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Sample records for prevention spill prevention

  1. Chemical Spill Prevention, Control, and Countermeasures Plan: 100 Areas

    SciTech Connect

    Chien, Y.M.

    1989-06-01

    The purpose of this Chemical Spill Prevention, Control, and Countermeasures (SPCC) Plan is to identify the chemical spill control practices, procedures, and containment devices Westinghouse Hanford Company (Westinghouse Hanford) employs to prevent a reportable quantity (RQ) of a hazardous substance (as defined in 40 CFR Part 302) from being released to the environment. The chemical systems and chemical storage facilities in the 100 Areas are described. This document traces the ultimate fate of accidental chemical spills at the 100 Areas. Also included in the document destinations, spill containment devices, and systems surveillance frequencies. 2 tabs.

  2. Fuel conservation by the application of spill prevention and fail-safe engineering (a guideline manual)

    NASA Astrophysics Data System (ADS)

    Goodier, J. L.; Siclari, R. J.; Garrity, P. A.

    1981-06-01

    Spill prevention procedures are provided for maintaining a spill free plant during the transportation, transfer, storage and processing of petroleum products. The manual can be used to prevent spills of materials other than fuel oil. Special emphasis is given to failsafe engineering as an approach to preventing spills from the predominant cause-human failure.

  3. 76 FR 64296 - Oil Pollution Prevention; Spill Prevention, Control, and Countermeasure (SPCC) Rule-Compliance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... AGENCY 40 CFR Part 112 RIN 2050-AG59 Oil Pollution Prevention; Spill Prevention, Control, and..., and Countermeasure (SPCC) Plans to May 10, 2013. On June 19, 2009 (74 FR 29136), EPA issued a final... SPCC Plans, and implement those Plans to November 10, 2010. Then on October 14, 2010 (75 FR 63093),...

  4. Spill prevention control and countermeasure plan

    SciTech Connect

    Not Available

    1981-01-01

    This report includes facility descriptions for both oil and hazardous chemicals storage. It gives oil spill history; regulatory guideline conformance; local emergency arrangements; evacuation procedures and the contingency plan for oil and hazardous substances. (PSB)

  5. MANUAL FOR PREVENTING SPILLS OF HAZARDOUS SUBSTANCES AT FIXED FACILITIES

    EPA Science Inventory

    The purpose of the manual is to provide guidance to prevent spills of hazardous substances in fixed facilities that produce substances from raw or starter materials, store the substances, or transfer the substances to and from transportation terminals. The emphasis is on smaller-...

  6. 1100 Area Spill Prevention, Control, and Countermeasures Plan

    SciTech Connect

    Haggard, R.D.

    1991-08-01

    This Spill Prevention, Control, and Countermeasures (SPCC) Plan is designed to describe measures that must be taken to prevent, control, and handle spills of bulk storage chemicals or oils at Westinghouse Hanford Company (Westinghouse Hanford) facilities located in the Hanford Site 1100 Area. The SPCC is designed to satisfy the requirement from US Department of Energy (DOE) Order 5400.1, General Environmental Protection Program (DOE 1988), to minimize risk to the environment or public health, and to anticipate and address potential environmental problems before they pose a threat to the quality of the environment or the public welfare. The SPCC Plan identifies practices employed by Westinghouse Hanford to prevent a reportable quantity (RQ) of a hazardous substance [as defined in Title 40, Code of Federal Regulations, Part 302 (40 CFR 302) (EPA 1990a)] from being released to the environment. This SPCC Plan is not designed to describe measures that must be taken to prevent, control, and handle spills of nonbulk storage chemicals or oils stored in 55-gal drums or smaller.

  7. 75 FR 45572 - Oil Pollution Prevention; Spill Prevention, Control, and Countermeasure (SPCC) Rule-Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ...The U.S. Environmental Protection Agency (EPA or the Agency) is proposing to amend the date by which certain facilities must prepare or amend their Spill Prevention, Control, and Countermeasure (SPCC) Plans, and implement those Plans. This action would allow additional time for those affected in the regulated community to understand the revisions to the SPCC rule finalized in December 2008 and......

  8. 300 Area Spill Prevention, Control, and Countermeasures Plan

    SciTech Connect

    Duffield, G.W.

    1990-11-01

    This Spill Prevention, Control, and Countermeasures (SPCC) Plan is designed to describe measures that must be taken to prevent, control, and handle spills of bulk storage chemicals or oils at Westinghouse Hanford Company (Westinghouse Hanford) facilities located in the Hanford Site 300 Area. The SPCC Plan is designed to satisfy the requirement from US Department of Energy (DOE) Order 5400.1, ``General Environmental Protection Program,`` which is intended to minimize risk to the environment or public health, and to anticipate and address potential environmental problems before they pose a threat to the quality of the environment or the public welfare. The SPCC Plan identifies practices employed by Westinghouse Hanford to prevent a reportable quantity (RQ) of a hazardous substance [as defined in Title 40, Code of Federal regulations, Part 302 (40 CFR 302)] from being released to the environment. This SPCC Plan fulfills the requirement cited in WHC-CM-7-5, Part T, which establishes Westinghouse Hanford policy for required SPCC Plans, and references 40 CFR 112, ``Environmental Protection Agency Regulations on Oil Pollution Prevention,`` as a basis for contents of the SPCC Plan. Upon completion of the SPCC Plan, a copy will be kept on file at all 300 Area facilities described in the SPCC Plan. Additional copies will also be placed with the 300 Area Industrial Safety and Fire Protection management, and with other environmental oversight, and emergency preparedness, and response personnel as necessary. 1 fig.

  9. Prevention

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Prevention Basic Facts & Information Some factors that affect your ... control of the things that you can change. Preventive Recommendations for Adults Aged 65 and Older The ...

  10. FUEL CONSERVATION BY THE APPLICATION OF SPILL PREVENTION AND FAILSAFE ENGINEERING (A GUIDELINE MANUAL)

    SciTech Connect

    Goodier, J. L.; Siclari, R. J.; Garrity, P. A.

    1980-10-30

    From a series of nationwide plant surveys dedicated to spill prevention, containment and countermeasure evaluation, coupled with spill response action activities, a need was determined for a spill prevention guideline manual. From Federally accumulated statistics for oil and hazardous substance spills, the authors culled information on spills of hydrocarbon products. In 1978, a total of 1456 oil spills were reported compared to 1451 in 1979. The 1978 spills were more severe, however, since 7;289,163 gallons of oil were accident~y discharged. In 1979, the gallons spilled was reduced to 3,663,473. These figures are derived from reported spills; it is highly possible that an equal amount was spilled and not reported. Spills effectively contained within a plant property that do not enter a n~vigational waterway need not be reported. Needless to say, there is a tremendous annual loss of oil products due to accidental spillage during transportation, cargo transfer, bulk storage and processing. As an aid to plant engineers and managers, Fe~eral workers, fire marshalls and fire and casualty insurance inspectors, the documen~ is offered as a spill prevention guide. The'manual defines state-of-the-art spill prevention practices and automation techniques that can reduce spills caused by human error. Whenever practical, the cost of implementation is provided to aid equipment acquisition and installation budgeting. To emphasize the need for spill prevention activities, historic spills are briefly described after which remedial action is defined in an appropriate section of the manual. The section on plant security goes into considerable depth since to date no Federal agency or traqe association has provided industry with guidelines on this important phase of plant operation. The intent of the document is to provide finger-tip reference material that can be used by interested parties in a nationwide effort to reduce loss of oil from preventable spills.

  11. Prevention

    MedlinePlus

    ... Prevention Treatment 2003 U.S. Outbreak African Rodent Importation Ban For Clinicians Clinical Recognition Specimen Collection Treatment Smallpox ... Examining Animals with Suspected Monkeypox African Rodent Importation Ban Resources Related Links Poxvirus Molluscum Contagiosum Orf Virus ( ...

  12. Oil spill prevention and response: How to comply with OPA and OSPRA

    SciTech Connect

    Ray, L.

    1995-12-31

    When there is a man-made catastrophic event that adversely affects environment or the health and safety of the public, the government steps in to make and enforce laws to help prevent the reoccurrence of such events. This is the case with the Oil Pollution Act (OPA) which was signed into law by President Bush in August of 1990. According to the EPA, the federal government received 42,000 notifications of oil discharges during the years of 1988 through 1990. In 1989, 38 spills exceeded 100,000 gallons including the infamous Exxon Valdez spill in Alaska`s Prince William Sound. The Federal government has not been alone in its interest with oil spill prevention and response. Many states have also enacted laws with the intent of protecting the environment from damage due to oil spills. The state of Texas enacted the Oil Spill Prevention and Response Act (OSPRA) of 1991 which compliments and expands on OPA. The most significant requirement of both of these laws is that of the Facility Response Plan (FRP). Both Federal and State agencies encourage the development of one plan for spill response and prevention. The use of one plan makes sense because this eliminates the opportunity for discrepancies land simplifies response during an actual spill. The purpose of this paper is to aid the petroleum industry in determining whether it is required to have a FRP, and if it is, how to develop a plan that will comply with both OPA and OSPRA.

  13. 40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Spill Prevention, Control, and Countermeasure Plan requirements. 112.12 Section 112.12 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and...

  14. 40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding production facilities). 112.8 Section 112.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Petroleum Oils...

  15. 40 CFR 112.4 - Amendment of Spill Prevention, Control, and Countermeasure Plan by Regional Administrator.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 23 2013-07-01 2013-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.4 Amendment of...

  16. 40 CFR 112.4 - Amendment of Spill Prevention, Control, and Countermeasure Plan by Regional Administrator.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.4 Amendment of...

  17. 40 CFR 112.4 - Amendment of Spill Prevention, Control, and Countermeasure Plan by Regional Administrator.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.4 Amendment of...

  18. 40 CFR 112.4 - Amendment of Spill Prevention, Control, and Countermeasure Plan by Regional Administrator.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 22 2014-07-01 2013-07-01 true Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.4 Amendment of...

  19. 40 CFR 112.4 - Amendment of Spill Prevention, Control, and Countermeasure Plan by Regional Administrator.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.4 Amendment of...

  20. 40 CFR 112.3 - Requirement to prepare and implement a Spill Prevention, Control, and Countermeasure Plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Spill Prevention, Control, and Countermeasure Plan. 112.3 Section 112.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions... implement a Spill Prevention, Control, and Countermeasure Plan. The owner or operator or an onshore...

  1. 30 CFR 254.54 - Spill prevention for facilities located in State waters seaward of the coast line.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the prevention of oil spills from your facility, and demonstrate your compliance with these... SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Requirements for Facilities Located in State Waters...

  2. 30 CFR 254.54 - Spill prevention for facilities located in State waters seaward of the coast line.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... requirements that apply to the prevention of oil spills from your facility, and demonstrate your compliance... MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Requirements for...

  3. 30 CFR 254.54 - Spill prevention for facilities located in State waters seaward of the coast line.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the prevention of oil spills from your facility, and demonstrate your compliance with these... ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Requirements for Facilities Located in State...

  4. 30 CFR 254.54 - Spill prevention for facilities located in State waters seaward of the coast line.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the prevention of oil spills from your facility, and demonstrate your compliance with these... ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Requirements for Facilities Located in State...

  5. The spill prevention, control, and countermeasures (SPCC) plan for the Y-12 Plant. Volume 1

    SciTech Connect

    Not Available

    1992-08-01

    This spill prevention, control and countermeasures (SPCC) Plan is divided into two volumes. Volume I addresses Y-12`s compliance with regulations pertinent to the content of SPCC Plans. Volume II is the SPCC Hazardous Material Storage Data Base, a detailed tabulation of facility-specific information and data on potential spill sources at the Y-12 Plant. Volume I follows the basic format and subject sequence specified in 40 CFR 112.7. This sequence is prefaced by three additional chapters, including this introduction and brief discussions of the Y-12 Plant`s background/environmental setting and potential spill source categories. Two additional chapters on containers and container storage areas and PCB and PCB storage for disposal facilities are inserted into the required sequence. The following required subjects are covered in this volume: Spill history, site drainage; secondary containment/diversion structures and equipment; contingency plans; notification and spill response procedures; facility drainage; bulk storage tanks; facility transfer operations, pumping, and in-plant processes; transfer stations (facility tank cars/tank tracks); inspections and records; security, and personnel, training, and spill prevention procedures.

  6. 40 CFR 112.9 - Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production facilities (excluding drilling and workover facilities). 112.9 Section 112.9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION...

  7. MANUAL AND TRAINING COURSE FOR PREVENTION OF SPILLS OF HAZARDOUS SUBSTANCES AT FIXED FACILITIES

    EPA Science Inventory

    The purpose of this manual and training course is to prevent spills of hazardous substances in fixed facilities which are those facilities that produce the substances from raw or starter materials, store the substances, or transfer the substances to and from transportation termin...

  8. 30 CFR 254.54 - Spill prevention for facilities located in State waters seaward of the coast line.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false Spill prevention for facilities located in State waters seaward of the coast line. 254.54 Section 254.54 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE...

  9. Approach for assessing coastal vulnerability to oil spills for prevention and readiness using GIS and the Blowout and Spill Occurrence Model

    SciTech Connect

    Nelson, J. R.; Grubesic, T. H.; Sim, L.; Rose, K.; Graham, J.

    2015-08-01

    Increasing interest in offshore hydrocarbon exploration has pushed the operational fronts associated with exploration efforts further offshore into deeper waters and more uncertain subsurface settings. This has become particularly common in the U.S. Gulf of Mexico. In this study we develop a spatial vulnerability approach and example assessment to support future spill prevention and improve future response readiness. This effort, which is part of a larger integrated assessment modeling spill prevention effort, incorporated economic and environmental data, and utilized a novel new oil spill simulation model from the U.S. Department of Energy’s National Energy Technology Laboratory, the Blowout and Spill Occurrence Model (BLOSOM). Specifically, this study demonstrated a novel approach to evaluate potential impacts of hypothetical spill simulations at varying depths and locations in the northern Gulf of Mexico. The simulations are analyzed to assess spatial and temporal trends associated with the oil spill. The approach itself demonstrates how these data, tools and techniques can be used to evaluate potential spatial vulnerability of Gulf communities for various spill scenarios. Results of the hypothetical scenarios evaluated in this study suggest that under conditions like those simulated, a strong westward push by ocean currents and tides may increase the impacts of deep water spills along the Texas coastline, amplifying the vulnerability of communities on the local barrier islands. Ultimately, this approach can be used further to assess a range of conditions and scenarios to better understand potential risks and improve informed decision making for operators, responders, and stakeholders to support spill prevention as well as response readiness.

  10. 40 CFR 112.10 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore oil drilling and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Spill Prevention, Control, and Countermeasure Plan requirements for onshore oil drilling and workover facilities. 112.10 Section 112.10 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Petroleum Oils...

  11. 40 CFR 112.3 - Requirement to prepare and implement a Spill Prevention, Control, and Countermeasure Plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Response Plan pursuant to 40 CFR 112.20(a), and was in operation on or before August 16, 2002, you must... Spill Prevention, Control, and Countermeasure Plan. 112.3 Section 112.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability,...

  12. 40 CFR 112.3 - Requirement to prepare and implement a Spill Prevention, Control, and Countermeasure Plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Response Plan pursuant to 40 CFR 112.20(a), and was in operation on or before August 16, 2002, you must... Spill Prevention, Control, and Countermeasure Plan. 112.3 Section 112.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability,...

  13. 40 CFR 112.5 - Amendment of Spill Prevention, Control, and Countermeasure Plan by owners or operators.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.5 Amendment of...

  14. 40 CFR 112.5 - Amendment of Spill Prevention, Control, and Countermeasure Plan by owners or operators.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.5 Amendment of...

  15. 40 CFR 112.3 - Requirement to prepare and implement a Spill Prevention, Control, and Countermeasure Plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Response Plan pursuant to 40 CFR 112.20(a), and was in operation on or before August 16, 2002, you must... Spill Prevention, Control, and Countermeasure Plan. 112.3 Section 112.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability,...

  16. 40 CFR 112.5 - Amendment of Spill Prevention, Control, and Countermeasure Plan by owners or operators.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 22 2014-07-01 2013-07-01 true Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.5 Amendment of...

  17. 40 CFR 112.3 - Requirement to prepare and implement a Spill Prevention, Control, and Countermeasure Plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Response Plan pursuant to 40 CFR 112.20(a), and was in operation on or before August 16, 2002, you must... Spill Prevention, Control, and Countermeasure Plan. 112.3 Section 112.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability,...

  18. 40 CFR 112.5 - Amendment of Spill Prevention, Control, and Countermeasure Plan by owners or operators.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 23 2013-07-01 2013-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.5 Amendment of...

  19. 40 CFR 112.5 - Amendment of Spill Prevention, Control, and Countermeasure Plan by owners or operators.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Amendment of Spill Prevention, Control... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Applicability, Definitions, and General Requirements for All Facilities and All Types of Oils § 112.5 Amendment of...

