1400-2200 woody species. Vertebrate monitoring programs were also initiated, focusing on species threatened by hunting and forest fragmentation. Large mammals are heavily hunted in most forests of Canal corridor, and there was clear evidence that mammal density is greatly reduced in hunted areas and that this affects seed predation and dispersal. The human population of the watershed was 113 000 in 1990, and grew by nearly 4% per year from 1980 to 1990. Much of this growth was in a small region of the watershed on the outskirts of Panama City, but even rural areas, including villages near and within national parks, grew by 2% per year. There is no sewage treatment in the watershed, and many towns have no trash collection, thus streams near large

  17. Use of medicinal plants for human health in Udzungwa Mountains Forests: a case study of New Dabaga Ulongambi Forest Reserve, Tanzania.

    PubMed

    Kitula, Rukia A

    2007-01-01

    The dependence of local people on plant medicine from natural forests has a long tradition in Tanzania and is becoming increasingly popular among rural and urban communities due to among others increase in living costs. The study on utilization of medicinal plants for meeting heath care needs was carried out between March 2001 and March 2002 in New Dabaga Ulongambi Forest Reserve, Tanzania. The study aimed at generating necessary data for the Udzungwa Mountains Forest Management project to draft sound Joint Forest Management plans. Specific objectives of the study among others were to assess knowledge associated with utilization of medicinal plants for health care needs as well as factors associated in using plant medicines in the study area. A questionnaire survey, market survey and literature review were used to collect information. Tools used for data analysis were Statistical Packages for Social Science and content analysis. A total of 45 plant species were documented curing about 22 human diseases. Medicinal plants were readily available throughout the year and plentiful in the forest reserve. Roots and leaves were the plant parts harvested for medicinal purposes. Processing of plant medicines involved boiling, pounding, soaking in water and chewing. Distance to health facility, income level of the household and beliefs contributed to the use of plant medicines. The study concluded that medicinal plants play an important role in providing primary health care to the rural communities. It is recommended that in achieving joint forest management (JFM), villagers adjacent to the forest reserve should be sensitised on the importance of JFM through seminars, workshops, drama, school songs or video show. During the development of a joint draft management plan, villagers as an informal institution must define their priority needs of use of parts of the forest in collaboration with the Udzungwa Mountains Forest Management project. PMID:17257410

  18. Current knowledge of US metal and nonmetal miner health: Current and potential data sources for analysis of miner health status

    PubMed Central

    Yeoman, K. M.; Halldin, C. N.; Wood, J.; Storey, E.; Johns, D.; Laney, A. S.

    2016-01-01

    ABSTRACT Little is known about the current health status of US metal and nonmetal (MNM) miners, in part because no health surveillance systems exist for this population. The National Institute for Occupational Safety and Health (NIOSH) is developing a program to characterize burden of disease among MNM miners. This report discusses current knowledge and potential data sources of MNM miner health. Recent national surveys were analyzed, and literature specific to MNM miner health status was reviewed. No robust estimates of disease prevalence were identified, and national surveys did not provide information specific to MNM miners. Because substantial gaps exist in the understanding of MNM miners' current health status, NIOSH plans to develop a health surveillance program for this population to guide intervention efforts to reduce occupational and personal risks for chronic illness. PMID:25658684

  19. Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China: Are They Related?

    PubMed

    Wang, Qing; Shen, Jay J

    2016-01-01

    Cardiovascular diseases (CVDs) are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS), a Probit model and Two-Stage Residual Inclusion estimation estimator were applied to analyze the relationship between childhood health status and adulthood cardiovascular disease in rural China. Good childhood health was associated with reduced risk of adult CVDs. Given the long-term effects of childhood health on adulthood health later on, health policy and programs to improve the health status and well-being of Chinese populations over the entire life cycle, especially in persons' early life, are expected to be effective and successful. PMID:27275829

  20. Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China: Are They Related?

    PubMed Central

    Wang, Qing; Shen, Jay J.

