Science.gov

Sample records for 2003-2004 national health

  1. The State of Our Nation's Youth, 2003-2004.

    ERIC Educational Resources Information Center

    Hart, Peter D.

    This report details findings of the eighth annual (2003-2004) national survey of the attitudes and plans of American adolescents. Participating in the telephone survey was a nationally representative sample of 1,003 students aged 13 to 18, in ninth through twelfth grade. The report summarizes findings "at a glance" and discusses findings under the…

  2. Naphthalene biomarkers and relationship with hemoglobin and hematocrit in White, Black, and Hispanic adults: results from the 2003-2004 National Health and Nutrition Examination Survey.

    PubMed

    Sudakin, Daniel L; Smit, Ellen; Cardenas, Andres; Harding, Anna

    2013-06-01

    Naphthalene is an important contaminant in indoor and outdoor air. Acute overexposure can have toxic effects, resulting in hemolysis. There have been no studies evaluating the impact of environmental exposure on red blood cell indices. We examined 1- and 2-hydroxynaphthalene urinary metabolites (NAP1 and NAP2) in non-Hispanic White, non-Hispanic Black, and Mexican-American adults in the USA and their relationship with hemoglobin (Hb) and hematocrit (HCT). Using the 2003-2004 National Health and Nutrition Examination Survey data, weighted generalized linear regression analyses were used to examine the association between Hb (in grams per deciliter) and HCT (in percent) with NAP1 and NAP2 (per 100,000 ng/L). Beta coefficients ± SE are reported. NAP1 and NAP2 were highest in non-Hispanic Blacks, followed by non-Hispanic Whites, and lowest in Mexican-American adults. There was a positive association between NAP1 and Hb (0.39 ± 0.11, p = 0.0034) and HCT (1.14 ± 0.28, p = 0.0009) after adjusting for age, gender, race, education, and smoking. Stratified analysis by smoking showed similar results with the association being stronger for smokers (Hb 0.63 ± 0.23, p = 0.02; HCT 1.43 ± 0.79, p = 0.09) than nonsmokers (Hb 0.34 ± 0.14, p = 0.03; HCT 1.08 ± 0.42, p = 0.02). The association was also stronger for non-Hispanic blacks (Hb 0.54 ± 0.20, p = 0.02; HCT 1.43 ± 0.55, p = 0.02) than for non-Hispanic whites (Hb 0.37 ± 0.18, p = 0.06; HCT 1.20 ± 0.51, p = 0.03) and was not significant for Mexican-Americans (Hb 0.30 ± 1.7, p = 0.10; HCT 0.99 ± 0.52, p = 0.08). NAP2 was not significantly associated with Hb or HCT. The observed disparity in NAP1 and NAP2 levels by race/ethnicity is consistent with published literature. The origin of these differences in exposure is unclear but may reflect differences in environmental exposure as well as genetic susceptibility. The

  3. Fruit and vegetable intake, as reflected by serum carotenoid concentrations, predicts reduced probability of polychlorinated biphenyl-associated risk for type 2 diabetes: National Health and Nutrition Examination Survey 2003-2004.

    PubMed

    Hofe, Carolyn R; Feng, Limin; Zephyr, Dominique; Stromberg, Arnold J; Hennig, Bernhard; Gaetke, Lisa M

    2014-04-01

    Type 2 diabetes has been shown to occur in response to environmental and genetic influences, among them nutrition; food intake patterns; sedentary lifestyle; body mass index; and exposure to persistent organic pollutants, such as polychlorinated biphenyls (PCBs). Nutrition is essential in the prevention and management of type 2 diabetes and has been shown to modulate the toxicity of PCBs. Serum carotenoid concentrations, considered a reliable biomarker of fruit and vegetable intake, are associated with the reduced probability of chronic diseases, such as type 2 diabetes and cardiovascular disease. Our hypothesis is that fruit and vegetable intake, reflected by serum carotenoid concentrations, is associated with the reduced probability of developing type 2 diabetes in US adults with elevated serum concentrations of PCBs 118, 126, and 153. This cross-sectional study used the Center for Disease Control and Prevention database, National Health and Nutrition Examination Survey 2003-2004, in logistic regression analyses. Overall prevalence of type 2 diabetes was approximately 11.6% depending on the specific PCB. All 3 PCBs were positively associated with the probability of type 2 diabetes. For participants at higher PCB percentiles (eg, 75th and 90th) for PCB 118 and 126, increasing serum carotenoid concentrations were associated with a smaller probability of type 2 diabetes. Fruit and vegetable intake, as reflected by serum carotenoid concentrations, predicted notably reduced probability of dioxin-like PCB-associated risk for type 2 diabetes.

  4. Water quality of the Crescent River basin, Lake Clark National Park and Preserve, Alaska, 2003-2004

    USGS Publications Warehouse

    Brabets, Timothy P.; Ourso, Robert T.

    2006-01-01

    The U.S. Geological Survey and the National Park Service conducted a water-quality investigation of the Crescent River Basin in Lake Clark National Park and Preserve from May 2003 through September 2004. The Crescent River Basin was studied because it has a productive sockeye salmon run that is important to the Cook Inlet commercial fishing industry. Water-quality, biology, and limnology characteristics were assessed. Glacier-fed streams that flow into Crescent Lake transport suspended sediment that is trapped by the lake. Suspended sediment concentrations from the Lake Fork Crescent River (the outlet stream of Crescent Lake) were less than 10 milligrams per liter, indicating a high trapping efficiency of Crescent Lake. The North Fork Crescent River transports suspended sediment throughout its course and provides most of the suspended sediment to the main stem of the Crescent River downstream from the confluence of the Lake Fork Crescent River. Three locations on Crescent Lake were profiled during the summer of 2004. Turbidity profiles indicate sediment plumes within the water column at various times during the summer. Turbidity values are higher in June, reflecting the glacier-fed runoff into the lake. Lower values of turbidity in August and September indicate a decrease of suspended sediment entering Crescent Lake. The water type throughout the Crescent River Basin is calcium bicarbonate. Concentrations of nutrients, major ions, and dissolved organic carbon are low. Alkalinity concentrations are generally less than 20 milligrams per liter, indicating a low buffering capacity of these waters. Streambed sediments collected from three surface sites analyzed for trace elements indicated that copper concentrations at all sites were above proposed guidelines. However, copper concentrations are due to the local geology, not anthropogenic factors. Zooplankton samples from Crescent Lake indicated the main taxa are Cyclops sp., a Copepod, and within that taxa were a

  5. Rapid community health and needs assessments after Hurricanes Isabel and Charley--North Carolina, 2003-2004.

    PubMed

    2004-09-17

    On September 18, 2003, Hurricane Isabel, a Category 2 hurricane, made landfall on the Outer Banks of North Carolina (NC). The storm, moving to the northeast with winds exceeding 100 mph, caused extensive power outages and structural damage in northeastern NC and southern Virginia. In NC, approximately 762,000 residents lost power during the storm, and the shelter population peaked at an estimated 16,600 persons. Six storm-related fatalities were reported, and 26 eastern NC counties were included in a federal disaster area declaration. The North Carolina Division of Public Health (NCDPH) activated the Office of Public Health Preparedness and Response (PHPR) and seven Public Health Regional Surveillance Teams (PHRSTs) to conduct a rapid community health and needs assessment for the affected population. CDC deployed staff to provide technical support to NCDPH. The assessment determined that the majority of public health emergencies resulted from electric power outages, which affected access to food, water, and medical care. Data and recommendations were provided immediately to local and state emergency responders, who used the information to direct Hurricane Isabel recovery efforts and also to improve the assessment, which was next deployed in August 2004 with Hurricane Charley.

  6. Implications of discrimination based on sexuality, gender, and race/ethnicity for psychological distress among working-class sexual minorities: the United for Health Study, 2003-2004.

    PubMed

    Chae, David H; Krieger, Nancy; Bennett, Gary G; Lindsey, Jane C; Stoddard, Anne M; Barbeau, Elizabeth M

    2010-01-01

    This study investigated the distribution of demographic characteristics, the prevalence of discrimination based on sexuality, gender, and race, and relationships with psychological distress among 178 working-class sexual minorities (i.e., who identified as lesbian, gay, or bisexual (LGB) or had ever engaged in same-sex sexual behaviors) recruited to the United for Health Study (2003-2004). The results indicated considerable heterogeneity in responses to items assessing sexual orientation and sexual behavior, with a majority of sexual minority participants not identifying as LGB (74.2%). The authors found significant demographic differences in LGB identification by gender, race/ethnicity, nativity, and socioeconomic factors. In addition, LGB participants had higher levels of psychological distress than non-LGB-identified sexual minorities. Linear regression analyses revealed that reports of racial/ethnic discrimination and sexuality discrimination were associated with higher levels of psychological distress among sexual minority participants. The results underscore the need to collect multiple measures of sexuality in conducting research on racially diverse working-class communities; to consider demographic factors in collecting sexuality data; and to disaggregate information on sexuality by LGB identification. Findings also highlight the importance of addressing discrimination in ameliorating problematic mental health outcomes among working-class sexual minorities.

  7. Serum selenium concentrations and diabetes in U.S. adults: National Health and Nutrition Examination Survey (NHANES) 2003-2004

    Technology Transfer Automated Retrieval System (TEKTRAN)

    BACKGROUND: Increasing evidence suggests that high selenium levels are associated with diabetes and other cardiometabolic risk factors. OBJECTIVES: We evaluated the association of serum selenium concentrations with fasting plasma glucose, glycosylated hemoglobin levels, and diabetes in the most rec...

  8. Plasma Pyridoxal 5'-phosphate (PLP) in the United States population: the National Health and Nutrition Examination Survey, 2003-2004

    Technology Transfer Automated Retrieval System (TEKTRAN)

    No large-scale, population-based study has considered the descriptive epidemiology of vitamin B6 status using the biological marker, plasma pyridoxal 5’ - phosphate (PLP). Consequently, how vitamin B6 status varies with basic demographic and lifestyle factors is unclear. We sought to examine the epi...

  9. Student and Financial Aid Charges, 2003-2004

    ERIC Educational Resources Information Center

    National Association of State Universities and Land-Grant Colleges, 2004

    2004-01-01

    As the 2003?2004 academic year began, the financial woes of public colleges took the spotlight on Capitol Hill and in statehouses. Record spending cuts designed to balance state budgets resulted in program cutbacks,unfilled faculty positions, staff layoffs, wage freezes and salary cuts at state colleges and universities. Institutions worked to…

  10. International Laser Ranging Service (ILRS) 2003-2004 Annual Report

    NASA Technical Reports Server (NTRS)

    Pearlman, Michael (Editor); Noll, Carey (Editor)

    2005-01-01

    The International Laser Ranging Service (ILRS) organizes and coordinates Satellite Laser Ranging (SLR) and Lunar Laser Ranging (LLR) to support programs in geodetic, geophysical, and lunar research activities and provides the International Earth Rotation and Reference Systems Service (IERS) with products important to the maintenance of an accurate International Terrestrial Reference Frame (ITRF). This reference frame provides the stability through which systematic measurements of the Earth can be made over thousands of kilometers, decades of time, and evolution of measurement technology. This 2003-2004 ILRS annual report is comprised of individual contributions from ILRS components within the international geodetic community for the years 2003-2004. The report documents changes and progress of the ILRS and is also available on the ILRS Web site at http://ilrs.gsfc.nasa.gov/reports/ilrs_reports/ilrsar_2003.html.

  11. Kootenai River Focus Watershed Coordination, 2003-2004 Annual Report.

    SciTech Connect

    Kootenai River Network,

    2006-02-01

    The Kootenai River Network (KRN) was contracted by the Bonneville Power Administration; PPA Project Number 96087200 for the period June 1, 2003 to May 31, 2004 to provide Kootenai River basin watershed coordination services. The prime focus of the KRN is coordinating activities and disseminating information related to watershed improvement and education and outreach with other interest groups in the Kootenai River basin. To this end, the KRN primarily focuses on maintaining communication networks among private and public watershed improvement groups in the Columbia River Basin. The KRN willing shares its resources with these groups. The 2003-2004 BPA contract extended the original Montana Fish, Wildlife and Parks contract, which was transferred to the Kootenai River Network through a Memorandum of Understanding in November 2001. The KRN objectives of this contract were carried out through Watershed Coordinator position. The highly successful Kootenai River Network Annual General Meeting in Bonners Ferry in May 2003 demonstrated the tremendous gains that the Kootenai River Network has made in trans-boundary networking of watershed issues and accomplishments. The Annual General Meeting included seventy five participants representing more than forty US and Canadian citizen groups, tribes, first nations, agencies, ministries, businesses and private land owners from Montana, British Columbia, Idaho and Alberta. The International Restoration Tour in July 2004 featured the Grave Creek and Therriault Wetlands restoration projects in Montana and the Sand Creek and Wolf Creek restoration projects in British Columbia. The tour was attended by more than thirty people representing US and Canadian Federal and State/Provincial agencies, schools, colleges, conservation groups, private land owners, consultants, tribes, first nations, and politicians. These exciting trans-boundary successes encouraged the KRN to establish half-time Watershed Coordinator positions in both the United

  12. Curriculum Summary: Grade Three, 2003-2004 = Sommaire des Programmes, 3e annee, 2003-2004.

    ERIC Educational Resources Information Center

    Alberta Learning, Edmonton.

    Intended for parents as a companion to the Alberta Curriculum Guides, this summary, in English- and French-language versions, uses an "at a glance" schematic to list the curricular goals for Grade 3 in Alberta. In addition to English language arts, mathematics, science, and social studies, goals cover art, music, health and life skills, physical…

  13. Curriculum Summary: Grade Eight, 2003-2004 = Sommaire des Programmes: 8e annee, 2003-2004.

    ERIC Educational Resources Information Center

    2003

    Intended for parents as a companion to the Alberta Curriculum Guides, this summary, in English- and French-language versions, uses an "at a glance" schematic to list the curricular goals for Grade 8 in Alberta. In addition to English language arts, mathematics, science, and social studies, goals cover health and life skills, physical education,…

  14. Curriculum Summary: Grade Nine, 2003-2004 = Sommaire des Programmes: 9e annee, 2003-2004.

    ERIC Educational Resources Information Center

    Alberta Learning, Edmonton.

    Intended for parents as a companion to the Alberta Curriculum Guides, this summary, in English- and French-language versions, uses an "at a glance" schematic to list the curricular goals for Grade 9 in Alberta. In addition to English language arts, mathematics, science, and social studies, goals cover health and life skills, physical education,…

  15. Prevalence and Mental Health Correlates of Harassment and Discrimination in the Workplace: Results from a National Study

    ERIC Educational Resources Information Center

    Rospenda, Kathleen M.; Richman, Judith A.; Shannon, Candice A.

    2009-01-01

    This study describes past-year prevalence and effects on mental health and drinking outcomes for harassment and discrimination in the workplace (HDW) in a nationally representative random digit dial phone survey conducted in 2003-2004 (n = 2,151). HDW measures included experiences and perceptions of sexual harassment (SH) and generalized workplace…

  16. [Influenza telephone consultation target the general public--2003-2004, 2004-2005].