  20. Nowcast model for hazardous material spill prevention and response, San Francisco Bay, California

    USGS Publications Warehouse

    Cheng, Ralph T.; Wilmot, Wayne L.; Galt, Jerry A.

    1997-01-01

    The National Oceanic and Atmospheric Administration (NOAA) installed the Physical Oceanographic Real-time System (PORTS) in San Francisco Bay, California, to provide real-time observations of tides, tidal currents, and meteorological conditions to, among other purposes, guide hazardous material spill prevention and response. Integrated with nowcast modeling techniques and dissemination of real-time data and the nowcasting results through the Internet on the World Wide Web, emerging technologies used in PORTS for real-time data collection forms a nowcast modeling system. Users can download tides and tidal current distribution in San Francisco Bay for their specific applications and/or for further analysis.

  1. Approach for assessing coastal vulnerability to oil spills for prevention and readiness using GIS and the Blowout and Spill Occurrence Model

    DOE PAGESBeta

    Nelson, J. R.; Grubesic, T. H.; Sim, L.; Rose, K.; Graham, J.

    2015-08-01

    Increasing interest in offshore hydrocarbon exploration has pushed the operational fronts associated with exploration efforts further offshore into deeper waters and more uncertain subsurface settings. This has become particularly common in the U.S. Gulf of Mexico. In this study we develop a spatial vulnerability approach and example assessment to support future spill prevention and improve future response readiness. This effort, which is part of a larger integrated assessment modeling spill prevention effort, incorporated economic and environmental data, and utilized a novel new oil spill simulation model from the U.S. Department of Energy’s National Energy Technology Laboratory, the Blowout and Spillmore » Occurrence Model (BLOSOM). Specifically, this study demonstrated a novel approach to evaluate potential impacts of hypothetical spill simulations at varying depths and locations in the northern Gulf of Mexico. The simulations are analyzed to assess spatial and temporal trends associated with the oil spill. The approach itself demonstrates how these data, tools and techniques can be used to evaluate potential spatial vulnerability of Gulf communities for various spill scenarios. Results of the hypothetical scenarios evaluated in this study suggest that under conditions like those simulated, a strong westward push by ocean currents and tides may increase the impacts of deep water spills along the Texas coastline, amplifying the vulnerability of communities on the local barrier islands. Ultimately, this approach can be used further to assess a range of conditions and scenarios to better understand potential risks and improve informed decision making for operators, responders, and stakeholders to support spill prevention as well as response readiness.« less

  2. Aquatic toxicity of forty industrial chemicals: Testing in support of hazardous substance spill prevention regulation

    NASA Astrophysics Data System (ADS)

    Curtis, M. W.; Ward, C. H.

    1981-05-01

    The U.S. Environmental Protection Agency is presently developing hazardous substance spill regulations to help prevent water pollution. Aquatic animal toxicity data are used as criteria for the designation and categorization of substances as hazardous, even though this type of data is not available for many industrial chemicals. Static 96-hr. toxicity tests were conducted with 40 such chemicals to provide basic toxicity data for regulatory decision making. Thirty-two of the 40 chemicals tested were hazardous to aquatic life as determined by 96-hr. LC 50's less than or equal to 500 mg/l. All 40 chemicals were tested with the fresh-water fathead minnow, Pimephales promelas, and ten chemicals were also tested with the salt-water grass shrimp, Palaemonetes pugio.

  3. Identification of environmentally vulnerable areas with priority for prevention and management of pipeline crude oil spills.

    PubMed

    Mendoza-Cantú, Ania; Heydrich, Silke Cram; Cervantes, Irene Sommer; Orozco, Oralia Oropeza

    2011-07-01

    The oil industry is one of the main productive activities in Mexico and has a huge infrastructure, including a wide pipeline network that crosses urban, industrial, agricultural and natural areas. The threat of crude oil spills is greatest in those regions with a high concentration of oil extraction and refining activities, as in the case of the Coatzacoalcos and Tonalá Rivers Low Basin. This study ranked the geosystems of the basin in terms of vulnerability to pipeline crude oil spills. Very high vulnerability (level I) was assigned to the water bodies (lakes and rivers) and their margins of influence, including surfaces that flood during normal hydraulic load. High vulnerability areas (level II) comprised surfaces that can flood during extraordinary hydraulic load related with extreme hydrometeorological events. The remaining three vulnerability levels were defined for areas with low or negligible flooding potential, these were ranked according to physical (slope, relief and permeability), biological (richness, singularity and integrity) and socio-economic (social marginalization index and economic activities index) conditions. These results are presented on a map for better visualization and interpretation. This study will be useful to establish preventive and effective emergency management actions in order to reduce remediation costs and adverse effects on wild species. It also can help local and national authorities, oil industry and civil protection corps to better protect ecosystems, natural resources and human activities and goods. PMID:21376445

  4. Preventing stroke

    MedlinePlus

    Stroke - prevention; CVA - prevention; cerebral vascular accident - prevention; TIA - prevention, transient ischemic attack - prevention ... Clinical Cardiology; Council on Functional Genomics and ... Council on Hypertension. Guidelines for the primary prevention ...

  5. 40 CFR 112.7 - General requirements for Spill Prevention, Control, and Countermeasure Plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... following: (1) An oil spill contingency plan following the provisions of part 109 of this chapter. (2) A...: (A) An oil spill contingency plan following the provisions of part 109 of this chapter. (B) A written... 40 Protection of Environment 21 2010-07-01 2010-07-01 false General requirements for...

  6. 40 CFR 112.7 - General requirements for Spill Prevention, Control, and Countermeasure Plans.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... following: (1) An oil spill contingency plan following the provisions of part 109 of this chapter. (2) A...: (A) An oil spill contingency plan following the provisions of part 109 of this chapter. (B) A written... 40 Protection of Environment 22 2011-07-01 2011-07-01 false General requirements for...

  7. 40 CFR 112.7 - General requirements for Spill Prevention, Control, and Countermeasure Plans.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... following: (1) An oil spill contingency plan following the provisions of part 109 of this chapter. (2) A...: (A) An oil spill contingency plan following the provisions of part 109 of this chapter. (B) A written... 40 Protection of Environment 23 2013-07-01 2013-07-01 false General requirements for...

  8. 40 CFR 112.7 - General requirements for Spill Prevention, Control, and Countermeasure Plans.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... following: (1) An oil spill contingency plan following the provisions of part 109 of this chapter. (2) A...: (A) An oil spill contingency plan following the provisions of part 109 of this chapter. (B) A written... 40 Protection of Environment 22 2014-07-01 2013-07-01 true General requirements for...

  9. 40 CFR 112.7 - General requirements for Spill Prevention, Control, and Countermeasure Plans.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... following: (1) An oil spill contingency plan following the provisions of part 109 of this chapter. (2) A...: (A) An oil spill contingency plan following the provisions of part 109 of this chapter. (B) A written... 40 Protection of Environment 23 2012-07-01 2012-07-01 false General requirements for...

  10. 40 CFR 112.9 - Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... PROGRAMS OIL POLLUTION PREVENTION Requirements for Petroleum Oils and Non-Petroleum Oils, Except Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and Vegetable Oils (Including Oils from... Countermeasure Plan Requirements for onshore oil production facilities (excluding drilling and...

  11. 40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and for Vegetable Oils, including Oils from Seeds, Nuts, Fruits, and... 21 CFR part 110, are elevated, constructed of austenitic stainless steel, have no external...

  12. 40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Marine Mammal Oils; and Vegetable Oils (Including Oils from Seeds, Nuts, Fruits, and Kernels) § 112.8... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION... must inspect the condition of the accumulation before starting, to ensure no oil will be discharged....

  13. 40 CFR 112.9 - Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... PROGRAMS OIL POLLUTION PREVENTION Requirements for Petroleum Oils and Non-Petroleum Oils, Except Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and Vegetable Oils (Including Oils from... Countermeasure Plan Requirements for onshore oil production facilities (excluding drilling and...

  14. 40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and for Vegetable Oils, including Oils from Seeds, Nuts, Fruits, and... 21 CFR part 110, are elevated, constructed of austenitic stainless steel, have no external...

  15. 40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Marine Mammal Oils; and Vegetable Oils (Including Oils from Seeds, Nuts, Fruits, and Kernels) § 112.8... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION... must inspect the condition of the accumulation before starting, to ensure no oil will be discharged....

  16. 40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and for Vegetable Oils, including Oils from Seeds, Nuts, Fruits, and... 21 CFR part 110, are elevated, constructed of austenitic stainless steel, have no external...

  17. 40 CFR 112.9 - Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... PROGRAMS OIL POLLUTION PREVENTION Requirements for Petroleum Oils and Non-Petroleum Oils, Except Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and Vegetable Oils (Including Oils from... Countermeasure Plan Requirements for onshore oil production facilities (excluding drilling and...

  18. 40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Requirements for Animal Fats and Oils and Greases, and Fish and Marine Mammal Oils; and for Vegetable Oils, including Oils from Seeds, Nuts, Fruits, and... 21 CFR part 110, are elevated, constructed of austenitic stainless steel, have no external...

  19. 40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Marine Mammal Oils; and Vegetable Oils (Including Oils from Seeds, Nuts, Fruits, and Kernels) § 112.8... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION... must inspect the condition of the accumulation before starting, to ensure no oil will be discharged....

  20. 40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Marine Mammal Oils; and Vegetable Oils (Including Oils from Seeds, Nuts, Fruits, and Kernels) § 112.8... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION... must inspect the condition of the accumulation before starting, to ensure no oil will be discharged....

  1. Fail-safe devices for the prevention of hazardous-material spills. Final report, December 1979-1981

    SciTech Connect

    Heard, D.B.

    1984-12-01

    Hazardous material spills have often been caused by over filling containers. Many spills could be prevented by using automatic container-filling procedures to determine when maximum capacity is reached. This project conducted an assessment of current technology, including laboratory testing of devices and performance monitoring of on-site automatic level controllers. Three industrial plants cooperated in the field testing phase, each having a different problem with a different material. The types of level control devices chosen were ultrasonic, vibrating tines, and a magnetic-coupled float unit. Two of the units were activated by electricity, and the third was pneumatic. One unit controlled dry powder; the second, a viscous liquid; and the third, an aqueous liquid. Each location required an explosion-proof system. All were subjected to the extremes of weather, and all were installed without significant revisions to existing containers. The on-site experience at host plants demonstrated that fail-safe level controllers can work well for an extended period under severe weather conditions. The proper controller configuration must be chosen to be compatible with the environment and with the material being controlled. Controllers should incorporate requisite safeguards to assure safety and be resistant to corrosion, fouling and weather.

  2. Preventing Suicide

    MedlinePlus

    ... The top three methods used in suicides include firearms (49.9%), suffocation (26.7%), and poisoning (15. ... Content source: National Center for Injury Prevention and Control, Division of Violence Prevention Page maintained by: Office ...

  3. Drowning Prevention

    MedlinePlus

    ... Listen Español Text Size Email Print Share Drowning Prevention: Information for Parents Page Content Article Body Drowning ... in very cold water for lengthy periods. Drowning Prevention: Know the Warning Signs These signs may signal ...

  4. Preventing Rejection

    MedlinePlus

    ... Drug Assistance Lifestyle Changes Back to Work or School Physical Changes Relationship Changes Pregnancy Precautions Fertility Labor & Delivery Breastfeeding Risks Cancer Types Risk Factors Prevention & Early Detection ...

  5. Preventative Maintenance.

    ERIC Educational Resources Information Center

    Migliorino, James

    Boards of education must be convinced that spending money up front for preventive maintenance will, in the long run, save districts' tax dollars. A good program of preventive maintenance can minimize disruption of service; reduce repair costs, energy consumption, and overtime; improve labor productivity and system equipment reliability; handle…

  6. Preventing Falls

    MedlinePlus

    ... from osteoporosis. Lower-body strength exercises and balance exercises can help you prevent falls and avoid the disability that may result from falling. Here are some fall prevention tips from Go4Life : l Have your eyes and hearing tested often. Always wear your glasses when you ...

  7. Preventing falls

    MedlinePlus

    ... worsened. Improving your vision will help reduce falls. Images ... for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: ...

  8. Dengue Prevention

    MedlinePlus

    ... Compartir This photograph shows a mother applying mosquito repellent to her child's skin in order to prevent ... the lights are on. To protect yourself, use repellent on your skin while indoors or out. When ...

  9. Preventing Influenza

    MedlinePlus

    ... spread in respiratory droplets distributed by coughing and sneezing, they readily spread from person to person. Additionally, ... and nose with a tissue when coughing or sneezing, you may help prevent those around you from ...

  10. Willingness to pay among households to prevent coastal resources from polluting by oil spills: a pilot survey.

    PubMed

    Liu, Xin; Wirtz, Kai W; Kannen, Andreas; Kraft, Dietmar

    2009-10-01

    In many coastal regions oil spills can be considered to be one of the most important risks for the coastal environment. Efficient contingency management in responding to oil spills is critically important. Strategic priorities in contingency management highly depend upon the importance attributed to different economic and ecological resources such as beaches or birds. Due to the lack of a market for natural resources in the real world, these resources cannot be directly measured in monetary terms. This increases the risk that natural resources and their services are neglected in contingency decision making. This paper evaluates these natural resources in a hypothetical market by using the methodology of stated choice experiments. Results from a pilot survey show that according to the perspective of individuals, an oil spill combat process should focus on the protection of coastal waters, beaches and eider ducks. PMID:19539336

  11. The changing Arctic and its effects on the development of Norway and Russia's offshore oil-spill prevention policies

    NASA Astrophysics Data System (ADS)

    Bouffard, T. J.

    2015-12-01

    Two very different nations are joined with a northern border and have worked together for decades to manage shared Arctic affairs, yet have very disparate approaches to policy development. Increased access to the Arctic and the push to develop its resources has also created a requirement for developing national policies to address the possibilities of oil spill response and remediation. Norway and Russia are the significant regional powers, with a shared arctic boundary, yet substantially differing approaches to policy development and implementation. We are exploring the variations in their approaches to Arctic offshore oil-spill policy development, in the context of policy informed by economic, social, and physical sciences.

  12. Poison Prevention

    MedlinePlus

    ... Word Shop AAP Find a Pediatrician Safety & Prevention ... Content Article Body Post the Poison Help number 1-800-222-1222 on the emergency list next to every phone in your home and in your cell phone. A toddler or preschooler who vomits may ...

  13. Bullying Prevention

    ERIC Educational Resources Information Center

    Kemp, Patrice

    2016-01-01

    The focus of the milestone project is to focus on bridging the gap of bullying and classroom instruction methods. There has to be a defined expectations and level of accountability that has to be defined when supporting and implementing a plan linked to bullying prevention. All individuals involved in the student's learning have to be aware of…

  14. Preventing Tragedy.

    ERIC Educational Resources Information Center

    One Feather, Sandra

    2003-01-01

    The Navajo supervisor in the Office of Environmental Health in New Mexico identifies diseases and their risk factors, administers an injury prevention program, and ensures compliance with various health-related codes. She assists in the planning and direction of environmental health programs and public health education for local Navajo…

  15. Preeclampsia prevention

    PubMed Central

    Herrera-Medina, Rodolfo; Pineda, Lucia M

    2015-01-01

    Background: Preeclampsia is the main complication of pregnancy in developing countries. Calcium starting at 14 weeks of pregnancy is indicated to prevent the disease. Recent advances in prevention of preeclampsia endorse the addition of conjugated linoleic acid. Objective: To estimate the protective effect from calcium alone, compared to calcium plus conjugated linoleic acid in nulliparous women at risk of preeclampsia. Methods: A case-control design nested in the cohort of nulliparous women attending antenatal care from 2010 to 2014. The clinical histories of 387 cases of preeclampsia were compared with 1,054 normotensive controls. The exposure was prescriptions for calcium alone, the first period, or calcium plus conjugated linoleic acid, the second period, from 12 to 16 weeks of gestational age to labor. Confounding variables were controlled, allowing only nulliparous women into the study and stratifying by age, education and ethnic group. Results: The average age was 26.4 yrs old (range= 13-45), 85% from mixed ethnic backgrounds and with high school education. There were no differences between women who received calcium carbonate and those who did not (OR= 0.96; 95% CI= 0.73-1.27). The group of adolescents (13 to 18 years old) in the calcium plus conjugated linoleic acid was protected for preeclampsia (OR= 0.00; 95% CI= 0.00-0.44) independent of the confounder variables. Conclusions: 1. Calcium supplementation during pregnancy did not have preventive effects on preeclampsia. 2. Calcium plus Conjugated Linoleic acid provided to adolescents was observed to have preventive effect on Preeclampsia. PMID:26848195

  16. Allergy prevention.

    PubMed

    Muche-Borowski, Cathleen; Kopp, Matthias; Reese, Imke; Sitter, Helmut; Werfel, Thomas; Schäfer, Torsten

    2010-09-01

    The further increase of allergies in industrialized countries demands evidence-based measures of primary prevention. The recommendations as published in the guideline of 2004 were updated and consented on the basis of a systematic literature search. Evidence from the period February 2003-May 2008 was searched in the electronic databases Cochrane and MEDLINE as well as in reference lists of recent reviews and by contacting experts. The retrieved citations were screened for relevance first by title and abstract and in a second step as full paper. Levels of evidence were assigned to each included study and the methodological quality of the studies was assessed as high or low. Finally the revised recommendations were formally consented (nominal group process) by representatives of relevant societies and organizations including a self-help group. Of originally 4556 hits, 217 studies (4 Cochrane Reviews, 14 meta-analyses, 19 randomized controlled trials, 135 cohort and 45 case-control studies) were included and critically appraised. Grossly unchanged remained the recommendations on avoiding environmental tobacco smoke, breast-feeding over 4 months (alternatively hypoallergenic formulas for children at risk), avoiding a mold-promoting indoor climate, vaccination according to current recommendations, and avoidance of furry pets (especially cats) in children at risk. The recommendation on reducing the house dust mite allergen exposure as a measure of primary prevention was omitted and the impact of a delayed introduction of supplementary food was reduced. New recommendations were adopted concerning fish consumption (during pregnancy / breast-feeding and as supplementary food in the first year), avoidance of overweight, and reducing the exposure to indoor and outdoor air pollutants. The revision of this guideline on a profound evidence basis led to (1) a confirmation of existing recommendations, (2) substantial revisions, and (3) new recommendations. Thereby it is possible

  17. Preventing Pressure Sores

    MedlinePlus Videos and Cool Tools

    Experts \\ Preventing Pressure Sores Topics Adult Injuries Spinal Cord Injury 101 Spinal Cord Injury 101 The Basics of Spinal Cord Injury ... The Basics of Spinal Cord Injury Rehabilitation Preventing Pressure Sores Preventing Pressure Sores Transition from Hospital to ...