    2016-01-01

    Cardiovascular diseases (CVDs) are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS), a Probit model and Two-Stage Residual Inclusion estimation estimator were applied to analyze the relationship between childhood health status and adulthood cardiovascular disease in rural China. Good childhood health was associated with reduced risk of adult CVDs. Given the long-term effects of childhood health on adulthood health later on, health policy and programs to improve the health status and well-being of Chinese populations over the entire life cycle, especially in persons’ early life, are expected to be effective and successful. PMID:27275829

  1. Selected Health Status Indicators and Behaviors of Young Adults, United States-2003

    ERIC Educational Resources Information Center

    Eaton, Danice K.; Kann, Laura; Okoro, Catherine A.; Collins, Janet

    2007-01-01

    This study examined the prevalence of selected clinical preventive health services, health status indicators, health risk behaviors, and health-promoting behaviors among adults aged 18 to 24 years in the general U.S. population. The study analyzed data from the 2003 Behavioral Risk Factor Surveillance System. Nearly 30% of young adults lacked…

  2. Assessing the conservation status of neotropical dry forests using geographical information systems and optical remote sensing

    NASA Astrophysics Data System (ADS)

    Portillo, Carlos Alonso

    This thesis is composed of five chapters assessing the following specific goals: (1) To estimate the extent and geographic distribution of the neotropical dry forest. (2) To evaluate the potential use of satellite-detected fires as deforestation predictors in tropical dry forest and (3) To evaluate the potential of remote sensing techniques to detect edge effects in tropical dry forest. Preliminarily, in chapter two, I present a literature review of the techniques and concepts behind remote sensing of biodiversity. Here, I stress out the necessity of integrated assessments using multiple spatial and spectral resolution sensors over a wide array of ecosystems in order to find relevant ecosystem properties that would be sensitive to taxonomic and functional biodiversity. Chapter three describes a regional scale mapping effort of the extent and geographical distribution of tropical dry forests. Our results indicate that the total extent of tropical dry forest in the Americas is 519,597 Km2 with only 4.5% being under protected areas. Results are also presented by subregions and countries. In Chapter four, we show correlations patterns between the number of MODIS Active Fires and forest cover change in four tropical dry forest landscapes in Latin America. At the Santa Cruz site (Bolivia), correlations were strong and significant while at Chamela Site (Mexico) and the Mata Seca site (Brazil) correlations were moderate but significant as well. Chapter five addresses the magnitude of disturbances near the edges of dry forest fragments (edge effects). Results in gap fraction and Fraction of Intercepted Photosynthetically Active Radiation (FiPAR) show that edge influence at tropical dry forests can extend to at least 300-m. Finally, Chapter Six shows the correlation between FiPAR changes at the forest edge and spectral vegetation indices (SVIs) computed from the hyperspectral and multiangular satellite imagery. The work contained in these five chapters address issues that

  3. Immigrant Status, Mental Health Need, and Mental Health Service Utilization among High-Risk Hispanic and Asian Pacific Islander Youth

    ERIC Educational Resources Information Center

    Gudino, Omar G.; Lau, Anna S.; Hough, Richard L.

    2008-01-01

    This study examined youth mental health service (MHS) use as a function of family immigrant status and type of mental health need (internalizing vs. externalizing). A sample of Hispanic and Asian/Pacific Islander families (youth ages 11-18; N = 457) involved with public sectors of care provided reports of youth mental health need during an initial…

  4. The health status of adults on the autism spectrum.

    PubMed

    Croen, Lisa A; Zerbo, Ousseny; Qian, Yinge; Massolo, Maria L; Rich, Steve; Sidney, Stephen; Kripke, Clarissa

    2015-10-01

    Compared to the general pediatric population, children with autism have higher rates of co-occurring medical and psychiatric illnesses, yet very little is known about the general health status of adults with autism. The objective of this study was to describe the frequency of psychiatric and medical conditions among a large, diverse, insured population of adults with autism in the United States. Participants were adult members of Kaiser Permanente Northern California enrolled from 2008 to 2012. Autism spectrum disorder cases (N = 1507) were adults with autism spectrum disorder diagnoses (International Classification of Diseases-9-Clinical Modification codes 299.0, 299.8, 299.9) recorded in medical records on at least two separate occasions. Controls (N = 15,070) were adults without any autism spectrum disorder diagnoses sampled at a 10:1 ratio and frequency matched to cases on sex and age. Adults with autism had significantly increased rates of all major psychiatric disorders including depression, anxiety, bipolar disorder, obsessive-compulsive disorder, schizophrenia, and suicide attempts. Nearly all medical conditions were significantly more common in adults with autism, including immune conditions, gastrointestinal and sleep disorders, seizure, obesity, dyslipidemia, hypertension, and diabetes. Rarer conditions, such as stroke and Parkinson's disease, were also significantly more common among adults with autism. Future research is needed to understand the social, healthcare access, and biological factors underlying these observations. PMID:25911091

