Sample records for massachusetts health study

  1. Public Health Dental Hygienists in Massachusetts: A Qualitative Study.

    PubMed

    Rainchuso, Lori; Salisbury, Helen

    2017-06-01

    Purpose: The aim of this qualitative, phenomenological study was to explore the attitudes and perceptions of public health dental hygienists on providing preventive care to underserved populations in Massachusetts. Methods: Non-probability purposive sampling was used for initial participant recruitment, and snowball sampling occurred thereafter. Data collection occurred through semi-structured interviews. Qualitative analysis was conducted using Pitney and Parker's eight-step CREATIVE process. Results: Data saturation occurred with 10 participants (n=10), one-third of the public health dental hygienists who are practicing in Massachusetts. The majority of practice settings included school-based programs (70%), while programs for children with special needs (10%) were the least common. Two major themes emerged from the data; (a) the opportunity to be an oral health change agent and (b) barriers to practice. Six subcategories emerged from the data and are reviewed within the context of their associated themes. Additionally, career satisfaction emerged as an unintended theme, and was reported as the driving force for the majority of participants. Conclusion: This study revealed a better understanding of the public health dental hygiene workforce model in Massachusetts. Public health dental hygienists in Massachusetts perceive themselves as change agents within the health care profession, and although barriers to practice are plentiful, these oral health care professionals are committed to improving access to dental care. Copyright © 2017 The American Dental Hygienists’ Association.

  2. Purchasing power: business and health policy change in Massachusetts.

    PubMed

    Bergthold, L A

    1988-01-01

    As in many states around the country, health care costs in Massachusetts had risen to an unprecedented proportion of the state budget by the early 1980s. State health policymakers realized that dramatic changes were needed in the political process to break provider control over health policy decisions. This paper presents a case study of policy change in Massachusetts between 1982 and 1988. State officials formulated a strategy to mobilize corporate interests, which were already awakening to the problems of high health care costs, as a countervailing power to the political monopoly of provider interests. Once mobilized, business interests became organized politically and even became dominant at times, controlling both the policy agenda and its process. Ultimately, business came to be viewed as a permanent part of the coalitions and commissions that helped formulate state health policy. Although initially allied with provider interests, business eventually forged a stronger alliance with the state, an alliance that has the potential to force structural change in health care politics in Massachusetts for years to come. The paper raises questions about the consequences of such alliances between public and private power for both the content and the process of health policymaking at the state level.

  3. Health and Risk Behaviors of Massachusetts Youth, 2007: The Report

    ERIC Educational Resources Information Center

    Massachusetts Department of Elementary and Secondary Education, 2008

    2008-01-01

    This paper presents the results of two coordinated surveys of Massachusetts adolescents, the 2007 Massachusetts Youth Risk Behavior Survey (ESE) and the Massachusetts Youth Health Survey (DPH). These two surveys were supported by funding from the Centers for Disease Control and Prevention (CDC) and administered in a random selection of 124 public…

  4. The Effect of Massachusetts' Health Reform on Employer-Sponsored Insurance Premiums.

    PubMed

    Cogan, John F; Hubbard, R Glenn; Kessler, Daniel

    2010-01-01

    In this paper, we use publicly available data from the Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) to investigate the effect of Massachusetts' health reform plan on employer-sponsored insurance premiums. We tabulate premium growth for private-sector employers in Massachusetts and the United States as a whole for 2004 - 2008. We estimate the effect of the plan as the difference in premium growth between Massachusetts and the United States between 2006 and 2008-that is, before versus after the plan-over and above the difference in premium growth for 2004 to 2006. We find that health reform in Massachusetts increased single-coverage employer-sponsored insurance premiums by about 6 percent, or $262. Although our research design has important limitations, it does suggest that policy makers should be concerned about the consequences of health reform for the cost of private insurance.

  5. Universal Health Insurance Coverage in Massachusetts Did Not Change the Trajectory of Arthroplasty Use or Costs.

    PubMed

    Kurtz, Steven M; Lau, Edmund; Ong, Kevin L; Katz, Jeffrey N; Bozic, Kevin J

    2016-05-01

    The state of Massachusetts enacted universal health insurance in 2006. However it is unknown whether the increased access to care resulted in changes to surgical use or costs. We asked the following related research questions: compared with the United States as a whole, how did the (1) number of cases (as a percentage of the overall population, to account for changes in the overall population during the time surveyed), (2) payer mix, and (3) inpatient costs for arthroplasty change in Massachusetts after introduction of health insurance reform? We analyzed the use and cost of primary THAs and TKAs in Massachusetts using the State Inpatient Database (SID) between 2002 and 2011 compared with the Nationwide Inpatient Sample (NIS) during the same years. The SID captures 100% of inpatient procedures in Massachusetts, while the NIS is a nationally representative database of inpatient procedures for the United States. The SID and NIS are publicly available data sources from the Agency for Healthcare Research and Quality, and include information regarding procedure volumes, payer mixes, and costs. Inpatient costs were defined similarly in both databases by using hospital charges and an average cost-to-charge ratio that is unique for each hospital. The incidence of arthroplasties was calculated by dividing the procedure volume by the relevant population (either for Massachusetts or the entire country) based on public data from the United States Census bureau. The incidence of THAs and TKAs performed in Massachusetts increased steadily throughout the study period, and paralleled a similar increase in the United States as a whole. In Massachusetts, the incidence of THAs increased by 59% between 2002 and 2011, and the incidence of TKAs likewise increased by 80%. The trends for the incidence in total joint arthroplasties were similar to those for Massachusetts for the United States as a whole. The period of health insurance reform in Massachusetts was associated with a greater

  6. Change in Health Insurance Coverage in Massachusetts and Other New England States by Perceived Health Status: Potential Impact of Health Reform

    PubMed Central

    Zack, Matthew M.; Strine, Tara W.; Druss, Benjamin G.; Simoes, Eduardo

    2013-01-01

    Objectives. We examined the impact of Massachusetts health reform and its public health component (enacted in 2006) on change in health insurance coverage by perceived health. Methods. We used 2003–2009 Behavioral Risk Factor Surveillance System data. We used a difference-in-differences framework to examine the experience in Massachusetts to predict the outcomes of national health care reform. Results. The proportion of adults aged 18 to 64 years with health insurance coverage increased more in Massachusetts than in other New England states (4.5%; 95% confidence interval [CI] = 3.5%, 5.6%). For those with higher perceived health care need (more recent mentally and physically unhealthy days and activity limitation days [ALDs]), the postreform proportion significantly exceeded prereform (P < .001). Groups with higher perceived health care need represented a disproportionate increase in health insurance coverage in Massachusetts compared with other New England states—from 4.3% (95% CI = 3.3%, 5.4%) for fewer than 14 ALDs to 9.0% (95% CI = 4.5%, 13.5%) for 14 or more ALDs. Conclusions. On the basis of the Massachusetts experience, full implementation of the Affordable Care Act may increase health insurance coverage especially among populations with higher perceived health care need. PMID:23597359

  7. Exploring Massachusetts Health Care Reform Impact on Fee-for-Service-Funded Substance Use Disorder Treatment Providers.

    PubMed

    Fields, Dail; Pruett, Jana; Roman, Paul M

    2015-01-01

    The Affordable Care Act (ACA) is forecast to increase the demand for and utilization of substance use disorder (SUD) treatment. Massachusetts implemented health reforms similar to the ACA in 2006-2007 that included expanding coverage for SUD treatment. This study explored the impact of Massachusetts health reforms from 2007 to 2010 on SUD treatment providers in Massachusetts, who relied on fee-for-service billings for more than 50% of their revenue. The changes across treatment facilities located in Massachusetts were compared to changes in other similar fee-for-service-funded SUD treatment providers in Northeast states bordering Massachusetts and in all other states across the US. From 2007-2010, the percentage changes for Massachusetts based providers were significantly different from the changes among providers located in the rest of the US for admissions, outpatient census, average weeks of outpatient treatment, residential/in-patient census, detoxification census, length of average inpatient and outpatient stays, and provision of medication-assisted treatment. Contrary to previous studies of publicly funded treatment providers, the results of this exploratory study of providers dependent on fee-for-service revenues were consistent with some predictions for the overall effects of the ACA.

  8. The accountable health care act of Massachusetts: mixed results for an experiment in universal health care coverage.

    PubMed

    Norbash, Alexander; Hindson, David; Heineke, Janelle

    2012-10-01

    The affordable health care act of Massachusetts, signed into law in 2006, resulted in 98% of Massachusetts residents' having some form of insurance coverage by 2011, the highest coverage rate for residents of any state in the nation. With a strong economy, a low unemployment rate, a robust health care delivery system, an extremely low number of undocumented immigrants, and a low baseline uninsured rate, Massachusetts was well positioned for such an effort. Ingredients included mandates, the creation of separate insurance vehicles directed to both poverty-level and non-poverty-level residents, and the reallocation of the former free care pool. The mandates included consumer mandates and employer mandates; the consumer mandate applies to all Massachusetts residents at the risk of losing personal state tax exemptions, and the employer mandate applies to all Massachusetts businesses with 10 or more employees at the risk of per employee financial penalties. The insurance vehicles were created with premiums allocated on the basis of ability to pay by income classes. Unexpected effects included escalating taxpayer health care costs, with taxpayers shouldering the burden for the newly insured, continuing escalating health care costs at a rate greater than the national average, overburdening primary caregivers as newly insured sought new primary care gatekeepers in a system with primary caregiver shortages, and deprivation of support to the safety-net hospitals as a result of siphoned commonwealth free care pool funds. This exercise demonstrates specific benefits and shortfalls of the Massachusetts health care reform experiment, given the conditions and circumstances found in Massachusetts at the time of implementation. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  9. The Impacts of State Health Reform Initiatives on Adults in New York and Massachusetts

    PubMed Central

    Long, Sharon K; Stockley, Karen

    2011-01-01

    Objective To analyze the effects of health reform efforts in two large states—New York and Massachusetts. Data Sources/Study Setting National Health Interview Survey (NHIS) data from 1999 to 2008. Study Design We take advantage of the “natural experiments” that occurred in New York and Massachusetts to compare health insurance coverage and health care access and use for adults before and after the implementation of the health policy changes. To control for underlying trends not related to the reform initiatives, we subtract changes in the outcomes over the same time period for comparison groups of adults who were not affected by the policy changes using a differences-in-differences framework. The analyses are conducted using multiple comparison groups and different time periods as a check on the robustness of the findings. Data Collection/Extraction Methods Nonelderly adults ages 19–64 in the NHIS. Principal Findings We find evidence of the success of the initiatives in New York and Massachusetts at expanding insurance coverage, with the greatest gains reported by the initiative that was broadest in scope—the Massachusetts push toward universal coverage. There is no evidence of improvements in access to care in New York, reflecting the small gains in coverage under that state's reform effort and the narrow focus of the initiative. In contrast, there were significant gains in access to care in Massachusetts, where the impact on insurance coverage was greater and a more comprehensive set of reforms were implemented to improve access to a full array of health care services. The estimated gains in coverage and access to care reported here for Massachusetts were achieved in the early period under health reform, before the state's reform initiative was fully implemented. Conclusions Comprehensive reform initiatives are more successful at addressing gaps in coverage and access to care than are narrower efforts, highlighting the potential gains under national

  10. Massachusetts health reform: employer coverage from employees' perspective.

    PubMed

    Long, Sharon K; Stockley, Karen

    2009-01-01

    The national health reform debate continues to draw on Massachusetts' 2006 reform initiative, with a focus on sustaining employer-sponsored insurance. This study provides an update on employers' responses under health reform in fall 2008, using data from surveys of working-age adults. Results show that concerns about employers' dropping coverage or scaling back benefits under health reform have not been realized. Access to employer coverage has increased, as has the scope and quality of their coverage as assessed by workers. However, premiums and out-of-pocket costs have become more of an issue for employees in small firms.

  11. Massachusetts health reform and disparities in joint replacement use: difference in differences study

    PubMed Central

    Kapoor, Alok; Katz, Jeffrey N; McCormick, Danny; Lasser, Karen E; Feng, Chen; Manze, Meredith G; Kressin, Nancy R

    2015-01-01

    Objective To estimate the impact of the insurance expansion in 2006 on use of knee and hip replacement procedures by race/ethnicity, area income, and the use of hospitals that predominantly serve poor people (“safety net hospitals”). Design Quasi-experimental difference in differences study examining change after reform in the share of procedures performed in safety net hospitals by race/ethnicity and area income, with adjustment for patients’ residence, demographics, and comorbidity. Setting State of Massachusetts, United States. Participants Massachusetts residents aged 40-64 as the target beneficiaries of reform and similarly aged residents of New Jersey, New York, and Pennsylvania as the comparison (control) population. Main outcomes measures Number of knee and hip replacement procedures per 10 000 population and use of safety net hospitals. Procedure counts from state discharge data for 2.5 years before and after reform, and multivariate difference in differences. Poisson regression was used to adjust for demographics, economic conditions, secular time, and geographic factors to estimate the change in procedure rate associated with health reform by race/ethnicity and area income. Results Before reform, the number of procedures (/10 000) in Massachusetts was lower among Hispanic people (12.9, P<0.001) than black people (28.1) and white people (30.1). Overall, procedure use increased 22.4% during the 2.5 years after insurance expansion; reform in Massachusetts was associated with a 4.7% increase. The increase associated with reform was significantly higher among Hispanic people (37.9%, P<0.001) and black people (11.4%, P<0.05) than among white people (2.8%). Lower income was not associated with larger increases in procedure use. The share of knee and hip replacement procedures performed in safety net hospitals in Massachusetts decreased by 1.0% from a level of 12.7% before reform. The reduction was larger among Hispanic people (−6.4%, P<0.001) than white

  12. Health Marketing for the Massachusetts Childhood Obesity Research Demonstration Study: A Case Study.

    PubMed

    Criss, Shaniece; Blaine, Rachel E; Palamé, Megan; Perkins, Meghan; Davison, Kirsten; Kwass, Jo-Ann; Taveras, Elsie M

    2018-03-01

    This case study describes the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD) health marketing campaign, examines the strategies used in such campaigns, and offers lessons learned to improve health marketing for future interventions. MA-CORD Health Marketing Components and Implementation. The three main components were an outdoor printed advertisement and texting campaign, social media with a focus on Facebook, and the Summer Passport Program, an event-based initiative in parks for children. The advertisements consisted of billboards, bus advertisements, and handouts. The text messaging component, which required families to actively text a keyword to join, had a low opt-in rate. Facebook page "likes" increased from 1,024 to 1,453 in New Bedford and from 175 to 1,091 in Fitchburg. Fitchburg received technical assistance and paid for ads on Facebook. The Summer Passport participation in parks ranged from 120 to 875 children with participation in the free park lunch program doubling in Fitchburg. Key lessons learned are engage communication experts from each community at the beginning of the project, use text messaging components with in-person staff onsite to assist participants in the opt-in process, build momentum for a Facebook presence through purchasing Facebook advertisements, and partner with local park departments for programming.

  13. Massachusetts health reform: employers, lower-wage workers and universal coverage.

    PubMed

    Felland, Laurie; Draper, Debra; Liebhaber, Allison

    2007-07-01

    As Massachusetts' landmark effort to reach nearly universal health coverage unfolds, the state is now focusing on employers to take steps to increase coverage. All employers--except firms with fewer than 11 workers--face new requirements under the 2006 law, including establishing Section 125, or cafeteria, plans to allow workers to purchase insurance with pre-tax dollars and paying a $295 annual fee if they do not make a "fair and reasonable" contribution to the cost of workers' coverage. Through interviews with Massachusetts health care leaders (see Data Source), the Center for Studying Health System Change (HSC) examined how the law is likely to affect employer decisions to offer health insurance to workers and employee decisions to purchase coverage. Market observers believe many small firms may be unaware of specific requirements and that some could prove onerous. Moreover, the largest impact on small employers may come from the individual mandate for all residents to have a minimum level of health insurance. This mandate may add costs for firms if more workers take up coverage offers, seek more generous coverage or pressure employers to offer coverage. Despite reform of the individual and small group markets, including development of new insurance products, concerns remain about the affordability of coverage and the ability to stem rising health care costs.

  14. Integrating School-Based Health Centers into Managed Care in Massachusetts.

    ERIC Educational Resources Information Center

    Hacker, Karen

    1996-01-01

    This paper examines key steps in the integration of school-based health centers in Massachusetts into managed care and describes the administrative and clinical impact of these relationships. Strategies include enhancing communication between SBHCs and health maintenance organizations, standardizing school-based care, and mandating integration of…

  15. Mandate-Based Health Reform and the Labor Market: Evidence from the Massachusetts Reform*

    PubMed Central

    Kolstad, Jonathan T.; Kowalski, Amanda E.

    2016-01-01

    We model the labor market impact of the key provisions of the national and Massachusetts “mandate-based” health reforms: individual mandates, employer mandates, and subsidies. We characterize the compensating differential for employer-sponsored health insurance (ESHI) and the welfare impact of reform in terms of “sufficient statistics.” We compare welfare under mandate-based reform to welfare in a counterfactual world where individuals do not value ESHI. Relying on the Massachusetts reform, we find that jobs with ESHI pay $2,812 less annually, somewhat less than the cost of ESHI to employers. Accordingly, the deadweight loss of mandate-based health reform was approximately 8 percent of its potential size. PMID:27037897

  16. Designing an effective statewide tobacco control program--Massachusetts.

    PubMed

    Connolly, G; Robbins, H

    1998-12-15

    Smoking-related illnesses kill > 10,000 Massachusetts residents each year and cost hundreds of millions of dollars of public and private expenditures for health care. To combat this public health problem, in 1992 Massachusetts voters approved a referendum question calling for an increased excise tax on tobacco products, with the revenue supporting a Health Protection Fund. Approximately 40% of the fund is used to finance the Massachusetts Tobacco Control Program (MTCP), administered by the Massachusetts Department of Public Health. During the first 3 fiscal years (FY), the MTCP budget has averaged just over $40 million annually, declining during that period from approximately $43 million in FY 1995 to < $37 million in FY 1997.

  17. Healthy Workplaces? A Survey of Massachusetts Employers

    PubMed Central

    Tremblay, Patricia A.; Nobrega, Suzanne; Davis, Letitia; Erck, Elizabeth; Punnett, Laura

    2018-01-01

    Purpose This study examines worksite health promotion (WHP) and occupational health and safety (OHS) activities by Massachusetts employers, and the extent to which workplaces with programming in one domain were more likely to have the other as well. Design In 2008, the Massachusetts Department of Public Health surveyed a stratified sample of Massachusetts worksites. Setting A mailed questionnaire to be completed by workplace representatives. Subjects Massachusetts worksites returning the questionnaire. Measures Questionnaire items about worksite characteristics, WHP, and some OHS practices. Analysis We scored levels of WHP and OHS activity; examined the relationship between activities in the two domains by employer characteristics; and assessed self-reported coordination between them. Results The 890 responding worksites had higher scores for OHS (mean = 48% of practices, SD = 24%) than WHP (mean = 20%, SD = 12%). The difference between these scores varied by a factor of two across industry sectors and was smallest for workforces of 100+ employees (p = .001). Employers with no unionized workers reported fewer activities in both domains (p < .0001). Only 28% of respondents reported always/often coordinating OHS and WHP efforts; these organizations had more activities overall in both domains. Conclusion Larger and unionized workplaces in Massachusetts were more likely to offer both WHP and OHS programming. Self-reported coordination was somewhat associated with more activity in both domains, although levels of WHP activity varied widely. PMID:23470184

  18. The Impact of the Massachusetts Behavioral Health Child Screening Policy on Service Utilization.

    PubMed

    Hacker, Karen; Penfold, Robert; Arsenault, Lisa N; Zhang, Fang; Soumerai, Stephen B; Wissow, Lawrence S

    2017-01-01

    In 2008, Massachusetts Medicaid implemented a pediatric behavioral health (BH) screening mandate. This study conducted a population-level, longitudinal policy analysis to determine the impact of the policy on ambulatory, emergency, and inpatient BH care in comparison with use of these services in California, where no similar policy exists. With Medicaid Analytic Extract (MAX) data, an interrupted time-series analysis with control series design was performed to assess changes in service utilization in the 18 months (January 2008-June 2009) after a BH screening policy was implemented in Massachusetts and to compare service utilization with California's. Outcomes included population rates of BH screening, BH-related outpatient visits, BH-related emergency department visits, BH-related hospitalizations, and psychotropic drug use. Medicaid-eligible children from January 1, 2006, to December 31, 2009, with at least ten months of Medicaid eligibility who were older than 4.5 years and younger than 18 years were included. Compared with rates in California, Massachusetts rates of BH screening and BH-related outpatient visits rose significantly after Massachusetts implemented its screening policy. BH screening rose about 13 per 1,000 youths per month during the first nine months, and BH-related outpatient visits rose to about 4.5 per 1,000 youths per month (p<.001). Although BH-related emergency department visits, hospitalization and psychotropic drug use increased, there was no difference between the states in rate of increase. The goal of BH screening is to identify previously unidentified children with BH issues and provide earlier treatment options. The short-term outcomes of the Massachusetts policy suggest that screening at preventive care visits led to more BH-related outpatient visits among vulnerable children.

  19. Impact of the 2006 Massachusetts health care insurance reform on neurosurgical procedures and patient insurance status.

    PubMed

    Villelli, Nicolas W; Das, Rohit; Yan, Hong; Huff, Wei; Zou, Jian; Barbaro, Nicholas M

    2017-01-01

    OBJECTIVE The Massachusetts health care insurance reform law passed in 2006 has many similarities to the federal Affordable Care Act (ACA). To address concerns that the ACA might negatively impact case volume and reimbursement for physicians, the authors analyzed trends in the number of neurosurgical procedures by type and patient insurance status in Massachusetts before and after the implementation of the state's health care insurance reform. The results can provide insight into the future of neurosurgery in the American health care system. METHODS The authors analyzed data from the Massachusetts State Inpatient Database on patients who underwent neurosurgical procedures in Massachusetts from 2001 through 2012. These data included patients' insurance status (insured or uninsured) and the numbers of procedures performed classified by neurosurgical procedural codes of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Each neurosurgical procedure was grouped into 1 of 4 categories based on ICD-9-CM codes: 1) tumor, 2) other cranial/vascular, 3) shunts, and 4) spine. Comparisons were performed of the numbers of procedures performed and uninsured patients, before and after the implementation of the reform law. Data from the state of New York were used as a control. All data were controlled for population differences. RESULTS After 2008, there were declines in the numbers of uninsured patients who underwent neurosurgical procedures in Massachusetts in all 4 categories. The number of procedures performed for tumor and spine were unchanged, whereas other cranial/vascular procedures increased. Shunt procedures decreased after implementation of the reform law but exhibited a similar trend to the control group. In New York, the number of spine surgeries increased, as did the percentage of procedures performed on uninsured patients. Other cranial/vascular procedures decreased. CONCLUSIONS After the Massachusetts health care

  20. Including health insurance in poverty measurement: The impact of Massachusetts health reform on poverty.

    PubMed

    Korenman, Sanders D; Remler, Dahlia K

    2016-12-01

    We develop and implement what we believe is the first conceptually valid health-inclusive poverty measure (HIPM) - a measure that includes health care or insurance in the poverty needs threshold and health insurance benefits in family resources - and we discuss its limitations. Building on the Census Bureau's Supplemental Poverty Measure, we construct a pilot HIPM for the under-65 population under ACA-like health reform in Massachusetts. This pilot demonstrates the practicality, face validity and value of a HIPM. Results suggest that public health insurance benefits and premium subsidies accounted for a substantial, one-third reduction in the health inclusive poverty rate. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Use of fees to fund local public health services in Western Massachusetts.

    PubMed

    Shila Waritu, A; Bulzacchelli, Maria T; Begay, Michael E

    2015-01-01

    Recent budget cuts have forced many local health departments (LHDs) to cut staff and services. Setting fees that cover the cost of service provision is one option for continuing to fund certain activities. To describe the use of fees by LHDs in Western Massachusetts and determine whether fees charged cover the cost of providing selected services. A cross-sectional descriptive analysis was used to identify the types of services for which fees are charged and the fee amounts charged. A comparative cost analysis was conducted to compare fees charged with estimated costs of service provision. Fifty-nine LHDs in Western Massachusetts. Number of towns charging fees for selected types of services; minimum, maximum, and mean fee amounts; estimated cost of service provision; number of towns experiencing a surplus or deficit for each service; and average size of deficits experienced. Enormous variation exists both in the types of services for which fees are charged and fee amounts charged. Fees set by most health departments did not cover the cost of service provision. Some fees were set as much as $600 below estimated costs. These results suggest that considerations other than costs of service provision factor into the setting of fees by LHDs in Western Massachusetts. Given their limited and often uncertain funding, LHDs could benefit from examining their fee schedules to ensure that the fee amounts charged cover the costs of providing the services. Cost estimates should include at least the health agent's wage and time spent performing inspections and completing paperwork, travel expenses, and cost of necessary materials.

  2. A Case Study of Environmental, Health and Safety Issues Involving the Burlington, Massachusetts Public School System. "Tips, Suggestions, and Resources for Investigating and Resolving EHS Issues in Schools."

    ERIC Educational Resources Information Center

    Dresser, Todd H.

    An investigation was initiated concerning the environmental health within the Burlington, Massachusetts public school system to determine what specific environmental hazards were present and determine ways of eliminating them. This report presents 20 case studies that detail the environmental health issues involved, the approaches taken in…

  3. Hospital Utilization and Universal Health Insurance Coverage: Evidence from the Massachusetts Health Care Reform Act.

    PubMed

    Cseh, Attila; Koford, Brandon C; Phelps, Ryan T

    2015-12-01

    The Affordable Care Act is currently in the roll-out phase. To gauge the likely implications of the national policy we analyze how the Massachusetts Health Care Reform Act impacted various hospitalization outcomes in each of the 25 major diagnostic categories (MDC). We utilize a difference-in-difference approach to identify the impact of the Massachusetts reform on insurance coverage and patient outcomes. This identification is achieved using six years of data from the Nationwide Inpatient Sample from the Healthcare Cost and Utilization Project. We report MDC-specific estimates of the impact of the reform on insurance coverage and type as well as length of stay, number of diagnoses, and number of procedures. The requirement of universal insurance coverage increased the probability of being covered by insurance. This increase was in part a result of an increase in the probability of being covered by Medicaid. The percentage of admissions covered by private insurance fell. The number of diagnoses rose as a result of the law in the vast majority of diagnostic categories. Our results related to length of stay suggest that looking at aggregate results hides a wealth of information. The most disparate outcomes were pregnancy related. The length of stay for new-born babies and neonates rose dramatically. In aggregate, this increase serves to mute decreases across other diagnoses. Also, the number of procedures fell within the MDCs for pregnancy and child birth and that for new-born babies and neonates. The Massachusetts Health Care Reform appears to have been effective at increasing insurance take-up rates. These increases may have come at the cost of lower private insurance coverage. The number of diagnoses per admission was increased by the policy across nearly all MDCs. Understanding the changes in length of stay as a result of the Massachusetts reform, and perhaps the Affordable Care Act, requires MDC-specific analysis. It appears that the most important distinction

  4. Report from Massachusetts: employers largely support health care reform, and few signs of crowd-out appear.

    PubMed

    Gabel, Jon R; Whitmore, Heidi; Pickreign, Jeremy

    2008-01-01

    Based on a 2007 survey of 1,056 randomly selected Massachusetts firms, this paper presents findings about employers' attitudes about, knowledge of, and responses to recently enacted reform legislation. A majority of Massachusetts employers agree that all employers bear some responsibility for providing health benefits, firms not offering benefits should be required to pay a "fair share" contribution up to $295 annually per employee, and employers with ten or fewer employees should not be exempt from this requirement. Only 24 percent of employers with 3-50 workers are familiar with the Connector purchasing pool. About 3 percent of Massachusetts small employers intend to drop coverage, similar to national figures.

  5. Sexually Transmitted Disease Program Evolution in Response to Changes in the Public Health Environment: A Massachusetts Example.

    PubMed

    Carter, Marion W; Hsu, Katherine K; Loosier, Penny S; Maddox, Brandy L Peterson; Doshi, Sonal R; Kroeger, Karen; Cranston, Kevin

    2016-11-01

    In 2008, the line item supporting sexually transmitted disease (STD) services in the Massachusetts state budget was cut as a result of budget shortfalls. Shortly thereafter, direct provision of STD clinical services supported by the Massachusetts Department of Public Health (MDPH) was suspended. Massachusetts Department of Public Health requested an initial assessment of its internal response and impact in 2010. A follow-up assessment occurred in September 2013. In 2010 and 2013, 39 and 46 staff, respectively, from MDPH and from clinical partner agencies, were interviewed about changes in the role of the MDPH, partnerships, STD services, challenges, and recommendations. Interview notes were summarized, analyzed, and synthesized by coauthors using qualitative analysis techniques and NVivo software. The withdrawal of state funding for STD services, and the subsequent reduction in clinical service hours, erected numerous barriers for Disease Intervention Specialists (DIS) seeking to ensure timely STD treatment for index cases and their partners. After initial instability, MDPH operations stabilized due partly to strong management, new staff, and intensified integration with human immunodeficiency virus services. Existing contracts with human immunodeficiency virus providers were leveraged to support alternative STD testing and care sites. Massachusetts Department of Public Health strengthened its clinical and epidemiologic expertise. The DIS expanded their scope of work and were outposted to select new sites. Challenges remained, however, such as a shortage of DIS staff to meet the needs. Although unique in many ways, MA offers experiences and lessons for how a state STD program can adapt to a changing public health context.

  6. Preventive care for low-income women in massachusetts post-health reform.

    PubMed

    Clark, Cheryl R; Soukup, Jane; Riden, Heather; Tovar, Dora; Orton, Piper; Burdick, Elisabeth; Capistran, Mary Ellen; Morisset, Jennifer; Browne, Elizabeth E; Fitzmaurice, Garrett; Johnson, Paula A

    2014-06-01

    Before enacting health insurance reform in 2006, Massachusetts provided free breast, cervical cancer, and cardiovascular risk screening for low-income uninsured women through a federally subsidized program called the Women's Health Network (WHN). This article examines whether, as women transitioned to insurance to pay for screening tests after health reform legislation was passed, cancer and cardiovascular disease screening changed among WHN participants between 2004 and 2010. We examined claims data from the Massachusetts health insurance exchange and chart review data to measure utilization of mammography, Pap smear, and blood pressure screening among WHN participants in five community health centers in greater Boston. We conducted a longitudinal analysis, by insurance type, using generalized estimating equations to examine the likelihood of screening at recommended intervals in the postreform period compared to the prereform period. Pre- and postreform, we found a high prevalence of recommended mammography (86% vs. 88%), Pap smear (88% vs. 89%), and blood pressure screening (87% vs. 91%) that was similar or improved for most women postreform. Screening use differed by insurance type. Recommended mammography screening was statistically significantly increased among women with state-subsidized private insurance (odds ratio [OR] 1.58, p<0.05). Women with unsubsidized private insurance or Medicare had decreased Pap smear use postreform. Although screening prevalence was high, 31% of women required state safety-net funds to pay for screening tests. Our results suggest a continued need for safety-net programs to support preventive screening among low-income women after implementation of healthcare reform.

  7. The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age.

    PubMed

    Villelli, Nicolas W; Yan, Hong; Zou, Jian; Barbaro, Nicholas M

    2017-12-01

    OBJECTIVE Several similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors' prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US. METHODS Using the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers' compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control. RESULTS The authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and "other" categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65-84 years old, with a decrease in surgeries for those 18-44 years old. New York showed an increase in all insurance categories and all adult age groups. CONCLUSIONS After the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly

  8. Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study.

    PubMed

    Taveras, Elsie M; Blaine, Rachel E; Davison, Kirsten K; Gortmaker, Steven; Anand, Shikha; Falbe, Jennifer; Kwass, Jo-Ann; Perkins, Meghan; Giles, Catherine; Criss, Shaniece; Colchamiro, Rachel; Baidal, Jennifer Woo; Land, Thomas; Smith, Lauren

    2015-02-01

    Childhood obesity is highly prevalent, is associated with both short- and long-term adverse outcomes, disproportionately affects racial/ethnic minority and economically deprived children, and represents a major threat to public health. Among the most promising approaches for its prevention and management are multilevel, multisector strategies. The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study was a comprehensive, systematic intervention to prevent and reduce childhood obesity among low-income children ages 2-12 years in two selected cities in Massachusetts. Building on the Obesity Chronic Care Model, MA-CORD expanded a state public health department community-level obesity prevention initiative that incorporated evidence-based interventions in primary healthcare, the Women, Infants, and Children program, early care and education, schools/afterschool programs, as well as community-wide programs to improve food, beverage, physical activity (PA), and messaging environments. The study used a combination of pre- and post-time series and quasi-experimental designs to examine the extent to which the intervention resulted in changes in BMI, individual-level lifestyle behaviors, satisfaction with healthcare services, and quality of life among children, as well as changes in health policies, programs, and environments in the two intervention cities, compared to a comparison city. The intervention period was 2 years. MA-CORD will determine the extent to which a multisetting, multilevel intervention that integrates activities in primary care with broader public health interventions in schools, early care and education, and the community at large can improve children's dietary and PA behaviors and ultimately reduce obesity in low-income children.

  9. Premium increases in state health insurance programs: lessons from a case study of the Massachusetts Medicaid buy-in program.

    PubMed

    Livermore, Gina A; Goodman, Nanette; Hooven, Fred; Hashemi, Lobat

    In March 2003, Massachusetts increased the premiums it charges to most enrollees in its CommonHealth-Working (CH-W) program. This study evaluates the impact of the premium change on disenrollment using a comparison group methodology. The findings indicate that the premium change had only a small, but statistically significant impact on program exits. The CH-W experience differs from other state programs that saw substantial enrollment declines in response to new or increased premiums. This is likely due to factors that make CH-W different from other programs, key of which are administrative procedures intended to minimize disenrollment due to premium nonpayment.

  10. Manifold Restraints: Liberty, Public Health, and the Legacy of Jacobson v Massachusetts

    PubMed Central

    Colgrove, James; Bayer, Ronald

    2005-01-01

    February 2005 marks the centenary of one of the most important pieces of public health jurisprudence, the US Supreme Court case of Jacobson v Massachusetts, which upheld the authority of states to pass compulsory vaccination laws. The Court’s decision articulated the view that the freedom of the individual must sometimes be subordinated to the common welfare. We examined the relationship between the individual and society in 20th-century public health practice and law and the ways that compulsory measures have been used to constrain personal liberty for the sake of protecting the public health. (Am J Public Health. PMID:15798111

  11. Health care utilization and charges following the enactment of the 2007 Graduated Drivers Licensing Law in Massachusetts.

    PubMed

    Sangji, Naveen F; Ramly, Elie P; Kaafarani, Haytham M A; Seethala, Raghu; Raybould, Toby; Camargo, Carlos A; Velmahos, George; Masiakos, Peter T; Lee, Jarone

    2015-10-01

    Graduated Drivers Licensing (GDL) programs phase in driving privileges for teenagers. In 2007, Massachusetts implemented a stricter version of the 1998 GDL law, with increased fines and education. This study evaluated the impact of the law on motor vehicle crash (MVC)-related health care utilization and charges. Massachusetts government and US Census Bureau data were analyzed to compare the rates of MVC-related emergency department (ED) visits and hospital charges before (2002-2006) and after (2007-2011) the 2007 GDL law. Three driver age groups were studied: 16-17 (evaluating the law effect), 18-20 (evaluating the sustainability of the effect), and 25-29 years old (control group). MVC-related ED visits per population decreased after the law for all three age groups (16-17: 2326 to 713; 18-20: 2110 to 1304; 25-29: 1694 to 1228; per 100,000, p<0.001), but the decrease was greater amongst teenagers (16-17: -69%; 18-20: -38%) compared to the control group (-27%); p<0.001. MVC-related hospital charges per population also decreased for teenagers but increased for the control group (16-17: $2.70 m to $1.45 m; 18-20: $3.52 m to $2.26 m; 25-29: $1.86 m to $1.92 m; per 100,000, p<0.001). The 2007 GDL law in Massachusetts was associated with significant decreases in MVC-related health care utilization and hospital charges among teenage drivers. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Affordability of and Access to Information About Health Insurance Among Immigrant and Non-immigrant Residents After Massachusetts Health Reform.

    PubMed

    Kang, Ye Jin; McCormick, Danny; Zallman, Leah

    2017-08-01

    Immigrants' perceptions of affordability of insurance and knowledge of insurance after health reform are unknown. We conducted face-to-face surveys with a convenience sample of 1124 patients in three Massachusetts safety net Emergency Departments after the Massachusetts health reform (August 2013-January 2014), comparing immigrants and non-immigrants. Immigrants, as compared to non-immigrants, reported more concern about paying premiums (30 vs. 11 %, p = 0.0003) and about affording the current ED visit (38 vs. 22 %, p < 0.0001). Immigrants were also less likely to report having unpaid medical bills (24 vs. 32 %, p = 0.0079), however this difference was not present among those with any hospitalization in the past year. Insured immigrants were less likely to know copayment amounts (57 vs. 71 %, p = 0.0018). Immigrants were more likely to report that signing up for insurance would be easier with fewer plans (53 vs. 34 %, p = 0.0443) and to lack information about insurance in their primary language (31 vs. 1 %, p < 0.0001) when applying for insurance. Immigrants who sought insurance information via websites or helplines were more likely to find that information useful than non-immigrants (100 vs. 92 %, p = 0.0339). Immigrants seeking care in safety net emergency departments had mixed experiences with affordability of and knowledge about insurance after Massachusetts health reform, raising concern about potential disparities under the Affordable Care Act that is based on the MA reform.

  13. Mandatory insurance coverage and hospital productivity in Massachusetts: bending the curve?

    PubMed

    Thompson, Mark A; Huerta, Timothy R; Ford, Eric W

    2012-01-01

    The aim of this study was to examine whether universal insurance coverage mandates lead to a more productive use of hospital resources. The American Hospital Association's Annual Survey and the Centers for Medicare and Medicaid Services' case mix index for fiscal years 2005 through 2008 were used. A Malmquist approach was used to assess hospitals' productivity in the United States and Massachusetts over the sample period. Propensity score matching is used to "simulate" a randomized control group of hospitals from other markets to compare with Massachusetts. Comparisons are then made to examine if productivity differences are due to universal health insurance coverage mandate. In the early stages, Massachusetts' coverage mandates lead to a significant drop in hospitals' productivity relative to comparable facilities in other states. In 2008, Massachusetts functioned 3.53% below its 2005 level, whereas facilities across the United States have seen a 4.06% increase over the same period. If the individual mandate is implemented nationwide, the Massachusetts' experience indicates that a near-term decrease in overall hospital productivity will occur. As such, current cost estimates of the Patient Protection and Affordable Care Act's impact on overall health spending are potentially understated.

  14. Opportunities and Challenges for Payment Reform: Observations from Massachusetts.

    PubMed

    Mechanic, Robert E

    2016-08-01

    Policy makers and private health plans are expanding their efforts to implement new payment models that will encourage providers to improve quality and deliver health care more efficiently. Over the past five years, payment reforms have progressed faster in Massachusetts than in any other state. The reasons include a major effort by Blue Cross Blue Shield of Massachusetts to implement global payment, the presence of large integrated systems willing to take on financial risk, and a supportive state policy environment. By 2014, thirty-seven percent of Massachusetts's residents enrolled in health plans were covered under risk-based payment models tied to global budgets. But the expansion of payment reform in Massachusetts slowed between 2012 and 2015 because some commercial enrollment shifted from risk-based health maintenance organization products to fee-for-service preferred provider organization (PPO) plans, and the state Medicaid program fell short of its payment reform goals. Provider groups will not fully commit to population-based clinical models if they believe it will result in large reductions in fee-for-service revenue. The use of alternative payment models will accelerate in 2016 when Blue Cross begins implementing PPO payment reforms, but it is unknown how quickly other payers will follow. Massachusetts's experience illustrates the complexity of payment reform in pluralistic health care markets and the need for complementary efforts by public and private stakeholders. Copyright © 2016 by Duke University Press.

  15. Massachusetts Child Psychiatry Access Project 2.0: A Case Study in Child Psychiatry Access Program Redesign.

    PubMed

    Sarvet, Barry D; Ravech, Marcy; Straus, John H

    2017-10-01

    The Massachusetts Child Psychiatry Access Program is a statewide public mental health initiative designed to provide consultation, care navigation, and education to assist pediatric primary care providers in addressing mental health problems for children and families. To improve program performance, adapt to changes in the environment of pediatric primary care services, and ensure the program's long-term sustainability, program leadership in consultation with the Massachusetts Department of Mental Health embarked on a process of redesign. The redesign process is described, moving from an initial strategic assessment of program and the planning of structural and functional changes, through transition and implementation. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Emergency preparedness training preferences and perceived barriers to training among various healthcare providers and public health practitioners in Massachusetts.

    PubMed

    Broach, John; Smith, Mary-Elise

    2017-01-01

    Emergency preparedness training is vital to a wide range of healthcare and public health disciplines. Although agencies may try to tailor their training efforts based on perceived need, the topics and methods of instruction may be misguided, resulting in wasted effort and poor participation in training events. The objective of this study was to understand in a rigorous way, the training preferences and barriers to training among practitioners in Massachusetts. In August 2013, the Massachusetts Department of Public Health distributed an online survey to health professionals in Massachusetts regarding their emergency preparedness training topic preferences and any perceived barriers and challenges associated with obtaining this training. A total of 796 healthcare and public health professionals responded to the survey and answered some or all of the questions asked. The results of the survey identified important differences in preference for some topics based on a provider's practice location and discipline. However, Community Recovery and Community Preparedness were seen as desirable by all disciplines with more than 80 percent of respondents rating each of these issues as being highly important. Barriers to training were also assessed. Time spent away from work was the most commonly identified barrier (77.41 percent). Travel distance and financial constraints were also rated highly with scores of 65.48 and 63.71 percent, respectively. This study demonstrates important areas of agreement with respect to desired training topics and points out areas where providers in different disciplines and from different geographic areas may have differing educational preferences. Even within the limitation of this investigation, we expect that this study will be a valuable tool for those attempting to effectively target emergency preparedness training and structure course offerings in ways that minimize the impact of barriers to training.

  17. Post opioid overdose outreach by public health and public safety agencies: Exploration of emerging programs in Massachusetts.

    PubMed

    Formica, Scott W; Apsler, Robert; Wilkins, Lindsay; Ruiz, Sarah; Reilly, Brittni; Walley, Alexander Y

    2018-04-01

    Opioid overdose is a significant public health problem. Collaborative programs between local public health and public safety agencies have emerged to connect overdose survivors and their personal networks with harm reduction and addiction treatment services following a non-fatal overdose event. This study explored the prevalence of these programs in Massachusetts and the different ways they have been structured and function. We sent an online screening questionnaire to police and fire departments in all 351 communities in Massachusetts to find instances in which they collaborated with a community-based public health agency to implement a post-overdose outreach and support program. We conducted telephone interviews with communities that implemented this type of program and categorized programs based on their structure, outreach approach, and other key characteristics. Police and fire personnel from 110 of the 351 communities in Massachusetts (31% response rate) completed the screening survey. Among respondents, 21% (23/110) had implemented a collaborative, community-based, post-overdose program with a well-defined process to connect overdose survivors and their personal networks with support services or addiction treatment services. Using data from the interviews, we identified four types of programs: (1) Multi-Disciplinary Team Visit, (2) Police Visit with Referrals, (3) Clinician Outreach, and (4) Location-Based Outreach. This study represents the first attempt to systematically document an emerging approach intended to connect opioid overdose survivors and their personal networks with harm reduction and addiction treatment services soon after a non-fatal overdose event. These programs have the potential to increase engagement with the social service and addiction treatment systems by those who are at elevated risk for experiencing a fatal opioid overdose. Copyright © 2018 Elsevier B.V. All rights reserved.

  18. Health Care IT Collaboration in Massachusetts: The Experience of Creating Regional Connectivity

    PubMed Central

    Halamka, John; Aranow, Meg; Ascenzo, Carl; Bates, David; Debor, Greg; Glaser, John; Goroll, Allan; Stowe, Jim; Tripathi, Micky; Vineyard, Gordon

    2005-01-01

    The state of Massachusetts has significant early experience in planning for and implementing interoperability networks for exchange of clinical and financal data. Members of our evolving data-sharing organizations gained valuable experience that is of potential benefit to others regarding the governance, policies, and technologies underpinning regional health information organizations. We describe the history, roles, and evolution of organizations and their plans for and success with pilot projects. PMID:16049225

  19. Screening for Behavioral Health Issues in Children Enrolled in Massachusetts Medicaid

    PubMed Central

    Penfold, Robert; Arsenault, Lisa; Zhang, Fang; Murphy, Michael; Wissow, Larry

    2014-01-01

    OBJECTIVES: To understand mandated behavioral health (BH) screening in Massachusetts Medicaid including characteristics of screened children, predictors of positive screens, and whether screening identifies children without a previous BH history. METHODS: Massachusetts mandated BH screening in particularly among underidentified groups. 2008. Providers used a billing code and modifier to indicate a completed screen and whether a BH need was identified. Using MassHealth claims data, children with ≥300 days of eligibility in fiscal year (FY) 2009 were identified and categorized into groups based on first use of the modifier, screening code, or claim. Bivariate analyses were conducted to determine differences among groups. BH history was examined by limiting the sample to those continuously enrolled in FY 2008 and 2009. Multivariate logistic regression was used to determine predictors of positive screens. RESULTS: Of 355 490 eligible children, 46% had evidence of screening. Of those with modifiers, 12% were positive. Among continuously enrolled children (FY 2008 and FY 2009) with evidence of screening, 43% with positive modifiers had no BH history. This “newly identified” group were more likely to be female, younger, minority, and from rural residences (P < .0001). Among children with modifiers; gender (male), age (5–7), being in foster care, recent BH history, and Hispanic ethnicity predicted having a positive modifier. CONCLUSIONS: The high rate of newly identified Medicaid children with a BH need suggests that screening is performing well, particularly among underidentified groups. To better assess screening value, future work on cost-effectiveness and the impact on subsequent mental health treatment is needed. PMID:24298005

  20. Perceived affordability of health insurance and medical financial burdens five years in to Massachusetts health reform.

    PubMed

    Zallman, Leah; Nardin, Rachel; Sayah, Assaad; McCormick, Danny

    2015-10-29

    Under the Massachusetts health reform, low income residents (those with incomes below 150 % of the Federal Poverty Level [FPL]) were eligible for Medicaid and health insurance exchange-based plans with minimal cost-sharing and no premiums. Those with slightly higher incomes (150 %-300 % FPL) were eligible for exchange-based plans that required cost-sharing and premium payments. We conducted face to face surveys in four languages with a convenience sample of 976 patients seeking care at three hospital emergency departments five years after Massachusetts reform. We compared perceived affordability of insurance, financial burden, and satisfaction among low cost sharing plan recipients (recipients of Medicaid and insurance exchange-based plans with minimal cost-sharing and no premiums), high cost sharing plan recipients (recipients of exchange-based plans that required cost-sharing and premium payments) and the commercially insured. We found that despite having higher incomes, higher cost-sharing plan recipients were less satisfied with their insurance plans and perceived more difficulty affording their insurance than those with low cost-sharing plans. Higher cost-sharing plan recipients also reported more difficulty affording medical and non-medical health care as well as insurance premiums than those with commercial insurance. In contrast, patients with low cost-sharing public plans reported higher plan satisfaction and less financial concern than the commercially insured. Policy makers with responsibility for the benefit design of public insurance available under health care reforms in the U.S. should calibrate cost-sharing to income level so as to minimize difficulty affording care and financial burdens.

  1. Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts

    PubMed Central

    Hunter Adams, Jo; Penrose, Katherine L.; Cochran, Jennifer; Rybin, Denis; Doros, Gheorghe; Henshaw, Michelle; Paasche-Orlow, Michael

    2013-01-01

    Background This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. Methods 439 adult Somalis in the U.S. ≤ 10 years ago were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Results Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (p=0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (p=0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. Discussion English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills. PMID:23748902

  2. Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries.

    PubMed

    Thomas, Cindy Parks; Sussman, Jeffrey

    2007-05-30

    On January 1, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented the Medicare Drug Benefit, or "Medicare Part D." The program offers prescription drug coverage for the one million Medicare beneficiaries in Massachusetts. Part D affects Massachusetts state health programs and beneficiaries in a number of ways. The program: (1) provides prescription drug insurance, including catastrophic coverage, through a choice of private prescription drug plans (PDPs) or integrated Medicare Advantage (MA-PD) health plans; (2) shifts prescription drug coverage for dual-eligible Medicare / Medicaid beneficiaries from Medicaid to Medicare Part D drug plans; (3) requires a maintenance-of-effort, or "clawback" payments from states to CMS designed to capture a portion of states' Medicaid savings to help finance the benefit; (4) offers additional help for premiums and cost sharing to low income beneficiaries through the Low Income Subsidy (LIS); and (5) provides a subsidy to employer groups that maintain their own prescription drug coverage for retired beneficiaries. This paper summarizes the activities involved in implementing Medicare Part D, the impact it has had on Massachusetts health programs, and the experiences of beneficiaries and others conducting outreach and enrollment. The data are drawn from interviews with officials and documents provided by state health programs, CMS and the Social Security Administration, and representatives of provider and advocacy groups involved in the enrollment and ongoing support of Medicare beneficiaries.

  3. The time is now: tackling racial and ethnic disparities in mental and behavioral health services in Massachusetts.

    PubMed

    Alegría, Margarita; Cook, Benjamin; Loder, Stephen; Doonan, Michael

    2014-12-11

    Massachusetts is in the midst of a demographic shift that will leave the state with unprecedented ethnic, racial and cultural diversity. In light of this change, health care services in the Commonwealth need to respond to and serve an increasingly multicultural population. The time is now for bold initiatives to reduce behavioral health and health service disparities by building collaborations between policymakers, insurers/payers, provider organizations, training institutions, and community groups. In the same way collaboration among diverse stakeholders enabled the Commonwealth to lead the nation in achieving near universal access to health insurance, a new collaboration can pave the way for the elimination of behavioral health and health care disparities. This brief compiles current information on racial and ethnic disparities in mental health and substance use disorders and treatment disparities in Massachusetts. It concludes with state level policy recommendations. The Brief does not recommend policies already in motion, such as moving to universal insurance coverage, enforcement of parity laws, policies to expand coverage of drug treatment services or greater inclusion of consumers in the development and configuration of behavioral health services. Recommendations offered are based on best practices and evidence-based research. Most research, however, studies incremental changes. To transform rather than reform the system, we integrate consideration of experience and research from other policy areas. The ultimate goal is to generate an action plan that motivates policymakers to address persistent racial and ethnic disparities in the availability and quality of behavioral health services in the Commonwealth.

  4. Town-Level Characteristics and Smoking Policy Adoption in Massachusetts: Are Local Restaurant Smoking Regulations Fostering Disparities in Health Protection?

    PubMed Central

    Skeer, Margie; George, Sarah; Hamilton, William L.; Cheng, Debbie M.; Siegel, Michael

    2004-01-01

    Objectives. We identified and quantified differences in sociodemographic characteristics of communities relative to the strength of local restaurant smoking regulations in Massachusetts. Methods. We examined the relationship between the strength of the 351 local restaurant smoking regulations in Massachusetts and a number of town-level characteristics, using a multinomial logistic regression model. Results. Characteristics important to the adoption of stronger restaurant smoking regulations included higher education and per capita income, geographic region, voter support for a state cigarette tax initiative, board of health funding to promote clean indoor air policymaking, and the presence of a bordering town with a strong regulation. Conclusions. The current pattern of smoke-free restaurant policy enactment fosters socioeconomic and geographic disparities in health protection, undermining an important national health goal. PMID:14759944

  5. Behavioral Health Services Following Implementation of Screening in Massachusetts Medicaid Children

    PubMed Central

    Penfold, Robert B.; Arsenault, Lisa N.; Zhang, Fang; Murphy, Michael; Wissow, Lawrence S.

    2014-01-01

    OBJECTIVES: To determine the relationship of child behavioral health (BH) screening results to receipt of BH services in Massachusetts Medicaid (MassHealth) children. METHODS: After a court decision, Massachusetts primary care providers were mandated to conduct BH screening at well-child visits and use a Current Procedural Terminology code along with a modifier indicating whether a BH need was identified. Using MassHealth claims data, a cohort of continuously enrolled (July 2007–June 2010) children was constructed. The salient visit (first use of the modifier, screening code, or claim in fiscal year 2009) was considered a reference point to examine BH history and postscreening BH services. Bivariate and multivariate logistic regression analyses were performed to determine predictors of postscreening BH services. RESULTS: Of 261 160 children in the cohort, 45% (118 464) were screened and 37% had modifiers. Fifty-seven percent of children screening positive received postscreening BH services compared with 22% of children screening negative. However, only 30% of newly identified children received BH services. The strongest predictors of postscreening BH services for children without a BH history were being in foster care (odds ratio, 10.38; 95% confidence interval, 9.22–11.68) and having a positive modifier (odds ratio, 3.79; 95% confidence interval, 3.53–4.06). CONCLUSIONS: Previous BH history, a positive modifier, and foster care predicted postscreening BH services. Only one-third of newly identified children received services. Thus although screening is associated with an increase in BH recognition, it may be insufficient to improve care. Additional strategies may be needed to enhance engagement in BH services. PMID:25225135

  6. Patient turnover and nursing employment in Massachusetts hospitals before and after health insurance reform: implications for the Patient Protection and Affordable Care Act.