  18. Lead Poisoning Prevention Tips

    MedlinePlus

    ... CDC.gov . Lead Home Calendar of Events National Lead Poisoning Prevention Week Archived Materials CDC's Childhood Lead Poisoning Prevention Program Advisory Committee (ACCLPP) Current Activities Blood ...

  19. Oil Spills and Spills of Hazardous Substances.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC. Office of Water Programs.

    The stated purpose of this publication is to describe some of the more significant spill incidents and the mechanisms, both managerial and technological, to deal with them. This publication is targeted for school, general public, and other such audiences. Sections include effects of spills, prevention of spills, responding to spills, spill…

  20. Recipes for Prevention. Substance Abuse Prevention

    ERIC Educational Resources Information Center

    Steele, Catherine

    This handbook, which is the first in a series of materials being developed by an educational group in Albany, New York, for parents and caregivers of preschoolers, focuses on substance abuse prevention concepts. Its goals are to promote awareness that substance abuse prevention starts with very young children and to provide a format of activities…

  1. Preventing High Blood Pressure

    MedlinePlus

    ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ...

  2. High Blood Cholesterol Prevention

    MedlinePlus

    ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ...

  3. Antioxidants and Cancer Prevention

    MedlinePlus

    ... Partners & Collaborators Spotlight on Scientists Research Areas Cancer Biology Cancer Genomics Causes of Cancer Diagnosis Prevention Screening & ... Collaborators Spotlight on Scientists NCI Research Areas Cancer Biology Cancer Genomics Causes of Cancer Diagnosis Prevention Screening & ...

  4. Home Improvements Prevent Falls

    MedlinePlus

    ... on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table of Contents ... or home modification programs to help older people prevent falls. Check with your local health department, senior ...

  5. Preventing HIV with Medicine

    MedlinePlus

    ... information in Spanish ( en español ) Preventing HIV with medicine Get medicine right after you are exposed to ... to top More information on Preventing HIV with medicine Explore other publications and websites National HIV and ...

  6. Breast Cancer Prevention

    MedlinePlus

    ... of Breast & Gynecologic Cancers Breast Cancer Screening Research Breast Cancer Prevention (PDQ®)–Patient Version What is prevention? Go ... to keep cancer from starting. General Information About Breast Cancer Key Points Breast cancer is a disease in ...

  7. Research Areas: Prevention

    Cancer.gov

    NCI's prevention research has a broad focus—from identifying environmental and lifestyle factors that influence cancer risk to studying the biology of how cancer develops and testing ways to disseminate prevention interventions.

  8. Preventing Deep Vein Thrombosis

    MedlinePlus

    ... Patient Education FAQs Preventing Deep Vein Thrombosis Patient Education Pamphlets - Spanish Preventing Deep Vein Thrombosis FAQ174, August 2011 PDF ... Your Practice Patient Safety & Quality Payment Reform (MACRA) Education & Events Annual ... Pamphlets Teen Health About ACOG About Us Leadership & ...

  9. Measles -- Recommendations for Prevention

    MedlinePlus

    ... Prevent News and Media Resources News Newsletters Events Measles - Recommendations for Prevention Recommend on Facebook Tweet Share ... safest protection you can give your child against measles. Children should be given the first dose of ...

  10. The Suicide Prevention Continuum

    PubMed Central

    Caldwell, Dawn

    2010-01-01

    The suicide prevention continuum illustrates a practical approach to the complex issue of suicide prevention. The continuum evolved from discussions with two Aboriginal communities in Atlantic Canada about suicide and the different types of interventions available. The continuum offers a framework and reference tool to differentiate between the different stages of suicide risk. It illustrates where the Aboriginal Community Youth Resilience Network (ACYRN) fits into suicide prevention and how it contributes to prevention knowledge, capacity building, and policy development. PMID:20835376

  11. Wildfire Prevention Strategies.

    ERIC Educational Resources Information Center

    National Wildlife Coordinating Group, Boise, ID.

    This document provides information and guidance on wildfire prevention strategies. Chapters include: (1) "Introduction"; (2) "How to Use this Guide"; (3) "Fire Cause Classification"; (4) "Relative Effectiveness"; (5) "Degree of Difficulty"; (6) "Intervention Techniques"; (7) "Prevention Activities"; (8) "Sample Prevention Strategies"; and (9)…

  12. Can I Prevent Acne?

    MedlinePlus

    ... I Help a Friend Who Cuts? Can I Prevent Acne? KidsHealth > For Teens > Can I Prevent Acne? Print A A A Text Size What's ... too. Although there is no surefire way to prevent acne, try these tips to help reduce the ...

  13. FACILITY POLLUTION PREVENTION GUIDE

    EPA Science Inventory

    The U.S. Environmental Protection Agency (U.S. EPA) has developed the Facility Pollution Prevention Guide for those who are interested in and responsible for pollution prevention in industrial or service facilities. t summarizes the benefits of a company-wide pollution prevention...

  14. Fire Prevention Education.

    ERIC Educational Resources Information Center

    Ehmann, Jeanne; Claus, William C.

    The fire prevention education bulletin helps schools continue their work to make the home, school, and community safe places in which to live and to help children and young people live in safe ways without developing undue fears. Briefly discussed are the goals of a fire prevention program, who should be concerned with fire prevention education,…

  15. Suicide Prevention Triangle.

    ERIC Educational Resources Information Center

    Cutter, Fred

    This manual provides resource tools and strategies to enhance the suicide prevention capabilities of health professionals and the health care setting in which care is provided. In the first section, terms are defined and the suicide prevention triangle model is described. Applications of the model and good practices for suicide prevention in any…

  16. Prevention of Food Poisoning.

    ERIC Educational Resources Information Center

    Army Quartermaster School, Ft. Lee, VA.

    The programed text provides a single lesson, four-hour, correspondence subcourse on the prevention of food poisoning. It covers the following areas: a definition of food poisoning; chemical food poisoning; biological food poisoning; causes and prevention of trichinosis; six factors controlling bacteria growth; bacterial infection; prevention of…

  17. Murals Reflecting Prevention.

    ERIC Educational Resources Information Center

    Office of Elementary and Secondary Education (ED), Washington, DC. Safe and Drug Free Schools Program.

    This document is used in a collaborative project that engages children and adolescents in alcohol, tobacco, and drug prevention activities through the arts. The project offers an innovative teaching resource that uses the universal language of the arts for drug prevention. By creating murals with drug prevention themes, elementary and secondary…

  18. Preventing Diabetes: Early Versus Late Preventive Interventions.

    PubMed

    Tuomilehto, Jaakko; Schwarz, Peter E H

    2016-08-01

    There are a number of arguments in support of early measures for the prevention of type 2 diabetes (T2D), as well as for concepts and strategies at later intervention stages. Diabetes prevention is achievable when implemented in a sustainable manner. Sustainability within a T2D prevention program is more important than the actual point in time or disease process at which prevention activities may start. The quality of intervention, as well as its intensity, should vary with the degree of the identified T2D risk. Nevertheless, preventive interventions should start as early as possible in order to allow a wide variety of relatively low- and moderate-intensity programs. The later the disease risk is identified, the more intensive the intervention should be. Public health interventions for diabetes prevention represent an optimal model for early intervention. Late interventions will be targeted at people who already have significant pathophysiological derangements that can be considered steps leading to the development of T2D. These derangements may be difficult to reverse, but the worsening of dysglycemia may be halted, and thus the clinical onset of T2D can be delayed. PMID:27440823

  19. [Prevention of osteoporosis].

    PubMed

    Dambacher, M A; Kissling, R; Neff, M

    1998-11-01

    The European Parliament presented June 10th in Brussels the 'Osteoporosis Report in EU--Means for Prevention'. It was emphasized that in the EU more than 3500 million Ecu have to be spent for hospitalization and that more than 500,000 hospitals beds are being used by osteoporotic patients. According to some calculations this number will double within the next 50 years. The EU has set up eight steps to be considered, e.g. have densitometric measurements available for persons with high risk and have these measurement paid by the insurances to further finance and support research for the very important areas of prevention and treatment. One distinguishes between primary, secondary and tertiary prevention of osteoporosis. Primary prevention aims at reaching at adolescent age a peak bone mass as high as possible. Secondary prevention aims at reducing bone loss peri- and postmenopausal. The tertiary prevention with manifest osteoporosis aims at preventing fractures. Emphasis of the primary prevention is, besides a sufficient calcium intake, to omit risk factors; with secondary prevention the use of medical treatments such as estrogens/gestagens, bisphosphonates, and recently also SERMs is applied. The tertiary prevention tries mostly to reduce the femur fractures. In addition to drugs such as vitamin D/calcium, vitamin D metabolites and bisphosphonates it is very important to create 'a fall-proof home'. Also very useful are hip protectors. PMID:9865147

  20. Ideology and Violence Prevention

    PubMed Central

    Whitman, Steven

    1988-01-01

    Interpersonal violence is a major problem in US society in terms of the death and destruction it causes, the fear it generates, and the attention it receives. A recent trend has been to regard the problem of violence as an epidemic and to shape ideas of violence prevention according to public-health formulations. This process does not take into account the ideological nature of the proposed violence-prevention measures. Problems arise because this ideology is relevant to the potential effectiveness of violence prevention. This paper delineates several ideological issues involved in violence prevention and discusses how they interact with frequently employed public-health prevention strategies. Based upon this discussion, a general perspective for violence prevention is proposed and guiding principles that emerge from this perspective are presented. PMID:3404554

  1. Values in Preventive Medicine

    PubMed Central

    Hoffmaster, Barry

    1992-01-01

    We know how lifestyle affects health, yet concern for preventing illness by promoting healthy lifestyles remains marginal in medical practice. Effective preventive strategies can raise daunting moral and political problems about the extent to which individual freedoms may be infringed, particularly on paternalistic grounds. Evaluative questions also arise about more specific matters, such as identifying risk and causal factors, determining what level of risk is acceptable, and deciding how compelling the evidence must be to take preventive action. PMID:11651426

  2. Prevention of High Blood Pressure

    MedlinePlus

    ... page from the NHLBI on Twitter. Prevention of High Blood Pressure Healthy lifestyle habits, proper use of medicines, and ... prevent high blood pressure or its complications. Preventing High Blood Pressure Onset Healthy lifestyle habits can help prevent high ...

  3. Preventing Suicides in the Military

    MedlinePlus

    ... of this page please turn Javascript on. Feature: Preventing Suicides Preventing Suicides in the Military Past Issues / Winter 2010 ... Family Hotline 1-800-984-8523 Read More "Preventing Suicides" Articles Preventing Suicides in the Military / Who's ...

  4. Roles in Suicide Prevention

    MedlinePlus

    ... Programs Training & Events Online Training Courses Assessing and Managing Suicide Risk (AMSR) News & Highlights SPARK Talks Organizations States National Action Alliance for Suicide Prevention National ...

  5. Human Immunodeficiency Virus Prevention.

    PubMed

    Davis, Teaniese Latham; DiClemente, Ralph

    2016-04-01

    Human immunodeficiency virus (HIV) is the virus that causes AIDS. Surveillance data from 2012 indicate an estimated 1.2 million people aged 13 years and older were living with HIV infection in the United States, and 12.8% do not know their status. There are approximately 50,000 new HIV infections annually. With no available cure for HIV, primary prevention to reduce incident cases of HIV is essential. Strategies to prevent HIV transmission include reducing sexual risk behavior and needle sharing. The Centers for Disease Control and Prevention has multiple resources available for primary and secondary prevention to reduce disease transmission and severity. PMID:26980130

  6. Preventive treatment of migraine.

    PubMed

    Silberstein, Stephen D

    2006-08-01

    Migraine is a common episodic pain disorder, the treatment of which can be acute to stop an attack or preventive to reduce the frequency, duration or severity of attacks. Preventive treatment is used when attacks are frequent or disabling. Many different medication groups are used for preventive treatment, including beta-blockers, antidepressants and antiepileptic drugs. Their mechanisms of action include raising the threshold to migraine activation, enhancing antinociception, inhibiting cortical spreading depression, inhibiting peripheral and central sensitization, blocking neurogenic inflammation and modulating sympathetic, parasympathetic or 5-HT tone. In this article, I review evidence of the effectiveness of migraine preventive drugs. I also discuss the setting of treatment priorities. PMID:16820222

  7. Prevention at Community Colleges. Prevention Update

    ERIC Educational Resources Information Center

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

    2012-01-01

    According to "Community College Student Alcohol Use: Developing Context-Specific Evidence and Prevention Approaches," community colleges have traditionally had a threefold mission that includes preparing students for transfer to four-year colleges, developmental education, and workforce preparation. The researchers point out that the demographic…

  8. Stomach (Gastric) Cancer Prevention

    MedlinePlus

    ... of stomach cancer. Some studies show that eating fruits and vegetables that are high in vitamin C and beta carotene may lower the risk ... take can prevent cancer. These may include eating fruits and vegetables, exercising, ... vitamins, minerals, or food supplements. New ways to prevent ...

  9. DIABETES PREVENTION PROGRAM

    EPA Science Inventory

    The Diabetes Prevention Program (DPP) was a major clinical trial, or research study, aimed at discovering whether either diet and exercise or the oral diabetes drug metformin (Glucophage) could prevent or delay the onset of type 2 diabetes in people with impaired glucose toleranc...

  10. Fire Prevention Inspection Procedures.

    ERIC Educational Resources Information Center

    Pribyl, Paul F.

    Lesson plans are provided for a fire prevention inspection course of the Wisconsin Fire Service Training program. Objectives for the course are to enable students to describe and conduct fire prevention inspections, to identify and correct hazards common to most occupancies, to understand the types of building construction and occupancy, and to…

  11. Teaching Prevention in Pediatrics.

    ERIC Educational Resources Information Center

    Cheng, Tina L.; Greenberg, Larrie; Loeser, Helen; Keller, David

    2000-01-01

    Reviews methods of teaching preventive medicine in pediatrics and highlights innovative programs. Methods of teaching prevention in pediatrics include patient interactions, self-directed learning, case-based learning, small-group learning, standardized patients, computer-assisted instruction, the Internet, student-centered learning, and lectures.…

  12. Statins and Cancer Prevention

    MedlinePlus

    ... site at http://prevention.cancer.gov on the Internet. More information on cholesterol-lowering drugs can be obtained from the FDA Web site at http://www.fda.gov on the Internet. Related Resources Causes and Prevention Posted: June 2, ...

  13. Preventing Child Abuse

    ERIC Educational Resources Information Center

    Alvy, Kerby T.