    PubMed

    Yamadera, Shizuko; Kobune, Fumio; Komatsu, Toshihiko; Suzuki, Kazuyoshi; Nakayama, Mikio; Hagiwara, Toshikatsu; Matsumoto, Miyako; Yamamoto, Kiichi; Renard, Junko; Oya, Akira

    2007-07-01

    The NPO Biomedical Science Association provided telephone consultation, including contacts by fax and email, targeting the general public within the framework of influenza control measures worked out by the Japanese Ministry of Health, Labor and Welfare (MHLW). We received 2,813 inquiries during the 2003-2004 flu season and 2,444 inquiries during the 2004-2005 season. By month, the highest number was in October-November, accounting for 42.6%. The preceding season showed a similar trend. By gender, 72.5% of those seeking advice were women. By area of residence, the highest number was living in metropolitan Tokyo, and the remainder lived in the prefectures of Kanagawa, Chiba, Saitama, Nagano, Shizuoka, and Ibaraki in this order. We received no inquiries from the prefectures of Shimane or Saga. By occupation, housewives accounted for 1,114 inquiries (45.6%), followed by private companies with 447 inquiries (18.3%) and health-care providers with 227 inquiries (9.3%), similar to the 2003-2004 flu season. By subject, 1,545 inquiries concerned vaccines (62.2%) mainly, the pros and cons of vaccination, adverse reactions, and the number of inoculations required. Inquiries about pregnancy, infants and young children, and breast-feeding accounted for 19.2%. Inquiries on vaccine shortages during the 2004-2005 flu season (7), SARS (22), and bird flu (22) decreased compared to the previous season, while the number of consultations on antiviral agents increased (209). In discussing how information on influenza should be communicated to the public, we propose that "Influenza Q & A" provided by the Infectious Diseases Surveillance Center of the NIID, MHLW, should include information on influenza specifically addressing pregnant woman and breast-feeding or child-rearing mothers. PMID:17695791

  17. Evaluating the Effectiveness of the 2003-2004 NASA CONNECT(trademark)Program

    NASA Technical Reports Server (NTRS)

    Caton, Randall H.; Pinelli, Thomas E.; Giersch, Christopher E.; Holmes, Ellen B.; Lambert, Matthew A.

    2005-01-01

    NASA CONNECT is an Emmy-award-winning series of instructional (distance learning) programs for grades 6-8. Produced by the NASA Center for Distance Learning, the nine programs in the 2003-2004 NASA CONNECT series are research-, inquiry-, standards-, teacher-, and technology-based and include a 30-minute program, an educator guide containing a hands-on activity, and a web-based component. The 1,500 randomly selected NASA CONNECT registered users were invited to complete an electronic (self-reported) survey that employed a 5-point Likert-type scale. Regarding NASA CONNECT, respondents reported that the programs (1) enhance the teaching of mathematics, science, and technology (4.53); (2) are aligned with the national mathematics, science, and technology standards (4.52); (3) raise student awareness of careers requiring mathematics, science, and technology (4.48); (4) demonstrate the application of mathematics, science, and technology (4.47); and (5) present women and minorities performing challenging engineering and science tasks (4.50).

  18. Pacific Symposium on Biocomputing 2002/2003/2004

    SciTech Connect

    A.Keith Dunker

    2004-10-26

    Brief introduction to Pacific Symposium on Biocomputing The Pacific Symposium on Biocomputing is an international, multidisciplinary conference covering current research in the theory and the application of computational methods in problems of biological significance. Researchers from the United States, the Asian Pacific nations and around the world gather each year at PSB to exchange research results and discuss open issues in all aspects of computational biology. PSB provides a forum for work on databases, algorithms, interfaces, visualization, modeling and other computational methods, as applied to biological problems. The data-rich areas of molecular biology are emphasized. PSB is the only meeting in the bioinformatics field with sessions defined dynamically each year in response to specific proposals from the participants. Sessions are organized by leaders in emerging areas to provide forums for publication and for discussion of research in biocomputing ''hot topics''. PSB therefore enables discussion of emerging methods and approaches in this rapidly changing field. PSB has been designated as one of the major meetings in this field by the recently established International Society for Computational Biology (see www.iscb.org). Papers and presentations are peer reviewed typically with 3 reviews per paper plus editorial oversight from the conference organizers. The accepted papers are published in an archival proceedings volume, which is indexed by PubMed, and electronically (see http://psb.stanford.edu/). Finally, given the tight schedule from submission of papers to their publication, typically 5 to 5 1/2 months, the PSB proceedings each year represents one of the most up-to-date surveys of current trends in bioinformatics.

  19. National Health Information Center

    MedlinePlus

    ... About ODPHP Dietary Guidelines Physical Activity Guidelines Health Literacy and Communication Health Care Quality and Patient Safety Healthy People healthfinder health.gov About ODPHP National Health Information Center National Health Information Center The National Health ...

  20. High Gain Antenna Gimbal for the 2003-2004 Mars Exploration Rover Program

    NASA Technical Reports Server (NTRS)

    Sokol, Jeff; Krishnan, Satish; Ayari, Laoucet

    2004-01-01

    The High Gain Antenna Assemblies built for the 2003-2004 Mars Exploration Rover (MER) missions provide the primary communication link for the Rovers once they arrive on Mars. The High Gain Antenna Gimbal (HGAG) portion of the assembly is a two-axis gimbal that provides the structural support, pointing, and tracking for the High Gain Antenna (HGA). The MER mission requirements provided some unique design challenges for the HGAG. This paper describes all the major subsystems of the HGAG that were developed to meet these challenges, and the requirements that drove their design.

  1. Individual Radiation Protection Monitoring in the Marshall Islands: Utrok Atoll (2003-2004)

    SciTech Connect

    Hamilton, T F; Kehl, S; Hickman, D; Brown, T; Marchetti, A A; Martinelli, R; Tibon, S; Chee, L

    2006-01-17

    the informational needs of the U.S. DOE and the Republic of the Marshall Islands. Our updated environmental assessments provide a strong scientific basis for predicting future change in exposure conditions especially in relation to changes in life-style, diet and/or land-use patterns. This information has important implications in addressing questions about existing (and future) radiological conditions on the islands, in determining the cost and the effectiveness of potential remedial measures, and in general policy support considerations. Perhaps most importantly, the recently established individual radiological surveillance programs provide affected atoll communities with an unprecedented level of radiation protection monitoring where, for the first time, local resources are being made available to monitor resettled and resettling populations on a continuous basis. As a hard copy supplement to Marshall Islands Program website (http://eed.llnl.gov/mi/), this document provides an overview of the individual radiation surveillance monitoring program established for the Utrok Atoll population group along with a full disclosure of all verified measurement data (2003-2004). The Utrok whole body counting facility has been temporarily stationed on Majuro Atoll and, in cooperation with the Utrok Atoll Local Government, serves as a national facility open to the general public. Readers are advised that an additional feature of the associated website is a provision whereby users are able to calculate and track radiation doses delivered to volunteers (de-identified information only) participating in the Marshall Islands Radiological Surveillance Program.

  2. Cross-Sectional Study of Polybrominated Flame Retardants and Self-Reported Attention Deficit Hyperactivity Disorder in US Youth Aged 12–15 (NHANES 2003-2004)

    PubMed Central

    Smit, Ellen; Houseman, E. Andres

    2016-01-01

    Background. Animal toxicity tests and epidemiological studies suggest that exposure to PBDEs can alter attention behavior, yet few studies have examined their association with diagnosis of attention deficit hyperactivity disorder (ADHD) in adolescents. Methods. Logistic regression was used to examine the cross-sectional association between ADHD and lipid and non-lipid adjusted blood serum concentrations of 2′,4-tribromodiphenyl ether (BDE-28), 2,2′,4,4′-tetrabromodiphenylether (BDE-47), 2,2′,4,4′,5-pentabromodiphenyl ether (BDE-99), 2,2′,4,4′,5,5′-pentabromodiphenyl ether (BDE-100), 2,2′,4,4′,5,5′-hexabromodiphenyl ether (BDE-153), serum PBDEs, above/below the 75th percentile of serum PBDEs, and tertiles of serum PBDE in 12–15-year-olds (N = 292) using the National Health and Nutrition Examination Survey (NHANES) 2003-2004. Results. The ADHD weighted prevalence was 13.57%. The weighted adjusted odds ratios (AOR) and 95% confidence interval (CI) between ADHD diagnosis and lipid adjusted BDE-28, BDE-47, BDE-99, BDE-100, BDE-153, serum total PBDE, serum PBDE concentrations above the 75th percentile, and serum PBDE concentrations in the second or third tertile were 1.16 (95% CI: 0.51, 2.67), 1.36 (95% CI: 0.72, 2.56), 1.51 (95% CI: 0.70, 3.25), 1.53 (95% CI: 0.73, 3.23), 1.43 (95% CI: 0.57, 3.56), 1.41 (0.71, 2.83), 0.59 (0.10, 3.56), 6.16 (1.19, 31.90), and 0.99 (0.23, 4.29). Conclusions. We observed no association between serum PBDE concentrations and ADHD in US youths. PMID:27471519

  3. Cross-Sectional Study of Polybrominated Flame Retardants and Self-Reported Attention Deficit Hyperactivity Disorder in US Youth Aged 12-15 (NHANES 2003-2004).

    PubMed

    Przybyla, Jennifer; Kile, Molly L; Smit, Ellen; Houseman, E Andres

    2016-01-01

    Background. Animal toxicity tests and epidemiological studies suggest that exposure to PBDEs can alter attention behavior, yet few studies have examined their association with diagnosis of attention deficit hyperactivity disorder (ADHD) in adolescents. Methods. Logistic regression was used to examine the cross-sectional association between ADHD and lipid and non-lipid adjusted blood serum concentrations of 2',4-tribromodiphenyl ether (BDE-28), 2,2',4,4'-tetrabromodiphenylether (BDE-47), 2,2',4,4',5-pentabromodiphenyl ether (BDE-99), 2,2',4,4',5,5'-pentabromodiphenyl ether (BDE-100), 2,2',4,4',5,5'-hexabromodiphenyl ether (BDE-153), serum PBDEs, above/below the 75th percentile of serum PBDEs, and tertiles of serum PBDE in 12-15-year-olds (N = 292) using the National Health and Nutrition Examination Survey (NHANES) 2003-2004. Results. The ADHD weighted prevalence was 13.57%. The weighted adjusted odds ratios (AOR) and 95% confidence interval (CI) between ADHD diagnosis and lipid adjusted BDE-28, BDE-47, BDE-99, BDE-100, BDE-153, serum total PBDE, serum PBDE concentrations above the 75th percentile, and serum PBDE concentrations in the second or third tertile were 1.16 (95% CI: 0.51, 2.67), 1.36 (95% CI: 0.72, 2.56), 1.51 (95% CI: 0.70, 3.25), 1.53 (95% CI: 0.73, 3.23), 1.43 (95% CI: 0.57, 3.56), 1.41 (0.71, 2.83), 0.59 (0.10, 3.56), 6.16 (1.19, 31.90), and 0.99 (0.23, 4.29). Conclusions. We observed no association between serum PBDE concentrations and ADHD in US youths. PMID:27471519

  4. Getting out what we put in: productivity of the English National Health Service.

    PubMed

    Castelli, Adriana; Laudicella, Mauro; Street, Andrew; Ward, Padraic

    2011-07-01

    Many countries are incorporating direct measures of non-market outputs in the national accounts. For any particular output to be included there has to be data about it for two adjacent periods. This is problematic because the classification of non-market outputs is often subject to wholesale revision. We outline the challenges associated with classification changes and propose a solution. To illustrate we construct output and input indices and estimate productivity growth of the English National Health Service (NHS) for the period 2003-2004 to 2007-2008. Our index of output growth incorporates all care provided to NHS patients and captures improvements in survival rates, waiting times and disease management. We find that more patients are being treated and the quality of the care they receive has been improving. We implement our approach to dealing with changes as to how health services are defined and show what effect this has on estimates of output growth. Our index of input growth captures all labour, intermediate and capital inputs into health service production and we improve on how capital has been measured in the past. Inputs have increased over time but there has also been a slowdown since 2005-2006, primarily the result of a levelling off in staff recruitment and less reliance on the use of agency staff. Productivity is assessed by comparing output growth with growth in inputs, the net effect being constant productivity growth between 2003-2004 and 2007-2008. PMID:20979686

  5. Spatial Resolution Characterization for QuickBird Image Products 2003-2004 Season

    NASA Technical Reports Server (NTRS)

    Blonski, Slawomir

    2006-01-01

    This presentation focuses on spatial resolution characterization for QuickBird panochromatic images in 2003-2004 and presents data measurements and analysis of SSC edge target deployment and edge response extraction and modeling. The results of the characterization are shown as values of the Modulation Transfer Function (MTF) at the Nyquist spatial frequency and as the Relative Edge Response (RER) components. The results show that RER is much less sensitive to accuracy of the curve fitting than the value of MTF at Nyquist frequency. Therefore, the RER/edge response slope is a more robust estimator of the digital image spatial resolution than the MTF. For the QuickBird panochromatic images, the RER is consistently equal to 0.5 for images processed with the Cubic Convolution resampling and to 0.8 for the MTF resampling.

  6. Kootenai River Fisheries Investigation; Stock Status of Burbot, 2003-2004 Annual Report.

    SciTech Connect

    Paragamian, Vaughn L.; Pyper, Brian J.; Ireland, Susan C.

    2004-12-01

    The main objective of this investigation was to monitor movement and spawning activity of burbot Lota lota in the Kootenai River, Idaho and British Columbia, Canada during the winter of 2003-2004. Due to low precipitation and snow pack, as well as low levels of Lake Koocanusa, the U.S. Army Corps of Engineers refrained from releasing discharges >113 m{sup 3}/s from Libby Dam for most of the winter. This situation provided suitable conditions for burbot migration and spawning in the mainstem river. Hoop nets captured 19 burbot, which ranged from 447 mm to 760 mm TL (mean = 630 mm) and weighed from 420 g to 4,032 g (mean = 1,937 g) with a mean W{sub r} of 99. One burbot (burbot 214) was captured for the fifth time since its first capture in 2000, and each capture was near Ambush Rock (rkm 244.4-244.8). Eleven burbot were tagged with five-month duration external sonic transmitters, and a 12th burbot, tagged with a 14-month transmitter, has been monitored since 2001. During the post-spawn period, three sonic-tagged burbot exhibited downstream and sedentary movement patterns, while five remained at Ambush Rock. Concentrations of tagged burbot near Ambush Rock (rkm 244.5) during January and February 2004 (eight tagged fish) may suggest that this area is critical spawning habitat. The appearance of burbot at Ambush Rock during the spawning period and upstream movements of tagged fish (PIT and sonic tagged) in previous years during the low discharges help validate results suggesting that discharges <113 m{sup 3}/s will permit burbot migration and may increase spawning habitat. Though it seems apparent that the Ambush Rock area is an important burbot spawning ground, no adult burbot were recaptured after the spawning period and no burbot larva were caught, despite considerable sampling efforts during the winter of 2003-2004.

  7. The Junior Science & Humanities Symposium: Management and Operations, 2003-2004. Theme--Atmosphere--The Other Ocean.

    ERIC Educational Resources Information Center

    Schlenker, Richard M.

    This document reviews the Pacific Region Junior Science and Humanities Symposium (PJSHS) program for 2003-2004 which is a 10-month, precollege student research program held in Japan. The theme is AtmosphereThe Other Ocean. The program includes a one-week symposium of student delegates who have completed research projects in the sciences or have…

  8. Substance Use Treatment Need among Adolescents: 2003-2004. The NSDUH Report. Issue 24

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2006

    2006-01-01

    The National Survey on Drug Use and Health (NSDUH) asks persons aged 12 or older to report on their symptoms of dependence on or abuse of alcohol or illicit drugs. This report presents estimates of treatment, treatment need, and perceived unmet need among youths aged 12 to 17. Estimates are presented separately for alcohol use treatment and…

  9. National health expenditures, 1983

    PubMed Central

    Gibson, Robert M.; Levit, Katharine R.; Lazenby, Helen; Waldo, Daniel R.

    1984-01-01

    Although growing more slowly than in recent years, spending for health continued to account for an increasing share of the Nation's gross national product. In 1983, spending for health amounted to 10.8 percent of the gross national product, or $1,459 per person. Public programs financed 40 percent of all personal health care spending. Medicare and Medicaid expended $91 billion in benefits, 29 percent of all spending for personal health. New estimates of spending in calendar year 1983, along with revised measures of the benefits paid by private health insurers, are presented here. PMID:10310949

  10. National Health Expenditures, 1982

    PubMed Central

    Gibson, Robert M.; Waldo, Daniel R.; Levit, Katharine R.