    PubMed

    Shindul-Rothschild, Judith; Gregas, Matt

    2013-01-01

    The Affordable Care Act is modeled after Massachusetts insurance reforms enacted in 2006. A linear mixed effect model examined trends in patient turnover and nurse employment in Massachusetts, New York, and California nonfederal hospitals from 2000 to 2011. The linear mixed effect analysis found that the rate of increase in hospital admissions was significantly higher in Massachusetts hospitals (p<.001) than that in California and New York (p=.007). The rate of change in registered nurses full-time equivalent hours per patient day was significantly less (p=.02) in Massachusetts than that in California and was not different from zero. The rate of change in admissions to registered nurses full-time equivalent hours per patient day was significantly greater in Massachusetts than California (p=.001) and New York (p<.01). Nurse staffing remained flat in Massachusetts, despite a significant increase in hospital admissions. The implications of the findings for nurse employment and hospital utilization following the implementation of national health insurance reform are discussed.

  7. Impact of school staff health on work productivity in secondary schools in Massachusetts.

    PubMed

    Alker, Heather J; Wang, Monica L; Pbert, Lori; Thorsen, Nancy; Lemon, Stephenie C

    2015-06-01

    Healthy, productive employees are an integral part of school health programs. There have been few assessments of work productivity among secondary school staff. This study describes the frequency of 3 common health risk factors--obesity, depressive symptoms, and smoking--and their impact on work productivity in secondary school employees. Employees of secondary schools in Massachusetts (N = 630) participated in a longitudinal weight gain prevention intervention study. Assessment completed at baseline, 1-year and 2-year follow-up included survey assessments of health risk factors as well as measurements for height, weight, and body mass index (BMI). The survey also included a depression inventory and Work Limitations Questionnaire. Data analysis included multivariate mixed effect models to identify productivity differences in relation to BMI, depressive symptoms, and smoking in this population stratified by position type (teacher and other school staff). The sample included 361 teachers and 269 other school staff. Obesity, depressive symptoms, and smoking were significantly associated with work productivity, including workdays missed because of health concerns (absenteeism) and decreases in on-the-job productivity because of health concerns (presenteeism). Three common health conditions, namely obesity, depressive symptoms, and smoking, adversely affect the productivity of high school employees. © 2015, American School Health Association.

  8. A Qualitative Exploration of Low-Income Women's Experiences Accessing Abortion in Massachusetts.

    PubMed

    Dennis, Amanda; Manski, Ruth; Blanchard, Kelly

    2015-01-01

    At a time when most states are working to restrict abortion, Massachusetts stands out as one of the few states with multiple state-level policies in place that support abortion access for low-income women. In 2006, Massachusetts passed health care reform, which resulted in almost all residents having insurance. Also, almost all state-level public and subsidized insurance programs cover abortion and there are fewer restrictions on abortion in Massachusetts compared with other states. We explored low-income women's experiences accessing abortion in Massachusetts through 27 in-depth telephone interviews with a racially diverse sample of low-income women who obtained abortions. Interviews were digitally recorded, transcribed, coded, and analyzed thematically. Most women described having access to timely, conveniently located, affordable, and highly acceptable abortion care. However, a sizable minority of women had difficulty enrolling in or staying on insurance, making abortion expensive. A small minority of women said their abortion care could be improved by increasing emotional support and privacy, and decreasing appointment times. Some limited data also suggest that young women and immigrant women face specific barriers to care. This study provides important, novel information about the need for state-level policies that support access to health insurance and comprehensive abortion coverage. Such policies, along with a well-functioning health care environment, help to ensure that low-income women have access to abortion. However, not all abortion access challenges have been resolved in Massachusetts. More work is needed to ensure that all women can access affordable, confidential care that is responsive to their specific needs and preferences. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  9. Tobacco companies’ efforts to undermine ingredient disclosure: the Massachusetts benchmark study

    PubMed Central

    Velicer, Clayton; Aguinaga-Bialous, Stella; Glantz, Stanton

    2015-01-01

    Objectives To assess the Massachusetts Benchmark ‘Study’ (MBS) that the tobacco companies presented to the Massachusetts Department of Public Health (MDPH) in 1999 in response to ingredient disclosure regulations in the state. This case study can inform future ingredient disclosure regulations, including implementation of Articles 9 and 10 of the WHO Framework Convention on Tobacco Control (FCTC). Methods We analysed documents available at http://legacy.library.ucsf.edu to identify internal communications regarding the design and execution of the MBS and internal studies on the relationship between tar, nicotine and carbon monoxide and smoke constituents and reviewed publications that further evaluated data published as part of the MBS. Results The companies conducted extensive studies of cigarette design factors and ingredients that significantly impacted the levels of constituents. While this study asserted that by-brand emissions could be estimated reliably from published tar, nicotine, and carbon monoxide levels, the tobacco companies were well aware that factors beyond tar, nicotine and carbon monoxide influenced levels of constituents included in the study. This severely limited the potential usefulness of the MBS predictor equations. Conclusions Despite promises to provide data that would allow regulators to predict constituent data for all brands on the market, the final MBS results offered no useful predictive information to inform regulators, the scientific community or consumers. When implementing FCTC Articles 9 and 10, regulatory agencies should demand detailed by-brand information on tobacco product constituents and toxin deliveries to users. PMID:26292701

  10. Nutrition Counts. Massachusetts Nutrition Surveillance System. FY90 Annual Report.

    ERIC Educational Resources Information Center

    Wiecha, Jean L.; And Others

    "Nutrition Counts," the pediatric portion of the Massachusetts Department of Public Health's (MDPH) Nutrition Surveillance System, monitors and describes aspects of nutritional status among groups of young children in the state. This report presents cross-sectional data describing 5,176 infants and young children in Massachusetts. Of…

  11. Forest Health Monitoring in Massachusetts, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    Massachusetts has mature forests dominated by hardwood species. Most of the trees are healthy, with full crowns (low transparency, high density), little dieback and little damage. Red maple trees made up almost one quarter of the trees and had slightly higher amounts of dieback, thinner crowns, and more damage than other common tree species.

  12. Managed care, networks and trends in hospital care for mental health and substance abuse treatment in Massachusetts: 1994-1999.

    PubMed

    Fleming, Elaine; Lien, Hsienming; Ma, Ching-To Albert; McGuire, Thomas G

    2003-03-01

    Rates of inpatient care for mental health and substance abuse treatment have been reported to fall after the introduction of managed care, but the actual decline may be overstated. Almost all managed care impact studies are based on pre-post comparisons, which have two drawbacks: secular downward trends may be attributed to a managed care effect and self-selection may exaggerate the impact of managed care. Therefore it is useful to examine long-term population-based trends in use associated with the growth of managed care. This paper examines trends in inpatient care for mental health and substance abuse treatment in Massachusetts between 1994 and 1999 by service provider and payer. We analyze how managed care impacts the trends in mental health and substance abuse care. We provide an overview of the health market in Massachusetts and compare trends in mental health and substance abuse services with all inpatient services. To analyze the impact of managed care, we compare the per discharge cost of managed care and fee for service plans in Medicare and Medicaid. Finally, we examine the role played by hospital networks in managed care. The reduction in service costs for mental health and substance abuse, about 25% in six years, is mostly due to the decline in the average cost per inpatient episode. This is only slightly greater than the decline in costs for all inpatient care. Managed care has reduced both the quantity (average length of stay) and intensity of health care (expenditure per day). Simulations suggest that the creation of hospital networks by managed care accounts for around 50% of the differential between the average costs of the HMO and FFS sectors. We find that the cost reductions in mental health and substance abuse services are larger than for physical health, but not by much. The average length of stay and average day cost is lower for managed care plans than for FFS plans, and much of this difference is attributable to the hospitals managed care

  13. An Analysis of the Massachusetts Healthcare Law.

    PubMed

    Stephens, James H; Ledlow, Gerald R; Sach, Michael V; Reagan, Julie K

    2017-01-01

    Healthcare in the United States has been one topic of the debates and discussion in the country for many years. The challenge for affordable, accessible, and quality healthcare for most Americans has been on the agenda of federal and state legislatures. There is probably no other state that has drawn as much individual attention regarding this challenge as the state of Massachusetts. While researching the topic for this article, it was discovered that financial and political perspectives on the success or failure of the healthcare model in Massachusetts vary depending on the aspect of the system being discussed. In this article the authors give a brief history and description of the Massachusetts Healthcare Law, explanation of how the law is financed, identification of the targeted populations in Massachusetts for which the law provides coverage, demonstration of the actual benefit coverage provided by the law, and review of the impact of the law on healthcare providers such as physicians and hospitals. In addition, there are explanations about the impact of the law on health insurance companies, discussion of changes in healthcare premiums, explanation of costs to the state for the new program, reviews of the impact on the health of the insured, and finally, projections on the changes that healthcare facilities will need to make to maintain fiscal viability as a result of this program.

  14. Eastern equine encephalitis--New Hampshire and Massachusetts, August-September 2005.

    PubMed

    2006-06-30

    During August-September 2005, the New Hampshire Department of Health and Human Services reported seven cases of human eastern equine encephalitis virus (EEEV) disease, the first laboratory-confirmed, locally acquired cases of human EEEV disease reported from New Hampshire in 41 years of national surveillance. Also during August--September 2005, the Massachusetts Department of Public Health reported four cases of human EEEV disease, five times the annual average of 0.8 cases reported from Massachusetts during the preceding 10 years. Four of the 11 patients from New Hampshire and Massachusetts died. EEEV is transmitted in marshes and swamps in an enzootic bird-mosquito-bird cycle primarily by the mosquito Culiseta melanura. Bridge mosquito vectors (e.g., Coquillettidia perturbans, Aedes vexans, or Aedes sollicitans) transmit EEEV to humans and other mammals. This report summarizes the investigations of cases in New Hampshire and Massachusetts conducted by the two state health departments and CDC. The findings underscore the importance of surveillance for, and diagnostic consideration of, arboviral encephalitis in the United States and promotion of preventive measures such as local mosquito control and use of insect repellent.

  15. College Impact Studies: Hampden County and Amherst, Massachusetts.

    ERIC Educational Resources Information Center

    Wachtel, Noemy; Morehouse, John S.

    This is the report of 2 separate studies, bound under 1 cover, to determine the economic impact of higher education institutions on the areas they serve. The first study takes into account the impact of the 5 colleges in Hampden County, Massachusetts. The second deals similarly with the impact of certain institutions on the Amherst, Massachusetts…

  16. Implementation of Competitive Food and Beverage Standards in a Sample of Massachusetts Schools: The NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health)

    PubMed Central

    Hoffman, Jessica A.; Rosenfeld, Lindsay; Schmidt, Nicole; Cohen, Juliana F. W.; Gorski, Mary; Chaffee, Ruth; Smith, Lauren; Rimm, Eric B.

    2015-01-01

    Background During 2012, Massachusetts adopted comprehensive school competitive food and beverage standards that closely align with Institute of Medicine recommendations and Smart Snacks in School national standards. Objective We examined the extent to which a sample of Massachusetts middle schools and high schools sold foods and beverages that were compliant with the state competitive food and beverage standards after the first year of implementation, and complied with four additional aspects of the regulations. Design Observational cohort study with data collected before implementation (Spring 2012) and 1 year after implementation (Spring 2013). Participants/setting School districts (N=37) with at least one middle school and one high school participated. Main outcome measures Percent of competitive foods and beverages that were compliant with Massachusetts standards and compliance with four additional aspects of the regulations. Data were collected via school site visits and a foodservice director questionnaire. Statistical analyses performed Multilevel models were used to examine change in food and beverage compliance over time. Results More products were available in high schools than middle schools at both time points. The number of competitive beverages and several categories of competitive food products sold in the sample of Massachusetts schools decreased following the implementation of the standards. Multilevel models demonstrated a 47-percentage-point increase in food and 46-percentage-point increase in beverage compliance in Massachusetts schools from 2012 to 2013. Overall, total compliance was higher for beverages than foods. Conclusions This study of a group of Massachusetts schools demonstrated the feasibility of schools making substantial changes in response to requirements for healthier competitive foods, even in the first year of implementation. PMID:26210085

  17. Implementation of Competitive Food and Beverage Standards in a Sample of Massachusetts Schools: The NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health).

    PubMed

    Hoffman, Jessica A; Rosenfeld, Lindsay; Schmidt, Nicole; Cohen, Juliana F W; Gorski, Mary; Chaffee, Ruth; Smith, Lauren; Rimm, Eric B

    2015-08-01

    During 2012, Massachusetts adopted comprehensive school competitive food and beverage standards that closely align with Institute of Medicine recommendations and Smart Snacks in School national standards. We examined the extent to which a sample of Massachusetts middle schools and high schools sold foods and beverages that were compliant with the state competitive food and beverage standards after the first year of implementation, and complied with four additional aspects of the regulations. Observational cohort study with data collected before implementation (Spring 2012) and 1 year after implementation (Spring 2013). School districts (N=37) with at least one middle school and one high school participated. Percent of competitive foods and beverages that were compliant with Massachusetts standards and compliance with four additional aspects of the regulations. Data were collected via school site visits and a foodservice director questionnaire. Multilevel models were used to examine change in food and beverage compliance over time. More products were available in high schools than middle schools at both time points. The number of competitive beverages and several categories of competitive food products sold in the sample of Massachusetts schools decreased following the implementation of the standards. Multilevel models demonstrated a 47-percentage-point increase in food and 46-percentage-point increase in beverage compliance in Massachusetts schools from 2012 to 2013. Overall, total compliance was higher for beverages than foods. This study of a group of Massachusetts schools demonstrated the feasibility of schools making substantial changes in response to requirements for healthier competitive foods, even in the first year of implementation. Copyright © 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  18. Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

    ERIC Educational Resources Information Center

    White Hughto, Jaclyn M.; Biello, Katie B.; Reisner, Sari L.; Perez-Brumer, Amaya; Heflin, Katherine J.; Mimiaga, Matthew J.

    2016-01-01

    Background: Differences in sexual health-related outcomes by sexual behavior and identity remain underinvestigated among bisexual female adolescents. Methods: Data from girls (N?=?875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and…

  19. Jacobson v Massachusetts: It’s Not Your Great-Great-Grandfather’s Public Health Law

    PubMed Central

    Mariner, Wendy K.; Annas, George J.; Glantz, Leonard H.

    2005-01-01

    Jacobson v Massachusetts, a 1905 US Supreme Court decision, raised questions about the power of state government to protect the public’s health and the Constitution’s protection of personal liberty. We examined conceptions about state power and personal liberty in Jacobson and later cases that expanded, superseded, or even ignored those ideas. Public health and constitutional law have evolved to better protect both health and human rights. States’ sovereign power to make laws of all kinds has not changed in the past century. What has changed is the Court’s recognition of the importance of individual liberty and how it limits that power. Preserving the public’s health in the 21st century requires preserving respect for personal liberty. PMID:15798113

  20. Question 1 tobacco education expenditures in Massachusetts, USA.

    PubMed

    Begay, M E; Glantz, S A

    1997-01-01

    In 1992, voters in Massachusetts (United States) approved Question 1, a state ballot initiative, which raised the state excise tax to provide funds for tobacco education. To examine Question 1 expenditures for tobacco-specific programmes in the 1994, 1995, 1996, and 1997 fiscal years. This study examined trends in Question 1 expenditures. Data were collected from the Massachusetts Department of Public Health and the Massachusetts Department of Revenue for the 1994, 1995, 1996, and 1997 fiscal years. The amount of spending on tobacco-specific programmes. Excluding the 1994 fiscal year because the state allocated 18 months of new revenues, from the 1995 fiscal year to the projected 1997 fiscal year, the state will have spent 22% of Question 1 funds for tobacco-specific programmes. Question 1 expenditures for tobacco-specific programmes have declined by 15%, whereas Question 1 expenditures for the other programmes decreased only 0.4%. The legislature has established a trend that has produced real reductions in Question 1 funding for tobacco education, which appears contrary to the mandate of the voters when they enacted Question 1 in 1992. These reductions undermine the effectiveness of tobacco-specific programmes that are an integral part of the Massachusetts Tobacco Control Programme. These results also highlight the fact that the initial compromises made after initiatives such as Question 1 are adopted have important long-term consequences for funding of tobacco control initiatives.

  1. Overview of causes and costs of injuries in Massachusetts: a methodology for analysis of state data.

    PubMed Central

    Schuster, M; Cohen, B B; Rodgers, C G; Walker, D K; Friedman, D J; Ozonoff, V V

    1995-01-01

    Massachusetts has developed the first State profile of the causes and costs of injury based on the national study, "Cost of Injury in the United States: A Report to Congress." Incidence of fatal injuries is based on Massachusetts data; nonfatal hospitalized injuries, on Massachusetts age and sex rates and U.S. cause data; and nonhospitalized injuries, on U.S. rates applied to Massachusetts census data. Lifetime costs per injured person are based on national data adjusted for higher personal health care expenditures and for higher mean annual earnings in Massachusetts. The estimated total lifetime cost for the 1.4 million injuries that occurred in 1989 is $4.4 billion--$1.7 billion for health care and $2.7 billion for lost earnings. Injuries attributed to motor vehicles and falls account for more than half of the total cost. The other cause categories are poisonings, fire-burns, firearms, drowings-near drownings, and other. For every person who dies from an injury, 17 people are hospitalized, and an estimated 535 people require outpatient treatment, consultation, or restricted activity. Development of a State-based cost report can be useful in monitoring the contribution of injuries to health status and in planning effective injury prevention strategies in a community-based health care system. The methodology described in this paper can be replicated by other States through accessing their State-specific mortality and hospital discharge data bases. PMID:7610211

  2. Unmet need for disability-related health care services and employment status among adults with disabilities in the Massachusetts Medicaid program.

    PubMed

    Henry, Alexis D; Long-Bellil, Linda; Zhang, Jianying; Himmelstein, Jay

    2011-10-01

    The employment rate among adults with disabilities is significantly lower than that among adults without disabilities. Ensuring access to rehabilitative and other health care services may help to address health-related barriers to employment for working-age people with disabilities. This study examined the relationship of unmet need for 6 disability-related health care services to current employment status among working-age adults with disabilities enrolled in the Massachusetts Medicaid (MassHealth Standard) program. Study participants included 436 MassHealth Standard members aged 19 to 64 who responded to the 2005/2006 MassHealth Employment and Disability Survey. Variables included members' demographic characteristics; Medicaid health plan and Medicare enrollment; members' self-report of potentially disabling conditions and current health status; access to health care as well as need and unmet need for 6 specific disability-related health care services (medications, mental health services, substance abuse services, medical supplies, durable medical equipment, personal assistance services); and current employment status. Fifteen percent of members reported currently working. Logistic regression analysis showed that (controlling for demographics, disability, health status, and other factors) members with greater unmet need were significantly less likely to be working (odds ratio = 0.58; 95% confidence interval = 0.33 to 0.99). Members' experience of unmet need was significantly greater for physical health services (supplies, durable medical equipment, personal assistance services) than for behavioral health services (mental health and substance abuse services) or medications. Working members generally rated services as important to work. Approximately 10% to 22% of nonworking members thought they would be able to work if needs were met. Meeting unmet needs for disability-related health care services may result in modest increases in employment among certain working

  3. Tobacco companies' efforts to undermine ingredient disclosure: the Massachusetts benchmark study.

    PubMed

    Velicer, Clayton; Aguinaga-Bialous, Stella; Glantz, Stanton

    2016-09-01

    To assess the 'Massachusetts Benchmark Study' (MBS) that the tobacco companies presented to the Massachusetts Department of Public Health (MDPH) in 1999 in response to ingredient disclosure regulations in the state. This case study can inform future ingredient disclosure regulations, including implementation of Articles 9 and 10 of the WHO Framework Convention on Tobacco Control (FCTC). We analysed documents available at http://legacy.library.ucsf.edu to identify internal communications regarding the design and execution of the MBS and internal studies on the relationship between tar, nicotine and carbon monoxide and smoke constituents and reviewed publications that further evaluated data published as part of the MBS. The companies conducted extensive studies of cigarette design factors and ingredients that significantly impacted the levels of constituents. While this study asserted that by-brand emissions could be estimated reliably from published tar, nicotine, and carbon monoxide levels, the tobacco companies were well aware that factors beyond tar, nicotine and carbon monoxide influenced levels of constituents included in the study. This severely limited the potential usefulness of the MBS predictor equations. Despite promises to provide data that would allow regulators to predict constituent data for all brands on the market, the final MBS results offered no useful predictive information to inform regulators, the scientific community or consumers. When implementing FCTC Articles 9 and 10, regulatory agencies should demand detailed by-brand information on tobacco product constituents and toxin deliveries to users. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  4. Environmental and economic evaluation of the Massachusetts Smoke-Free Workplace Law.

    PubMed

    Alpert, Hillel R; Carpenter, Carrie M; Travers, Mark J; Connolly, Gregory N

    2007-08-01

    An environmental and economic evaluation of the smoke-free law in Massachusetts provides a broad appreciation of how a state-wide smoking ban affects the health of patrons and workers as well as the industries that are commonly concerned about the effects of smoking bans on business. The aim of this study is to evaluate environmental and economic effects of the statewide Massachusetts statewide Smoke-Free Workplace Law. Before and after the smoking ban, air quality testing was conducted in a sample (n = 27) of hospitality venues and state-wide economic changes were assessed. Compliance, in terms of patronage was measured by person-counts. Environmental outcomes were respirable suspended particles (RSP) less than 2.5 microns in diameter (PM2.5). Economic outcomes were meals tax collections, employment in the food services and drinking places and accommodations industries. On average, levels of respirable suspended particles (RSPs) less than 2.5 microns in diameter (PM2.5) decreased 93% in these venues after the Massachusetts Smoke-free Workplace Law went into effect. No statistically significant changes were observed among the economic indicators. This evaluation demonstrates that the state-wide Massachusetts law has effectively improved indoor air quality in a sample of Massachusetts venues and has not negatively affected several economic indicators.

  5. Industry-Education Partnerships: Massachusetts Case Studies.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Quincy. Office of Community Education.

    This document consists largely of descriptions of 15 industry-education partnerships in Massachusetts, selected on the basis of their creativity; the range of partnership organizations and activity they represent; the diversity of students, teachers, businesses, and communities they affect; and their innovative and efficient coordination and…

  6. Using Medicaid/SCHIP to insure working families: the Massachusetts experience.

    PubMed

    Mitchell, Janet B; Osber, Deborah S

    2002-01-01

    Massachusetts was the first State to implement a premium subsidy program for employer-sponsored health insurance, using both Medicaid and State Children's Health Insurance Program (SCHIP) funding. The Insurance Partnership (IP) provides subsidies directly to small employers, and the Premium Assistance Program provides subsidies to their low-income employees. Approximately 3,500 small firms currently participate, most of them offering health insurance coverage for the first time. Approximately 10,000 adults and children are covered through the program, the majority of whom had been uninsured prior to enrolling. Massachusetts' successful experience with premium subsidies offers important lessons for other States wishing to implement similar programs.

  7. Characteristics of Fentanyl Overdose - Massachusetts, 2014-2016.

    PubMed

    Somerville, Nicholas J; O'Donnell, Julie; Gladden, R Matthew; Zibbell, Jon E; Green, Traci C; Younkin, Morgan; Ruiz, Sarah; Babakhanlou-Chase, Hermik; Chan, Miranda; Callis, Barry P; Kuramoto-Crawford, Janet; Nields, Henry M; Walley, Alexander Y

    2017-04-14

    Opioid overdose deaths in Massachusetts increased 150% from 2012 to 2015 (1). The proportion of opioid overdose deaths in the state involving fentanyl, a synthetic, short-acting opioid with 50-100 times the potency of morphine, increased from 32% during 2013-2014 to 74% in the first half of 2016 (1-3). In April 2015, the Drug Enforcement Agency (DEA) and CDC reported an increase in law enforcement fentanyl seizures in Massachusetts, much of which was believed to be illicitly manufactured fentanyl (IMF) (4). To guide overdose prevention and response activities, in April 2016, the Massachusetts Department of Public Health and the Office of the Chief Medical Examiner collaborated with CDC to investigate the characteristics of fentanyl overdose in three Massachusetts counties with high opioid overdose death rates. In these counties, medical examiner charts of opioid overdose decedents who died during October 1, 2014-March 31, 2015 were reviewed, and during April 2016, interviews were conducted with persons who used illicit opioids and witnessed or experienced an opioid overdose. Approximately two thirds of opioid overdose decedents tested positive for fentanyl on postmortem toxicology. Evidence for rapid progression of fentanyl overdose was common among both fatal and nonfatal overdoses. A majority of interview respondents reported successfully using multiple doses of naloxone, the antidote to opioid overdose, to reverse suspected fentanyl overdoses. Expanding and enhancing existing opioid overdose education and prevention programs to include fentanyl-specific messaging and practices could help public health authorities mitigate adverse effects associated with overdoses, especially in communities affected by IMF.

  8. No Further Action Decision Under CERCLA Study Area 43E Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    AREA 43E * HISTORIC GAS STATION SITES g FORT DEVENS , MASSACHUSETTS £ I CONTRACT DAAA15-91-D-0008I U.S. ARMY ENVIRONMENTAL CENTER3 ABERDEEN PROVING...FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43E HISTORIC GAS STATION SITES I FORT DEVENS , MASSACHUSETTS i I 1 Prepared for: U.S. Army...7053-12 JANUARY 1995 I I. NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43E HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS TABLE OF CONTENTS

  9. Influenza vaccination among pregnant women--Massachusetts, 2009-2010.

    PubMed

    2013-11-01

    The emergence of the novel influenza A (H1N1) pdm09 (pH1N1) strain in 2009 required a coordinated public health response, especially among high-risk populations. Because pregnant women were at increased risk for influenza-related complications and hospitalization compared with the general population, the American College of Obstetricians and Gynecologists and the Advisory Committee on Immunization Practices recommended pregnant women receive both the pH1N1 vaccine and the annual seasonal vaccine during the 2009-10 influenza season as a safe and effective way of protecting both mother and infant. To describe acceptance, predictors, and barriers to influenza vaccination among pregnant women in Massachusetts during the 2009-10 influenza season, the Massachusetts Department of Public Health (MDPH) analyzed data from supplemental influenza questions on the Massachusetts Pregnancy Risk Assessment Monitoring System (PRAMS) survey. The results indicated that 67.5% of residents who had live births in Massachusetts during September 2009-May 2010 received the seasonal vaccine, and 57.6% received the pH1N1 vaccine. Women who were non-Hispanic blacks, aged <25 years, Medicaid beneficiaries, or lived in a household with an income at or below the federal poverty level were significantly less likely to receive the seasonal vaccine. For the pH1N1 vaccine, only being non-Hispanic black was associated with being less likely to have been vaccinated. Vaccination rates were significantly higher among women whose provider offered or recommended the seasonal (75.8%) and pH1N1 (68.1%) vaccines compared with those who did not receive a recommendation (32.4% and 8.6%, respectively). Coverage in Massachusetts was among the highest of 29 PRAMS sites and might have reflected strategic efforts by MDPH to support vaccine education and equity across the state.

  10. No Further Action Decision Under CERCLA, Study Area 43B, Historic Gas Station Sites, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    I U.S. Army EnvironmentalCenter NO FURTHER ACTION DECISION UNDER CERCLA * STUDY AREA 43B HISTORIC GAS STATION SITES U FORT DEVENS , MASSACHUSETTS I I... FORT DEVENS , MASSACHUSETTS I I i * Prepared for: U.S. Army Environmental Center Aberdeen Proving Ground, Maryland Contract DAAA15-91-0008 I Prepared...HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS TABLE OF CONTENTS Section Title Page No. EXECUTIVE SUMMARY

  11. Effect of the planet health intervention on eating disorder symptoms in Massachusetts middle schools, 2005-2008.

    PubMed

    Austin, S Bryn; Spadano-Gasbarro, Jennifer L; Greaney, Mary L; Blood, Emily A; Hunt, Anne T; Richmond, Tracy K; Wang, Monica L; Mezgebu, Solomon; Osganian, Stavroula K; Peterson, Karen E

    2012-01-01

    The Planet Health obesity prevention curriculum has prevented purging and abuse of diet pills (disordered weight control behavior [DWCB]) in middle-school girls in randomized trials, but the effects of Planet Health on DWCB when implemented by schools under dissemination conditions are not known. Massachusetts Department of Public Health and Blue Cross Blue Shield of Massachusetts disseminated Planet Health as part of the 3-year, Healthy Choices obesity prevention program in middle schools. We conducted an evaluation in 45 schools from fall 2005 to spring 2008. We gathered data from school staff to quantify intervention activities, and we gathered anonymous cross-sectional survey data from students on DWCB at baseline and Year 3 follow-up (n = 16,369). Multivariate logistic analyses with generalized estimating equations examined the effect of intervention activities on odds of students reporting DWCB at follow-up. Students in schools reaching a high number of youth with Planet Health lessons on reducing television viewing had lower odds of DWCB at follow-up (odds ratio [OR], 0.80 per 100 lesson-exposures; 95% confidence interval [CI], 0.74-0.85). In addition, reduced odds of DWCB at follow-up were found in schools with active staff teamwork (OR, 0.76; 95% CI, 0.66-0.86) and the presence of programs addressing television viewing goals with staff (OR, 0.38; 95% CI, 0.28-0.53). Combined evidence from efficacy and effectiveness trials and now from dissemination research indicates that appropriately designed obesity prevention programs can achieve DWCB prevention on a large scale.

  12. Banning tobacco sales in Massachusetts' pharmacies.

    PubMed

    Woodward, Alan C; Henley, Patricia P; Wilson, Donald J

    2012-06-01

    Bans on the sale of tobacco products in pharmacies allow pharmacies to provide health information and services without the conflict of interest posed by concurrent tobacco sales. As health care providers, pharmacies are trusted sources of information for patients. The existence of tobacco products in pharmacies is contrary to their mission as a health care entity. By May 2012, a full 27 Massachusetts municipalities had banned the sale of tobacco products in health care institutions, including pharmacies. These bans covered 30% of the state's population.

  13. No Further Action Decision Under CERCLA Study Area 43N Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    SITES FORT DEVENS , MASSACHUSETTS CONTRACT DAAA15-91-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING GROUND, MARYLAND JANUARY 1995 PRINTED ON...HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS I . Prepared for: U.S. Army Environmental Center Aberdeen Proving Ground, Maryland Contract DAAA15-91...DECISION UNDER CERCLA STUDY AREA 43N HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS 3 TABLE OF CONTENTS U Section Title Page No. EXECUTIVE SUMMARY

  14. Sustaining enrollment in health insurance for vulnerable populations: lessons from Massachusetts.

    PubMed

    Capoccia, Victor; Croze, Colette; Cohen, Martin; O'Brien, John P

    2013-04-01

    Since 2008 Massachusetts has had universal health insurance with an individual mandate. As a result, only about 3% of the population is uninsured. However, patients who use behavioral health services are uninsured at much higher rates. This 2011 study sought to understand reasons for the discrepancy and identify approaches to reduce disenrollment and sustain coverage. The qualitative study was based on structured interviews and focus groups. Structured interviews were conducted with 15 policy makers, consumer advocates, and chief executive officers of provider organizations, and three focus groups were held with 33 patient volunteers. The interviews and focus groups identified several disenrollment opportunities, all of which contribute to "churn" (the process by which disenrolled persons who remain eligible are reenrolled in the same or a different plan): missing and incomplete documentation, acute and chronic conditions and long-term disabilities that interfere with a patient's ability to respond to program communications, and lack of awareness among beneficiaries of the consequences of changes that trigger termination and the need to transfer to another program. Although safeguards are built into the system to avoid some disenrollments, the policies and procedures that drive the system are built on a default assumption of ineligibility or disenrollment until the individual establishes eligibility and completes requirements. Practices that can sustain enrollment include real-time Web-based prepopulated enrollment and redetermination processes, redetermination flexibility for designated chronic illnesses, and standardized performance metrics for churn and associated costs. Changes in the information system infrastructure and in outreach, enrollment, disenrollment, and reenrollment procedures can improve continuity and retention of health insurance coverage.

  15. Emergency Department Involvement in Accountable Care Organizations in Massachusetts: A Survey Study.

    PubMed

    Ali, Nissa J; McWilliams, J Michael; Epstein, Stephen K; Smulowitz, Peter B

    2017-11-01

    We assess Massachusetts emergency department (ED) involvement and internal ED constructs within accountable care organization contracts. An online survey was distributed to 70 Massachusetts ED directors. Questions attempted to assess involvement of EDs in accountable care organizations and the structures in place in EDs-from departmental resources to physician incentives-to help achieve accountable care organization goals of decreasing spending and improving quality. Of responding ED directors, 79% reported alignment between the ED and an accountable care organization. Almost all ED groups (88%) reported bearing no financial risk as a result of the accountable care organization contracts in which their organizations participated. Major obstacles to meeting accountable care organization objectives included care coordination challenges (62%) and lack of familiarity with accountable care organization goals (58%). The most common cost-reduction strategies included ED case management (85%) and information technology (61%). Limitations of this study include that information was self-reported by ED directors, a focus limited to Massachusetts, and a survey response rate of 47%. The ED directors perceived that the majority of physicians were not familiar with accountable care organization goals, many challenges remain in coordinating care for patients in the ED, and most EDs have no financial incentives tied to accountable care organizations. EDs in Massachusetts have begun to implement strategies aimed at reducing admissions, utilization, and overall cost, but these strategies are not widespread apart from case management, even in a state with heavy accountable care organization penetration. Our results suggest that Massachusetts EDs still lack clear directives and direct involvement in meeting accountable care organization goals. Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  16. Rail and Motor Outloading Capability Study. Fort Devens, Massachusetts,

    DTIC Science & Technology

    1980-03-01

    AD-AI 765 MILITARY TRAFFIC MANAGEMENT COMMAND TRANSPORTATION EN-ETC FIO 15/5 RAIL AND MOTOR OUTLOADING CAPABILITY STUDY. FORT DEVENS . MASSAC-ETC(U...REPORT TE 79-4-54 RAIL AND MOTOR OUTLOADING CAPABILITY STUDY FORT DEVENS , MASSACHUSETTS Accession Far DTIC TAB March 1980 _stribution/ Av_alability...INTRODUCTION 6.. . .. . . II. ANALYSIS OF FORT DEVENS ’ RAIL OUTLOADING FACILITIES ... . . .. . .9 A. General .9.. B. Rail Facility Description

  17. Massachusetts English Language Learners' Profiles and Progress: A Report for the Massachusetts Department of Elementary and Secondary Education

    ERIC Educational Resources Information Center

    Slama, Rachel; Haynes, Erin; Sacks, Lynne; Lee, Dong Hoon; August, Diane

    2015-01-01

    The present study was commissioned by the Massachusetts Department of Elementary and Secondary Education (ESE) to provide a profile of Massachusetts English Language Learners (ELLs) and policy recommendations for improving their outcomes. ESE was concerned about previous study findings that most of these learners exited ELL instructional programs…

  18. Access to healthcare insurance and healthcare services among syringe exchange program clients in Massachusetts: qualitative findings from health navigators with the iDU ("I do") Care Collaborative.

    PubMed

    Stopka, Thomas J; Hutcheson, Marguerite; Donahue, Ashley

    2017-05-18

    Little is known about access to health insurance among people who inject drugs (PWID) who attend syringe exchange programs (SEPs). The goal of the current study was to assess perceptions of SEP staff, including health navigators and program managers, on access to health insurance and healthcare access among SEP clients following implementation of state and federal policies to enhance universal healthcare access in Massachusetts. Between December 2014 and January 2015, we conducted in-depth interviews (n = 14) with SEP staff, including both program managers and health navigators, to assess knowledge, attitudes, and beliefs related to health insurance enrollment and access to enhanced referrals among SEP clients. We developed a preliminary coding scheme from the interview guide and used a grounded theory approach to guide inclusion of subsequent thematic codes that emanated from the data. We analyzed the coded data thematically in an iterative fashion using a consensus-based approach. We identified five primary themes that emerged from the qualitative interviews, including high levels of health insurance enrollment among SEP clients; barriers to enrolling in health insurance; highly needed referrals to services, including improved access to substance use disorder treatment and hepatitis C virus treatment; barriers to referring clients to these highly needed services; and recommendations for policy change. While barriers to enrollment and highly needed referrals remain, access to and enrollment in healthcare insurance plans among PWID at SEPs in Massachusetts are high. With the uncertain stability of the Affordable Care Act following the US presidential election of 2016, our findings summarize the opportunities and challenges that are connected to health insurance and healthcare access in Massachusetts. SEPs can play an important role in facilitating access to health insurance and enhancing access to preventive health and primary care.

  19. No Further Action Decision Under CERCLA, Study Area 14, Landfill No. 10, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    I I I U.S. ArmyEnvironmentalCenter NO FURTHER ACTION DECISION UNDER 5 CERCLA * STUDY AREA 14 LANDFILL NO. 10 U FORT DEVENS , MASSACHUSETTS CONTRACT...45, 1 Feb 93 replaces THAMA Form 45 which is obsolete. U 1I NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 14 LANDFILL NO. 10 3 FORT DEVENS ... FORT DEVENS , MASSACHUSETTS 3 TABLE OF CONTENTS Section Title Page No. EXECUTIVE SUMMARY ......................................... ES-1 I 1.0

  20. Cigarette smoking before and after an excise tax increase and an antismoking campaign--Massachusetts, 1990-1996.

    PubMed

    1996-11-08

    In November 1992, residents of Massachusetts approved a ballot petition (Question 1) that increased the tax on each pack of cigarettes from $.26 to $.51 beginning January 1, 1993, and requested that the legislature spend the proceeds on tobacco control and health education. The Massachusetts Tobacco Control Program (MTCP), administered by the Massachusetts Department of Public Health (MDPH), was established in response to the approval of the petition. In October 1993, MTCP initiated a statewide mass-media antismoking campaign. In early 1994, the program began funding local boards of health and school health and other youth programs to promote policies to reduce public exposure to environmental tobacco smoke and to restrict youth access to cigarettes. Efforts also included support to health education programs, primary-care providers, and other services to help smokers quit. Through June 1996, MTCP expenditures totaled $116 million, including $43 million for the mass-media campaign. To assess the effects of the excise tax increase and the antismoking campaign on cigarette smoking in Massachusetts, CDC and MDPH analyzed data about the number of packs of cigarettes taxed per capita and the prevalence of cigarette smoking during the period preceding (1990-1992) and following (1993-1996) implementation of the ballot petition. This report summarizes the findings of the assessment and compares trends in cigarette consumption (i.e., purchases) in Massachusetts, in California (where a voter-mandated cigarette tax increase in January 1989 funded a statewide antismoking campaign that began in April 1990, and in the 48 remaining states and the District of Columbia combined. The findings suggest that the number of packs of cigarettes taxed per capita declined substantially in Massachusetts after implementation of the ballot petition.

  1. Forest statistics for Massachusetts

    Treesearch

    John R. Peters; Teresa M. Bowers

    1977-01-01

    This report contains data from the second inventory of the forest resources of Massachusetts. The inventory was completed in 1971 by the Northeastern Forest Experiment Station in cooperation with the Massachusetts Department of Natural Resources.

  2. Cape queer? A case study of Provincetown, Massachusetts.

    PubMed

    Krahulik, Karen Christel

    2006-01-01

    Cape Queer is a case study that details how sexuality intersects with race, gender, and class in the development of the gay and lesbian resort community, Provincetown, Massachusetts. It asks scholars to pay closer attention to the ways in which methodologies and practices utilizing LGBT studies and queer theory can combine rather than separate to interrogate LGBT and queer histories, politics and communities. In the process, it assesses how the global mechanics of capitalism led to the local queering and eventually un-queering of a gentrified, white, gay and lesbian enclave.

  3. Evaluation of the Massachusetts Expanded Learning Time (ELT) Initiative: Final Study Findings

    ERIC Educational Resources Information Center

    Checkoway, Amy; Gamse, Beth; Velez, Melissa; Linkow, Tamara

    2013-01-01

    The Massachusetts Expanded Learning Time (ELT) initiative provides grants to selected schools to redesign their schedules by adding 300-plus instructional hours to the school year to improve outcomes, broaden enrichment opportunities, and provide teachers with more planning and professional development time. The Massachusetts Department of…

  4. Contaminant transport and accumulation in Massachusetts Bay and Boston Harbor; a summary of U.S. Geological Survey studies

    USGS Publications Warehouse

    Butman, Bradford; Bothner, Michael H.; Hathaway, J.C.; Jenter, H.L.; Knebel, H.J.; Manheim, F.T.; Signell, R.P.

    1992-01-01

    The U.S. Geological Survey (USGS) is conducting studies in Boston Harbor, Massachusetts Bay, and Cape Cod Bay designed to define the geologic framework of the region and to understand the transport and accumulation of contaminated sediments. The region is being studied because of environmental problems caused by the introduction of wastes for a long time, because a new ocean outfall (to begin operation in 1995) will change the location for disposal of treated Boston sewage from Boston Harbor into Massachusetts Bay, and because of the need to understand the transport of sediments and associated contaminants in order to address a wide range of management questions. The USGS effort complements and is closely coordinated with the research and monitoring studies supported by the Massachusetts Environmental Trust, the Massachusetts Bays Program, and by the Massachusetts Water Resources Authority. The USGS study includes (1) geologic mapping, (2) circulation studies, (3) long-term current and sediment transport observations, (4) measurements of contaminant inventories and rates of sediment mixing and accumulation, (5) circulation modeling, (6) development of a contaminated sediments data base, and (7) information exchange. A long-term objective of the program is to develop a predictive capability for sediment transport and accumulation.

  5. No Further Action Decision Under CERCLA Study 43R Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    in accordance with the same. E Date RAC Environmental Coordinator m U.S. ENVIRONMENTAL PROTECTION AGENCY JAMES P. BYRý% Date Fort Devens Remedial...CERCLA STUDY AREA 43R HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...ACTION DECISION UNDER CERCLA STUDY AREA 43R HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS I * Prepared for: U.S. Army Environmental Center

  6. Effect of the Planet Health Intervention on Eating Disorder Symptoms in Massachusetts Middle Schools, 2005–2008

    PubMed Central

    Spadano-Gasbarro, Jennifer L.; Greaney, Mary L.; Blood, Emily A.; Hunt, Anne T.; Richmond, Tracy K.; Wang, Monica L.; Mezgebu, Solomon; Osganian, Stavroula K.; Peterson, Karen E.

    2012-01-01

    Introduction The Planet Health obesity prevention curriculum has prevented purging and abuse of diet pills (disordered weight control behavior [DWCB]) in middle-school girls in randomized trials, but the effects of Planet Health on DWCB when implemented by schools under dissemination conditions are not known. Methods Massachusetts Department of Public Health and Blue Cross Blue Shield of Massachusetts disseminated Planet Health as part of the 3-year, Healthy Choices obesity prevention program in middle schools. We conducted an evaluation in 45 schools from fall 2005 to spring 2008. We gathered data from school staff to quantify intervention activities, and we gathered anonymous cross-sectional survey data from students on DWCB at baseline and Year 3 follow-up (n = 16,369). Multivariate logistic analyses with generalized estimating equations examined the effect of intervention activities on odds of students reporting DWCB at follow-up. Results Students in schools reaching a high number of youth with Planet Health lessons on reducing television viewing had lower odds of DWCB at follow-up (odds ratio [OR], 0.80 per 100 lesson-exposures; 95% confidence interval [CI], 0.74–0.85). In addition, reduced odds of DWCB at follow-up were found in schools with active staff teamwork (OR, 0.76; 95% CI, 0.66–0.86) and the presence of programs addressing television viewing goals with staff (OR, 0.38; 95% CI, 0.28–0.53). Conclusion Combined evidence from efficacy and effectiveness trials and now from dissemination research indicates that appropriately designed obesity prevention programs can achieve DWCB prevention on a large scale. PMID:23194779

  7. Governing Healthcare through Performance Measurement in Massachusetts and the Netherlands

    PubMed Central

    Van der Wees, Philip J.; der Sanden, Maria W.G. Nijhuis-van; van Ginneken, Ewout; Ayanian, John Z.; Schneider, Eric C.; Westert, Gert P.

    2016-01-01

    Massachusetts and the Netherlands have implemented comprehensive health reforms, which have heightened the importance of performance measurement. The performance measures addressing access to health care and patient experience are similar in the two jurisdictions, but measures of processes and outcomes of care differ considerably. In both jurisdictions, the use of health outcomes to compare the quality of health care organizations is limited, and specific information about costs is lacking. New legislation in both jurisdictions led to the establishment of institutes to monitor the quality of care, similar mandates to make the performance of health care providers transparent, and to establish a shared responsibility of providers, consumers and insurers to improve the quality of health care. In Massachusetts a statewide mandatory quality measure set was established to monitor the quality of care. The Netherlands is stimulating development of performance measures by providers based on a mandatory framework for developing such measures. Both jurisdictions are expanding the use of patient-reported outcomes to support patient care, quality improvement, and performance comparisons with the aim of explicitly linking performance to new payment incentives. PMID:24138729

  8. Evaluation of Child Care Subsidy Strategies: Massachusetts Family Child Care Study

    ERIC Educational Resources Information Center

    Collins, Ann; Goodson, Barbara; Luallen, Jeremy; Fountain, Alyssa Rulf; Checkoway, Amy

    2010-01-01

    This report presents findings from the Massachusetts Family Child Care study, a two-year evaluation of the impacts of an early childhood education program on providers and children in family child care. The program--"LearningGames"--is designed to train caregivers to stimulate children's cognitive, language, and social-emotional…

  9. The cultural basis for oral health practices among Somali refugees pre-and post-resettlement in Massachusetts.

    PubMed

    Adams, Jo Hunter; Young, Samorga; Laird, Lance D; Geltman, Paul L; Cochran, Jennifer J; Hassan, Ahmed; Egal, Fadumo; Paasche-Orlow, Michael K; Barnes, Linda L

    2013-11-01

    Oral health disparities related to socioeconomic status have been well described in the U.S., but oral health among refugee groups has not been well characterized. This article examines oral health among Somali refugees in Massachusetts. Eighty-three (83) participants were purposively selected for an in-depth, open-ended interview related to oral health. Older individuals associated use of the stick brush with the Islamic practice of cleansing before prayer. When unable to find stick brushes in the U.S., many adopted the Western toothbrush. Parents expressed concern that their children had adopted U.S. practices of brushing with a toothbrush only once or twice a day. Somali oral health practices have changed following arrival to the U.S., but the underlying model for oral health care remains rooted in Islam. By acknowledging the value of traditional practices, dentists may communicate the value of Western preventive and restorative dentistry, and recommend approaches to integrating the two.

  10. The Cultural Basis for Oral Health Practices among Somali Refugees Pre- and Post-Resettlement in Massachusetts

    PubMed Central

    Adams, Jo Hunter; Young, Samorga; Laird, Lance D.; Geltman, Paul L.; Cochran, Jennifer J.; Hassan, Ahmed; Egal, Fadumo; Paasche-Orlow, Michael K.; Barnes, Linda L.

    2014-01-01

    Background Oral health disparities related to socioeconomic status have been well described in the U.S., but oral health among refugee groups has not been well characterized. This article examines oral health among Somali refugees in Massachusetts. Methods Eighty-three (83) participants were purposively selected for an in-depth, open-ended interview related to oral health. Results Older individuals associated use of the stick brush with the Islamic practice of cleansing before prayer. When unable to find stick brushes in the U.S., many adopted the Western toothbrush. Parents expressed concern that their children had adopted U.S. practices of brushing with a toothbrush only once or twice a day. Conclusions/implications Somali oral health practices have changed following arrival to the U.S., but the underlying model for oral health care remains rooted in Islam. By acknowledging the value of traditional practices, dentists may communicate the value of Western preventive and restorative dentistry, and recommend approaches to integrating the two. PMID:24185145

  11. The Early Impact Of The ‘Alternative Quality Contract’ On Mental Health Service Use And Spending In Massachusetts

    PubMed Central

    Barry, Colleen L.; Stuart, Elizabeth A.; Donohue, Julie M.; Greenfield, Shelly F.; Kouri, Elena; Duckworth, Kenneth; Song, Zirui; Mechanic, Robert E.; Chernew, Michael E.; Huskamp, Haiden A.

    2016-01-01

    Accountable care using global payment with performance bonuses has shown promise in controlling spending growth and improving care. This study examined how an early model, the Alternative Quality Contract (AQC) established in 2009 by Blue Cross Blue Shield of Massachusetts (BCBSMA), has affected care for mental illness. We compared spending and use for enrollees in AQC organizations that did and did not accept financial risk for mental health with enrollees not participating in the contract. Compared with BCBSMA enrollees in organizations not participating in the AQC, we found that enrollees in organizations participating in the AQC were slightly less likely to use mental health services and had small declines in total health care spending, but no change was found in mental health spending among all users. The declines in probability of use of mental health services and in total health spending attributable to the AQC were concentrated among enrollees in AQC organizations that accepted financial risk for behavioral health. Interviews with AQC organization leaders suggested that the contractual arrangements did not meaningfully affect mental health care delivery in the program’s initial years, but organizations are now at varying stages of efforts to improve integration. PMID:26643628

  12. The Enough Abuse Campaign: Building the Movement to Prevent Child Sexual Abuse in Massachusetts

    ERIC Educational Resources Information Center

    Schober, Daniel J.; Fawcett, Stephen B.; Bernier, Jetta

    2012-01-01

    This case study describes the Enough Abuse Campaign, a multidisciplinary, statewide effort to prevent child sexual abuse in Massachusetts. The study uses the Institute of Medicine's Framework for Collaborative Community Action on Health to provide a systematic description of the campaign's process of implementation, which includes: (a) developing…

  13. Needs assessment under the Maternal and Child Health Services Block Grant: Massachusetts.

    PubMed

    Guyer, B; Schor, L; Messenger, K P; Prenney, B; Evans, F

    1984-09-01

    The Massachusetts maternal and child health (MCH) agency has developed a needs assessment process which includes four components: a statistical measure of need based on indirect, proxy health and social indicators; clinical standards for services to be provided; an advisory process which guides decision making and involves constituency groups; and a management system for implementing funds distribution, namely open competitive bidding in response to a Request for Proposals. In Fiscal Years 1982 and 1983, the process was applied statewide in the distribution of primary prenatal (MIC) and pediatric (C&Y) care services and lead poisoning prevention projects. Both processes resulted in clearer definitions of services to be provided under contract to the state as well as redistribution of funds to serve localities that had previously received no resources. Although the needs assessment process does not provide a direct measure of unmet need in a complex system of private and public services, it can be used to advocate for increased MCH funding and guide the distribution of new MCH service dollars.

  14. No Further Action Decision Under CERCLA Study Area 43L Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    AES C. CHAMBERS Date RAC Environmental Coordinator U.S. ENVIRONMENTAL PROTECTION AGENCY JAMES P. BY/NE ) Date Fort Devens Remedial Project Manager...CERCLA STUDY AREA 43L HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...DECISION UNDER CERCLA STUDY AREA 43L HISTORIC GAS STATION SITES ! FORT DEVENS , MASSACHUSETTS I I I 5 Prepared for: U.S. Army Environmental Center I

  15. Using Satellite-Based Spatiotemporal Resolved Air Temperature Exposure to Study the Association between Ambient Air Temperature and Birth Outcomes in Massachusetts

    PubMed Central

    Melly, Steven J.; Coull, Brent A.; Nordio, Francesco; Schwartz, Joel D.