    1975-01-01

    Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…

  14. Prevention of Graves' ophthalmopathy.

    PubMed

    Bartalena, Luigi

    2012-06-01

    Smoking is the most important risk factor for the occurrence/progression of Graves' ophthalmopathy (GO), as well as for its lower/slower response to immunosuppression. Accordingly, refrain from smoking should be urged, both as primary prevention (removal of risk factors in Graves' patients without GO), secondary prevention (early detection and treatment of asymptomatic/very mild GO) and tertiary prevention (reduction of complications/disability of overt GO). A 6-month course of 200 μg/day sodium selenite can prevent progression of mild GO to more severe GO and is, therefore, a form of secondary prevention and, probably, primary prevention. Correction of thyroid dysfunction and stable maintenance of euthyroidism are important preventive measures. The optimal treatment for hyperthyroidism in patients with GO is uncertain, because evidence demonstrating the superiority of antithyroid drugs over thyroid ablation (radioiodine, thyroidectomy, or both) is lacking. If radioiodine is used, low-dose steroid prophylaxis is recommended, particularly in smokers, to prevent radioiodine-associated GO progression. PMID:22632372

  15. MEASURING POLLUTION PREVENTION PROGRESS

    EPA Science Inventory

    The workshop, "Measuring Pollution Prevention Progress," was held in Salem, MA, March 31 - April 2, 1993. he purpose of this workshop was to present the latest significant research and practical findings related to pollution prevention measurement from ongoing and recently comple...

  16. Prevention of preterm birth.

    PubMed

    Flood, Karen; Malone, Fergal D

    2012-02-01

    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem. PMID:21893439

  17. [Atorvastatin in primary prevention].

    PubMed

    Kültürsay, Hakan

    2009-03-01

    Statins are one of the most widely used drugs in medical treatment and have been shown to prevent cardiovascular disease or reduce risk in a large number of studies. Although there is a general class effect, there are differences with regard to structure and efficacy between these agents. Among these agents, atorvastatin is a potent statin whose efficacy has been demonstrated in many clinical trials. Despite the presence of numerous clinical studies, data on atorvastatin related to primary prevention are limited compared to secondary prevention. In this article, clinical results of primary prevention trials with atorvastatin and data on its cost-effectiveness are reviewed. It is concluded that atorvastatin has a role in primary prevention and the cost of its use seems to be lower than commonly accepted cost-effectiveness thresholds. PMID:19404046

  18. [Prevention of alcohol dependence].

    PubMed

    Trova, A C; Paparrigopoulos, Th; Liappas, I; Ginieri-Coccossis, M

    2015-01-01

    With the exception of cardiovascular diseases, no other medical condition causes more serious dysfunction or premature deaths than alcohol-related problems. Research results indicate that alcohol dependent individuals present an exceptionally poor level of quality of life. This is an outcome that highlights the necessity of planning and implementing preventive interventions on biological, psychological or social level, to be provided to individuals who make alcohol abuse, as well as to their families. Preventive interventions can be considered on three levels of prevention: (a) primary prevention, which is focused on the protection of healthy individuals from alcohol abuse and dependence, and may be provided on a universal, selective or indicated level, (b) secondary prevention, which aims at the prevention of deterioration regarding alcoholic dependence and relapse, in the cases of individuals already diagnosed with the condition and (c) tertiary prevention, which is focused at minimizing deterioration of functioning in chronically sufferers from alcoholic dependence. The term "quaternary prevention" can be used for the prevention of relapse. As for primary prevention, interventions focus on assessing the risk of falling into problematic use, enhancing protective factors and providing information and health education in general. These interventions can be delivered in schools or in places of work and recreation for young people. In this context, various programs have been applied in different countries, including Greece with positive results (Preventure, Alcolocks, LST, SFP, Alcohol Ignition Interlock Device). Secondary prevention includes counseling and structured help with the delivery of programs in schools and in high risk groups for alcohol dependence (SAP, LST). These programs aim at the development of alcohol refusal skills and behaviors, the adoption of models of behaviors resisting alcohol use, as well as reinforcement of general social skills. In the

  19. Prevention of food allergy.

    PubMed

    du Toit, George; Tsakok, Teresa; Lack, Simon; Lack, Gideon

    2016-04-01

    The past few decades have witnessed an increase in the prevalence of IgE-mediated food allergy (FA). For prevention strategies to be effective, we need to understand the causative factors underpinning this rise. Genetic factors are clearly important in the development of FA, but given the dramatic increase in prevalence over a short period of human evolution, it is unlikely that FA arises through germline genetic changes alone. A plausible hypothesis is that 1 or more environmental exposures, or lack thereof, induce epigenetic changes that result in interruption of the default immunologic state of tolerance. Strategies for the prevention of FA might include primary prevention, which seeks to prevent the onset of IgE sensitization; secondary prevention, which seeks to interrupt the development of FA in IgE-sensitized children; and tertiary prevention, which seeks to reduce the expression of end-organ allergic disease in children with established FA. This review emphasizes the prevention of IgE-mediated FA through dietary manipulation, among other strategies; in particular, we focus on recent interventional studies in this field. PMID:27059727

  20. The limits of prevention.

    PubMed Central

    McGinnis, J M

    1985-01-01

    Recent years have been marked by unprecedented accomplishments in preventing disease and reducing mortality. More gains can be expected, but there are limits. The forces shaping the nature and potential of prevention programs can be characterized as points falling along a spectrum ranging from the purely scientific to the purely social. This paper focuses on four elements of that spectrum, discussing some of the limitations to prevention that are presented by biological, technical, ethical, and economic factors. The author concludes with an essentially optimistic perspective on the prospects, special opportunities, and imperatives inherent in each of the categories of limitations discussed. PMID:3923530

  1. Guideline Implementation: Preventing Hypothermia.

    PubMed

    Bashaw, Marie A

    2016-03-01

    The updated AORN "Guideline for prevention of unplanned patient hypothermia" provides guidance for identifying factors associated with intraoperative hypothermia, preventing hypothermia, educating perioperative personnel on this topic, and developing relevant policies and procedures. This article focuses on key points of the guideline, which addresses performing a preoperative assessment for factors that may contribute to hypothermia, measuring and monitoring the patient's temperature in all phases of perioperative care, and implementing interventions to prevent hypothermia. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. PMID:26924369

  2. Prevention of lipohypertrophy.

    PubMed

    Kalra, Sanjay; Kumar, Arun; Gupta, Yashdeep

    2016-07-01

    Lipohypertrophy is an important insulin injection site reaction, which has clinically significant sequelae, including a greater risk of glycaemic variability and higher insulin dose requirement. This article describes the prevention of lipohypertrophy, using the concept of levels of prevention. It enumerates methods of primordial, primary, secondary, tertiary and quaternary prevention of lipohypertrophy. Focus on patient education, site rotation, avoidance of needle reuse, and dose titration when shifting from injection in lipohypertrophic lesions to normal subcutaneous tissue, helps minimize the development and impact of lipohypertrophy. PMID:27427150

  3. [Preventive medicine in geriatrics].

    PubMed

    Namias, B

    2003-01-01

    This paper gives a summary of check-up and preventive recommendations for elderly. It concerns screening, vaccination, chemoprophylaxy, and counseling. It is mainly based on the recommendations of the U.S. Preventive services Task force. It approaches the screening of hypertention, visual and auditive impairment, breast, colorectal, cervical, prostate cancers, about dyslipidemia, depression, osteoporosis, vaccination against influenza, pneumococcal infection,and chemoprophylaxy by estrogen, raloxifene, acetyisalicyclic acid. There is also counseling in the prevention of falls, exercises, and diet. This summary underlines the multiple recent changes compared with the 1996 recommendations. PMID:14983902

  4. Prevent Back Pain

    MedlinePlus

    ... Previous section Overview 2 of 5 sections Take Action! Take Action: Get Active Take care of your back to ... I at Risk? 3 of 5 sections Take Action: Prevent Injuries Focus on good posture. Good posture ...

  5. Osteoporosis: Preventing Falls

    MedlinePlus

    ... of this page please turn Javascript on. Feature: Osteoporosis Preventing Falls Past Issues / Winter 2011 Table of ... next to your bed Free NIH Videos About Osteoporosis The NIHSeniorHealth Web site features five brief, informative ...

  6. Preventive Antepartum Care

    PubMed Central

    1994-01-01

    As the role of the obstetrician-gynecologist evolves to include primary care, the obstetrician must assume greater responsibility for providing prenatal preventive care, particularly regarding the STORCH5 pathogens. PMID:18475371

  7. Prevent Child Abuse America

    MedlinePlus

    ... Abuse Cases A recent report from the Indianapolis Star has revealed multiple occasions in which allegations of ... Gymnastics. In many of the cases that the Star investigated, complaint… Read more Who we are Prevent ...

  8. Head Injury Prevention Tips

    MedlinePlus

    Head Injury Prevention Tips American Association of Neurological Surgeons 5550 Meadowbrook Drive, Rolling Meadows, IL 60008-3852 ... defined as a blow or jolt to the head or a penetrating head injury that disrupts the ...

  9. Youth Suicide Prevention Programs

    ERIC Educational Resources Information Center

    Kalafat, John

    2006-01-01

    Youth suicide prevention programs are described that promote the identification and referral of at-risk youth, address risk factors, and promote protective factors. Emphasis is on programs that are both effective and sustainable in applied settings.

  10. Profiting from pollution prevention

    SciTech Connect

    LoPilato, A.J.; Eng, D.B.

    1994-12-31

    In the case of pollution prevention, national environmental goals coincide with industry`s economic interests. Most, if not all businesses have strong incentives to reduce the toxicity and quantities of wastes generated. These incentives include not only the ever increasing cost of compliance within a growing framework of regulations, but may include a firms desire to reduce the risk of criminal and civil liability, reduce overall operating costs, improve employee morale and participation, enhance corporate image in the community and insure protection of both public health and the environment. Although some businesses may invest in a pollution prevention program because it is the green thin to do, most businesses will weight their initial and long-term pollution prevention program investments on sound economic analyses. An effective pollution prevention program can provide cost savings that will more than offset the initial development and implementation costs.

  11. Household Safety: Preventing Choking

    MedlinePlus

    ... room a child shouldn't enter to prevent wandering into places that haven't been properly childproofed. ... the activities that develop your child's body and mind. Reviewed by: Mary L. Gavin, MD Date reviewed: ...

  12. Prevent Back Pain

    MedlinePlus

    ... Back Pain Print This Topic En español Prevent Back Pain Browse Sections The Basics Overview Am I at ... Health: Back Pain . There are different types of back pain. Back pain can be acute or chronic. It ...

  13. Diabetes Prevention Program (DPP)

    MedlinePlus

    ... United States. The U.S. Department of Health and Human Services estimates that about one in four U.S. ... to learn more about the study's long-term effects through the Diabetes Prevention Program Outcomes Study (DPPOS), ...

  14. Preventive treatment of migraine.

    PubMed

    Silberstein, Steven D

    2005-01-01

    Migraine preventive therapy, even in the absence of a headache, is given in an attempt to reduce the frequency, duration, or severity of attacks. Circumstances that might warrant preventive treatment include disabling migraine attacks, the overuse of acute medications or failure of or contraindication to acute medications, troublesome side effects from medication, hemiplegic migraine, or very frequent headaches (more than 2 a week). The major medication groups for preventive treatment include anticonvulsants, antidepressants, b-adrenergic blockers, calcium channel antagonists, serotonin antagonists, neurotoxins, nonsteroidal anti-inflammatory drugs, and others. If preventive medication is indicated, the agent preferentially should be chosen from one of the first-line categories, based on the drug's side-effect profile and the patient's coexistent and comorbid conditions. PMID:16622394

  15. Migraine preventive treatment.

    PubMed

    Silberstein, Stephen D

    2010-01-01

    Migraine is a chronic neurological disease. Preventive therapy is given in an attempt to reduce the frequency, duration, or severity of attacks. Circumstances that might warrant preventive treatment include recurring migraine attacks that significantly interfere with the patient's daily routines, despite appropriate acute treatment; frequent headaches; contraindication to, failure of, overuse of, or intolerance to acute therapies; patient preference; frequent, very long, or uncomfortable auras; and presence of uncommon migraine conditions. The major medication groups for preventive migraine treatment include beta-adrenergic blockers, antidepressants, calcium channel antagonists, serotonin antagonists, and anticonvulsants. The choice of preventive treatment depends on the individual drug's efficacy and adverse events, the patient's clinical features, frequency, and response to prior treatment, and the presence of any comorbid or coexistent disease. PMID:20816433

  16. Preventive migraine treatment.

    PubMed

    Silberstein, Stephen D

    2009-05-01

    The pharmacologic treatment of migraine may be acute (abortive) or preventive (prophylactic), and patients with frequent severe headaches often require both approaches. Preventive therapy is used to try to reduce the frequency, duration, or severity of attacks. The preventive medications with the best-documented efficacy are amitriptyline, divalproex, topiramate, and the beta-blockers. Choice is made based on a drug's proven efficacy, the physician's informed belief about medications not yet evaluated in controlled trials, the drug's adverse events, the patient's preferences and headache profile, and the presence or absence of coexisting disorders. Because comorbid medical and psychologic illnesses are prevalent in patients who have migraine, one must consider comorbidity when choosing preventive drugs. Drug therapy may be beneficial for both disorders; however, it is also a potential confounder of optimal treatment of either. PMID:19289224

  17. Oral Cancer Prevention

    MedlinePlus

    ... South Asia and Southeast Asia, including China and India. Personal history of head and neck cancer A ... such as “NCI’s PDQ cancer information summary about breast cancer prevention states the risks in the following way: [ ...

  18. Preventing Weight Gain

    MedlinePlus

    ... If this is the case, preventing further weight gain is a worthy goal. As people age, their body composition gradually shifts — the proportion of muscle decreases and the proportion of fat increases. This ...

  19. Polyp Prevention Trial

    Cancer.gov

    The primary objective of the Polyp Prevention Trial (PPT) is to determine whether a low fat, high fiber, high vegetable and fruit eating plan will decrease the recurrence of adenomatous polyps of the large bowel.

  20. Prevent Blindness America

    MedlinePlus

    ... to eNews Close Donate A Lifetime of Healthy Vision See well to learn, work, play, and live ... the sight-saving work of
 Prevent Blindness. Donate Vision Problems in the U.S. Prevalence of Adult Vision ...

  1. Institutional Preventive Stress Management.

    ERIC Educational Resources Information Center

    Quick, James C.

    1987-01-01

    Stress is an inevitable characteristic of academic life, but colleges and universities can introduce stress management activities at the organizational level to avert excessive tension. Preventive actions are described, including flexible work schedules and social supports. (Author/MSE)

  2. Diabetes Prevention Program (DPP)

    MedlinePlus

    ... Recruiting Patients & Families Consortia, Networks & Centers Reports & Planning Diabetes Prevention Program (DPP) Page Content On this page: ... increased risk of developing diabetes. [ Top ] Type 2 Diabetes and Prediabetes Type 2 diabetes is a disorder ...

  3. Infection Prevention in Transplantation.

    PubMed

    Pergam, Steven A

    2016-01-01

    The number of patients undergoing hematopoietic cell and solid organ transplantation are increasing every year, as are the number of centers both transplanting and caring for these patients. Improvements in transplant procedures, immunosuppressive regimens, and prevention of transplant-associated complications have led to marked improvements in survival in both populations. Infections remain one of the most important sources of excess morbidity and mortality in transplant, and therefore, infection prevention strategies are a critical element for avoiding these complications in centers caring for high-risk patients. This manuscript aims to provide an update of recent data on prevention of major healthcare-associated infections unique to transplantation, reviews the emergence of antimicrobial resistant infections, and discusses updated strategies to both identify and prevent transmission of these pathogens in transplant recipients. PMID:26820654

  4. Automating Preventive Maintenance.

    ERIC Educational Resources Information Center

    Oshier, Michael J.

    1984-01-01

    Describes the following aspects of the State University of New York-Brockport's preventive maintenance computerization project: (1) software selection, (2) project implementation; and (3) problems and benefits of the system. (MCG)

  5. Preventability of Cancer

    PubMed Central

    Colditz, Graham A.; Wei, Esther K.

    2013-01-01

    Whereas models of cancer disparities and variation in cancer burden within population groups now specify multiple levels of action from biologic processes to individual risk factors and social and physical contextual factors, approaches to estimating the preventable proportion of cancer use more traditional direct models often from single exposures to cancer at specific organ sites. These approaches are reviewed, and the strengths and limitations are presented. The need for additional multilevel data and approaches to estimation of preventability are identified. International or regional variation in cancer may offer the most integrated exposure assessment over the life course. For the four leading cancers, which account for 50% of incidence and mortality, biologic, social, and physical environments play differing roles in etiology and potential prevention. Better understanding of the interactions and contributions across these levels will help refine prevention strategies. PMID:22224878

  6. Prevention of hepatocellular carcinoma.

    PubMed

    Kew, Michael C

    2010-01-01

    Because of its frequency and grave prognosis, preventing hepatocellular carcinoma is an urgent priority. Prevention should be possible because environmental carcinogens-chronic hepatitis B and C virus infections, dietary exposure to aflatoxins, and iron overload-cause the great majority of these tumors. Chronic hepatitis B virus infection accounts for 55% of global hepatocellular carcinomas and 80% of those in the high-incidence Asia Pacific and sub-Saharan African regions. In these regions the infection that becomes chronic is predominantly acquired very early in life. A safe and effective vaccine against this virus is available and its universal inclusion in the immunization of infants has already resulted in a marked reduction of chronic infection and a 70% decrease in the occurrence of hepatocellular carcinoma in those immunized. Chronic hepatitis C virus infection is the major cause of hepatocellular carcinoma in industrialized countries. The infection is mainly acquired in adulthood and, until a vaccine becomes available, prevention will consist mainly of identifying, counselling, and treating chronically infected individuals, preventing spread of the virus by the use of safe injection practices (particularly in intravenous drug abusers), and screening all donated blood for the presence of the virus. 4.5 billion of the world.s population are exposed to dietary aflatoxins. Prevention involves treating susceptible crops to prevent fungal contamination, and handling the foodstuffs in such a way as to prevent contamination during storage. Iron overload in hereditary hemochromatosis can be prevented by repeated venesection and in African dietary iron overload by fermenting the home-brewed beer in iron-free containers. PMID:20526004

  7. [Prevention of oral cancer].