  5. Private religious practice, spiritual coping, social support, and health status among older Korean adult immigrants.

    PubMed

    Lee, Kyoung Hag; Hwang, Myung Jin

    2014-01-01

    This study explored the role of spiritual factors and social support on the health status of 246 older Korean adult immigrants age 65 years or older. Ordinary least squares regression results revealed that private religious practice, spiritual coping, and social support were significantly associated with improved health status. However, stressors such as the lack of English proficiency and transportation, longer residency in the United States, and financial problems were significantly associated with lower health status. Social workers need to consider providing appropriate spiritual interventions and social support programs for older Korean adult immigrants so that they may better handle their stressors and health problems. PMID:25068608

  6. Spatial distributions of forest aboveground biomass and landscape dynamics associated with conservation status and ownership in New England, USA

    NASA Astrophysics Data System (ADS)

    Zheng, D.; Heath, L. S.; Ducey, M. J.

    2009-05-01

    We combined remote sensing derived forest aboveground biomass (AGB) estimation and the Conservation Biology Institute/World Wildlife Fund Protected Area Database using GIS techniques and spatial pattern analysis to illustrate how different conservation status and ownership could affect the landscape dynamics and spatial distributions of AGB in New England states, USA. The AGB means between all pairs of protection status and ownership categories were significantly different (P < 0.05). The highest mean AGB was observed in the protected public lands (156 Mg/ha), 44% higher than the lowest AGB mean (108 Mg/ha) observed in private regulated lands (privately owned but under the regulatory control by a state agency), or 30% higher than that in privately owned lands on average (120 Mg/ha). Seventy-seven percent of the regional forests with AGB > 200 Mg/ha, totaling about 9,300 km2, were located outside protected areas and were concentrated in western MA, southern VT, southwestern NH, and northwestern CT. The fragmentation rate in protected public lands between 1992 and 2001 was the least with greater rates were observed in privately regulated and non-regulated lands. Changing rates for the 4 representative fragmentation indices (patch density (PD), edge density (ED), landscape shape index (LSI), and mean patch size (MPS)) ranged from 1% in MPS to 6% in PD in protected public lands during the 9-year period whereas the mean changing rates ranged from 21% in LSI to 32% in PD in private lands. Thus, ownership and conservation status appears to have a strong impact on the dynamic changes of landscape structures in the region. These results indicate that if maintenance and enhancement of relatively unfragmented, high-AGB forest is a goal, expansion of protected areas appears to be an important management strategy.

  7. Lying behavior and postpartum health status in grazing dairy cows.

    PubMed

    Sepúlveda-Varas, P; Weary, D M; von Keyserlingk, M A G

    2014-10-01

    following calving compared with healthy cows; multiparous severely lame cows spent more time lying down (1.7 h longer per day) compared with multiparous cows that were nonlame. Clinically lame cows had fewer lying bouts per day and these bouts were of longer duration than healthy nonlame cows. In summary, changes in lying behavior after calving were associated with postpartum health status in grazing dairy cows. PMID:25151885

  8. Strand I, Physical Health: Health Status. Health Curriculum Materials for Grades 4-6.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Curriculum Development Center.