    2015-01-01

    Background Studies looking at air temperature (Ta) and birth outcomes are rare. Objectives We investigated the association between birth outcomes and daily Ta during various prenatal exposure periods in Massachusetts (USA) using both traditional Ta stations and modeled addresses. Methods We evaluated birth outcomes and average daily Ta during various prenatal exposure periods in Massachusetts (USA) using both traditional Ta stations and modeled address Ta. We used linear and logistic mixed models and accelerated failure time models to estimate associations between Ta and the following outcomes among live births > 22 weeks: term birth weight (≥ 37 weeks), low birth weight (LBW; < 2,500 g at term), gestational age, and preterm delivery (PT; < 37 weeks). Models were adjusted for individual-level socioeconomic status, traffic density, particulate matter ≤ 2.5 μm (PM2.5), random intercept for census tract, and mother’s health. Results Predicted Ta during multiple time windows before birth was negatively associated with birth weight: Average birth weight was 16.7 g lower (95% CI: –29.7, –3.7) in association with an interquartile range increase (8.4°C) in Ta during the last trimester. Ta over the entire pregnancy was positively associated with PT [odds ratio (OR) = 1.02; 95% CI: 1.00, 1.05] and LBW (OR = 1.04; 95% CI: 0.96, 1.13). Conclusions Ta during pregnancy was associated with lower birth weight and shorter gestational age in our study population. Citation Kloog I, Melly SJ, Coull BA, Nordio F, Schwartz JD. 2015. Using satellite-based spatiotemporal resolved air temperature exposure to study the association between ambient air temperature and birth outcomes in Massachusetts. Environ Health Perspect 123:1053–1058; http://dx.doi.org/10.1289/ehp.1308075 PMID:25850104

  16. No Further Action Decision Under CERCLA Study Area 43Q Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    the same. ,J ES C. CHAMBERS Date RAC Environmental Coordinator I U.S. ENVIRONMENTAL PROTECTION AGENCY -t JAMES P. BYR4 Date3 Fort Devens Refiedial...CERCLA STUDY AREA 43Q HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS , CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...ACTION DECISION UNDER CERCLA STUDY AREA 43Q HISTORIC GAS STATION SITES 5 FORT DEVENS , MASSACHUSETTS V a I i Prepared for: U.S. Army Environmental Center

  17. Rates of Femicide in Women of Different Races, Ethnicities, and Places of Birth: Massachusetts, 1993-2007

    ERIC Educational Resources Information Center

    Azziz-Baumgartner, Eduardo; McKeown, Loreta; Melvin, Patrice; Dang, Quynh; Reed, Joan

    2011-01-01

    To describe the epidemiology of intimate partner violence (IPV) homicide in Massachusetts, an IPV mortality data set developed by the Massachusetts Department of Public Health was analyzed. The rates of death were estimated by dividing the number of decedents over the aged-matched population and Poisson regression was used to estimate the…

  18. 46 CFR 15.1040 - Massachusetts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Massachusetts. 15.1040 Section 15.1040 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN MANNING REQUIREMENTS Vessels in Foreign Trade § 15.1040 Massachusetts. The following U.S. navigable waters located within the...

  19. 46 CFR 15.1040 - Massachusetts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Massachusetts. 15.1040 Section 15.1040 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN MANNING REQUIREMENTS Vessels in Foreign Trade § 15.1040 Massachusetts. The following U.S. navigable waters located within the...

  20. 46 CFR 15.1040 - Massachusetts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Massachusetts. 15.1040 Section 15.1040 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN MANNING REQUIREMENTS Vessels in Foreign Trade § 15.1040 Massachusetts. The following U.S. navigable waters located within the...

  1. 46 CFR 15.1040 - Massachusetts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Massachusetts. 15.1040 Section 15.1040 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN MANNING REQUIREMENTS Vessels in Foreign Trade § 15.1040 Massachusetts. The following U.S. navigable waters located within the...

  2. 46 CFR 15.1040 - Massachusetts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Massachusetts. 15.1040 Section 15.1040 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN MANNING REQUIREMENTS Vessels in Foreign Trade § 15.1040 Massachusetts. The following U.S. navigable waters located within the...

  3. Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study.

    PubMed

    Jorgensen, Selena; Thorlby, Ruth; Weinick, Robin M; Ayanian, John Z

    2010-12-31

    A Massachusetts regulation implemented in 2007 has required all acute care hospitals to report patients' race, ethnicity and preferred language using standardized methodology based on self-reported information from patients. This study assessed implementation of the regulation and its impact on the use of race and ethnicity data in performance monitoring and quality improvement within hospitals. Thematic analysis of semi-structured interviews with executives from a representative sample of 28 Massachusetts hospitals in 2009. The number of hospitals using race, ethnicity and language data internally beyond refining interpreter services increased substantially from 11 to 21 after the regulation. Thirteen of these hospitals were utilizing patient race and ethnicity data to identify disparities in quality performance measures for a variety of clinical processes and outcomes, while 16 had developed patient services and community outreach programs based on findings from these data. Commonly reported barriers to data utilization include small numbers within categories, insufficient resources, information system requirements, and lack of direction from the state. The responses of Massachusetts hospitals to this new state regulation indicate that requiring the collection of race, ethnicity and language data can be an effective method to promote performance monitoring and quality improvement, thereby setting the stage for federal standards and incentive programs to eliminate racial and ethnic disparities in the quality of health care.

  4. Ecosystem-based management and refining governance of wind energy in the Massachusetts coastal zone: A case study approach

    NASA Astrophysics Data System (ADS)

    Kumin, Enid C.

    While there are as yet no wind energy facilities in New England coastal waters, a number of wind turbine projects are now operating on land adjacent to the coast. In the Gulf of Maine region (from Maine to Massachusetts), at least two such projects, one in Falmouth, Massachusetts, and another on the island of Vinalhaven, Maine, began operation with public backing only to face subsequent opposition from some who were initially project supporters. I investigate the reasons for this dynamic using content analysis of documents related to wind energy facility development in three case study communities. For comparison and contrast with the Vinalhaven and Falmouth case studies, I examine materials from Hull, Massachusetts, where wind turbine construction and operation has received steady public support and acceptance. My research addresses the central question: What does case study analysis of the siting and initial operation of three wind energy projects in the Gulf of Maine region reveal that can inform future governance of wind energy in Massachusetts state coastal waters? I consider the question with specific attention to governance of wind energy in Massachusetts, then explore ways in which the research results may be broadly transferable in the U.S. coastal context. I determine that the change in local response noted in Vinalhaven and Falmouth may have arisen from a failure of consistent inclusion of stakeholders throughout the entire scoping-to-siting process, especially around the reporting of environmental impact studies. I find that, consistent with the principles of ecosystem-based and adaptive management, design of governance systems may require on-going cycles of review and adjustment before the implementation of such systems as intended is achieved in practice. I conclude that evolving collaborative processes must underlie science and policy in our approach to complex environmental and wind energy projects; indeed, collaborative process is fundamental to

  5. Massachusetts | Midmarket Solar Policies in the United States | Solar

    Science.gov Websites

    Research | NREL Massachusetts Massachusetts An arrow graphic shows that Massachusetts's retail rate. State Incentive Programs Program Administrator Incentive Leading By Example Solar PV Canopy Environmental Affairs: Leading by Example Program Other MassSolar: Solar Policies and Resources Massachusetts

  6. Overweight and obesity in Massachusetts: epidemic, hype or policy opportunity?

    PubMed

    Lewis, Katharine Kranz; Man, Lynne H

    2007-01-23

    In 2005, more than 56 percent of Massachusetts adults were overweight, a 40 percent increase from rates reported in 1990. Overall, nearly 21 percent of Massachusetts adults are obese. Both Blacks and Hispanics in the state are more likely than whites to be both overweight and obese, whereas Asians are the least likely to be overweight or obese. Nationally, rates of overweight and obesity are even higher. Obesity is a risk factor for multiple serious health problems in adults, including heart disease, hardening of the arteries, high cholesterol, high blood pressure, certain types of cancer, stroke, diabetes, muscle and bone disorders and gallbladder disease. In Massachusetts, it is estimated that direct costs for obesity-related medical expenditures came to a total of $1.8 billion (4.7% of total medical expenditures) in 2003. Medical expenditures for obese people are estimated to be 25-27% higher than normal weight people, and 44% higher among people who are very obese. Costs are largely attributed to higher rates of coronary heart disease, hypertension and diabetes, and longer hospital stays. Indirect costs associated with obesity approached $3.9 billion in 1995 reflecting 39.2 million lost workdays, 239 million restricted activity days, 89.5 million hospital bed-days, and 62.6 million physician visits. Causes of obesity include the wide availability of unhealthy foods, increased consumption, changing eating habits, high-calorie beverages, advertising and lack of physical activity. Although a number federal, state and local programs, policies and initiatives aimed at curbing the obesity epidemic have been implemented, more needs to be done. What is the responsibility of government in curbing the obesity epidemic, and how much of the burden should be left up to the individual? These important questions will be discussed at the Massachusetts Health Policy Forum on January 23, 2007. Overweight and obesity continue to climb steadily in the United States among both

  7. Characterizing the low wage immigrant workforce: a comparative analysis of the health disparities among selected occupations in Somerville, Massachusetts.

    PubMed

    Panikkar, Bindu; Woodin, Mark A; Brugge, Doug; Hyatt, Raymond; Gute, David M

    2014-05-01

    This study estimates job-related risks among common low wage occupations (cleaning, construction, food service, cashier/baggers, and factory workers) held by predominantly Haitian, El Salvadorian, and Brazilian immigrants living or working in Somerville, Massachusetts. A community-based cross-sectional survey on immigrant occupational health was conducted between 2006 and 2009 and logistic regression was used to assess the job-related risks among the most common low wage occupations. Construction workers reported significantly higher health risks, and lower access to occupational health services than the other occupations. Compared to cashier/baggers, the reference population in this study, cleaners reported significantly lower access to health and safety and work training and no knowledge of workers' compensation. Factory workers reported significantly lower work training compared to cashier/baggers. Food service workers reported the least access to doctors compared to the other occupations. We found significant variability in risks among different low wage immigrant occupations. The type of occupation independently contributed to varying levels of risks among these jobs. We believe our findings to be conservative and recommend additional inquiry aimed at assuring the representativeness of our findings. © 2013 Wiley Periodicals, Inc.

  8. Patient Privacy, Consent, and Identity Management in Health Information Exchange: Issues for the Military Health System

    DTIC Science & Technology

    2013-01-01

    JPC-1b Joint Program Committee-1b on Health Information Technology and Medical Informatics MAeHC Massachusetts eHealth Collaborative MHS Military...efficiency of care. The second study, by the eHealth Initiative (2011), surveyed communities across the United States with initiatives to share health...Simon et al. (2009) conducted focus groups involving 64 participants in several rural towns participating in the Massachusetts eHealth Collaborative

  9. Expanding access to naloxone for family members: The Massachusetts experience.

    PubMed

    Bagley, Sarah M; Forman, Leah S; Ruiz, Sarah; Cranston, Kevin; Walley, Alexander Y

    2018-05-01

    The Massachusetts Department of Public Health Overdose Education and Naloxone Distribution Program provides overdose education and naloxone rescue kits to people at risk for overdose and bystanders, including family members. Using Massachusetts Department of Public Health data, the aims are to: (i) describe characteristics of family members who receive naloxone; (ii) identify where family members obtain naloxone; and (iii) describe characteristics of rescues by family members. We conducted a retrospective review using program enrollee information collected on a standardised form between 2008 and 2015. We calculated descriptive statistics, including demographics, current substance use, enrolment location, history of witnessed overdoses and rescue attempt characteristics. We conducted a stratified analysis comparing family members who used drugs with those who did not. Family members were 27% of total program enrollees (n = 10 883/40 801). Family members who reported substance use (n = 4679) were 35.6 years (mean), 50.6% female, 76.3% non-Hispanic white, 75.6% had witnessed an overdose, and they obtained naloxone most frequently at HIV prevention programs. Family members who did not report substance use (n = 6148) were 49.2 years (mean), 73.8% female, 87.9% non-Hispanic white, 35.3% had witnessed an overdose, and they obtained naloxone most frequently at community meetings. Family members were responsible for 20% (n = 860/4373) of the total rescue attempts. The Massachusetts experience demonstrates that family members can be active participants in responding to the overdose epidemic by rescuing family members and others. Targeted intervention strategies for families should be included in efforts to expand overdose education and naloxone in Massachusetts. © 2017 Australasian Professional Society on Alcohol and other Drugs.

  10. Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Smoking Prevalence

    PubMed Central

    Land, Thomas; Warner, Donna; Paskowsky, Mark; Cammaerts, Ayesha; Wetherell, LeAnn; Kaufmann, Rachel; Zhang, Lei; Malarcher, Ann; Pechacek, Terry; Keithly, Lois

    2010-01-01

    Background Approximately 50% of smokers die prematurely from tobacco-related diseases. In July 2006, the Massachusetts health care reform law mandated tobacco cessation coverage for the Massachusetts Medicaid population. The new benefit included behavioral counseling and all medications approved for tobacco cessation treatment by the U.S. Food and Drug Administration (FDA). Between July 1, 2006 and December 31, 2008, a total of 70,140 unique Massachusetts Medicaid subscribers used the newly available benefit, which is approximately 37% of all Massachusetts Medicaid smokers. Given the high utilization rate, the objective of this study is to determine if smoking prevalence decreased significantly after the initiation of tobacco cessation coverage. Methods and Findings Smoking prevalence was evaluated pre- to post-benefit using 1999 through 2008 data from the Massachusetts Behavioral Risk Factor Survey (BRFSS). The crude smoking rate decreased from 38.3% (95% C.I. 33.6%–42.9%) in the pre-benefit period compared to 28.3% (95% C.I.: 24.0%–32.7%) in the post-benefit period, representing a decline of 26 percent. A demographically adjusted smoking rate showed a similar decrease in the post-benefit period. Trend analyses reflected prevalence decreases that accrued over time. Specifically, a joinpoint analysis of smoking prevalence among Massachusetts Medicaid benefit-eligible members (age 18–64) from 1999 through 2008 found a decreasing trend that was coincident with the implementation of the benefit. Finally, a logistic regression that controlled for demographic factors also showed that the trend in smoking decreased significantly from July 1, 2006 to December 31, 2008. Conclusion These findings suggest that a tobacco cessation benefit that includes coverage for medications and behavioral treatments, has few barriers to access, and involves broad promotion can significantly reduce smoking prevalence. PMID:20305787

  11. Using surveillance data to inform a SUID reduction strategy in Massachusetts.

    PubMed

    Treadway, Nicole J; Diop, Hafsatou; Lu, Emily; Nelson, Kerrie; Hackman, Holly; Howland, Jonathan

    2014-12-01

    Non-supine infant sleep positions put infants at risk for sudden unexpected infant death (SUID). Disparities in safe sleep practices are associated with maternal income and race/ethnicity. The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is a nutrition supplement program for low-income (≤185% Federal Poverty Level) pregnant and postpartum women. Currently in Massachusetts, approximately 40% of pregnant/postpartum women are WIC clients. To inform the development of a SUID intervention strategy, the Massachusetts Department of Public Health (MDPH) investigated the association between WIC status and infant safe sleep practices among postpartum Massachusetts mothers using data from the Pregnancy Risk Assessment Monitoring System (PRAMS) survey. PRAMS is an ongoing statewide health surveillance system of new mothers conducted by the MDPH in collaboration with the Centers for Disease Control and Prevention (CDC). PRAMS includes questions about infant sleep position and mothers' prenatal WIC status. Risk Ratio (RR) and 95 percent confidence intervals (CI) were calculated for infant supine sleep positioning by WIC enrollment, yearly and in aggregate (2007-2010). The aggregate (2007-2010) weighted sample included 276,252 women (weighted n ≈ 69,063 women/year; mean survey response rate 69%). Compared to non-WIC mothers, WIC mothers were less likely to usually or always place their infants in supine sleeping positions [RR = 0.81 (95% CI: 0.80, 0.81)]. Overall, significant differences were found for each year (2007, 2008, 2009, 2010), and in aggregate (2007-2010) by WIC status. Massachusetts WIC mothers more frequently placed their babies in non-supine positions than non-WIC mothers. While this relationship likely reflects the demographic factors associated with safe sleep practices (e.g., maternal income and race/ethnicity), the finding informed the deployment of an intervention strategy for SUID prevention. Given WIC's statewide

  12. Geology of Massachusetts and Rhode Island

    USGS Publications Warehouse

    Emerson, Benjamin Kendall

    1917-01-01

    In preparing the present treatise and the accompanying geologic map of Massachusetts and Rhode Island (PI. X, in pocket) I have endeavored to use all the material available. The matter has been greatly condensed, for the detailed geology of a considerable part of the area will be described in a number of forthcoming folios of the Geologic Atlas of the United States. The Holyoke folio, published in 1898, covered the major part of the Triassic rocks in Massachusetts, but as those rocks have since been more thoroughly studied they are here treated in greater detail to bring their discussion up to date.

  13. Parks and the urban heat island: A longitudinal study in Westfield, Massachusetts

    Treesearch

    Robert S. Bristow; Robert Blackie; Nicole Brown

    2012-01-01

    Urban landscapes often have warmer temperatures than the surrounding countryside, a phenomenon known as the urban heat island (UHI) effect. This study compares and contrasts temperatures across Westfield, Massachusetts, a moderate size New England city, and considers the influence that the city’s parks and protected areas have on the local microclimate. The data show a...

  14. Landfill Remediation Feasibility Study, Devens, Massachusetts. Volume 1. Text, Figures, and Tables

    DTIC Science & Technology

    1997-01-01

    REMEDIATION FEASIBILITY STUDY DEVENS , MA Remedial Action Alternative Retained Eliminated PA-i: Cap-in-Place AOCs 9, 11, 40, 41 X Excavate/Dispose... AOC * 9 & 40 LANDFILL REMEDIATION FEASIBIUTY STUDY DEVENS , MA DIRECT COSTS NO FURTHER ACTION SA 6 $ 0 SA 12 0 SA 13 0 AOC 41 0 LIMITED REMOVAL AT AOC ... Fort Devens ), Devens , Massachusetts. 11 12 The FS is being conducted in accordance with the U.S. Environmental

  15. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700... the nature of Massachusetts' terrain, climate, biological, chemical or other relevant physical...

  16. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700... the nature of Massachusetts' terrain, climate, biological, chemical or other relevant physical...

  17. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700... the nature of Massachusetts' terrain, climate, biological, chemical or other relevant physical...

  18. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700... the nature of Massachusetts' terrain, climate, biological, chemical or other relevant physical...

  19. The campaign to raise the tobacco tax in Massachusetts.

    PubMed

    Heiser, P F; Begay, M E

    1997-06-01

    Question 1 raised the Massachusetts state tobacco tax to fund tobacco education programs. This paper examines the process of qualifying and passing Question 1. Information was gathered from internal memoranda, meeting minutes, newspaper articles, internal documents, letters, newsletters, news and press releases, and personal interviews. Data about campaign contributions were obtained from the Massachusetts Office of Campaign and Political Finance. Three factors help explain why Question 1 passed: (1) the policy environment was favorable because of the social unacceptability of smoking; (2) the activists assembled a large coalition of supporters; and (3) the activists countered industry claims that the new tax would hurt small business and lower-income smokers and would be wasted by the legislature. The ballot initiative passed despite the industry's $7 million campaign to defeat it. The apparent influence of the tobacco industry on the legislature was the driving force behind the decision of public health activists to qualify Question 1. Moving policy-making out of the legislature into the public arena widened the scope of conflict and enabled public health activists to win.

  20. Impact of Massachusetts Health Reform on Enrollment Length and Health Care Utilization in the Unsubsidized Individual Market.

    PubMed

    Garabedian, Laura F; Ross-Degnan, Dennis; Soumerai, Stephen B; Choudhry, Niteesh K; Brown, Jeffrey S

    2017-06-01

    To evaluate the impact of the 2006 Massachusetts health reform, the model for the Affordable Care Act, on short-term enrollment and utilization in the unsubsidized individual health insurance market. Seven years of administrative and claims data from Harvard Pilgrim Health Care. We employed pre-post survival analysis and an interrupted time series design to examine changes in enrollment length, utilization patterns, and use of elective procedures (discretionary inpatient surgeries and infertility treatment) among nonelderly adult enrollees before (n = 6,912) and after (n = 29,207) the MA reform. The probability of short-term enrollment dropped immediately after the reform. Rates of inpatient encounters (HR = 0.83, 95 percent CI: 0.74, 0.93), emergency department encounters (HR = 0.85, 95 percent CI: 0.80, 0.91), and discretionary inpatient surgeries (HR = 0.66 95 percent CI: 0.45, 0.97) were lower in the postreform period, whereas the rate of ambulatory visits was somewhat higher (HR = 1.04, 95 percent CI: 1.00, 1.07). The rate of infertility treatment was higher after the reform (HR = 1.61, 95 percent CI: 1.33, 1.97), driven by women in individual (vs. family) plans. The reform was not associated with increased utilization among short-term enrollees. MA health reform was associated with a decrease in short-term enrollment and changes in utilization patterns indicative of reduced adverse selection in the unsubsidized individual market. Adverse selection may be a problem for specific, high-cost treatments. © Health Research and Educational Trust.

  1. Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group.

    PubMed

    Tucker, K L; Falcon, L M; Bianchi, L A; Cacho, E; Bermudez, O I

    2000-02-01

    Limited data suggest that Puerto Ricans experience greater disability than other ethnic groups, but few studies have examined the factors associated with this apparent difference. We describe the prevalence of functional limitation and disability in a representative sample of Puerto Rican and Dominican elders in Massachusetts, and in a neighborhood comparison group of non-Hispanic whites (NHWs). We then relate disability scores, based on both prevalence and severity of ADL or IADL limitation, with self-reported history of diagnosed health conditions--adjusting for age, sex, body mass index (BMI; weight kg/height m(2)), income, education, living alone, smoking, and alcohol use. Seventy-five percent of Dominican women and 73% of Puerto Rican women reported difficulty with at least one ADL, compared with 64% of NHW women. Puerto Rican men reported significantly more limitation than did NHW or Dominican men. Conditions significantly associated with at least two disability measures among the NHW included smoking, former heavy alcohol use, arthritis, cataract, respiratory disease, and high BMI, but not stroke, diabetes, history of heart attack, or depression. The patterns for Puerto Ricans differed, with the strongest associations between disability and stroke, arthritis, diabetes, and depression, followed by history of heart attack, high BMI, cataract, poverty status, and respiratory disease. Only arthritis and depression were consistently significantly associated with disability among this smaller sample of Dominican elders. Functional limitation and disability are more prevalent among Puerto Ricans and among Dominican women than among neighborhood NHWs in Massachusetts. Greater disability is associated with the presence of chronic health conditions, which differ by ethnic group. Additional research is needed to further define the social and health factors that contribute to these ethnic differences.

  2. Evaluation of the Massachusetts Competency-Based Vocational Education Program. Final Report.

    ERIC Educational Resources Information Center

    Swartz, Janet P.

    A study obtained information about implementation and impact of competency-based vocational education (CBVE) in Massachusetts secondary schools. Information was collected from teachers, administrators, Division of Occupational Education staff, the State Leadership Team, and staff at the Massachusetts Vocational Curriculum Resource Center. Findings…

  3. Sediment studies in the Assabet River, central Massachusetts, 2003

    USGS Publications Warehouse

    Zimmerman, Marc J.; Sorenson, Jason R.

    2005-01-01

    From its headwaters in Westborough, Massachusetts, to its confluence with the Sudbury River, the 53-kilometer-long Assabet River passes through a series of small towns and mixed land-use areas. Along the way, wastewater-treatment plants release nutrient-rich effluents that contribute to the eutrophic state of this waterway. This condition is most obvious where the river is impounded by a series of dams that have sequestered large amounts of sediment and support rooted and floating macrophytes and epiphytic algae. The water in parts of these impoundments may also have low concentrations of dissolved oxygen, another symptom of eutrophication. All of the impoundments had relatively shallow maximum water depths, which ranged from approximately 2.4 to 3.4 meters, and all had extensive shallow areas. Sediment volumes estimated for the six impoundments ranged from approximately 380 cubic meters in the Aluminum City impoundment to 580,000 cubic meters in the Ben Smith impoundment. The other impoundments had sediment volumes of 120,000 cubic meters (Powdermill), 67,000 cubic meters (Gleasondale), 55,000 cubic meters (Hudson), and 42,000 cubic meters (Allen Street). The principal objective of this study was the determination of sediment volume, extent, and chemistry, in particular, the characterization of toxic inorganic and organic chemicals in the sediments. To determine the bulk-sediment chemical-constituent concentrations, more than one hundred sediment cores were collected in pairs from the six impoundments. One core from each pair was sampled for inorganic constituents and the other for organic constituents. Most of the cores analyzed for inorganics were sectioned to provide information on the vertical distribution of analytes; a subset of the cores analyzed for organics was also sectioned. Approximately 200 samples were analyzed for inorganic constituents and 100 for organics; more than 10 percent were quality-control replicate or blank samples. Maximum bulk

  4. Contaminant transport in Massachusetts Bay

    USGS Publications Warehouse

    Butman, Bradford

    Construction of a new treatment plant and outfall to clean up Boston Harbor is currently one of the world's largest public works projects, costing about $4 billion. There is concern about the long-term impact of contaminants on Massachusetts Bay and adjacent Gulf of Maine because these areas are used extensively for transportation, recreation, fishing, and tourism, as well as waste disposal. Public concern also focuses on Stellwagen Bank, located on the eastern side of Massachusetts Bay, which is an important habitat for endangered whales. Contaminants reach Massachusetts Bay not only from Boston Harbor, but from other coastal communities on the Gulf of Maine, as well as from the atmosphere. Knowledge of the pathways, mechanisms, and rates at which pollutants are transported throughout these coastal environments is needed to address a wide range of management questions.

  5. Evaluation of Child Care Subsidy Strategies: Massachusetts Family Child Care Study. Executive Summary

    ERIC Educational Resources Information Center

    Collins, Ann; Goodson, Barbara

    2010-01-01

    This report presents findings from the Massachusetts Family Child Care study, a two-year evaluation designed to examine the impacts on providers and children of an early childhood education program aimed at improving the development and learning opportunities in the care settings and, as a consequence, the outcomes for children in care. The early…

  6. Results of the Massachusetts methylene chloride end-users survey.

    PubMed

    Roelofs, Cora R; Ellenbecker, Michael J

    2003-02-01

    A survey of Massachusetts companies reporting use of methylene chloride between 1995 and 1999 was conducted to assess the status of industrial use of the chemical in 2000. Methylene chloride has had wide use in industry although it has been identified as potentially hazardous to exposed workers and the environment. New and tightened occupational and environmental regulations taking effect in the 1990s were hypothesized to have reduced use of the chemical in Massachusetts. Substitute technologies, especially aqueous cleaning, were expected to have replaced methylene chloride in many industries. Seventeen of the 21 Massachusetts manufacturing companies reporting use of over 10,000 lb/y of methylene chloride between 1995 and 1999 were surveyed by telephone regarding their experiences of methylene chloride use and elimination and/or replacement. Fifteen of the 17 companies had either eliminated (10) or reduced to below 10,000 lbs/yr (5) their use of methylene chloride at the time of the survey in 2000. Many of the surveyed companies moved to aqueous cleaning from methylene chloride degreasing operations. Environmental concerns were the most popular reason given for eliminating or reducing use of methylene chloride. Worker health and safety concerns, especially concern about compliance with the 1997 Occupational Safety and Health Administration methylene chloride standard, were also a motivation. In general, the companies associated many benefits and few problems with eliminating or reducing use of methylene chloride. Exposure reduction strategies based on toxics use reduction techniques appear to be feasible for many manufacturing companies. However, research should be conducted to assess the introduction of new hazards as a result of tightened regulations on methylene chloride.

  7. Massachusetts high court supports use of civil rights law to bar blockades.

    PubMed

    1994-04-15

    In a 4-3 opinion issued on April 11, the Supreme Judicial Court of the Commonwealth of Massachusetts affirmed a lower court order preventing anti-choice activists from blocking access to a facility providing abortion counseling or services. Granted under the Massachusetts Civil Rights Act, the injunction also prohibits using force against anyone entering, leaving, or working at such a location (see RFN II/22). Several health care providers and pro-choice organizations obtained a preliminary injunction in 1989 against trespassing or blockading at specific clinics. The following year, the Commonwealth of Massachusetts intervened in the case and was granted a similar statewide order by Superior Court Judge Peter Lauriat. Upholding application of the civil rights statute in this context, the Massachusetts Supreme Judicial Court found that the trial court "properly concluded that the defendants' conduct constituted threats, intimidation, and coercion" of women seeking to exercise their constitutional right to choose abortion. Moreover, the state High Court held that the trial court "did not abuse its discretion in denying disclosure of the identities of the women affected by the defendants' conduct." Anti-choice activists had claimed they needed to question patients to show that blockades--not threats, intimidation, or coercion--caused them to delay their abortion procedures. Congratulations to John Henn of Foley, Hoag and Eliot of Boston, who represented plaintiffs in Planned Parenthood League of Massachusetts v. Blake. CRLP's Janet Benshoof, Catherine Albisa, and Priscilla Smith filed an amicus brief in the case (see RFN II/22). full text

  8. Examining Climate Influences and Economic Impacts of Harmful Algal Blooms in Massachusetts: 1993 and 2005

    NASA Astrophysics Data System (ADS)

    Ngo, N.

    2005-12-01

    Although the potential causes of harmful algal blooms (HABs), or red tides, have been studied extensively, the relationships between the environmental drivers and economic impacts have not been fully explored. This paper examined the environmental-economic link by investigating similarities in the environmental conditions leading to the 1993 and 2005 HABs (caused by the dinoflagellate Alexandirum) along the Massachusetts coast, and the resulting effects on shellfish, public health, recreation, tourism, and the commercial shellfish industry in Massachusetts. Environmental influences including sea surface temperature (SST), salinity, precipitation, streamflow, and shellfish toxicity levels were examined for the years 1990 to 2005. Economic impacts on commercial fishery landings (Massachusetts mussel commercial fishery landings and Gloucester commercial fishery landings) were assessed for the years1990 to 2003. The Plume Advection hypothesis was studied and results showed that runoff from the five major rivers that contribute to the Western Maine Coastal Current, the current that carried these cells, peaked in April 1993 and 2005 relative to the mean which varied from river to river. The most intense wind stress coming from the North occurred in April 1993 and May 2005 with speeds of 15-20 m/s. A large decrease in salinity off the Massachusetts coast occurred in May 1993 and measured outside the 68% of 1993 salinity data recorded, and from the information available, in April and May 2005 waters were also less saline. Peaks in shellfish toxicity occurred in early June 1993 at approximately 400 μg toxicity/g shellfish meat and in 2005 at 700 μg toxicity/g shellfish meat. This indicated a lag time between peaks in runoff and toxicity of approximately one month and similarly with decreases in salinity. Runoff also corresponded to a large decrease in salinity during May 1993. Coincidentally, there was also a significant decrease in commercial fishery landings between

  9. Establishing a Practice-Based Research Network: Lessons from the Massachusetts Experience

    ERIC Educational Resources Information Center

    Pulcini, Joyce; Sheetz, Anne; DeSisto, Marie

    2008-01-01

    This article describes the recently established Massachusetts School Nurse Research Network (MASNRN) which has a mission of establishing a practice-based research network (PBRN) comprised of a representative, collaborative group of professional school nurses, nurse academicians, and other interested parties for whom school health is a priority.…

  10. 75 FR 3764 - Massachusetts Disaster # MA-00024

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-22

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12020 and 12021] Massachusetts Disaster MA-00024 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 01/15/2010. Incident: Mystic...

  11. 77 FR 76584 - Massachusetts Disaster # MA-00051

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13420 and 13421] Massachusetts Disaster MA-00051 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 12/12/2012. Incident...

  12. 76 FR 30748 - Massachusetts Disaster #MA-00033

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declarations 12597 and 12598] Massachusetts Disaster MA-00033 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 05/19/2011. Incident...

  13. 76 FR 65557 - Massachusetts Disaster #MA-00043

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12884 and 12885] Massachusetts Disaster MA-00043 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 10/13/2011. [[Page 65558...

  14. 77 FR 76585 - Massachusetts Disaster # MA-00052

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13417 and 13418] Massachusetts Disaster MA-00052 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 12/11/2012. Incident...

  15. 77 FR 2600 - Massachusetts Disaster #MA-00046

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12984 and 12985] Massachusetts Disaster MA-00046 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Massachusetts (FEMA...

  16. 77 FR 33263 - Massachusetts Disaster #MA-00048

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13078 and 13079] Massachusetts Disaster MA-00048 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 05/29/2012. Incident: Lake...

  17. 76 FR 13697 - Massachusetts Disaster #MA-00032

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12484 and 12485] Massachusetts Disaster MA-00032 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Massachusetts (FEMA...

  18. 78 FR 25336 - Massachusetts Disaster #MA-00054

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13549 and 13550] Massachusetts Disaster MA-00054 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the Commonwealth of Massachusetts...

  19. 77 FR 12350 - Massachusetts Disaster #MA-00047

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13021 and 13022] Massachusetts Disaster MA-00047 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 02/21/2012. Incident...

  20. 76 FR 36952 - Massachusetts Disaster #MA-00037

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-23

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12639 and 12640] Massachusetts Disaster MA-00037 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Massachusetts (FEMA...

  1. 75 FR 45681 - Massachusetts Disaster #MA-00028.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12246 and 12247] Massachusetts Disaster MA-00028. AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of MASSACHUSETTS dated 07/27/2010. Incident: Severe...

  2. 77 FR 66214 - Massachusetts Disaster # MA-00049

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-02

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13348 and 13349] Massachusetts Disaster MA-00049 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 10/22/2012. Incident: Severe...

  3. 75 FR 79064 - Massachusetts Disaster #MA-00030

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12407 and 12408] Massachusetts Disaster MA-00030 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 12/07/2010. Incident...

  4. 75 FR 22874 - Massachusetts Disaster # MA-00027

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12138 and 12139] Massachusetts Disaster MA-00027 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Massachusetts (FEMA...

  5. 76 FR 40766 - Massachusetts Disaster #MA-00035

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12658 and 12659] Massachusetts Disaster MA-00035 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 06/29/2011. Incident...

  6. The visiting specialist model of rural health care delivery: a survey in Massachusetts.

    PubMed

    Drew, Jacob; Cashman, Suzanne B; Savageau, Judith A; Stenger, Joseph

    2006-01-01

    Hospitals in rural communities may seek to increase specialty care access by establishing clinics staffed by visiting specialists. To examine the visiting specialist care delivery model in Massachusetts, including reasons specialists develop secondary rural practices and distances they travel, as well as their degree of satisfaction and intention to continue the visiting arrangement. Visiting specialists at 11 rural hospitals were asked to complete a mailed survey. Visiting specialists were almost evenly split between the medical (54%) and surgical (46%) specialties, with ophthalmology, nephrology, and obstetrics/gynecology the most common specialties reported. A higher proportion of visiting specialists than specialists statewide were male (P = .001). Supplementing their patient base and income were the most important reasons visiting specialists reported for having initiated an ancillary clinic. There was a significant negative correlation between a hospital's number of staffed beds and the total number of visiting specialists it hosted (r =-0.573, P = .032); study hospitals ranged in bed size from 15 to 129. The goal of matching supply of health care services with demand has been elusive. Visiting specialist clinics may represent an element of a market structure that expands access to needed services in rural areas. They should be included in any enumeration of physician availability.

  7. Hospital discharge queues in Massachusetts.

    PubMed

    Gruenberg, L W; Willemain, T R

    1982-02-01

    There is growing concern over the inappropriate utilization of health care facilities. The high cost of hospital care and the apparent shortage of nursing home beds have focused attention on one aspect of this problem: the clinically unnecessary days (sometimes called "administrative days" or "ADs") spent in hospitals by patients who are awaiting placement in long-term care facilities. In this study, data from a 1976 Massachusetts Department of Public Health survey of patients backed up in hospitals were analyzed to determine the magnitude of the problem and to examine the influence of several major factors that had been hypothesized in previous studies to contribute to the backup. We demonstrate that the average delay of a patient found waiting in a "snapshot" survey (which is often used to estimate the magnitude of the problem) is significantly greater than the average delay experienced by a typical discharged patient. We show that there are at least two major factors that influence the delay time: nursing home preferences in accepting certain types of patients and nursing home occupancy rates in the hospital service area. Neither medical-surgical occupancy rate nor the number of AD patients waiting in the hospital was significantly correlated with the delay time.

  8. Perceived reactions to race and health status in the Massachusetts Behavioral Risk Factor Surveillance System Survey.

    PubMed

    Zuckerman, Rachael B; Tinsley, Liane J; Hawk, Helen; Cohen, Bruce

    2012-01-01

    Evaluate the relationship between race, perceptions of personally mediated racism and health outcomes in the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS). Regression analysis of 8,266 respondents to the Reactions to Race module in 2006 and 2008. Questions assessing personally mediated racism were combined to measure perceptions of reactions to race. Adjusted odds ratios and 95% CI of perceived personally mediated racism, self-reported overall health, life satisfaction, health risks (smoking status, obesity, binge and heavy drinking), and preventive services (colonoscopy, flu vaccine). Black non-Hispanic respondents are 10.4 times (95% CI: 6.3-17.3; P<.001) and Hispanics 5.8 times (95% CI: 3.6-9.4; P<.001) more likely to report being treated worse than other races compared to White non-Hispanic respondents. Respondents of all races reporting being treated worse than other races are 3.2 times (95% CI: 1.9-5.4; P<.001) more likely to have fair/poor health and 4.1 times (95% CI: 2.1-7.9; P<.001) more likely to report life dissatisfaction than those treated the same or better than other races. There is no statistically significant association between perceived personally mediated racism and health risks or preventive services tested. Perceptions of personally mediated racism are significantly associated with fair/poor overall health and life dissatisfaction, but none of the health risks or preventive services tested.

  9. The Visiting Specialist Model of Rural Health Care Delivery: A Survey in Massachusetts

    ERIC Educational Resources Information Center

    Drew, Jacob; Cashman, Suzanne B.; Savageau, Judith A.; Stenger, Joseph

    2006-01-01

    Context: Hospitals in rural communities may seek to increase specialty care access by establishing clinics staffed by visiting specialists. Purpose: To examine the visiting specialist care delivery model in Massachusetts, including reasons specialists develop secondary rural practices and distances they travel, as well as their degree of…

  10. Simmons Hall, Massachusetts.

    ERIC Educational Resources Information Center

    Amelar, Sarah

    2003-01-01

    Describes the design of Simmons Hall, an undergraduate dormitory at the Massachusetts Institute of Technology, including the educational context and design goals. Includes information on the architects, as well as floor plans and photographs. (EV)

  11. 75 FR 17177 - Massachusetts Disaster #MA-00025

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12100 and 12101] Massachusetts Disaster MA-00025 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for the State of Massachusetts (FEMA-1895-DR), dated 03/29/ 2010...

  12. 76 FR 36953 - Massachusetts Disaster #MA-00036

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-23

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12637 and 12638] Massachusetts Disaster MA-00036 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for the State of Massachusetts (FEMA--1994--DR), dated 06/15/ 2011...

  13. 76 FR 56859 - Massachusetts Disaster #MA-00039

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12799 and 12800] Massachusetts Disaster MA-00039 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for the Commonwealth of Massachusetts (FEMA-4028-DR), dated 09/03...

  14. Health hazard evaluation report HETA 96-0137-2607, Yankee Atomic Electric Company, Rowe, Massachusetts

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

    Sylvain, D.C.

    1996-10-01

    In response to a request from the Health and Safety Supervisor at the Yankee Nuclear Power Station (SIC-4911), Rowe, Massachusetts, an investigation was begun into ozone (10028156) exposure during plasma arc cutting and welding. Welders had reported chest tightness, dry cough, and throat and bronchial irritation. The nuclear power station was in the process of being decommissioned, and workers were dismantling components using welding and cutting methods. Of the operations observed during the site visit, the highest ozone concentrations were generated during plasma arc cutting, followed by metal inert gas (MIG) welding and arc welding. During plasma arc cutting themore » average and peak concentrations exceeded the NIOSH ceiling recommended exposure limit of 0.1 part per million. The author concludes that ozone exposure during plasma arc cutting and MIG welding presented a health hazard to welders. The author recommends that improvements be made in the local exhaust ventilation, that nitrogen-dioxide levels be monitored during hot work, and that many exposed workers wear protective clothing, use ultraviolet blocking lotion, and continue the use appropriate shade of eye protection.« less

  15. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 921.700 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700 Massachusetts Federal program. (a) This part contains all rules that are applicable to surface coal mining...

  16. Massachusetts Study of Teacher Supply and Demand: Trends and Projections

    ERIC Educational Resources Information Center

    Levin, Jesse; Berg-Jacobson, Alex; Atchison, Drew; Lee, Katelyn; Vontsolos, Emily

    2015-01-01

    In April 2015, the Massachusetts Department of Elementary and Secondary Education (ESE) commissioned American Institutes for Research (AIR) to develop a comprehensive set of 10-year projections of teacher supply and demand in order to inform planning for future workforce needs. This included state-level projections both in the aggregate, as well…

  17. Sea-floor texture and physiographic zones of the inner continental shelf from Salisbury to Nahant, Massachusetts, including the Merrimack Embayment and Western Massachusetts Bay

    USGS Publications Warehouse

    Pendleton, Elizabeth E.; Barnhardt, Walter A.; Baldwin, Wayne E.; Foster, David S.; Schwab, William C.; Andrews, Brian D.; Ackerman, Seth D.

    2015-10-26

    A series of maps that describe the distribution and texture of sea-floor sediments and physiographic zones of Massachusetts State waters from Nahant to Salisbury, Massachusetts, including western Massachusetts Bay, have been produced by using high-resolution geophysical data (interferometric and multibeam swath bathymetry, lidar bathymetry, backscatter intensity, and seismic reflection profiles), sediment samples, and bottom photographs. These interpretations are intended to aid statewide efforts to inventory and manage coastal and marine resources, link with existing data interpretations, and provide information for research focused on coastal evolution and environmental change. Marine geologic mapping of the inner continental shelf of Massachusetts is a statewide cooperative effort of the U.S. Geological Survey and the Massachusetts Office of Coastal Zone Management.

  18. The economic cost of infertility-related services: an examination of the Massachusetts infertility insurance mandate.

    PubMed

    Griffin, M; Panak, W F

    1998-07-01

    To examine the costs and outcomes of infertility-related services in Massachusetts during a time of expanded use of assisted reproductive technology (ART). Cost data were obtained from the Massachusetts Department of Insurance Rate-Setting Commission and 9 large group insurance plans for the period 1986-1993. Utilization and success rates of ART were examined, and the cost per live delivery with the use of ART in 1993 was estimated. The state of Massachusetts, in which access to infertility-related services has been mandated by law since 1989. The study population consisted of 8 large health maintenance organization plans and the Blue Cross/Blue Shield indemnity plan. None. Per capita infertility-related expenditures, infertility-related expenditures as a percentage of total expenditures, live deliveries per initiated ART cycle, and cost per live delivery. Expenditures for infertility services increased at a rate similar to or slower than inflation during the years 1988-1992. Increases were slowest in health maintenance organizations, probably as a result of provider arrangements. Infertility services accounted for 0.41% of total expenditures within the indemnity plan in 1993 (approximately $1.71 per contract-month). Examination of ART utilization showed no evidence of overutilization by patients with a low chance of success. The cost per live delivery with the use of ART in 1993 was $59,484. Mandated infertility coverage was associated with increased use of ART but not with excessive increases in consumer cost for infertility insurance coverage.

  19. EPA Provides Brownfields Grants to Western Massachusetts Communities

    EPA Pesticide Factsheets

    Today, the U.S. Environmental Protection Agency celebrated the recipients of seven Brownfields grants in western Massachusetts. This year, entities in western Massachusetts received $2.4 million for assessment and cleanup of Brownfields sites.

  20. Massachusetts Expanded Learning Time (ELT) Initiative. Case Studies 2010-2011

    ERIC Educational Resources Information Center

    Caven, Meghan; Checkoway, Amy; Fisman, Lianne; Gamse, Beth; Fountain, Alyssa Rulf

    2012-01-01

    The Massachusetts Expanded Learning Time (ELT) initiative was launched in 2005, and it provides grants to selected schools across multiple districts to increase instructional time by at least 300 hours per academic year. Participating schools receive an additional $1,300 per student to lengthen the day and/or year. Schools are expected to use the…

  1. Elevated blood lead levels among construction workers in the Massachusetts Occupational Lead Registry.

    PubMed Central

    Rabin, R; Brooks, D R; Davis, L K

    1994-01-01

    Although the construction industry until recently was exempt from the Occupational Health and Safety Administration General Industry Lead Standard, including its medical monitoring provisions, periodic blood lead tests have been required for residential "deleaders" and structural painters in Massachusetts. Sixty-three percent of the 381 registrants in the Massachusetts Occupational Lead Registry with blood lead levels of 1.93 mumol/L or higher are construction workers. This proportion is much higher than that reported by registries of several states selected for comparison. These data highlight the need for better protection from lead exposure and the effectiveness of mandatory medical surveillance in identifying elevated blood lead levels among construction workers. PMID:8092376

  2. A health impact assessment of proposed public transportation service cuts and fare increases in Boston, Massachusetts (U.S.A.).

    PubMed

    James, Peter; Ito, Kate; Buonocore, Jonathan J; Levy, Jonathan I; Arcaya, Mariana C

    2014-08-07

    Transportation decisions have health consequences that are often not incorporated into policy-making processes. Health Impact Assessment (HIA) is a process that can be used to evaluate health effects of transportation policy. We present a rapid HIA, conducted over eight weeks, evaluating health and economic effects of proposed fare increases and service cuts to Boston, Massachusetts' public transportation system. We used transportation modeling in concert with tools allowing for quantification and monetization of multiple pathways. We estimated health and economic costs of proposed public transportation system changes to be hundreds of millions of dollars per year, exceeding the budget gap the public transportation authority was required to close. Significant health pathways included crashes, air pollution, and physical activity. The HIA enabled stakeholders to advocate for more modest fare increases and service cuts, which were eventually adopted by decision makers. This HIA was among the first to quantify and monetize multiple pathways linking transportation decisions with health and economic outcomes, using approaches that could be applied in different settings. Including health costs in transportation decisions can lead to policy choices with both economic and public health benefits.

  3. Child Abuse and Neglect: Protecting Massachusetts Children.

    ERIC Educational Resources Information Center

    Massachusetts KIDS COUNT, Boston.

    This Massachusetts Kids Count report focuses on child abuse and neglect in the state of Massachusetts and presents recommendations for alleviating stressors contributing to child maltreatment. The report presents incidence information and identifies the impact of child abuse on future risk status. In addition, the report differentiates the 12…

  4. MASSACHUSETTS DEP EELGRASS

    EPA Science Inventory

    Field verified points showing presence or absence of submerged rooted vascular plants along Massachusetts coastline. In addition to the photo interpreted eelgrass coverage (EELGRASS), this point coverage (EGRASVPT) was generated based on field-verified sites as well as all field...

  5. Effects of healthcare reforms on coverage, access, and disparities: quasi-experimental analysis of evidence from Massachusetts.

    PubMed

    Pande, Aakanksha H; Ross-Degnan, Dennis; Zaslavsky, Alan M; Salomon, Joshua A

    2011-07-01

    The 2010 Patient Protection and Affordable Care Act (PPACA) has been controversial. The potential impact of national healthcare reform may be considered using a similar set of state-level reforms including exchanges and a mandate, enacted in 2006 in Massachusetts. To evaluate the effects of reforms on healthcare access, affordability, and disparities. Interrupted time series with comparison series. Longitudinal survey data from 2002 to 2009 from the Behavioral Risk Factor Surveillance System including 178,040 nonelderly adults residing in Massachusetts, Vermont, New Hampshire, Rhode Island, and Connecticut. Analysis was conducted from January to August 2010. Massachusetts 2006 healthcare reform, which included an individual health insurance mandate. Being uninsured, having no personal doctor, and forgoing care because of cost, evaluated in Massachusetts and four comparison states before (2002-2005) and after (2007-2009) the healthcare reform. Effects on disparities defined by race, education, income, and employment also were assessed. Living in Massachusetts in 2009 was associated with a 7.6 percentage point (95% CI=3.9, 11.3) higher probability of being insured; 4.8 percentage point (-0.9, 10.6) lower probability of forgoing care because of cost; and a 6.6 percentage point (1.9, 11.3) higher probability of having a personal doctor, compared to expected levels in the absence of reform, defined by trends in control states and adjusting for socioeconomic factors. The effects of the reform on insurance coverage attenuated from 2008 to 2009. In a socioeconomically disadvantaged group, the reforms had a greater effect in improving outcomes on the absolute but not relative scale. Healthcare reforms in Massachusetts, which included a health insurance mandate, were associated with significant increases in insurance coverage and access. The absolute effects of the reform were greater for disadvantaged populations. This is important evidence to consider as debate over

  6. Massachusetts reservoir simulation tool—User’s manual

    USGS Publications Warehouse

    Levin, Sara B.

    2016-10-06

    IntroductionThe U.S. Geological Survey developed the Massachusetts Reservoir Simulation Tool to examine the effects of reservoirs on natural streamflows in Massachusetts by simulating the daily water balance of reservoirs. The simulation tool was developed to assist environmental managers to better manage water withdrawals in reservoirs and to preserve downstream aquatic habitats.

  7. Master environmental plan for Fort Devens, Massachusetts

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

    Biang, C.A.; Peters, R.W.; Pearl, R.H.

    Argonne National Laboratory has prepared a master environmental plan (MEP) for Fort Devens, Massachusetts, for the US Army Toxic and Hazardous Materials Agency. The MEP is an assessment based on environmental laws and regulations of both the federal government and the Commonwealth of Massachusetts. The MEP assess the physical and environmental status of 58 potential hazardous waste sites, including 54 study areas (SAs) that pose a potential for releasing contamination into the environment and 4 areas of concern (AOCs) that are known to have substantial contamination. For each SA or AOC, this MEP describes the known history and environment, identifiesmore » additional data needs, and proposes possible response actions. Most recommended response actions consist of environmental sampling and monitoring and other characterization studies. 74 refs., 63 figs., 50 tabs.« less

  8. 75 FR 25305 - Massachusetts Disaster Number MA-00025

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12100 and 12101] Massachusetts Disaster Number MA-00025 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Massachusetts (FEMA...

  9. 75 FR 39059 - Massachusetts Disaster Number MA-00025

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12100 and 12101] Massachusetts Disaster Number MA-00025 AGENCY: U.S. Small Business Administration. ACTION: Amendment 3. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Massachusetts (FEMA...

  10. Creativity and connections: the future of nursing education and practice: the Massachusetts Initiative.

    PubMed

    Sroczynski, Maureen; Gravlin, Gayle; Route, Paulette Seymour; Hoffart, Nancy; Creelman, Patricia

    2011-01-01

    Education and practice partnerships are key to effective academic program design and implementation in a time of decreasing supply and increasing demands on the nursing profession. An integrated education/practice competency model can positively impact patient safety, improve patient care, increase retention, and ensure a sufficient and competent nursing workforce, which is paramount to survival of the health care system. Through the contributions of nursing leaders from the broad spectrum of nursing and industry organizations within the state, the Massachusetts Nurse of the Future project developed a competency-based framework for the future design of nursing educational programs to meet current and future practice needs. The Massachusetts Nurse of the Future Nursing Core Competencies(©) expand on the Institute of Medicine's core competencies for all health care professionals and the Quality and Safety Education for Nurses competencies for quality and safety to define the expectations for all professional nurses of the future. The Massachusetts Nurse of the Future Nursing Core Competencies define the knowledge, attitude, and skills required as the minimal expectations for initial nursing practice following completion of a prelicensure professional nursing education program. These competencies are now being integrated into new models for seamless, coordinated nursing curriculum and transition into practice within the state and beyond. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. Characteristics and spending patterns of high cost, non-elderly adults in Massachusetts.

    PubMed

    Figueroa, Jose F; Frakt, Austin B; Lyon, Zoe M; Zhou, Xiner; Jha, Ashish K

    2017-12-01

    Given that health care costs in Massachusetts continue to grow despite great efforts to contain them, we seek to understand characteristics and spending patterns of the costliest non-elderly adults in Massachusetts based on type of insurance. We used the Massachusetts All-Payer Claims Database (APCD) from 2012 and analyzed demographics, utilization patterns and spending patterns across payers (Medicaid, Medicaid managed care, and private insurers) for high cost patients (those in the top 10% of spending) and non-high cost patients (the remaining 90%). We identified 3,712,045 patients between the ages of 18-64 years in Massachusetts in 2012 who met our inclusion criteria. Of this group, 8.5% had Medicaid fee-for-service, 11.1% had Medicaid managed care, and 80.3% had private insurance. High cost patients accounted for 65% of total spending in our sample. We found that high cost patients were more likely to be older (median age 48 vs 40, p<0.001), female (60.2% vs. 51.2%, p<0.001), and have multiple chronic conditions (4.4 vs. 1.3, p<0.001) compared to non-high cost patient patients. Medicaid patients were the most likely to be designated high cost (18.1%) followed by Medicaid managed care (MCO) (13.9%) and private insurance (8.6%). High cost Medicaid patients also had the highest mean annual spending and incurred the most preventable spending compared to high cost MCO and high cost private insurance patients. We used 2012 claims data from Massachusetts to examine characteristics and spending patterns of the state's costliest patients based on type of insurance. Providers and policymakers seeking to reduce costs and increase value under delivery system reform may wish to target the Medicaid population. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. 75 FR 30872 - Massachusetts Disaster Number MA-00025

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12100 and 12101] Massachusetts Disaster Number MA-00025 AGENCY: U.S. Small Business Administration. ACTION: Amendment 2. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the State of Massachusetts (FEMA-1895-DR...