    PubMed

    Roodenburg, J L; Vermey, A; Nauta, J M

    1994-05-01

    Etiology control is the most important primary prevention of oral cancer. The use of tobacco and alcohol increases the risk of a squamous cell carcinoma of the oral mucosa. The dentist can play an important role in the secondary prevention or screening for premalignant lesions, asymptomatic malignancies and second primary tumours of the oral cavity. Because of their age, edentulous patients run a high risk of oral cancer. Therefore, a regular oral check-up of these patients should be recommended. PMID:11830977

  8. IS SUICIDE PREVENTABLE?

    PubMed Central

    Elias, Ralph B.

    1959-01-01

    Among 500 cases of suicide analyzed in Stockholm, fewer than a third were associated with depression. Most forms of psychiatric disease were represented. Nevertheless, most persons give some warning before attempting suicide, and these warnings should be the signal for preventive action. Centers with trained personnel could prevent many suicides, if the potential victims were recognized and referred early enough. Laymen too should be educated to recognize potential suicide and help avert it. PMID:13629348

  9. Preventing Obesity through Schools

    PubMed Central

    Nihiser, Allison; Merlo, Caitlin; Lee, Sarah

    2015-01-01

    PRÉCIS This paper describes highlights from the Weight of the Nation™ 2012 Schools Track. Included is a summary of 16 presentations. Presenters shared key actions for obesity prevention through schools. The information provided at the Weight of the Nation™ can help school health practitioners access tools, apply evidence-based strategies, and model real-world examples to successfully start obesity prevention initiatives in their jurisdiction. PMID:24446995

  10. Compliance through pollution prevention

    SciTech Connect

    McCarty, B.D.; Coyle, S.; Kachel, W.M.

    1999-07-01

    Decreased budgetary resources have caused the Air Force Materiel Command to look for a better way to target pollution prevention investments. The new paradigm, Compliance through Pollution Prevention (CTP2), is based upon the Code of Environmental Management Principles (CEMP) for federal facilities. It provides a procedure to assure that all future AFMC P2 investments result in the greatest reduction in environmental compliance burden possible. This paper describes the evolution of this new environmental management system, both past and future.

  11. Delivery of preventive care

    PubMed Central

    Katz, Alan; Lambert-Lanning, Anita; Miller, Anthony; Kaminsky, Barbara; Enns, Jennifer

    2012-01-01

    Abstract Objective To determine family physicians’ practice of, knowledge about, and attitudes toward delivering preventive care during periodic health examinations (PHEs). Design A stratified sample of 5013 members of the College of Family Physicians of Canada were randomly selected to receive a questionnaire by mail. Descriptive analysis was performed on a national data set of 1010 respondents. Setting Canada. Participants A sample of family physicians from each Canadian province. Main outcome measures Physicians were asked questions about whether they addressed aspects of preventive care, such as tobacco smoking, nutrition, physical activity, alcohol intake, and sun exposure with patients during PHEs. The questions were designed to gauge attitudes and identify barriers to the provision of preventive care. Results Most respondents (87% to 89%) indicated that they were comfortable counseling their patients about issues such as nutrition, physical activity, and alcohol consumption; however, many of these respondents did not refer their patients to specialists or provide them with additional resources to educate patients about the health risks of their conditions. While tobacco smoking risks and cessation were addressed by most family physicians (79%) during PHEs, other topics, such as sun exposure, were often overlooked. Conclusion The results of this survey indicate that while many family physicians follow the evidence-based guidelines for preventive care, current levels of preventive care in the primary care setting are below national standards. It is critical that Canadians receive optimal preventive care to improve the outlook of the chronic disease burden on the health care system. PMID:22267643

  12. Primary prevention of asthma.

    PubMed

    Becker, Allan B; Chan-Yeung, Moira

    2002-01-01

    There has been a dramatic increase in the prevalence of asthma over the last quarter century, particularly in the industrialized world. Although our understanding of asthma continues to improve, there is no cure for the disease. Primary prevention of asthma is the focus of this review. Asthma is a disease with multiple gene-environment interactions. Candidate genes for asthma are considered, and potential interaction between one of those genes, CD14, and an environmental factor, endotoxin, is reviewed as it relates to the hygiene hypothesis. Environmental risk factors for asthma including allergens, pollutants, infectious factors, and dietary modifications are considered, particularly their potential for primary prevention of asthma. Ongoing cohort studies including the Canadian Allergy and Asthma Prevention Study, the Manchester Allergy and Asthma Study, the Children's Asthma Prevention Study from Australia, and the Prevention and Incidence of Asthma and Mite Allergy Study from the Netherlands are briefly reviewed. A more definitive understanding of genetic background and environmental triggers and their interactions is required before any specific approach to the primary prevention of asthma can be championed aggressively. PMID:11753119

  13. [Can falls be prevented?].

    PubMed

    Dubousset, Jean

    2014-06-01

    Most recommendations and measures intended to prevent falls focus on the elderly (see HAS guideline of April 2009) but, in our opinion, this isfar too late: prevention must begin much earlier, not only by identifying persons at risk, but also by providing personalized lifestyle advice adapted to each individual's biomechanical, somatic, neurological and biological characteristics. The first preventive measure is to identify a possible deterioration of balance, starting with a physical examination at the age of 45 and repeated regularly throughout life. Extrinsic preventive measures focusing on the domestic and external environments are clearly necessary. But what is most important is to detect and, if necessary, correct any degradation of intrinsic (intracorporeal or somatic) factors starting at the age of 45 years; these include vision, vestibular function and balance, proprioception, and psychological and neurological status. Chronic illnesses and their treatments must also be taken into account: treatment must be limited to indispensable drugs; sedative psychotropics must be avoided if possible; and polymedication must be tightly controlled, as it is a major risk factor for falls. Prevention also requires a diet sufficiently rich in protein, calcium and vitamin D3 (to prevent osteoporosis), and regular daily exercise adapted to the individual, if possible associated with a simultaneous cognitive task. The last key point is the absolute need for thorough functional rehabilitation after any accidental or medical trauma, regardless of age, with the aim of restoring functional status to that existing prior to the accident. PMID:26983186

  14. Stroke prevention: an update.

    PubMed

    Bousser, Marie-Germaine

    2012-03-01

    Stroke is a personal, familial, and social disaster. It is the third cause of death worldwide, the first cause of acquired disability, the second cause of dementia, and its cost is astronomic. The burden of stroke is likely to increase given the aging of the population and the growing incidence of many vascular risk factors. Prevention of stroke includes--as for all other diseases--a "mass approach" aiming at decreasing the risk at the society level and an individual approach, aiming at reducing the risk in a given subject. The mass approach is primarily based on the identification and treatment of vascular risk factors and, if possible, in the implementation of protective factors. These measures are the basis of primary prevention but most of them have now been shown to be also effective in secondary prevention. The individual approach combines a vascular risk factor modification and various treatments addressing the specific subtypes of stroke, such as antiplatelet drugs for the prevention of cerebral infarction in large and small artery diseases of the brain, carotid endarterectomy or stenting for tight carotid artery stenosis, and oral anticoagulants for the prevention of cardiac emboli. There is a growing awareness of the huge evidence-to-practice gap that exists in stroke prevention largely due to socio-economic factors. Recent approaches include low cost intervention packages to reduce blood pressure and cheap "polypills" combining in a single tablet aspirin and several drugs to lower blood pressure and cholesterol. Polypill intake should however not lead to abandon the healthy life-style measures which remain the mainstay of stroke prevention. PMID:22460445

  15. Diabetes mellitus prevention.

    PubMed

    Allende-Vigo, Myriam Zaydee

    2015-01-01

    The aim of this study was to review lifestyle modification interventions and pharmacological clinical studies designed to prevent diabetes and provide evidence-based recommendations for the prevention of Diabetes Mellitus. A review of relevant literature compiled via a literature search (PUBMED) of English-language publications between 1997 and 2010 was conducted. It is found that people at increased risk of developing type 2 diabetes mellitus can halt the development of the disease. Lifestyle modification intervention with reduction of 5%-10% of excess body weight and increase in moderate physical activity by 150 min/wk has consistently proven to reduce the appearance of diabetes in different at-risk populations. Pharmacologic interventions have also demonstrated the prevention of the appearance of diabetes in persons at risk. Bariatric surgery has decreased the appearance of diabetes patients in a select group of individuals. The progression from prediabetes to diabetes mellitus can be prevented. Lifestyle modification intervention changes with weight loss and increased physical activity are currently recommended for the prevention of diabetes. PMID:22020084

  16. JNCI and Cancer Prevention

    PubMed Central

    Ghosh, Sharmistha; Kramer, Barnett S.

    2015-01-01

    The Journal of the National Cancer Institute (JNCI), with its broad coverage of bench research, epidemiologic studies, and clinical trials, has a long history of publishing practice-changing studies in cancer prevention and public health. These include studies of tobacco cessation, chemoprevention, and nutrition. The landmark Breast Cancer Prevention Trial (BCPT)—the first large trial to prove efficacy of a preventive medication for a major malignancy—was published in the Journal, as were key ancillary papers to the BCPT. Even when JNCI was not the publication venue for the main trial outcomes, conceptual and design discussions leading to the trial as well as critical follow-up analyses based on trial data from the Prostate Cancer Prevention Trial (PCPT) and the Selenium and Vitamin E Chemoprevention Trial (SELECT) were published in the Journal. The Journal has also published important evidence on very charged topics, such as the purported link between abortion and breast cancer risk. In summary, JNCI has been at the forefront of numerous major publications related to cancer prevention. PMID:25713150

  17. [Preventive treatment for migraine].

    PubMed

    Mulleners, Wim M; Haan, Joost; Dekker, Frans; Ferrari, Michel D

    2010-01-01

    Migraine patients who experience an average of 2 or more attacks per month are eligible for preventive treatment as well as treatment for acute attacks. The decision to offer preventative treatment is also made on the basis of the average attack duration, severity of the attacks, and response to attack treatment. Prior to initiating preventive treatment, the average attack frequency per month should be assessed, preferably by means of a headache diary over a number of months, as attack frequency is extremely variable. None of the currently available preventive drugs, such as beta-blockers, sodium valproate, topiramate and candesartan, were developed specifically for treating migraine, but were all originally intended for other indications. 50% of the migraine patients receiving preventive treatment can expect a 50% reduction in attacks, and the remaining attacks often seem to be less severe. The effects of the drugs are often unpredictable per individual, and side-effects frequently lead to early discontinuation of treatment. Drugs usually prescribed for cardiovascular disorders are often used. In the case of a disorder such as migraine with a high burden of disability, patients with cardiovascular or pulmonary comorbidity should receive medication that is optimally adjusted for both indications. PMID:20699036

  18. Prevention strategies for trichothecenes.

    PubMed

    Aldred, David; Magan, Naresh

    2004-10-10

    Contamination of cereal commodities with mycotoxins represents a significant hazard to consumer health and has thus received increasing attention from food safety authorities and legislators. For trichothecenes, and deoxynivalenol (DON) in particular, the imminent implementation of legislative limits has focused attention on ways to prevent entry of such mycotoxin contaminants into the food and feed chains. Knowledge of the pre- and post-harvest stages in the cereal production chain and in particular information on where prevention strategies can be implemented is being used to develop quality assurance systems for improving food safety. Information on the ecology of Fusarium species, breeding for resistance, more effective fungicides, potential for biological control and effective drying and storage and preservation systems, are all helping to develop effective preventative strategies for minimising consumer exposure to trichothecenes and other mycotoxins. PMID:15342093

  19. Prevention of Eye Injuries

    PubMed Central

    Pashby, Tom

    1981-01-01

    In Canada 30,000 people are registered as blind; in one third of these, blindness might have been avoided. Prevention is the key to reducing the number of eye injuries and blind eyes. The role of the family physician in early identification of treatable conditions and in the education of patients is discussed, but responsibility for prevention belongs to all physicians. The success of prevention is seen in the great reduction in eye injuries in industry and sports since eye protectors have been commonly used. However, many dangers to the eyes are either not recognized or are not taken seriously enough. This paper discusses some of the common causes of serious eye injuries in the home, in sports and in industry. Imagesp464-aFig. 1Fig. 2Fig. 3Fig. 4 PMID:21289691

  20. Prevention of intracerebral haemorrhage.

    PubMed

    Mitchell, Patrick; Mitra, Dipayan; Gregson, Barbara A; Mendelow, A David

    2007-07-01

    Nontraumatic intracerebral haemorrhages arise from a wide range of causes falling into two broad groups: discreet vascular "ictohaemorrhagic" lesions such as aneurysms, arteriovenous malformations, cavernomas, tumours, and dural fistulae; and more generalised amyloid or hypertension related conditions. It is now possible using family history, associated risk factors and gradient echo MRI to predict cases at high risk of hypertensive or amyloid related haemorrhage. There is considerable potential for prevention of hypertensive haemorrhages by treatment of high risk cases with antihypertensive medication. As yet no effective preventative treatment for amyloid angiopathy related ICH has emerged although a variety of drugs are under investigation. Prevention of haemorrhage from ictohaemorrhagic lesions revolves around removal or obliteration of the lesion. Although there is a wide range of such lesions available treatments come down to three modalities. These are surgical excision, stereotactic radiosurgery and endovascular embolisation. PMID:17630936

  1. [Prevention of infant obesity].

    PubMed

    Hernández Cordero, Sonia

    2011-01-01

    Childhood obesity is a serious public health problem, demanding urgent and clear defined actions in order to stop the rapid increase on its prevalence and all health consequences associated. The best strategy to stop the rapid increase in childhood obesity is to prevent it. In order to do so, multiple defined actions between government, industry, community organizations, schools, families and health-care professionals. The general and family physicians, pediatricians, nurses, dieticians and other clinicians should be engaged, as a key actor, in the prevention of childhood obesity. The health-care professionals have frequent opportunities to inform to children, youth and their parents about the importance of prevention of obesity and to promote and engage them in healthy life styles, particularly, a healthy diet and regular physical activity. PMID:22352128

  2. Prevention of running injuries.

    PubMed

    Fields, Karl B; Sykes, Jeannie C; Walker, Katherine M; Jackson, Jonathan C

    2010-01-01

    Evidence for preventive strategies to lessen running injuries is needed as these occur in 40%-50% of runners on an annual basis. Many factors influence running injuries, but strong evidence for prevention only exists for training modification primarily by reducing weekly mileage. Two anatomical factors - cavus feet and leg length inequality - demonstrate a link to injury. Weak evidence suggests that orthotics may lessen risk of stress fracture, but no clear evidence proves they will reduce the risk of those athletes with leg length inequality or cavus feet. This article reviews other potential injury variables, including strength, biomechanics, stretching, warm-up, nutrition, psychological factors, and shoes. Additional research is needed to determine whether interventions to address any of these will help prevent running injury. PMID:20463502

  3. Nutrition and melanoma prevention.

    PubMed

    Jensen, J Daniel; Wing, Gregory J; Dellavalle, Robert P

    2010-01-01

    Melanoma has continued to rise in incidence despite public efforts to promote sun protection behaviors. Because sunscreen use does not completely prevent skin cancer induced by ultraviolet radiation, additional chemopreventive methods for protecting against and reversing the effects of ultraviolet photodamage need evaluation. Recent years have brought increased interest in dietary factors, such as natural botanicals and vitamins, for the prevention of melanoma. This contribution provides a narrative review of the relevant, nutrition-related literature found by searching the keywords "melanoma chemoprevention," "nutrition and melanoma," "dietary botanicals and melanoma prevention," "green tea and melanoma," "vitamin D and melanoma," and "vitamin E and melanoma" in the PubMed database. Although randomized controlled trials of humans are lacking, basic science and epidemiologic studies show promising benefits of many natural products in chemoprevention for melanoma. Future studies, hopefully, will yield concrete answers and clarify the role of commonly available dietary nutrients in melanoma chemoprevention. PMID:21034988

  4. Prevention of Ill Health

    PubMed Central

    Muir, D. C. F.