    1983-01-01

    Rapid growth in the share of the nation's gross national product devoted to health expenditure has heightened concern over the survival of government entitlement programs and has led to debate of the desirability of current methods of financing health care. In this article, the authors present the data at the heart of the issue, quantifying spending for various types of health care in 1982 and discussing the sources of funds for that spending. PMID:10310273

  11. Walla Walla River Fish Passage Operations Program, 2003-2004 Annual Report.

    SciTech Connect

    Bronson, James P.

    2004-12-01

    In the late 1990s, the Confederated Tribes of the Umatilla Indian Reservation, Oregon Department of Fish and Wildlife, and Washington Department of Fish and Wildlife, along with many other agencies, began implementing fisheries restoration activities in the Walla Walla Basin. An integral part of these efforts is to alleviate the inadequate fish migration conditions in the basin. The migration concerns are being addressed by removing diversion structures, constructing fish passage facilities, implementing minimum instream flow requirements, and providing trap and haul efforts when needed. The objective of the Walla Walla River Fish Passage Operations Project is to increase the survival of migrating adult and juvenile salmonids in the Walla Walla River basin. The project is responsible for coordinating operation and maintenance of ladders, screen sites, bypasses, trap facilities, and transportation equipment. In addition, the project provides technical input on passage criteria and passage and trapping facility design and operation. Operation of the various passage facilities and passage criteria guidelines are outlined in an annual operations plan that the project develops. During the 2003-2004 project year, there were 379 adult summer steelhead (Oncorhynchus mykiss), 36 adult bull trout (Salvelinus confluentus); 108 adult and 3 jack spring chinook (O. tshawytscha) enumerated at the Nursery Bridge Dam fishway video counting window between December 21, 2003, and June 30, 2004. Summer steelhead and spring chinook were observed moving upstream while bull trout were observed moving both upstream and downstream of the facility. In addition, the old ladder trap was operated by the WWBNPME project in order to radio tag spring chinook adults. A total of 2 adult summer steelhead, 4 bull trout, and 23 adult spring chinook were enumerated at the west ladder at Nursery Bridge Dam during the trapping operations between May 6 and May 23, 2004. Operation of the Little Walla Walla

  12. National Center for Health Statistics

    MedlinePlus

    ... Topics Data and Tools Publications News and Events Population Surveys National Health and Nutrition Examination Survey National Health Interview Survey National Survey of Family Growth Vital Records National Vital Statistics System National Death ...

  13. National Jewish Health

    MedlinePlus

    ... Support Makes a Difference Make a Donation Articles & Press Releases View All Finding Relief from Fall Allergies Fall ... Español Follow Us Sign-up for Health-e-News Go © 2016 National Jewish Health 1400 Jackson Street ...

  14. National health expenditures, 1988

    PubMed Central

    1990-01-01

    Every year, analysts in the Health Care Financing Administration present figures on what our Nation spends for health. As the result of a comprehensive re-examination of the definitions, concepts, methods, and data sources used to prepare those figures, this year's report contains new estimates of national health expenditures for calendar years 1960 through 1988. Significant changes have been made to estimates of spending for professional services and to estimates of what consumers pay out of pocket for health care. In the first article, trends in use of and expenditure for various types of goods and services are discussed, as well as trends in the sources of funds used to finance health care. In a companion article, the benchmark process is described in more detail, as are the data sources and methods used to prepare annual estimates of health expenditures. PMID:10113395

  15. The Remarkable 2003--2004 Winter and Other Recent Warm Winters in the Arctic Stratosphere Since the Late 1990s

    NASA Technical Reports Server (NTRS)

    Manney, Gloria L.; Kruger, Kirstin; Sabutis, Joseph L.; Sena, Sara Amina; Pawson, Steven

    2005-01-01

    The 2003-2004 Arctic winter was remarkable in the approximately 50-year record of meteorological analyses. A major warming beginning in early January 2004 led to nearly 2 months of vortex disruption with high-latitude easterlies in the middle to lower stratosphere. The upper stratospheric vortex broke up in late December, but began to recover by early January, and in February and March was the strongest since regular observations began in 1979. The lower stratospheric vortex broke up in late January. Comparison with 2 previous years, 1984-1985 and 1986-1987, with prolonged midwinter warming periods shows unique characteristics of the 2003-2004 warming period: The length of the vortex disruption, the strong and rapid recovery in the upper stratosphere, and the slow progression of the warming from upper to lower stratosphere. January 2004 zonal mean winds in the middle and lower stratosphere were over 2 standard deviations below average. Examination of past variability shows that the recent frequency of major stratospheric warmings (7 in the past 6 years) is unprecedented. Lower stratospheric temperatures were unusually high during 6 of the past 7 years, with 5 having much lower than usual potential for polar stratospheric cloud (PSC) formation and ozone loss (nearly none in 1998-1999, 2001-2002, and 2003-2004, and very little in 1997-1998 and 2000-2001). Middle and upper stratospheric temperatures, however, were unusually low during and after February. The pattern of 5 of the last 7 years with very low PSC potential would be expected to occur randomly once every 850 years. This cluster of warm winters, immediately following a period of unusually cold winters, may have important implications for possible changes in interannual variability and for determination and attribution of trends in stratospheric temperatures and ozone.

  16. The Remarkable 2003-2004 Winter and Other Recent Warm Winters in the Arctic Stratosphere Since the Late 1990s

    NASA Technical Reports Server (NTRS)

    Manney, Gloria L.; Krueger, Kirstin; Sabutis, Joseph L.; Sena, Sara Amina; Pawson, Steven

    2004-01-01

    The 2003-2004 Arctic winter was remarkable in the 40-year record of meteorological analyses. A major warming beginning in early January 2004 led to nearly two months of vortex disruption with high-latitude easterlies in the middle to lower stratosphere. The upper stratospheric vortex broke up in late December, but began to recover by early January, and in February and March was the strongest since regular observations began in 1979. The lower stratospheric vortex broke up in late January. Comparison with two previous years, 1984-1985 and 1986-1987, with prolonged mid-winter warming periods shows unique characteristics of the 2003-2004 warming period: The length of the vortex disruption, the strong and rapid recovery in the upper stratosphere, and the slow progression of the warming from upper to lower stratosphere. January 2004 zonal mean winds in the middle and lower stratosphere were over two standard deviations below average. Examination of past variability shows that the recent frequency of major stratospheric warmings (seven in the past six years) is unprecedented. Lower stratospheric temperatures were unusually high during six of the past seven years, with five having much lower than usual potential for PSC formation and ozone loss (nearly none in 1998-1999, 2001-2002 and 2003-2004, and very little in 1997-1998 and 2000-2001). Middle and upper stratospheric temperatures, however, were unusually low during and after February. The pattern of five of the last seven years with very low PSC potential would be expected to occur randomly once every approximately 850 years. This cluster of warm winters, immediately following a period of unusually cold winters, may have important implications for possible changes in interannual variability and for determination and attribution of trends in stratospheric temperatures and ozone.

  17. National health expenditures, 1985

    PubMed Central

    Waldo, Daniel R.; Levit, Katharine R.; Lazenby, Helen

    1986-01-01

    Slower price inflation in 1985 translated into slower growth of national health expenditures, but underlying growth in the use of goods and services continued along historic trends. Coupled with somewhat sluggish growth of the gross national product, this adherence to trends pushed the share of our Nation's output accounted for by health spending to 10.7 percent. Some aspects of health spending changed: Falling use of hospital services was offset by rising hospital profits and increased use of other health care services. Other aspects remained the same: Both the public sector and the private sector continued efforts to contain costs, efforts that have affected and will continue to affect not only the providers of care but the users of care as well. PMID:10311775

  18. National Health Expenditures, 1996

    PubMed Central

    Levit, Katharine R.; Lazenby, Helen C.; Braden, Bradley R.; Cowan, Cathy A.; Sensenig, Arthur L.; McDonnell, Patricia A.; Stiller, Jean M.; Won, Darleen K.; Martin, Anne B.; Sivarajan, Lekha; Donham, Carolyn S.; Long, Anna M.; Stewart, Madie W.

    1997-01-01

    The national health expenditures (NHE) series presented in this report for 1960-96 provides a view of the economic history of health care in the United States through spending for health care services and the sources financing that care. In 1996 NHE topped $1 trillion. At the same time, spending grew at the slowest rate, 4.4 percent, ever recorded in the current series. For the first time, this article presents estimates of Medicare managed care payments by type of service, as well as nursing home and home health spending in hospital-based facilities. PMID:10179997

  19. The anomalous Mesopause region temperatures of the 2003-2004 winter season measured from Svalbard (78N 16E)

    NASA Astrophysics Data System (ADS)

    Dyrland, M. E.; Sigernes, F.; Mulligan, F.; Deehr, C. S.

    2007-12-01

    This paper reports on the temperature and dynamics of the hydroxyl layer at approx. 87km measured over Longyearbyen (78N 16E) during the 2003-2004 winter. Optical spectra obtained by a Ebert-Fastie spectrometer were used for the temperature derivation. The high number of spectra available enabled spectral analysis of both the hourly and daily averaged temperatures. We were able to identify both the presence of a 16 day wave and a quasi 27 day oscillation in the mesopause region (approx. 87 km) temperatures from this season. The average daily temperature was 228K with a standard deviation of 17K. This is exceptionally high compared to previous and later years reported in the 23 year old time series from Svalbard. The observed temperatures have been compared to temperature data from other height regions above the Arctic (troposphere and stratosphere) and to satellite data from the satellite instrument SABER. In early January 2004 a major stratospheric warming event led to a nearly 2 month long vortex disruption with high-latitude easterlies in the middle to lower stratosphere and correspondingly high temperatures. The upper stratospheric temperatures of the same period were unusually low, while mesopause temperatures were high. The regions of alternating low and high temperatures throughout the atmosphere and the dynamics of these, are clearly coupled through gravity wave activity and general atmospheric circulation. We try to put our data into context with other authors' reports on the anomalous state of the atmosphere during the 2003-2004 boreal winter.

  20. Monitoring the Migrations of Wild Snake River Spring/Summer Chinook Salmon Juveniles, 2003-2004 Annual Report.

    SciTech Connect

    Achord, Stephen; Hodge, Jacob M.; Sandford, Benjamin P.

    2005-06-01

    This report provides information on PIT-tagging of wild Chinook salmon parr in Idaho in 2003 and the subsequent monitoring of these fish and similarly tagged fish from Oregon. We report estimated parr-to-smolt survival and arrival timing of these fish at Lower Granite Dam, as well as interrogation data collected at several other sites throughout the Snake and Columbia River system. This research continues studies that began under Bonneville Power Administration (BPA) funding in 1991. Results from previous study years were reported by Achord et al. (1994; 1995a,b; 1996a; 1997; 1998; 2000; 2001a,b; 2002, 2003, 2004). Goals of this ongoing study are: (1) Characterize the migration timing and estimate parr-to-smolt survival of different stocks of wild Snake River spring/summer Chinook salmon smolts at Lower Granite Dam. (2) Determine whether consistent migration patterns are apparent. (3) Determine what environmental factors influence migration patterns. (4) Characterize the migration behavior and estimate survival of different wild juvenile fish stocks as they emigrate from their natal rearing areas. This study provides critical information for recovery planning, and ultimately recovery for these ESA-listed wild fish stocks. In 2003-2004, we also continued to measure water temperature, dissolved oxygen, specific conductance, turbidity, water depth, and pH at five monitoring stations in the Salmon River Basin, Idaho for the Baseline Environmental Monitoring Program. These data, along with parr/smolt migration, survival, and timing data, will help to discern patterns or characteristic relationships between fish movement/survival and environmental factors.

  1. Restore McComas Meadows; Meadow Creek Watershed, 2003-2004 Annual Report.

    SciTech Connect

    McRoberts, Heidi

    2006-08-01

    The Nez Perce Tribe Department of Fisheries Resource Management, Watershed Division approaches watershed restoration with a ridge-top to ridge-top approach. Watershed restoration projects within the Meadow Creek watershed are coordinated and cost shared with the Nez Perce National Forest. The Nez Perce Tribe began watershed restoration projects within the Meadow Creek watershed of the South Fork Clearwater River in 1996. Progress has been made in restoring the watershed by excluding cattle from critical riparian areas through fencing, planting trees in riparian areas within the meadow and its tributaries, prioritizing culverts for replacement to accommodate fish passage, and decommissioning roads to reduce sediment input. Designs for culvert replacements are being coordinated with the Nez Perce National Forest. 20 miles of roads were decommissioned. Tribal crews completed maintenance to the previously built fence.

  2. Protect and Restore Mill Creek Watershed; Annual Report 2003-2004.

    SciTech Connect

    McRoberts, Heidi

    2004-06-01

    The Nez Perce Tribe Department of Fisheries Resource Management, Watershed Division approaches watershed restoration with a ridge-top to ridge-top approach. The Nez Perce Tribe and the Nez Perce National Forest have formed a partnership in completing watershed restoration activities, and through this partnership, more work is accomplished by sharing funding and resources in our effort. The Nez Perce Tribe began watershed restoration projects within the Mill Creek watershed of the South Fork Clearwater River in 2000. Progress has been made in restoring the watershed through excluding cattle from critical riparian areas through fencing. Starting in FY 2002, continuing into 2004, trees were planted in riparian areas in the meadow of the upper watershed. In addition, a complete inventory of culverts at road-stream crossings was completed. Culverts have been prioritized for replacement to accommodate fish passage throughout the watershed, and designs completed on two of the high priority culverts. Maintenance to the previously built fence was also completed.

  3. Protect and Restore Lolo Creek Watershed, 2003-2004 Annual Report.

    SciTech Connect

    McRoberts, Heidi

    2004-06-01

    The Nez Perce Tribe Department of Fisheries Resource Management, Watershed Division approaches watershed restoration with a ridge-top to ridge-top approach. Watershed restoration projects within the Lolo Creek watershed are coordinated with the Clearwater National Forest and Potlatch Corporation. The Nez Perce Tribe began watershed restoration projects within the Lolo Creek watershed of the Clearwater River in 1996. Fencing to exclude cattle for stream banks, stream bank stabilization, decommissioning roads, and upgrading culverts are the primary focuses of this project. Riparian enhancement through planning of riparian trees continues. Culvert inventory is on-going and will be completed in 2004 for the entire Lolo Creek drainage. High priority culverts are being replaced and passage blocking log culverts are being removed. Tribal crews completed maintenance to the previously built fence.

  4. A comparison of food patterns equivalents intakes by Americans: What We Eat in America, NHANES 2003-2004 and 2011-2012

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This report highlights the changes in the dietary intakes of selected USDA Food Patterns groups, including added sugars and solid fats, for the U.S. population from What We Eat in America, NHANES 2003-2004 and 2011-12. Study sample included 8,272 and 7,932 individuals, ages 2 years and over (exclud...

  5. Characteristics of Private Schools in the United States: Results from the 2003-2004 Private School Universe Survey. E.D. TAB. NCES 2006-319

    ERIC Educational Resources Information Center

    Broughman, Stephen P.; Swaim, Nancy L.

    2006-01-01

    This report on the 2003-2004 Private School Universe Survey presents data on private schools in the United States with grades kindergarten through twelve by selected characteristics such as school size, school level, religious orientation, association membership, geographic region, community type, and program emphasis. The number of teachers and…

  6. Australia's national mental health policy.

    PubMed

    Whiteford, H A

    1993-10-01

    In April 1992 the health ministers of all Australian states, territories, and the federal government endorsed Australia's first National Mental Health Policy. The major principles outlined in the policy include protecting consumers' rights, setting national service standards, mainstreaming mental health services with general health services, better integrating inpatient and community mental health services to ensure continuity of care, and linking mental health services and other social and disability services. A five-year National Mental Health Plan, accompanied by additional federal funding, has also been released, with time frames for implementing the policy in all states and territories and at the federal level. PMID:8225277

  7. National health spending trends in 1996. National Health Accounts Team.

    PubMed

    Levit, K R; Lazenby, H C; Braden, B R

    1998-01-01

    The National Health Accounts, produced annually by the Health Care Financing Administration's Office of the Actuary, present estimates for 1960-1996 of nationwide spending for health care and the sources funding that care. This year's estimates set two records: Spending topped $1 trillion for the first time, and expenditure growth slowed to the lowest rate seen in thirty-seven years of measuring health care spending--4.4 percent. The combination of decelerating health spending and a growing economy has kept national health spending as a share of the nation's gross domestic product unchanged for the fourth consecutive year.