    This health curriculum guide, intended for use with children in grades four through six, contends that the school is in a unique position to supplement efforts by home and community in raising the levels of physical, mental, and social-emotional health for each child. The contents of the guide are presented in outline form and cover observing…

  9. No exit? The effect of health status on dissatisfaction and disenrollment from health plans.

    PubMed Central

    Schlesinger, M; Druss, B; Thomas, T

    1999-01-01

    OBJECTIVE: To examine the implications of serious and chronic health problems on the willingness of enrollees to switch health plans if they are dissatisfied with their current arrangements. DATA SOURCE: A large (20,283 respondents) survey of employees of three national corporations committed to the model of managed competition, with substantial enrollment in four types of health plans: fee-for-service, prepaid group practice, independent practice associations, and point-of-service plans. STUDY DESIGN: A set of logistic regression models are estimated to determine the probability of disenrollment, if dissatisfied, controlling for the influence on satisfaction and disenrollment of age, race, education, family income and size, gender, marital status, mental health status, pregnancy, duration of employment and enrollment in the plan, number of alternative plans, and HMO penetration in the local market. Separate coefficients are estimated for enrollees with and without significant physical health problems. Additional models are estimated to test for the influence of selection effects as well as alternative measures of dissatisfaction and health problems. DATA COLLECTION: Data were collected through a mailed survey with a response rate of 63.5 percent; comparisons to a subsample administered by telephone showed few differences. PRINCIPAL FINDINGS: In group/staff model HMOs and point-of-service plans, only 12-17 percent of the chronically ill enrollees who were so dissatisfied when surveyed that they intended to disenroll actually left their plan in the next open enrollment period. This compared to 25-29 percent of the healthy enrollees in these same plans, who reported this level of dissatisfaction and 58-63 percent of the enrollees under fee-for-service insurance. CONCLUSIONS: Switching plans appears to be significantly limited for enrollees with serious health problems, the very enrollees who will be best informed about the ability of their health plan to provide

  10. Status of precommercial-sized softwoods in Louisiana, 1991. Forest Service research paper

    SciTech Connect

    Rosson, J.F.

    1994-01-01

    Data on precommercial-sized softwoods in seedling- and sapling-sized stands are presented and discussed. Inadequate levels of softwood stocking in NIPF (Nonindustrial private forest) lands could diminish long-term supplies of softwood in the State.

  11. Family Legal Status and Health: Measurement Dilemmas in Studies of Mexican-Origin Children

    PubMed Central

    Oropesa, R.S.; Landale, Nancy S.; Hillemeier, Marianne M.

    2015-01-01

    Family legal status is a potentially important source of variation in the health of Mexican-origin children. However, a comprehensive understanding of its role has been elusive due to data limitations and inconsistent measurement procedures. Using restricted data from the 2011-2012 California Health Interview Survey, we investigate the implications of measurement strategies for estimating the share of children in undocumented families and inferences about how legal status affects children's health. The results show that inferences are sensitive to how this “fundamental cause” is operationalized under various combinatorial approaches used in previous studies. We recommend alternative procedures with greater capacity to reveal how the statuses of both parents affect children's well-being. The results suggest that the legal statuses of both parents matter, but the status of mothers is especially important for assessments of child health. The investigation concludes with a discussion of possible explanations for these findings. PMID:26056934

  12. Re-testing theories on the correlations of health status, life satisfaction and happiness

    PubMed Central

    Bourne, Paul Andrew; Morris, Chloe; Eldemire-Shearer, Denise

    2010-01-01

    Background: Empirical evidences have shown that happiness, life satisfaction and health status are strongly correlated with each other. In Jamaica, we continue to collect data on health status to guide policies and intervention programs, but are these wise? Aims: The current study aims to fill the gap in the literature by examining life satisfaction, health status, and happiness in order to ascertain whether they are equivalent concepts in Jamaica as well as the coverage of the estimates. Materials and Methods: The current study used a cross-sectional survey of 2000 men 55 years and older from the parish of St. Catherine in 2007 which is it also generalizable to the island. A132-item questionnaire was used to collect the data. The instrument was sub-divided into general demographic profile of the sample; past and Current Good Health Status; health-seeking behavior; retirement status; social and functional status. Ordinal logistic regression techniques were utilized to examine determinants of happiness, life satisfaction and health status. Results: Happiness was correlated with life satisfaction - Pseudo r-squared = 0.311, -2LL = 810.36, χ2 = 161.60, P < 0.0001. Life satisfaction was determined by happiness - Pseudo r-squared = 0.321, -2LL = 1069.30, χ2 = 178.53, P < 0.0001. H ealth status was correlated with health status age, income, education and area of residence - Pseudo r-squared = 0.313, -2LL = 810.36, χ2 = 161.60, P < 0.0001. Conclusion: The current study refuted the empirical finding that self-reported happiness depends on perceived health status for older men in Jamaica. PMID:22558580