    1981-01-01

    The purpose and possibilities of prevention in the workplace are described. A problem solving approach begins by identifying physical, chemical or organizational factors in the work environment and personal health factors in the individual worker. Consulting experts may be required to assist in the process. Methodical assessment of the value of collecting data or of intervention policies will be required as increasing emphasis is placed on the development of truly effective preventive health policies. Major success so far must be credited to engineering and industrial hygiene endeavors. However, the occupational health professional is the only member of the team with knowledge of individual workers' health and who can thus render appropriate advice. With the employment of handicapped, disabled or recently ill workers, the physician's role will become increasingly important in the prevention of ill health at work. PMID:21289686

  5. Prevention of periodontal disease.

    PubMed

    DuPont, G A

    1998-09-01

    Periodontal disease is the most common disease affecting adult dogs and cats. It is also a very preventable disease. The insidious nature of the disease and requirement for the pet owner to be actively involved make client and public education absolutely vital. Although clients are commonly aware of their pets' bad breath, they rarely notice gingivitis, fractured teeth, and traumatic malocclusions. The annual National Pet Dental Health Month program has resulted in a tremendous increase in public awareness. Veterinarians must carry this further in their everyday practices, convincing our clients of the need for preventive dental care. It is only through clients' ongoing desire and persistence that a long-term preventive program can be successful. This requires a coordinated effort by the entire hospital staff. When successful, clients' pets will live healthier and longer lives. PMID:9779544

  6. Prevention in developing countries.

    PubMed

    Black, R E

    1990-01-01

    Developing countries have implemented primary health care programs directed primarily at prevention and management of important infectious and nutritional problems of children. Successful programs have emphasized the need for individual and community involvement and have been characterized by responsible government policies for equitable implementation of efficacious and cost-effective health interventions. Unfortunately, developing countries must also face increases in the chronic disease and social problems commonly associated with industrialized countries. Prevention efforts, for example, to reduce tobacco smoking, to modify the diet, to reduce injuries, or to avert environmental contamination, are needed to contain future morbidity and rapidly increasing medical care costs. Developing countries can build on their successful approaches to program implementation and add other measures directed at preservation of health and prevention of disease in adult as well as child populations. PMID:2231055

  7. Prevention of Child Maltreatment

    PubMed Central

    Lane, Wendy Gwirtzman

    2014-01-01

    Pediatricians and other health care providers can play a number of important roles in the prevention of child maltreatment. As part of routine patient care, pediatricians can provide anticipatory guidance for effective discipline and parent-child communication, screen for maltreatment risk factors, and refer parents and families to effective community-based programs. This article will help pediatricians incorporate child abuse prevention into their practice. Resources for systematizing anticipatory guidance and child maltreatment risk factor screening will be described. The modalities and strengths and weaknesses of community-based prevention programs will be discussed, and providers will be given tools to identify the effectiveness of available community-based programs. At a broader level, the article will describe ways that pediatricians can advocate at the local, state, and national level for policies and programs that support families and children. PMID:25242703

  8. Community How To Guide On Underage Drinking Prevention: Prevention & Education.

    ERIC Educational Resources Information Center

    National Association of Governors' Highway Safety Representatives.

    Underage drinking prevention has two goals: prevent harm to the individual drinker and prevent harm to society. Modern prevention programs should be measured not by their intentions, but by their consequences: reducing the number of criminal events, reducing the amount of harm to individuals, and reducing the harm to society. This guide discusses…

  9. Gender-Based Violence Prevention. Issues in Prevention

    ERIC Educational Resources Information Center

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

    2012-01-01

    This issue of "Issues in Prevention" focuses on gender-based violence prevention. This issue contains the following articles: (1) Preventing Gender-Based Violence: An Overview (Linda Langford); (2) Q&A With Amelia Cobb; (3) Denim Day at HBCUs; (4) Dear Colleague Letter; (5) ED Grants for Violence Prevention; and (6) Higher Education Center…

  10. Adolescent preventive services.

    PubMed

    Reif, C J; Elster, A B

    1998-03-01

    Today, there are significant risks to the health of teenagers. Drugs (tobacco, alcohol, steroids and others), sex (pregnancy, STDs, date rape), nutrition (obesity and eating disorders), and violence (abuse, fighting) are unfortunately a part of many teens' lives. These risks increase throughout the teen years. Since each risk has a strong behavioral component, we hope to modify the behavior and minimize the risk. Prevention and health promotion are an important part of health care for teens. Primary care providers, such as family physicians, are in an excellent position to provide teen preventative care that is comprehensive and specific to the needs of each teen. PMID:9469914

  11. Preventing jailhouse suicides.

    PubMed

    Felthous, A R

    1994-01-01

    Psychiatric consultants to city and county jails are confronted with the challenge of preventing jailhouse suicides, a problem of national scope. Suicide prevention programs in jails must emphasize screening and identification, psychological support, observation, disarmament, clarity and consistency, and diagnosis, treatment, and/or hospitalization. Exactly how these principles are formulated and implemented will depend on the unique circumstances of each jail. Finally information is presented as evidence that a program that embodies these principles can effectively reduce the number of suicides in a jail where the average daily census has increased from fewer than 400 to greater than 900 in the past six years. PMID:7718921

  12. Preventing and Recognizing Embezzlement.

    PubMed

    Phairas, Debra

    2016-01-01

    It is estimated that approximately one in six physicians will be the victim of embezzlement at least once during his or her lifetime. This may be due to the trusting nature of physicians, a lack of business training about separating duties in transactions involving money, or employees' feeling overworked, underpaid, or underappreciated. The best protection against embezzlement is prevention. This article informs the reader of the steps to take to prevent stealing in the medical office, how to recognize if it is occurring, and how to obtain restitution or prosecution. PMID:27039633

  13. Preventing 30-day readmissions.

    PubMed

    Stevens, Sherri

    2015-03-01

    Preventing 30-day readmissions to hospitals is a top priority in the era of health care reform. New regulations will be costly to health care facilities because of payment guidelines. The most frequently readmitted medical conditions are acute myocardial infarction, heart failure, and pneumonia. The transition from the hospital and into the home has been classified as a vulnerable time for many patients. During this time of transition patients may fail to fully understand their discharge instructions. Ineffective communication, low health literacy, and compliance issues contribute to readmissions. Telehealth and the use of technology may be used to prevent some readmissions. PMID:25680492

  14. Nanomaterials in preventive dentistry

    NASA Astrophysics Data System (ADS)

    Hannig, Matthias; Hannig, Christian

    2010-08-01

    The prevention of tooth decay and the treatment of lesions and cavities are ongoing challenges in dentistry. In recent years, biomimetic approaches have been used to develop nanomaterials for inclusion in a variety of oral health-care products. Examples include liquids and pastes that contain nano-apatites for biofilm management at the tooth surface, and products that contain nanomaterials for the remineralization of early submicrometre-sized enamel lesions. However, the treatment of larger visible cavities with nanomaterials is still at the research stage. Here, we review progress in the development of nanomaterials for different applications in preventive dentistry and research, including clinical trials.

  15. HIV prevention transformed: the new prevention research agenda.

    PubMed

    Padian, Nancy S; McCoy, Sandra I; Karim, Salim S Abdool; Hasen, Nina; Kim, Julia; Bartos, Michael; Katabira, Elly; Bertozzi, Stefano M; Schwartländer, Bernhard; Cohen, Myron S

    2011-07-16

    We have entered a new era in HIV prevention whereby priorities have expanded from biomedical discovery to include implementation, effectiveness, and the effect of combination prevention at the population level. However, gaps in knowledge and implementation challenges remain. In this Review we analyse trends in the rapidly changing landscape of HIV prevention, and chart a new path for HIV prevention research that focuses on the implementation of effective and efficient combination prevention strategies to turn the tide on the HIV pandemic. PMID:21763938

  16. Delinquency Prevention Works. Program Summary.

    ERIC Educational Resources Information Center

    Bilchik, Shay

    The Office of Juvenile Justice and Delinquency Prevention (OJJDP) compiled this summary in order to assist states and jurisdictions in their delinquency prevention efforts. The summary provides a synthesis of current information on a broad range of programs and strategies which seek to prevent delinquency. The theory of risk-focused prevention is…

  17. Handbook of Youth Prevention Science

    ERIC Educational Resources Information Center

    Doll, Beth, Ed.; Pfohl, William, Ed.; Yoon, Jina S., Ed.

    2010-01-01

    The "Handbook of Youth Prevention Science" describes current research and practice in mental health preventive interventions for youth. Traditional prevention research focused on preventing specific disorders, e.g. substance abuse, conduct disorders, or criminality. This produced "silos" of isolated knowledge about the…

  18. The Prevention Researcher, 1998.

    ERIC Educational Resources Information Center

    Ungerleider, Steven, Ed.

    1998-01-01

    As a service of Integrated Research Services, a non-profit organization, this newsletter reports on many facets of prevention research. Written in direct, accessible language, each issue provides a "snapshot" update on a specific topic. Some articles are reprinted (often in a briefer format) from other publications; others provide a synthesis of…

  19. Cervical Cancer Prevention

    MedlinePlus

    ... the risk of HPV infection: Having a weakened immune system Having a weakened immune system caused by immunosuppression increases the risk of HPV ... This virus causes AIDS and weakens the body's immune system. Medicine given to prevent organ rejection after transplant . ...

  20. Phoenix Violence Prevention Initiative.

    ERIC Educational Resources Information Center

    Waits, Mary Jo; Johnson, Ryan; Silverstein, Rustin

    This report describes seven categories of violent crime in Phoenix, Arizona, and provides causes, facts, preventative programs, and lessons learned pertaining to each category of violence. The categories are: (1) prenatal and early childhood; (2) families; (3) individual youth; (4) schools; (5) neighborhood and community; (6) workplace; and (7)…

  1. Can Sinusitis Be Prevented?

    MedlinePlus

    ... the NIAID Institute of Allergy and Infectious Diseases web site to work incorrectly. Please visit your browser settings and turn JavaScript on. Read more information on enabling JavaScript. Skip Content Marketing Share this: Main Content Area Sinusitis Prevention There ...

  2. [Can we prevent preeclampsia?].

    PubMed

    Ghesquière, Louise; Clouqueur, Elodie; Garabedian, Charles; Tsatsaris, Vassili; Houfflin-Debarge, Veronique

    2016-04-01

    Preeclampsia (PE), a specific complication of pregnancy, is one of the most frequent causes of maternal and fetal morbidity and mortality in the world. Recently, PE risk calculation algorithms allowing early detection of PE in the first trimester of pregnancy have been described. The aim of early detection would be to rapidly introduce an effective preventive treatment. The aim of our work is to study the different preventive treatments through the literature. Aspirin has some efficiency and reduces the risk of PE from 10 to 24%. It is most effective when the dose exceeds 75mg and when introduced before 16 gestational age. Early introduction of aspirin mainly prevents severe and preterm PE. Low molecular weight heparin (LMWH) and vitamin D appear to be promising therapy for PE but further research is required. Calcium administered at 1g/day reduces the risk of PE especially to patients with low baseline calcium intake. A low dose of calcium could also reduce the risk of PE but this must be confirmed. Other preventive measures (antioxidants, nitric oxide, progesterone, rest, exercise) do not reduce the incidence of PE. PMID:27013262

  3. Illinois: Prevention Initiative

    ERIC Educational Resources Information Center

    Center for Law and Social Policy, Inc. (CLASP), 2012

    2012-01-01

    The Illinois Prevention Initiative provides grants to home-based and center-based programs to expand access to the Early Head Start (EHS) model as well as other birth to 3 models. The goal is to serve additional children birth to age 3 and help grantees increase program quality. The initiative to expand access to EHS and other models was…

  4. Preventing Giardia Infection.

    ERIC Educational Resources Information Center

    Beer, W. Nicholas

    1993-01-01

    Outdoor recreationists are at risk for developing giardia infection from drinking contaminated stream water. Giardia is the most common human parasite found in contaminated water that causes gastrointestinal illness. Describes medical treatment and ways of preventing infection through water treatment, including heat, filtration, and chemical…

  5. Reducing Bullying Through Prevention

    ERIC Educational Resources Information Center

    Gubler, Rea; Croxall, Kathy

    2005-01-01

    Schoolyard bullies are seven times more likely to become delinquents or criminals than their nonbully peers. The unacceptable anti-social behavior of bullies can have an impact on both bullies and their victims across the lifespan. Most family and consumer sciences (FCS) professionals realize that early violence prevention protects the social and…

  6. Vaccination to Prevent Cancer.

    PubMed

    Clements, Dennis

    2016-01-01

    Vaccines stimulate the immune system, mimicking infectious attacks and thereby promoting the development of protective antibodies and/or cellular immunity so that the body is immune to infection when live native infections attack. Some of these infections are associated with cancer-causing changes in the body; thus some vaccines may help prevent cancer. PMID:27621345

  7. The Prevention Researcher, 1999.

    ERIC Educational Resources Information Center

    Ungerleider, Steven, Ed.

    1999-01-01

    Volume 6 of" The Prevention Researcher" contains three 12-page issues and one supplement. Issue Number 1 focuses on gambling, and contains the following articles: (1) "Gambling in the Family: The Hidden Addiction" (D. A. Abbott); (2) "Adolescent Gambling and Substance Use: The View from Texas" (L. Wallisch); (3) "Adolescent Gambling in Minnesota"…

  8. POLLUTION PREVENTION RESEARCH STRATEGY

    EPA Science Inventory

    One of the strategic goals of the U.S. Environmental Protection Agency (EPA) is to prevent pollution and reduce risk in communities, homes, workplaces, and ecosystems. This goal must be based in large part on the application of the best available science and technology associat...

  9. Division of Cancer Prevention

    Cancer.gov

    The Division of Cancer Prevention (DCP) conducts and supports research to determine a person's risk of cancer and to find ways to reduce the risk. This knowledge is critical to making progress against cancer because risk varies over the lifespan as genetic and epigenetic changes can transform healthy tissue into invasive cancer.

  10. Why Prevention? Why Now?

    ERIC Educational Resources Information Center

    Tabachnick, Joan

    2013-01-01

    In 1995, the American Medical Association declared sexual abuse a "silent, violent epidemic." Since that declaration, there has been a growing acceptance and awareness of the need for a broader public health approach to preventing sexual violence. However, it is only recently that individuals and organizations are beginning to look at…

  11. Prevent and "British Values"

    ERIC Educational Resources Information Center

    Kenny, Alex; Ghale, Baljeet

    2015-01-01

    At the recent National Union of Teachers' conference the role of the Prevent strategy and the introduction of "British Values" in the Office for Standards in Education, Children's Services and Skills framework emerged as key issues for delegates. Two of the speeches made at the conference are presented here.

  12. Nogales Dropout Prevention Guide.

    ERIC Educational Resources Information Center

    Nogales High School District 10, AZ.

    Descriptions of the Nogales dropout prevention program, including activities of the career counseling center and causes for dropping out of school, introduce the guide. The goals and objectives of the independent study center for potential dropouts include giving assistance to students so they may complete their high school education and guidance…

  13. | Division of Cancer Prevention

    Cancer.gov

    The Division of Cancer Prevention (DCP) conducts and supports research to determine a person's risk of cancer and to find ways to reduce the risk. This knowledge is critical to making progress against cancer because risk varies over the lifespan as genetic and epigenetic changes can transform healthy tissue into invasive cancer.

  14. Vandalism and Its Prevention.

    ERIC Educational Resources Information Center

    Baughman, Paul; And Others

    As a result of the sharp increases in the costs of vandalism in the last few years, technical developments in intrusion devices have been rapid. This report provides an overall view of vandalism prevention emphasizing the various devices for detecting and reporting unauthorized entry into buildings and giving information about the activities of…

  15. Eating Disorder Prevention Programming.

    ERIC Educational Resources Information Center

    Sapia, Jennifer L.

    This paper provides information for school psychologists regarding the necessity and benefits of school-based prevention programming for students at risk for developing eating disorders (i.e., females). School-based programming is a cost-effective means of reaching the largest number of individuals at once and identifying those individuals…

  16. The Prevention Researcher, 2002.

    ERIC Educational Resources Information Center

    Ungerleider, Steven, Ed.

    2002-01-01

    The issues of this quarterly publication and year end supplement contain professional articles on topics that concern at risk youth and emphasize preventive measures. Number 1 highlights the importance of mentoring programs for at-risk youth. Discussions on mentoring for special groups such as gifted adolescents and lesbian and gay youth are…

  17. Preventing Adolescent Suicide.

    ERIC Educational Resources Information Center

    Capuzzi, David

    The adolescent at risk for suicidal preoccupation and behavior has become an increasing concern for schools and communities. This paper presents some of the causes of teen suicide, things adults should know about adolescent suicide prevention, and what can be done to help such youth. The transition to adolescence is a complex time when many values…

  18. Preventing School Violence

    ERIC Educational Resources Information Center

    Rulloda, Rudolfo Barcena

    2011-01-01

    School violence has mushroomed into a devastating epidemic and is deteriorating the basic foundation of education. In this article, the author will present several teaching strategies for preventing school violence from becoming an arduous enigma within the classroom and school environments, and focus on assessment and reflection in order to…

  19. Chickenpox Prevention and Treatment

    MedlinePlus

    ... People on chemotherapy, immunosuppressive medications, or long-term use of steroids Treatments at Home for People with Chickenpox There are several things that can be done at home to help relieve the symptoms and prevent skin ... Use non-aspirin medications, such as acetaminophen, to relieve ...