  8. Wounds caused by firearms in El Salvador, 2003-2004: epidemiological issues.

    PubMed

    Paniagua, Ignacio; Crespin, Emperatriz; Guardado, Ademar; Mauricio, Ana

    2005-01-01

    This study presents data from hospital records in El Salvador describing the features of 100 patients admitted to a public hospital with firearm wounds. Wounds caused by Firearms (WFA) account for 70 per cent of homicides; 30 per cent of WFA homicides died in hospital. For every death in hospital there are five admissions who need treatment and survive. The typical victim is a young man with reasonable education but poor earning capacities and some family responsibilities, who lives in an urban setting where drugs, alcohol and firearms are commonplace. Extrapolating from this study, an estimated 2,580 people were treated in El Salvador hospitals during 2003; and of these 2,400 were treated in public hospitals at a cost to the state of 7.4 million USD, just over seven per cent of the health budget. Using further extrapolations, the total social costs for WFA morbidity would amount to around 34 million USD. There needs to be greater controls on firearms, public education on their risks and a more unified surveillance system.

  9. Wounds caused by firearms in El Salvador, 2003-2004: epidemiological issues.

    PubMed

    Paniagua, Ignacio; Crespin, Emperatriz; Guardado, Ademar; Mauricio, Ana

    2005-01-01

    This study presents data from hospital records in El Salvador describing the features of 100 patients admitted to a public hospital with firearm wounds. Wounds caused by Firearms (WFA) account for 70 per cent of homicides; 30 per cent of WFA homicides died in hospital. For every death in hospital there are five admissions who need treatment and survive. The typical victim is a young man with reasonable education but poor earning capacities and some family responsibilities, who lives in an urban setting where drugs, alcohol and firearms are commonplace. Extrapolating from this study, an estimated 2,580 people were treated in El Salvador hospitals during 2003; and of these 2,400 were treated in public hospitals at a cost to the state of 7.4 million USD, just over seven per cent of the health budget. Using further extrapolations, the total social costs for WFA morbidity would amount to around 34 million USD. There needs to be greater controls on firearms, public education on their risks and a more unified surveillance system. PMID:16180732

  10. Western Pond Turtle Head-starting and Reintroduction; 2003-2004 Annual Report.

    SciTech Connect

    Van Leuven, Susan; Allen, Harriet; Slavin, Kate

    2004-09-01

    This report covers the results of the western pond turtle head-starting and reintroduction project for the period of October 2003-September 2004. Wild hatchling western pond turtles from the Columbia River Gorge were reared at the Woodland Park and Oregon Zoos in 2003 and 2004 as part of the recovery effort for this Washington State endangered species. The objective of the program is to reduce losses to introduced predators like bullfrogs and largemouth bass by raising the hatchlings to a size where they are too large to be eaten by most of these predators. Sixty-nine turtles were over-wintered at the Woodland Park Zoo and 69 at the Oregon Zoo. Of these, 136 head-started juvenile turtles were released at three sites in the Columbia Gorge in 2004. Two were held back to attain more growth in captivity. Thirty-four were released at the Klickitat ponds, 19 at the Klickitat lake, 21 at the Skamania site, and 62 at Pierce National Wildlife Refuge (NWR). This brought the total number of head-start turtles released since 1991 to 246 for the Klickitat ponds, 114 for the Klickitat lake, 167 for the Skamania pond complex, and 250 at Pierce NWR. In 2004, 32 females from the two Columbia Gorge populations were equipped with transmitters and monitored for nesting activity. Twenty-one of the females nested and produced 85 hatchlings. The hatchlings were collected in September and October and transported to the Woodland Park and Oregon zoos for rearing in the head-start program. Data collection for a four-year telemetry study of survival and habitat use by juvenile western pond turtles at Pierce NWR concluded in 2004. Radio transmitters on study animals were replaced as needed until all replacements were in service; afterward, the turtles were monitored until their transmitters failed. The corps of study turtles ranged from 39 in August 2003 to 2 turtles at the end of August 2004. These turtles showed the same seasonal pattern of movements between summer water and upland winter

  11. National Health Care Skill Standards.

    ERIC Educational Resources Information Center

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

    This booklet contains draft national health care skill standards that were proposed during the National Health Care Skill Standards Project on the basis of input from more than 1,000 representatives of key constituencies of the health care field. The project objectives and structure are summarized in the introduction. Part 1 examines the need for…

  12. National Health Care Skill Standards.

    ERIC Educational Resources Information Center

    National Consortium on Health Science and Technology Education, Okemos, MI.

    This document presents the National Health Care Skill Standards, which were developed by the National Consortium on Health Science and Technology and West Ed Regional Research Laboratory, in partnership with educators and health care employers. The document begins with an overview of the purpose and benefits of skill standards. Presented next are…

  13. Volcanic-ash hazard to aviation during the 2003 2004 eruptive activity of Anatahan volcano, Commonwealth of the Northern Mariana Islands

    NASA Astrophysics Data System (ADS)

    Guffanti, Marianne; Ewert, John W.; Gallina, Gregory M.; Bluth, Gregg J. S.; Swanson, Grace L.

    2005-08-01

    Within the Commonwealth of the Northern Mariana Islands (CNMI), Anatahan is one of nine active subaerial volcanoes that pose hazards to major air-traffic routes from airborne volcanic ash. The 2003-2004 eruptive activity of Anatahan volcano affected the region's aviation operations for 3 days in May 2003. On the first day of the eruption (10 May 2003), two international flights from Saipan to Japan were cancelled, and several flights implemented ash-avoidance procedures. On 13 May 2003, a high-altitude flight through volcanic gas was reported, with no perceptible damage to the aircraft. TOMS and MODIS analysis of satellite data strongly suggests that no significant ash and only minor amounts of SO 2 were involved in the incident, consistent with crew observations. On 23 May 2003, airport operations were disrupted when tropical-cyclone winds dispersed ash to the south, dusting Saipan with light ashfall and causing flight cancellations there and at Guam 320 km south of the volcano. Operational (near-real-time) monitoring of ash clouds produced by Anatahan has been conducted since the first day of the eruption on 10 May 2003 by the Washington Volcanic Ash Advisory Center (VAAC). The VAAC was among the first groups outside of the immediate area of the volcano to detect and report on the unexpected eruption of Anatahan. After being contacted about an unusual cloud by National Weather Service forecasters in Guam at 1235 UTC on 10 May 2003, the VAAC analyzed GOES 9 images, confirming Anatahan as the likely source of an ash cloud and estimating that the eruption began at about 0730 UTC. The VAAC issued its first Volcanic Ash Advisory for Anatahan at 1300 UTC on 10 May 2003 more than 5 h after the start of the eruption, the delay reflecting the difficulty of detecting and confirming a surprise eruption at a remote volcano with no in situ real-time geophysical monitoring. The initial eruption plume reached 10.7-13.4 km (35,000-44,000 ft), well into jet cruise altitudes

  14. Volcanic-ash hazard to aviation during the 2003-2004 eruptive activity of Anatahan volcano, Commonwealth of the Northern Mariana Islands

    USGS Publications Warehouse

    Guffanti, M.; Ewert, J.W.; Gallina, G.M.; Bluth, G.J.S.; Swanson, G.L.

    2005-01-01

    Within the Commonwealth of the Northern Mariana Islands (CNMI), Anatahan is one of nine active subaerial volcanoes that pose hazards to major air-traffic routes from airborne volcanic ash. The 2003-2004 eruptive activity of Anatahan volcano affected the region's aviation operations for 3 days in May 2003. On the first day of the eruption (10 May 2003), two international flights from Saipan to Japan were cancelled, and several flights implemented ash-avoidance procedures. On 13 May 2003, a high-altitude flight through volcanic gas was reported, with no perceptible damage to the aircraft. TOMS and MODIS analysis of satellite data strongly suggests that no significant ash and only minor amounts of SO2 were involved in the incident, consistent with crew observations. On 23 May 2003, airport operations were disrupted when tropical-cyclone winds dispersed ash to the south, dusting Saipan with light ashfall and causing flight cancellations there and at Guam 320 km south of the volcano. Operational (near-real-time) monitoring of ash clouds produced by Anatahan has been conducted since the first day of the eruption on 10 May 2003 by the Washington Volcanic Ash Advisory Center (VAAC). The VAAC was among the first groups outside of the immediate area of the volcano to detect and report on the unexpected eruption of Anatahan. After being contacted about an unusual cloud by National Weather Service forecasters in Guam at 1235 UTC on 10 May 2003, the VAAC analyzed GOES 9 images, confirming Anatahan as the likely source of an ash cloud and estimating that the eruption began at about 0730 UTC. The VAAC issued its first Volcanic Ash Advisory for Anatahan at 1300 UTC on 10 May 2003 more than 5 h after the start of the eruption, the delay reflecting the difficulty of detecting and confirming a surprise eruption at a remote volcano with no in situ real-time geophysical monitoring. The initial eruption plume reached 10.7-13.4 km (35,000-44,000 ft), well into jet cruise altitudes

  15. 2003-2004 Campaign GPS Geodetic Monitoring of Surface Deformation Proximal to Volcanic Centers, Commonwealth of Dominica, Lesser Antilles.

    NASA Astrophysics Data System (ADS)

    Davidson, R. T.; Turner, H. L.; Blessing, B. C.; Parra, J.; Fitzgibbon, K.; Jansma, P.; Mattioli, G.

    2004-12-01

    The Commonwealth of Dominica, located midway along the Lesser Antilles island arc, is home to several (at least eight) potentially active volcanic centers. Spurred by recent seismic crises on the island - in the south from 1998-2000 and in the north in 2003 - twelve GPS monuments were installed in two field campaigns in 2001 and 2003. All twelve sites, along with five of six newly installed sites, were occupied continuously for ~2.5 or more UTC days in 2004 using Ashtech Z-12 dual-frequency, code-phase receivers and choke ring antenna to assess the highly complex and possibly interconnected volcanic systems of Dominica. We examine data from the 2003-2004 epochs because of the highly variable, shallow seismicity preceding this period. This way one can potentially isolate the changes that occurred without the data from previous observations influencing the results. Although only two epochs have been included, data quality and reliability can be established from sites distant from volcanic centers, as such sites show consistent velocities from all three epochs of observation over the 2001-2004 period. Between 2003 and 2004, multiple sites show velocities that are inconsistent with a simple tectonic interpretation of elastic strain accumulation along the plate interface. Sites located in the vicinity of the volcanic centers in the south central part of the island are moving faster than the 3 epoch 2001-2004 average of the velocities, which is approximately 7mm/year. The four sites at which greater movement has been noted have velocities ranging from approximately 10 to 27 mm/year. We note that the largest surface deformation signal is seen in the south during the same period when the shallow seismicity was at a maximum in the north of the island. While the spatial distribution of sites remains sparse and the velocities relatively imprecise, the preliminary results may indicate shallow magmatic emplacement, geothermal fluctuations, or structural instability in that part

  16. National Health Care Survey

    Cancer.gov

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  17. National health expenditures, 1984

    PubMed Central

    Levit, Katharine R.; Lazenby, Helen; Waldo, Daniel R.; Davidoff, Lawrence M.

    1985-01-01

    Growth in health care expenditures slowed to 9.1 percent in 1984, the smallest increase in expenditures in 19 years. Economic forces and emerging structural changes within the health sector played a role in slowing growth. Of the $1,580 per person spent for health care in 1984, 41 percent was financed by public programs; 31 percent by private health insurance; and the remainder by other private sources. Together, Medicare and Medicaid accounted for 27 percent of all health spending. PMID:10311395

  18. 75 FR 6044 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the National Institute of Environmental Health Sciences,...

  19. 78 FR 64228 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special...

  20. Concerning trends and outcomes for National Institutes of Health funding of cancer research.

    PubMed

    Bland, Kirby I

    2007-02-01

    The National Cancer Institute (NCI) considers its principal mission for three modalities: (1) the integration of discovery activities with collaborations of interdisciplinary types; (2) the acceleration of innovations and provision of technology that will allow achievements of translational research; and (3) to move the aforementioned new discoveries via translational methods for application in clinics and public health programs. This article will focus on the contemporary trends for 2003-2004 and the NIH budget of 2005 to enumerate the progress in surgical funding by the NIH and NCI. Specifically, this presentation focuses on outcomes in departments of surgery nationally with correlates for non-surgical clinical sciences and their funding. While the NCI and NIH continue to undergo a comprehensive scrutiny of their resources in this budget-reduced environment related to the efforts to secure peace in Iraq, it is highly probable that our current mechanisms in place will not change without participation of surgical scientists in oncology in the award mechanisms. It should be highly encouraged that surgeon-scientists actively participate on Study Sections of the NIH-NCI to provide surgical investigators the opportunity to be competitive with non-surgeons when reviews of meritorious proposals are submitted by their surgical oncology peers. PMID:17262723

  1. National health expenditures, 1999.

    PubMed

    Cowan, C A; Lazenby, H C; Martin, A B; McDonnell, P A; Sensenig, A L; Smith, C E; Whittle, L S; Zezza, M A; Donham, C S; Long, A M; Stewart, M W

    2001-01-01

    The health care spending share of gross domestic product (GDP) remained steady between 1993 and 1999 as moderate-to-strong economic growth coincided with a rapid shift to managed care. This shift, along with decelerating growth in Medicare spending, appears to have generated a mostly one-time saving that lowered aggregate health expenditure growth.

  2. National Institutes of Health

    MedlinePlus

    ... of infant death. Learn more » October Is Health Literacy Month Raise awareness about the importance of clear ... Us Contact Us Bookmark & Share Email Updates Social Media & Outreach Twitter Facebook YouTube Footer NIH Home En ...

  3. Mental health for nations.

    PubMed

    Bhugra, Dinesh

    2016-08-01

    Mental ill health is a universal phenomenon: that is, it is seen across all cultures and societies, even though the presentation may be culture-specific and affected by cultural norms and more. Governments have a moral and ethical duty to develop mental health services which are accessible, appropriate, and non-discriminatory. Equity in funding mental health services is critical. As globally services and their quality vary dramatically, one should be proposing and agreeing on minimum standards of care. In this paper the basic components and minimum standards of care are described. It is imperative that services are non-discriminatory. It is important that governments work with psychiatrists, other mental health professionals, and individuals with mental illness, their families, and carers to plan, develop, and deliver services with adequate funding. Employers and psychological first aid must also be remembered. Services must be geographically accessible. In this endeavour primary care services have a major role to play. Training and clinical decision-making must be part of the change in service delivery. It is imperative that every effort is made to keep the population mentally as well as physically healthy, and people who develop mental illness must have access to evidence-based treatment at the earliest possible opportunity. PMID:27686156

  4. 75 FR 71134 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute; Notice of Closed Meeting..., Cancer Control, National Institutes of Health, HHS) Dated: November 16, 2010. Jennifer S....