  13. 76 FR 53019 - Massachusetts Disaster Number MA-00036

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12637 and 12638] Massachusetts Disaster Number MA-00036 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the State of Massachusetts (FEMA-1994-DR...

  14. Parental consent for abortion: impact of the Massachusetts law.

    PubMed Central

    Cartoof, V G; Klerman, L V

    1986-01-01

    This study assessed the impact of Massachusetts' parental consent law, which requires unmarried women under age 18 to obtain parental or judicial consent before having an abortion. Data were analyzed on monthly totals of abortions and births to Massachusetts minors prior to and following the April 1981 implementation of the law. Findings indicate that half as many minors obtained abortions in the state during the 20 months after the law went into effect as had done so previously. More than 1,800 minors residing in Massachusetts traveled to five surrounding states during these 20 months to avoid the statute's mandates. This group accounts for the reduction in in-state abortions. A small number of minors (50 to 100) bore children rather than aborting during 1982, perhaps because of the law. Findings suggest that this state's parental consent law had little effect on adolescent's pregnancy-resolution behavior. PMID:3953915

  15. A longitudinal study of medicaid coverage for tobacco dependence treatments in Massachusetts and associated decreases in hospitalizations for cardiovascular disease.

    PubMed

    Land, Thomas; Rigotti, Nancy A; Levy, Douglas E; Paskowsky, Mark; Warner, Donna; Kwass, Jo-Ann; Wetherell, Leann; Keithly, Lois

    2010-12-07

    Insurance coverage of tobacco cessation medications increases their use and reduces smoking prevalence in a population. However, uncertainty about the impact of this coverage on health care utilization and costs is a barrier to the broader adoption of this policy, especially by publicly funded state Medicaid insurance programs. Whether a publicly funded tobacco cessation benefit leads to decreased medical claims for tobacco-related diseases has not been studied. We examined the experience of Massachusetts, whose Medicaid program adopted comprehensive coverage of tobacco cessation medications in July 2006. Over 75,000 Medicaid subscribers used the benefit in the first 2.5 years. On the basis of earlier secondary survey work, it was estimated that smoking prevalence declined among subscribers by 10% during this period. Using claims data, we compared the probability of hospitalization prior to use of the tobacco cessation pharmacotherapy benefit with the probability of hospitalization after benefit use among Massachusetts Medicaid beneficiaries, adjusting for demographics, comorbidities, seasonality, influenza cases, and the implementation of the statewide smoke-free air law using generalized estimating equations. Statistically significant annualized declines of 46% (95% confidence interval 2%-70%) and 49% (95% confidence interval 6%-72%) were observed in hospital admissions for acute myocardial infarction and other acute coronary heart disease diagnoses, respectively. There were no significant decreases in hospitalizations rates for respiratory diagnoses or seven other diagnostic groups evaluated. Among Massachusetts Medicaid subscribers, use of a comprehensive tobacco cessation pharmacotherapy benefit was associated with a significant decrease in claims for hospitalizations for acute myocardial infarction and acute coronary heart disease, but no significant change in hospital claims for other diagnoses. For low-income smokers, removing the barriers to the use of

  16. A Longitudinal Study of Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Hospitalizations for Cardiovascular Disease

    PubMed Central

    Land, Thomas; Rigotti, Nancy A.; Levy, Douglas E.; Paskowsky, Mark; Warner, Donna; Kwass, Jo-Ann; Wetherell, LeAnn; Keithly, Lois

    2010-01-01

    Background Insurance coverage of tobacco cessation medications increases their use and reduces smoking prevalence in a population. However, uncertainty about the impact of this coverage on health care utilization and costs is a barrier to the broader adoption of this policy, especially by publicly funded state Medicaid insurance programs. Whether a publicly funded tobacco cessation benefit leads to decreased medical claims for tobacco-related diseases has not been studied. We examined the experience of Massachusetts, whose Medicaid program adopted comprehensive coverage of tobacco cessation medications in July 2006. Over 75,000 Medicaid subscribers used the benefit in the first 2.5 years. On the basis of earlier secondary survey work, it was estimated that smoking prevalence declined among subscribers by 10% during this period. Methods and Findings Using claims data, we compared the probability of hospitalization prior to use of the tobacco cessation pharmacotherapy benefit with the probability of hospitalization after benefit use among Massachusetts Medicaid beneficiaries, adjusting for demographics, comorbidities, seasonality, influenza cases, and the implementation of the statewide smoke-free air law using generalized estimating equations. Statistically significant annualized declines of 46% (95% confidence interval 2%–70%) and 49% (95% confidence interval 6%–72%) were observed in hospital admissions for acute myocardial infarction and other acute coronary heart disease diagnoses, respectively. There were no significant decreases in hospitalizations rates for respiratory diagnoses or seven other diagnostic groups evaluated. Conclusions Among Massachusetts Medicaid subscribers, use of a comprehensive tobacco cessation pharmacotherapy benefit was associated with a significant decrease in claims for hospitalizations for acute myocardial infarction and acute coronary heart disease, but no significant change in hospital claims for other diagnoses. For low

  17. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Massachusetts Bay, MA. 7.15 Section 7.15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann...

  18. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Massachusetts Bay, MA. 7.15 Section 7.15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann...

  19. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Massachusetts Bay, MA. 7.15 Section 7.15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann...

  20. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Massachusetts Bay, MA. 7.15 Section 7.15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann...

  1. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Massachusetts Bay, MA. 7.15 Section 7.15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann...

  2. Neo-Democracy in Educational Policy-Making: A Critical Case Study of Neoliberal Reform in Massachusetts

    ERIC Educational Resources Information Center

    Piazza, Peter

    2017-01-01

    This paper explores changes to the educational policy-making arena through case study analysis of a Massachusetts law passed in 2012 that limits seniority-based job protections for public K-12 teachers. I use data from interviews with policy stakeholders, observations of public meetings, and policy artifacts to explore struggles over democratic…

  3. CETA in Eastern Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    Barocci, Thomas A.; Myers, Charles A.

    A study regarding the implementation of the Comprehensive Employment and Training Act (CETA) in four eastern Massachusetts prime sponsor areas (Cambridge, Lowell, New Bedford, and the Balance of State) was done to (1) examine the impact of the decisions made during the implementation of CETA on manpower services and institutions, program…

  4. Long-Term Oceanographic Observations in Western Massachusetts Bay Offshore of Boston, Massachusetts: Data Report for 1989-2002

    USGS Publications Warehouse

    Butman, Bradford; Bothner, Michael H.; Alexander, P. Soupy; Lightsom, Frances L.; Martini, Marinna A.; Gutierrez, Benjamin T.; Strahle, William S.

    2004-01-01

    This data report presents long-term oceanographic observations made in western Massachusetts Bay at two locations: (1) 42 deg 22.6' N., 70 deg 47.0' W. (Site A, 33 m water depth) from December 1989 through December 2002 (figure 1), and (2) 42 deg 9.8' N., 70 deg 38.4' W. (Site B, 21 m water depth) from October 1997 through December 2002. Site A is approximately 1 km south of the new ocean outfall that began discharging treated sewage effluent from the Boston metropolitan area into Massachusetts Bay on September 6, 2000. These long-term oceanographic observations have been collected by the U.S. Geological Survey (USGS) in partnership with the Massachusetts Water Resources Authority (MWRA) and with logistical support from the U.S. Coast Guard (USCG - http://www.uscg.mil). This report presents time series data through December 2002, updating a similar report that presented data through December 2000 (Butman and others, 2002). In addition, the Statistics and Mean Flow sections include some new plots and tables and the format of the report has been streamlined by combining yearly figures into single .pdfs. Figure 1 (PDF format) The long-term measurements are planned to continue at least through 2005. The long-term oceanographic observations at Sites A and B are part of a USGS study designed to understand the transport and long-term fate of sediments and associated contaminants in the Massachusetts bays. (See http://woodshole.er.usgs.gov/project-pages/bostonharbor/ and Butman and Bothner, 1997.) The long-term observations document seasonal and inter-annual changes in currents, hydrography, and suspended-matter concentration in western Massachusetts Bay, and the importance of infrequent catastrophic events, such as major storms or hurricanes, in sediment resuspension and transport. They also provide observations for testing numerical models of circulation. This data report presents a description of the field program and instrumentation, an overview of the data through

  5. Sexual orientation and sexual behavior: results from the Massachusetts Behavioral Risk Factor Surveillance System, 2002-2006.

    PubMed

    Keyes, Susan M; Rothman, Emily F; Zhang, Zi

    2007-01-01

    Few population-based surveys in the United States include sexual orientation as a demographic variable. As a result, estimating the proportion of the U.S. population that is gay, lesbian, or bisexual (GLB) is a substantial challenge. Prior estimates vary widely, from 1-21%. In 2001, questions on sexual orientation and sexual behavior were added to the Massachusetts Behavioral Risk Factor Surveillance System (MA BRFSS) and have been asked continually since that time. The purpose of this study was to determine the prevalence of adults in Massachusetts identifying as GLB and providing a demographic description of this group. The study also examined the correlation of reported sexual behavior and sexual identity within this group. Overall, 1.9% of Massachusetts adults identified as gay or lesbian and 1.0% of Massachusetts adults identified as bisexual. Of those identifying as gay or lesbian, 95.4% reported sexual behavior concordant with this identification, and 99.4% of respondents identifying as heterosexual reported behavior concordant with heterosexual sexual orientation. Among those reporting a GLB sexual orientation, men were more likely than women to identify as gay, and women were more likely than men to identify as bisexual. Younger adults (18-25 years old) were more likely than people in other age groups to identify as bisexual. Respondents with 4 or more years of education were more likely to identify as gay or lesbian than those in all other education categories. The addition of sexual orientation to population-based surveys will allow for research on the health of GLB adults and provide critical information for those charged with the creation of public policy regarding sexual orientation.

  6. Children without Homes. A Report by the Massachusetts Department of Education.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Boston.

    This annual report on the numbers of homeless children in Massachusetts and their educational experiences is based on information from the following six sources: (1) family, adolescent, and battered women shelters; (2) the Massachusetts Department of Public Welfare (Welfare); (3) the Massachusetts Department of Social Services (DSS); (4) school…

  7. Flooding and Emergency Room Visits for Gastrointestinal Illness in Massachusetts: A Case-Crossover Study

    PubMed Central

    Wade, Timothy J.; Lin, Cynthia J.; Jagai, Jyotsna S.; Hilborn, Elizabeth D.

    2014-01-01

    Introduction Floods and other severe weather events are anticipated to increase as a result of global climate change. Floods can lead to outbreaks of gastroenteritis and other infectious diseases due to disruption of sewage and water infrastructure and impacts on sanitation and hygiene. Floods have also been indirectly associated with outbreaks through population displacement and crowding. Methods We conducted a case-crossover study to investigate the association between flooding and emergency room visits for gastrointestinal illness (ER-GI) in Massachusetts for the years 2003 through 2007. We obtained ER-GI visits from the State of Massachusetts and records of floods from the National Oceanic and Atmospheric Association’s Storm Events Database. ER-GI visits were considered exposed if a flood occurred in the town of residence within three hazard periods of the visit: 0–4 days; 5–9 days; and 10–14 days. A time-stratified bi-directional design was used for control selection, matching on day of the week with two weeks lead or lag time from the ER-GI visit. Fixed effect logistic regression models were used to estimate the risk of ER-GI visits following the flood. Results and Conclusions A total of 270,457 ER-GI visits and 129 floods occurred in Massachusetts over the study period. Across all counties, flooding was associated with an increased risk for ER-GI in the 0–4 day period after flooding (Odds Ratio: 1.08; 95% Confidence Interval: 1.03–1.12); but not the 5–9 days (Odds Ratio: 0.995; 95% Confidence Interval: 0.955–1.04) or the 10–14 days after (Odds Ratio: 0.966, 95% Confidence Interval: 0.927–1.01). Similar results were observed for different definitions of ER-GI. The effect differed across counties, suggesting local differences in the risk and impact of flooding. Statewide, across the study period, an estimated 7% of ER-GI visits in the 0–4 days after a flood event were attributable to flooding. PMID:25329916

  8. Flooding and emergency room visits for gastrointestinal illness in Massachusetts: a case-crossover study.

    PubMed

    Wade, Timothy J; Lin, Cynthia J; Jagai, Jyotsna S; Hilborn, Elizabeth D

    2014-01-01

    Floods and other severe weather events are anticipated to increase as a result of global climate change. Floods can lead to outbreaks of gastroenteritis and other infectious diseases due to disruption of sewage and water infrastructure and impacts on sanitation and hygiene. Floods have also been indirectly associated with outbreaks through population displacement and crowding. We conducted a case-crossover study to investigate the association between flooding and emergency room visits for gastrointestinal illness (ER-GI) in Massachusetts for the years 2003 through 2007. We obtained ER-GI visits from the State of Massachusetts and records of floods from the National Oceanic and Atmospheric Association's Storm Events Database. ER-GI visits were considered exposed if a flood occurred in the town of residence within three hazard periods of the visit: 0-4 days; 5-9 days; and 10-14 days. A time-stratified bi-directional design was used for control selection, matching on day of the week with two weeks lead or lag time from the ER-GI visit. Fixed effect logistic regression models were used to estimate the risk of ER-GI visits following the flood. A total of 270,457 ER-GI visits and 129 floods occurred in Massachusetts over the study period. Across all counties, flooding was associated with an increased risk for ER-GI in the 0-4 day period after flooding (Odds Ratio: 1.08; 95% Confidence Interval: 1.03-1.12); but not the 5-9 days (Odds Ratio: 0.995; 95% Confidence Interval: 0.955-1.04) or the 10-14 days after (Odds Ratio: 0.966, 95% Confidence Interval: 0.927-1.01). Similar results were observed for different definitions of ER-GI. The effect differed across counties, suggesting local differences in the risk and impact of flooding. Statewide, across the study period, an estimated 7% of ER-GI visits in the 0-4 days after a flood event were attributable to flooding.

  9. Massachusetts Meets Education Guarantee, State High Court Says

    ERIC Educational Resources Information Center

    Gehring, John

    2005-01-01

    Massachusetts is meeting its constitutional requirement to provide students with an adequate education and does not have to overhaul its school funding formula, the state's highest court ruled in a closely watched case in February 2005. The February 15 decision by the Massachusetts Supreme Judicial Court surprised many observers, who had expected…

  10. Leveraging Research to Improve Massachusetts's Schools

    ERIC Educational Resources Information Center

    Champagne, Erica; Therriault, Susan Bowles

    2018-01-01

    The Massachusetts Department of Elementary and Secondary Education (ESE) and the Massachusetts Board of Elementary and Secondary Education are deeply committed to ensuring that every student in the state has access to a high-quality education, and they have combined this commitment with an openness to innovation. After just one year of School…

  11. A Path Analysis of Factors Influencing Racial Differences on the Massachusetts Youth Screening Instrument-Version 2

    ERIC Educational Resources Information Center

    McCoy, Henrika

    2011-01-01

    Thousands of juveniles with mental health disorders enter the juvenile justice system every year. The Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2) is often used to assess them. The disproportionate numbers of African American youth in the juvenile justice system and the large numbers of youth with mental health needs necessitate…

  12. The Massachusetts Community Colleges Developmental Education Best Policy and Practice Audit: Final Report

    ERIC Educational Resources Information Center

    Sperling, Charmian

    2009-01-01

    The purpose of this study, funded by Jobs for the Future through a grant to the Massachusetts Community Colleges Executive Office, was to: (1) provide an update on the status of developmental education within Massachusetts community colleges; (2) shed light on the alignment between research-based best practices to advance success among…

  13. Identifying mental health issues in detained youth: Testing the structure and invariance of the Massachusetts Youth Screening Inventory-Version 2 (MAYSI-2).

    PubMed

    Russell, Justin D; Marsee, Monica A; Ryals, John S

    2017-06-01

    This study examined the factor structure of the Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2), a brief self-report measure designed to flag clinically significant mental health needs among youth entering the juvenile justice system. Participants were 981 detained youth in the southeastern United States (mean age = 14.58 years; SD = 1.28 years; 67.5% male; 71.5% African American). Confirmatory factor analyses showed that a seven-factor model represented a satisfactory solution for the data, similar to previous research. The factor structure fit well across gender, age group, race (Black/White), and offense type (violent/nonviolent). Given the widespread use of the MAYSI-2 in juvenile justice settings, examining its psychometric properties is of key importance. Implications and limitations of the study are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  14. Health assessment for Salem Acres, Essex County, Salem, Massachusetts, Region 1. CERCLIS No. MAD980525240. Preliminary report

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

    Not Available

    The Salem Acres, Incorporated site is a 235 acre parcel located in Salem, Essex County, Massachusetts. There are pits at the site which have apparently been filled with sewage sludge and tannery wastes. Organic compounds and metals have been found in the sludge in the pits, generally in the high parts-per-million range in very limited testing. Compounds detected in sludge included PCB-1254, lead, chromium, and mercury. Soil samples in the area did not show evident contamination. Off-site surface water had elevated levels of lead; two measurements were 64 ug/l and 89 ug/l, approximately. An oil sheen in surface water andmore » vegetation typical of polluted areas indicated water quality degradation. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via continued direct exposure to soils, sediments and sludge residues in marginal areas of the site, and any consumption of any fish from the streams draining the site.« less

  15. Proceedings of Conference on Hydrocarbon Contaminated Soils (3rd) Held in Amherst, Massachusetts on September 1989 (Petroleum Contaminated Soils. Volume 3)

    DTIC Science & Technology

    1990-10-01

    Center Amherst, MA 01003-0081 REPORT DATE: October 1 , 1990 TYPE OF REPORT: Final Proceedings - PREPARED FOR: U.S. ARMY MEDICAL RESEARCH AND...Environmental Health Sciences Program University of Massachusetts, Amherst 1 * LEWIS PUBLISHERS I Library of Congress Cataloging-in-Publication Data...and 30, 1987"-V. 1 , pref. "The proceedings of the Third National Conference on Petroleum Contami- nated Soils held at the University of Massachusetts

  16. Photographs of the Sea Floor of Western Massachusetts Bay, Offshore of Boston, Massachusett, July 1999

    USGS Publications Warehouse

    Gutierrez, Benjamin T.; Butman, Bradford; Blackwood, Dann S.

    2001-01-01

    This CD-ROM contains photographs and sediment sample analyses of the sea floor obtained at 142 sites in western Massachusetts Bay (Figure 1) during a research cruise (USGS cruise ISBL99024) aboard the Fishing Vessel (FV) Isabel S. (Figure 2) conducted July 18-21, 1999. These photographs and samples provide critical ground truth information for the interpretation of shaded relief and backscatter intensity maps created using data collected with a multibeam echo sounder system (Butman and others, in press, a, b, c; Valentine and others, in press, a, b, c). Collection of these photographs and samples was undertaken in support of a large project whose overall objective is to map and describe the sea floor of Massachusetts Bay.

  17. Spatial analysis of gastroschisis in Massachusetts and Texas

    PubMed Central

    Yazdy, Mahsa M.; Werler, Martha M.; Anderka, Marlene; Langlois, Peter H.; Vieira, Veronica M.

    2014-01-01

    Purpose Previous research has suggested gastroschisis, a congenital malformation, may be linked to environmental or infectious factors and cases can occur in clusters. The objective of this study was to identify geographic areas of elevated gastroschisis risk. Methods Cases of gastroschisis were identified from birth defect registries in Massachusetts and Texas. Random samples of live births were selected as controls. Generalized additive models were used to create a continuous map surface of odds ratios (OR) by smoothing over latitude and longitude. Maternal age, race/ethnicity, education, cigarette smoking, and insurance status (MA only) were assessed for confounding. We used permutation tests to identify statistically significant areas of increased risk. Results An area of increased risk was identified in north-central Massachusetts, but was not significant after adjustment (p-value=0.07; OR=2.0). In Texas, two statistically significant areas of increased risk were identified after adjustment (p-value=0.02; OR=1.3 and 1.2). Texas had sufficient data to assess the combination of space and time, which identified an increased risk in 2003 and 2004. Conclusion This study suggests there were areas of elevated gastroschisis risk in Massachusetts and Texas that cannot be explained by the risk factors we assessed. Additional exploration of underlying artifactual, environmental, infectious, or behavioral factors may further our understanding of gastroschisis. PMID:25454289

  18. The Impact of Immigration and Customs Enforcement on Immigrant Health: Perceptions of Immigrants in Everett, Massachusetts, USA

    PubMed Central

    Hacker, Karen; Chu, Jocelyn; Leung, Carolyn; Marra, Robert; Pirie, Alex; Brahimi, Mohamed; English, Margaret; Beckmann, Joshua; Acevedo-Garcia, Dolores; Marlin, Robert P.

    2011-01-01

    U.S. immigrants have faced a changing landscape with regard to immigration enforcement over the last two decades. Following the passage of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, and the creation of the Immigration and Customs Enforcement (ICE) agency after the attacks of September 11, 2001, detention and deportation activity increased substantially. As a result, immigrants today are experiencing heightened fear of profiling and deportation. Little research exists on how these activities affect the health and well-being of U.S. immigrant communities. This study sought to address this gap by using community-based participatory research to investigate the impact of enhanced immigration enforcement on immigrant health in Everett, Massachusetts, USA, a city with a large and diverse immigrant population. Community partners and researchers conducted 6 focus groups with 52 immigrant participants (documented and undocumented) in five languages in May 2009. The major themes across the groups included: 1) Fear of deportation, 2) Fear of collaboration between local law enforcement and ICE and perception of arbitrariness on the part of the former and 3) Concerns about not being able to furnish documentation required to apply for insurance and for health care. Documented and undocumented immigrants reported high levels of stress due to deportation fear, which affected their emotional well-being and their access to health services. Recommendations from the focus groups included improving relationships between immigrants and local police, educating immigrants on their rights and responsibilities as residents, and holding sessions to improve civic engagement. Immigration enforcement activities and the resulting deportation fear are contextual factors that undermine trust in community institutions and social capital, with implications for health and effective integration processes. These factors should be considered by any community seeking to

  19. Alternative Fuels Data Center: Massachusetts Sees Significant Growth in

    Science.gov Websites

    Electric Vehicles and Infrastructure Massachusetts Sees Significant Growth in Electric Vehicles Significant Growth in Electric Vehicles and Infrastructure on Facebook Tweet about Alternative Fuels Data Center: Massachusetts Sees Significant Growth in Electric Vehicles and Infrastructure on Twitter Bookmark

  20. Higher Education Civic Learning and Engagement: A Massachusetts Case Study. Promising Practices

    ERIC Educational Resources Information Center

    Brennan, Jan

    2017-01-01

    This Promising Practices report explores the civic learning and engagement efforts of Massachusetts' public higher education system in five areas: vision of Preparing Citizens as a core educational commitment, development of a state higher education Policy on Civic Learning, creation of civic engagement and service-learning course designations,…

  1. Education Funding in Massachusetts: The Effects of Aid Modifications on Vertical and Horizontal Equity

    ERIC Educational Resources Information Center

    Fahy, Colleen

    2011-01-01

    Public school funding in Massachusetts is based on foundation budget principles. However, funding formula modifications often create disparities between district foundation budgets and actual required spending levels. This study provides an in-depth look at Massachusetts' state aid formulas used between 2004 and 2009 and utilizes two approaches to…

  2. A health impact assessment of a proposed bill to decrease speed limits on local roads in Massachusetts (U.S.A.).

    PubMed

    James, Peter; Ito, Kate; Banay, Rachel F; Buonocore, Jonathan J; Wood, Benjamin; Arcaya, Mariana C

    2014-10-02

    Decreasing traffic speeds increases the amount of time drivers have to react to road hazards, potentially averting collisions, and makes crashes that do happen less severe. Boston's regional planning agency, the Metropolitan Area Planning Council (MAPC), in partnership with the Massachusetts Department of Public Health (MDPH), conducted a Health Impact Assessment (HIA) that examined the potential health impacts of a proposed bill in the state legislature to lower the default speed limits on local roads from 30 miles per hour (mph) to 25 mph. The aim was to reduce vehicle speeds on local roads to a limit that is safer for pedestrians, cyclists, and children. The passage of this proposed legislation could have had far-reaching and potentially important public health impacts. Lower default speed limits may prevent around 18 fatalities and 1200 serious injuries to motorists, cyclists and pedestrians each year, as well as promote active transportation by making local roads feel more hospitable to cyclists and pedestrians. While a lower speed limit would increase congestion and slightly worsen air quality, the benefits outweigh the costs from both a health and economic perspective and would save the state approximately $62 million annually from prevented fatalities and injuries.

  3. School Awards Programs and Accountability in Massachusetts: Misusing MCAS Scores To Assess School Quality.

    ERIC Educational Resources Information Center

    Wheelock, Anne

    Scores on the Massachusetts Comprehensive Assessment System (MCAS) tests are used to select exemplary schools in Massachusetts, and the schools thus identified can receive awards from three different programs. This study examined the evidence about the use of MCAS scores to assess school quality. These three programs use MCAS to identify exemplary…

  4. Best of Both Worlds: How Massachusetts Vocational Schools Are Preparing Students for College and Careers

    ERIC Educational Resources Information Center

    Bayerl, Katie

    2015-01-01

    "Best of Both Worlds: How Massachusetts Vocational Schools are Preparing Students for College and Careers," highlights the state's policies that promote strong programming. Massachusetts encourages the completion of MassCore, the state's college- and career-ready course of study, incentivizes rigorous academic standards through school…

  5. 75 FR 18518 - Massachusetts; Major Disaster and Related Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-12

    ... Stafford Act for Hazard Mitigation and Other Needs Assistance will be limited to 75 percent of the total... declaration of a major disaster for the Commonwealth of Massachusetts (FEMA-1895-DR), dated March 29, 2010... follows: I have determined that the damage in certain areas of the Commonwealth of Massachusetts resulting...

  6. Translating access into utilization: lessons from the design and evaluation of a health insurance Web site to promote reproductive health care for young women in Massachusetts.

    PubMed

    Janiak, Elizabeth; Rhodes, Elizabeth; Foster, Angel M

    2013-12-01

    Following state-level health care reform in Massachusetts, young women reported confusion over coverage of contraception and other sexual and reproductive health services under newly available health insurance products. To address this gap, a plain-language Web site titled "My Little Black Book for Sexual Health" was developed by a statewide network of reproductive health stakeholders. The purpose of this evaluation was to assess the health literacy demands and usability of the site among its target audience, women ages 18-26 years. We performed an evaluation of the literacy demands of the Web site's written content and tested the Web site's usability in a health communications laboratory. Participants found the Web site visually appealing and its overall design concept accessible. However, the Web site's literacy demands were high, and all participants encountered problems navigating through the Web site. Following this evaluation, the Web site was modified to be more usable and more comprehensible to women of all health literacy levels. To avail themselves of sexual and reproductive health services newly available under expanded health insurance coverage, young women require customized educational resources that are rigorously evaluated to ensure accessibility. To maximize utilization of reproductive health services under expanded health insurance coverage, US women require customized educational resources commensurate with their literacy skills. The application of established research methods from the field of health communications will enable advocates to evaluate and adapt these resources to best serve their targeted audiences. © 2013.

  7. Firefighter heart presumption retirements in Massachusetts 1997-2004.

    PubMed

    Holder, Jonathan D; Stallings, Leonard A; Peeples, Lynne; Burress, John W; Kales, Stefanos N

    2006-10-01

    "Heart Presumption" legislation is common throughout North America. We sought to study Massachusetts firefighters retiring with heart disability awards. The authors conducted a retrospective review of Massachusetts firefighters: 362 receiving Heart Presumption pensions (1997-2004) and a comparison group of 310 professionally active firefighters. Of retirements, 77% were due to coronary heart disease and 23% for other cardiovascular conditions. Only 42% of the retirements were related to discrete on-duty events. Fire suppression (odds ratio = 51, 95% confidence interval = 12-223) and alarm response (odds ratio = 6.4, 95% confidence interval = 2.5-17) were associated with markedly higher risks of duty-related heart retirement events than nonemergency activities. Cardiovascular risk factor prevalence was high among all retiree subgroups and significantly greater than among control firefighters in almost all cases. Our study supports calls for improved cardiovascular prevention and risk reduction strategies among firefighters.

  8. Massachusetts Libraries: An Alliance for the Future. [Final Report and Executive Summary] for the Massachusetts Board of Library Commissioners.

    ERIC Educational Resources Information Center

    Griffiths, Jose-Marie; King, Donald W.

    A comprehensive study of the current state of library services and library cooperative activities in Massachusetts found that the state's 2,796 public, academic, school, institutional and special libraries make a significant contribution to lifelong learning, to the economy, and to the quality of life. The libraries have a combined collection of…

  9. Aggregating QECB Allocations & Using QECBs to Support the Private Sector. A Case Study on Massachusetts

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

    Zimring, Mark; Borgeson, Merrian

    2012-08-01

    Qualified Energy Conservation Bonds (QECBs) are federally-subsidized bonds that enable state, tribal, and local government issuers to borrow money to fund a range of energy conservation projects at very attractive interest rates and long terms. While small allocation sizes have deterred some local governments from pursuing issuances, state agencies in Massachusetts have partnered with local governments to aggregate QECBs to support a range of public and private projects. In most states, QECBs have been utilized primarily to fund energy conservation projects for public entities, but Massachusetts has facilitated over $10 million of private activity QECB issuances to support three privately-ownedmore » renewable energy projects—with more projects in the pipeline.« less

  10. Massachusetts State Briefing Book for low-level radioactive waste management

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

    Not Available

    1981-03-12

    The Massachusetts State Briefing Book is one of a series of State briefing books on low-level radioactive waste management practices. It has been prepared to assist State and Federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Massachusetts. The profile is the result of a survey of NRC licensees in Massachusetts. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed throughmore » personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in Massachusetts.« less

  11. Physical oceanographic investigation of Massachusetts and Cape Cod Bays

    USGS Publications Warehouse

    Geyer, W. Rockwell; Gardner, George B.; Brown, Wendell S.; Irish, James D.; Butman, Bradford; Loder, T.C.; Signell, Richard P.

    1992-01-01

    This physical oceanographic study of the Massachusetts Bays (fig. 1) was designed to provide for the first time a bay-wide description of the circulation and mixing processes on a seasonal basis. Most of the measurements were conducted between April 1990 and June 1991 and consisted of moored observations to study the current flow patterns (fig. 2), hydrographic surveys to document the changes in water properties (fig. 3), high-resolution surveys of velocity and water properties to provide information on the spatial variability of the flow, drifter deployments to measure the currents, and acquisition of satellite images to provide a bay-wide picture of the surface temperature and its spatial variability. A longterm objective of the Massachusetts Bays program is to develop an understanding of the transport of water, dissolved substances and particles throughout the bays. Because horizontal and vertical transport is important to biological, chemical, and geological processes in Massachusetts and Cape Cod Bays, this physical oceanographic study will have broad application and will improve the ability to manage and monitor the water and sediment quality of the Bays. Key results are:There is a marked seasonal variation in stratification in the bays, from well mixed conditions during the winter to strong stratification in the summertime. The stratification acts as a partial barrier to exchange between the surface waters and the deeper waters and causes the motion of the surface waters to be decoupled from the more sluggish flow of the deep waters. During much of the year, there is weak but persistent counterclockwise flow around the bays, made up of southwesterly flow past Cape Ann, southward flow along the western shore, and outflow north of Race Point. The data suggest that this residual flow pattern reverses in fall. Fluctuations caused by wind and density variations are typically larger than the long-term mean. With the exception of western Massachusetts Bay, flushing

  12. E-Learning in Massachusetts

    ERIC Educational Resources Information Center

    Graziano, April

    2005-01-01

    This document presents some of the many ways schools are using online technologies. The report illustrates how Massachusetts educators are taking advantage of e-learning opportunities to improve student learning. Educators across the state are using online courses and resources, engaging in online events and projects, and showing interest in…

  13. Understanding Pediatricians' Views toward School-Based BMI Screening in Massachusetts: A Pilot Study

    ERIC Educational Resources Information Center

    Pietras, Stefanie A.; Rhodes, Erinn T.; Meyers, Alan; Goodman, Elizabeth

    2012-01-01

    Background: Massachusetts (MA) mandated body mass index (BMI) screening in schools in 2010. However, little is known about pediatricians' views on school-based screening or how the pediatricians' perspectives might affect the school-based screening process. We assessed MA pediatricians' knowledge, attitudes, beliefs, and practices concerning BMI…

  14. Trauma-Informed Care in the Massachusetts Child Trauma Project.

    PubMed

    Bartlett, Jessica Dym; Barto, Beth; Griffin, Jessica L; Fraser, Jenifer Goldman; Hodgdon, Hilary; Bodian, Ruth

    2016-05-01

    Child maltreatment is a serious public health concern, and its detrimental effects can be compounded by traumatic experiences associated with the child welfare (CW) system. Trauma-informed care (TIC) is a promising strategy for addressing traumatized children's needs, but research on the impact of TIC in CW is limited. This study examines initial findings of the Massachusetts Child Trauma Project, a statewide TIC initiative in the CW system and mental health network. After 1 year of implementation, Trauma-Informed Leadership Teams in CW offices emerged as key structures for TIC systems integration, and mental health providers' participation in evidence-based treatment (EBT) learning collaboratives was linked to improvements in trauma-informed individual and agency practices. After approximately 6 months of EBT treatment, children had fewer posttraumatic symptoms and behavior problems compared to baseline. Barriers to TIC that emerged included scarce resources for trauma-related work in the CW agency and few mental providers providing EBTs to young children. Future research might explore variations in TIC across service system components as well as the potential for differential effects across EBT models disseminated through TIC. © The Author(s) 2015.

  15. Enhanced Sidescan-Sonar Imagery Offshore of Southeastern Massachusetts

    USGS Publications Warehouse

    Poppe, Lawrence J.; McMullen, Kate Y.; Williams, S. Jeffress; Ackerman, Seth D.; Glomb, K.A.; Forfinski, N.A.

    2008-01-01

    The U.S. Geological Survey (USGS), National Oceanic and Atmospheric Administration (NOAA), and Massachusetts Office of Coastal Zone Management (CZM) have been working cooperatively to map and study the coastal sea floor. The sidescan-sonar imagery collected during NOAA hydrographic surveys has been included as part of these studies. However, the original sonar imagery contains tonal artifacts from environmental noise (for example, sea state), equipment settings (for example, power and gain changes), and processing (for example, inaccurate cross-track and line-to-line normalization), which impart a quilt-like patchwork appearance to the mosaics. These artifacts can obscure the normalized backscatter properties of the sea floor. To address this issue, sidescan-sonar imagery from surveys H11076 and H11079 offshore of southeastern Massachusetts was enhanced by matching backscatter tones of adjacent sidescan-sonar lines. These mosaics provide continuous grayscale perspectives of the backscatter, more accurately reveal the sea-floor geologic trends, and minimize the environment-, acquisition-, and processing-related noise.

  16. Statewide water-quality network for Massachusetts

    USGS Publications Warehouse

    Desimone, Leslie A.; Steeves, Peter A.; Zimmerman, Marc James

    2001-01-01

    A water-quality monitoring program is proposed that would provide data to meet multiple information needs of Massachusetts agencies and other users concerned with the condition of the State's water resources. The program was designed by the U.S. Geological Survey and the Massachusetts Department of Environmental Protection, Division of Watershed Management, with input from many organizations involved in water-quality monitoring in the State, and focuses on inland surface waters (streams and lakes). The proposed monitoring program consists of several components, or tiers, which are defined in terms of specific monitoring objectives, and is intended to complement the Massachusetts Watershed Initiative (MWI) basin assessments. Several components were developed using the Neponset River Basin in eastern Massachusetts as a pilot area, or otherwise make use of data from and sampling approaches used in that basin as part of a MWI pilot assessment in 1994. To guide development of the monitoring program, reviews were conducted of general principles of network design, including monitoring objectives and approaches, and of ongoing monitoring activities of Massachusetts State agencies.Network tiers described in this report are primarily (1) a statewide, basin-based assessment of existing surface-water-quality conditions, and (2) a fixed-station network for determining contaminant loads carried by major rivers. Other components, including (3) targeted programs for hot-spot monitoring and other objectives, and (4) compliance monitoring, also are discussed. Monitoring programs for the development of Total Maximum Daily Loads for specific water bodies, which would constitute another tier of the network, are being developed separately and are not described in this report. The basin-based assessment of existing conditions is designed to provide information on the status of surface waters with respect to State water-quality standards and designated uses in accordance with the

  17. Low-income Renewable Energy Programs: Case Studies of State Policy in California and Massachusetts

    NASA Astrophysics Data System (ADS)

    Kelly, Kaitlin

    Energy policies aimed at reducing the burden of monthly utility costs on low-income families have been established since the 1970s. Energy use impacts low-income families and organizations through housing specific costs, health and wellness, and opportunity costs. States have begun to run renewable energy installation programs aimed at reducing costs for low-income communities. This thesis examines two of these programs, the solar photovoltaic policies in California as part of the Single Family Affordable Solar Housing and Multi-family Affordable Solar Housing programs, and the Low-income Solar Housing program in Massachusetts. Lessons learned from reviewing these programs are that renewable energy programs are an effective strategy for reducing utility costs for low-income communities, but that the total effectiveness of the program is dependent on removing cost barriers, implementing energy efficiency improvements, and increasing consumer education through established community networks and relationships.

  18. Cigarette smoke chemistry market maps under Massachusetts Department of Public Health smoking conditions.

    PubMed

    Morton, Michael J; Laffoon, Susan W

    2008-06-01

    This study extends the market mapping concept introduced by Counts et al. (Counts, M.E., Hsu, F.S., Tewes, F.J., 2006. Development of a commercial cigarette "market map" comparison methodology for evaluating new or non-conventional cigarettes. Regul. Toxicol. Pharmacol. 46, 225-242) to include both temporal cigarette and testing variation and also machine smoking with more intense puffing parameters, as defined by the Massachusetts Department of Public Health (MDPH). The study was conducted over a two year period and involved a total of 23 different commercial cigarette brands from the U.S. marketplace. Market mapping prediction intervals were developed for 40 mainstream cigarette smoke constituents and the potential utility of the market map as a comparison tool for new brands was demonstrated. The over-time character of the data allowed for the variance structure of the smoke constituents to be more completely characterized than is possible with one-time sample data. The variance was partitioned among brand-to-brand differences, temporal differences, and the remaining residual variation using a mixed random and fixed effects model. It was shown that a conventional weighted least squares model typically gave similar prediction intervals to those of the more complicated mixed model. For most constituents there was less difference in the prediction intervals calculated from over-time samples and those calculated from one-time samples than had been anticipated. One-time sample maps may be adequate for many purposes if the user is aware of their limitations. Cigarette tobacco fillers were analyzed for nitrate, nicotine, tobacco-specific nitrosamines, ammonia, chlorogenic acid, and reducing sugars. The filler information was used to improve predicting relationships for several of the smoke constituents, and it was concluded that the effects of filler chemistry on smoke chemistry were partial explanations of the observed brand-to-brand variation.

  19. Eleven-year descriptive analysis of closed court verdicts on medical errors in Spain and Massachusetts

    PubMed Central

    Giraldo, Priscila; Sato, Luke; Martínez-Sánchez, Jose M; Comas, Mercè; Dwyer, Kathy; Sala, Maria; Castells, Xavier

    2016-01-01

    Objectives To evaluate and compare the characteristics of court verdicts on medical errors allegedly harming patients in Spain and Massachusetts from 2002 to 2012. Design, setting and participants We reviewed 1041 closed court verdicts obtained from data on litigation in the Thomson Reuters Aranzadi Westlaw databases in Spain (Europe), and 370 closed court verdicts obtained from the Controlled Risk and Risk Management Foundation of Harvard Medical Institutions (CRICO/RMF) in Massachusetts (USA). We included closed court verdicts on medical errors. The definition of medical errors was based on that of the Institute of Medicine (USA). We excluded any agreements between parties before a judgement. Results Medical errors were involved in 25.9% of court verdicts in Spain and in 74% of those in Massachusetts. The most frequent cause of medical errors was a diagnosis-related problem (25.1%; 95% CI 20.7% to 31.1% in Spain; 35%; 95% CI 29.4% to 40.7% in Massachusetts). The proportion of medical errors classified as high severity was 34% higher in Spain than in Massachusetts (p=0.001). The most frequent factors contributing to medical errors in Spain were surgical and medical treatment (p=0.001). In Spain, 98.5% of medical errors resulted in compensation awards compared with only 6.9% in Massachusetts. Conclusions This study reveals wide differences in litigation rates and the award of indemnity payments in Spain and Massachusetts; however, common features of both locations are the high rates of diagnosis-related problems and the long time interval until resolution. PMID:27577585

  20. Touching Hearts, Touching Minds: using emotion-based messaging to promote healthful behavior in the Massachusetts WIC program.

    PubMed

    Colchamiro, Rachel; Ghiringhelli, Kara; Hause, Judith

    2010-01-01

    The Touching Hearts, Touching Minds initiative was funded through a 2003 United States Department of Agriculture Special Projects grant to revitalize nutrition education and services in the Massachusetts Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program. The 30 nutrition education materials and facilitated group counseling techniques developed through the project use the power of parent-identified emotional "pulse points" to become more influential in guiding WIC participants to practice positive eating and physical activity behaviors that lead to healthier families. Touching Hearts, Touching Minds materials and strategies have been well received and provide opportunities to transform the nutrition counseling relationship between WIC families and WIC staff. Touching Hearts, Touching Minds has changed nutrition education in Massachusetts and is influencing nutrition education across the country and beyond in numerous venues. Published by Elsevier Inc.

  1. Geological Interpretation of the Sea Floor Offshore of Edgartown, Massachusetts

    USGS Publications Warehouse

    Poppe, L.J.; McMullen, K.Y.; Foster, D.S.; Blackwood, D.S.; Williams, S.J.; Ackerman, S.D.; Moser, M.S.; Glomb, K.A.

    2010-01-01

    Gridded bathymetry and sidescan-sonar imagery together cover approximately 37.3 square kilometers of sea floor in the vicinity of Edgartown Harbor, Massachusetts. Although originally collected for charting purposes during National Oceanic and Atmospheric Administration hydrographic survey H11346, these acoustic data, and the sea-floor stations and seismic-reflection lines subsequently occupied to verify them, 1) show the composition and terrain of the seabed, 2) provide information on sediment transport and benthic habitat, and 3) are part of an expanding series of studies that provide a fundamental framework for research and management (for example, windfarms, pipelines, and dredging) activities along the Massachusetts inner continental shelf.

  2. Use of hospital discharge data to monitor uterine rupture--Massachusetts, 1990-1997.

    PubMed

    2000-03-31

    Uterine rupture (UR), a potentially life-threatening condition for both mother and infant, occurs in <0.1% of all pregnant women and <1% of women attempting vaginal birth after cesarean section (VBAC) (1-4). During 1990-1997, the proportion of vaginal deliveries among women who had previous cesarean sections (CS) in Massachusetts increased 50%, from 22.3% to 33.5% (5). Concern about a corresponding increase in UR prompted the Massachusetts Department of Public Health and CDC to initiate a state-wide investigation that included an assessment of the validity and reliability of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (6), codes in hospital discharge data to identify UR cases. This report summarizes the results of the investigation, which indicate that ICD-9-CM codes related to UR, designed before increased concern about UR, lack adequate specificity for UR surveillance and have not been applied consistently over time.

  3. A Health Impact Assessment of a Proposed Bill to Decrease Speed Limits on Local Roads in Massachusetts (U.S.A.)

    PubMed Central

    James, Peter; Ito, Kate; Banay, Rachel F.; Buonocore, Jonathan J.; Wood, Benjamin; Arcaya, Mariana C.

    2014-01-01

    Decreasing traffic speeds increases the amount of time drivers have to react to road hazards, potentially averting collisions, and makes crashes that do happen less severe. Boston’s regional planning agency, the Metropolitan Area Planning Council (MAPC), in partnership with the Massachusetts Department of Public Health (MDPH), conducted a Health Impact Assessment (HIA) that examined the potential health impacts of a proposed bill in the state legislature to lower the default speed limits on local roads from 30 miles per hour (mph) to 25 mph. The aim was to reduce vehicle speeds on local roads to a limit that is safer for pedestrians, cyclists, and children. The passage of this proposed legislation could have had far-reaching and potentially important public health impacts. Lower default speed limits may prevent around 18 fatalities and 1200 serious injuries to motorists, cyclists and pedestrians each year, as well as promote active transportation by making local roads feel more hospitable to cyclists and pedestrians. While a lower speed limit would increase congestion and slightly worsen air quality, the benefits outweigh the costs from both a health and economic perspective and would save the state approximately $62 million annually from prevented fatalities and injuries. PMID:25279544

  4. 78 FR 59962 - Notice of Inventory Completion: University of Massachusetts Amherst, Department of Anthropology...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ....R50000] Notice of Inventory Completion: University of Massachusetts Amherst, Department of Anthropology... Massachusetts Amherst, Department of Anthropology, has completed an inventory of human remains and associated... request to the University of Massachusetts Amherst, Department of Anthropology. If no additional...

  5. 76 FR 14067 - Notice of Inventory Completion: University of Massachusetts, Department of Anthropology, Amherst...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Repatriation Confederation, representing the Mashpee Wampanoag Tribe, Massachusetts; Wampanoag Tribe of Gay... the Wampanoag Nation are the Mashpee Wampanoag Tribe, Massachusetts; Wampanoag Tribe of Gay Head... funerary object and the Mashpee Wampanoag Tribe, Massachusetts; Wampanoag Tribe of Gay Head (Aquinnah) of...

  6. Defining Workplace Literacy Education in Massachusetts. A Survey of Workplace Literacy Education Programs in Massachusetts, Conducted in September and October 1989.

    ERIC Educational Resources Information Center

    Rosen, David J.; Kale, Cerci

    A survey of 42 Massachusetts workplace literacy programs was conducted in fall 1989 to determine whether the programs generally fit a standard definition of workplace literacy derived from "A Guide to Developing Instruction for Workforce Literacy Programs" by Jorie W. Philippi. The study's seven-item questionnaire included the definition…

  7. Strange bedfellows: the history of collaboration between the Massachusetts Restaurant Association and the tobacco industry.

    PubMed

    Ritch, W A; Begay, M E

    2001-04-01

    This article examines the historical relationship between the tobacco industry and the Massachusetts Restaurant Association, a nonprofit trade association aligned with the food and beverage industry. The study analyzed data from Web-based tobacco industry documents, public relations materials, news articles, testimony from public hearings, requests for injunctions, court decisions, economic impact studies, handbooks, and private correspondence. Tobacco industry documents that became public after various state lawsuits reveal that a long history of collaboration exists between the Massachusetts Restaurant Association and the tobacco industry. For more than 20 years, their joint efforts have focused primarily on the battle to defeat state and local laws that would restrict smoking in public places, particularly in beverage and food service establishments. The resources of the tobacco industry, combined with the association's grassroots mobilization of its membership, have fueled their opposition to many state and local smoke-free restaurant, bar, and workplace laws in Massachusetts. The universal opposition of the Massachusetts Restaurant Association to smoking bans in food and beverage establishments is a reflection of its historic relationship with the tobacco industry.

  8. Sediment quality in the north coastal basin of Massachusetts, 2003

    USGS Publications Warehouse

    Breault, Robert F.; Ashman, Mary S.; Heath, Douglas

    2004-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, completed a reconnaissance-level study of bottom-sediment quality in selected lakes, rivers, and estuaries in the North Coastal Basin of Massachusetts. Bottom-sediment grab samples were collected from 20 sites in the North River, Lake Quannapowitt, Saugus River, Mill River, Shute Brook, Sea Plane Basin, Pines River, and Bear Creek. The samples were tested for various types of potentially harmful contaminants? including 33 elements, 17 polyaromatic hydrocarbons (PAHs), 22 organochlorine pesticides, and 7 polychlorinated biphenyl (PCB) mixtures (Aroclors)?to benthic organisms (bottom-dwelling) and humans. The results were compared among sampling sites, to background concentrations, and to concen-trations measured in other urban rivers, and sediment-quality guidelines were used to predict toxicity at the sampling sites to benthic organisms and humans. Because there are no standards for human toxicity for aquatic sediment, standards for contaminated upland soil were used. Contaminant concentrations measured in sediment collected from the North Coastal Basin generally were equal to or greater than concentrations in sediment from uncontaminated rivers throughout New England. Contaminants in North Coastal Basin sediment with elevated concentrations (above back-ground levels) included arsenic, chromium, copper, lead, nickel, and zinc, some of the PAHs, dichlorodiphenyltrichloro-ethane (DDT) and its metabolites, and dieldrin. No PCBs were measured above the detection limits. Measured concentrations of arsenic, chromium, and lead were also generally greater than those measured in other urban rivers throughout the conter-minous United States. With one exception (arsenic), local con-centrations measured in sediment samples collected from the North Coastal Basin were lower than concentrations measured in sediment collected from two of three urban rivers draining to Boston

  9. Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital.

    PubMed

    Bohmer, Richard M J; Bloom, Jonathan D; Mort, Elizabeth A; Demehin, Akinluwa A; Meyer, Gregg S

    2009-12-01

    Recent focus on the need to improve the quality and safety of health care has created new challenges for academic health centers (AHCs). Whereas previously quality was largely assumed, today it is increasingly quantifiable and requires organized systems for improvement. Traditional structures and cultures within AHCs, although well suited to the tripartite missions of teaching, research, and clinical care, are not easily adaptable to the tasks of measuring, reporting, and improving quality. Here, the authors use a case study of Massachusetts General Hospital's efforts to restructure quality and safety to illustrate the value of beginning with a focus on organizational culture, using a systematic process of engaging clinical leadership, developing an organizational framework dependent on proven business principles, leveraging focus events, and maintaining executive dedication to execution of the initiative. The case provides a generalizable example for AHCs of how applying explicit management design can foster robust organizational change with relatively modest incremental financial resources.

  10. Massachusetts Adult Basic Education Curriculum Framework for Mathematics and Numeracy

    ERIC Educational Resources Information Center

    Massachusetts Department of Education, 2005

    2005-01-01

    Over the past number of years, several initiatives have set the stage for writing the Massachusetts ABE (Adult Basic Education) Curriculum Frameworks for Mathematics and Numeracy. This current version of the "Massachusetts ABE Mathematics Curriculum Frameworks" is a second revision of that first framework, but it is heavily influenced by…

  11. Homemaker Reaction to EFNEP/Food Stamp Pilot Nutrition Education Project. A 1983 Pennsylvania and Massachusetts Survey. Extension Studies 92.

    ERIC Educational Resources Information Center

    Dunn, Polly P.; And Others

    Between 1982 and 1983, more than 750 homemakers from Pennsylvania and Massachusetts participated in a national study to test selected methods of delivering nutrition education to low-income families. The study, the Expanded Food and Nutrition Education Program (EFNEP)/Food Stamp Pilot Project, was conducted through the EFNEP in 10 states. At the…

  12. Availability and range of tobacco products for sale in Massachusetts pharmacies.

    PubMed

    Seidenberg, Andrew B; Hong, Weiwei; Liu, Jiayue; Noel, Jonathan K; Rees, Vaughan W

    2013-11-01

    New tobacco control policies have been introduced in Massachusetts which restrict tobacco product sales in pharmacies. The purpose of this investigation was to outline the scope of pharmacy involvement in the tobacco market by assessing the availability and range of tobacco products sold in Massachusetts pharmacies. Public listings of licenced pharmacies and tobacco retailers in Massachusetts were examined to determine the proportion of pharmacies licenced to sell tobacco, and the proportion of tobacco retailers possessing a pharmacy licence. Telephone interviews were conducted with a random sample (n=70) of pharmacies possessing a tobacco licence to assess the availability and range of tobacco products for sale. The availability of nicotine replacement therapy (NRT) products was assessed as a comparison. The majority of pharmacies in Massachusetts possessed a tobacco licence (69%), and pharmacies made up 9% of licenced tobacco retailers. Among pharmacies surveyed that reported selling tobacco (90%), cigarettes were the most available tobacco product for sale (100%), followed by cigars (69%), little cigars/cigarillos (66%), moist snuff (53%), pipe tobacco (49%), roll-your-own tobacco (34%), snus (14%), dissolvable tobacco (11%) and electronic cigarettes (2%). Nearly all pharmacies selling tobacco offered the nicotine patch (100%), gum (100%) and lozenge (98%). Tobacco-free pharmacy policies would affect a majority of Massachusetts pharmacies and remove a variety of tobacco products from their store shelves. Further, nearly one in ten tobacco retailers would be eliminated by prohibiting tobacco sales in Massachusetts pharmacies statewide.

  13. Massachusetts wants a tougher federal oil spill control plan

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

    Not Available

    Massachusetts wants a tougher federal oil spill control plan and has petitioned the U.S. Council on Environmental Quality (CEQ). The present oil spill contingency plan is inadequate, according to M. Dukakis (Gov. Mass.). The Massachusetts plan, which CEQ officials view favorably, would extend responsibility to the 200 mi fishing limit, provide for protection of birds, and set up an oil strike force on 24 hr alert.