  13. Oral health status and temporomandibular disorders in multiple sclerosis patients.

    PubMed

    Kovac, Zoran; Uhac, Ivone; Buković, Dino; Cabov, Tomislav; Kovacević, Daniela; Grzić, Renata

    2005-12-01

    Multiple sclerosis (MS) is an inflammatory disease of unknown etiology involving the central nervous system. Certain clinical manifestations affect the oro-facial region. Three in particular should be of interest to the dentist: trigeminal neuralgia, sensory neuropathy of the trigeminal nerve and facial palsy. The aim of this study was to determine the oral health status, the frequency of subjective symptoms and temporomandibular disorders (TMD) subtype according to Research diagnostic criteria for temporomandibular disorders (RDC/TMD) among MS patients. Examinees in this study were 50 patients suffering from MS, who were at least once treated during their disease in the Clinic Hospital Center, Rijeka, Clinic for Neurology. All examinees had to meet the diagnostic criteria for clinically and laboratory confirmed MS, according to Poser. The results show the difference in mean DMFT (decayed, missing, filled teeth) between MS and the control group. The number of decayed and missing teeth was higher, but the number of filled teeth was significantly lower in MS group. Eighty-two per cent of the subjects with MS had a least one symptom of dysfunction compared with 24% of the subjects in the healthy control group. In the present study, pain, the pain during mouth opening, the difficulty with mouth opening and temporomandibular joint (TMJ) sounds were more commonly reported in the MS group than in the control group. This study shows a statistically significant excess of dental caries and temporomandibular disorders among MS patients compared with the control group. These results suggest that MS is a possible etiological factor in temporomandibular disorders. PMID:16417141

  14. Evacuation of a mental health center during a forest fire in Israel.

    PubMed

    Kreinin, Anatoly; Shakera, Tatiana; Sheinkman, Ayala; Levi, Tamar; Tal, Vered; Polakiewicz, Jacob

    2014-08-01

    Tirat Carmel Mental Health Center was successfully evacuated in December 2010 during a ravaging forest fire in the nearby Carmel Mountains. A total of 228 patients were successfully evacuated from the center within 45 minutes. No fatalities or injuries associated with the evacuation occurred. We believe that the efficient functioning of the administrative and medical staff provides a replicable model that can contribute to the level of awareness and readiness of hospital staff members for natural and manmade disasters. PMID:24989110

  15. Race, Socioeconomic Status and Health: Complexities, Ongoing Challenges and Research Opportunities

    PubMed Central

    Williams, David R.; Mohammed, Selina A.; Leavell, Jacinta; Collins, Chiquita

    2012-01-01

    This paper provides an overview of racial variations in health and shows that differences in socioeconomic status (SES) across racial groups are a major contributor to racial disparities in health. However, race reflects multiple dimensions of social inequality and individual and household indicators of SES capture relevant but limited aspects of this phenomenon. Research is needed that will comprehensively characterize the critical pathogenic features of social environments and identify how they combine with each other to affect health over the life course. Migration history and status are also important predictors of health and research is needed that will enhance understanding of the complex ways in which race, SES, and immigrant status combine to affect health. Fully capturing the role of race in health also requires rigorous examination of the conditions under which medical care and genetic factors can contribute to racial and SES differences in health. The paper identifies research priorities in all of these areas. PMID:20201869

  16. Comparison of relative and non-relative adoptive parent health status.

    PubMed

    Foli, Karen J; Lim, Eunjung; Sands, Laura P

    2015-03-01

    Across the United States, kinship parents, extended family members and close friends, render care to the 2.7 million children who have been removed from their birth parents' care. However, differences between relative and non-relative parents reported health statuses have not been explored. The National Survey of Adoptive Parents data were used to investigate the health status of relative (n = 469) and non-relative (n = 1,599) adoptive parents. Perceived happiness in the parent-child relationship and the parents' ability to cope appear to affect parental health status. Only non-related mothers of children younger than 6 years reported better emotional health than those mothers who were related to their children. With this exception, and despite caring for children who have a greater likelihood of abuse, neglect, and exposure to drugs and alcohol prior to birth, the reported health statuses of relative parents did not differ from non-relative parents. PMID:24249305