  5. The national health care imperative.

    PubMed

    Halamandaris, V J

    1990-03-01

    In summary, the nation's health care system is in serious need of reform. It is expensive and woefully inefficient. Millions of people are excluded from coverage, while others receive limited or second-class care. For those millions who suffer serious chronic problems that require long-term care, there is virtually no help. There is no help for the family whose loved one suffers from Alzheimer's disease. There is no help for the family whose child is born with cerebral palsy or epilepsy. There is no help for the middle-aged father, disabled in an automobile accident. Providing good care to all Americans is not a matter of money. America currently spends some 13% of its gross national product on health care, and yet the health statistics of Americans are the worst in the industrialized world. What America needs is a comprehensive system of health care that includes both acute and long-term care. Congress must take action to restore health care as a basic constitutional right of all Americans. Coverage for long-term care must be included within the context of any new national health care program. Funding for such a program should come from the most progressive tax that the Congress can fashion, which to this point is the federal income tax. Although there is an appropriate role for private insurance, it should function as a supplement to rather than as a substitute for a new national program. There are several other elements that are key to a national health care program: Home care must be the first line of any national long-term care program.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10106451

  6. 78 FR 55751 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Eye Institute; Notice of Meeting Pursuant to... Health, Neuroscience Building, Conference Room D, 6001 Executive Boulevard, Rockville, MD 20852....

  7. 78 FR 8153 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment Request: Recipient... Blood Institute (NHLBI), the National Institutes of Health (NIH) has submitted to the Office...

  8. National Center for Environmental Health

    MedlinePlus

    ... Health Asthma Carbon Monoxide Clean Water for Health Climate and Public Health Environmental Noise Exposure and Health ... Overviews Asthma Control Built Environment and Health Initiative Climate and Health Environmental Health Laboratory Environmental Health Services ...

  9. The prevalence of obesity in children with autism: a secondary data analysis using nationally representative data from the National Survey of Children's Health

    PubMed Central

    2010-01-01

    Background The prevalence of childhood obesity has increased dramatically in the last two decades and numerous efforts to understand, intervene on, and prevent this significant threat to children's health are underway for many segments of the pediatric population. Understanding the prevalence of obesity in populations of children with developmental disorders is an important undertaking, as the factors that give rise to obesity may not be the same as for typically developing children, and because prevention and treatment efforts may need to be tailored to meet their needs and the needs of their families. The goal of the current study was to estimate the prevalence of obesity in children and adolescents with autism. Methods This study was a secondary data analysis of cross-sectional nationally representative data collected by telephone interview of parents/guardians on 85,272 children ages 3-17 from the 2003-2004 National Survey of Children's Health (NSCH). Autism was determined by response to the question, "Has a doctor or health professional ever told you that your child has autism?" Children and adolescents were classified as obese accordingto CDC guidelines for body mass index (BMI) for age and sex. Results The prevalence of obesity in children with autism was 30.4% compared to 23.6% of children without autism (p = .075). The unadjusted odds of obesity in children with autism was 1.42 (95% confidence interval (CI): 1.00, 2.02, p = .052) compared to children without autism. Conclusions Based on US nationally representative data, children with autism have a prevalence of obesity at least as high as children overall. These findings suggest that additional research is warranted to understand better the factors that influence the development of obesity in this population of children. PMID:20178579

  10. 76 FR 71047 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Alcohol Abuse and Alcoholism; Notice... EPRB, NIAAA, National Institutes of Health, 5365 Fishers Lane, Room 2085, Rockville, MD 20852,...

  11. 76 FR 44597 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed...; 93.839, Blood Diseases and Resources Research, National Institutes of Health, HHS) Dated: July...

  12. Understanding Environmental Literacy in America and Making It a Reality: Three-Year Report 2002/2003/2004

    ERIC Educational Resources Information Center

    National Environmental Education & Training Foundation, 2005

    2005-01-01

    Research by the National Environmental Education & Training Foundation (NEETF) and Roper Public Affairs at NOP World tells that the average 12th grader (and by extension, the average adult) still falls far short of what would be considered "environmentally literate" by anyone's definition. Seemingly elementary questions elude most of the public:…

  13. 75 FR 42758 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute; Notice of Meeting Pursuant to... Institutes of Health, 9000 Rockville Pike, Building 31, C Wing, 6th Floor, Conference Room 10, Bethesda,...

  14. 78 FR 42967 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed... Institutes of Health, HHS) Dated: July 12, 2013. Michelle Trout, Program Analyst, Office of Federal...

  15. 76 FR 53685 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; Comment Request; Partner and... Center for Scientific Review (CSR), National Institutes of Health (NIH), has submitted to the Office...

  16. Ground Water Quality and Riparian Enhancement Projects in Sherman County, Oregon; Coordination and Technical Assistance, 2003-2004 Annual Report.

    SciTech Connect

    Faucera, Jason

    2004-05-01

    Natural Resources Conservation Service, assist landowners in developing Resource Management Systems (RMS) that address resource concerns in a specified land unit. These RMS plans are developed using a nine step planning process that acts to balance natural resource issues with economic and social needs. Soil, Water, Air, Plants, Animals, and Human resource concerns are the core focus in developing a framework for improving the efficiency and effectiveness of conservation activities in a given planning unit, while working within the guidelines set forth by the National Environmental Policy Act (NEPA), Clean Water Act (CWA), Endangered Species Act (ESA), Magnuson-Stevens Act (MSA), National Historic Preservation Act (NHPA), and other federal, state, and local laws. Implementation of this project has provided technical and implementation assistance for numerous on the ground projects, including over 50 WASCBs, several thousand feet of terraces, numerous spring developments, fencing, 7 implemented CREP contracts, and the development of 8 additional CREP projects slated for enrollment at the beginning of FY '05. Within the past contract year in Sherman County, 589.4 acres of CREP have been enrolled protecting 30.8 miles of riparian habitat. In addition to the increase in on the ground projects, coordination and outreach to solicit conservation projects in Sherman County has increased due to the additional staffing provided by BPA funds. As a result there is an abundance of potential conservation projects for water quality and riparian management improvement. With the sustained availability of coordination and technical assistance provided through this grant, BPA personnel funds will translate to a much higher dollar figure applied on the ground. This project has been very successful in keeping up with the demand for conservation projects within Sherman County.

  17. Developing national health information in Australia.

    PubMed

    Moss, E A

    1995-01-01

    Two significant developments in the past two years have given impetus to development of health information in Australia. In March 1993, the former National Minimum Data Set was revised and published as the National Health Data Dictionary. Second, establishment of an agreement in June 1993, between the Commonwealth and State/Territory government health authorities, the Australian Bureau of Statistics, and the Australian Institute of Health and Welfare initiated a process of working cooperatively to develop national health information. Australia, like many other countries, suffers from inconsistent health data definitions, lack of timely data, poor data quality, gaps in data coverage, and barriers to accessing the data. The National Health Information Agreement [1] came into effect on June 1, 1993 and seeks to provide a national framework and processes to improve national health information, that is, information on health of the population; determinants of the population's health; provision and utilization of health promotion and disease prevention programs and health services including: outcomes and outputs, resource use and costs, access by and distribution to population groups; relationships between these elements; and the language necessary to facilitate provision of services and collection of national health information. The major implementation mechanism of the Agreement is a rolling three-year National Health Information Work Program of national health information activities. The activities range from development work on standard hospital charts of accounts, on health outcome measures, and on new collections such as outpatients to improved definitions and the enhancement of existing collections such as mental health and vital statistics. The Work Program is published annually. A first priority is to improve the data collections available. This is being achieved through the setting of national data definitions and standards. The Agreement recognizes the

  18. Impact of orange juice consumption on bone health of the U.S. population in the national health and nutrition examination survey 2003-2006.

    PubMed

    Lee, Sang Gil; Yang, Meng; Wang, Ying; Vance, Terrence; Lloyd, Beate; Chung, Sang-Jin; Koo, Sung I; Chun, Ock K

    2014-10-01

    Orange juice (OJ) fortified with calcium (Ca) and vitamin D has turned OJ into a readily available source of these nutrients for children and adults. However, the impact of OJ consumption on Ca and vitamin D adequacy and bone health has not been documented. The aim of this study was the evaluation of the contribution of 100% OJ consumption to dietary and serum Ca and vitamin D status, and bone health parameters in the U.S. population aged 4 years and older (n=13,971) using the National Health and Nutrition Examination Survey (NHANES) 2003-2004 and 2005-2006. Food consumption data were coded to produce micronutrient intake values using the USDA Food and Nutrient Database for Dietary Studies 3.0. Serum concentrations of bone-related micronutrients and biomarkers, bone mineral density (BMD), and bone mineral content (BMC) were measured. Analysis of data was conducted using SAS software 9.2 and SUDAAN. OJ consumers showed higher intakes of bone-related micronutrients, compared with nonconsumers (P<.05). In addition, OJ consumers had higher serum Ca levels in adults (P<.01) and had a lower odds ratio for serum 25-hydroxyvitamin D3 <20 ng/mL in children (P<.05). OJ consumption was positively associated with femur BMD in children (P<.05) and with femur BMC in both children and adults (P<.05). In conclusion, OJ may be recommended as an effective dietary means of improving the status of Ca and vitamin D, acid-base balance, and of promoting bone health in children and adults.

  19. Natural and technical factors in faecal contamination incidents of drinking water in small distribution networks, France, 2003-2004: a geographical study.

    PubMed

    Beaudeau, Pascal; Valdes, Danièle; Mouly, Damien; Stempfelet, Morgane; Seux, René

    2010-03-01

    This geographical study aimed to show natural or water-processing-related factors of faecal contamination incidents (FCIs) of drinking water in continental France. We defined a FCI as the occurrence of at least 20 colony-forming Escherichia coli or enterococci among all the 100 mL samples collected for regulatory purpose within one day from a given drinking water supply zone (SZ). We explored correlations between the standardized number of FCIs per département (N_Pols) and various indicators related to weather, land cover, topography, geology and water management for three SZ size sub-classes. In 2003-2004, 2,739 FCIs occurred in SZs supplying fewer than 2,000 people, mainly with simply disinfected groundwater. N_Pols correlates with four covariates: (1) precipitation; (2) the extension of the karst outcrops; (3) the extent of disinfection; and (4) catchment protection. One hundred millimetres of yearly excess in precipitation increases the pollution risk by 28-37%, depending on the sub-class. A 10% extension of the karst areas, a 10% increase of unprotected resources, or of SZs with no disinfection, could entail a higher risk of FCI by about 10%. The correlations are reproducible over the three sub-classes and corroborate expert appraisals. These results encourage the ongoing effort to generalize disinfection and catchment protection.

  20. Building the national health information infrastructure for personal health, health care services, public health, and research

    PubMed Central

    Detmer, Don E

    2003-01-01

    Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII) offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries). The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security) framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin PMID:12525262

  1. National Health Insurance and Health Education: Strategies for Change.

    ERIC Educational Resources Information Center

    Dwore, Richard B.

    1980-01-01

    The concept of National Health Insurance (NHI) as one of several strategies for resolving health problems in the U.S. is discussed. NHI goals include comprehensive health care, quality health care, efficient delivery systems, phased-in benefits, and consumer representation. (JD)

  2. Delivery System, 2003-2004.

    ERIC Educational Resources Information Center

    Office of Federal Student Aid (ED), Washington, DC.

    This workshop guide for financial aid administrators provides training in the federal student financial aid delivery system. An introduction enables the participant to share some information about his or her responsibilities and to reflect on the relevance of the training to the job. Session 1, "Application Systems," identifies methods of applying…

  3. 78 FR 31947 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... Institute of Mental Health Data Access Request and Use Certification SUMMARY: In compliance with the... comment on proposed data collection projects, the National Institute of Mental Health (NIMH), National... obtain a copy of the data collection plans and instruments, submit comments in writing, or request...

  4. 77 FR 9673 - National Institute on Minority Health and Health Disparities Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-17

    ... Institute on Minority Health and Health Disparities, National Institutes of Health, 6707 Democracy Blvd... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and...

  5. Health Update: Development of New National Child Care Health Standards.

    ERIC Educational Resources Information Center

    Aronson, Susan S.

    1988-01-01

    Discusses the absence of national standards which are uniformly applicable to health, safety, sanitation, and nutrition aspects of child care programs. Explains the responsive collaborative project of the American Academy of Pediatrics and American Public Health Association to develop national reference standards for out-of-home child care…

  6. Five-day planetary waves in the middle atmosphere from Odin satellite data and ground-based instruments in Northern Hemisphere summer 2003, 2004, 2005 and 2007

    NASA Astrophysics Data System (ADS)

    Belova, A.; Kirkwood, S.; Murtagh, D.; Mitchell, N.; Singer, W.; Hocking, W.

    2008-11-01

    A number of studies have shown that 5-day planetary waves modulate noctilucent clouds and the closely related Polar Mesosphere Summer Echoes (PMSE) at the summer mesopause. Summer stratospheric winds should inhibit wave propagation through the stratosphere and, although some numerical models (Geisler and Dickinson, 1976) do show a possibility for upward wave propagation, it has also been suggested that the upward propagation may in practice be confined to the winter hemisphere with horizontal propagation of the wave from the winter to the summer hemisphere at mesosphere heights causing the effects observed at the summer mesopause. It has further been proposed (Garcia et al., 2005) that 5-day planetary waves observed in the summer mesosphere could be excited in-situ by baroclinic instability in the upper mesosphere. In this study, we first extract and analyze 5-day planetary wave characteristics on a global scale in the middle atmosphere (up to 54 km in temperature, and up to 68 km in ozone concentration) using measurements by the Odin satellite for selected days during northern hemisphere summer from 2003, 2004, 2005 and 2007. Second, we show that 5-day temperature fluctuations consistent with westward-traveling 5-day waves are present at the summer mesopause, using local ground-based meteor-radar observations. Finally we examine whether any of three possible sources of the detected temperature fluctuations at the summer mesopause can be excluded: upward propagation from the stratosphere in the summer-hemisphere, horizontal propagation from the winter-hemisphere or in-situ excitation as a result of the baroclinic instability. We find that in one case, far from solstice, the baroclinic instability is unlikely to be involved. In one further case, close to solstice, upward propagation in the same hemisphere seems to be ruled out. In all other cases, all or any of the three proposed mechanisms are consistent with the observations.

  7. Results of the 2003-2004 GEP-ISFG collaborative study on mitochondrial DNA: focus on the mtDNA profile of a mixed semen-saliva stain.

    PubMed

    Crespillo, Manuel; Paredes, Miguel R; Prieto, Lourdes; Montesino, Marta; Salas, Antonio; Albarran, Cristina; Alvarez-Iglesias, V; Amorin, Antonio; Berniell-Lee, Gemma; Brehm, Antonio; Carril, Juan C; Corach, Daniel; Cuevas, Nerea; Di Lonardo, Ana M; Doutremepuich, Christian; Espinheira, Rosa M; Espinoza, Marta; Gómez, Felix; González, Alberto; Hernández, Alexis; Hidalgo, M; Jimenez, Magda; Leite, Fabio P N; López, Ana M; López-Soto, Manuel; Lorente, Jose A; Pagano, Shintia; Palacio, Ana M; Pestano, José J; Pinheiro, Maria F; Raimondi, Eduardo; Ramón, M M; Tovar, Florangel; Vidal-Rioja, Lidia; Vide, Maria C; Whittle, Martín R; Yunis, Juan J; Garcia-Hirschfel, Julia

    2006-07-13

    We report here a review of the seventh mitochondrial DNA (mtDNA) exercise undertaken by the Spanish and Portuguese working group (GEP) of the International Society for Forensic Genetics (ISFG) corresponding to the period 2003-2004. Five reference bloodstains from five donors (M1-M5), a mixed stain of saliva and semen (M6), and a hair sample (M7) were submitted to each participating laboratory for nuclear DNA (nDNA; autosomal STR and Y-STR) and mtDNA analysis. Laboratories were asked to investigate the contributors of samples M6 and M7 among the reference donors (M1-M5). A total of 34 laboratories reported total or partial mtDNA sequence data from both, the reference bloodstains (M1-M5) and the hair sample (M7) concluding a match between mtDNA profiles of M5 and M7. Autosomal STR and Y-STR profiling was the preferred strategy to investigate the contributors of the semen/saliva mixture (M6). Nuclear DNA profiles were consistent with a mixture of saliva from the donor (female) of M4 and semen from donor M5, being the semen (XY) profile the dominant component of the mixture. Strikingly, and in contradiction to the nuclear DNA analysis, mtDNA sequencing results yield a more simple result: only the saliva contribution (M4) was detected, either after preferential lysis or after complete DNA digestion. Some labs provided with several explanations for this finding and carried out additional experiments to explain this apparent contradictory result. The results pointed to the existence of different relative amounts of nuclear and mtDNAs in saliva and semen. We conclude that this circumstance could strongly influence the interpretation of the mtDNA evidence in unbalanced mixtures and in consequence lead to false exclusions. During the GEP-ISFG annual conference a validation study was planned to progress in the interpretation of mtDNA from different mixtures.