  20. Substance Use Prevention Project.

    ERIC Educational Resources Information Center

    Simmons, Judy

    This report outlines the Hillsborough County, Florida, Head Start Program's project to field test with young children and their families curricula that were designed to prevent alcohol and other drug problems. A national search conducted by means of computers, individual contacts, and other methods yielded information on 22 substance abuse…

  1. Strategies for Dropout Prevention.

    ERIC Educational Resources Information Center

    Far West Lab. for Educational Research and Development, San Francisco, CA.

    This report provides descriptions of strategies for dropout prevention at the secondary level and presents examples of programs that successfully utilize these strategies. The information is based on data from a review of nearly 200 programs at secondary schools across the four-state Western region that includes Arizona, California, Nevada, and…

  2. Preventing Adolescent Suicide.

    ERIC Educational Resources Information Center

    Capuzzi, Dave; Golden, Larry

    This book deals with the realities of adolescent suicide. It consists of 15 chapters organized under 5 major headings: The Problem of Adolescent Suicide (chapters 1 and 2); A Profile of the Attempter (chapters 3-6); Assessing Lethality (chapters 7 and 8); Prevention and Intervention (chapters 9-14); and Legal Issues (chapter 15). Individual…

  3. Student Leadership. Prevention Updates

    ERIC Educational Resources Information Center

    Langford, Linda; DeJong, William

    2010-01-01

    Campus-based efforts to reduce alcohol and other drug abuse and violence (AODV) will be more successful if they involve a wide range of stakeholders--including students--who can contribute to the program's design, implementation, and evaluation. Students provide a unique perspective on AODV prevention, and they can also bring a certain authority…

  4. Preventive medicine in 2030.

    PubMed

    Freudenberg, Nicholas

    2012-12-01

    This invited commentary imagines two futures for preventive medicine and public health in the Year 2030. Using satire, the commentary describes one future in which large corporations control public health and another where a robust public sector plays the leading role. PMID:23103593

  5. Responsible Hospitality. Prevention Updates

    ERIC Educational Resources Information Center

    Colthurst, Tom

    2004-01-01

    Responsible Hospitality (RH)--also called Responsible Beverage Service (RBS)--encompasses a variety of strategies for reducing risks associated with the sale and service of alcoholic beverages. RH programs have three goals: (1) to prevent illegal alcohol service to minors; (2) to reduce the likelihood of drinkers becoming intoxicated; and (3) to…

  6. The Prevention Researcher, 2000.

    ERIC Educational Resources Information Center

    Ungerleider, Steven, Ed.

    2000-01-01

    This document consists of volume 7 of "The Prevention Researcher," a service of Integrated Research Services. Each issue provides information on a specific topic. The topic of Issue Number One is adolescent dating violence. This issue includes articles on adolescents' beliefs about rape and sexual victimization, and contains a report on an…

  7. Light Vehicle Preventive Maintenance.

    ERIC Educational Resources Information Center

    Marine Corps Inst., Washington, DC.

    This correspondence course, originally developed for the Marine Corps, is designed to instruct students in the performance of preventive maintenance on motor vehicles. Instructional materials are presented in three chapters as follows: (1) Major Maintenance Areas (maintenance system, tires, batteries, cooling systems, and vehicle lubrication; (2)…

  8. Teenage Pregnancy Prevention.

    ERIC Educational Resources Information Center

    Peters, Sheila; And Others

    1991-01-01

    Peer counselors and staff members describe the "I Have a Future" Program at Meharry Medical College in Nashville (Tennessee). This program focuses on pregnancy prevention by providing education, health care, and increased life options; social skills training; an entrepreneurial program; and separate classes for African-American youth. (SLD)

  9. Neonatal Pressure Ulcer Prevention.

    PubMed

    Scheans, Patricia

    2015-01-01

    The incidence of pressure ulcers in acutely ill infants and children ranges up to 27 percent in intensive care units, with a range of 16-19 percent in NICUs. Anatomic, physiologic, and developmental factors place ill and preterm newborns at risk for skin breakdown. Two case studies illustrate these factors, and best practices for pressure ulcer prevention are described. PMID:26803094

  10. Prevention Researcher, 2001.

    ERIC Educational Resources Information Center

    Ungerleider, Steven, Ed.

    2001-01-01

    The issues of this quarterly publication and year end supplement contain professional articles on topics that concern at risk youth and emphasize preventive measures. Number 1 highlights the challenges facing gay, lesbian, and bisexual youth in schools. Many schools have nothing in their curricula to help provide an understanding of these issues…

  11. Approaches to Truancy Prevention.

    ERIC Educational Resources Information Center

    Mogulescu, Sara; Segal, Heidi J.

    This report examines how New York counties can systematically and programmatically improve approaches to managing persons in need of supervision (PINS), describing approaches to truancy prevention and diversion that have been instituted nationwide and may be applicable to the PINS operating system. Researchers surveyed truancy-specific programs…

  12. HPV Cancer Prevention

    MedlinePlus

    ... of these cancers can be prevented by HPV vaccine. HPV VACCINE IS RECOMMENDED AT THE SAME TIME AS OTHER ... caused by HPV, and meningitis. V1a1c-ci1n2esyfeoarryooludr:  THMdPaeVpningococcal HPV VACCINE IS BEST AT 11-12 YEARS Preteens have ...

  13. [Prevention in regional policy].

    PubMed

    Masi, M; Caponetti, A

    2006-01-01

    Prevention, safety and health promotion represent fondamental issues in the Regional policy. With this regard, the implementation of the Regional policy has been thought as the promotion of an integrated system which links different fields such as health, work-related information and education, job orientation and work in general. It is recommended that a good standard of prevention is achieved through the synergic actions and the collaborations among all the different actors playing a role in safety and prevention in workplace, including occupational physicians, safety and prevention operators, safety representatives for workers, trade unions, employers associations and public institutions. It is also necessary to adopt a strategy in order to decrease the number of misdiagnosed occupational diseases as well as to promote the "culture of safety in workplaces", increasing the awareness of all figures, with special focus on employers category. All this has to be set in the new scenario of the nowadays work characterized by the progressive increase of atypical job contracts, renewing the emphasis on the necessity of keeping joined "the right to a job with the right to health". PMID:17144418

  14. Prevention of relapsing backache

    PubMed Central

    Lühmann, Dagmar; Stoll, Susanne; Burkhardt-Hammer, Tatjana; Raspe, Heiner

    2006-01-01

    Background The condition of non-specific back pain is characterized by high prevalence, non satisfactory therapeutic options and severe socioeconomic consequences. Therefore prevention seems an attractive option to downsize the problem. However, the construction of effective preventive measures is complicated by the obscure aetiology of the condition, the multidimensionality of risk and prognostic factors (bio psychosocial model!) and the variability of its natural as well as clinical course. This led to the development of a wide variety of preventive measures: e. g. exercise programs, educational measures (including back school), ergonomic modification of the work environment, mechanical supports (e. g. back belts) as well as multidisciplinary interventions. For two reasons the workplace seems to be a suitable setting for prevention. First, because a number of strong risk factors are associated with working conditions and second, because it allows addressing a large proportion of the adult population. Against this background the assessment at hand sets out to answer the following questions: What is the amount and methodological quality of the available scientific literature on the effectiveness of back pain prevention in the workplace environment? What are effective measures for the prevention of back pain and its consequences in the workplace environment and how effective are they? Is back pain prevention in the workplace environment cost-effective? Is there a need for more research? As primary outcomes for effectiveness the assessment will focus on time lost from work and the frequency and duration of episodes with back pain. The preventive measures assessed belong to the following categories: exercise programs, educational and information measures, multidimensional interventions, back belts, lifting teams and ergonomic interventions. Methods The assessment is based on a systematic review of the published literature according to the methodological requirements

  15. Dropout Prevention Planning Guide.

    ERIC Educational Resources Information Center

    Maine State Dept. of Educational and Cultural Services, Augusta. Office of Truancy, Dropout and Alternative Education.

    This document presents a dropout prevention planning guide developed by the Office of Truancy, Dropout and Alternative Education of the Maine Department of Education, an office established to provide technical consultant services to public and private schools for identifying students at risk of school failure, and the development of dropout…

  16. Method to prevent/mitigate steam explosions in casting pits

    DOEpatents

    Taleyarkhan, Rusi P.

    1996-01-01

    Steam explosions can be prevented or mitigated during a metal casting process by the placement of a perforated flooring system in the casting pit. An upward flow of compressed gas through this perforated flooring system is introduced during the casting process to produce a buffer layer between any spilled molten metal and the cooling water in the reservoir. This buffer layer provides a hydrodynamic layer which acts to prevent or mitigate steam explosions resulting from hot, molten metal being spilled into or onto the cooling water.

  17. Method to prevent/mitigate steam explosions in casting pits

    DOEpatents

    Taleyarkhan, R.P.

    1996-12-24

    Steam explosions can be prevented or mitigated during a metal casting process by the placement of a perforated flooring system in the casting pit. An upward flow of compressed gas through this perforated flooring system is introduced during the casting process to produce a buffer layer between any spilled molten metal and the cooling water in the reservoir. This buffer layer provides a hydrodynamic layer which acts to prevent or mitigate steam explosions resulting from hot, molten metal being spilled into or onto the cooling water. 3 figs.

  18. Prevention of suicidal behavior

    PubMed Central

    Hegerl, Ulrich

    2016-01-01

    More than 800 000 people die every year from suicide, and about 20 times more attempt suicide. In most countries, suicide risk is highest in older males, and risk of attempted suicide is highest in younger females. The higher lethal level of suicidal acts in males is explained by the preference for more lethal methods, as well as other factors. In the vast majority of cases, suicidal behavior occurs in the context of psychiatric disorders, depression being the most important one. Improving the treatment of depression, restricting access to lethal means, and avoiding the Werther effect (imitation suicide) are central aspects of suicide prevention programs. In several European regions, the four-level intervention concept of the European Alliance Against Depression (www.EAAD.net), simultaneously targeting depression and suicidal behavior, has been found to have preventive effects on suicidal behavior. It has already been implemented in more than 100 regions in Europe. PMID:27489458

  19. Venereal disease prevention.

    PubMed

    Cutler, J C

    1981-03-01

    Outlining his interest and work in the prevention of VD, especially gonorrhea and syphilis, the author addresses the questions of prophylaxis and contraceptives, together with their technological advances, and ties these two concepts into the complex fabric of human behavior, history of available therapy in both world wars as well as the economic, social, moral and national concepts of what constitutes proper emphasis: prevention or cure. Thus, the absence of therapeutic modalities spurred the United States Armed Services to utilize Credé's solution for urethral irrigation and locally applied calomel ointment for prophylactic purposes in World War I but abandoned this mode when cheap penicillin therapy became available after World War II. Similarly, the utilization of combined prophylactic and contraceptive methods for women has to await the overcoming of societal and parental resistance. Particularly where teenagers are concerned the importance of combined modalities is stressed. PMID:6894273

  20. Prevention of recurrent nephrolithiasis.

    PubMed

    Goldfarb, D S; Coe, F L

    1999-11-15

    The first episode of nephrolithiasis provides an opportunity to advise patients about measures for preventing future stones. Low fluid intake and excessive intake of protein, salt and oxalate are important modifiable risk factors for kidney stones. Calcium restriction is not useful and may potentiate osteoporosis. Diseases such as hyperparathyroidism, sarcoidosis and renal tubular acidosis should be considered in patients with nephrolithiasis. A 24-hour urine collection with measurement of the important analytes is usually reserved for use in patients with recurrent stone formation. In these patients, the major urinary risk factors include hypercalciuria, hyperoxaluria, hypocitraturia and hyperuricosuria. Effective preventive and treatment measures include thiazide therapy to lower the urinary calcium level, citrate supplementation to increase the urinary citrate level and, sometimes, allopurinol therapy to lower uric acid excretion. Uric acid stones are most often treated with citrate supplementation. Data now support the cost-effectiveness of evaluation and treatment of patients with recurrent stones. PMID:10593318

  1. [Prevention of diabetic foot].

    PubMed

    Metelko, Zeljko; Brkljacić Crkvencić, Neva

    2013-10-01

    Diabetic foot (DF) is the most common chronic complication, which depends mostly on the duration and successful treatment of diabetes mellitus. Based on epidemiological studies, it is estimated that 25% of persons with diabetes mellitus (PwDM) will develop the problems with DF during lifetime, while 5% do 15% will be treated for foot or leg amputation. The treatment is prolonged and expensive, while the results are uncertain. The changes in DF are influenced by different factors usually connected with the duration and regulation of diabetes mellitus. The first problems with DF are the result of misbalance between nutritional, defensive and reparatory mechanisms on the one hand and the intensity of damaging factors against DF on the other hand. Diabetes mellitus is a state of chronic hyperglycemia, consisting of changes in carbohydrate, protein and fat metabolism. As a consequence of the long duration of diabetes mellitus, late complications can develop. Foot is in its structure very complex, combined with many large and small bones connected with ligaments, directed by many small and large muscles, interconnected with many small and large blood vessels and nerves. Every of these structures can be changed by nutritional, defensive and reparatory mechanisms with consequential DE Primary prevention of DF includes all measures involved in appropriate maintenance of nutrition, defense and reparatory mechanisms.First, it is necessary to identify the high-risk population for DF, in particular for macrovascular, microvascular and neural complications. The high-risk population of PwDM should be identified during regular examination and appropriate education should be performed. In this group, it is necessary to include more frequent and intensified empowerment for lifestyle changes, appropriate diet, regular exercise (including frequent breaks for short exercise during sedentary work), regular self control of body weight, quit smoking, and appropriate treatment of glycemia

  2. [Prevention, why resist it?].

    PubMed

    Laurin, J C

    1989-01-01

    Prevention, why resist it? Based on a 1988 speech the author gave to infection control professionals in Montréal, this article draws a parallel between individuals' resistance to change and their reaction to infection control programs. Gladly, many of the same well-honed techniques that help change along can be applied to infection control efforts, he says. Analyzing the implementation of an infection control program for AIDS in a health center, the author emphasizes do's and don'ts and explores appropriate and inappropriate approaches to leadership, conflict prevention and problem solving. To sell your program, he says, you must also sell yourself; you must be convincing and credible. PMID:2912544

  3. Osteoradionecrosis: Causes and prevention

    SciTech Connect

    Friedman, R.B. )

    1990-01-01

    Osteoradionecrosis (ORN) is one of the most serious complications arising from head and neck radiation therapy. Current research has shown that ORN represents nonhealing, dead bone and is not a state of infection. ORN is the result of functional and structural bony changes that may not be expressed for months or years. ORN may occur spontaneously or in response to wounding. Predisposing factors include absorbed radiation dose, fractionation, delivery modality, and dental status. Timing of dental extractions and other factors have also been shown to affect incidence. ORN may be reduced through early intraoral evaluation, treatment, and adequate healing time prior to beginning RT. Hyperbaric oxygen (HBO) therapy has been beneficial in the prevention and treatment of ORN. It is of paramount importance for the medical community to recognize the factors that may reduce ORN incidence, endorse oral care protocols, and acknowledge the value of HBO therapy in the prevention and treatment of this disease. 60 references.

  4. The Prevention of Thalassemia

    PubMed Central

    Cao, Antonio; Kan, Yuet Wai

    2013-01-01

    The thalassemias are among the most common inherited diseases worldwide, affecting individuals originating from the Mediterranean area, Middle East, Transcaucasia, Central Asia, Indian subcontinent, and Southeast Asia. As the diseases require long-term care, prevention of the homozygous state constitutes a major armament in the management. This article discusses the major prevention programs that are set up in many countries in Europe, Asia, and Australia, often drawing from the experience in Sardinia. These comprehensive programs involve carrier detections, molecular diagnostics, genetic counseling, and prenatal diagnosis. Variability of clinical severity can be attributable to interactions with α-thalassemia and mutations that increase fetal productions. Special methods taht are currently quite expensive and not widely applicable are preimplantation and preconception diagnosis. The recent successful studies of fetal DNA in maternal plasma may allow future prenatal diagnosis that is noninvasive for the fetus. PMID:23378598

  5. Preventing Supercooling Of Gallium

    NASA Technical Reports Server (NTRS)

    Massucco, Arthur A.; Wenghoefer, Hans M.; Wilkins, Ronnie

    1994-01-01

    Principle of heterogeneous nucleation exploited to prevent gallium from supercooling, enabling its use as heat-storage material that crystallizes reproducibly at its freezing or melting temperature of 29 to 30 degrees C. In original intended application, gallium used as heat-storage material in gloves of space suits. Terrestrial application lies in preparation of freezing-temperature reference samples for laboratories. Principle of heterogeneous nucleation also exploited similarly in heat pipes filled with sodium.