  17. The impact of COPD on health status: findings from the BOLD study

    PubMed Central

    Janson, Christer; Marks, Guy; Buist, Sonia; Gnatiuc, Louisa; Gislason, Thorarinn; McBurnie, Mary Ann; Nielsen, Rune; Studnicka, Michael; Toelle, Brett; Benediktsdottir, Bryndis; Burney, Peter

    2013-01-01

    The aim of this study was to describe the impact of chronic obstructive pulmonary disease (COPD) on health status in the Burden of Obstructive Lung Disease (BOLD) populations. We conducted a cross-sectional, general population-based survey in 11 985 subjects from 17 countries. We measured spirometric lung function and assessed health status using the Short Form 12 questionnaire. The physical and mental health component scores were calculated. Subjects with COPD (post-bronchodilator forced expiratory volume in 1 s/forced vital capacity <0.70, n = 2269) had lower physical component scores (44±10 versus 48±10 units, p<0.0001) and mental health component scores (51±10 versus 52±10 units, p = 0.005) than subjects without COPD. The effect of reported heart disease, hypertension and diabetes on physical health component scores (-3 to -4 units) was considerably less than the effect of COPD Global Initiative for Chronic Obstructive Lung Disease grade 3 (-8 units) or 4 (-11 units). Dyspnoea was the most important determinant of a low physical and mental health component scores. In addition, lower forced expiratory volume in 1 s, chronic cough, chronic phlegm and the presence of comorbidities were all associated with a lower physical health component score. COPD is associated with poorer health status but the effect is stronger on the physical than the mental aspects of health status. Severe COPD has a greater negative impact on health status than self-reported cardiovascular disease and diabetes. PMID:23722617

  18. Evaluation of a regional monitoring program's statistical power to detect temporal trends in forest health indicators

    USGS Publications Warehouse

    Perles, Stephanie J.; Wagner, Tyler; Irwin, Brian J.; Manning, Douglas R.; Callahan, Kristina K.; Marshall, Matthew R.

    2014-01-01

    Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service’s Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of theVital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year−1 for all indicators and is appropriate for detecting a 1 % trend·year−1 in most indicators.

  19. Evaluation of a Regional Monitoring Program's Statistical Power to Detect Temporal Trends in Forest Health Indicators

    NASA Astrophysics Data System (ADS)

    Perles, Stephanie J.; Wagner, Tyler; Irwin, Brian J.; Manning, Douglas R.; Callahan, Kristina K.; Marshall, Matthew R.

    2014-09-01

    Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service's Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of the Vital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year-1 for all indicators and is appropriate for detecting a 1 % trend·year-1 in most indicators.

  20. Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases

    ERIC Educational Resources Information Center

    Glover, Saundra; Bellinger, Jessica D.; Bae, Sejong; Rivers, Patrick A.; Singh, Karan P.

    2010-01-01

    Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality…

  1. 77 FR 44107 - Information From Foreign Regions Applying for Recognition of Animal Health Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... Federal Register (76 FR 81404-81408, Docket No. APHIS-2007-0158) a proposal \\1\\ to amend the regulations... / Friday, July 27, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Animal and Plant Health... Animal Health Status AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Final...

  2. Early Identification of Mental Health Problems in Schools: The Status of Instrumentation

    ERIC Educational Resources Information Center

    Levitt, Jessica Mass; Saka, Noa; Romanelli, Lisa Hunter; Hoagwood, Kimberly

    2007-01-01

    When embedded within a continuum of mental health services including both prevention and treatment, school-based mental health identification programs can promote improved academic and mental health functioning among students. This article describes the scientific status of assessment instrumentation that may be used for early mental health…

  3. Relationships between Health Status, Self Esteem and Social Support among Adolescents: Gender and Race Group Differences.

    ERIC Educational Resources Information Center

    Landsberger, Betty H.