  8. 76 FR 55930 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center For Scientific Review Notice of Closed Meetings... Health, 6701 Rockledge Drive, Room 6194, MSC 7804, Bethesda, MD 20892, 301-996-6208,...

  9. 76 FR 16798 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meeting... Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892 (Telephone Conference Call). Contact...

  10. [System approach to national health security problems].

    PubMed

    Venediktov, D D

    1998-01-01

    P. K. Anokhin's basic works on functional systems, on space-time continuum and advanced reflection of the reality, on the physiological structure of a behavior act, as well as his fundamental philosophical and scientific postulated are most fruitful for analyzing and solving a number of biomedical, societal, and political problems, among them there are problems of national security in general and its demographic and health aspects. Individual and public health as a measure of balance between the organism (population) and its biosocial environment depends on the efficiency of relevant physiological and societal functional systems is one of the basic prerequisites of national security and timely recognition, avoiding and overcoming numerous challenges, dangers, and threats to the nation. General political and socioeconomic crisis in Russia adversely affects the population's dynamics and public health and it is manifested by depopulatory processes, low birth and high mortality and morbidity rates, growing violence and crime, psychoemotional stress, decreased immunity level of vast majority of population, especially that of children, elderly and other vulnerable groups. Environmental pollution and degradation have reached dangerous proportions. The national health system is unable to meet basic needs of the population. To overcome the crisis, systemic measures should be in the foundation of all health reform concepts and strategies. Monitoring national health, including modelling its future status, as well as progress in health system reforms should be another basic condition for overcoming the national health crisis. PMID:9567717

  11. Cuba's National eHealth Strategy.

    PubMed

    Delgado, Ariel; Gorry, Conner

    2008-01-01

    Cuba has been building a national strategy using information and communication technologies (ICTs) for health since the establishment of the National Medical Sciences Information Center (CNICM) in 1965. Back then, vital statistics and health data - considered a cornerstone of the country's new universal health system - were transmitted by hand or over the phone. As technology grew more sophisticated over the next 30 years, microprocessors and computers were integrated into the process. In 1992, reeling from economic crisis, Cuba founded the national health telematics network known as INFOMED (www.sld.cu), betting on the strategy that ICTs could be used to improve population health at low cost. From these initial efforts until today, the country has followed a policy to build and strengthen a virtual health information infrastructure.[1].

  12. 78 FR 13689 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ..., Chief, Scientific Review Officer, National Institute On Minority Health, and Health Disparities, 6707... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and...

  13. Supporting National Men's Health Week.

    THOMAS, 111th Congress

    Rep. Cummings, Elijah E. [D-MD-7

    2010-06-14

    06/23/2010 Received in the Senate and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  14. Supporting National Men's Health Week.

    THOMAS, 111th Congress

    Rep. Cummings, Elijah E. [D-MD-7

    2009-06-03

    07/09/2009 Received in the Senate and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  15. National Alliance for Hispanic Health

    MedlinePlus

    ... connected to global and international efforts. Capacities and competencies to respond to health emergencies. Services that integrate ... Our People Our Legacy Annual Reports Supporting You Core Programs Demonstration Programs Resources News and Advocacy  News ...

  16. Health financing in Malawi: Evidence from National Health Accounts

    PubMed Central

    2010-01-01

    Background National health accounts provide useful information to understand the functioning of a health financing system. This article attempts to present a profile of the health system financing in Malawi using data from NHA. It specifically attempts to document the health financing situation in the country and proposes recommendations relevant for developing a comprehensive health financing policy and strategic plan. Methods Data from three rounds of national health accounts covering the Financial Years 1998/1999 to 2005/2006 was used to describe the flow of funds and their uses in the health system. Analysis was performed in line with the various NHA entities and health system financing functions. Results The total health expenditure per capita increased from US$ 12 in 1998/1999 to US$25 in 2005/2006. In 2005/2006 public, external and private contributions to the total health expenditure were 21.6%, 60.7% and 18.2% respectively. The country had not met the Abuja of allocating at least 15% of national budget on health. The percentage of total health expenditure from households' direct out-of-pocket payments decreased from 26% in 1998/99 to 12.1% in 2005/2006. Conclusion There is a need to increase government contribution to the total health expenditure to at least the levels of the Abuja Declaration of 15% of the national budget. In addition, the country urgently needs to develop and implement a prepaid health financing system within a comprehensive health financing policy and strategy with a view to assuring universal access to essential health services for all citizens. PMID:21062503

  17. National Institute of Environmental Health Sciences

    MedlinePlus

    ... for New Grants Microphysiological Systems (MPS) for Disease Modeling and Efficacy Testing (UG3/UH3) TR-16-017 ... Health National Toxicology Program Staff Directory Freedom of Information Act Office of Inspector General Web Policies & Notices ...

  18. 78 FR 62638 - National Institute on Minority Health and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Disparities Special Emphasis Panel; NIMHD Technologies for Improving Minority Health and Eliminating Health... contract proposals. Place: National Institute on Minority Health and Health Disparities, 6707 Democracy..., National Institute on Minority Health and Health Disparities, 6707 Democracy Blvd., Suite 800, Bethesda,...

  19. National Student Conference on Health Manpower.

    ERIC Educational Resources Information Center

    Student American Pharmaceutical Association, Washington, DC.

    This document summarizes the proceedings of the National Student Conference on Health Manpower, Chicago, March 1972. Following a staff report on the conference proceedings, student research papers on workshop topics are presented. These papers concern health profession recruitment and retention with consideration of general minority and sex-biased…

  20. 78 FR 24427 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... separately through media and social media channels. The surveys will be available on a designated survey Web... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day Comment Request; Genomics...

  1. A National Agenda for Public Health Informatics

    PubMed Central

    Yasnoff, William A.; Overhage, J. Marc; Humphreys, Betsy L.; LaVenture, Martin

    2001-01-01

    The AMIA 2001 Spring Congress brought together members of the the public health and informatics communities to develop a national agenda for public health informatics. Discussions of funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes—that all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research; and that informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health. PMID:11687561

  2. Issues in national health insurance.

    PubMed Central

    Donabedian, A

    1976-01-01

    Health insurance, by reducing net price to the consumer and increasing the opportunities for revenue to the provider, has profound effects, among other things, on the volume, content and distribution of services, their prices, and the capacity of providers to produce them. The magnitude and nature of these effects depend, partly, on the design of insurance benefits and, partly, on the nature of the health care system, particularly its current and potential capacity and the methods it uses to pay providers. Those who believe that the unique aim of insurance is to protect against unpredictable expenses attempt to suppress these effects, mainly by imposing financial disincentives to utilization which, in turn, reduce protection for those who need it most. Those who wish to reform the system have a broader range of objectives which include protective efficacy, cost control, quantitative adequacy, qualitative adequacy, efficiency of production, efficiency of allocation, equity, and redistribution of capacity. An analysis of the effects of insurance in the light of these objectives reveals favorable as well as unfavorable consequences. The provision of comprehensive benefits generates the necessity for a fundamental change in the organization of health services, if the advantages are to be fully realized and the disadvantages minimized. PMID:817614

  3. A United Nations Global Health Panel for Global Health Governance.

    PubMed

    Mackey, Tim K; Liang, Bryan A

    2013-01-01

    The World Health Organization now relies upon voluntary contributions tied to specific projects, underwriting 75% of operations. A resulting cacophony of non-governmental, foundation, and private sector actors have emerged overlapping and fractionating WHO programs. In this expanding world of "global health organizations," WHO's role must be redefined. We propose coordination of global health initiatives through a United Nations Global Health Panel with active participation of WHO. Given recent events, the UN is poised to take a greater leadership role in global health.

  4. 75 FR 65365 - National Institute of Environmental Health Sciences;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: Environmental Health Sciences Review Committee; Research Career... applications. Place: Nat. Inst. of Environmental Health Sciences, Building 101, Rodbell Auditorium, 111 T....

  5. National Library of Medicine Web Resources for Student Health Professionals

    SciTech Connect

    Womble, R.

    2010-04-02

    Familiarize students affiliated with the Student National Medical Association with the National Library of Medicine's online resources that address medical conditions, health disparities, and public health preparedness needs.

  6. Establishing national health goals and standards.

    PubMed Central

    Zwick, D I

    1983-01-01

    Four statements of national health goals and standards were proclaimed from the U.S. Department of Health and Human Services during the 1970s. Two were based on statutory mandates--the National Guidelines for Health Planning and the Model Standards for Community Preventive Health Services. Two were the results of administrative initiatives--the Forward Plans for Health and the complementary publications "Healthy People" and "Promoting Health/Preventing Disease". These efforts present a variety of approaches and experiences and can provide direction and lessons for future endeavors along these lines. The four issuances include guidance on national priorities, resource standards, and accessibility to care. They also offer goals and objectives for local services and health status. They address a multiplicity of issues, ranging from hospital bed supply and recommended uses of specialized medical equipment to infant mortality and proposed reductions in death and disability. Almost all urge further actions to prevent illness and promote health. The development of statements of national health goals and standards has been advocated by some experts and questioned by others. Advocates believe that these materials can help clarify purposes and priorities for health programs, resulting in more effective and efficient uses of resources and greater accountability. Critics are particularly concerned about deleterious impacts on creativity and local initiatives. Among the major lessons identifiable from these undertakings is the importance of committed leadership, broad-based consultation, and reliable data. Implementation inevitably encounters the complexities of the health system and depends upon available resources. In influencing the agenda of deliberation and debate, the symbolic value of these statements may often be more significant than the specific details. The continuing interest in these approaches suggests that future efforts along these lines are likely. PMID:6414027

  7. PEDSnet: a National Pediatric Learning Health System.

    PubMed

    Forrest, Christopher B; Margolis, Peter A; Bailey, L Charles; Marsolo, Keith; Del Beccaro, Mark A; Finkelstein, Jonathan A; Milov, David E; Vieland, Veronica J; Wolf, Bryan A; Yu, Feliciano B; Kahn, Michael G

    2014-01-01

    A learning health system (LHS) integrates research done in routine care settings, structured data capture during every encounter, and quality improvement processes to rapidly implement advances in new knowledge, all with active and meaningful patient participation. While disease-specific pediatric LHSs have shown tremendous impact on improved clinical outcomes, a national digital architecture to rapidly implement LHSs across multiple pediatric conditions does not exist. PEDSnet is a clinical data research network that provides the infrastructure to support a national pediatric LHS. A consortium consisting of PEDSnet, which includes eight academic medical centers, two existing disease-specific pediatric networks, and two national data partners form the initial partners in the National Pediatric Learning Health System (NPLHS). PEDSnet is implementing a flexible dual data architecture that incorporates two widely used data models and national terminology standards to support multi-institutional data integration, cohort discovery, and advanced analytics that enable rapid learning.

  8. PEDSnet: a National Pediatric Learning Health System

    PubMed Central

    Forrest, Christopher B; Margolis, Peter A; Bailey, L Charles; Marsolo, Keith; Del Beccaro, Mark A; Finkelstein, Jonathan A; Milov, David E; Vieland, Veronica J; Wolf, Bryan A; Yu, Feliciano B; Kahn, Michael G

    2014-01-01

    A learning health system (LHS) integrates research done in routine care settings, structured data capture during every encounter, and quality improvement processes to rapidly implement advances in new knowledge, all with active and meaningful patient participation. While disease-specific pediatric LHSs have shown tremendous impact on improved clinical outcomes, a national digital architecture to rapidly implement LHSs across multiple pediatric conditions does not exist. PEDSnet is a clinical data research network that provides the infrastructure to support a national pediatric LHS. A consortium consisting of PEDSnet, which includes eight academic medical centers, two existing disease-specific pediatric networks, and two national data partners form the initial partners in the National Pediatric Learning Health System (NPLHS). PEDSnet is implementing a flexible dual data architecture that incorporates two widely used data models and national terminology standards to support multi-institutional data integration, cohort discovery, and advanced analytics that enable rapid learning. PMID:24821737

  9. National technical report on forest health, 1996

    SciTech Connect

    Stolte, K.W.

    1997-10-01

    Forest Health Monitoring (FHM) is a national program designed to determine the status, changes, and trends in indicators of forest condition on an annual basis. The FHM program uses data from ground plots and surveys, aerial surveys, and other biotic data sources and develops analytical approaches to address forest health issues that affect the sustainability of forest ecosystems. This report focuses on 18 States that have ground plots. Six forest health issues were identified by the FHM program in 1996 to evaluate forest health; forest ecosystem fragmentation, forest vitality, key ecosystem processes, plant biodiversity, soil conservation, and wildlife habitat.

  10. Canada deserves a national health system.

    PubMed

    Noseworthy, T W

    1997-01-01

    A defining--some would say peculiar--feature about Canada and Canadians is the strong position that we give social programs within our national identity. FORUM presents an essay by Dr. Thomas Noseworthy based on an address to the annual meeting of the Association of Canadian Medical Colleges in April 1996. In it, Dr. Noseworthy calls for a national health system. He sees the federal government retaining an important role in preserving medicare and, in fact, strengthening its powers in maintaining national consistency and standards. Dr. Noseworthy's views are contrary to the governmental decentralization and devolution of powers occurring across the country. In a "point/counterpoint" exchange on this issue, we have invited commentaries from three experts. Raisa Deber leads off by noting that while a national health system may be desirable, constitutional provisions would be an obstacle. Governments, says Deber, have an inherent conflict of interest between their responsibility for maintaining the health care system and their desire to shift costs. Michael Rachlis reminds us that medicare fulfills important economic as well as social objectives. It helps to support Canada's business competitiveness among other nations. The problem, say Rachlis, is that public financing of health care does not ensure an efficient delivery system. Michael Walker offers some reality orientation. He observes that Canada's health care system is based upon ten public insurance schemes with widely different attributes. While he supports a minimum standard of health care across the country, citizens should be able to purchase private medical insurance and have access to a parallel private health care delivery system. Ultimately, this debate is about who should control social programs: the provinces or the federal government? We'll let you, the readers, decide. PMID:10167074

  11. Customer complaints in the National Health Service.

    PubMed

    Reid, N; Reid, R; Morris, D

    1995-11-01

    This paper addresses the role of consumer complaints in the flourishing quality assurance industry within the National Health Service (NHS), and considers the traditional ethos of complaints within the service. The advent of the internal market is considered as one of a range of factors which may change attitudes of NHS staff to complaints. In evaluating how complaints services might develop relevant literature is reviewed and recent national data on complaints procedures are cited. PMID:8548145

  12. HNET - A National Computerized Health Network

    PubMed Central

    Casey, Mark; Hamilton, Richard

    1988-01-01

    The HNET system demonstrated conceptually and technically a national text (and limited bit mapped graphics) computer network for use between innovative members of the health care industry. The HNET configuration of a leased high speed national packet switching network connecting any number of mainframe, mini, and micro computers was unique in it's relatively low capital costs and freedom from obsolescence. With multiple simultaneous conferences, databases, bulletin boards, calendars, and advanced electronic mail and surveys, it is marketable to innovative hospitals, clinics, physicians, health care associations and societies, nurses, multisite research projects libraries, etc.. Electronic publishing and education capabilities along with integrated voice and video transmission are identified as future enhancements.