  6. Prevention and drug treatment.

    PubMed

    Testa, Mark F; Smith, Brenda

    2009-01-01

    Evidence linking alcohol and other drug abuse with child maltreatment, particularly neglect, is strong. But does substance abuse cause maltreatment? According to Mark Testa and Brenda Smith, such co-occurring risk factors as parental depression, social isolation, homelessness, or domestic violence may be more directly responsible than substance abuse itself for maltreatment. Interventions to prevent substance abuse-related maltreatment, say the authors, must attend to the underlying direct causes of both. Research on whether prevention programs reduce drug abuse or help parents control substance use and improve their parenting has had mixed results, at best. The evidence raises questions generally about the effectiveness of substance abuse services in preventing child maltreatment. Such services, for example, raise only marginally the rates at which parents are reunified with children who have been placed in foster care. The primary reason for the mixed findings, say Testa and Smith, is that almost all the parents face not only substance abuse problems but the co-occurring issues as well. To prevent recurring maltreatment and promote reunification, programs must ensure client progress in all problem areas. At some point in the intervention process, say Testa and Smith, attention must turn to the child's permanency needs and well-being. The best evidence to date suggests that substance-abusing parents pose no greater risk to their children than do parents of other children taken into child protective custody. It may be sensible, say the authors, to set a six-month timetable for parents to engage in treatment and allow twelve to eighteen months for them to show sufficient progress in all identified problem areas. After that, permanency plans should be expedited to place the child with a relative caregiver or in an adoptive home. Investing in parental recovery from substance abuse and dependence, the authors conclude, should not substitute for a comprehensive approach

  7. Models for effective prevention.

    PubMed

    Perry, C L; Kelder, S H

    1992-07-01

    The social influence models do provide some optimism for primary prevention efforts. Prevention programs appear most effective when 1) the target behavior of the intervention has received increasing societal disapproval (such as cigarette smoking), 2) multiple years of behavioral health education are planned, and 3) community-wide involvement or mass media complement a school-based peer-led program (45,46). Short-term programs and those involving alcohol use have had less favorable outcomes. Future research in primary prevention should address concerns of high-risk groups and high-risk countries, such as lower income populations in the United States or countries that have large adolescent homeless populations. The utilization of adolescent leaders for program dissemination might be particularly critical in these settings. A second major and global concern should focus upon alcohol use and alcohol-related problems. In many communities adolescent alcohol use is normative and even adult supported. Thus, young people are getting quite inconsistent messages on alcohol from their schools, from TV, from peers, and from parents. This inconsistency may translate into many tragic and avoidable deaths for young people. Clearly, in the area of alcohol-related problems, community-wide involvement may be necessary. A third direction for prevention research should involve issues of norms, access, and enforcement including policy interventions, such as involve the availability of cigarette vending machines or the ease of under-age buying or levels of taxation. These methods affect adolescents more acutely since their financial resources, for the most part, are more limited. These policy level methods also signify to adolescents what adults consider appropriate.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1390786

  8. Blow out preventer

    SciTech Connect

    Bruce, A.I.

    1980-06-10

    In oil and gas well pumping apparatus, a polish rod reciprocates through a stuffing box and connects to a submersible pump through a tubing string or the like. When servicing, it is desirable to close off the gas or oil pressure from below and hydraulic fluid is routed from a remote location to the blow out preventer. The blow out preventer consists of a cylindrical casing with a cap screw threadably engaged to the upper end thereof and containing a cylindrical spool or the like formed from elastomeric material having an annular channel around the outer perimeter which is operatively connected to the source of hydraulic fluid. When it is desired to close off the blow out preventer, hydraulic fluid is pumped under pressure to the channel thus forcing the center of the spool inwardly and clamping same around the polish rod thereby closing off the passageway around the polish rod. O rings surround the spool above and below the channel and assist in sealing. Upper and lower steps in the casing slope outwardly and away from one another to facilitate the return of the spool to the normal position when pressure is released.

  9. Preventing ophthalmia neonatorum

    PubMed Central

    Moore, Dorothy L; MacDonald, Noni E

    2015-01-01

    The use of silver nitrate as prophylaxis for neonatal ophthalmia was instituted in the late 1800s to prevent the devastating effects of neonatal ocular infection with Neisseria gonorrhoeae. At that time – during the preantibiotic era – many countries made such prophylaxis mandatory by law. Today, neonatal gonococcal ophthalmia is rare in Canada, but ocular prophylaxis for this condition remains mandatory in some provinces/ territories. Silver nitrate drops are no longer available and erythromycin, the only ophthalmic antibiotic eye ointment currently available for use in newborns, is of questionable efficacy. Ocular prophylaxis is not effective in preventing chlamydial conjunctivitis. Applying medication to the eyes of newborns may result in mild eye irritation and has been perceived by some parents as interfering with mother-infant bonding. Physicians caring for newborns should advocate for rescinding mandatory ocular prophylaxis laws. More effective means of preventing ophthalmia neonatorum include screening all pregnant women for gonorrhea and chlamydia infection, and treatment and follow-up of those found to be infected. Mothers who were not screened should be tested at delivery. Infants of mothers with untreated gonococcal infection at delivery should receive ceftriaxone. Infants exposed to chlamydia at delivery should be followed closely for signs of infection. PMID:26236350

  10. Osteoradionecrosis prevention myths

    SciTech Connect

    Wahl, Michael J. E-mail: WahlMichaelJ@aol.com

    2006-03-01

    Purpose: To critically analyze controversial osteoradionecrosis (ORN) prevention techniques, including preradiation extractions of healthy or restorable teeth and the use of prophylactic antibiotics or hyperbaric oxygen (HBO) treatments for preradiation and postradiation extractions. Methods: The author reviewed ORN studies found on PubMed and in other article references, including studies on overall ORN incidence and pre- and postradiation incidence, with and without prophylactic HBO or antibiotics. Results: Owing in part to more efficient radiation techniques, the incidence of ORN has been declining in radiation patients over the last 2 decades, but the prevention of ORN remains controversial. A review of the available literature does not support the preradiation extraction of restorable or healthy teeth. There is also insufficient evidence to support the use of prophylactic HBO treatments or prophylactic antibiotics before extractions or other oral surgical procedures in radiation patients. Conclusions: To prevent ORN, irradiated dental patients should maintain a high level of oral health. A preradiation referral for a dental evaluation and close collaboration by a multidisciplinary team can be invaluable for radiation patients. As with most other dental patients, restorable and healthy teeth should be retained in irradiated patients. The use of prophylactic HBO or antibiotics should be reconsidered for preradiation and postradiation extractions.

  11. Preventing ophthalmia neonatorum

    PubMed Central

    Moore, Dorothy L; MacDonald, Noni E

    2015-01-01

    The use of silver nitrate as prophylaxis for neonatal ophthalmia was instituted in the late 1800s to prevent the devastating effects of neonatal ocular infection with Neisseria gonorrhoeae. At that time – during the preantibiotic era – many countries made such prophylaxis mandatory by law. Today, neonatal gonococcal ophthalmia is rare in Canada, but ocular prophylaxis for this condition remains mandatory in some provinces/ territories. Silver nitrate drops are no longer available and erythromycin, the only ophthalmic antibiotic eye ointment currently available for use in newborns, is of questionable efficacy. Ocular prophylaxis is not effective in preventing chlamydial conjunctivitis. Applying medication to the eyes of newborns may result in mild eye irritation and has been perceived by some parents as interfering with mother-infant bonding. Physicians caring for newborns should advocate for rescinding mandatory ocular prophylaxis laws. More effective means of preventing ophthalmia neonatorum include screening all pregnant women for gonorrhea and chlamydia infection, and treatment and follow-up of those found to be infected. Mothers who were not screened should be tested at delivery. Infants of mothers with untreated gonococcal infection at delivery should receive ceftriaxone. Infants exposed to chlamydia at delivery should be followed closely for signs of infection. PMID:25838784

  12. Role of Enforcement in Prevention. Issues in Prevention

    ERIC Educational Resources Information Center

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

    2012-01-01

    This issue of "Issues in Prevention" focuses on the role of enforcement in prevention. This issue contains the following articles: (1) What the Evidence Tells Us about the Role of Enforcement in Prevention; (2) Campus Briefs; (3) Q&A with Charles Cychosz; and (4) Higher Education Center Resources.

  13. Cancer Prevention Fellowship Program (CPFP) | Division of Cancer Prevention

    Cancer.gov

    The Cancer Prevention Fellowship provides a strong foundation for scientists and clinicians to train in the field of cancer prevention and control. This structured, multidisciplinary program offers early career scientists from different health disciplines a variety of postdoctoral training opportunities . | Training to form a strong foundation in cancer prevention and control for scientists and clinicians.

  14. Community Colleges--Prevention Challenges. Issues in Prevention

    ERIC Educational Resources Information Center

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

    2012-01-01

    This issue of "Issues in Prevention" focuses on prevention challenges facing community colleges. This issue contains the following articles: (1) Prevention at Community Colleges; (2) Q&A With William Auvenshine; (3) Chancellor's Initiative at the University of Wisconsin-Stout; (4) Alcohol Marketing in the Digital Age; and (5) Higher Education…

  15. Can Kaposi Sarcoma Be Prevented?

    MedlinePlus

    ... early? Can Kaposi sarcoma be prevented? Kaposi sarcoma (KS) is caused by the Kaposi sarcoma associated herpesvirus ( ... to protect people against KSHV. For now, preventing KS depends on reducing the chance of becoming infected ...

  16. Prevention: What You Can Do

    MedlinePlus

    ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ... this? Submit What's this? Submit Button Related CDC Web Sites Division for Heart Disease and Stroke Prevention ...

  17. Head Lice: Prevention and Control

    MedlinePlus

    ... Treatment FAQs Malathion FAQs Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals ... Frequently Asked Questions (FAQs) Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals ...

  18. Vitamin D and Cancer Prevention

    MedlinePlus

    ... Partners & Collaborators Spotlight on Scientists Research Areas Cancer Biology Cancer Genomics Causes of Cancer Diagnosis Prevention Screening & ... Collaborators Spotlight on Scientists NCI Research Areas Cancer Biology Cancer Genomics Causes of Cancer Diagnosis Prevention Screening & ...

  19. Pollution prevention makes good sense

    SciTech Connect

    Spearot, R.M.

    1993-06-01

    EPA is trying to write source reduction into new regulations and enforcement actions to encourage industry to prevent waste generation. Waste reduction is best accomplished by setting up a pollution prevention program.

  20. Diet for Kidney Stone Prevention

    MedlinePlus

    ... may also help prevent kidney stones, such as citrus drinks. Recommendations based on the specific type of ... do to prevent kidney stones. Some studies suggest citrus drinks like lemonade and orange juice protect against ...

  1. Prevention and Treatment of Arrhythmia

    MedlinePlus

    ... Pressure High Blood Pressure Tools & Resources Stroke More Prevention & Treatment of Arrhythmia Updated:Sep 2,2016 Do ... Risk for Arrhythmia • Symptoms, Diagnosis & Monitoring of Arrhythmia • Prevention & Treatment of Arrhythmia Introduction Medications Ablation Devices for ...

  2. Preventing and Treating Blood Clots

    MedlinePlus

    ... and Treating Blood Clots Request Permissions Download PDF Preventing and Treating Blood Clots January 20, 2015 To ... 2013, ASCO updated the clinical practice guideline about preventing and treating blood clots for people with cancer ...

  3. Preventing Breast Cancer: Making Progress

    MedlinePlus

    Skip Navigation Bar Home Current Issue Past Issues Preventing Breast Cancer: Making Progress Past Issues / Fall 2006 Table of ... inhibitor, can do an even better job of preventing breast cancer than the SERMs. Aromatase inhibitors stop an enzyme ...

  4. INTEGRATION OF POLLUTION PREVENTION TOOLS

    EPA Science Inventory

    A prototype computer-based decision support system was designed to provide small businesses with an integrated pollution prevention methodology. Preliminary research involved compilation of an inventory of existing pollution prevention tools (i.e., methodologies, software, etc.),...

  5. PREVENTION GUIDELINES SYSTEM/DATABASE

    EPA Science Inventory

    The Prevention Guidelines System gives public health practitioners quick access to the most current CDC recommendations and guidelines for the prevention, control, treatment and detection of infectious and chronic diseases, environmental hazards, natural or human-generated disast...

  6. Body Lice Prevention and Control

    MedlinePlus

    ... Treatment FAQs Malathion FAQs Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals ... Frequently Asked Questions (FAQs) Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals ...

  7. How Can Pneumonia Be Prevented?

    MedlinePlus

    ... page from the NHLBI on Twitter. How Can Pneumonia Be Prevented? Pneumonia can be very serious and ... t last as long Fewer serious complications Pneumococcal Pneumonia Vaccine A vaccine is available to prevent pneumococcal ...

  8. Prevention of youth injuries.

    PubMed Central

    Laraque, D.; Barlow, B.; Durkin, M.

    1999-01-01

    There are four categories of causes responsible for the majority of injuries in youth 10-19 years of age: 1) motor vehicle traffic; 2) violence (intra-familial, extra-familial, self, pregnancy-related); 3) recreational; and 4) occupational. This article presents data from the National Center for Health Statistics mortality data and the National Pediatric Trauma Registry morbidity data. Nationwide, the pediatric injury death rate is highest among adolescents 15-19 years of age. Motor vehicle-related deaths account for 41% and firearm-related deaths account for 36% of injury deaths in this age group. For youths aged 10-14 years, motor vehicle-related deaths account for 38% and; firearm-related deaths account for 26% of injury deaths. For both age groups, occupant motor vehicle-related deaths account for the majority of deaths and underscore the need for seat belt use. Using theoretical principles based on the Haddon matrix and a knowledge of adolescent development, proposed interventions to decrease injuries and deaths related to motor vehicles and firearms include graduated licensing, occupant restraint, speed limits, conflict resolution, and gun control. Occupational injuries, particularly injury associated with agricultural production, account for an estimated 100,000 injuries per year. Preventive strategies include OSHA regulations imposing standards for protective devices and further study for guidelines for adolescent work in agriculture. Injuries related to recreation include drowning and sports injuries. Preventive strategies may include proper supervision and risk reduction with respect to use of alcohol/drugs. The data presented support the use of primary prevention to achieve the most effective, safe community interventions targeting adolescents. PMID:10599188

  9. The Diabetes Prevention Program

    PubMed Central

    2005-01-01

    The Diabetes Prevention Program is a randomized clinical trial testing strategies to prevent or delay the development of type 2 diabetes in high-risk individuals with elevated fasting plasma glucose concentrations and impaired glucose tolerance. The 27 clinical centers in the U.S. are recruiting at least 3,000 participants of both sexes, ~50% of whom are minority patients and 20% of whom are ≥65 years old, to be assigned at random to one of three intervention groups: an intensive lifestyle intervention focusing on a healthy diet and exercise and two masked medication treatment groups—metformin or placebo—combined with standard diet and exercise recommendations. Participants are being recruited during a 2 2/3-year period, and all will be followed for an additional 3 1/3 to 5 years after the close of recruitment to a common closing date in 2002. The primary outcome is the development of diabetes, diagnosed by fasting or post-challenge plasma glucose concentrations meeting the 1997 American Diabetes Association criteria. The 3,000 participants will provide 90% power to detect a 33% reduction in an expected diabetes incidence rate of at least 6.5% per year in the placebo group. Secondary outcomes include cardiovascular disease and its risk factors; changes in glycemia, β-cell function, insulin sensitivity, obesity, diet, physical activity, and health-related quality of life; and occurrence of adverse events. A fourth treatment group—troglilazone combined with standard diet and exercise recommendations—was included initially but discontinued because of the liver toxicity of the drug. This randomized clinical trial will test the possibility of preventing or delaying the onset of type 2 diabetes in individuals at high risk. PMID:10189543

  10. HIV prevention transformed: the new prevention research agenda

    PubMed Central

    Padian, Nancy S.; McCoy, Sandra I.; Karim, Salim Abdool; Hasen, Nina; Kim, Julia; Bartos, Michael; Katabira, Elly; Bertozzi, Stefano; Schwartländer, Bernhard; Cohen, Myron S.

    2013-01-01

    SUMMARY We have entered a new era in HIV prevention whereby priorities have expanded from biomedical discovery to include implementation, effectiveness, and the effect of combination prevention at the population level. However, gaps in knowledge and implementation challenges remain. In this Review we analyse trends in the rapidly changing landscape of HIV prevention, and chart a new path for HIV prevention research that focuses on the implementation of effective and efficient combination prevention strategies to turn the tide on the HIV pandemic. PMID:21763938