    To locate possible causes for the gender and race differences observed in adolescent health status, an analysis was made of the relationship between the scores of a national sample of 12- to 17-year-old adolescents on selected items of the National Center for Health Statistics' Health Examination Survey. Thirty survey items indicating social…

  4. Socioeconomic Status and the Health of Youth: A Multilevel, Multidomain Approach to Conceptualizing Pathways

    ERIC Educational Resources Information Center

    Schreier, Hannah M. C.; Chen, Edith

    2013-01-01

    Previous research has clearly established associations between low socioeconomic status (SES) and poor youth physical health outcomes. This article provides an overview of the main pathways through which low SES environments come to influence youth health. We focus on 2 prevalent chronic health problems in youth today, asthma and obesity. We…

  5. Feeling Frugal: Socioeconomic Status, Acculturation, and Cultural Health Beliefs among Women of Mexican Descent.

    ERIC Educational Resources Information Center

    Borrayo, Evelinn A.; Jenkins, Sharon Rae

    2003-01-01

    Investigates influences of acculturation, socioeconomic status (SES), and cultural health beliefs on Mexican-descent women's preventive health behaviors. In 5 focus group interviews sampling across levels of acculturation and SES, women expressing more traditional Mexican health beliefs about breast cancer screening were of lower SES and were less…

  6. Switching Swiss enrollees from indemnity health insurance to managed care: the effect on health status and stisfaction with care.

    PubMed Central

    Perneger, T V; Etter, J F; Rougemont, A

    1996-01-01

    OBJECTIVES. In 1992, most members of a Swiss indemnity health insurance plan were automatically transferred into a newly created managed care organization. This study examined whether this semivoluntary change affected enrollees' health status and satisfaction with care. METHODS. Three groups of enrollees were compared: 332 plan members who accepted the switch (managed care joiners); 186 plan members who opted to maintain indemnity coverage (non-joiners); and 296 persons continuosly enrolled in another indemnity plan (indemnity plan members). Health status, health related behaviors, and satisfaction with care received in the previous year were surveyed at baseline and 1 year later. RESULTS. Health status remained unchanged in all three groups. Smoking prevalence decreased among managed care joiners but remained constant in the other groups. Satisfaction with insurance coverage increased between baseline and follow-up in managed care joiners, but decreased in nonjoiners and indemnity plan members. The latter groups had higher satisfaction with health care, particularly with continuity of care. CONCLUSIONS. A semivoluntary switch from indemnity health insurance to managed care reduced satisfaction with health care but increased satisfaction with insurance coverage. There were no changes in self-perceived health status. PMID:8604765

  7. Determining provider choice for the treatment of mental disorder: the role of health and mental health status.

    PubMed Central

    Frank, R G; Kamlet, M S

    1989-01-01

    This article specifies and estimates a model of provider choice for mental health services. Three types of providers are identified: specialty mental health providers, general medical providers, and informal providers. Specific attention is paid to the role of health and mental health status in determining provider choice. The model is estimated using a multinomial logit approach applied to a sample of 2,800 respondents to the Baltimore Epidemiological Catchment Area Survey. The results are largely consistent with the previous work of Wells et al. (1982), suggesting that health and mental health status play an important role in the decision to seek care but have little effect on the type of provider chosen. The results also reveal that 22 percent of individuals obtaining mental health care did so through the informal care sector. One exemplary benefit design simulation is performed using the estimation results. PMID:2714994

  8. Artificial recharge of groundwater through sprinkling infiltration: impacts on forest soil and the nutrient status and growth of Scots pine.

    PubMed

    Nöjd, Pekka; Lindroos, Antti-Jussi; Smolander, Aino; Derome, John; Lumme, Ilari; Helmisaari, Heljä-Sisko