  13. Socialism and the British National Health Service.

    PubMed

    Powell, M

    1997-09-01

    This paper examines some of the key characteristics of a socialist health care system using the example of the British National Health Service (NHS). It has been claimed that the NHS has socialist principles, and represents an island of socialism in a capitalist sea. However, using historical analysis, this paper argues that while the NHS claims some socialist ends, they could never be fully achieved because of the lack of socialist means. The socialist mechanisms which were associated with earlier plans for a national health service such as salaried service, health centres, elected health authorities and divorcing private practice from the public service were discarded in negotiation. Moreover, even these would have achieved socialism merely in the sense of distributing health care, without any deeper transformation associated with doctor-patient relationships and prevention. In short, the NHS is more correctly seen as nationalised rather than socialised medicine, achieving the first three levels of a socialist health service identified here. It can be said to have socialist principles in the limited distributional sense and has some socialist means to achieve these. However, it lacks the stronger means to fully achieve its distributional goals, and is very distant from the third level of a radical transformation of health care.

  14. National health data warehouse: issues to consider.

    PubMed

    Blewett, Lynn A; Parente, Stephen T; Finch, Michael D; Peterson, Eileen

    2004-01-01

    A national data warehouse that links public and private data could be used to monitor trends in healthcare costs, utilization, quality of care, and adherence to quality guidelines and changes in treatment protocols. The development of the data warehouse, however, would require overcoming a number of political and technical challenges to gain access to private insurance data. This article outlines recommendations from a national conference sponsored by the Agency for Healthcare Research and Quality (AHRQ) on the private sector's role in quality monitoring and provides an operational outline for the development of a national private sector health data warehouse.

  15. Who killed the English National Health Service?

    PubMed

    Powell, Martin

    2015-05-01

    The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented.

  16. Who killed the English National Health Service?

    PubMed Central

    Powell, Martin

    2015-01-01

    The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented. PMID:25905477

  17. 75 FR 44967 - National Institute for Occupational Safety and Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-30

    ... HUMAN SERVICES National Institute for Occupational Safety and Health Designation of a Class of Employees..., Division of Compensation Analysis and Support, National Institute for Occupational Safety and Health (NIOSH... Occupational Safety and Health. BILLING CODE 4163-19-P...

  18. National Library of Medicine Guide to Finding Health Information

    MedlinePlus

    ... I Evaluate Information that I Find? MedlinePlus Evaluating Internet Health Information , National Library of Medicine Using Trusted Resources , NIH National Cancer Institute How to Evaluate Health Information on the Internet , NIH Office of Dietary Supplements Find Good Health ...

  19. 76 FR 11500 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special..., Scientific Review Officer, National Institute on Minority Health and Health Disparities, National...

  20. 77 FR 50139 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... Health and Health Disparities. The meeting will be closed to the public in accordance with the provisions... privacy. Name of Committee: National Advisory Council on Minority Health and Health Disparities. Date...: National Institutes of Health and Health Disparities, National Institutes of Health, 6707 Democracy...

  1. The National Mental Health Registry (NMHR).

    PubMed

    Aziz, A A; Salina, A A; Abdul Kadir, A B; Badiah, Y; Cheah, Y C; Nor Hayati, A; Ruzanna, Z Z; Sharifah Suziah, S M; Chee, K Y

    2008-09-01

    The National Mental Health Registry (NMHR) collects information about patients with mental disorder in Malaysia. This information allows us to estimate the incidence of selected mental disorders, and to evaluate risk factors and treatment in the country. The National Mental Health Registry (NMHR) presented its first report in 2004, a year after its establishment. The report focused on schizophrenia as a pioneer project for the National Mental Health Registry. The development of the registry has progressed with data collected from government-based facilities, the academia and the private sector. The 2003-2005 report was recently published and distributed. Since then the registry has progressed to include suicides and other mental illnesses such as depression. The NMHR Report 2003-2005 provides detailed information about the profile of persons with Schizophrenia who presented for the first time to various psychiatry and mental health providers throughout Malaysia. More detailed description regarding pharmacotherapy is reported and few cross tabulations done in an effort to provide better understanding and more clinically meaningful reports. PMID:19227671

  2. The National Mental Health Registry (NMHR).

    PubMed

    Aziz, A A; Salina, A A; Abdul Kadir, A B; Badiah, Y; Cheah, Y C; Nor Hayati, A; Ruzanna, Z Z; Sharifah Suziah, S M; Chee, K Y

    2008-09-01

    The National Mental Health Registry (NMHR) collects information about patients with mental disorder in Malaysia. This information allows us to estimate the incidence of selected mental disorders, and to evaluate risk factors and treatment in the country. The National Mental Health Registry (NMHR) presented its first report in 2004, a year after its establishment. The report focused on schizophrenia as a pioneer project for the National Mental Health Registry. The development of the registry has progressed with data collected from government-based facilities, the academia and the private sector. The 2003-2005 report was recently published and distributed. Since then the registry has progressed to include suicides and other mental illnesses such as depression. The NMHR Report 2003-2005 provides detailed information about the profile of persons with Schizophrenia who presented for the first time to various psychiatry and mental health providers throughout Malaysia. More detailed description regarding pharmacotherapy is reported and few cross tabulations done in an effort to provide better understanding and more clinically meaningful reports.

  3. [French national health insurance. The current situation].

    PubMed

    Huguier, Michel; Lagrave, Michel; Marcelli, Aline; Rossignol, Claude; Tillement, Jean-Paul

    2010-06-01

    An audit of the French national health insurance system would be justified by economic considerations alone, but this would risk overlooking the notions of solidarity and freedom to which the French are rightly attached. European comparisons suggest, however, that our system could be made more efficient without undermining public health. The national health insurance system allows each member of the population to receive high-quality medical care. Practitioners have near-total freedom of prescription and practice. Medical care contributes to the ongoing increase in life expectancy, which is currently 73 years and second only to Japan. Healthcare is also a source of a million jobs. Macro-economic spending controls have failed, owing to medical progress and population aging, and also to medical consumerism favored by an unprecedented range of examinations and treatments, the increasing reimbursement of medical care, and the extension of direct payment by the insurer. Many ineffective measures have been implemented, such as tarification according to activity, and hospital certification. Health spending is also increased unnecessarily by bureaucratisation of healthcare spending and the transfer of professionals to posts for which they are not qualified. Some controversial medical prescriptions are not adequately controlled by the health service. Many reforms are based on over-optimistic economic predictions that fail to take related overheads into account. Lobbying by special interests groups undermines reform and the public interest. Too many independent administrative bodies have been created, and many are less efficient than the public structures they replaced. In sum, the French national health insurance system has become less and less efficient over the years. PMID:21513139

  4. National health expenditures projections through 2030

    PubMed Central

    Burner, Sally T.; Waldo, Daniel R.; McKusick, David R.

    1992-01-01

    If current laws and practices continue, health expenditures in the United States will reach $1.7 trillion by the year 2000, an amount equal to 18.1 percent of the Nation's gross domestic product (GDP). By the year 2030, as America's baby boomers enter their seventies and eighties, health spending will top $16 trillion, or 32 percent of GDP. The projections presented here incorporate the assumptions and conclusions of the Medicare trustees in their 1992 report to Congress on the status of Medicare, and the 1992 President's budget estimates of Medicaid outlays. PMID:10124432

  5. Stewardship of the Spanish national health system.

    PubMed

    Bankauskaite, Vaida; Novinskey, Christina M

    2010-01-01

    Along with resource generation, financing, and health service delivery, stewardship is a key health system function. However, very little empirical analysis has been carried out on it. This paper aims to fill this gap in the literature by assessing the Ministry of Health's (MoHs) role as a steward of the Spanish National Health System (NHS) after the 2001 decentralization reform of health care management to the Autonomous Communities. We use the following stewardship framework with six sub-functions for the analysis, looking at the MoH's ability to: (1) formulate strategic policy framework; 2) ensure a fit between policy objectives and organizational structure and culture; (3) ensure tools for implementation; (4) build coalitions and partnerships; (5) generate intelligence, and (6) ensure accountability. We describe the stewardship function, identify existing challenges and issues in the Spanish case, and reflect upon methodological aspects of this exercise. We use reports, documents, articles, and official statistics to complete the analysis. Overall, we find the MoH to give an average performance in its role as the steward of the health system. The MoH has progressed particularly well in generating intelligence as well as formulating a strategic policy framework over recent years. However, it lacks the appropriate authority to efficiently coordinate the health system and to ensure that the Autonomous Communities implement policies that are in-line with overall NHS objectives.

  6. Stewardship of the Spanish national health system.

    PubMed

    Bankauskaite, Vaida; Novinskey, Christina M

    2010-01-01

    Along with resource generation, financing, and health service delivery, stewardship is a key health system function. However, very little empirical analysis has been carried out on it. This paper aims to fill this gap in the literature by assessing the Ministry of Health's (MoHs) role as a steward of the Spanish National Health System (NHS) after the 2001 decentralization reform of health care management to the Autonomous Communities. We use the following stewardship framework with six sub-functions for the analysis, looking at the MoH's ability to: (1) formulate strategic policy framework; 2) ensure a fit between policy objectives and organizational structure and culture; (3) ensure tools for implementation; (4) build coalitions and partnerships; (5) generate intelligence, and (6) ensure accountability. We describe the stewardship function, identify existing challenges and issues in the Spanish case, and reflect upon methodological aspects of this exercise. We use reports, documents, articles, and official statistics to complete the analysis. Overall, we find the MoH to give an average performance in its role as the steward of the health system. The MoH has progressed particularly well in generating intelligence as well as formulating a strategic policy framework over recent years. However, it lacks the appropriate authority to efficiently coordinate the health system and to ensure that the Autonomous Communities implement policies that are in-line with overall NHS objectives. PMID:21069771

  7. 75 FR 28262 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... Health Disparities. The meeting will be open to the public as indicated below, with attendance limited to... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  8. 76 FR 31618 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-01

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... Health Disparities. The meeting will be open to the public as indicated below, with attendance limited to... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  9. 75 FR 53975 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-02

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... Health Disparities. The meeting will be open to the public as indicated below, with attendance limited to... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  10. 75 FR 66114 - National Center on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special Emphasis Panel; NCMHD Health Disparities Research on Minority and Underserved Population (R01)....

  11. 75 FR 12766 - National Center on Minority Health and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special Emphasis Panel Loan Repayment Program for Health Disparities Research--Panel 2. Date: April 5, 2010....

  12. 76 FR 55075 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-06

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... Health Disparities. The meeting will be open to the public as indicated below, with attendance limited to... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  13. 76 FR 6808 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... Health Disparities. The meeting will be open to the public as indicated below, with attendance limited to... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  14. 75 FR 9421 - National Center on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special Emphasis Panel; Loan Repayment Program for Health Disparities Research--Panel 1. Date: March 18, 2010....

  15. 78 FR 9705 - National Advisory Council on the National Health Service Corps; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... advisory committees; and therefore, extends particular encouragement to nominations for appropriately... Health Service Corps; Request for Nominations AGENCY: Health Resources and Services Administration, HHS... nominations to fill five (5) vacancies on the National Advisory Council (NAC) on the National Health...

  16. 78 FR 54477 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group Interventions Committee for... Extramural Activities, National Institute of Mental Health National Institutes of Health, 6001 Executive...

  17. 76 FR 14673 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-17

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special... Review Officer, National Institute on Minority Health and Health Disparities, 6707 Democracy...

  18. 76 FR 11499 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special... Review Officer, National Institute on Minority Health and Health Disparities, 6707 Democracy...

  19. 76 FR 55078 - National Center on Minority and Health Disparities; Notice of Closed Meeting

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  20. 76 FR 57068 - National Center on Minority and Health Disparities Notice of Closed Meeting

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  1. 78 FR 55264 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National... Council on the National Health Service Corps (NHSC). DATES: Dates and Times: September 26, 2013, 2:00 p.m... National Health Service Corps role in the Affordable Care Act. The public can join the meeting via......

  2. 78 FR 65345 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-31

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health... unwarranted invasion of personal privacy. Name of Committee: National Institute on Minority Health and...

  3. 77 FR 36564 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ..., National Institute on Minority Health and Health Disparities, 6707 Democracy Blvd., Suite 800, Bethesda, MD... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and...

  4. 78 FR 28711 - National Women's Health Week, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... Documents#0;#0; ] Proclamation 8978 of May 10, 2013 National Women's Health Week, 2013 By the President of the United States of America A Proclamation Since our Nation's founding, women have given their all to..., advances in women's health and well-being have lagged behind. During National Women's Health Week,...

  5. National Health Accounts development: lessons from Thailand.

    PubMed

    Tangcharoensathien, V; Laixuthai, A; Vasavit, J; Tantigate, N A; Prajuabmoh-Ruffolo, W; Vimolkit, D; Lertiendumrong, J

    1999-12-01

    National Health Accounts (NHA) are an important tool to demonstrate how a country's health resources are spent, on what services, and who pays for them. NHA are used by policy-makers for monitoring health expenditure patterns; policy instruments to re-orientate the pattern can then be further introduced. The National Economic and Social Development Board (NESDB) of Thailand produces aggregate health expenditure data but its estimation methods have several limitations. This has led to the research and development of an NHA prototype in 1994, through an agreed definition of health expenditure and methodology, in consultation with peer and other stakeholders. This is an initiative by local researchers without external support, with an emphasis on putting the system into place. It involves two steps: firstly, the flow of funds from ultimate sources of finance to financing agencies; and secondly, the use of funds by financing agencies. Five ultimate sources and 12 financing agencies (seven public and five private) were identified. Use of consumption expenditures was listed under four main categories and 32 sub-categories. Using 1994 figures, we estimated a total health expenditure of 128,305.11 million Baht; 84.07% consumption and 15.93% capital formation. Of total consumption expenditure, 36.14% was spent on purchasing care from public providers, with 32.35% on private providers, 5.93% on administration and 9.65% on all other public health programmes. Public sources of finance were responsible for 48.79% and private 51.21% of the total 1994 health expenditure. Total health expenditure accounted for 3.56% of GDP (consumption expenditure at 3.00% of GDP and capital formation at 0.57% of GDP). The NESDB consumption expenditure estimate in 1994 was 180,516 million Baht or 5.01% of GDP, of which private sources were dominant (82.17%) and public sources played a minor role (17.83%). The discrepancy of consumption expenditure between the two estimates is 2.01% of GDP. There

  6. Reviewing Health Manpower Development. A Method of Improving National Health Systems. Public Health Papers No. 83.

    ERIC Educational Resources Information Center

    Fulop, Tamas; Roemer, Milton I.

    This guide is intended to assist countries contemplating a comprehensive, action-oriented review of health labor force development to improve their national health systems. Various aspects of the health system infrastructure are examined (major components, organizational structure, coordinating mechanisms, sources of information, and…

  7. 76 FR 34717 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, National Cooperative Drug... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  8. 76 FR 82313 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group Interventions Committee for... Officer, Division of Extramural Activities, National Institute of Mental Health, National Institutes...

  9. 78 FR 54478 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Innovative Treatment... Officer, Division of Extramural Activities, National Institute of Mental Health, National Institutes...

  10. 75 FR 32959 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel, Mental Health Services--Member... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  11. Ecological health in the Nation's streams

    USGS Publications Warehouse

    Carlisle, Daren M.; Woodside, Michael D.

    2013-01-01

    Aquatic biological communities, which are collections of organisms, are a direct measure of stream health because they indicate the ability of a stream to support life. This fact sheet highlights selected findings of a national assessment of stream health by the National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey (USGS). The assessment was unique in that it integrated the condition of three biological communities—algae, macroinvertebrates, and fish—as well as measures of streamflow modification, pesticides, nutrients, and other factors. At least one biological community was altered at 83 percent of assessed streams, and the occurrence of altered communities was highest in urban streams. Streamflows were modified at 86 percent of assessed streams, and increasing severity of streamflow modification was associated with increased occurrence of altered biological communities. Agricultural and urban land use in watersheds may contribute pesticides and nutrients to stream waters, and increasing concentrations of these chemicals were associated with increased occurrence of altered biological communities.