  14. 75 FR 61220 - Massachusetts Institute of Technology: Massachusetts Institute of Technology Research Reactor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... renewed Facility Operating License No. R-37, to be held by the Massachusetts Institute of Technology (MIT... Identification of the Proposed Action The proposed action would renew Facility Operating License No. R-37 for a... License No. R-37 to allow continued operation of the MITR for a period of twenty years at an increased...

  15. Forests of Massachusetts, 2016

    Treesearch

    Brett J. Butler

    2017-01-01

    This report provides an overview of forest resources in Massachusetts based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station.Estimates are based on field data collected using the FIA annualized sample design. Results are for the measurement years 2011-2016 with comparisons made to 2007-...

  16. Forests of Massachusetts, 2013

    Treesearch

    Brett J. Butler

    2014-01-01

    This report provides an overview of forest resources in Massachusetts based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station. Estimates are based on field data collected using the FIA annualized sample design. Results are for the measurement years 2009-2013 with comparisons made to 2003-...

  17. Massachusetts' forest resources, 2011

    Treesearch

    Brett J. Butler; Randall S. Morin; Mark D. Nelson

    2012-01-01

    This publication provides an overview of forest resource attributes for Massachusetts based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this...

  18. Forests of Massachusetts, 2015

    Treesearch

    Brett J. Butler

    2016-01-01

    This report provides an overview of forest resources in Massachusetts based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station.Estimates are based on field data collected using the FIA annualized sample design. Results are for the measurement years 2010-2015 with comparisons made to 2005-...

  19. Massachusetts' forest resources, 2012

    Treesearch

    Brett J. Butler

    2013-01-01

    This publication provides an overview of forest resource attributes for Massachusetts based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 3 of this...

  20. Massachusetts' forest resources, 2009

    Treesearch

    Brett J. Butler; Gordon. Boyce

    2011-01-01

    This publication provides an overview of forest resource attributes for Massachusetts based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this...

  1. Massachusetts' forest resources, 2010

    Treesearch

    Brett J. Butler; William N. Hill; Cassandra Kurtz; W. Keith. Moser

    2011-01-01

    This publication provides an overview of forest resource attributes for Massachusetts based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this...

  2. Forests of Massachusetts, 2014

    Treesearch

    Brett J. Butler; Susan J. Crocker

    2015-01-01

    This report provides an overview of forest resources in Massachusetts based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station. Estimates are based on field data collected using the FIA annualized sample design. Results are for the measurement years 2009-2014 with comparisons made to 2005-...

  3. The Study of the Character of Civil Rights Crimes in Massachusetts (1983-1987).

    ERIC Educational Resources Information Center

    McDevitt, Jack

    This report presents results of a research project designed to increase understanding of civil rights crime through a systematic description of the characteristics of incidents that occurred in Boston (Massachusetts) between 1983 and 1987. Data were taken from police incident reports and are limited to only those cases that were reported to the…

  4. Long-term oceanographic observations in Massachusetts Bay, 1989-2006

    USGS Publications Warehouse

    Butman, Bradford; Alexander, P. Soupy; Bothner, Michael H.; Borden, Jonathan; Casso, Michael A.; Gutierrez, Benjamin T.; Hastings, Mary E.; Lightsom, Frances L.; Martini, Marinna A.; Montgomery, Ellyn T.; Rendigs, Richard R.; Strahle, William S.

    2009-01-01

    This data report presents long-term oceanographic observations made in western Massachusetts Bay at long-term site A (LT-A) (42 deg 22.6' N., 70 deg 47.0' W.; nominal water depth 32 meters) from December 1989 through February 2006 and long-term site B (LT-B) (42 deg 9.8' N., 70 deg 38.4' W.; nominal water depth 22 meters) from October 1997 through February 2004 (fig. 1). The observations were collected as part of a U.S. Geological Survey (USGS) study designed to understand the transport and long-term fate of sediments and associated contaminants in Massachusetts Bay. The observations include time-series measurements of current, temperature, salinity, light transmission, pressure, oxygen, fluorescence, and sediment-trapping rate. About 160 separate mooring or tripod deployments were made on about 90 research cruises to collect these long-term observations. This report presents a description of the 16-year field program and the instrumentation used to make the measurements, an overview of the data set, more than 2,500 pages of statistics and plots that summarize the data, and the digital data in Network Common Data Form (NetCDF) format. This research was conducted by the USGS in cooperation with the Massachusetts Water Resources Authority and the U.S. Coast Guard.

  5. Eleven-year descriptive analysis of closed court verdicts on medical errors in Spain and Massachusetts.

    PubMed

    Giraldo, Priscila; Sato, Luke; Martínez-Sánchez, Jose M; Comas, Mercè; Dwyer, Kathy; Sala, Maria; Castells, Xavier

    2016-08-30

    To evaluate and compare the characteristics of court verdicts on medical errors allegedly harming patients in Spain and Massachusetts from 2002 to 2012. We reviewed 1041 closed court verdicts obtained from data on litigation in the Thomson Reuters Aranzadi Westlaw databases in Spain (Europe), and 370 closed court verdicts obtained from the Controlled Risk and Risk Management Foundation of Harvard Medical Institutions (CRICO/RMF) in Massachusetts (USA). We included closed court verdicts on medical errors. The definition of medical errors was based on that of the Institute of Medicine (USA). We excluded any agreements between parties before a judgement. Medical errors were involved in 25.9% of court verdicts in Spain and in 74% of those in Massachusetts. The most frequent cause of medical errors was a diagnosis-related problem (25.1%; 95% CI 20.7% to 31.1% in Spain; 35%; 95% CI 29.4% to 40.7% in Massachusetts). The proportion of medical errors classified as high severity was 34% higher in Spain than in Massachusetts (p=0.001). The most frequent factors contributing to medical errors in Spain were surgical and medical treatment (p=0.001). In Spain, 98.5% of medical errors resulted in compensation awards compared with only 6.9% in Massachusetts. This study reveals wide differences in litigation rates and the award of indemnity payments in Spain and Massachusetts; however, common features of both locations are the high rates of diagnosis-related problems and the long time interval until resolution. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. Shallow geology, sea-floor texture, and physiographic zones of Vineyard and western Nantucket Sounds, Massachusetts

    USGS Publications Warehouse

    Baldwin, Wayne E.; Foster, David S.; Pendleton, Elizabeth A.; Barnhardt, Walter A.; Schwab, William C.; Andrews, Brian D.; Ackerman, Seth D.

    2016-09-02

    Geologic, sediment texture, and physiographic zone maps characterize the sea floor of Vineyard and western Nantucket Sounds, Massachusetts. These maps were derived from interpretations of seismic-reflection profiles, high-resolution bathymetry, acoustic-backscatter intensity, bottom photographs/video, and surficial sediment samples collected within the 494-square-kilometer study area. Interpretations of seismic stratigraphy and mapping of glacial and Holocene marine units provided a foundation on which the surficial maps were created. This mapping is a result of a collaborative effort between the U.S. Geological Survey and the Massachusetts Office of Coastal Zone Management to characterize the surface and subsurface geologic framework offshore of Massachusetts.

  7. Relationship between leukemia incidence and residing and/or working near the Pilgrim 1 nuclear power plant in Plymouth, Massachusetts

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

    Morris, M.S.

    1992-01-01

    To determine whether a strong association between leukemia incidence between 1978 and 1986 and potential for exposure to radiation emitted from the Pilgrim 1 nuclear power plant in Plymouth, Massachusetts was a spurious finding resulting from either (1) failure to account for temporal variation in the level of radioactivity released from the plant or (2) inattention to certain potentially confounding factors, additional age/sex-matched case-control analyses controlled for the effects of socioeconomic status (SES), work history, and cigarette smoking were performed with data collected in the Southeastern Massachusetts Health Investigation -- a study of leukemia among residents aged 13 and oldermore » of 22 southeastern Massachusetts towns. None of the additional analyses, including incorporation of emissions data into the exposure-assessment scheme and crude attempts to control for (1) medical-radiation exposure, (2) potential for exposure to pesticides sprayed on cranberry bogs, or (3) workplace exposure to radiation, chemical solvents, dust, or fumes, altered the finding of a statistically significant dose-response relationship between leukemia incidence and potential for exposure to radioactive emissions. The trend in the association over time was not entirely consistent, however, with the hypothesis that unusually large amounts of radioactivity reportedly released from the plant during the mid-1970s were responsible for the observed effects. Recommendations were made for further study of the Plymouth-area population for studies of this problem elsewhere.« less

  8. Touching Hearts, Touching Minds: Using Emotion-Based Messaging to Promote Healthful Behavior in the Massachusetts WIC Program

    ERIC Educational Resources Information Center

    Colchamiro, Rachel; Ghiringhelli, Kara; Hause, Judith

    2010-01-01

    The "Touching Hearts, Touching Minds" initiative was funded through a 2003 United States Department of Agriculture Special Projects grant to revitalize nutrition education and services in the Massachusetts Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program. The 30 nutrition education materials and…

  9. The Massachusetts BMI letter: A qualitative study of responses from parents of obese children

    PubMed Central

    Moyer, Lindsay J.; Carbone, Elena T.; Anliker, Jean A.; Goff, Sarah L.

    2015-01-01

    Objectives Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and qualitatively explored parents’ responses to it. Methods Readability of the BMI letter was calculated. Audio-taped 1-h focus groups were conducted with parents/caregivers of 8- to 14-year-old obese (≥95th BMI-for-age percentile) children. A semistructured interview guide was used to elicit responses. Qualitative content analysis was conducted on transcripts to identify emergent themes. Results Readability analysis showed higher grade levels than recommended. Eight focus groups consisting of two to six parents each were conducted (n = 29); 83% were female, mean age 41 ± 9 years, and 65% self-identified as Hispanic/Latino. Key themes identified included usefulness of the BMI letter, concerns about utility of BMI for screening, concerns about impacting self-esteem, and failure to understand the letter. Conclusions The MA BMI letter may not have been achieving its desired goal with some parents. Practice implications: Emergent themes from this study could be used to test effectiveness of similar BMI letters nationwide and develop strategies to improve communication to parents. PMID:24290240

  10. Massachusetts Substance Use Disorder Treatment Organizations’ Perspectives on the Affordable Care Act: Changes in Payment, Services, and System Design

    PubMed Central

    Quinn, Amity E.; Stewart, Maureen T.; Brolin, Mary; Horgan, Constance; Lane, Nancy E.

    2017-01-01

    The Affordable Care Act (ACA) expanded insurance benefits and coverage for substance use disorder (SUD) treatment and encouraged delivery and payment reforms. Massachusetts passed a similar reform in 2006. This study aims to assess Massachusetts SUD treatment organizations’ responses to the ACA. Organizational interviews addressing challenges of and responses to the ACA were conducted in-person June–December 2014 with 31 leaders at 12 treatment organizations across Massachusetts. Many organizations were affiliated with medical or social services and offered a range of SUD services. Sampling was based on services offered (detoxification only, detoxification and outpatient, outpatient only). Framework analysis was used. Challenges identified were considered similar to ongoing challenges, not unique to the ACA. Organizations experienced insurance expansions in 2006 and faced new challenges, including insurance coverage, payment arrangements, expansion of services, and system design. System design efforts included care coordination/integration, workforce development, and health information technology. Differences in responses related to connections with medical and social service organizations. Many organizations engaged in efforts to respond to changing policies by expanding capacity and services. Offering a range of SUD treatment (e.g., detoxification and outpatient) and affiliating with a medical organization could enable organizations to respond to new insurance, delivery, and payment reforms. PMID:28350232

  11. Evaluation Report for the Massachusetts Workplace Literacy Consortium. National Workplace Literacy Program Wave 6, Year 3.

    ERIC Educational Resources Information Center

    Sperazi, Laura; DePascale, Charles A.

    The Massachusetts Workplace Literacy Consortium sought to upgrade work-related literacy skills at 22 partner sites in the state. Members included manufacturers, health care organizations, educational institutions, and labor unions. In its third year, the consortium served 1,179 workers with classes in English for speakers of other languages, adult…

  12. Clarifying the role of the mental health peer specialist in Massachusetts, USA: insights from peer specialists, supervisors and clients.

    PubMed

    Cabral, Linda; Strother, Heather; Muhr, Kathy; Sefton, Laura; Savageau, Judith

    2014-01-01

    Mental health peer specialists develop peer-to-peer relationships of trust with clients to improve their health and well-being, functioning in ways similar to community health workers. Although the number of peer specialists in use has been increasing, their role in care teams is less defined than that of the community health worker. This qualitative study explored how the peer specialist role is defined across different stakeholder groups, the expectations for this role and how the peer specialist is utilised and integrated across different types of mental health services. Data were collected through interviews and focus groups conducted in Massachusetts with peer specialists (N = 44), their supervisors (N = 14) and clients (N = 10) between September 2009 and January 2011. A consensus coding approach was used and all data outputs were reviewed by the entire team to identify themes. Peer specialists reported that their most important role is to develop relationships with clients and that having lived mental health experience is a key element in creating that bond. They also indicated that educating staff about the recovery model and peer role is another important function. However, they often felt a lack of clarity about their role within their organisation and care team. Supervisors valued the unique experience that peer specialists bring to an organisation. However, without a defined set of expectations for this role, they struggled with training, guiding and evaluating their peer specialist staff. Clients reported that the shared lived experience is important for the relationship and that working with a peer specialist has improved their mental health. With increasing support for person-centred integrated healthcare delivery models, the demand for mental health peer specialist services will probably increase. Therefore, clearer role definition, as well as workforce development focused on team orientation, is necessary for peer specialists to be fully integrated

  13. THE IRONY OF URBAN SCHOOL REFORM, IDEOLOGY AND STYLE IN MID-NINETEENTH CENTURY MASSACHUSETTS. FINAL REPORT.

    ERIC Educational Resources Information Center

    KATZ, MICHAEL B.

    THE ORIGINS OF MASS POPULAR EDUCATION IN NINETEENTH-CENTURY MASSACHUSETTS ARE STUDIED IN TERMS OF THE RELATION BETWEEN REFORMER IDEOLOGY AND STYLE OF REFORM WITHIN THE CONTEXT OF FUNDAMENTAL ALTERATIONS IN THE LIFE CONDITIONS IN MASSACHUSETTS. THREE SIGNIFICANT EVENTS ARE ANALYZED IN DETAIL--(1) ABOLITION OF BEVERLY HIGH SCHOOL IN 1860, (2) ATTACK…

  14. Franchising Public Education: A Study of the Linkage of Charter Schools and Private Education Management Companies in Massachusetts.

    ERIC Educational Resources Information Center

    Rhim, Lauren Morando

    School franchising (defined as the replication of a particular product or service across a wide geographic region) marks a radical departure from the traditional view of the community-based neighborhood school. This paper reports on a study of a growing niche of charter school private management contracts in Massachusetts. The focus is on the…

  15. Massachusetts' Forest Resources, 2006

    Treesearch

    Brett J. Butler; Charles Burnham; I. Ted Goodnight; Barbara O' Connell; Bryan Tirrell

    2008-01-01

    Table 1 and Figures 2 and 3 have been revised by the authors and these revisions were incorporated into the publication on May 27, 2008. This publication provides an overview of forest resource attributes for Massachusetts based on an annual inventory conducted by the Forest Inventory and Analysis program at the Northern Research Station of the U.S. Forest Service....

  16. 77 FR 5841 - Notice of Inventory Completion: Department of Anthropology, University of Massachusetts, Amherst, MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ...: Department of Anthropology, University of Massachusetts, Amherst, MA AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The University of Massachusetts Amherst, Department of Anthropology has... contact the University of Massachusetts Amherst, Department of Anthropology. Repatriation of the human...

  17. 75 FR 435 - Notice of Inventory Completion: Department of Anthropology, University of Massachusetts, Amherst, MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... Anthropology, University of Massachusetts, Amherst, MA AGENCY: National Park Service, Interior. ACTION: Notice... and control of the Department of Anthropology, University of Massachusetts, Amherst, MA. The human... Anthropology, University of Massachusetts, Amherst professional staff in consultation with representatives of...

  18. The 'indirect costs' of underfunding foreign partners in global health research: A case study.

    PubMed

    Crane, Johanna T; Andia Biraro, Irene; Fouad, Tamer M; Boum, Yap; R Bangsberg, David

    2017-09-16

    This study of a global health research partnership assesses how U.S. fiscal administrative policies impact capacity building at foreign partner institutions. We conducted a case study of a research collaboration between Mbarara University of Science and Technology (MUST) in Mbarara, Uganda, and originally the University of California San Francisco (UCSF), but now Massachusetts General Hospital (MGH). Our case study is based on three of the authors' experiences directing and working with this partnership from its inception in 2003 through 2015. The collaboration established an independent Ugandan non-profit to act as a local fiscal agent and grants administrator and to assure compliance with the Ugandan labour and tax law. This structure, combined with low indirect cost reimbursements from U.S. federal grants, failed to strengthen institutional capacity at MUST. In response to problems with this model, the collaboration established a contracts and grants office at MUST. This office has built administrative capacity at MUST but has also generated new risks and expenses for MGH. We argue that U.S. fiscal administrative practices may drain rather than build capacity at African universities by underfunding the administrative costs of global health research, circumventing host country institutions, and externalising legal and financial risks associated with international work. MGH: Massachusetts General Hospital; MUST: Mbarara University of Science and Technology; NIH: National Institutes of Health; UCSF: University of California San Francisco; URI: Uganda Research Institute.

  19. Strange bedfellows: the history of collaboration between the Massachusetts Restaurant Association and the tobacco industry.

    PubMed Central

    Ritch, W A; Begay, M E

    2001-01-01

    OBJECTIVES: This article examines the historical relationship between the tobacco industry and the Massachusetts Restaurant Association, a nonprofit trade association aligned with the food and beverage industry. METHODS: The study analyzed data from Web-based tobacco industry documents, public relations materials, news articles, testimony from public hearings, requests for injunctions, court decisions, economic impact studies, handbooks, and private correspondence. RESULTS: Tobacco industry documents that became public after various state lawsuits reveal that a long history of collaboration exists between the Massachusetts Restaurant Association and the tobacco industry. For more than 20 years, their joint efforts have focused primarily on the battle to defeat state and local laws that would restrict smoking in public places, particularly in beverage and food service establishments. The resources of the tobacco industry, combined with the association's grassroots mobilization of its membership, have fueled their opposition to many state and local smoke-free restaurant, bar, and workplace laws in Massachusetts. CONCLUSIONS: The universal opposition of the Massachusetts Restaurant Association to smoking bans in food and beverage establishments is a reflection of its historic relationship with the tobacco industry. PMID:11291372

  20. Massachusetts One-Stop Career Centers: Job Placement for Disadvantaged Students

    ERIC Educational Resources Information Center

    Matrundola, Lisa A.

    2010-01-01

    This study investigated the services provided to students' participating in career preparation programs (e.g., career counseling, mentoring, apprenticeships, work-based learning, or GED programs) provided by the Massachusetts One-Stop Career Centers. A study conducted by the President's Task Force for Disadvantaged Students (2003) found that…

  1. District, Union, and Community Collaboration: Massachusetts Consortium for Innovative Education Assessment

    ERIC Educational Resources Information Center

    Kelly, Dianne; Fearing, Erik

    2017-01-01

    While Massachusetts has received accolades for its high scores on the National Assessment for Educational Progress (NAEP) and Program for International Student Assessment (PISA) tests, absolute results from standardized tests tend to correlate strongly with family income and parental education. The Massachusetts Consortium for Innovative Education…

  2. Evidence-Based Health Promotion in Nursing Homes: A Pilot Intervention to Improve Oral Health

    ERIC Educational Resources Information Center

    Cadet, Tamara J.; Berrett-Abebe, Julie; Burke, Shanna L.; Bakk, Louanne; Kalenderian, Elsbeth; Maramaldi, Peter

    2016-01-01

    Nursing home residents over the age of 65 years are at high risk for poor oral health and related complications such as pneumonia and adverse diabetes outcomes. A preliminary study found that Massachusetts' nursing homes generally lack the training and resources needed to provide adequate oral health care to residents. In this study, an…

  3. Cost-effectiveness of the U.S. Geological Survey's stream-gaging programs in Massachusetts and Rhode Island

    USGS Publications Warehouse

    Gadoury, R.A.; Smath, J.A.; Fontaine, R.A.

    1985-01-01

    The report documents the results of a study of the cost-effectiveness of the U.S. Geological Survey 's continuous-record stream-gaging programs in Massachusetts and Rhode Island. Data uses and funding sources were identified for 91 gaging stations being operated in Massachusetts are being operated to provide data for two special purpose hydrologic studies, and they are planned to be discontinued at the conclusion of the studies. Cost-effectiveness analyses were performed on 63 continuous-record gaging stations in Massachusetts and 15 stations in Rhode Island, at budgets of $353,000 and $60,500, respectively. Current operations policies result in average standard errors per station of 12.3% in Massachusetts and 9.7% in Rhode Island. Minimum possible budgets to maintain the present numbers of gaging stations in the two States are estimated to be $340,000 and $59,000, with average errors per station of 12.8% and 10.0%, respectively. If the present budget levels were doubled, average standards errors per station would decrease to 8.1% and 4.2%, respectively. Further budget increases would not improve the standard errors significantly. (USGS)

  4. Boston, Massachusetts, USA

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Under a light dusting of snow, the Boston, Massachusetts, USA (42.0N, 71.0W) area can be seen in great detail. Originally, the town site of Boston was on one of several islands offshore for defensive purposes. Over the years, however, ambitious public works projects have filled in between many of the islands to create a single municipality. This area is rich in early American history and much of it can be traced in this detailed overhead view.

  5. Gun Possession among Massachusetts Batterer Intervention Program Enrollees

    ERIC Educational Resources Information Center

    Rothman, Emily F.; Johnson, Renee M.; Hemenway, David

    2006-01-01

    Batterers with access to firearms present a serious lethal threat to their partners. The purpose of this exploratory study is to estimate the prevalence of and risk markers for gun possession among Massachusetts men enrolled in batterer intervention programs. The authors found that 1.8% of the men reported having a gun in or around their home.…

  6. Censorship in Massachusetts: An Update.

    ERIC Educational Resources Information Center

    Woods, L. B.; O'Brien, Jane E.

    This report updates a 1979 article from the Bay State Librarian about censorship in Massachusetts libraries from 1966 through 1975. Compiled using data from the American Library Association's Office of Intellectual Freedom (OIF), the report provides information about censorship attempts and actions between 1976 and 1982. The definition of…

  7. Shoaling of nonlinear internal waves in Massachusetts Bay

    USGS Publications Warehouse

    Scotti, A.; Beardsley, R.C.; Butman, B.; Pineda, J.

    2008-01-01

    The shoaling of the nonlinear internal tide in Massachusetts Bay is studied with a fully nonlinear and nonhydrostatic model. The results are compared with current and temperature observations obtained during the August 1998 Massachusetts Bay Internal Wave Experiment and observations from a shorter experiment which took place in September 2001. The model shows how the approaching nonlinear undular bore interacts strongly with a shoaling bottom, offshore of where KdV theory predicts polarity switching should occur. It is shown that the shoaling process is dominated by nonlinearity, and the model results are interpreted with the aid of a two-layer nonlinear but hydrostatic model. After interacting with the shoaling bottom, the undular bore emerges on the shallow shelf inshore of the 30-m isobath as a nonlinear internal tide with a range of possible shapes, all of which are found in the available observational record. Copyright 2008 by the American Geophysical Union.

  8. The talc, soapstone, and asbestos deposits of Massachusetts

    USGS Publications Warehouse

    Chute, Newton Earl

    1969-01-01

    Several talc and soapstone deposits were worked in Massachusetts from about 1810 to 1922. Most of these deposits are in the Chester Amphibolite, or in serpentine lenses in or adjacent to the amphibolite along a belt that extends north-south across the State from Rowe to West Granville; it appears to be a continuation of the Vermont talc belt. The only deposits outside of this belt that have been worked are a talc and soapstone deposit in the north-west corner of Hinsdale and soapstone deposits on the east side of Soapstone Hill in the western part of Petersham. Very little asbestos has been produced in Massachusetts. A small amount of anthophyllite asbestos was obtained from the deposit in Hinsdale, and from a deposit in southwestern Pelham. The talc and soapstone deposits of Massachusetts were formed from serpentine and possibly from amphibolite, schist, and dolomitic limestone. Those fromed from serpentine are mainly at the ends of the serpentine bodies, and those that appear to have been formed from amphibolite or schist are on the faults and folds.

  9. Massachusetts Workplace Education Initiative. Year 3 Evaluation. Final Report.

    ERIC Educational Resources Information Center

    Rayman, Paula; And Others

    An evaluation of the Massachusetts Workplace Education Initiative brings together three phases: (1) a pilot outcome study conducted with a sample of six local workplace education programs and featuring the perspectives of workers, labor, and management; (2) program profiles for seven federally funded workplace education programs coordinated by the…

  10. Roughans Point, Revere, Massachusetts Coastal Flood Protection Study. Volume I. Main Report.

    DTIC Science & Technology

    1982-12-01

    1982 conducted bT, Rusty Iwanowicz , Massachusetts Division of Marine Fisheries, concluded that the shoreline area that would be impacted by the... Iwanowicz , DMF, and Charles Freeman of my staff. In this survey, five test holes were dug seaward of the area of project impact in areas which Mr... Iwanowicz felt would indicate the productivity of the clam flat. Two holes revealed no shellfish, and the best hole produced two razor clams, two

  11. Landfill Remediation Feasibility Study, Devens, Massachusetts. Volume 2. Appendices A Through F

    DTIC Science & Technology

    1997-01-01

    number of demolition debris disposal areas throughout Fort Devens . These disposal areas are in addition to the Shepley’s Hill Landfill which has served as...manner, in particular the cost savings from lower operating and maintenance requirements at a consolidated disposal area. Fort Devens , Massachusetts...information summarizes the current situation at Shepley’s Hill Landfill and the significant debris disposal areas at Fort Devens (see also Table 1). AOC 5

  12. The Many Voices of Education for Bilingual Students in Massachusetts.

    ERIC Educational Resources Information Center

    Brisk, Maria Estela; And Others

    Massachusetts passed the first state legislation mandating bilingual education in 1971, the Transitional Bilingual Education Bill (TBE). This publication contains five case studies that demonstrate how teachers and schools have responded to the needs of their minority group students. The first case study, "Bilingual Education in a Bilingual…

  13. Education Finance Reform, Local Behavior, and Student Performance in Massachusetts

    ERIC Educational Resources Information Center

    Nguyen-Hoang, Phuong; Yinger, John

    2014-01-01

    This study examines the impact on student performance of the education finance reform enacted in 1993 in Massachusetts and of school districts' institutional structure. Estimating education expenditure and demand functions, this study presents evidence that changes in the state education aid following the education reform resulted in significantly…

  14. Shallow geology, sea-floor texture, and physiographic zones of Buzzards Bay, Massachusetts

    USGS Publications Warehouse

    Foster, David S.; Baldwin, Wayne E.; Barnhardt, Walter A.; Schwab, William C.; Ackerman, Seth D.; Andrews, Brian D.; Pendleton, Elizabeth A.

    2015-01-07

    Geologic, sediment texture, and physiographic zone maps characterize the sea floor of Buzzards Bay, Massachusetts. These maps were derived from interpretations of seismic-reflection profiles, high-resolution bathymetry, acoustic-backscatter intensity, bottom photographs, and surficial sediment samples. The interpretation of the seismic stratigraphy and mapping of glacial and Holocene marine units provided a foundation on which the surficial maps were created. This mapping is a result of a collaborative effort between the U.S. Geological Survey and the Massachusetts Office of Coastal Zone Management to characterize the surface and subsurface geologic framework offshore of Massachusetts.

  15. Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United Kingdom

    PubMed Central

    Profit, J; Zupancic, J A F; McCormick, M C; Richardson, D K; Escobar, G J; Tucker, J; Tarnow‐Mordi, W; Parry, G

    2006-01-01

    Objective To compare gestational age at discharge between infants born at 30–34+6 weeks gestational age who were admitted to neonatal intensive care units (NICUs) in California, Massachusetts, and the United Kingdom. Design Prospective observational cohort study. Setting Fifty four United Kingdom, five California, and five Massachusetts NICUs. Subjects A total of 4359 infants who survived to discharge home after admission to an NICU. Main outcome measures Gestational age at discharge home. Results The mean (SD) postmenstrual age at discharge of the infants in California, Massachusetts, and the United Kingdom were 35.9 (1.3), 36.3 (1.3), and 36.3 (1.9) weeks respectively (p  =  0.001). Compared with the United Kingdom, adjusted discharge of infants occurred 3.9 (95% confidence interval (CI) 1.4 to 6.5) days earlier in California, and 0.9 (95% CI −1.2 to 3.0) days earlier in Massachusetts. Conclusions Infants of 30–34+6 weeks gestation at birth admitted and cared for in hospitals in California have a shorter length of stay than those in the United Kingdom. Certain characteristics of the integrated healthcare approach pursued by the health maintenance organisation of the NICUs in California may foster earlier discharge. The California system may provide opportunities for identifying practices for reducing the length of stay of moderately premature infants. PMID:16449257

  16. Local and Cumulative Impervious Cover of Massachusetts Stream Basins

    USGS Publications Warehouse

    Brandt, Sara L.; Steeves, Peter A.

    2009-01-01

    Impervious surfaces such as paved roads, parking lots, and building roofs can affect the natural streamflow patterns and ecosystems of nearby streams. This dataset summarizes the percentage of impervious area for watersheds across Massachusetts by using a newly available statewide 1-m binary raster dataset of impervious surface for 2005. In order to accurately capture the wide spatial variability of impervious surface, it was necessary to delineate a new set of finely discretized basin boundaries for Massachusetts. This new set of basins was delineated at a scale finer than that of the existing 12-digit Hydrologic Unit Code basins (HUC-12s) of the national Watershed Boundary Dataset. The dataset consists of three GIS shapefiles. The Massachusetts nested subbasins and the hydrologic units data layers consist of topographically delineated boundaries and their associated percentage of impervious cover for all of Massachusetts except Cape Cod, the Islands, and the Plymouth-Carver region. The Massachusetts groundwater-contributing areas data layer consists of groundwater contributing-area boundaries for streams and coastal areas of Cape Cod and the Plymouth-Carver region. These boundaries were delineated by using groundwater-flow models previously published by the U.S. Geological Survey. Subbasin and hydrologic unit boundaries were delineated statewide with the exception of Cape Cod and the Plymouth-Carver Region. For the purpose of this study, a subbasin is defined as the entire drainage area upstream of an outlet point. Subbasins draining to multiple outlet points on the same stream are nested. That is, a large downstream subbasin polygon comprises all of the smaller upstream subbasin polygons. A hydrologic unit is the intervening drainage area between a given outlet point and the outlet point of the next upstream unit (Fig. 1). Hydrologic units divide subbasins into discrete, nonoverlapping areas. Each hydrologic unit corresponds to a subbasin delineated from the

  17. No Further Action Decision Under CERCLA Study Area 43K Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    with the same. AMES C. CHAMBERS Date RAC Environmental Coordinator U.S. ENVIRONMENTAL PROTECTION AGENCY JAMES P. BYRNE Date Fort Devens l(emedial...STATION SITES FORT DEVENS , MASSACHUSETTS CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING GROUND, MARYLAND JANUARY 1995 PRINTED ON...Distribution Unlimited U.S. ArmyEnvironmentalCenter NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43K HISTORIC GAS STATION SITES FORT DEVENS ,9

  18. Energy self-sufficiency in Northampton, Massachusetts

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

    Not Available

    The study is not an engineering analysis but begins the process of exploring the potential for conservation and local renewable-resource development in a specific community, Northampton, Massachusetts, with the social, institutional, and environmental factors in that community taken into account. Section I is an extensive executive summary of the full study, and Section II is a detailed examination of the potential for increased local energy self-sufficiency in Northampton, including current and future demand estimates, the possible role of conservation and renewable resources, and a discussion of the economic and social implications of alternative energy systems. (MOW)

  19. Community noise survey of Medford, Massachusetts

    DOT National Transportation Integrated Search

    1971-08-31

    A noise measurement survey was conducted in Medford, Massachusetts, in order to assess the effect of transporation noise sources on the noise levels in a typical small city, and to obtain data to validate a mathematical simulation model developed for...

  20. 78 FR 5350 - Adequacy of Massachusetts Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ...] Adequacy of Massachusetts Municipal Solid Waste Landfill Permit Program AGENCY: Environmental Protection... modification of its approved Municipal Solid Waste Landfill Program. On March 22, 2004, EPA issued final... solid waste landfills by approved states. On December 7, 2012 Massachusetts submitted an application to...

  1. 76 FR 31241 - Prevention of Significant Deterioration (PSD) Program; Massachusetts; Announcing Delegation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... Deterioration (PSD) Program; Massachusetts; Announcing Delegation Agreement Between EPA and Massachusetts... authority to implement and enforce the Federal Prevention of Significant Deterioration (PSD) program to the MassDEP. Therefore, effective that date, MassDEP is the implementing authority for the PSD program in...

  2. The State Dollar and the Schools. A Discussion of State Aid Programs in Massachusetts and Promising Reforms.

    ERIC Educational Resources Information Center

    Ryan, Charlotte

    This report discusses the history and nature of State aid to education in Massachusetts. The report is both a summary and an update of information contained in four earlier studies that analyzed the economics of education in Massachusetts and the State's new equalizing education aid formula. The report recommends that the State adopt an…

  3. The dynamics of utilization review: a case study of 44 Massachusetts hospitals.

    PubMed

    Gertman, P M; Egdahl, R E

    1978-10-01

    Utilization review programs have existed on a national basis for over a decade, but relatively little is known about the patients who are scrutinized and what actions are taken to correct unnecessary use. In the fall of 1976, 44 of the 122 Massachusetts hospitals participated in a two-week in depth study of their utilization review activities. Over 22,000 admission and extended stay reviews were performed during this time period, and of these, 2,120 patients' continued stays in the hospital were questioned. In five admission review cases and 79 extended stay review cases, the UR committee formally terminated continued health insurance benefits, and in 12 admission reviews and 74 extended stay reviews, questioning by the UR committee led the attending physician to discharge the patient earlier than would have otherwise occurred. Ninety-four percent of the terminations occurred in Medicare patients and the median age of these patients exceeded 80 years. For medical patients, a disproportionate share of all those cases questioned and of those terminated occurred in chronic illness categories, such as cancer, heart failure, and organic brain syndromes. A higher than expected percentage of surgical cases questioned by the UR committee were in neurosurgical, cardiovascular and orthopedic procedure groups. The frequency with which UR committees identified and acted upon cases suggests that effective self-policing is occurring. A large portion of the utilization problem, however, may be related to the unavailability of appropriate sub-acute care for patients with chronic medical illness or surgical procedures which require long postoperative rehabilitation and recuperation.

  4. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... River X Attleboro X New Bedford X Taunton X All other cities and towns X Metropolitan Boston AQCR... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X Lawrence...

  5. The National Parks of Massachusetts: Planning Studies for a Traveler Information System and Visitor Transportation Facilities

    DOT National Transportation Integrated Search

    2003-08-01

    This report provides an analysis of new ways to facilitate visitation to the National Parks of Massachusetts through improved provision of traveler information. The report explores potential improvements to several elements of the region's Traveler I...

  6. Massachusetts Shoreline Change Mapping and Analysis Project, 2013 Update

    USGS Publications Warehouse

    Thieler, E. Robert; Smith, Theresa L.; Knisel, Julia M.; Sampson, Daniel W.

    2013-01-01

    Information on rates and trends of shoreline change can be used to improve the understanding of the underlying causes and potential effects of coastal erosion on coastal populations and infrastructure and can support informed coastal management decisions. In this report, we summarize the changes in the historical positions of the shoreline of the Massachusetts coast for the 165 years from 1844 through 2009. The study area includes the Massachusetts coastal region from Salisbury to Westport, including Cape Cod, as well as Martha’s Vineyard, Nantucket, and the Elizabeth Islands. New statewide shoreline data were developed for approximately 1,804 kilometers (1,121 miles) of shoreline using color aerial orthoimagery from 2008 and 2009 and topographic lidar from 2007. The shoreline data were integrated with existing historical shoreline data from the U.S. Geological Survey (USGS) and Massachusetts Office of Coastal Zone Management (CZM) to compute long- (about 150 years) and short-term (about 30 years) rates of shoreline change. A linear regression method was used to calculate long- and short-term rates of shoreline change at 26,510 transects along the Massachusetts coast. In locations where shoreline data were insufficient to use the linear regression method, short-term rates were calculated using an end-point method. Long-term rates of shoreline change are calculated with (LTw) and without (LTwo) shorelines from the 1970s and 1994 to examine the effect of removing these data on measured rates of change. Regionally averaged rates are used to assess the general characteristics of the two-rate computations, and we find that (1) the rates of change for both LTw and LTwo are essentially the same; (2) including more data slightly reduces the uncertainty of the rate, which is expected as the number of shorelines increases; and (3) the data for the shorelines from the 1970s and 1994 are not outliers with respect to the long-term trend. These findings are true for regional

  7. Primary care closed claims experience of Massachusetts malpractice insurers.

    PubMed

    Schiff, Gordon D; Puopolo, Ann Louise; Huben-Kearney, Anne; Yu, Winnie; Keohane, Carol; McDonough, Peggy; Ellis, Bonnie R; Bates, David W; Biondolillo, Madeleine

    Despite prior focus on high-impact inpatient cases, there are increasing data and awareness that malpractice in the outpatient setting, particularly in primary care, is a leading contributor to malpractice risk and claims. To study patterns of primary care malpractice types, causes, and outcomes as part of a Massachusetts ambulatory malpractice risk and safety improvement project. Retrospective review of pooled closed claims data of 2 malpractice carriers covering most Massachusetts physicians during a 5-year period (January 1, 2005, through December 31, 2009). Data were harmonized between the 2 insurers using a standardized taxonomy. Primary care practices in Massachusetts. All malpractice claims that involved primary care practices insured by the 2 largest insurers in the state were screened. A total of 551 claims from primary care practices were identified for the analysis. Numbers and types of claims, including whether claims involved primary care physicians or practices; classification of alleged malpractice (eg, misdiagnosis or medication error); patient diagnosis; breakdown in care process; and claim outcome (dismissed, settled, verdict for plaintiff, or verdict for defendant). During a 5-year period there were 7224 malpractice claims of which 551 (7.7%) were from primary care practices. Allegations were related to diagnosis in 397 (72.1%), medications in 68 (12.3%), other medical treatment in 41 (7.4%), communication in 15 (2.7%), patient rights in 11 (2.0%), and patient safety or security in 8 (1.5%). Leading diagnoses were cancer (n = 190), heart diseases (n = 43), blood vessel diseases (n = 27), infections (n = 22), and stroke (n = 16). Primary care cases were significantly more likely to be settled (35.2% vs 20.5%) or result in a verdict for the plaintiff (1.6% vs 0.9%) compared with non-general medical malpractice claims (P < .001). In Massachusetts, most primary care claims filed are related to alleged misdiagnosis. Compared with malpractice

  8. Movement patterns of rural and suburban white-tailed deer in Massachusetts

    USGS Publications Warehouse

    Gaughan, C.R.; DeStefano, S.

    2005-01-01

    We used satellite land cover data and the program FRAGSTATS toquantify land cover types and calculate the amount of forest edge available in suburban and rural regions of northeastern and northwestern Massachusetts. Cover categories included forest cover, open canopy vegetation, and non-deer habitat. We calculated all edge segments where forest cover abutted open canopy cover. Our open canopy vegetation category was calculated both with and without low intensity suburban development. We then compared these findings to movement data from 53 (13 males, 40 females) adult radio-marked white-tailed deerOdocoileus virginianusmonitored biweekly and diurnally from January 2001 to January 2003. The range of movements of suburban deer in eastern Massachusetts showed no difference to that of suburban deer in western Massachusetts (P = 0.7). However, the ranges for suburban deer in both eastern and western Massachusetts were 10 times less than those of deer in rural western Massachusetts (P = 0.001).Our findings suggest that landscape configuration, as described by the amount and distribution of edge due to suburban development, which is related to the amount and distribution of resources such as food and cover, affects migratory behavior of white-tailed deer, allowsdeer to have smaller ranges, and contributes to high deer densities.Inclusion of suburban edge in habitat models will increase our understanding of deer-habitat relationships for management of deer in urbanizing environments. ?? 2005 Springer Science + Business Media, Inc.

  9. Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for Massachusetts

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

    Mendon, Vrushali V.; Zhao, Mingjie; Taylor, Zachary T.

    2016-02-15

    The 2015 IECC provides cost-effective savings for residential buildings in Massachusetts. Moving to the 2015 IECC from the 2012 IECC base code is cost-effective for residential buildings in all climate zones in Massachusetts.

  10. Jacobson v Massachusetts at 100 Years: Police Power and Civil Liberties in Tension

    PubMed Central

    Gostin, Lawrence O.

    2005-01-01

    A century ago, the US Supreme Court in Jacobson v Massachusetts upheld the exercise of the police power to protect the public’s health. Despite intervening scientific and legal advances, public health practitioners still struggle with Jacobson’s basic tension between individual liberty and the common good. In affirming Massachusetts’ compulsory vaccination law, the Court established a floor of constitutional protections that consists of 4 standards: necessity, reasonable means, proportionality, and harm avoidance. Under Jacobson, the courts are to support public health matters insofar as these standards are respected. If the Court today were to decide Jacobson once again, the analysis would likely differ—to account for developments in constitutional law—but the outcome would certainly reaffirm the basic power of government to safeguard the public’s health. PMID:15798112

  11. No Further Action Decision Under CERCLA, Study Area 31, Moore Army Airfield Fire Fighting Training Area, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    FURTHER ACTION DECISION UNDER CERCLAI STUDY AREA 31 MOORE ARMY AIRFIELD FIRE FIGHTING TRAINING AREA FORT DEVENS , MASSACHUSETFS TABLE OF CONTENTS jSection...Inc. 31DD.DOC 6917.11 111,, NO FURTHER ACTION DECISION UNDER CERCLA I STUDY AREA 31 MOORE ARMY AIRFIELD FIRE FIGHTING TRAINING AREA 3 FORT DEVENS ...Fire Fighting Training Area) at Fort Devens , Massachusetts, have resulted in the decision that no further studies or remediation are required at this

  12. Family forest owner preferences for biomass harvesting in Massachusetts

    Treesearch

    Marla Markowski-Lindsay; Thomas Stevens; David B. Kittredge; Brett J. Butler; Paul Catanzaro; David Damery

    2012-01-01

    U.S. forests, including family-owned forests, are a potential source of biomass for renewable energy. Family forest owners constitute a significant portion of the overall forestland in the U.S., yet little is known about family forest owners' preferences for supplying wood-based biomass. The goal of this study is to understand how Massachusetts family forest...

  13. The Cheer Study to Reduce BMI in Elementary School Students: A School-Based, Parent-Directed Study in Framingham, Massachusetts

    ERIC Educational Resources Information Center

    Resnick, Elissa A.; Bishop, Marilyn; O'Connell, Anne; Hugo, Beverly; Isern, Germinal; Timm, Alison; Ozonoff, Al; Geller, Alan C.

    2009-01-01

    Childhood obesity may be lessened by parent-focused interventions. A pilot parent-directed trial with 46 parents of overweight and obese elementary school students was conducted at two ethnically diverse public schools in Framingham, Massachusetts. Parents were randomly assigned to either the Materials Group, which received mailed educational…

  14. 78 FR 2708 - Massachusetts Disaster # MA-00050

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13431 and 13432] Massachusetts Disaster MA-00050 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major [[Page 2709

  15. Small City Transit : Sudbury, Massachusetts : A Short-Lived Suburban Transit Service.

    DOT National Transportation Integrated Search

    1976-03-01

    Sudbury, Massachusetts, is an illustration of a over-extended fixed-route transit service which was rather short-lived. This case study is one of thirteen examples of a transit service in a small community. The background of the community is discusse...

  16. Type of disinfectant in drinking water and patterns of mortality in Massachusetts.

    PubMed Central

    Zierler, S; Danley, R A; Feingold, L

    1986-01-01

    Chlorination has been the major strategy for disinfection of drinking water in the United States. Concern about the potential health effects of the reaction by-products of chlorine has prompted use of alternative strategies. One such method is chloramination, a treatment process that does not appear to have carcinogenic by-products, but may have less potent biocidal activity than chlorination. We examined the patterns of mortality of residents in Massachusetts who died between 1969 and 1983 and lived in communities using drinking water that was disinfected either by chlorine or chloramine. Comparison of type of disinfectant among 51,645 cases of deaths due to selected cancer sites and 214,988 controls who died from cardiovascular, cerebrovascular, or pulmonary disease, or from lymphatic cancer showed small variation in the patterns of mortality. Bladder cancer was moderately associated with residence at death in a chlorinated community (mortality odds ratio = 1.7, 95% confidence interval = 1.3-2.2) in a logistic regression analysis using controls who died from lymphatic cancer. A slight excess of deaths from pneumonia and influenza was observed in communities whose residents drank chloraminated water compared to residents from chlorinated communities, as well as to all Massachusetts residents (standardized mortality ratio = 118, 95% confidence interval = 116-120 for chloraminated communities, and standardized mortality ratio = 98, 95% confidence interval = 95-100 for chlorinated communities). These results are intended to be preliminary and crude descriptions of the relationship under study.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3816730

  17. Plymouth Colony, Massachusetts, USA

    NASA Image and Video Library

    1990-03-04

    Site of the original Plymouth Colony in Massachusetts (42.0N, 70.5), This detailed photo is rich in early American history. Plymouth Rock, the Pilgrims first stepping stone on North America and site of Plymouth Colony is located just behind the natural breakwater on the south shore of Plymouth Bay seen in the middle of the photo. The through canal to the south is part of the Intercoastal Canal system. Cape Cod is just south of the canal.

  18. Stream Stability and Scour Assessments at Bridges in Massachusetts

    USGS Publications Warehouse

    Parker, Gene W.; Bratton, Lisa; Armstrong, David S.

    1997-01-01

    In 1989, the Federal Highway Administration mandated that every state establish a program to evaluate the vulnerability to floods of all bridges over water. The Massachusetts Highway Department entered into a cooperative effort with the U.S. Geological Survey to comply with this mandate. Geomorphic and hydraulic characteristics were collected and were used to assess the processes that affect stream stability and current scour problems and potential near 2,361 bridge sites in Massachusetts. As a result of these assessments, the Massachusetts Highway Department will prioritize the bridge inventory for action regarding scour safety. A data base was prepared that includes the geomorphic and hydraulic data collected during field assessments. In addition to the data base, this report includes the historical development of the bridge scour program, the methods used for data collection during assessments, the methods used for quality assurance and quality control, and how the data base was digitally formatted to be presented on a CD-ROM. A user's guide provides assistance in the use of this electronic data base and report.

  19. Linking student performance in Massachusetts elementary schools with the "greenness" of school surroundings using remote sensing.

    PubMed

    Wu, Chih-Da; McNeely, Eileen; Cedeño-Laurent, J G; Pan, Wen-Chi; Adamkiewicz, Gary; Dominici, Francesca; Lung, Shih-Chun Candice; Su, Huey-Jen; Spengler, John D

    2014-01-01

    Various studies have reported the physical and mental health benefits from exposure to "green" neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to "green" surroundings and cognitive function in terms of student academic performance. This study investigated the association between the "greenness" of the area surrounding a Massachusetts public elementary school and the academic achievement of the school's student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS) to measure the percentage of 3rd-grade students (the first year of standardized testing for 8-9 years-old children in public school), who scored "Above Proficient" (AP) in English and Mathematics tests (Note: Individual student scores are not publically available). The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility), parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI) in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs) estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the "greenness" of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant association between the

  20. Closing the Massachusetts Public Training Schools

    ERIC Educational Resources Information Center

    Behn, Robert D.

    1976-01-01

    Examines the closing of the Massachusetts public training schools, using it as a successful example of public policy termination. Describes how the barriers to policy termination were overcome and the replacement policy was consolidated, and evaluates the termination tactics and the new policy. Available from Elsevier Scientific Publishing…

  1. Economic Disparities and Syphilis Incidence in Massachusetts, 2001-2013.

    PubMed

    Smock, Laura; Caten, Evan; Hsu, Katherine; DeMaria, Alfred

    We used area-level indicators of poverty to describe economic disparities in the incidence rate of infectious syphilis in Massachusetts to (1) determine whether methods developed in earlier AIDS analyses in Massachusetts could be applied to syphilis and (2) characterize syphilis trends during a time of increased rates of syphilis incidence. Using census tract data and population counts from the US Census Bureau and Massachusetts data on syphilis, we analyzed the incidence rate of syphilis infection from 2001 to 2013 by the poverty level of the census tract in which people with syphilis resided, stratified by age, sex, and race/ethnicity. The syphilis incidence rate increased in all census tract groups in Massachusetts from 2001 to 2013, and disparities in incidence rates by area poverty level persisted over time. The overall incidence rate of syphilis increased 6.9-fold from 2001 to 2013 in all census tract poverty-level groupings (from 1.5 to 10.3 per 100 000 population), but the rise in rate was especially high in the poorest census tracts (from 5.6 to 31.0 per 100 000 population) and among men (from 2.2 to 19.4 per 100 000 population). The highest syphilis incidence rate was among non-Hispanic black people. The largest changes in incidence rate occurred after 2010. One region had a disproportionate increase in incidence rates and a disproportionate impact on the statewide trend. Census tract poverty analyses can inform the targeting of interventions that make progress toward reducing disparities in rates of syphilis incidence possible.

  2. The evolution of school nursing data indicators in Massachusetts: recommendations for a national data set.

    PubMed

    Gapinski, Mary Ann; Sheetz, Anne H

    2014-10-01

    The National Association of School Nurses' research priorities include the recommendation that data reliability, quality, and availability be addressed to advance research in child and school health. However, identifying a national school nursing data set has remained a challenge for school nurses, school nursing leaders, school nurse professional organizations, and state school nurse consultants. While there is much agreement that school nursing data (with associated data integrity) is an incredibly powerful tool for multiple uses, the content of a national data set must be developed. In 1993, recognizing the unique power of data, Massachusetts began addressing the need for consistent school nurse data collection. With more than 20 years' experience--and much experimentation, pilot testing, and system modification--Massachusetts is now ready to share its data collection system and certain key indicators with other states, thus offering a beginning foundation for a national school nursing data set. © The Author(s) 2014.

  3. Expanding Access to Vocational-Technical Education in Massachusetts. White Paper No. 136

    ERIC Educational Resources Information Center

    Ardon, Ken; Fraser, Alison L.

    2015-01-01

    It is clear from assessment, graduation, and follow-up data that career-vocational technical education (CVTE), as it is practiced in Massachusetts, is a success. CVTE is becoming so popular that there are up to 5,000 more applicants for places in Massachusetts' vocational technical schools than there are openings, creating waiting lists. This…

  4. Condom availability in a small town: lessons from Falmouth, Massachusetts.

    PubMed

    Wright, B; Cranston, K

    1992-01-01

    Condom availability was approved October 1991 by the Falmouth, Massachusetts School Committee. In early 1992, condom vending machines were installed in high school restrooms in Falmouth. The Massachusetts Education Board in August 1991 urged local schools to make condoms available; in 1990 the policy was to integrate HIV/AIDS education within comprehensive health education and human services programs. Cambridge was the first to adopt a condom availability plan, which was in effect in March 1990. The debate was contentious and a group has protested with a law suit to stop condoms availability. Advice is provided on some of the lessons in providing condoms, staff training, and suggestions for holding public hearings on condom availability. The HIV/AIDS training team for Falmouth is discussed along with a description of the differences in focus for administrators, nursing staff, support staff, faculty, non certified staff, and school committees. The history of the endeavor to provide condoms is documented. Information collection centered on the efficacy of condoms in HIV and sexually transmitted disease (STD) prevention, the legal liability associated with school based distribution, and experiences from other school systems. 16 lesions were learned. 1) taking time yields the best outcome; 2) the public hearing format should be highly structured; 3) know your opposition and remember that it is likely to be a small group; 4) set the arguments for support on you own terms; 5) the argument that protecting the public health is a moral issued should be used; 6) before introducing condom availability, build consensus around STD/HIV prevention; 7) students are the most natural allies; 8) strong leadership is required; 9) an individual should be placed in charge; 10) obtain support from other communities with existing programs; 11) do not give up if you fail; 12) obtain allies well in advance; 13) national organizations are allies; 14) comprehensive health education wins

  5. The first decade of the Massachusetts Tobacco Control Program.

    PubMed Central

    Koh, Howard K.; Judge, Christine M.; Robbins, Harriet; Celebucki, Carolyn Cobb; Walker, Deborah K.; Connolly, Gregory N.