    2009-05-01

    We studied the chemical changes in forest soil and the effects on Scots pine trees caused by continuous sprinkling infiltration over a period of two years, followed by a recovery period of two years. Infiltration increased the water input onto the forest soil by a factor of approximately 1000. After one year of infiltration, the pH of the organic layer had risen from about 4.0 to 6.7. The NH(4)-N concentration in the organic layer increased, most probably due to the NH(4) ions in the infiltration water, as the net N mineralization rate did not increase. Sprinkling infiltration initiated nitrification in the mineral soil. Macronutrient concentrations generally increased in the organic layer and mineral soil. An exception, however, was the concentration of extractable phosphorus, which decreased strongly during the infiltration period and did not show a recovery within two years. The NO(3)-N and K concentrations had reverted back to their initial level during the two-year recovery period, while the concentrations of Ca, Mg and NH(4)-N were still elevated. Nutrient concentrations in the pine needles increased on the infiltrated plots. However, the needle P concentration increased, despite the decrease in plant-available P in the soil. Despite the increase in the nutrient status, there were some visible signs of chlorosis in the current-year needles after two years of infiltration. The radial growth of the pines more than doubled on the infiltrated plots, which suggests that the very large increase in the water input onto the forest floor had no adverse effect on the functioning of the trees. However, a monitoring period of four years is not sufficient for detecting potential long term detrimental effects on forest trees. PMID:19269680

  9. Moisture status during a strong El Niño explains a tropical montane cloud forest's upper limit.

    PubMed

    Crausbay, Shelley D; Frazier, Abby G; Giambelluca, Thomas W; Longman, Ryan J; Hotchkiss, Sara C

    2014-05-01

    Growing evidence suggests short-duration climate events may drive community structure and composition more directly than long-term climate means, particularly at ecotones where taxa are close to their physiological limits. Here we use an empirical habitat model to evaluate the role of microclimate during a strong El Niño in structuring a tropical montane cloud forest's upper limit and composition in Hawai'i. We interpolate climate surfaces, derived from a high-density network of climate stations, to permanent vegetation plots. Climatic predictor variables include (1) total rainfall, (2) mean relative humidity, and (3) mean temperature representing non-El Niño periods and a strong El Niño drought. Habitat models explained species composition within the cloud forest with non-El Niño rainfall; however, the ecotone at the cloud forest's upper limit was modeled with relative humidity during a strong El Niño drought and secondarily with non-El Niño rainfall. This forest ecotone may be particularly responsive to strong, short-duration climate variability because taxa here, particularly the isohydric dominant Metrosideros polymorpha, are near their physiological limits. Overall, this study demonstrates moisture's overarching influence on a tropical montane ecosystem, and suggests that short-term climate events affecting moisture status are particularly relevant at tropical ecotones. This study further suggests that predicting the consequences of climate change here, and perhaps in other tropical montane settings, will rely on the skill and certainty around future climate models of regional rainfall, relative humidity, and El Niño. PMID:24477832

  10. BMI and Health Status in the Bypass Angioplasty Revascularization Investigation 2 Diabetes Trial (BARI 2D)

    PubMed Central

    Chung, Sheng-Chia; Hlatky, Mark A.; Stone, Roslyn A.; Rana, Jamal S.; Escobedo, Jorge; Rogers, William J.; Bromberger, Joyce T.; Kelsey, Sheryl F.; Brooks, Maria Mori

    2011-01-01

    BACKGROUND The longitudinal association between obesity, weight variability and health status outcomes is important for patients with coronary disease and diabetes. METHODS The Bypass Angioplasty Revascularization Investigation 2 Diabetes trial (BARI 2D) was a multi-center randomized clinical trial to evaluate the best treatment strategy for patients with both documented stable ischemic heart disease and type 2 diabetes. We examined BARI 2D participants for four years to study how BMI was associated with health status outcomes. Health status was evaluated by the Duke Activity Status Index (DASI), RAND Energy/fatigue, Health Distress, and Self-rated health. BMI was measured quarterly throughout follow-up years, and health status was assessed at each annual follow-up visit. Variation in BMI measures was separated into between-person and within-person change in longitudinal analysis. RESULTS Higher mean BMI over follow-up years (the between-person BMI) was associated with poorer health status outcomes. Decreasing BMI (the within-person BMI change) was associated with better Self-rated health. The relationships between BMI variability and DASI or Energy appeared to be curvilinear, and differed by baseline obesity status. Decreasing BMI was associated with better outcomes if patients were obese at baseline, but was associated with poorer DASI and Energy outcomes if patients were non-obese at baseline. CONCLUSIONS For patients with stable ischemic heart disease and diabetes, weight gain was associated with poorer health status outcomes, independent of obesity-related comobidities. Weight reduction is associated with better functional capacity and perceived energy for obese patients but not for non-obese patients at baseline. PMID:21742107