    2005-01-01

    This article provides a comprehensive overview of the first decade of the Massachusetts Tobacco Control Program (MTCP). Born after Massachusetts passed a 1992 ballot initiative raising cigarette excise taxes to fund the program, MTCP greatly reduced statewide cigarette consumption before being reduced to a skeletal state by funding cuts. The article describes the program's components and goals, details outcomes, presents a summary of policy accomplishments, and reviews the present status of MTCP in the current climate of national and state fiscal crises. The first decade of the MTCP offers many lessons learned for the future of tobacco control. PMID:16224981

  6. The first decade of the Massachusetts Tobacco Control Program.

    PubMed

    Koh, Howard K; Judge, Christine M; Robbins, Harriet; Celebucki, Carolyn Cobb; Walker, Deborah K; Connolly, Gregory N

    2005-01-01

    This article provides a comprehensive overview of the first decade of the Massachusetts Tobacco Control Program (MTCP). Born after Massachusetts passed a 1992 ballot initiative raising cigarette excise taxes to fund the program, MTCP greatly reduced statewide cigarette consumption before being reduced to a skeletal state by funding cuts. The article describes the program's components and goals, details outcomes, presents a summary of policy accomplishments, and reviews the present status of MTCP in the current climate of national and state fiscal crises. The first decade of the MTCP offers many lessons learned for the future of tobacco control.

  7. High-resolution geophysical data from the sea floor surrounding the Western Elizabeth Islands, Massachusetts

    USGS Publications Warehouse

    Pendleton, Elizabeth A.; Twichell, David C.; Foster, David S.; Worley, Charles R.; Irwin, Barry J.; Danforth, William W.

    2011-01-01

    Geophysical and geospatial data were collected in the nearshore area surrounding the western Elizabeth Islands, Massachusetts on the U.S. Geological Survey research vessel Rafael during September 2010 in a collaborative effort between the U.S. Geological Survey and the Massachusetts, Office of Coastal Zone Management. This report describes the results of the short-term goals of this collaborative effort, which were to map the geology of the inner shelf zone of the western Elizabeth Islands and study the geologic processes that have contributed to its evolution. Data collected during the survey include: Bathymetric and sidescan-sonar data, chirp seismic-reflection data , sound velocity profiles, and navigation data. The long-term goals of this project are to provide high-resolution geophysical data that will support research on the influence of sea-level change and sediment supply on coastal evolution and inventory subtidal marine habitat type and distribution within the coastal zone of Massachusetts.

  8. Support for smoke-free restaurants among Massachusetts adults, 1992-1999.

    PubMed Central

    Brooks, D R; Mucci, L A

    2001-01-01

    OBJECTIVES: The authors examined trends and predictors of public support for smoke-free restaurants in Massachusetts. METHODS: Since 1992, the Massachusetts Behavioral Risk Factor Surveillance System has asked survey respondents about their attitudes toward smoking in restaurants. Analyses using data from 1992 to 1999 characterized changes over time in support for smoke-free restaurants and the role of demographic and smoking-related factors in predicting support. RESULTS: During 1992 to 1999, the rate of support for smoke-free restaurants increased from 37.5% to 59.8%, with similar increases among current, former, and never smokers. After adjustment for smoking status, support was associated with socioeconomic characteristics, race/ethnicity, and household smoking rules. Among current smokers, lighter smokers and those who were trying to quit were more likely to endorse smoke-free restaurants. CONCLUSIONS: There has been a substantial increase in support for smoke-free restaurants among both smokers and nonsmokers in Massachusetts. PMID:11211644

  9. Alcohol Dispenser Training in Amherst Massachusetts

    ERIC Educational Resources Information Center

    Riccelli, Carlene

    1986-01-01

    Reviews efforts of the Alcohol Dispenser Training program in Amherst, Massachusetts over a five-year period. Evaluations indicate that participants agree that training is worthwhile, that they are more aware of the effects of alcohol on their patrons, and that they have better knowledge of appropriate strategies for preventing intoxication of…

  10. History of successful ballot initiatives--Massachusetts.

    PubMed

    Cady, B

    1998-12-15

    In this report, the author traces the Massachusetts campaign for the 1992 referendum Question 1, which raised the cigarette excise tax by 25 cents. Dr. Cady highlights the major features of the 2-year campaign with special emphasis on the need for committed leadership, coalition-building, and expert political guidance.

  11. Preventing Persons Affected by Serious Mental Illnesses from Obtaining Firearms: The Evolution of Law, Policy, and Practice in Massachusetts.

    PubMed

    Silver, James; Fisher, William H; Silver, Emily

    2015-06-01

    A history of commitment to a mental health facility disqualifies applicants for gun licenses. Identifying such a history has become increasingly complex as the locus of confinement has become more diversified and privatized. In Massachusetts, prior to 2014, the databases used to identify individuals who would be disqualified on such grounds had not contemporaneously matched the evolution of the state's mental health systems. A survey of Massachusetts police chiefs, who, as in many jurisdictions, are charged with certifying qualification, indicates that some have broadened the scope of their background checks to include the experience of their officers with respect to certain applicants. The survey identifying these patterns, conducted in 2014, preceded by one month significant legislative reforms that mandate the modification of the reporting into a centralized database commitments to all types of mental health and substance use facilities, thus allowing identification of all commitments occurring in the state. The anticipated utilization of a different database mechanism, which has parallels in several other states, potentially streamlines the background check process, but raises numerous concerns that need to be addressed in developing and using such databases. Copyright © 2015 John Wiley & Sons, Ltd.

  12. The Timber Resource in Massachusetts

    Treesearch

    Northeastern Forest Experiment Station

    1956-01-01

    This is a report on the findings of the forest survey made in Massachusetts as part of a nationwide forest survey that is being carried on by the Forest Service, U.S. Department of Agriculture. This report shows, for the year 1953, the area and condition of the forest land, the volume and quality of standing timber, the rates of timber growth and mortality, and the...

  13. The Cost and Quality of Full-Day Year-Round Early Care and Education in Massachusetts: Infant and Toddler Classrooms

    ERIC Educational Resources Information Center

    Marshall, Nancy L.; Creps, Cindy L.; Burstein, Nancy R.; Roberts, Joanne; Glantz, Frederic B.; Robeson, Wendy Wagner

    2004-01-01

    The Massachusetts Cost and Quality Study assessed the quality and costs of early care and education services in Massachusetts, the relationship between quality and costs, and the relationship between the family income of children served and the quality of care provided by early care and education programs. This report presents the findings from…

  14. The Forests of Southern New England, 2007: A report on the forest resources of Connecticut, Massachusetts, and Rhode Island

    Treesearch

    Brett J. Butler; Charles J. Barnett; Susan J. Crocker; Grant M. Domke; Dale Gormanson; William N. Hill; Cassandra M. Kurtz; Tonya Lister; Christopher Martin; Patrick D. Miles; Randall Morin; W. Keith Moser; Mark D. Nelson; Barbara O' Connell; Bruce Payton; Charles H. Perry; Ronald J. Piva; Rachel Riemann; Christopher W. Woodall

    2011-01-01

    This report summarizes the results of the fifth forest inventory of the forests of Southern New England, defined as Connecticut, Massachusetts, and Rhode Island, conducted by the U.S. Forest Service, Forest Inventory and analysis program. Information on forest attributes, ownership, land use change, carbon, timber products, forest health, and statistics and quality...

  15. 77 FR 37953 - Final Federal Agency Actions on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Proposed Bridge Replacement in Massachusetts AGENCY: Federal Highway Administration (FHWA), DOT. ACTION... final within the meaning of 23 U.S.C. 139(l)(1). The action relates to the proposed Fore River Bridge..., 2012, the FHWA published ``Notice of Final Federal Agency Actions on Proposed Bridge in Massachusetts...

  16. Impact of legislation raising the legal drinking age in Massachusetts from 18 to 20.

    PubMed

    Hingson, R W; Scotch, N; Mangione, T; Meyers, A; Glantz, L; Heeren, T; Lin, N; Mucatel, M; Pierce, G

    1983-02-01

    On April 16, 1979, Massachusetts raised its legal drinking age from 18 to 20 years. Massachusetts was compared with New York State, exclusive of New York City and Nassau County. New York State retained an 18-year-old drinking age. Random telephone surveys with approximately 1,000 16-19 year olds in each state were undertaken prior to the law's enactment and twice at yearly intervals after the law to assess the law's impact on teenage drinking, driving after drinking, and non-fatal accident involvement. Fatal crash data reported to the US Department of Transportation by each state from April 16, 1976-April 15, 1981 were also analyzed. After the law, although the modes of procuring alcohol changed. No significant changes were observed in Massachusetts relative to New York in the proportion of surveyed teenagers who reported that they drank or in the volume of their consumption. The proportion of teenagers who drove after drinking heavily (six or more drinks at one time) did not decline in Massachusetts relative to New York. However, the frequency that teenagers reported driving after any drinking declined significantly in Massachusetts. Frequency of teenage driving after marijuana use and non-fatal teenage accidents declined at comparable rates in both states. The numbers of teenage nighttime single vehicle fatal accidents declined more in Massachusetts than New York, in the 18-19 year age group. Overall fatal accident trends among 16-19 year olds in the two states were similar.

  17. Impact of Particulate Matter Exposure and Surrounding "Greenness" on Chronic Absenteeism in Massachusetts Public Schools.

    PubMed

    MacNaughton, Piers; Eitland, Erika; Kloog, Itai; Schwartz, Joel; Allen, Joseph

    2017-02-20

    Chronic absenteeism is associated with poorer academic performance and higher attrition in kindergarten to 12th grade (K-12) schools. In prior research, students who were chronically absent generally had fewer employment opportunities and worse health after graduation. We examined the impact that environmental factors surrounding schools have on chronic absenteeism. We estimated the greenness (Normalized Difference Vegetation Index (NDVI)) and fine particulate matter air pollution (PM 2.5 ) within 250 m and 1000 m respectively of each public school in Massachusetts during the 2012-2013 academic year using satellite-based data. We modeled chronic absenteeism rates in the same year as a function of PM 2.5 and NDVI, controlling for race and household income. Among the 1772 public schools in Massachusetts, a 0.15 increase in NDVI during the academic year was associated with a 2.6% ( p value < 0.0001) reduction in chronic absenteeism rates, and a 1 μg/m³ increase in PM 2.5 during the academic year was associated with a 1.58% ( p value < 0.0001) increase in chronic absenteeism rates. Based on these percentage changes in chronic absenteeism, a 0.15 increase in NDVI and 1 μg/m³ increase in PM 2.5 correspond to 25,837 fewer students and 15,852 more students chronically absent each year in Massachusetts respectively. These environmental impacts on absenteeism reinforce the need to protect green spaces and reduce air pollution around schools.

  18. Does the "marriage benefit" extend to same-sex union?: Evidence from a sample of married lesbian couples in Massachusetts.

    PubMed

    Ducharme, Jamie K; Kollar, Marilou M

    2012-01-01

    This study investigated the relationship between wellbeing and marital quality in a married lesbian sample from Massachusetts. Two hundred twenty five (225) participants responded to this mailed survey study. Participants completed a demographic questionnaire, the Dyadic Adjustment Scale (DAS), and the World Health Organization Quality of Life-Brief Instrument (WHOQOL-Bref). DAS scores were a strong predictor of reported wellbeing in all quality of life domains including physical, psychological, and financial wellbeing. Results support the finding in the heterosexual marriage literature that healthy marriage is associated with distinct wellbeing benefits for lesbian couples. Implications of these findings are discussed.

  19. 75 FR 32177 - Energy Efficiency Program for Consumer Products: Commonwealth of Massachusetts Petition for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-07

    ... DEPARTMENT OF ENERGY Office of Energy Efficiency and Renewable Energy [Docket Number EERE-BT-PET-0024] Energy Efficiency Program for Consumer Products: Commonwealth of Massachusetts Petition for Exemption From Federal Preemption of Massachusetts' Energy Efficiency Standard for Residential Non...

  20. Dewatering General Permit (DGP) for Massachusetts & New Hampshire

    EPA Pesticide Factsheets

    Documents, links & contacts for the Notice of Availability of the National Pollutant Discharge Elimination System (NPDES) General Permit for Dewatering Activity Discharges in Massachusetts (MAG070000) and New Hampshire (NHG070000).

  1. Vernal Pools Detection Using High-Resolution LiDAR Data and Aerial Imagery in Hubbardston, Massachusetts

    NASA Astrophysics Data System (ADS)

    Jiang, Jiaxin

    Vernal pool refers to temporary or semi-permanent pools that occur in surface depressions without permanent inlets or outlets. Because they periodically dry out, vernal pools are free of fish and essential to amphibians, some reptiles, birds, and mammals for breeding habitats. In Massachusetts, vernal pool habitats are found in woodland depressions, swales or kettle holes where water is contained for at least two months in most years. However, vernal pools are delicate ecosystems. These systems are fragile to human activities such as urbanization. Understanding the current situation of vernal pools helps city planners make wiser decisions. This study focuses on identifying vernal pools in the state of Massachusetts with high-resolution light detection and ranging (LiDAR) data and aerial imagery. By using high-resolution light detection and ranging data, aerial imagery, land use data, the MassDEP Hydrography layer and the Soil Survey Geographic Database, the approach located over 1800 potential vernal pools in a 108 km 2 study area in Massachusetts. The assessment of the study result shows the commission rate was 5.6% and omission rate was 7.1%. This method provides an efficient way of locating vernal pools over large areas.

  2. Where Politics Is a Blood Sport: Restructuring State Higher Education Governance in Massachusetts

    ERIC Educational Resources Information Center

    Tandberg, David A.; Anderson, Christian K.

    2012-01-01

    The 1991 restructuring of Massachusetts system of higher education is explained and analyzed using McLendon's "Policy Stream Model of Decentralization Agenda Setting," a revised Garbage Can model, which proves useful insofar as the case is placed in its historical context. Public higher education in Massachusetts has suffered as a…

  3. CAUSES OF TYPHOID FEVER IN MASSACHUSETTS

    PubMed Central

    O'Donnell, George T.

    1920-01-01

    To decrease its typhoid Massachusetts needs now to prevent contacts, use prophylaxis, and educate its citizens in personal hygiene. Municipal water supplies are practically safe. Flies, food (milk excepted), privies and sewage are together only a small factor in spreading the disease. The human contact factor is the one that must be controlled. PMID:18010326

  4. Massachusetts Science and Technology Engineering Curriculum Framework

    ERIC Educational Resources Information Center

    Massachusetts Department of Education, 2006

    2006-01-01

    This 2006 "Massachusetts Science and Technology/Engineering Curriculum Framework" provides a guide for teachers and curriculum coordinators regarding specific content to be taught from PreK through high school. Following this "Organization" chapter, the "Framework" contains the following sections: (1) Philosophy and…

  5. Forest statistics for Massachusetts: 1985 and 1998

    Treesearch

    Carol L. Alerich; Carol L. Alerich

    2000-01-01

    A statistical report on the fourth forest inventory of Massachusetts (1997-1998.) Findings are dispayed in 67 tables containing estimates of forest area numbers of trees, wildlife habitat, timber volume, growth, change, and biomass. Data are presented at two levels: state and county.

  6. Forest Statistics for Massachusetts--1972 and 1985

    Treesearch

    David R. Dickson; Carol L. McAfee; Carol L. McAfee

    1988-01-01

    A statistical report on the third forest survey of Massachusetts (1984). Findings are displayed in 76 tables containing estimates of forest area, numbers of trees, timber volume, tree biomass, and timber products output. Data are presented at two levels: state and county.

  7. 78 FR 69404 - Massachusetts Water Resources Authority; Notice of Preliminary Determination of a Qualifying...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... Water Resources Authority; Notice of Preliminary Determination of a Qualifying Conduit Hydropower... along the proposed McLaughlin Fish Hatchery Pipeline at the Massachusetts Water Resources Authority's..., Massachusetts Water Resources Authority, 100 First Avenue, Charlestown Navy Yard, Boston, MA 02129, Phone No...

  8. Linking Student Performance in Massachusetts Elementary Schools with the “Greenness” of School Surroundings Using Remote Sensing

    PubMed Central

    Wu, Chih-Da; McNeely, Eileen; Cedeño-Laurent, J. G.; Pan, Wen-Chi; Adamkiewicz, Gary; Dominici, Francesca; Lung, Shih-Chun Candice; Su, Huey-Jen; Spengler, John D.

    2014-01-01

    Various studies have reported the physical and mental health benefits from exposure to “green” neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to “green” surroundings and cognitive function in terms of student academic performance. This study investigated the association between the “greenness” of the area surrounding a Massachusetts public elementary school and the academic achievement of the school’s student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS) to measure the percentage of 3rd-grade students (the first year of standardized testing for 8–9 years-old children in public school), who scored “Above Proficient” (AP) in English and Mathematics tests (Note: Individual student scores are not publically available). The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility), parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI) in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs) estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the “greenness” of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant

  9. Massachusetts Dental Schools Respond to the Prescription Opioid Crisis: A Statewide Collaboration.

    PubMed

    Keith, David A; Kulich, Ronald J; Bharel, Monica; Boose, Robert E; Brownstein, Jennifer; Da Silva, John D; D'Innocenzo, Richard; Donoff, R Bruce; Factor, Ellen; Hutter, Jeffrey W; Shaefer, Jeffry R; Karimbux, Nadeem Y; Jack, Helen; Thomas, Huw F

    2017-12-01

    The prescription opioid crisis has involved all sectors of U.S. society, affecting every community, socioeconomic group, and age group. While federal and state agencies are actively working to deal with the epidemic, medical and dental providers have been tasked to increase their awareness of the issues and consider ways to safely prescribe opioids and, at the same time, effectively treat their patients' pain. The Commonwealth of Massachusetts, under the leadership of Governor Charles D. Baker and his administration, challenged the state's four medical schools and three dental schools to improve their curricula to prepare the next generation of clinicians to deal with this crisis in an evidence-based, effective, and sympathetic way. This Perspectives article outlines the national prescription opioid crisis, details its effects in Massachusetts, and describes the interdisciplinary collaboration among the Commonwealth, the three dental schools, the Massachusetts Dental Society, and a concerned student group. The article also describes the efforts each dental school is undertaking as well as an assessment of the challenges and limitations in implementing the initiative. The authors hope that the Massachusetts model will be a useful resource for dental schools in other states.

  10. Part of the Job? Workplace Violence in Massachusetts Social Service Agencies

    ERIC Educational Resources Information Center

    Zelnick, Jennifer R.; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-01-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social…

  11. Using spatial metrics to predict scenic perception in a changing landscape: Dennis, Massachusetts

    Treesearch

    James F. Palmer

    2004-01-01

    This paper investigates residents' perceptions of scenic quality in the Cape Cod community of Dennis, Massachusetts during a period of significant landscape change. In the mid-1970s, Chandler [Natural and Visual Resources, Dennis, Massachusetts. Dennis Conservation Commission and Planning Board, Dennis, MA, 1976] worked with a community group to evaluate the...

  12. Bedrock geologic map of the Grafton quadrangle, Worcester County, Massachusetts

    USGS Publications Warehouse

    Walsh, Gregory J.; Aleinikoff, John N.; Dorais, Michael J.

    2011-01-01

    The bedrock geology of the 7.5-minute Grafton, Massachusetts, quadrangle consists of deformed Neoproterozoic to early Paleozoic crystalline metamorphic and intrusive igneous rocks. Neoproterozoic intrusive, metasedimentary, and metavolcanic rocks crop out in the Avalon zone, and Cambrian to Silurian intrusive, metasedimentary, and metavolcanic rocks crop out in the Nashoba zone. Rocks of the Avalon and Nashoba zones, or terranes, are separated by the Bloody Bluff fault. The bedrock geology was mapped to study the tectonic history of the area and to provide a framework for ongoing hydrogeologic characterization of the fractured bedrock of Massachusetts. This report presents mapping by G.J. Walsh, geochronology by J.N. Aleinikoff, geochemistry by M.J. Dorais, and consists of a map, text pamphlet, and GIS database. The map and text pamphlet are available in paper format or as downloadable files (see frame at right). The GIS database is available for download. The database includes contacts of bedrock geologic units, faults, outcrops, structural geologic information, and photographs.

  13. Effects of Maine's 1981 and Massachusetts' 1982 driving-under-the-influence legislation.

    PubMed Central

    Hingson, R; Heeren, T; Kovenock, D; Mangione, T; Meyers, A; Morelock, S; Lederman, R; Scotch, N A

    1987-01-01

    In 1981, Maine passed a drunk driving law with mandatory penalties and a new civil charge to increase the conviction rate. One year later, Massachusetts increased drunk driving penalties, particularly for repeat offenders and intoxicated drivers involved in fatal crashes. In Maine, single-vehicle nighttime fatal crashes declined 22 per cent the year before passage of the law, and 33 per cent the year after. Maine's rates returned to pre-law levels by the third post-law year. Prior to Massachusetts' new law, single-vehicle nighttime and overall fatal crashes there also declined 20% and 22%, whereas after this law fatal crash rates did not decline further compared with the pre-law year or other New England states. Pre- and post-law surveys indicate that both laws were followed by some increases in public perceptions that drunk drivers stopped by police would be arrested, convicted, and receive automatic penalties. But, few believed it was very likely that drunk drivers would be stopped. For only two of three years studied after Maine's law did more people there report decisions not to drive because they had drunk too much. In Massachusetts, reported driving after heavy drinking declined as much the year before as the three years after its law. PMID:3565654

  14. The impact of health and safety committees. A study based on survey, interview, and Occupational Safety and Health Administration data.

    PubMed

    Boden, L I; Hall, J A; Levenstein, C; Punnett, L

    1984-11-01

    In a study conducted to determine if the existence of a joint labor-management health and safety committee (HSC) was correlated with either the number of Occupational Safety and Health Administration (OSHA) complaints or hazardousness, as measured by OSHA serious citations, virtually no effect could be detected in a sample of 127 Massachusetts manufacturing firms. At a sample of 13 firms, interviews of HSC members were conducted. Committee attributes and perceptions about committee effectiveness were compared with the number of OSHA complaints and serious citations. There were fewer complaints and fewer serious citations at firms with HSCs that were perceived as effective. Results of the study suggest that the objective attributes of the committee may be less important to its success than the commitment of management and labor to solving workplace safety problems.

  15. Part of the job? Workplace violence in Massachusetts social service agencies.

    PubMed

    Zelnick, Jennifer R; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-05-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social service agencies collect data on workplace violence, and identify disparities in who is at risk in terms of staff education and training level and the work setting. The study gathered general descriptions of each agency and compiled incidence data on workplace violence that were collected by agencies in fiscal year 2009. The key findings of this descriptive study showed high rates of workplace violence against social services providers and a pattern of risk disparity, with significantly more risk for direct care versus clinical staff. These results are based on data routinely collected by social service agencies that typically remain unexamined. A research agenda that is sensitive to potential occupational health disparities and focuses on maximizing workplace safety in social services is needed.

  16. Massachusetts Charter Public Schools: Best Practices in Curricular Innovation. White Paper No. 141

    ERIC Educational Resources Information Center

    Candal, Cara Stillings

    2016-01-01

    The ongoing push to raise or eliminate the charter school cap in Massachusetts provides an opportunity to reflect upon the purpose of charter schools. When the legislature created the Commonwealth's charter school law, as a part of the 1993 Massachusetts Education Reform Act (MERA), it clearly stated a main reason for these new schools was…

  17. Starting Young: Massachusetts Birth-3rd Grade Policies That Support Children's Literacy Development

    ERIC Educational Resources Information Center

    Cook, Shayna; Bornfreund, Laura

    2015-01-01

    Massachusetts is one of a handful of states that is often recognized as a leader in public education, and for good reason. The Commonwealth consistently outperforms most states on national reading and math tests and often leads the pack in education innovations. "Starting Young: Massachusetts Birth-3rd Grade Policies that Support Children's…

  18. Sanitary Sewer Overflows and Emergency Room Visits for Gastrointestinal Illness: Analysis of Massachusetts Data, 2006–2007

    PubMed Central

    DeFlorio-Barker, Stephanie; Lin, Cynthia J.; Hilborn, Elizabeth D.; Wade, Timothy J.

    2017-01-01

    Background: Sanitary sewer overflows (SSOs) occur when untreated sewage is discharged into water sources before reaching the treatment facility, potentially contaminating the water source with gastrointestinal pathogens. Objectives: The objective of this paper is to assess associations between SSO events and rates of gastrointestinal (GI) illness in Massachusetts. Methods: A case-crossover study design was used to investigate association between SSO events and emergency room (ER) visits with a primary diagnosis of gastrointestinal (GI) illness in Massachusetts for 2006–2007. ER visits for GI were considered exposed if an SSO event occurred in the county of residence within three hazard periods, 0–4 d, 5–9 d, or 10–14 d, before the visit. A time-stratified bidirectional design was used to select control days for each ER visit on the same day of the week during the same month. Fixed effect logistic regression models were used to estimate the risk of ER visits following the SSO event. Results: During the study period, there were 270 SSO events for northeastern Massachusetts and 66,460 ER admissions with GI illness listed as the primary diagnostic code. The overall odds ratio (OR) for ER visits for GI illness was 1.09 [95% confidence interval (CI): 1.03, 1.16] in the 10–14 d period following an SSO event, with positive ORs for all age groups and for three of the four counties. The 0–4 d and 5–9 d periods following an SSO event were not associated with ER visits for GI illness overall, and associations by county or age were inconsistent. Conclusions: We demonstrated an association between SSO events and ER visits for GI illness using a case-crossover study design. In light of the aging water infrastructure in the United States and the expected increase in heavy rainfall events, our findings suggest a potential health impact associated with sewage overflows. https://doi.org/10.1289/EHP2048 PMID:29187322

  19. Accuracy of birth certificate head circumference measurements: Massachusetts, 2012-2013.

    PubMed

    Somerville, Nicholas J; Chen, Xiaoli; Heinke, Dominique; Stone, Sarah L; Higgins, Cathleen; Manning, Susan E; Pagnano, Sharon; Yazdy, Mahsa M; Anderka, Marlene

    2018-03-15

    Zika virus has recently emerged as a novel cause of microcephaly. CDC has asked states to rapidly ascertain and report cases of Zika-linked birth defects, including microcephaly. Massachusetts added head circumference to its birth certificate (BC) in 2011. The accuracy of head circumference measurements from state vital records data has not been reported. We sought to assess the accuracy of Massachusetts BC head circumference measurements by comparing them to measurements for 2,217 infants born during 2012-2013 captured in the Massachusetts Birth Defects Monitoring Program (BDMP) data system. BDMP contains information abstracted directly from infant medical records and served as the true head circumference value (i.e., gold standard) for analysis. We calculated the proportion of head circumference measurements in agreement between the BC and BDMP data. We assigned growth chart head circumference percentile categories to each BC and BDMP measurement, and calculated the sensitivity and specificity of BC-based categories to predict BDMP-based categories. No difference was found in head circumference measurements between the two sources in 77.9% (n = 1,727) of study infants. The sensitivity of BC-based head circumference percentile categories ranged from 85.6% (<3rd percentile) to 92.7% (≥90th percentile) and the specificity ranged from 97.6% (≥90th percentile) to 99.3% (<3rd percentile). BC head circumference measurements agreed with those abstracted from the medical chart the majority of the time. Head circumference measurements on the BC were more specific than sensitive across all standardized growth chart percentile categories. © 2017 Wiley Periodicals, Inc.

  20. Impact of Particulate Matter Exposure and Surrounding “Greenness” on Chronic Absenteeism in Massachusetts Public Schools

    PubMed Central

    MacNaughton, Piers; Eitland, Erika; Kloog, Itai; Schwartz, Joel; Allen, Joseph

    2017-01-01

    Chronic absenteeism is associated with poorer academic performance and higher attrition in kindergarten to 12th grade (K-12) schools. In prior research, students who were chronically absent generally had fewer employment opportunities and worse health after graduation. We examined the impact that environmental factors surrounding schools have on chronic absenteeism. We estimated the greenness (Normalized Difference Vegetation Index (NDVI)) and fine particulate matter air pollution (PM2.5) within 250 m and 1000 m respectively of each public school in Massachusetts during the 2012–2013 academic year using satellite-based data. We modeled chronic absenteeism rates in the same year as a function of PM2.5 and NDVI, controlling for race and household income. Among the 1772 public schools in Massachusetts, a 0.15 increase in NDVI during the academic year was associated with a 2.6% (p value < 0.0001) reduction in chronic absenteeism rates, and a 1 μg/m3 increase in PM2.5 during the academic year was associated with a 1.58% (p value < 0.0001) increase in chronic absenteeism rates. Based on these percentage changes in chronic absenteeism, a 0.15 increase in NDVI and 1 μg/m3 increase in PM2.5 correspond to 25,837 fewer students and 15,852 more students chronically absent each year in Massachusetts respectively. These environmental impacts on absenteeism reinforce the need to protect green spaces and reduce air pollution around schools. PMID:28230752

  1. 77 FR 14712 - Approval and Promulgation of Air Quality Implementation Plans; Massachusetts; Determination of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... Massachusetts Department of Environmental Protection performed a missing data analysis for each site with low... Massachusetts missing data analysis used a combination of meteorology and air quality data for ozone monitors... with missing ozone data, the ozone levels, if captured, would have been below the 1997 8-hour ozone...

  2. University of Massachusetts Amherst: An Innovative Partnership

    ERIC Educational Resources Information Center

    McClure, William S.; Miller, Marla R.

    2011-01-01

    In 2009 the University of Massachusetts Amherst (UMass Amherst), in collaboration with Hancock Shaker Village (HSV), created a new two-year master's degree in historic preservation and architectural conservation for professionals in the field. Combining university courses with training and classes on site at a national historic landmark, the…

  3. Bathymetry of the waters surrounding the Elizabeth Islands, Massachusetts

    USGS Publications Warehouse

    Pendleton, Elizabeth A.; Andrews, Brian D.; Ackerman, Seth D.; Twichell, Dave

    2014-01-01

    The Elizabeth Islands in Massachusetts that separate Vineyard Sound from Buzzards Bay are the remnants of a moraine (unconsolidated glacial sediment deposited at an ice sheet margin; Oldale and O’Hara, 1984). The most recent glacial ice retreat in this region occurred between 25,000 and 20,000 years ago, and the subsequent rise in sea level that followed deglaciation caused differences in the seafloor character between Buzzards Bay and Vineyard Sound. The relatively rough seafloor of Vineyard Sound reflects widespread exposure of glacial material. Shoals mark the location of recessional ice contact material, and deep channels illustrate where meltwater drainage incised glacial deposits. Following ice retreat from the Elizabeth Islands, a glacial lake formed across the mouth of Buzzards Bay, when the lake drained, it scoured two deep channels at the southern end of the bay. Sea level rise began to inundate Vineyard Sound and Buzzards Bay about 8,000 years ago and continues to modify the modern seafloor (Robb and Oldale, 1977). Fine-grained marine and estuarine sediments were deposited in the partially protected setting of Buzzards Bay. These deposits, up to 10 meters in thickness, buried the high-relief glacial landscape and created the generally smooth modern seafloor. In contrast, the Vineyard Sound of today experiences strong tidal currents, which largely prevent the deposition of fine-grained material and constantly rework the glacial sand and gravel within shoals. The seafloor of the sound largely reflects the contours of the ancient glaciated landscape that existed before sea level began to rise. The bathymetric data used to create the hillshaded relief image of the seafloor were collected by the U.S. Geological Survey (USGS) in cooperation with the Massachusetts Office of Coastal Zone Management and supplemented with National Oceanic and Atmospheric Administration hydrographic survey data. The map shows the detailed bathymetry of Buzzards Bay and Vineyard

  4. High-resolution geophysical data from the inner continental shelf—Buzzards Bay, Massachusetts

    USGS Publications Warehouse

    Ackerman, Seth D.; Andrews, Brian D.; Foster, David S.; Baldwin, Wayne E.; Schwab, William C.

    2012-01-01

    The U.S. Geological Survey (USGS) and the Massachusetts Office of Coastal Zone Management (CZM) have cooperated to map approximately 410 square kilometers (km²) of the inner continental shelf in Buzzards Bay, Massachusetts. This report contains geophysical data collected by the USGS on three cruises conducted in 2009, 2010, and 2011, and additional bathymetry data collected by the National Oceanic and Atmospheric Administration in 2004. The geophysical data include (1) swath bathymetry using interferometric sonar and multibeam echosounder systems, (2) acoustic backscatter from sidescan sonar, and (3) seismic-reflection profiles from a chirp subbottom profiler. These spatial data support research on the Quaternary evolution of Buzzards Bay, the influence of sea-level change and sediment supply on coastal evolution, and efforts to understand the type, distribution, and quality of subtidal marine habitats in the coastal ocean of Massachusetts.

  5. Diffusion of the property tax work-off program for senior homeowners in Massachusetts.

    PubMed

    Prakash, Archana; Caro, Francis G

    2010-07-01

    Property tax work-off programs (TWOPs) provide senior homeowners with relief from some of their property tax obligations in exchange for services provided to local governments. These programs are offered by some county and municipal governments at their own discretion in a number of states. Through a qualitative study comparing municipalities in Massachusetts that participate in the program with similar communities that do not participate, the authors sought to learn the reasons for both participation and nonparticipation. They interviewed local officials in eight participating and six nonparticipating communities. Mohr's theory for adoption and Roger's theory for diffusion are used for the conceptual framework of the study. Local leaderships' motivation, financial or political resources and obstacles, senior homeowners' awareness, communication between communities, and perceived benefits of the program were the major factors in adoption and diffusion of TWOPs in Massachusetts.

  6. Reducing the use of carcinogens: the Massachusetts experience.

    PubMed

    Jacobs, Molly M; Massey, Rachel I; Tenney, Heather; Harriman, Elizabeth

    2014-01-01

    Toxics use reduction (TUR) is one part of a comprehensive cancer prevention strategy. TUR emphasizes reducing the use of cancer-causing chemicals by improving manufacturing processes and identifying and adopting safer alternatives. This analysis draws on 20 years of data collected from industries reporting to the Massachusetts Toxics Use Reduction Act (TURA) program to assess trends in the use and release of chemicals associated with cancer. We used a master list of known and suspected carcinogens developed from authoritative sources and a list of carcinogens grouped by their association with 11 cancer sites to analyze trends in use and release of chemicals by industrial facilities reporting to the TURA program from 1990 to 2010. The trend analysis shows that reported use and releases of carcinogens by these Massachusetts companies have decreased dramatically over time. Reported use declined 32% from 1990 to 2010, and reported releases declined 93% from 1991 to 2010 (1991 is when additional industrial sectors, including electric utilities, were phased into the program). Particularly large reductions were achieved in the use of trichloroethylene, perchloroethylene and cadmium and cadmium compounds. The analysis of groups of chemicals associated with specific cancer sites shows similar trends. Important opportunities for further reductions in many carcinogens, including formaldehyde, hexavalent chromium, and a variety of halogenated compounds are identified. Continued work to minimize the use of carcinogens can help to reduce the burden of cancer in Massachusetts and elsewhere.

  7. 77 FR 74868 - Notice of Inventory Completion: Department of Anthropology, University of Massachusetts, Amherst, MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ... Inventory Completion: Department of Anthropology, University of Massachusetts, Amherst, MA AGENCY: National... Anthropology has completed an inventory of human remains, in consultation with the appropriate Indian tribes... the human remains may contact the University of Massachusetts Amherst, Department of Anthropology...

  8. 75 FR 5898 - Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New York; Changes to Reporting Dates AGENCY: Agricultural Marketing Service... States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon...

  9. 77 FR 6622 - Notice of Final Federal Agency Action on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-08

    ... on Proposed Bridge Replacement in Massachusetts AGENCY: Federal Highway Administration (FHWA), DOT... relates to the proposed Whittier Bridge (Interstate 95 over the Merrimack River) replacement/1-95... bridge/highway improvement project in the Commonwealth of Massachusetts. The proposed project involves as...

  10. Evaluation overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project.

    PubMed

    Davison, Kirsten K; Falbe, Jennifer; Taveras, Elsie M; Gortmaker, Steve; Kulldorff, Martin; Perkins, Meghan; Blaine, Rachel E; Franckle, Rebecca L; Ganter, Claudia; Baidal, Jennifer Woo; Kwass, Jo-Ann; Buszkiewicz, James; Smith, Lauren; Land, Thomas

    2015-02-01

    The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a 2-year, multilevel, multisector community intervention to prevent and control obesity among children 2-12 years of age from two predominantly low-income communities in Massachusetts. MA-CORD includes evidence-based interventions in multiple sectors, including community health centers, early care and education centers, schools, afterschool programs, the Special Supplemental Nutrition Program for Women, Infants and Children, and the broader community. Currently, implementation of MA-CORD is complete and the final year of data collection is in progress. Here, the MA-CORD evaluation plan is described and baseline data are presented. The impact of MA-CORD on children's BMI, lifestyle behaviors, obesity-related care, and quality of life will be assessed using sector-specific, pre/post, time-series, and quasi-experimental designs. Change in the primary outcomes will be compared for intervention and comparison communities. Additionally, change in mean BMI and obesity prevalence in intervention school districts will be compared to similar districts throughout the state. At baseline in 2012, approximately 16% of preschool-aged and 25% of school-aged children were obese. Moreover, 15-40% of children consumed no vegetables on the previous day, 25-75% drank a sugar-sweetened beverage on the previous day, up to 87% had insufficient physical activity, 50-75% had a television in the room where they slept, and 50-80% obtained insufficient sleep. There is ample room for improvement in BMI and health behaviors in children in MA-CORD communities. If successful, MA-CORD may serve as a model for multilevel, multisector approaches to childhood obesity prevention and control.

  11. 75 FR 68629 - Massachusetts Institute of Technology Reactor Notice of Issuance of Renewed Facility Operating...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-020; NRC-2010-0313] Massachusetts Institute of Technology Reactor Notice of Issuance of Renewed Facility Operating; License No. R-37 The U.S. Nuclear... Institute of Technology (the licensee), which authorizes continued operation of the Massachusetts Institute...

  12. 76 FR 16322 - Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ...; FV11-929-1] Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New York; Continuance... Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and...

  13. The Impact of Vocational Education on Ex-Offenders in Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    McClain, Thomas W.

    A two-year study was undertaken in Massachusetts to evaluate the impact of vocational education on released ex-offenders. In the first year, evaluation procedures and interview instruments were developed, a survey of inmates was conducted, and the data collected was analyzed and summarized in a report. Since the second year of the study was not…

  14. Sea-floor geology and sedimentary processes in the vicinity of Cross Rip Channel, Nantucket Sound, offshore southeastern Massachusetts

    USGS Publications Warehouse

    Poppe, L.J.; McMullen, K.Y.; Ackerman, S.D.; Schaer, J.D.; Wright, D.B.

    2012-01-01

    Gridded multibeam bathymetry covers approximately 10.4 square kilometers of sea floor in the vicinity of Cross Rip Channel in Nantucket Sound, offshore southeastern Massachusetts. Although originally collected for charting purposes during National Oceanic and Atmospheric Administration hydrographic survey H12007, these acoustic data, and the sea-floor sediment sampling and bottom photography stations subsequently occupied to verify them, show the composition and terrain of the seabed and provide information on sediment transport and benthic habitat. This report is part of an expanding series of cooperative studies by the U.S. Geological Survey, National Oceanic and Atmospheric Administration, and Massachusetts Office of Coastal Zone Management that provide a fundamental framework for research and resource-management activities (for example, windfarms, pipelines, and dredging) along the inner continental shelf offshore of Massachusetts.

  15. 75 FR 25305 - Massachusetts Disaster Number MA-00027

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12138 and 12139] Massachusetts Disaster Number MA-00027 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the...

  16. 76 FR 58558 - Massachusetts Disaster Number MA-00040

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12803 and 12804] Massachusetts Disaster Number MA-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the...

  17. 76 FR 67245 - Massachusetts Disaster Number MA-00040

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-31

    ... SMALL BUSINESS ADMINISTRATION Disaster Declaration 12803 and 12804 Massachusetts Disaster Number MA-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 2. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the...

  18. Coastal flood of February 7, 1978, in Maine, Massachusetts, and New Hampshire

    USGS Publications Warehouse

    Gadoury, Russell A.

    1979-01-01

    This report contains data which document the flooding along parts of the New England coast. Elevations of 203 floodmarks in Massachusetts, 104 in Maine, and 46 in New Hampshire are given. Also included are some historical coastal flood data and a list of other storm-related studies

  19. The Cable Book. Community Television for Massachusetts?

    ERIC Educational Resources Information Center

    Achtenberg, Ben

    This manual is especially designed to inform and aid community organizations in understanding cable television and planning for the future. With the exception of the chapter on Massachusetts cable legislation, most of the book should be useful to community organizations anywhere. At the beginning, the history and experience of cable television in…

  20. 75 FR 20514 - Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-20

    ...; FV10-929-1 FR] Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New York; Changes to... States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon...

  1. 75 FR 18394 - Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-12

    ...; FV09-929-1 FR] Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New York; Revised... Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and...

  2. 75 FR 5900 - Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ...; FV09-929-1 PR] Cranberries Grown in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin, Michigan, Minnesota, Oregon, Washington, and Long Island in the State of New York; Revised... cranberries produced in the States of Massachusetts, Rhode Island, Connecticut, New Jersey, Wisconsin...

  3. 77 FR 1782 - Notice of Final Federal Agency Action on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... on Proposed Bridge Replacement in Massachusetts AGENCY: Federal Highway Administration (FHWA), DOT... relates to the proposed Fore River Bridge (State Route 3A over the Weymouth Fore River) replacement...(l)(1) by issuing approval for the following bridge project in the Commonwealth of Massachusetts. The...

  4. High-Resolution geophysical data from the inner continental shelf at Vineyard Sound, Massachusetts

    USGS Publications Warehouse

    Andrews, Brian D.; Ackerman, Seth D.; Baldwin, Wayne E.; Foster, David S.; Schwab, William C.

    2013-01-01

    The U.S. Geological Survey (USGS) and the Massachusetts Office of Coastal Zone Management (CZM) have mapped approximately 340 square kilometers of the inner continental shelf in Vineyard Sound, Massachusetts, under a cooperative mapping program. The geophysical data collected between 2009 and 2011 by the U.S. Geological Survey as part of this program are published in this report. The data include (1) swath bathymetry from interferometric sonar, (2) acoustic backscatter from sidescan sonar, and (3) seismic-reflection profiles from a chirp subbottom profiler. These data were collected to support research on the influence of sea-level change and sediment supply on coastal evolution and sediment transport processes and to provide baseline seabed characterization information required for management of coastal and offshore resources within the coastal zone of Massachusetts.

  5. Prevalence of Anaplasma phagocytophilum infection in feral cats in Massachusetts.

    PubMed

    Galemore, Erin R; Labato, Mary A; O'Neil, Elizabeth

    2018-01-01

    The primary objective of this study was to determine the prevalence of Anaplasma phagocytophilum infection and exposure in adult feral cats in Massachusetts, an endemic area for A phagocytophilum and its tick vector Ixodes scapularis . The secondary objective was to determine if there were correlations between A phagocytophilum infection and the presence of anemia and thrombocytopenia. Blood samples were collected between June and December 2015 from 175 apparently healthy adult feral cats that were presented to trap and release spay/neuter centers in Massachusetts. Complete blood count, blood smear evaluation, SNAP 4Dx Plus test (IDEXX) and A phagocytophilum PCR were performed on all samples to document acute infection (PCR-positive and/or inclusions observed on blood smear) and exposure to A phagocytophilum (SNAP 4Dx Plus-positive for A phagocytophilum antibodies). The prevalence of exposure to A phagocytophilum in feral cats in Massachusetts was 9.7%, whereas the prevalence of acute infection was 6.9%. All blood smears were negative for Anaplasma species inclusions; therefore, acute infection was defined as testing positive on PCR analysis. No statistically significant correlations were identified for cats that were positive for A phagocytophilum on PCR analysis or SNAP 4Dx Plus test and the presence of anemia or thrombocytopenia. The prevalence of A phagocytophilum exposure in feral cats approaches 10% and is higher than the previously reported national average prevalence of 4.3% in the USA. A phagocytophilum infection may be an emerging infectious disease in cats. Further research is needed to determine the prevalence of clinical illness associated with A phagocytophilum infection in cats living in endemic areas.

  6. Prevalence of Anaplasma phagocytophilum infection in feral cats in Massachusetts

    PubMed Central

    Galemore, Erin R; Labato, Mary A; O’Neil, Elizabeth

    2018-01-01

    Objectives The primary objective of this study was to determine the prevalence of Anaplasma phagocytophilum infection and exposure in adult feral cats in Massachusetts, an endemic area for A phagocytophilum and its tick vector Ixodes scapularis. The secondary objective was to determine if there were correlations between A phagocytophilum infection and the presence of anemia and thrombocytopenia. Methods Blood samples were collected between June and December 2015 from 175 apparently healthy adult feral cats that were presented to trap and release spay/neuter centers in Massachusetts. Complete blood count, blood smear evaluation, SNAP 4Dx Plus test (IDEXX) and A phagocytophilum PCR were performed on all samples to document acute infection (PCR-positive and/or inclusions observed on blood smear) and exposure to A phagocytophilum (SNAP 4Dx Plus-positive for A phagocytophilum antibodies). Results The prevalence of exposure to A phagocytophilum in feral cats in Massachusetts was 9.7%, whereas the prevalence of acute infection was 6.9%. All blood smears were negative for Anaplasma species inclusions; therefore, acute infection was defined as testing positive on PCR analysis. No statistically significant correlations were identified for cats that were positive for A phagocytophilum on PCR analysis or SNAP 4Dx Plus test and the presence of anemia or thrombocytopenia. Conclusions and relevance The prevalence of A phagocytophilum exposure in feral cats approaches 10% and is higher than the previously reported national average prevalence of 4.3% in the USA. A phagocytophilum infection may be an emerging infectious disease in cats. Further research is needed to determine the prevalence of clinical illness associated with A phagocytophilum infection in cats living in endemic areas. PMID:29399369

  7. Statewide Inventories of Heritage Resources: Macris and the Experience in Massachusetts

    NASA Astrophysics Data System (ADS)

    Stott, P. H.

    2017-08-01

    The Massachusetts Historical Commission (MHC) is the State Historic Preservation Office for Massachusetts. Established in 1963, MHC has been inventorying historic properties for over half a century. Since 1987, it has maintained a heritage database, the Massachusetts Cultural Resource Information System, or MACRIS. Today MACRIS holds over 206,000 records from the 351 towns and cities across the Commonwealth. Since 2004, a selection of the more than 150 MACRIS fields has been available online at mhcmacris. net. MACRIS is widely used by independent consultants preparing project review files, by MHC staff in its regulatory responsibilities, by local historical commissions monitoring threats to their communities, as well as by scholars, historical organizations, genealogists, property owners, reporters, and the general public interested in the history of the built environment. In 2016 MACRIS began migration off of its three-decade old Pick multivalue database to SQL Server, and in 2017, the first redesign of its thirteen-year old web interface should start to improve usability. Longer-term improvements have the goal of standardizing terminology and ultimately bringing interoperability with other heritage databases closer to reality.

  8. A GIS Library of Multibeam Data for Massachusetts Bay and the Stellwagen Bank National Marine Sanctuary, Offshore of Boston, Massachusetts

    USGS Publications Warehouse

    Butman, Bradford; Valentine, Page C.; Middleton, Tammie J.; Danforth, William W.

    2007-01-01

    Introduction The U.S. Geological Survey (USGS) has mapped the sea floor of the Stellwagen Bank National Marine Sanctuary and western Massachusetts Bay, offshore of Boston, Massachusetts (figure 1a, figure 1b). The mapping was carried out using a Simrad Subsea EM1000 Multibeam Echo Sounder (95 kHz) on the Frederick G. Creed on four cruises between 1994 and 1998. The mapping was conducted in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and with support from the Canadian Hydrographic Service and the University of New Brunswick. This GIS Library contains images and grids of bathymetry, shaded relief bathymetry, and backscatter intensity data from these surveys in an Environmental Systems Research Institute (http://www.esri.com) (ESRI) ArcMap 9.1 Geographic Information System (GIS) project. The shapefiles, images, grids and associated metadata may also be downloaded individually. Descriptions and interpretations of the data are available in a series of published maps.

  9. 77 FR 31496 - Approval and Promulgation of Air Quality Implementation Plans; Massachusetts and New Hampshire...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ...(b)(2)(A) of the Clean Air Act (CAA), that the Boston-Lawrence-Worcester (Eastern Massachusetts...) proposing its determination under section 181(b)(2) that the Boston-Lawrence- Worcester (Eastern... section 181(b)(2)(A), that the Boston-Lawrence- Worcester (Eastern Massachusetts) moderate 1997 eight-hour...

  10. Toward Family and Community: Mental Retardation Services in Massachusetts, New England, and the United States.

    ERIC Educational Resources Information Center

    Braddock, David; Hemp, Richard

    1997-01-01

    Current trends in mental retardation services in Massachusetts were investigated using the New England region, the state of Michigan, and the United States as comparative frames of reference. Massachusetts' movement toward reducing reliance on state institutions, reallocating funding, and developing community services and family support is…

  11. High-water marks from tropical storm Irene for selected river reaches in northwestern Massachusetts, August 2011

    USGS Publications Warehouse

    Bent, Gardner C.; Medalie, Laura; Nielsen, Martha G.

    2013-01-01

    A Presidential Disaster Declaration was issued for Massachusetts, with a focus on the northwestern counties, following flooding from tropical storm Irene on August 28–29, 2011. Three to 10 inches of rain fell during the storm on soils that were susceptible to flash flooding because of wet antecedent conditions. The gage height at one U.S. Geological Survey (USGS) streamgage rose nearly 20 feet in less than 4 hours because of the combination of saturated soils and intense rainfall. Eight of 16 USGS long-term streamgages in western Massachusetts set new peaks of record on August 28 or 29, 2011. To document the historic water levels of the streamflows from tropical storm Irene, the USGS identified, flagged, and surveyed 323 high-water marks in the Deerfield and Hudson- Hoosic River basins in northwestern Massachusetts. Areas targeted for high-water marks were generally upstream and downstream from structures along selected river reaches. Elevations from high-water marks can be used to confirm peak river stages or help compute peak streamflows, to calibrate hydraulic models, or to update flood-inundation and recovery maps. For areas in western Massachusetts that flooded as a result of tropical storm Irene, high-water marks surveyed for this study have helped to confirm or determine instantaneous peak river gage heights at several USGS streamgages.

  12. What's under the Golden Dome? A Children's Guide to the Massachusetts State House. [Update.

    ERIC Educational Resources Information Center

    Commonwealth of Massachusetts, Boston. Tours and Government Education Division.

    This booklet takes children on a tour of one of the oldest and most historic State Houses in the nation, that of Massachusetts. The booklet explains that the State House is the workplace of the Governor, the Legislature, and constitutional officers. It offers a historical overview of the Massachusetts State House. The first one was built in 1712,…

  13. All Our Children: Massachusetts Kids Count 1994.

    ERIC Educational Resources Information Center

    Diamond, Franna, Ed.

    This Kids Count report examines statewide trends from 1990 to 1994 in the well-being of Massachusetts' children. The statistical portrait is based on indicators of well-being in five areas: (1) economic well-being of children and their families, including child poverty rate, family income, job loss, earnings of male high school dropouts and…

  14. Vulnerability, risk perception, and health profile of marginalized people exposed to multiple built-environment stressors in Worcester, Massachusetts: a pilot project.

    PubMed

    Downs, Timothy J; Ross, Laurie; Goble, Robert; Subedi, Rajendra; Greenberg, Sara; Taylor, Octavia

    2011-04-01

    Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability-including risk perceptions and health profiles? (3) How can findings be used by our wider community, and what lessons did we learn? (4) What implications arise for science and policy? We sought a holistic picture of neighborhood life. A reasonably representative sample of 80 respondents captured data for 254 people about: demographics, community concerns and resources, time-activity patterns, health information, risk/stress perceptions, and resources/capacities for coping. Our key findings derive partly from the survey data and partly from our experience in obtaining those data. Data strongly suggest complex vulnerability dominated by psychosocial stress. Unexpected significant gender and ethnic disease disparities emerged: notably, females have twice the disease burden of males, and white females twice the burden of females of color (p < 0.01). Self-reported depression differentiated by gender and age is illustrative. Community based participatory research (CBPR) approaches require active engagement with marginalized populations, including representatives as funded partners. Complex vulnerability necessitates holistic, participatory approaches to improve scientific understanding and societal responses. © 2010 Society for Risk Analysis.

  15. Provider-Hospital “Fit” and Patient Outcomes: Evidence from Massachusetts Cardiac Surgeons, 2002–2004

    PubMed Central

    Huesch, Marco D

    2011-01-01

    Objective To examine whether the “fit” of a surgeon with hospital resources impacts cardiac surgery outcomes, separately from hospital or surgeon effects. Data Sources Retrospective secondary data from the Massachusetts Department of Public Health's Data Analysis Center, on all 12,983 adult isolated coronary artery bypass surgical admissions in state-regulated hospitals from 2002 through 2004. Clinically audited chart data was collected using Society of Thoracic Surgeons National Cardiac Surgery Database tools and cross-referenced with administrative discharge data in the Division of Health Care Finance and Policy. Mortality was followed up through 2007 via the state vital statistics registry. Study Design Analysis was at the patient level for those receiving isolated coronary artery bypass surgery (CABG). Sixteen outcomes included 30-day mortality, major morbidity, indicators of perioperative, and predischarge processes of care. Hierarchical crossed mixed models were used to estimate fixed covariate and random effects at hospital, surgeon, and hospital × surgeon level. Principal Findings Hospital volume was associated with significantly reduced intraoperative durations and significantly increased probability of aspirin, β-blocker, and lipid-lowering discharge medication use. The proportion of outcome variability due to unobserved hospital × surgeon interaction effects was small but meaningful for intraoperative practices, discharge destination, and medication use. For readmissions and mortality within 30 days or 1 year, unobserved patient and hospital factors drove almost all variability in outcomes. Conclusions Among Massachusetts patients receiving isolated CABG, consistent evidence was found that the hospital × surgeon combination independently impacted patient outcomes, beyond hospital or surgeon effects. Such distinct local interactions between a surgeon and hospital resources may play an important part in moderating quality improvement efforts

  16. Surficial Geologic Map of the Worcester North-Oxford- Wrentham-Attleboro Nine-Quadrangle Area in South- Central Massachusetts

    USGS Publications Warehouse

    Stone, Byron D.; Stone, Janet R.; DiGiacomo-Cohen, Mary L.

    2008-01-01

    studies discuss the ages of multiple glaciations, the nature of glaciofluvial, glaciolacustrine, and glaciomarine deposits, and the processes of ice advance and retreat across Massachusetts (Koteff and Pessl, 1981; papers in Larson and Stone, 1982; Oldale and Barlow, 1986; Stone and Borns, 1986; Warren and Stone, 1986). This compilation of surficial geologic materials is an interim product that defines the areas of exposed bedrock and the boundaries between glacial till, glacial stratified deposits, and overlying postglacial deposits. This work is part of a comprehensive study to produce a statewide digital map of the surficial geology at a 1:24,000-scale level of accuracy. This surficial geologic map layer covering nine quadrangles revises previous digital surficial geologic maps (Stone and others, 1993; MassGIS, 1999) that were compiled on base maps at regional scales of 1:125,000 and 1:250,000. The purpose of this study is to provide fundamental geologic data for the evaluation of natural resources, hazards, and land information within the Commonwealth of Massachusetts.

  17. A Context Note: Choice, Diversity and Desegregation in Massachusetts.

    ERIC Educational Resources Information Center

    Zerchykov, Ross

    1986-01-01

    Presents and discusses enrollment statistics for nine Massachusetts school systems undergoing desegregation. Focuses on Boston, Worcester, Springfield, Lowell, and Cambridge. Describes each system as successfully promoting desegregation through magnet schools and parental choice. (KH)

  18. 78 FR 6845 - Notice of Final Federal Agency Actions on Proposed Interchange Project in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ..., Cambridge, MA 02142, Monday through Friday 8:00 a.m.-4:30 p.m., 617-494-2419, [email protected]dot.gov . For the Massachusetts Department of Transportation Highway Division (MassDOT): Ms. Mary Hynes, Project Manager... on Proposed Interchange Project in Massachusetts AGENCY: Federal Highway Administration (FHWA), DOT...

  19. Site Evaluation Studies of the Massachusetts Bay Disposal Site for Ocean Disposal of Dredged Material

    DTIC Science & Technology

    1988-07-05

    Chemical Characteristics. 101 1. Water Quality. 101 a. Dissolved Oxygen. 101 b. pH. 103 c. Nutrients . 103 d. Turbidity 104 e. Metals. 105 f. Organics...20 - 3 PCB, ppb 10 (0.03) 0.012 0.022 10 102 c. Nutrients Nitrogen and phosphorous compounds are essential nutrients that are metabolized by primary...1973) described nitrate as the limiting nutrient in Massachusetts Bay. Water column analyses of nutri- ents (ammonia, nitrates and phosphorous) were

  20. Balancing Quality Early Education and Parents' Workforce Success: Insights from the Urban Institute's Assessment of the Massachusetts Subsidized Child Care System. Research Report

    ERIC Educational Resources Information Center

    Adams, Gina; Katz, Michael

    2015-01-01

    This report examines the Massachusetts child care subsidy system's balance between providing quality early childhood education and providing workforce support for parents. It is based on qualitative and quantitative data and findings from several studies conducted as part of a legislatively mandated assessment of the Massachusetts subsidized child…

  1. The Massachusetts Bay internal wave experiment, August 1998: data report

    USGS Publications Warehouse

    Butman, Bradford; Alexander, P. Soupy; Anderson, Steven P.; Lightsom, Frances L.; Scotti, Alberto; Beardsley, Robert C.

    2006-01-01

    This data report presents oceanographic observations made in Massachusetts Bay (fig. 1) in August 1998 as part of the Massachusetts Bay Internal Wave Experiment (MBIWE98). MBIWE98 was carried out to characterize large-amplitude internal waves in Massachusetts Bay and to investigate the possible resuspension and transport of bottom sediments caused by these waves. This data report presents a description of the field program and instrumentation, an overview of the data through summary plots and statistics, and the time-series data in NetCDF format. The objective of this report is to make the data available in digital form and to provide summary plots and statistics to facilitate browsing of the data set. The existence of large-amplitude internal waves in Massachusetts Bay was first described by Halpern (1971). In summer when the water is stratified, packets of waves propagate westward into the bay on the flood (westward flowing) tide at about 0.5 m/s. The internal waves are observed in packets of 5-10 waves, have periods of 5-10 minutes and wavelengths of 200-400 m, and cause downward excursions of the thermocline of as much as 30 m. The waves are generated by interaction of the barotropic tide with Stellwagen Bank (Haury and others (1979). Several papers present analyses and interpretations of the data collected during the MBIWE98. Grosenbaugh and others (2002) report on the results of the horizontal array, Scotti and others (2005) describe a strategy for processing observations made by Acoustic Doppler Current Profilers (ADCPs) in the presence of short-wavelength internal waves, Butman and others (in press) describe the effect of these waves on sediment transport, and Scotti and others (in press) describe the energetics of the internal waves.

  2. Nurses Respond to Healthcare Restructuring: The Transformation of the Massachusetts Nurses Association

    PubMed Central

    Wilson, Beth; Slatin, Craig; O’Sullivan, Michael

    2018-01-01

    The most recent period of Massachusetts healthcare system reorganization began in the early 1980s. In part, this has been a response to soaring healthcare costs, countering them with diminished reimbursements. To decrease labor costs and survive in an increasingly competitive and market-driven healthcare environment, hospitals downsized and laid off nursing staff. Patient care and safety has concomitantly suffered. These efforts severely challenged nurses’ status. Radicalized rank and file members of the Massachusetts Nurses Association mobilized against the association leadership’s weak efforts to protect nurses’ social and economic interests and the deteriorating quality of care. They transformed an association whose main focus was supporting nursing’s professional image to one which became an activist labor union of professional workers. The history of this often contentious transformation is presented here within the context of these healthcare system changes. The MNA’s successes and pending challenges within the Massachusetts healthcare system are also discussed. PMID:16803745

  3. Teaching in Massachusetts Parochial Schools, 1870-1940.

    ERIC Educational Resources Information Center

    Oates, Mary J.

    This paper presents an overview of the work of sisterhoods in the parochial schools in Massachusetts from 1870 to 1940. The needs of the sisters as members of religious communities and their needs as professional educators are pointed out, and a distinction is made between the operation of parochial schools owned by a religious community and those…

  4. Focusing on the Whole Student: An Evaluation of Massachusetts' Wraparound Zones Initiative

    ERIC Educational Resources Information Center

    Gandhi, Allison Gruner; Slama, Rachel; Park, So Jung

    2016-01-01

    Over the past twenty years, efforts to turn around low-performing schools have increasingly become a central component of federal and state education policy agendas. The purpose of the study was to evaluate the impact of the Wraparound Zones Initiative (WAZ), a program supported by the Massachusetts Department of Elementary and Secondary Education…

  5. Parent Information for School Choice: The Case of Massachusetts. Report No. 19.

    ERIC Educational Resources Information Center

    Glenn, Charles L.; And Others

    This study provides a detailed description of the process by which parents choose schools for their children and the process by which urban schools adjust to the necessity of convincing parents to choose them. The Parent Information Center programs in the Massachusetts communities of Boston, Cambridge, Fall River, Lawrence, Lowell, and Springfield…

  6. Quality control and quality assurance plan for bridge channel-stability assessments in Massachusetts

    USGS Publications Warehouse

    Parker, Gene W.; Pinson, Harlow

    1993-01-01

    A quality control and quality assurance plan has been implemented as part of the Massachusetts bridge scour and channel-stability assessment program. This program is being conducted by the U.S. Geological Survey, Massachusetts-Rhode Island District, in cooperation with the Massachusetts Highway Department. Project personnel training, data-integrity verification, and new data-management technologies are being utilized in the channel-stability assessment process to improve current data-collection and management techniques. An automated data-collection procedure has been implemented to standardize channel-stability assessments on a regular basis within the State. An object-oriented data structure and new image management tools are used to produce a data base enabling management of multiple data object classes. Data will be reviewed by assessors and data base managers before being merged into a master bridge-scour data base, which includes automated data-verification routines.

  7. Exploring the Real Thing: A Guide to Educational Programs at National Park Sites in Massachusetts.

    ERIC Educational Resources Information Center

    Emerson, Rae; Hoermann, Elizabeth; Stearns, Liza

    As the steward of the nation's premier historic, natural, and recreational resources, the National Park Service manages 15 unique areas within the Commonwealth of Massachusetts. Each of these sites offers hands-on programs specifically geared to meet the needs of teachers and students. The programs support the Massachusetts Curriculum Frameworks…

  8. A Report on the Design and Construction of the University of Massachusetts Computer Science Center.

    ERIC Educational Resources Information Center

    Massachusetts State Office of the Inspector General, Boston.

    This report describes a review conducted by the Massachusetts Office of the Inspector General on the construction of the Computer Science and Development Center at the University of Massachusetts, Amherst. The office initiated the review after hearing concerns about the management of the project, including its delayed completion and substantial…

  9. Massachusetts Higher Education in the Eighties: Proposals for Development. A White Paper. The Alden Seminars.

    ERIC Educational Resources Information Center

    Pile, Wilson, Ed.

    Two position papers on higher education in Massachusetts in the 1980s, which were prepared by the Alden Seminar for Higher Education, are presented. In addition, an overview of the Alden Seminar meeting (Boston, Massachusetts, October 1983), which examined proposals for a Higher Education Development Corporation, is included. In "Adjusting to…

  10. Tobacco-Free Pharmacy Laws and Trends in Tobacco Retailer Density in California and Massachusetts.

    PubMed

    Jin, Yue; Lu, Bo; Klein, Elizabeth G; Berman, Micah; Foraker, Randi E; Ferketich, Amy K

    2016-04-01

    To examine the impact of local laws prohibiting tobacco sales in pharmacies in California and Massachusetts, the only 2 US states in which such municipal laws exist. We analyzed longitudinally the tobacco retailer density at the city level from tobacco retailer license data in California (2005-2013) and Massachusetts (2004-2014). After adjustments, the reduction in tobacco retailer density over time was 1.44 (95% confidence interval [CI] = 1.37, 1.51) to 3.18 (95% CI = 1.11, 5.25) times greater in cities with a tobacco-free pharmacy law than in cities without such a law. Tobacco-free pharmacy laws are associated with a greater reduction in tobacco retailer density over time in California and Massachusetts.

  11. Trends in acute psychiatric inpatient care in Massachusetts.

    PubMed

    Hudson, Christopher G

    2004-11-01

    This report presents the preliminary results of a longitudinal study of acute psychiatric hospitalization in the Commonwealth of Massachusetts for fiscal years 1994 to 2000. The study was a secondary analysis of data obtained through the Commonwealth's mandated case-mix reporting system, covering 42 acute psychiatric facilities and 119,284 patients. Results include a 58.4 percent increase in the patient population, accompanied by declines in both length of stay and readmission rates; increases in the number of diagnoses of depression and in the number of patient deaths; and shifts to an older population increasingly supported by Medicaid and Medicare, especially managed care programs.

  12. Evaluation Overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project

    PubMed Central

    Falbe, Jennifer; Taveras, Elsie M.; Gortmaker, Steve; Kulldorff, Martin; Perkins, Meghan; Blaine, Rachel E.; Franckle, Rebecca L.; Ganter, Claudia; Woo Baidal, Jennifer; Kwass, Jo-Ann; Buszkiewicz, James; Smith, Lauren; Land, Thomas

    2015-01-01

    Abstract Background: The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a 2-year, multilevel, multisector community intervention to prevent and control obesity among children 2–12 years of age from two predominantly low-income communities in Massachusetts. MA-CORD includes evidence-based interventions in multiple sectors, including community health centers, early care and education centers, schools, afterschool programs, the Special Supplemental Nutrition Program for Women, Infants and Children, and the broader community. Currently, implementation of MA-CORD is complete and the final year of data collection is in progress. Here, the MA-CORD evaluation plan is described and baseline data are presented. Methods/Design: The impact of MA-CORD on children's BMI, lifestyle behaviors, obesity-related care, and quality of life will be assessed using sector-specific, pre/post, time-series, and quasi-experimental designs. Change in the primary outcomes will be compared for intervention and comparison communities. Additionally, change in mean BMI and obesity prevalence in intervention school districts will be compared to similar districts throughout the state. Results: At baseline in 2012, approximately 16% of preschool-aged and 25% of school-aged children were obese. Moreover, 15–40% of children consumed no vegetables on the previous day, 25–75% drank a sugar-sweetened beverage on the previous day, up to 87% had insufficient physical activity, 50–75% had a television in the room where they slept, and 50–80% obtained insufficient sleep. Conclusions: There is ample room for improvement in BMI and health behaviors in children in MA-CORD communities. If successful, MA-CORD may serve as a model for multilevel, multisector approaches to childhood obesity prevention and control. PMID:25575095

  13. Hemovigilance in Massachusetts and the adoption of statewide hospital blood bank reporting using the National Healthcare Safety Network.

    PubMed

    Cumming, Melissa; Osinski, Anthony; O'Hearn, Lynne; Waksmonski, Pamela; Herman, Michele; Gordon, Deborah; Griffiths, Elzbieta; Knox, Kim; McHale, Eileen; Quillen, Karen; Rios, Jorge; Pisciotto, Patricia; Uhl, Lynne; DeMaria, Alfred; Andrzejewski, Chester

    2017-02-01

    A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for regulatory compliance purposes to statewide adoption of electronic reporting via the National Healthcare Safety Network (NHSN). The NHSN is a web-based surveillance system that offers the capacity to capture transfusion-related adverse events, incidents, and monthly transfusion statistics from participating facilities. Massachusetts' hospital blood banks share the data they enter into NHSN with the MDPH to satisfy reporting requirements. Users of the NHSN Hemovigilance Module adhere to specified data entry guidelines, resulting in data that are comparable and standardized. Keys to successful statewide adoption of this reporting method include the fostering of strong partnerships with local hemovigilance champions and experts, engagement of regulatory and epidemiology divisions at the state health department, the leveraging of existing relationships with hospital NHSN administrators, and the existence of a regulatory deadline for implementation. Although limitations exist, successful implementation of statewide use of the NHSN Hemovigilance Module for hospital blood bank reporting is possible. The result is standardized, actionable data at both the hospital and state level that can facilitate interfacility comparisons, benchmarking, and opportunities for practice improvement. © 2016 AABB.

  14. A logistic regression equation for estimating the probability of a stream flowing perennially in Massachusetts

    USGS Publications Warehouse

    Bent, Gardner C.; Archfield, Stacey A.

    2002-01-01

    A logistic regression equation was developed for estimating the probability of a stream flowing perennially at a specific site in Massachusetts. The equation provides city and town conservation commissions and the Massachusetts Department of Environmental Protection with an additional method for assessing whether streams are perennial or intermittent at a specific site in Massachusetts. This information is needed to assist these environmental agencies, who administer the Commonwealth of Massachusetts Rivers Protection Act of 1996, which establishes a 200-foot-wide protected riverfront area extending along the length of each side of the stream from the mean annual high-water line along each side of perennial streams, with exceptions in some urban areas. The equation was developed by relating the verified perennial or intermittent status of a stream site to selected basin characteristics of naturally flowing streams (no regulation by dams, surface-water withdrawals, ground-water withdrawals, diversion, waste-water discharge, and so forth) in Massachusetts. Stream sites used in the analysis were identified as perennial or intermittent on the basis of review of measured streamflow at sites throughout Massachusetts and on visual observation at sites in the South Coastal Basin, southeastern Massachusetts. Measured or observed zero flow(s) during months of extended drought as defined by the 310 Code of Massachusetts Regulations (CMR) 10.58(2)(a) were not considered when designating the perennial or intermittent status of a stream site. The database used to develop the equation included a total of 305 stream sites (84 intermittent- and 89 perennial-stream sites in the State, and 50 intermittent- and 82 perennial-stream sites in the South Coastal Basin). Stream sites included in the database had drainage areas that ranged from 0.14 to 8.94 square miles in the State and from 0.02 to 7.00 square miles in the South Coastal Basin.Results of the logistic regression analysis

  15. Something of Value. A Summary of Findings and Recommendations for Improving Elementary Science in Massachusetts.

    ERIC Educational Resources Information Center

    Whitla, Dean K.; Pinck, Dan C.

    Presented is a summary of findings and recommendations provided by the Harvard Study Committee under the auspices of the Massachusetts Advisory Council on Education. The study is mainly concerned with the four National Science Foundation (NSF) programs: Elementary Science Study, Science Curriculum Improvement Study, Science - A Process Approach,…

  16. 75 FR 51239 - University of Massachusetts Amherst, et al.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ... DEPARTMENT OF COMMERCE International Trade Administration University of Massachusetts Amherst, et... Commerce, 14th and Constitution Avenue., NW., Washington, DC. Docket Number: 10-044. Applicant: University.... Applicant: Appalachian State University, Boone, NC 28608. Instrument: Electron Microscope. Manufacturer...

  17. 'May issue' gun carrying laws and police discretion: Some evidence from Massachusetts.

    PubMed

    Hemenway, David; Hicks, James G

    2015-08-01

    In almost all states in the United States, to carry a concealed handgun legally requires a permit from the police. Many states have changed from may-issue laws (where the local police chief has discretion about to whom to issue a license) to shall-issue laws (where the police chief must issue a permit if the applicant passes a computerized federal background check). Studies conflict on the effect on crime. None considered the situation in may-issue states when police used discretion and refused to issue a permit. We provide suggestive evidence from a December 2013 survey of police chiefs in Massachusetts' 351 cities and towns. Of the 121 responding police chiefs, a large majority favored retaining police discretion. Chiefs issued few discretionary denials - median 2 per year, citing providing false information, a history of assault (often domestic violence), a history of drug or alcohol abuse, or of mental-health issues as the most common reasons for denial.

  18. A Rasch Differential Item Functioning Analysis of the Massachusetts Youth Screening Instrument: Identifying Race and Gender Differential Item Functioning among Juvenile Offenders

    ERIC Educational Resources Information Center

    Cauffman, Elizabeth; MacIntosh, Randall

    2006-01-01

    The juvenile justice system needs a tool that can identify and assess mental health problems among youths quickly with validity and reliability. The goal of this article is to evaluate the racial/ethnic and gender differential item functioning (DIF) of the Massachusetts Youth Screening Instrument-Second Version (MAYSI-2) using the Rasch Model.…

  19. Time-Series Photographs of the Sea Floor in Western Massachusetts Bay, 1996 - 2005

    USGS Publications Warehouse

    Butman, Bradford; Dalyander, P. Soupy; Bothner, Michael H.; Lange, William N.

    2008-01-01

    Time-series photographs of the sea floor were obtained from an instrumented tripod deployed in western Massachusetts Bay at LT-A (42? 22.6' N, 70? 47.0' W; 32 m water depth; fig. 1) from December 1989 through September 2005. The photographs provide time-series observations of physical changes of the sea floor, near-bottom water turbidity, and life on the sea floor. Two reports present these photographs in digital form (table 1) and chronological order. U.S. Geological Survey Data Series 265 (Butman and others, 2008a) contains the photographs obtained from December 1989 to October 1996. This report, U.S. Geological Survey Data Series 266 (Butman and others, 2008b), contains photographs obtained from October 1996 through September 2005. The photographs are published in separate reports because the data files are too large for distribution on a single DVD. This report also contains photographs that were published previously in an uncompressed format (Butman and others 2004a, b, and c; table 1); they have been compressed and included in this publication so that all of the photographs are available in the same format. The photographs, obtained every 4 or every 6 hours, are presented as individual photographs (in .png format, each accessible through a page of thumbnails) and as a movie (in .avi format). The time-series photographs taken at LT-A were collected as part of a U.S. Geological Survey (USGS) study to understand the transport and fate of sediments and associated contaminants in Massachusetts Bay and Cape Cod Bay (Bothner and Butman, 2007). This long-term study was carried out by the USGS in partnership with the Massachusetts Water Resources Authority (MWRA) (http://www.mwra.state.ma.us/) and with logistical support from the U.S. Coast Guard (USCG). Long-term oceanographic observations help to identify the processes causing bottom sediment resuspension and transport and provide data for developing and testing numerical models. The observations document seasonal

  20. Race to the Top. Massachusetts Report. Year 2: School Year 2011-2012. [State-Specific Summary Report

    ERIC Educational Resources Information Center

    US Department of Education, 2013

    2013-01-01

    The State-specific summary report serves as an assessment of Massachusetts' Year 2 Race to the Top implementation, highlighting successes and accomplishments, identifying challenges, and providing lessons learned from implementation from approximately September 2011 through September 2012. In Year 2, Massachusetts continued to implement strong…

  1. Prevention of Health Problems among Gay and Lesbian Youth. Making Health and Human Services Accessible and Effective for Gay and Lesbian Youth.

    ERIC Educational Resources Information Center

    Massachusetts Governor's Commission on Gay and Lesbian Youth, Boston.

    This third report of the Massachusetts Governor's Commission on Gay and Lesbian Youth deals with problems faced by gay and lesbian youth as they attempt to access health and human services. To gather information, the Commission held five hearings across Massachusetts in the autumn of 1992. This report focuses on the testimony of gay and lesbian…

  2. Saugus River and Tributaries, Lynn Malden, Revere and Saugus, Massachusetts. Flood Damage Reduction. Volume 7. Appendix J. Feasibility Study and EIS/EIR Comments and Responses. Section B. Attachments

    DTIC Science & Technology

    1989-12-01

    with the project the loss would be less than without it. 10. F&W Camment: If long term protection of the estuary storage area is essential for...Francis D. Doris Reqion Coord., Governor’s Massachusetts Senate Massachusetts Senate Office/ Ecnomic Devlop. State House State House State House - Room 109

  3. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and.... (4) Program description. The Program Description (PD) and any other material submitted as part of the...

  4. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and.... (4) Program description. The Program Description (PD) and any other material submitted as part of the...

  5. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and.... (4) Program description. The Program Description (PD) and any other material submitted as part of the...

  6. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and.... (4) Program description. The Program Description (PD) and any other material submitted as part of the...

  7. A comparison of Massachusetts and Texas high school biology teachers' attitudes towards the teaching of evolution

    NASA Astrophysics Data System (ADS)

    Howarth, Richard T.

    Darwin's theory of evolution by natural selection is considered to be the unifying theory for all life sciences (American Association for the Advancement of Science, AAAS, 1990; National Academy of Sciences, 1998; National Research Council, NRC, 1996; National Science Teachers Association, NSTA, 2010a) and as such, the biology topic has been established as a central learning standard by the National Science Education Science Standards (NSES, 2005). The purpose of this study was to compare how Massachusetts and Texas high school biology teachers' attitudes toward the teaching of evolution differ as compared to other biology topics. Texas and Massachusetts are two states that exemplify standards based education yet differ dramatically in their histories surrounding the topic of evolution. A survey was conducted among 217 Massachusetts and 139 Texas in-service high school biology teachers to help provide a sense of the phenomena surrounding biology teachers in respect to how their attitudes towards the teaching of evolution are shaped. Additionally, an open-ended question was asked to help contextualize the results of the survey between teachers of these two states. The findings in this study suggest that community appears to be a powerful persuasive message and socialization experience that shapes the development of attitudes towards evolution for some educators, especially when it is highly intertwined with religion. For biology teachers in the state of Texas, the synergistic result of this relationship has resulted in statistically significant differences in regards to attitudes towards evolution as compared to teachers in Massachusetts. These findings yield implications regarding scientific literacy, student learning, assessment, the quality of science instruction, curriculum, undergraduate biology programs, and the needs of biology teachers in terms of professional development.

  8. Environmental public health data and tools

    EPA Science Inventory

    This presentation will be given at University of Massachusetts in Amherst at The Dean's Symposium on Health Communities: Health Equity and Environmental Justice. I was asked to provide keynote talk to discuss environmental public health data and tools. This presentation will incl...

  9. Small City Transit : Amherst, Massachusetts : Free-Fare, Student Operated Transit in a University Community

    DOT National Transportation Integrated Search

    1976-03-01

    Amherst, Massachusetts, is an illustration of a free-fare transit service serving a university campus. This case study is one of thirteen examples of a transit service in a small community. The background of the community is discussed along with a de...

  10. Tobacco-Free Pharmacy Laws and Trends in Tobacco Retailer Density in California and Massachusetts

    PubMed Central

    Jin, Yue; Lu, Bo; Klein, Elizabeth G.; Berman, Micah; Foraker, Randi E.

    2016-01-01

    Objectives. To examine the impact of local laws prohibiting tobacco sales in pharmacies in California and Massachusetts, the only 2 US states in which such municipal laws exist. Methods. We analyzed longitudinally the tobacco retailer density at the city level from tobacco retailer license data in California (2005–2013) and Massachusetts (2004–2014). Results. After adjustments, the reduction in tobacco retailer density over time was 1.44 (95% confidence interval [CI] = 1.37, 1.51) to 3.18 (95% CI = 1.11, 5.25) times greater in cities with a tobacco-free pharmacy law than in cities without such a law. Conclusions. Tobacco-free pharmacy laws are associated with a greater reduction in tobacco retailer density over time in California and Massachusetts. PMID:26890173

  11. Forest-based biomass supply in Massachusetts: How much is there and how much is available

    Treesearch

    Marla Markowski-Lindsay; Paul Catanzaro; David Damery; David B. Kittredge; Brett J. Butler; Thomas Stevens

    2012-01-01

    Forest owners in Massachusetts (U.S.) live in a densely populated state and near forestland that is under pressure of development and characterized by small parcel size. Forest-based biomass harvesting in Massachusetts is a renewable energy topic generating a great deal of discussion among all constituents. To provide perspective on these discussions, our analysis asks...

  12. High-resolution geophysical data from the Inner Continental Shelf: South of Martha's Vineyard and north of Nantucket, Massachusetts

    USGS Publications Warehouse

    Ackerman, Seth D.; Brothers, Laura L.; Foster, David S.; Andrews, Brian D.; Baldwin, Wayne E.; Schwab, William C.

    2016-10-28

    The U.S. Geological Survey and the Massachusetts Office of Coastal Zone Management have cooperated to map approximately 185 square kilometers of the inner continental shelf south of Martha’s Vineyard and north of Nantucket, Massachusetts. This report contains geophysical data collected by the U.S. Geological Survey during a survey in 2013. The geophysical data include (1) swath bathymetry collected by using interferometric sonar, (2) acoustic backscatter from the interferometric sonar, and (3) seismic-reflection profiles from a chirp subbottom profiler. These spatial data support research on the Quaternary evolution of coastal Massachusetts, the influence of sea-level change and sediment supply on coastal evolution, and efforts to understand the type, distribution, and quality of subtidal marine habitats in the coastal ocean of Massachusetts.

  13. Pathways of Thriving and Resilience: Growth Responses to Adversity and Trauma in Two Cambodian Communities: A Comparative Study between Lowell, Massachusetts and Phnom Penh, Cambodia.

    ERIC Educational Resources Information Center

    West, Cheryl D.

    This qualitative study investigated individual, contextual, and cultural factors that promote trauma-related resilience and positive growth among Cambodian survivors of the Pol Pot regime who reside in Phnom Penh, Cambodia and Lowell, Massachusetts. A thriving paradigm framed semi-structured interviews that were conducted with 21 Cambodians in…

  14. Successful Strategies for Educating Hard-to-Reach Populations: Lessons Learned from Massachusetts' Train-the-Trainer Project Using the "Helping You Take Care of Yourself" Curriculum

    ERIC Educational Resources Information Center

    Besculides, Melanie; Trebino, Lisa; Nelson, Heather

    2012-01-01

    Objective: To assess the effectiveness of providing education on breast, cervical and cardiovascular health to hard-to-reach women throughout Massachusetts using an innovative derivation of the "train-the-trainer" approach. Innovation included use of contracts with community-based organizations (CBOs) that required data collection in…

  15. Equations for estimating bankfull channel geometry and discharge for streams in Massachusetts

    USGS Publications Warehouse

    Bent, Gardner C.; Waite, Andrew M.

    2013-01-01

    Regression equations were developed for estimating bankfull geometry—width, mean depth, cross-sectional area—and discharge for streams in Massachusetts. The equations provide water-resource and conservation managers with methods for estimating bankfull characteristics at specific stream sites in Massachusetts. This information can be used for the adminstration of the Commonwealth of Massachusetts Rivers Protection Act of 1996, which establishes a protected riverfront area extending from the mean annual high-water line corresponding to the elevation of bankfull discharge along each side of a perennial stream. Additionally, information on bankfull channel geometry and discharge are important to Federal, State, and local government agencies and private organizations involved in stream assessment and restoration projects. Regression equations are based on data from stream surveys at 33 sites (32 streamgages and 1 crest-stage gage operated by the U.S. Geological Survey) in and near Massachusetts. Drainage areas of the 33 sites ranged from 0.60 to 329 square miles (mi2). At 27 of the 33 sites, field data were collected and analyses were done to determine bankfull channel geometry and discharge as part of the present study. For 6 of the 33 sites, data on bankfull channel geometry and discharge were compiled from other studies done by the U.S. Geological Survey, Natural Resources Conservation Service of the U.S. Department of Agriculture, and the Vermont Department of Environmental Conservation. Similar techniques were used for field data collection and analysis for bankfull channel geometry and discharge at all 33 sites. Recurrence intervals of the bankfull discharge, which represent the frequency with which a stream fills its channel, averaged 1.53 years (median value 1.34 years) at the 33 sites. Simple regression equations were developed for bankfull width, mean depth, cross-sectional area, and discharge using drainage area, which is the most significant explanatory

  16. Climate effects on late-season flight times of Massachusetts butterflies.

    PubMed

    Zipf, L; Williams, E H; Primack, R B; Stichter, S

    2017-09-01

    Although the responses of living organisms to climate change are being widely investigated, little attention has been given to such effects late in the growing season. We studied the late-season flight times of 20 species of butterflies in a geographically limited region, the state of Massachusetts in the USA, by examining change in dates of flight over a 22-year period and in response to average monthly temperature and precipitation. By analyzing the last 10% of each year's observations reported by observers of the Massachusetts Butterfly Club, we found that seven species remain in flight significantly later into the fall than they did two decades earlier, while two species show reduced late-season flight. Life history characteristics of the species, particularly voltinism and average fall flight dates, influenced whether warmer fall months led to increases or decreases in fall flight. Warmer Novembers often led to later fall flight, and wetter Augusts usually extended fall flight. These results document the effects of climate on late-season flight times of butterflies, add to an understanding of how warmer autumn conditions alter the phenology of different butterfly species, and show the usefulness of citizen science data.

  17. Evaluation of Massachusetts Expanded Learning Time (ELT) Initiative: Implementation and Outcomes after Four Years

    ERIC Educational Resources Information Center

    Boulay, Beth; Gamse, Beth; Checkoway, Amy; Maree, Kenyon; Fox, Lindsay

    2011-01-01

    The Massachusetts Department of Elementary and Secondary Education (ESE) has supported a multi-year study of the Expanded Learning Time (ELT) initiative to learn about the process and impact of ELT. Abt Associates Inc. is conducting this research. The study has two components: 1) a planning and implementation component that explores the…

  18. Declining maternal smoking prevalence did not change low birthweight prevalence in Massachusetts from 1989 to 2004.

    PubMed

    Kabir, Zubair; Connolly, Gregory N; Clancy, Luke; Cohen, Bruce B; Koh, Howard K

    2009-01-01

    Maternal smoking is associated with low birthweight (LBW). LBW prevalence is increasing in the US. However, it is unclear whether a fall in maternal smoking has any impact on the LBW prevalence in Massachusetts, a state with a comprehensive tobacco control program since 1993. Temporal patterns in prenatal maternal smoking and in LBW prevalence were quantified between 1989 and 2004, using Massachusetts Community Health Information Profile database. Yearly population-attributable-risk (PAR %) of singleton LBW live-births among pregnant smoking mothers were estimated based on a summary relative risk. The expected number of LBW babies attributable to reductions in maternal smoking in 2004 relative to 1989 was compared to the actual number of LBW babies in 2004. Of 88 929 and 74 554 singleton live-births, 4297 and 4004 LBW births occurred in 1989 and 2004, respectively. Between 1989 and 2004, maternal smoking prevalence significantly declined yearly by >or=6% (from 19.9% to 6.8%) but overall LBW prevalence increased yearly by <1% (from 4.8% to 5.4%), with a significant yearly increase (<1%) in moderately LBW (1500-2499 g) prevalence. Yearly PAR % declined from 20.3% (n = 872) to 8.0% (n = 320), with an expected total of 3745 [4297 - (872 - 320)] LBW babies in 2004 relative to 1989. However, actual LBW babies numbered 4004 in 2004. The 259 above predicted (4004 - 3745) LBW babies born in 2004 being attributed to factors other than prenatal maternal smoking. Massachusetts experienced a decline in prenatal maternal smoking prevalence, but an increase in moderately LBW prevalence has offset the potential gains apparently achieved due to reductions in maternal smoking prevalence.

  19. Parents' supportive reactions to sexual orientation disclosure associated with better health: results from a population-based survey of LGB adults in Massachusetts.

    PubMed

    Rothman, Emily F; Sullivan, Mairead; Keyes, Susan; Boehmer, Ulrike

    2012-01-01

    This study investigated associations between coming out to parents, experiences of parental support, and self-reported health behaviors and conditions among a population-based sample of LGB individuals using data collected via the 2002 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS; N = 177). We explored the following two hypotheses: 1) Lesbian, gay, and bisexual (LGB) individuals who had never disclosed their sexual orientation to a parent would report higher levels of risk behaviors and poorer health conditions than those who had come out; and 2) among LGB respondents who had come out to their parents, the individuals whose parents had reacted unsupportively would report higher levels of risk behaviors and poorer health conditions than those who had come out to parents who were supportive. Approximately two thirds of gay and bisexual (GB) males and lesbian and bisexual (LB) females reported receiving adequate social and emotional support from the parent to whom they first disclosed their sexual orientation. Among LB females, no disclosure of sexual orientation to a parent was associated with significantly elevated levels of past-month illicit drug use (AOR 12.16, 95% CI 2.87-51.54), fair or poor self-reported health status (AOR 5.71, 95% CI 1.45-22.51), and >15 days of depression in the past month (AOR 5.95, 95% CI 1.78-19.90), controlling for potential confounders. However, nondisclosure to a parent by GB males was not associated with greater odds of any of the health indicators assessed. Among GB males, those with unsupportive parents were significantly more likely to report current binge drinking (AOR 6.94, 95% CI 1.70-28.35) and >15 days depression in the past month (AOR 6.08, 95% CI 1.15-32.15), and among LB females, those with unsupportive parents were significantly more likely to report lifetime illicit drug use (AOR 11.43, 95% CI 2.50-52.30), and >15 days depression in the past month (AOR 5.51, 95% CI 1.36-22.36). We conclude that coming

  20. Massachusetts Institute of Technology Artificial Intelligence Laboratory Bibliography.

    ERIC Educational Resources Information Center

    Massachusetts Inst. of Tech., Cambridge. Artificial Intelligence Lab.

    Massachusetts Institute of Technology (MIT) presents a bibliography of more than 350 reports, theses, and papers from its artificial intelligence laboratory. Title, author, and identification number are given for all items, and most also have a date and contract number. Some items are no longer available, and others may be obtained from National…

  1. Getting back on tap: the policy context and cost of ensuring access to low-cost drinking water in Massachusetts schools.

    PubMed

    Cradock, Angie L; Wilking, Cara L; Olliges, Sarah A; Gortmaker, Steven L

    2012-09-01

    Adequate water intake may have important health benefits for schoolchildren. Layers of federal, state, and local policy are relevant to provision of water within schools. Recently passed state and federal laws require free drinking-water access for students during mealtimes. To review Massachusetts local district wellness policies related to water access, provide estimates of costs for three water-provision strategies, and discuss implications for policy relevant to adequate drinking-water access. Legal research was conducted using the LexisNexis legal database and government websites. Local wellness policies were double-coded using existing research tools. Costs of three water-delivery options were estimated using a 10-year school-district perspective. Prior to 2010, most Massachusetts public school district wellness policies (92%-94%) did not address access to free drinking water. Ten-year costs per school for providing water during mealtimes to students, including dispenser unit, installation, water testing, water, cups, and labor, range between $12,544 and $27,922 (depending on water-delivery option) assuming the average Massachusetts school enrollment. Water-provision strategies relying on tap water are more economical than bottled water in the long term. Policy recommendations and cost considerations deserve attention at the local, state, and federal levels. Recommendations are discussed to ensure access to safe, free drinking water for all students. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  2. Geophysical and sampling data from the inner continental shelf: Duxbury to Hull, Massachusetts

    USGS Publications Warehouse

    Barnhardt, Walter A.; Ackerman, Seth D.; Andrews, Brian D.; Baldwin, Wayne E.

    2010-01-01

    The U.S. Geological Survey (USGS) and the Massachusetts Office of Coastal Zone Management (CZM) have cooperated to map approximately 200 km² of the Massachusetts inner continental shelf between Duxbury and Hull. This report contains geophysical and geological data collected by the USGS on three cruises between 2006 and 2007. These USGS data are supplemented with a National Oceanic and Atmospheric Administration (NOAA) hydrographic survey conducted in 2003 to update navigation charts. The geophysical data include (1) swath bathymetry from interferometric sonar and multibeam echosounders, (2) acoustic backscatter from sidescan sonar and multibeam echosounders, and (3) subsurface stratigraphy and structure from seismic-reflection profilers. The geological data include sediment samples, seafloor photographs, and bottom videos. These spatial data support research on the influence sea-level change and sediment supply have on coastal evolution, and on efforts to understand the type, distribution, and quality of subtidal marine habitats in the Massachusetts coastal ocean.

  3. Substance abuse treatment in the Commonwealth of Massachusetts: gaps, consequences and solutions.

    PubMed

    Brolin, Mary F; Horgan, Constance; Amaro, Hortensia; Doonan, Michael

    2005-11-17

    This issue brief outlines five strategies for improving the quality of treatment in Massachusetts: (1) Engaging detoxification clients in a broader continuum of treatment, (2) Improving retention in treatment, (3) Providing client/family-centered services, (4) Increasing the use of evidence-based treatment approaches, and (5) Supporting recovery to address the chronic nature of substance use disorders. These strategies are essential to maximizing the impact of our substance abuse dollars. We need to do it right and then expand access to treatment more broadly and fill the treatment gap. Although not the focus of this report we need to think harder about upfront prevention and efforts to encourage more people to seek care. Part of the public strategy also requires better coordination between BSAS, MassHealth, provider organizations, and other state agencies, including criminal justice and mental health agencies. Through these efforts we can reduce the costs and consequences of substance abuse and build a healthier, more productive community.

  4. New shoreline change data and analysis for the Massachusetts shore with emphasis on Cape Cod and the islands: Mid-1800s to 1994

    USGS Publications Warehouse

    O'Connell, James F.; Thieler, E. Robert; Schupp, Courtney

    2002-01-01

    That shorelines change, oftentimes dramatically in short periods of time, is an accepted fact for those who live along the shore. However, when two-thirds or approximately 512 miles of a state's ocean-facing shore exhibits a long-term erosional trend, in some locations eroding at an average annual rate of 12 feet per year, as is the case in Massachusetts, shoreline property owners, prospective shorefront property owners, and coastal managers need to pay particular attention to the future location of the shoreline to avoid physical and economic disasters. The Woods Hole Oceanographic Institution, Sea Grant Program, the U.S. Geological Survey, and the Cape Cod Cooperative Extension recently completed an update and statistical analysis of historical shoreline change along approximately 1,000 miles of Massachusetts' ocean-facing shore, of which 754 miles were statistically analyzed (Thieler, O'Connell and Schupp, 2001; Schupp, Thieler & O'Connell, 2001). The project was funded by the Massachusetts Office of Coastal Zone Management. In general, four to five shoreline positions mapped between the mid-1800s to 1994 were used to analyze changes along the Massachusetts shore. Seventy-six shoreline change maps with accompanying data tables and a Technical Report were produced. The results of this study reveal that approximately two-thirds of the Massachusetts shore is eroding, with 68% of the shore exhibiting a long-term erosional trend, 30% showing long-term accretion, and 2% showing no net change. ln some areas, erosion rates have accelerated based on a comparison study of previous data that was conducted in 1997 (O'Connell, 1997). Ironically, coastal property that commands some of the highest real estate values in the Commonwealth also exhibits the highest consistent long-term average annual erosion rates. This paper describes the data sources used to map historic shorelines in Massachusetts, the methodology used to both plot a new shoreline and analyze the long

  5. A private-sector preferred provider network model for public health screening of newly resettled refugees.

    PubMed

    Geltman, Paul L; Cochran, Jennifer

    2005-02-01

    US law and regulations stipulate a process for the health screening of refugees. The responsibility of caring for refugees resettled in the United States rests, in part, with public health or welfare departments. Massachusetts has met its screening responsibilities through the innovative creation of a network of private preferred providers. We explore the Massachusetts model of public-private collaboration within the context of federal refugee health priorities and current state fiscal restraints affecting public health programs, and demonstrate the model's accomplishments.

  6. High burden of homelessness among sexual-minority adolescents: findings from a representative Massachusetts high school sample.

    PubMed

    Corliss, Heather L; Goodenow, Carol S; Nichols, Lauren; Austin, S Bryn

    2011-09-01

    We compared the prevalence of current homelessness among adolescents reporting a minority sexual orientation (lesbian/gay, bisexual, unsure, or heterosexual with same-sex sexual partners) with that among exclusively heterosexual adolescents. We combined data from the 2005 and 2007 Massachusetts Youth Risk Behavior Survey, a representative sample of public school students in grades 9 though 12 (n = 6317). Approximately 25% of lesbian/gay, 15% of bisexual, and 3% of exclusively heterosexual Massachusetts public high school students were homeless. Sexual-minority males and females had an odds of reporting current homelessness that was between 4 and 13 times that of their exclusively heterosexual peers. Sexual-minority youths' greater likelihood of being homeless was driven by their increased risk of living separately from their parents or guardians. Youth homelessness is linked with numerous threats such as violence, substance use, and mental health problems. Although discrimination and victimization related to minority sexual orientation status are believed to be important causal factors, research is needed to improve our understanding of the risks and protective factors for homelessness and to determine effective strategies to prevent homelessness in this population.

  7. High Burden of Homelessness Among Sexual-Minority Adolescents: Findings From a Representative Massachusetts High School Sample

    PubMed Central

    Goodenow, Carol S.; Nichols, Lauren; Austin, S. Bryn

    2011-01-01

    Objectives. We compared the prevalence of current homelessness among adolescents reporting a minority sexual orientation (lesbian/gay, bisexual, unsure, or heterosexual with same-sex sexual partners) with that among exclusively heterosexual adolescents. Methods. We combined data from the 2005 and 2007 Massachusetts Youth Risk Behavior Survey, a representative sample of public school students in grades 9 though 12 (n = 6317). Results. Approximately 25% of lesbian/gay, 15% of bisexual, and 3% of exclusively heterosexual Massachusetts public high school students were homeless. Sexual-minority males and females had an odds of reporting current homelessness that was between 4 and 13 times that of their exclusively heterosexual peers. Sexual-minority youths’ greater likelihood of being homeless was driven by their increased risk of living separately from their parents or guardians. Conclusions. Youth homelessness is linked with numerous threats such as violence, substance use, and mental health problems. Although discrimination and victimization related to minority sexual orientation status are believed to be important causal factors, research is needed to improve our understanding of the risks and protective factors for homelessness and to determine effective strategies to prevent homelessness in this population. PMID:21778481

  8. The Massachusetts Community Preservation Act: factors influencing acceptance

    Treesearch

    Robert S. Bristow; Matthew T. VanHeynigen

    2008-01-01

    In New England, urban sprawl creates a need for protecting open space. In 2002, residents of Southwick, MA, voted to accept the Massachusetts Community Preservation Act (CPA), which helps communities implement smart growth by providing funds for affordable housing, open space protection, and historic landmark preservation. This paper summarizes the findings of a survey...

  9. Lead Policy and Academic Performance: Insights from Massachusetts

    ERIC Educational Resources Information Center

    Reyes, Jessica Wolpaw

    2015-01-01

    In this article, Jessica Wolpaw Reyes investigates the link between lead exposure and student achievement in Massachusetts. Childhood exposure to even low levels of lead can adversely affect neurodevelopment, behavior, and cognitive performance. Using a panel dataset of cohorts of children born in the 1990s who were third and fourth graders in the…

  10. Time-series photographs of the sea floor in western Massachusetts Bay, version 2, 1989-1993

    USGS Publications Warehouse

    Butman, Bradford; Dalyander, P. Soupy; Bothner, Michael H.; Lange, William N.

    2008-01-01

    Time-series photographs of the sea floor were obtained from an instrumented tripod deployed in western Massachusetts Bay at LT-A (42° 22.6' N, 70° 47.0' W; nominal water depth of 32 m; fig. 1) from December 1989 through September 2005. The photographs provide time-series observations of physical changes of the sea floor, near-bottom water turbidity, and life on the sea floor. Several reports present these photographs in digital form (table 1). This report, U.S. Geological Survey Data Series 265, Version 2.0, contains the photographs obtained from December 1989 to October 1996, adding to (and replacing) Version 1 of Data Series 265 (Butman and others, 2007a) that contained photographs from 1989 through 1993. Data Series 266 (Butman and others, 2008b) contains photographs obtained from October 1996 through September 2005. The photographs are published in separate reports because the data files are too large for distribution on a single DVD. These reports present the photographs, originally collected on 35-mm film, in digital form to enable easy viewing and to provide a medium-resolution digital archive. The photographs, obtained every 4 or every 6 hours, are presented as individual photographs (in .png format) and as a movie (in .avi format). The time-series photographs taken at LT-A were collected as part of a U.S. Geological Survey (USGS) study to understand the transport and fate of sediments and associated contaminants in Massachusetts Bay and Cape Cod Bay (Bothner and Butman, 2007). This long-term study was carried out by the USGS in partnership with the Massachusetts Water Resources Authority (MWRA) (http://www.mwra.state.ma.us/) and with logistical support from the U.S. Coast Guard (USCG). Long-term oceanographic observations help to identify the processes causing bottom sediment resuspension and transport and provide data for developing and testing numerical models. The observations document seasonal and interannual changes in currents, hydrography

  11. Regional Charging Infrastructure for Plug-In Electric Vehicles: A Case Study of Massachusetts

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

    Wood, Eric; Raghavan, Sesha; Rames, Clement

    Given the complex issues associated with plug-in electric vehicle (PEV) charging and options in deploying charging infrastructure, there is interest in exploring scenarios of future charging infrastructure deployment to provide insight and guidance to national and regional stakeholders. The complexity and cost of PEV charging infrastructure pose challenges to decision makers, including individuals, communities, and companies considering infrastructure installations. The value of PEVs to consumers and fleet operators can be increased with well-planned and cost-effective deployment of charging infrastructure. This will increase the number of miles driven electrically and accelerate PEV market penetration, increasing the shared value of charging networksmore » to an expanding consumer base. Given these complexities and challenges, the objective of the present study is to provide additional insight into the role of charging infrastructure in accelerating PEV market growth. To that end, existing studies on PEV infrastructure are summarized in a literature review. Next, an analysis of current markets is conducted with a focus on correlations between PEV adoption and public charging availability. A forward-looking case study is then conducted focused on supporting 300,000 PEVs by 2025 in Massachusetts. The report concludes with a discussion of potential methodology for estimating economic impacts of PEV infrastructure growth.« less

  12. The diorite at West Warren, south-central Massachusetts

    USGS Publications Warehouse

    Pomeroy, John S.

    1974-01-01

    Follated, syntectonic, concordant intrusive bodies of mostly diorite and meladiorite with less abundant quartz diorite and norite have been mapped in the West Warren area of south-central Massachusetts. The rocks of the pluton range from a medium colored phase of diorite and quartz diorite to a dark colored phase of meladiorite and norite. Major minerals In the dioritic rocks are calcic andesine, green hornblende, brown biotite, and hypersthene. Igneous textures are dominant, and retrograde or deuteric effects are generally minor. Silica and alumina contents of the dioritic rocks are somewhat higher than for average diorites; conversely, the oxides of iron, magnesium, and calcium are generally lower. Normative quartz, albite, and anorthite are higher and orthoclase is lower in the samples than In the average diorite. Sizeable plutons of diorite-norite are uncommon in central Massachusetts. The West Warren body, roughly 26 km2 (10 square miles) in area, bears little petrochemical relation to adjacent rock units. The pluton can be construed as belonging to a belt of intrusive mafic rocks which stretches from southeastern New York to coastal Maine.

  13. Evaluating OSHA's ethylene oxide standard: exposure determinants in Massachusetts hospitals.

    PubMed Central

    LaMontagne, A D; Kelsey, K T

    2001-01-01

    OBJECTIVES: This study sought to identify determinants of workplace exposures to ethylene oxide to assess the effect of the Occupational Safety and Health Administration's (OSHA's) 1984 ethylene oxide standard. METHODS: An in-depth survey of all hospitals in Massachusetts that used ethylene oxide from 1990 through 1992 (96% participation, N = 90) was conducted. Three types of exposure events were modeled with logistic regression: exceeding the 8-hour action level, exceeding the 15-minute excursion limit, and worker exposures during unmeasured accidental releases. Covariates were drawn from data representing an ecologic framework including direct and indirect potential exposure determinants. RESULTS: After adjustment for frequencies of ethylene oxide use and exposure monitoring, a significant inverse relation was observed between exceeding the action level and the use of combined sterilizer-aerators, an engineering control technology developed after the passage of the OSHA standard. Conversely, the use of positive-pressure sterilizers that employ ethylene oxide gas mixtures was strongly related to both exceeding the excursion limit and the occurrence of accidental releases. CONCLUSIONS: These findings provide evidence of a positive effect of OSHA's ethylene oxide standard and specific targets for future prevention and control efforts. PMID:11236406

  14. Evaluating OSHA's ethylene oxide standard: exposure determinants in Massachusetts hospitals.

    PubMed

    LaMontagne, A D; Kelsey, K T

    2001-03-01

    This study sought to identify determinants of workplace exposures to ethylene oxide to assess the effect of the Occupational Safety and Health Administration's (OSHA's) 1984 ethylene oxide standard. An in-depth survey of all hospitals in Massachusetts that used ethylene oxide from 1990 through 1992 (96% participation, N = 90) was conducted. Three types of exposure events were modeled with logistic regression: exceeding the 8-hour action level, exceeding the 15-minute excursion limit, and worker exposures during unmeasured accidental releases. Covariates were drawn from data representing an ecologic framework including direct and indirect potential exposure determinants. After adjustment for frequencies of ethylene oxide use and exposure monitoring, a significant inverse relation was observed between exceeding the action level and the use of combined sterilizer-aerators, an engineering control technology developed after the passage of the OSHA standard. Conversely, the use of positive-pressure sterilizers that employ ethylene oxide gas mixtures was strongly related to both exceeding the excursion limit and the occurrence of accidental releases. These findings provide evidence of a positive effect of OSHA's ethylene oxide standard and specific targets for future prevention and control efforts.

  15. Incorporating Road Crossing Data into Vehicle Collision Risk Models for Moose (Alces americanus) in Massachusetts, USA.

    PubMed

    Zeller, Katherine A; Wattles, David W; DeStefano, Stephen

    2018-05-09

    Wildlife-vehicle collisions are a human safety issue and may negatively impact wildlife populations. Most wildlife-vehicle collision studies predict high-risk road segments using only collision data. However, these data lack biologically relevant information such as wildlife population densities and successful road-crossing locations. We overcome this shortcoming with a new method that combines successful road crossings with vehicle collision data, to identify road segments that have both high biological relevance and high risk. We used moose (Alces americanus) road-crossing locations from 20 moose collared with Global Positioning Systems as well as moose-vehicle collision (MVC) data in the state of Massachusetts, USA, to create multi-scale resource selection functions. We predicted the probability of moose road crossings and MVCs across the road network and combined these surfaces to identify road segments that met the dual criteria of having high biological relevance and high risk for MVCs. These road segments occurred mostly on larger roadways in natural areas and were surrounded by forests, wetlands, and a heterogenous mix of land cover types. We found MVCs resulted in the mortality of 3% of the moose population in Massachusetts annually. Although there have been only three human fatalities related to MVCs in Massachusetts since 2003, the human fatality rate was one of the highest reported in the literature. The rate of MVCs relative to the size of the moose population and the risk to human safety suggest a need for road mitigation measures, such as fencing, animal detection systems, and large mammal-crossing structures on roadways in Massachusetts.

  16. Madaket Harbor, Nantucket, Massachusetts. Water Resources Improvement.

    DTIC Science & Technology

    1977-07-01

    will continue to be, important increases in the recreational use of land and water. The harbor area is an important arena for commercial shellfishing...an important arena for commercial shell fishing. The past few years have seen a rather rapid increase in residential land use. Construction has...beamc. Tnis material will be re-deposited,, viaj troio it 1-apfro1inr ox prior location. j, MADAKET HARBOR NANTUCKET, MASSACHUSETTS FEASIBILITY

  17. 78 FR 55080 - Announcement of the Award of a Single-Source Program Expansion Supplement Grant to Massachusetts...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-09

    ... Grant to Massachusetts Office for Refugees and Immigrants in Boston, MA AGENCY: Office of Refugee... to Massachusetts Office for Refugees and Immigrants to provide refugee cash assistance to an... Office for Refugees and Immigrants, Boston, MA, in the amount of $325,000 under the Wilson- Fish Program...

  18. Self-reported health among Cambodians in Lowell, Massachusetts.

    PubMed

    Koch-Weser, Susan; Liang, Sidney L; Grigg-Saito, Dorcas C

    2006-05-01

    National health data reported for Asians in the aggregate present a picture of good health, but significant health disparities exist between Southeast Asian refugees, and Cambodians in particular, and the overall population of the U.S. To effectively address health disparities, ethnically specific data is needed. Data from a community survey of 381 Cambodian adults 25 years of age and older are presented. Overall, 44% of respondents reported fair or poor health. Using multivariate logistic regression, we examined the relationships between self-rated health and demographics, timing of immigration, language use and literacy, and access to health care. In our final model those most likely to report fair or poor health were female, older, unable to work due to disability, to have spent a smaller proportion of their life in the U.S., and to have wanted to see a doctor in the past year, but not been able to.

  19. Impact of urban sprawl on water quality in eastern Massachusetts, USA.

    PubMed

    Tu, Jun; Xia, Zong-Guo; Clarke, Keith C; Frei, Allan

    2007-08-01

    A study of water quality, land use, and population variations over the past three decades was conducted in eastern Massachusetts to examine the impact of urban sprawl on water quality using geographic information system and statistical analyses. Since 1970, eastern Massachusetts has experienced pronounced urban sprawl, which has a substantial impact on water quality. High spatial correlations are found between water quality indicators (especially specific conductance, dissolved ions, including Ca, Mg, Na, and Cl, and dissolved solid) and urban sprawl indicators. Urbanized watersheds with high population density, high percentage of developed land use, and low per capita developed land use tended to have high concentrations of water pollutants. The impact of urban sprawl also shows clear spatial difference between suburban areas and central cities: The central cities experienced lower increases over time in specific conductance concentration, compared to suburban and rural areas. The impact of urban sprawl on water quality is attributed to the combined effects of population and land-use change. Per capita developed land use is a very important indicator for studying the impact of urban sprawl and improving land use and watershed management, because inclusion of this indicator can better explain the temporal and spatial variations of more water quality parameters than using individual land use or/and population density.

  20. Developing Core Competencies for the Prevention and Management of Prescription Drug Misuse: A Medical Education Collaboration in Massachusetts.

    PubMed

    Antman, Karen H; Berman, Harris A; Flotte, Terence R; Flier, Jeffrey; Dimitri, Dennis M; Bharel, Monica

    2016-10-01

    Drug overdose has become the leading cause of injury death in the United States. More than half of those deaths involve prescription drugs, specifically opioids. A key component of addressing this national epidemic is improving prescriber practices.A review of the curricula at the four medical schools in Massachusetts revealed that, although they taught components of addiction medicine, no uniform standard existed to ensure that all students were taught prevention and management strategies for prescription drug misuse. To fill this gap, the governor and the secretary of health and human services invited the deans of the state's four medical schools to convene to develop a common educational strategy for teaching safe and effective opioid-prescribing practices. With leadership from the Department of Public Health and Massachusetts Medical Society, the deans formed the Medical Education Working Group in 2015. This group reviewed the relevant literature and current standards for treating substance use disorders and defined 10 core competencies for the prevention and management of prescription drug misuse.The medical schools have incorporated these competencies into their curricula and have committed to assessing students' competence in these areas. The members of the Medical Education Working Group have agreed to continue to work together on key next steps, including connecting these competencies to those for residents, equipping interprofessional teams to address prescription drug misuse, and developing materials in pain management and opioid misuse for practicing physicians. This first-in-the-nation partnership has yielded cross-institutional competencies that aim to address a public health emergency in real time.

  1. Factors influencing riverine fish assemblages in Massachusetts

    USGS Publications Warehouse

    Armstrong, David S.; Richards, Todd A.; Levin, Sara B.

    2011-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Conservation and Recreation, Massachusetts Department of Environmental Protection, and the Massachusetts Department of Fish and Game, conducted an investigation of fish assemblages in small- to medium-sized Massachusetts streams. The objective of this study was to determine relations between fish-assemblage characteristics and anthropogenic factors, including impervious cover and estimated flow alteration, relative to the effects of environmental factors, including physical-basin characteristics and land use. The results of this investigation supersede those of a preliminary analysis published in 2010. Fish data were obtained for 669 fish-sampling sites from the Massachusetts Division of Fisheries and Wildlife fish-community database. A review of the literature was used to select fish metrics - species richness, abundance of individual species, and abundances of species grouped on life history traits - responsive to flow alteration. The contributing areas to the fish-sampling sites were delineated and used with a geographic information system to determine a set of environmental and anthropogenic factors that were tested for use as explanatory variables in regression models. Reported and estimated withdrawals and return flows were used together with simulated unaltered streamflows to estimate altered streamflows and indicators of flow alteration for each fish-sampling site. Altered streamflows and indicators of flow alteration were calculated on the basis of methods developed in a previous U.S. Geological Survey study in which unaltered daily streamflows were simulated for a 44-year period (water years 1961-2004), and streamflow alterations were estimated by use of water-withdrawal and wastewater-return data previously reported to the State for the 2000-04 period and estimated domestic-well withdrawals and septic-system discharges. A variable selection process, conducted using principal

  2. Massachusetts Integrated Postsecondary Education Data System. Summary Report 1987.

    ERIC Educational Resources Information Center

    Dulac, Betty; Vasily, Jon

    Data compiled from aggregate forms completed by individual Massachusetts colleges and universities as part of the Integrated Postsecondary Education Data System (IPEDS), formerly known as the Higher Education General Information Survey (HEGIS), are presented. Only data pertaining to those institutions authorized to grant degrees in Massachusetts…

  3. Drunken Driver Education and Rehabilitation in Massachusetts. FY '89.

    ERIC Educational Resources Information Center

    Jaffee, Kim

    In Massachusetts, rehabilitation opportunities are graduated, increasingly intensive, and determined by the number of prior convictions for driving under the influence of liquor (DUIL). Convicted first offenders may choose participation in a 40-hour educational rehabilitation program. Individuals convicted of a second DUIL offense may participate…

  4. A Look at the Condition of Education in Massachusetts

    ERIC Educational Resources Information Center

    d'Entremont, Chad

    2014-01-01

    Leaders engaged in Massachusetts' public higher education system--including at community colleges, state universities, and UMass--have demonstrated their strong commitment to improvement in recent years. The state Department of Higher Education's Vision Project is focused on reforms necessary to "produce the best educated citizenry and…

  5. Nurses' Perceptions of Barriers and Facilitators Affecting the Shaken Baby Syndrome Education Initiative: An Exploratory Study of a Massachusetts Public Policy.

    PubMed

    Rideout, Leslie

    2016-01-01

    The objective of this study was to assess nurses' perceptions of barriers to and facilitators of implementation of the shaken baby syndrome (SBS)/abusive head trauma (AHT) public policy. A legislative Act providing for the prevention of SBS/AHT was passed in Massachusetts in November 2006. A stipulation of this Act was the provision of a program to educate parents/guardians of newborns about SBS/AHT prevention. A quantitative, cross-sectional research design with a qualitative component was used for this study. Nurses in 13 Massachusetts birthing hospitals were surveyed using a Web-based questionnaire (hosted by Qualtrics, Provo, Utah). Hospital nurses' responses (N = ∼ 922; 155 responded) revealed barriers to and facilitators of SBS/AHT guideline implementation. The disadvantage of Web-based surveys as they relate to the challenges of enlisting cooperation and a lack of direct access to the nurses may have attributed to the low response rate (17%) for this study. The outcomes of logistic regression analyses and themes from the qualitative analysis revealed a lack of SBS/AHT brochures and an inability to provide SBS/AHT education for non-English-speaking parents/guardians as barriers to SBS/AHT education. An atmosphere of supportive leadership facilitated implementation of the SBS/AHT education guidelines by nurses. It is imperative that nurse leadership support be sustained so that nurses have SBS/AHT education resources, an understanding of the SBS/AHT education guidelines, and feedback about the impact of their SBS/AHT education interventions.

  6. Hydroelectric Generating Facilities General Permit (HYDROGP) for Massachusetts & New Hampshire

    EPA Pesticide Factsheets

    Documents, links & contacts for the Notice of Availability of the Final NPDES General Permits (HYDROGP) for Discharges at Hydroelectric Generating Facilities in Massachusetts (MAG360000) and New Hampshire (NHG360000) and Tribal Lands in the State of MA.

  7. Noise test-resilient wheels Massachusetts Bay Transportation Authority green line

    DOT National Transportation Integrated Search

    1982-11-30

    This document presents the results of noise and ground-borne vibration measurements made for three rail transit vehicles operating on the Green Line of the Massachusetts Bay Transportation Authority (MBTA). The purpose of these measurements was to as...

  8. Protists from a sewage‐contaminated aquifer on cape cod, Massachusetts

    USGS Publications Warehouse

    Novarino, Gianfranco; Warren, Alan; Kinner, Nancy E.; Harvey, Ronald W.

    1994-01-01

    Several species of flagellates (genera Bodo, Cercomonas, Cryptaulax, Cyathomonas, Goniomonas, Spumella) have been identified in cultures from a plume of organic contamination (treated sewage effluent) within an aquifer on Cape Cod, Massachusetts. Amoebae and numerous unidentifiable 2‐ to 3‐μm flagellates have also been observed. As a rule, flagellates were associated with solid surfaces, or were capable of temporary surface attachment, corroborating earlier observations from in situ and column transport experiments suggesting that protists in the Massachusetts aquifer have a high propensity for association with sediment grain surfaces. Based on the fact that cultures from the uncontaminated part of the aquifer yielded only a few species of protists, it is hypothesized that the greater abundance and variety of food sources in the contaminant plume is capable of supporting a greater number of protistan species.

  9. Building America Case Study: Monitoring of Double Stud Wall Moisture Conditions in the Northeast, Devens, Massachusetts (Fact Sheet)

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

    Not Available

    2015-03-01

    Double-stud walls insulated with cellulose or low-density spray foam can have R-values of 40 or higher. However, double stud walls have a higher risk of interior-sourced condensation moisture damage, when compared with high-R approaches using exterior insulating sheathing. Moisture conditions in double stud walls were monitored in Zone 5A (Massachusetts); three double stud assemblies were compared.

  10. Educational Horizons for Nursing in Massachusetts. A Report on Nursing Education in the Commonwealth of Massachusetts with Recommendations for the Future. Vol. 3.

    ERIC Educational Resources Information Center

    Malone, Mary F.

    Recognizing the shortage of prepared nursing personnel in both service and educational institutions, the Advisory Committee on Nursing Education made a questionnaire survey of all state approved schools of nursing in Massachusetts to aid in planning for nursing education within the state's public educational institutions. Returns from all six…

  11. Substance Use Treatment Provider Behavior and Healthcare Reform: Evidence from Massachusetts.

    PubMed

    Maclean, Johanna Catherine; Saloner, Brendan

    2018-01-01

    We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment facilities' provision of care. We test the impact of the reform on treatment quantity and access. We couple data on the near universe of specialty SUD treatment providers in the USA with a synthetic control method approach. We find little evidence that the reform lead to changes in treatment quantity or access. Reform effects were similar among for-profit and non-profit facilities. In an extension, we show that the reform altered the setting in which treatment is received, the number of offered services, and the number of programs for special populations. These findings may be useful in predicting the implications of major health insurance expansions on the provision of SUD treatment. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  12. Commitment and Common Sense: Leading Education Reform in Massachusetts

    ERIC Educational Resources Information Center

    Driscoll, David P.

    2017-01-01

    "Commitment and Common Sense" tells the inside story of how Massachusetts became a national model for education. Twelve years after the passage of the state's comprehensive education reform law in 1993, Bay State student scores rose to the top of "the nation's report card" (the National Assessment of Educational Progress) in…

  13. Asian Pacific Americans in Cambridge. Community Profiles in Massachusetts.

    ERIC Educational Resources Information Center

    Massachusetts Univ., Boston. Inst. for Asian American Studies.

    The Community Profiles Project uses data from the 1990 U.S. Census to describe some of the population characteristics of Asian Pacific Americans in selected Massachusetts cities and towns. The profiles include basic statistics relating to income, employment, education, and housing. This information can assist policy makers and practitioners in…

  14. Continuing Education in Massachusetts; State Programs for the Seventies.

    ERIC Educational Resources Information Center

    Levin, Melvin R.; Slavet, Joseph S.

    Varying needs, largely unmet, were found in the provision of adult education throughout Massachusetts, and recommendations were formulated for an articulated and adequate program. Low priority, weak centers of leadership, and a limited and confused mandate emerged as major obstacles to effectiveness. It was found that, on the basis of accepted…

  15. Schools and Programs of Choice: Voluntary Desegregation in Massachusetts.

    ERIC Educational Resources Information Center

    Missal, Gerald E., Ed.

    Described in this document are a number of magnet school programs developed and operating in Massachusetts as part of a voluntary school desegregation plan. A historical perspective of magnet school development is provided along with definitions and guidelines of both magnet schools and magnet education programs. These definitions and guidelines…

  16. Digital Learning Compass: Distance Education State Almanac 2017. Massachusetts

    ERIC Educational Resources Information Center

    Seaman, Julia E.; Seaman, Jeff

    2017-01-01

    This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of Massachusetts. The sample for this analysis is comprised of all active, degree-granting…

  17. A Review of Faculty Workload Policies and Faculty Workloads at the University of Massachusetts at Amherst. Report of the Select Committee on Post Audit and Oversight. Senate No. 1785.

    ERIC Educational Resources Information Center

    Massachusetts State Legislature, Boston. Senate Committee on Post Audit and Oversight.

    This Massachusetts Senate committee study examined the current policies and procedures used by the University of Massachusetts at Amherst (UMA) to monitor, manage, and report on the activities of its faculty, in particular its faculty workload. The study had originally intended to analyze faculty workload in terms of instruction (teaching),…

  18. Water Resources Data for Massachusetts and Rhode Island, 1998

    USGS Publications Warehouse

    Socolow, R.S.; Comeau, L.Y.; Zanca, J.L.; Ramsbey, L.R.

    1999-01-01

    INTRODUCTION The Water Resources Division of the U.S. Geological Survey, in cooperation with State agencies, obtains a large amount of data pertaining to the water resources of Massachusetts and Rhode Island each water year. These data, accumulated during many water years, constitute a valuable data base for developing an improved understanding of the water resources of the States. To make these data readily available to interested parties outside the Geological Survey, the data are published annually in this report series entitled 'Water Resources Data-Massachusetts and Rhode Island.' Hydrologic data are also available through the Massachusetts-Rhode Island District Home Page on the world-wide web (http://ma.water.usgs.gov). Historical data and real-time data (for sites equipped with satellite gageheight telemeter) are also available. The home page also contains a link to the U.S. Geological Survey National Home Page where streamflow data from locations throughout the United States can be retrieved. This report series includes records of stage, discharge, and water quality of streams; contents of lakes and reservoirs; and water levels of ground-water wells. This volume contains discharge records at 93 gaging stations; monthend contents of 4 lakes and reservoirs; water quality at 22 gaging stations; and water levels for 139 observation wells. Locations of these sites are shown in figures 1 and 2. Miscellaneous hydrologic data were collected at various sites that were not involved in the systematic data-collection program and are published as miscellaneous discharge measurements. The data in this report represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating State and Federal agencies in Massachusetts and Rhode Island. This series of annual reports for Massachusetts and Rhode Island began with the 1961 water year with a report that contained only data relating to the quantities of surface water. For the 1964 water

  19. Anti-tobacco advertisements by Massachusetts and Philip Morris: what teenagers think

    PubMed Central

    Biener, L

    2002-01-01

    Design: A 1999 telephone survey of teenagers in households identified during a random digit dial survey of adults conducted during the prior four years. Respondents were asked to describe an ad they had seen in the past 30 days, and then to rate its perceived effectiveness. Participants: Respondents were 733 youth between the ages of 14 and 17 years. Intervention: The most prominent anti-tobacco advertisements broadcast in Massachusetts during the time covered by the survey consisted of those produced by the Massachusetts Tobacco Control Program and those produced by the Philip Morris tobacco company. The ads described by respondents were grouped into four categories based on their sponsor and their approach. Main outcome measures: Perceived effectiveness of anti-tobacco advertisements seen during the month before the survey as measured on an 11 point scale. Results: Ads featuring the serious consequences of smoking were seen as significantly more effective by youth than both Massachusetts ads that did not discuss illness (p < 0.001) and Philip Morris "Think, Don't Smoke" ads (p < 0.001). Conclusion: Youth prevention programmes should not shy away from anti-tobacco ads that feature the serious consequences of smoking. These types of ads are the ones perceived as most effective by teenagers regardless of their smoking status, age, sex or ethnicity. PMID:12034981

  20. Provision of Fluoride Varnish to Medicaid-Enrolled Children by Physicians: The Massachusetts Experience

    PubMed Central

    Isong, Inyang A; Silk, Hugh; Rao, Sowmya R; Perrin, James M; Savageau, Judith A; Donelan, Karen

    2011-01-01

    Objectives To evaluate the impact of a 2008 Medicaid policy in Massachusetts (MA), regarding reimbursing physicians for providing fluoride varnish (FV) to eligible children in medical settings. Data Source Survey of a sample of primary care physicians in MA. Study Design Cross-sectional survey of a sample of physicians who provide care to MassHealth (MA Medicaid) enrolled-children. Dependent variables: history of completed preventive dental skills training, and FV provision. Independent variables: oral health knowledge, FV-attitudes, and physician and practice characteristics. Principal Findings Overall, 19 percent of respondents had completed the training required to be eligible to bill for FV provision. Only 5 percent of physicians were providing FV. Most respondents (63 percent) were not familiar with the new policy, and only 25 percent felt that FV should be provided during well-child visits. Most physicians (60 percent) did not feel that the reimbursement rate of U.S.$26/application was sufficient; 17 percent said that they would not provide FV, regardless of payment. Most common barriers to FV provision were a lack of time and logistical challenges. Conclusions Our findings suggest that simply reimbursing physicians for FV provision is insufficient to ensure provider participation. Success of this policy will likely require addressing several barriers identified. PMID:21762142

  1. Killed by Police: Validity of Media-Based Data and Misclassification of Death Certificates in Massachusetts, 2004-2016.

    PubMed

    Feldman, Justin M; Gruskin, Sofia; Coull, Brent A; Krieger, Nancy

    2017-10-01

    To assess the validity of demographic data reported in news media-based data sets for persons killed by police in Massachusetts (2004-2016) and to evaluate misclassification of these deaths in vital statistics mortality data. We identified 84 deaths resulting from police intervention in 4 news media-based data sources (WGBH News, Fatal Encounters, The Guardian, and The Washington Post) and, via record linkage, conducted matched-pair analyses with the Massachusetts mortality data. Compared with death certificates, there was near-perfect correlation for age in all sources (Pearson r > 0.99) and perfect concordance for gender. Agreement for race/ethnicity ranged from perfect (The Counted and The Washington Post) to high (Fatal Encounters Cohen's κ = 0.92). Among the 78 decedents for whom finalized International Classification of Diseases, 10th Revision (ICD-10), codes were available, 59 (75.6%) were properly classified as "deaths due to legal intervention." In Massachusetts, the 4 media-based sources on persons killed by police provide valid demographic data. Misclassification of deaths due to legal intervention in the mortality data does, however, remain a problem. Replication of the study in other states and nationally is warranted.

  2. Identification of a nucleopolyhedrovirus in winter moth populations from Massachusetts

    Treesearch

    John P. Burand; Anna Welch; Woojin Kim; Vince D' Amico; Joseph S. Elkinton

    2011-01-01

    The winter moth, Operophtera brumata, originally from Europe, has recently invaded eastern Massachusetts. This insect has caused widespread defoliation of many deciduous tree species and severely damaged a variety of crop plants in the infested area including apple, strawberry, and especially blueberry.

  3. Obtaining Streamflow Statistics for Massachusetts Streams on the World Wide Web

    USGS Publications Warehouse

    Ries, Kernell G.; Steeves, Peter A.; Freeman, Aleda; Singh, Raj

    2000-01-01

    A World Wide Web application has been developed to make it easy to obtain streamflow statistics for user-selected locations on Massachusetts streams. The Web application, named STREAMSTATS (available at http://water.usgs.gov/osw/streamstats/massachusetts.html ), can provide peak-flow frequency, low-flow frequency, and flow-duration statistics for most streams in Massachusetts. These statistics describe the magnitude (how much), frequency (how often), and duration (how long) of flow in a stream. The U.S. Geological Survey (USGS) has published streamflow statistics, such as the 100-year peak flow, the 7-day, 10-year low flow, and flow-duration statistics, for its data-collection stations in numerous reports. Federal, State, and local agencies need these statistics to plan and manage use of water resources and to regulate activities in and around streams. Engineering and environmental consulting firms, utilities, industry, and others use the statistics to design and operate water-supply systems, hydropower facilities, industrial facilities, wastewater treatment facilities, and roads, bridges, and other structures. Until now, streamflow statistics for data-collection stations have often been difficult to obtain because they are scattered among many reports, some of which are not readily available to the public. In addition, streamflow statistics are often needed for locations where no data are available. STREAMSTATS helps solve these problems. STREAMSTATS was developed jointly by the USGS and MassGIS, the State Geographic Information Systems (GIS) agency, in cooperation with the Massachusetts Departments of Environmental Management and Environmental Protection. The application consists of three major components: (1) a user interface that displays maps and allows users to select stream locations for which they want streamflow statistics (fig. 1), (2) a data base of previously published streamflow statistics and descriptive information for 725 USGS data

  4. Massachusetts Educational Assessment Program. Science and Ecology 1976-1977.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Boston.

    Biology, Chemistry, Earth Science, Physics, and Ecology assessment instruments were administered to approximately 1,800 nine year old and 1,800 seventeen year old Massachusetts students. The 9 year old students exceeded the performance of a national and international sampling of students. They equaled the performance of a sampling of students from…

  5. Serials Conversion at the University of Massachusetts at Amherst.

    ERIC Educational Resources Information Center

    Banach, Patricia; Spell, Cynthia

    1988-01-01

    Describes a project in which OCLC retrospectively converted more than 27,000 serial titles held by the University of Massachusetts Library at Amherst. Details of the reasons for choosing OCLC, the contract between the library and OCLC, and the effectiveness of the project in meeting the library's goals are discussed. (Author/CLB)

  6. Field Monitoring of Experimental Hot Mix Asphalt Projects Placed in Massachusetts

    DOT National Transportation Integrated Search

    2017-06-30

    Since 2000, Massachusetts has been involved with numerous field trials of experimental hot mix asphalt mixtures. These experimental mixtures included several pilot projects using the Superpave mixture design methodology, utilization of warm mix aspha...

  7. Hospital library resources in Massachusetts: data collection and analysis.

    PubMed

    McGrath, P J

    1980-10-01

    Hospitals in the Commonwealth of Massachusetts were surveyed to establish some ranges and baseline statistics for hospital medical information resources. The data were evaluated in terms of theoretical compliance with the Joint Commission on Accreditation of Hospitals standards as well as the more specific proposed appendices to the Canadian Standards for Hospital Libraries. The study quantifies hospital library resources and services in a state with a substantial number of acute care facilities. Of the study universe, 67.6% were judged as meeting either the revised JCAH or the Canadian criteria. The central finding is that the 100- to 299-bed institutions reflect a significant number of deficiencies when evaluated against either quantitative or nonquantitative standards. Further areas of study are suggested.

  8. Investing in Development: Six High-Performing, High-Poverty Schools Implement the Massachusetts Teacher Evaluation Policy

    ERIC Educational Resources Information Center

    Reinhorn, Stefanie K.; Johnson, Susan Moore; Simon, Nicole S.

    2017-01-01

    We studied how six high-performing, high-poverty schools in one large Massachusetts city implemented the state's new teacher evaluation policy. The sample includes traditional, turnaround, restart, and charter schools, each of which had received the state's highest accountability rating. We sought to learn how these successful schools approached…

  9. Barriers to Massachusetts forest landowner participation in carbon markets

    Treesearch

    Marla ​Markowski-Lindsay; Thomas Stevens; David B. Kittredge; Brett J. Butler; Paul Catanzaro; Brenton J. Dickinson

    2011-01-01

    U.S. forests, including family-owned forests, are important carbon sinks and sources for carbon sequestration. Family forest owners constitute a significant portion of the overall forestland in the U.S., but little is known about their preferences for participating in carbon sequestration programs. The goal of this research is to understand what motivates Massachusetts...

  10. Review of Massachusetts Child Care Subsidy Eligibility Policies and Practices: A Report for the Assessment of the Massachusetts Subsidized Child Care System. Research Report

    ERIC Educational Resources Information Center

    Adams, Gina; Katz, Michael

    2015-01-01

    This report summarizes findings from a review of Massachusetts' child care subsidy eligibility policies and implementation practices. The review included interviews and focus groups with approximately 60 experts and stakeholders with a broad range of perspectives on the system. It identifies several important issues that, if addressed, could…

  11. New partnership for health? Business groups on health and health systems agencies.

    PubMed Central

    Bradbury, R C

    1983-01-01

    The experience of the Central Massachusetts Health Systems Agency (CMHSA) and the Central Massachusetts Business Group on Health (CMBGH) demonstrates the feasibility of cooperation between HSAs and BGHs. Objectives and strategies of the two groups in carrying out community health planning and working for health systems change are compared. Nearly two decades of government-sponsored community health planning programs, first through comprehensive health planning agencies and then through HSAs, have had less impact than many had anticipated because neither the technical nor political basis for such planning was sufficiently established. The CMHSA experience is typical, although it is credited with developing a hospital systems plan that is based on sound planning methods and statistical data. It is in the implementation of plans that the CMHSA has made slow progress, reflecting its inadequate community power base. The CMBGH, 1 of more than 90 groups that have developed recently across the country to attack high health care costs, was formed in 1981 by business leaders to address these rising costs. The principal strategy adopted by the CMBGH involves fostering a competitive health care market by creating a critical number of competing health plans. The providers in each plan will then have incentives to provide effective care in an efficient manner to keep the premium competitive and attract enrollees. Cooperation between the CMBGH and CMHSA is based on each organization's emphasizing its strengths. The CMHSA's data base and analyses have been the primary resources used by the CMBGH to identify problems. Each organization has developed its own set of goals and objectives, while keeping in mind those of the other organization.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:6419277

  12. The Paleohydrology of Sluice Pond, NE Massachusetts, and its Regional Significance

    EPA Science Inventory

    Seismic, pollen, stable isotope and lithologic stratigraphies of Sluice Pond, northeastern Massachusetts, were investigated to reconstruct local climate conditions fromthe latest Pleistocene to present. We present a new lake-level curve, constrained largely by acoustic reflectors...

  13. Preventative health, diversity, and inclusion: a qualitative study of client experience aboard a mobile health clinic in Boston, Massachusetts.

    PubMed

    Bouchelle, Zoe; Rawlins, Yasmin; Hill, Caterina; Bennet, Jennifer; Perez, Leonor Xochitl; Oriol, Nancy

    2017-11-03

    There are approximately 2000 mobile health clinics operating in the United States. While researchers have established that mobile health clinics can be cost effective and improve outcomes, there is scant research examining the healthcare experience on a mobile health clinic from patients' perspectives. Data were gathered from interviews with 25 clients receiving care on a Boston-based mobile health clinic and analyzed using grounded theory methodology. Emerging patterns in the data revealed three relational and three structural factors most significant to participants' experience of care on The Family Van. Relational factors include providers who 1) Communicate understandably, 2) Create a culture of respect and inclusivity, and 3) Are diverse with knowledge of the community. Structural factors include 1) A focus on preventative health and managing chronic disease, 2) Expeditious, free, and multiple services, and 3) Location. The participant accounts in this report serve to expand on prior research exploring mobile health clinics' role in patients' healthcare, to more clearly define the most salient aspects of the mobile health clinic model for the patients they serve, and to give voice to patients too seldom heard in the academic literature.

  14. Corridor Transportation Management For Highway Reconstruction, Southeast Expressway, Massachusetts 1984-1985

    DOT National Transportation Integrated Search

    1986-05-01

    THE MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS BEGAN THE RECONSTRUCTION OF THE SOUTHEAST EXPRESSWAY IN MARCH OF 1984. TO EVALUATE THE IMPACTS OF THE RECONSTRUCTION PROJECT, AN EXTENSIVE MONITORING PROGRAM WAS DEVELOPED, WHOSE RESULTS WERE REPORTED IN N...

  15. Innovation with Impact: Industry-Education Partnerships in Massachusetts. Publication #15311.

    ERIC Educational Resources Information Center

    Freedman, Susan; Aschheim, Barbara

    This document describes six industry-education partnerships in Massachusetts selected as exemplary and 14 selected as outstanding. They represent innovative and collaborative ways to address dropout prevention, at-risk and special needs students, adult literacy, basic skill development, and enrichment needs of students. Each entry provides this…

  16. Building an Activist Union: The Massachusetts Society of Professors

    ERIC Educational Resources Information Center

    Page, Max; Clawson, Dan

    2009-01-01

    In 2002, during yet another budget crisis produced in large measure by the state's tax-cutting mania, Massachusetts proposed a massive cut in the university's budget. Through an early retirement incentive, the state wanted to reduce the faculty by 10 percent. No one was prepared to fight back. Despite UMass Amherst's long history of activism, and…

  17. Water Resources Data, Massachusetts and Rhode Island, Water Year 2003

    USGS Publications Warehouse

    Socolow, R.S.; Zanca, J.L.; Driskell, T.R.; Ramsbey, L.R.

    2004-01-01

    Water resources data for the 2003 water year for Massachusetts and Rhode Island consists of records of stage, discharge, and water quality of streams; contents of lakes and reservoirs; and water levels of ground-water wells. This report contains discharge records for 108 gaging stations, stage records for 2 gaging stations, stage records for 3 ponds; monthend contents of 1 reservoir, precipitation totals at 8 gaging stations; water quality for 27 gaging stations, air temperature at 2 climatological stations; water levels for 129 observation wells, and ground-water quality for 15 wells. Miscellaneous hydrologic data were collected at various sites that were not a part of the systematic data-collection program and are published as miscellaneous discharge measurements and miscellaneous surface-water-quality data. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating State and Federal agencies in Massachusetts and Rhode Island.

  18. Potable Water Treatment Facility General Permit (PWTF GP) for Massachusetts & New Hampshire

    EPA Pesticide Factsheets

    Documents, links & contacts for the Notice of Availability of the draft NPDES General Permit for Discharges from Potable Water Treatment Facilities in Massachusetts (MAG640000) and New Hampshire (NHG640000).

  19. Map showing location of observation wells in Massachusetts and Rhode Island

    USGS Publications Warehouse

    Rader, J.C.

    1995-01-01

    This map shows the locations of the 136 observation wells from the observation-well network maintained by the U.S. Geological Survey in Massachusetts and Rhode Island. The wells are identified by town name and well number. The map shows the location of the 10 observation wells that have digital recorders and the 126 observation wells that are measured by local observers. The aquifer material (sand, till, or bedrock) in which a well is located is noted. County and town boundaries are shown on the map. These features are presented at a scale of 1:400,000 (map size is about 38 by 30 inches). The map includes textual information describing the uses of observation-well data. The information is organized by construction, water supply, water quality, and statistical analysis. The map also presents observation well information, which was obtained from the annual data report of the Massachusetts--Rhode Island District. This infor- mation is presented in tabular form and includes town name, well number, aquifer material in which the well is located, and well depth below the land surface. The map was produced from a digital data base using a Geographic Information System. State boundaries were generated from digital line graphs maintained by the U.S. Geological Survey. Town and county boundaries were digitized from stable-base materials maintained by State agencies. The map was prepared in cooperation with State agencies of Massachusetts and Rhode Island.

  20. Preparing for uncertainty: toward managing fluvial geomorphic assessment of Massachusetts rivers

    NASA Astrophysics Data System (ADS)

    Hatch, C. E.; Mabee, S. B.; Slovin, N. B.; Vogel, E.

    2014-12-01

    Climate scientists predict (and have already observed) that in the Northeastern U.S., individual storms may be more intense, and that there will be more precipitation on an annual basis. In steep post-glacial terrain, erosion caused by floodwaters is the largest destructive force during high-intensity storm events, and the force most likely to drive major morphological changes to riverbanks and channels. What remains uncertain is which watersheds or river reaches may be subjected to increased damage from more intense storms. This presents a challenge for scientific outreach and management. Many New England states have developed systems for delineating the potentially geomorphically active zones adjacent to rivers, and Vermont has an excellent assessment and land use management system informed by process-based fluvial geomorphologic science. To date, however, Massachusetts has neither. In this project we survey existing protocols for accurately predicting locations of fluvial erosion hazard, including using LiDAR and DEM models to extract basic morphologic metrics. Particularly in states or landscapes with high river density, and during a time of tight fiscal constraints, managers need automated methods that require a minimum of expert input. We test these methods in the Deerfield river watershed in Massachusetts and Vermont, and integrate our knowledge with that of the basin's agricultural and floodplain stakeholders. The results will inform development of a comprehensive river assessment and land use management system for the state of Massachusetts.

  1. Quantitative Models for the Narragansett Bay Estuary, Rhode Island/Massachusetts, USA

    EPA Science Inventory

    Multiple drivers, including nutrient loading and climate change, affect the Narragansett Bay ecosystem in Rhode Island/Massachusetts, USA. Managers are interested in understanding the timing and magnitude of these effects, and ecosystem responses to restoration actions. To provid...

  2. General Education in the University of Massachusetts Amherst: A New Rationale.

    ERIC Educational Resources Information Center

    Jenkins, John A.

    2002-01-01

    Describes the University of Massachusetts Amherst's commitment to and program of general education for undergraduates, asserting that a curriculum balanced between professional specialization and general education provides the most practical education for a life of visionary leadership. (EV)

  3. Preliminary assessment of factors influencing riverine fish communities in Massachusetts.

    USGS Publications Warehouse

    Armstrong, David S.; Richards, Todd A.; Brandt, Sara L.

    2010-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Conservation and Recreation (MDCR), Massachusetts Department of Environmental Protection (MDEP), and the Massachusetts Department of Fish and Game (MDFG), conducted a preliminary investigation of fish communities in small- to medium-sized Massachusetts streams. The objective of this investigation was to determine relations between fish-community characteristics and anthropogenic alteration, including flow alteration and impervious cover, relative to the effect of physical basin and land-cover (environmental) characteristics. Fish data were obtained for 756 fish-sampling sites from the Massachusetts Division of Fisheries and Wildlife fish-community database. A review of the literature was used to select a set of fish metrics responsive to flow alteration. Fish metrics tested include two fish-community metrics (fluvial-fish relative abundance and fluvial-fish species richness), and five indicator species metrics (relative abundance of brook trout, blacknose dace, fallfish, white sucker, and redfin pickerel). Streamflows were simulated for each fish-sampling site using the Sustainable Yield Estimator application (SYE). Daily streamflows and the SYE water-use database were used to determine a set of indicators of flow alteration, including percent alteration of August median flow, water-use intensity, and withdrawal and return-flow fraction. The contributing areas to the fish-sampling sites were delineated and used with a Geographic Information System (GIS) to determine a set of environmental characteristics, including elevation, basin slope, percent sand and gravel, percent wetland, and percent open water, and a set of anthropogenic-alteration variables, including impervious cover and dam density. Two analytical techniques, quantile regression and generalized linear modeling, were applied to determine the association between fish-response variables and the selected environmental and

  4. Distribution of aquifers, liquid-waste impoundments, and municipal water-supply sources, Massachusetts

    USGS Publications Warehouse

    Delaney, David F.; Maevsky, Anthony

    1980-01-01

    Impoundments of liquid waste are potential sources of ground-water contamination in Massachusetts. The map report, at a scale of 1 inch equals 4 miles, shows the idstribution of aquifers and the locations of municipal water-supply sources and known liquid-waste impoundments. Ground water, an important source of municipal water supply, is produced from shallow sand and gravel aquifers that are generally unconfined, less than 200 feet thick, and yield less than 2,000 gallons per minute to individual wells. These aquifers commonly occupy lowlands and stream valleys and are most extensive in eastern Massachusetts. Surface impoundments of liquid waste are commonly located over these aquifers. These impoundments may leak and allow waste to infiltrate underlying aquifers and alter their water quality. (USGS)

  5. Characteristics of the April 2007 Flood at 10 Streamflow-Gaging Stations in Massachusetts

    USGS Publications Warehouse

    Zarriello, Phillip J.; Carlson, Carl S.

    2009-01-01

    A large 'nor'easter' storm on April 15-18, 2007, brought heavy rains to the southern New England region that, coupled with normal seasonal high flows and associated wet soil-moisture conditions, caused extensive flooding in many parts of Massachusetts and neighboring states. To characterize the magnitude of the April 2007 flood, a peak-flow frequency analysis was undertaken at 10 selected streamflow-gaging stations in Massachusetts to determine the magnitude of flood flows at 5-, 10-, 25-, 50-, 100-, 200-, and 500-year return intervals. The magnitude of flood flows at various return intervals were determined from the logarithms of the annual peaks fit to a Pearson Type III probability distribution. Analysis included augmenting the station record with longer-term records from one or more nearby stations to provide a common period of comparison that includes notable floods in 1936, 1938, and 1955. The April 2007 peak flow was among the highest recorded or estimated since 1936, often ranking between the 3d and 5th highest peak for that period. In general, the peak-flow frequency analysis indicates the April 2007 peak flow has an estimated return interval between 25 and 50 years; at stations in the northeastern and central areas of the state, the storm was less severe resulting in flows with return intervals of about 5 and 10 years, respectively. At Merrimack River at Lowell, the April 2007 peak flow approached a 100-year return interval that was computed from post-flood control records and the 1936 and 1938 peak flows adjusted for flood control. In general, the magnitude of flood flow for a given return interval computed from the streamflow-gaging station period-of-record was greater than those used to calculate flood profiles in various community flood-insurance studies. In addition, the magnitude of the updated flood flow and current (2008) stage-discharge relation at a given streamflow-gaging station often produced a flood stage that was considerably different than

  6. The descriptive epidemiology of local restaurant smoking regulations in Massachusetts: an analysis of the protection of restaurant customers and workers.

    PubMed

    Skeer, M; Siegel, M

    2003-06-01

    To describe the range of restaurant smoking regulations in the 351 cities and towns in Massachusetts, and to analyse the level of protection from secondhand smoke exposure guaranteed by these regulations. We obtained the local restaurant smoking regulations for each town, analysing them in terms of the protection of restaurant workers, bar workers, and adult and youth restaurant customers. The percentage of restaurant patrons and workers and bar workers who are protected from secondhand smoke exposure by the current smoking regulations in Massachusetts. As of June 2002, 225 towns had local restaurant smoking regulations. Of these, 69 (30.7%) do not allow smoking in restaurants, 10 (4.4%) restrict smoking to adult only restaurants, 64 (28.4%) restrict smoking to enclosed, separately ventilated areas, and 82 (36.4%) restrict smoking to areas that need not be enclosed and separately ventilated. Of the 174 towns that, at a minimum, restrict smoking to bar areas or separately ventilated areas, 35 (20.1%) allow variances. Overall, 60 towns, covering only 17.7% of the population, completely ban smoking in restaurants. As a result, 81.3% of adult restaurant customers, 81.2% of youth customers, 82.3% of restaurant workers, and 87.0% of bar workers are not guaranteed protection from secondhand smoke in restaurants. Despite the widespread adoption of local restaurant smoking regulations in Massachusetts, the majority of restaurant customers and workers remain unprotected from secondhand smoke exposure. In light of this, public health practitioners must stop compromising the protection of customers and workers from secondhand smoke exposure in restaurants.

  7. Survival and harvest-related mortality of white-tailed deer in Massachusetts

    USGS Publications Warehouse

    Mcdonald, John E.; DeStefano, Stephen; Gaughan, Christopher; Mayer, Michael; Woytek, William A.; Christensen, Sonja; Fuller, Todd K.

    2011-01-01

    We monitored 142 radiocollared adult (≥1.0 yr old) white-tailed deer (Odocoileus virginianus) in 3 study areas of Massachusetts, USA, to estimate annual survival and mortality due to legal hunting. We then applied these rates to deer harvest information to estimate deer population trends over time, and compared these to trends derived solely from harvest data estimates. Estimated adult female survival rates were similar (0.82–0.86), and uniformly high, across 3 management zones in Massachusetts that differed in landscape composition, human density, and harvest regulations. Legal hunting accounted for 16–29% of all adult female mortality. Estimated adult male survival rates varied from 0.55 to 0.79, and legal hunting accounted for 40–75% of all mortality. Use of composite hunting mortality rates produced realistic estimates for adult deer populations in 2 zones, but not for the third, where estimation was hindered by regulatory restrictions on antlerless deer harvest. In addition, the population estimates we calculated were generally higher than those derived from population reconstruction, likely due to relatively low harvest pressure. Legal harvest may not be the dominant form of deer mortality in developed landscapes; thus, estimates of populations or trends that rely solely on harvest data will likely be underestimates.

  8. Boston School Desegregation. Report to the United States District Court, District of Massachusetts, Volume II.

    ERIC Educational Resources Information Center

    Massachusetts State Board of Education, Boston.

    This is the first of a series of planned studies undertaken (by court order) by the Massachusetts State Board of Education in order to monitor the progress toward desegregation in the Boston Public Schools. This volume includes the reports produced by department staff in areas monitored, together with selected statistical and other information…

  9. The impact of patient cost-sharing on low-income populations: evidence from Massachusetts.

    PubMed

    Chandra, Amitabh; Gruber, Jonathan; McKnight, Robin

    2014-01-01

    Greater patient cost-sharing could help reduce the fiscal pressures associated with insurance expansion by reducing the scope for moral hazard. But it is possible that low-income recipients are unable to cut back on utilization wisely and that, as a result, higher cost-sharing will lead to worse health and higher downstream costs through increased use of inpatient and outpatient care. We use exogenous variation in the copayments faced by low-income enrollees in the Massachusetts Commonwealth Care program to study these effects. We estimate separate price elasticities of demand by type of service. Overall, we find price elasticities of about -0.16 for this low-income population - similar to elasticities calculated for higher-income populations in other settings. These elasticities are somewhat smaller for the chronically sick, especially for those with asthma, diabetes, and high cholesterol. These lower elasticities are attributable to lower responsiveness to prices across all categories of service, and to some statistically insignificant increases in inpatient care. Copyright © 2013 Elsevier B.V. All rights reserved.

  10. Enrichment in Massachusetts Expanded Learning Time (ELT) Schools. Issue Brief

    ERIC Educational Resources Information Center

    Caven, Meghan; Checkoway, Amy; Gamse, Beth; Luck, Rachel; Wu, Sally

    2012-01-01

    This brief highlights key information about enrichment activities, which represent one of the main components of the Massachusetts Expanded Learning Time (ELT) initiative. Over time, the ELT initiative has supported over two dozen schools across the Commonwealth. A comprehensive evaluation of the ELT initiative found that implementation of the…

  11. Barriers to Gender Transition-Related Healthcare: Identifying Underserved Transgender Adults in Massachusetts

    PubMed Central

    White Hughto, Jaclyn M.; Rose, Adam J.; Pachankis, John E.; Reisner, Sari L.

    2017-01-01

    Abstract Purpose: The present study sought to examine whether individual (e.g., age, gender), interpersonal (e.g., healthcare provider discrimination), and structural (e.g., lack of insurance coverage) factors are associated with access to transition-related care in a statewide sample of transgender adults. Method: In 2013, 364 transgender residents of Massachusetts completed an electronic web-based survey online (87.1%) or in person (12.9%). A multivariable logistic regression model tested whether individual, interpersonal, and structural factors were associated with access to transition-related care. Results: Overall, 23.6% reported being unable to access transition-related care in the past 12 months. In a multivariable model, younger age, low income, low educational attainment, private insurance coverage, and healthcare discrimination were significantly associated with being unable to access transition-related care (all p<0.05). Discussion: Despite state nondiscrimination policies and universal access to healthcare, many of the Massachusetts transgender residents sampled were unable to access transition-related care. Multilevel interventions are needed, including supportive policies and policy enforcement, to ensure that underserved transgender adults can access medically necessary transition-related care. PMID:29082331

  12. Spatial and temporal variability of fine particle composition and source types in five cities of Connecticut and Massachusetts

    PubMed Central

    Lee, Hyung Joo; Gent, Janneane F.; Leaderer, Brian P.; Koutrakis, Petros

    2011-01-01

    To protect public health from PM2.5 air pollution, it is critical to identify the source types of PM2.5 mass and chemical components associated with higher risks of adverse health outcomes. Source apportionment modeling using Positive Matrix Factorization (PMF), was used to identify PM2.5 source types and quantify the source contributions to PM2.5 in five cities of Connecticut and Massachusetts. Spatial and temporal variability of PM2.5 mass, components and source contributions were investigated. PMF analysis identified five source types: regional pollution as traced by sulfur, motor vehicle, road dust, oil combustion and sea salt. The sulfur-related regional pollution and traffic source type were major contributors to PM2.5. Due to sparse ground-level PM2.5 monitoring sites, current epidemiological studies are susceptible to exposure measurement errors. The higher correlations in concentrations and source contributions between different locations suggest less spatial variability, resulting in less exposure measurement errors. When concentrations and/or contributions were compared to regional averages, correlations were generally higher than between-site correlations. This suggests that for assigning exposures for health effects studies, using regional average concentrations or contributions from several PM2.5 monitors is more reliable than using data from the nearest central monitor. PMID:21429560

  13. A School-Based Dental Program Evaluation: Comparison to the Massachusetts Statewide Survey.

    PubMed

    Culler, Corinna S; Kotelchuck, Milton; Declercq, Eugene; Kuhlthau, Karen; Jones, Kari; Yoder, Karen M

    2017-10-01

    School-based dental programs target high-risk communities and reduce barriers to obtaining dental services by delivering care to students in their schools. We describe the evaluation of a school-based dental program operating in Chelsea, a city north of Boston, with a low-income and largely minority population, by comparing participants' oral health to a Massachusetts oral health assessment. Standardized dental screenings were conducted for students in kindergarten, third, and sixth grades. Outcomes were compared in bivariate analysis, stratified by grade and income levels. A greater percentage of Chelsea students had untreated decay and severe treatment need than students statewide. Yet, fewer Chelsea third graders had severe treatment need, and more had dental sealants. There was no significant difference in the percentage of Chelsea students having severe treatment need or dental sealants by income level. Students participating in our program do not have lower decay levels than students statewide. However, they do have lower levels of severe treatment need, likely due to treatment referrals. Our results confirm that school-based prevention programs can lead to increased prevalence of dental sealants among high-risk populations. Results provide support for the establishment of full-service school-based programs in similar communities. © 2017, American School Health Association.

  14. Team Massachusetts & Central America Solar Decathlon 2015 Final Technical Report

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

    Lee, Kenneth

    Our team was Team MASSCA (Massachusetts and Central America), which was a partnership of Western New England University (WNE) located in Massachusetts USA, The Technological University of Panama (UTP), and Central American Technological University (UNITEC) of Honduras. Together we had a group of 6 faculty members and approximately 30 undergraduate students. Our house is ‘The EASI’ House, which stands for Efficient, Affordable, Solar Innovation. The EASI house is rectangular with two bedrooms and one bath, and offers a total square footage of 680. Based on competition estimates, The EASI house costs roughly $121,000. The EASI house has a 5kW solarmore » system. Faculty and students from all three institutions were represented at the competition in Irvine California. Team MASSCA did well considering this was our first entry in the Solar Decathlon competition. Team MASSCA won the following awards: First Place – Affordability Contest Second Place – Energy Balance Contest. The competition provided a great experience for our students (and faculty as well). This competition provided leadership, endurance, and technical knowledge/skills for our students, and was the single most important hands-on experience during their undergraduate years. We are extremely pleased with the awards we received. At the same time we have learned from our efforts and would do better if we were to compete in the future. Furthermore, as a result of our team’s Inter-Americas collaborative effort, UTP and WNE have partnered to form Team PANAMASS (PANAma and MASSachusetts) and have developed The 3 SMART House for the inaugural Solar Decathlon Latin America & Caribbean competition held in Colombia.« less

  15. Bedrock geologic map of the Worcester South quadrangle, Worcester County, Massachusetts

    USGS Publications Warehouse

    Walsh, Gregory J.; Merschat, Arthur J.

    2015-09-29

    The bedrock geology was mapped to study the tectonic history of the area and to provide a framework for ongoing hydrogeologic characterization of the fractured bedrock of Massachusetts. This report presents mapping by Gregory J. Walsh and Arthur J. Merschat from 2008 to 2010. The report consists of a map and GIS database, both of which are available for download at http://dx.doi.org/ 10.3133/sim3345. The database includes contacts of bedrock geologic units, faults, outcrop locations, structural information, and photographs.

  16. The Irony of Early School Reform: Educational Innovation in Mid-Nineteenth Century Massachusetts. Reflective History Series.

    ERIC Educational Resources Information Center

    Katz, Michael B.

    This reissue of the seminal 1968 study of the origins of mass popular education in 19th-century Massachusetts is considered one of the first radical revisionist interpretations of U.S. educational history. This new edition retains the original text but includes a new introduction by the author. The study looks at the relation between reformer…

  17. 78 FR 10170 - Filing Dates for the Massachusetts Senate Special Elections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... FEDERAL ELECTION COMMISSION [Notice 2013-06] Filing Dates for the Massachusetts Senate Special Elections AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY... for the closing date for each report.) All principal campaign committees of candidates participating...

  18. 40 CFR 81.142 - Central Massachusetts Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Central Massachusetts Intrastate Air Quality Control Region. 81.142 Section 81.142 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...: Township—Ashburnham, Ashby, Athol, Auburn, Barre, Berlin, Blackstone, Boylston, Brookfield, Charlton...

  19. Health, equity, and reproductive risks in the workplace.

    PubMed

    Daniels, C R; Paul, M; Rosofsky, R

    1990-01-01

    Potential exposure to occupational reproductive hazards raises complex questions regarding health and gender discrimination in the workplace. On the one hand, growing scientific evidence suggests that workplace exposures to either sex can cause a wide range of disorders ranging from infertility to adverse pregnancy outcomes. On the other hand, policies alleging to protect workers from reproductive risks have often reinforced gender inequalities in the workplace. This article sheds new light on this continuing debate through an examination of the policy insights suggested by a recent study of reproductive hazard policies in Massachusetts. In what ways do policies evidenced in this study reflect or differ from historical patterns of protectionism? The article presents a political-legal review of reproductive hazard policies in the workplace, then examines the policy implications of the Massachusetts study, and finally presents the prescriptions for change that are implied by both the historical and contemporary evidence.

  20. The Cost of Increasing In-School Time: Evidence from the Massachusetts Expanded Learning Time Initiative

    ERIC Educational Resources Information Center

    Kolbe, Tammy; O'Reilly, Fran

    2017-01-01

    A growing number of public schools have adopted reforms that increase the amount of time students spend in school. However, the potential costs of such reforms are not well understood. In this article, we report findings from a resource-cost study conducted in four schools that participated in the Massachusetts Expanded Learning Time Initiative.…