  12. Basic patterns in national health expenditure.

    PubMed Central

    Musgrove, Philip; Zeramdini, Riadh; Carrin, Guy

    2002-01-01

    Analysed in this paper are national health accounts estimates for 191 WHO Member States for 1997, using simple comparisons and linear regressions to describe spending on health and how it is financed. The data cover all sources - out-of-pocket spending, social insurance contributions, financing from government general revenues and voluntary and employment-related private insurance - classified according to their completeness and reliability. Total health spending rises from around 2-3% of gross domestic product (GDP) at low incomes (< 1000 US dollars per capita) to typically 8-9% at high incomes (> 7000 US dollars). Surprisingly, there is as much relative variation in the share for poor countries as for rich ones, and even more relative variation in amounts in US dollars. Poor countries and poor people that most need protection from financial catastrophe are the least protected by any form of prepayment or risk-sharing. At low incomes, out-of-pocket spending is high on average and varies from 20-80% of the total; at high incomes that share drops sharply and the variation narrows. Absolute out-of-pocket expenditure nonetheless increases with income. Public financing increases faster, and as a share of GDP, and converges at high incomes. Health takes an increasing share of total public expenditure as income rises, from 5-6% to around 10%. This is arguably the opposite of the relation between total health needs and need for public spending, for any given combination of services. Within public spending, there is no convergence in the type of finance - general revenue versus social insurance. Private insurance is usually insignificant except in some rich countries. PMID:11953792

  13. 78 FR 20646 - National Committee on Vital and Health Statistics, Population Health Subcommittee: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... HUMAN SERVICES National Committee on Vital and Health Statistics, Population Health Subcommittee... Statistics (NCVHS), Subcommittees on Population Health and Privacy, Confidentiality & Security. Time and Date... meeting is to provide an opportunity for the Population Health and Privacy, Confidentiality and...

  14. 76 FR 81515 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Dates and Times: January 19, 2012: 8:30 a.m.-4:30...

  15. 76 FR 29769 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Dates and Times: June 22, 2011-8:30 a.m.-4:30...

  16. 75 FR 36427 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Date and Time: August 4, 2010, 9 a.m.-4 p.m....

  17. 77 FR 73473 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-10

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Dates And Time: January 10, 2013--9:30 a.m.--4:45...

  18. 75 FR 21005 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Dates and Times: May 20, 2010, 2 p.m.-5:15 p.m.;...

  19. 76 FR 3639 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory... Council on the National Health Service Corps (NHSC). Dates and Times: February 10, 2011--1 p.m.-4...

  20. Beating the Odds: A City-by-City Analysis of Student Performance and Achievement Gaps on State Assessments. Results from the 2003-2004 School Year

    ERIC Educational Resources Information Center

    Casserly, Michael

    2005-01-01

    The Council of the Great City Schools has prepared this fifth edition of "Beating the Odds" ("Beating the Odds V)" to give the nation another look at how inner-city schools are performing on the academic goals and standards set by the states for our children. This analysis examines student achievement in math and reading through spring 2004. It…

  1. Assessment of Intakes and Patterns of Cooked Oatmeal Consumption in the U.S. Using Data from the National Health and Nutrition Examination Surveys.

    PubMed

    Musa-Veloso, Kathy; Fallah, Shafagh; O'Shea, Marianne; Chu, YiFang

    2016-08-17

    The objective of the present study was to characterize the consumption of cooked oatmeal in the United States (U.S.) and to determine whether oatmeal consumption is associated with body mass index (BMI). To estimate current intakes of cooked oatmeal in the various age and gender population groups, we used dietary intake data from Day 1 of the U.S. 2009-2010 and 2011-2012 National Health and Nutrition Examination Surveys (NHANES). We also used dietary intake data from Day 1 of the U.S. 2003-2012 NHANES to assess associations between intakes of cooked oatmeal (in g/kg body weight) and NHANES cycle (2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012), age category (3-11 years, 12-18 years, 19-44 years, 45 years+), gender, and BMI classification (underweight, normal weight, overweight, or obese), using a multiple linear regression model. A consumer of oatmeal was defined as any individual who reported the consumption of any amount of oatmeal on Day 1 of the survey. Approximately 6% of the total population consumed oatmeal, with an average intake of 238 g/day of cooked oatmeal among consumers. The greatest prevalence of oatmeal consumption was in infants (14.3%) and older female adults (11.1%). Amongst oatmeal consumers, underweight, normal weight, and overweight individuals consumed significantly more oatmeal than obese individuals. Oatmeal was consumed almost exclusively at breakfast and, among consumers, contributed an average of 54.3% of the energy consumed at breakfast across all age groups examined. The association between oatmeal consumption and BMI is interesting and requires confirmation in future clinical studies.

  2. Assessment of Intakes and Patterns of Cooked Oatmeal Consumption in the U.S. Using Data from the National Health and Nutrition Examination Surveys.

    PubMed

    Musa-Veloso, Kathy; Fallah, Shafagh; O'Shea, Marianne; Chu, YiFang

    2016-01-01

    The objective of the present study was to characterize the consumption of cooked oatmeal in the United States (U.S.) and to determine whether oatmeal consumption is associated with body mass index (BMI). To estimate current intakes of cooked oatmeal in the various age and gender population groups, we used dietary intake data from Day 1 of the U.S. 2009-2010 and 2011-2012 National Health and Nutrition Examination Surveys (NHANES). We also used dietary intake data from Day 1 of the U.S. 2003-2012 NHANES to assess associations between intakes of cooked oatmeal (in g/kg body weight) and NHANES cycle (2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012), age category (3-11 years, 12-18 years, 19-44 years, 45 years+), gender, and BMI classification (underweight, normal weight, overweight, or obese), using a multiple linear regression model. A consumer of oatmeal was defined as any individual who reported the consumption of any amount of oatmeal on Day 1 of the survey. Approximately 6% of the total population consumed oatmeal, with an average intake of 238 g/day of cooked oatmeal among consumers. The greatest prevalence of oatmeal consumption was in infants (14.3%) and older female adults (11.1%). Amongst oatmeal consumers, underweight, normal weight, and overweight individuals consumed significantly more oatmeal than obese individuals. Oatmeal was consumed almost exclusively at breakfast and, among consumers, contributed an average of 54.3% of the energy consumed at breakfast across all age groups examined. The association between oatmeal consumption and BMI is interesting and requires confirmation in future clinical studies. PMID:27548210

  3. Promotion, Prevention and Early Intervention for Mental Health: National Consultation.

    ERIC Educational Resources Information Center

    2003

    This report provides a description of a national consultation that was undertaken in 2001-2002 to provide feedback on two companion national policy documents: "National Action Plan for Promotion, Prevention and Early Intervention for Mental Health 2000" and "Promotion, Prevention and Early Intervention for Mental Health: A Monograph," and to…

  4. 75 FR 25259 - National Health Care Workforce Commission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... OFFICE National Health Care Workforce Commission AGENCY: Government Accountability Office (GAO). ACTION... Comptroller General of the United States responsibility for appointing 15 members to the National Health Care...: Nominations can be submitted by either of the following: E- mail: HCWorkforce@gao.gov . Mail: GAO Health...

  5. Evaluation of the National School Health Coordinator Leadership Institute

    ERIC Educational Resources Information Center

    Ottoson, Judith M.; Streib, Greg; Thomas, John Clayton; Rivera, Mark; Stevenson, Beth

    2004-01-01

    In 1999 the American Cancer Society (ACS) launched the National School Health Coordinator Leadership Institute, a groundbreaking initiative designed to enhance and invigorate school health in the nation's schools by training individual school health coordinators to act as change agents. The Institute consisted of three, week-long summer training…

  6. [The Brazilian National Health Conference: challenges for the country].

    PubMed

    Gadelha, Paulo

    2015-10-01

    This article was published in the context of the upcoming 15th Brazilian National Health Conference and addresses the country's health challenges based on the history of previous conferences. The authors analyze the evolution of health as a public policy agenda, highlighting the role of such institutions as the Brazilian Center for Health Studies (CEBES), the Brazilian Association of Collective Health (Abrasco), and the National Health Council in advocating and establishing the Brazilian Unified National Health System (SUS). The article also focuses on expectations concerning the 15th National Health Conference within a political and economic scenario that raises questions and challenges both for the future of health policy, exemplified by SUS, and the current capacity to mobilize stakeholders.

  7. 76 FR 51380 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-18

    ... Committee: National Institute of Mental Health Initial Review Group, Interventions Committee for Adult... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group, Interventions Committee...

  8. 76 FR 58285 - National Institute of Mental Health Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ... Mental Health Special Emphasis Panel; National Research Service Award Institutional Research Training... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Conte Centers for Basic...

  9. 78 FR 18359 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis....nih.gov . Name of Committee: National Institute of Environmental Health Sciences Special...

  10. 78 FR 59944 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Branch, Division of Extramural Research and Training, National Institute of Environmental Health...

  11. 77 FR 60448 - National Institute of Environmental Health Sciences Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences Notice... and projects conducted by the National Institute of Environmental Health Sciences, including...:50 a.m. Agenda: Scientific Presentations Place: National Institute of Environmental Health...

  12. 78 FR 64221 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. ] Name of Committee: National Institute of Environmental Health Sciences Special Emphasis...: To review and evaluate grant applications. Place: National Institute of Environmental Health...

  13. 77 FR 16844 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... . Name of Committee: National Institute of Environmental Health Sciences Special Emphasis Panel;...

  14. 78 FR 32672 - National Institute of Environmental Health Sciences (NIEHS); Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences (NIEHS... that the National Institute of Environmental Health Sciences (NIEHS) Division of Extramural Research... Division. Organizing Institute: National Institute of Environmental Health Sciences. Dates and Times:...

  15. 76 FR 34717 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, NIH Pathway to Independence..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  16. 75 FR 8372 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, HIV AIDS Training. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  17. 75 FR 68612 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Dissertations. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  18. 76 FR 11801 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Behavioral Mechanisms In..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  19. 77 FR 11139 - National Institute of Mental Health Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  20. 75 FR 10492 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; HIV/AIDS Interventions... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  1. 76 FR 4122 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Adolescent OCD Treatment... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  2. 75 FR 40844 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel, HIV/AIDS Intervention Development... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  3. National Retail Data Monitor for public health surveillance.

    PubMed

    Wagner, Michael M; Tsui, F C; Espino, J; Hogan, W; Hutman, J; Hersh, J; Neill, D; Moore, A; Parks, G; Lewis, C; Aller, R

    2004-09-24

    The National Retail Data Monitor (NRDM) is a public health surveillance tool that collects and analyzes daily sales data for over-the-counter (OTC) health-care products. NRDM collects sales data for selected OTC health-care products in near real time from >15,000 retail stores and makes them available to public health officials. NRDM is one of the first examples of a national data utility for public health surveillance that collects, redistributes, and analyzes daily sales-volume data of selected health-care products, thereby reducing the effort for both data providers and health departments.

  4. 75 FR 45133 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Development in the Environmental Health Sciences; 93.113, Biological Response to Environmental Health...

  5. 76 FR 28795 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-18

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special... and Health Disparities, 6707 Democracy Boulevard, Suite 800, Bethesda, MD 20892, (301)...

  6. 75 FR 67379 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... of Committee: National Institute of Mental Health Special Emphasis Panel, Mental Health Disparities... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of...

  7. The United Nations and One Health: the International Health Regulations (2005) and global health security.

    PubMed

    Nuttall, I; Miyagishima, K; Roth, C; de La Rocque, S

    2014-08-01

    The One Health approach encompasses multiple themes and can be understood from many different perspectives. This paper expresses the viewpoint of those in charge of responding to public health events of international concern and, in particular, to outbreaks of zoonotic disease. Several international organisations are involved in responding to such outbreaks, including the United Nations (UN) and its technical agencies; principally, the Food and Agriculture Organization of the UN (FAO) and the World Health Organization (WHO); UN funds and programmes, such as the United Nations Development Programme, the World Food Programme, the United Nations Environment Programme, the United Nations Children's Fund; the UN-linked multilateral banking system (the World Bank and regional development banks); and partner organisations, such as the World Organisation for Animal Health (OIE). All of these organisations have benefited from the experiences gained during zoonotic disease outbreaks over the last decade, developing common approaches and mechanisms to foster good governance, promote policies that cut across different sectors, target investment more effectively and strengthen global and national capacities for dealing with emerging crises. Coordination among the various UN agencies and creating partnerships with related organisations have helped to improve disease surveillance in all countries, enabling more efficient detection of disease outbreaks and a faster response, greater transparency and stakeholder engagement and improved public health. The need to build more robust national public human and animal health systems, which are based on good governance and comply with the International Health Regulations (2005) and the international standards set by the OIE, prompted FAO, WHO and the OIE to join forces with the World Bank, to provide practical tools to help countries manage their zoonotic disease risks and develop adequate resources to prevent and control disease

  8. The United Nations and One Health: the International Health Regulations (2005) and global health security.

    PubMed

    Nuttall, I; Miyagishima, K; Roth, C; de La Rocque, S

    2014-08-01

    The One Health approach encompasses multiple themes and can be understood from many different perspectives. This paper expresses the viewpoint of those in charge of responding to public health events of international concern and, in particular, to outbreaks of zoonotic disease. Several international organisations are involved in responding to such outbreaks, including the United Nations (UN) and its technical agencies; principally, the Food and Agriculture Organization of the UN (FAO) and the World Health Organization (WHO); UN funds and programmes, such as the United Nations Development Programme, the World Food Programme, the United Nations Environment Programme, the United Nations Children's Fund; the UN-linked multilateral banking system (the World Bank and regional development banks); and partner organisations, such as the World Organisation for Animal Health (OIE). All of these organisations have benefited from the experiences gained during zoonotic disease outbreaks over the last decade, developing common approaches and mechanisms to foster good governance, promote policies that cut across different sectors, target investment more effectively and strengthen global and national capacities for dealing with emerging crises. Coordination among the various UN agencies and creating partnerships with related organisations have helped to improve disease surveillance in all countries, enabling more efficient detection of disease outbreaks and a faster response, greater transparency and stakeholder engagement and improved public health. The need to build more robust national public human and animal health systems, which are based on good governance and comply with the International Health Regulations (2005) and the international standards set by the OIE, prompted FAO, WHO and the OIE to join forces with the World Bank, to provide practical tools to help countries manage their zoonotic disease risks and develop adequate resources to prevent and control disease

  9. 77 FR 61611 - National Institute on Minority Health and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... Disparities Special Emphasis Panel; NIMHD Social, Behavioral, Health Services, and Policy Research on Minority Health and Health Disparities (R01). Date: November 7-9, 2012. Time: 8 a.m. to 3 p.m. Agenda: To review... Minority Health and Health ] Disparities, National Institutes of Health, 6707 Democracy Blvd., Suite...

  10. 78 FR 10621 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health Disparities; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act,...

  11. 77 FR 66623 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... and Eliminating Health Disparities: Dissemination Phase (R24). Date: December 17-18, 2012. Time: 8:00... Review Officer, National Institute on Minority Health and Health Disparities, National Institutes of... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH...

  12. 76 FR 40733 - National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program Science/Technical Advisory Committee...

  13. Design of the national health security preparedness index.

    PubMed

    Uzun Jacobson, Evin; Inglesby, Tom; Khan, Ali S; Rajotte, James C; Burhans, Robert L; Slemp, Catherine C; Links, Jonathan M

    2014-01-01

    The importance of health security in the United States has been highlighted by recent emergencies such as the H1N1 influenza pandemic, Superstorm Sandy, and the Boston Marathon bombing. The nation's health security remains a high priority today, with federal, state, territorial, tribal, and local governments, as well as nongovernment organizations and the private sector, engaging in activities that prevent, protect, mitigate, respond to, and recover from health threats. The Association of State and Territorial Health Officials (ASTHO), through a cooperative agreement with the Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response (OPHPR), led an effort to create an annual measure of health security preparedness at the national level. The collaborative released the National Health Security Preparedness Index (NHSPI(™)) in December 2013 and provided composite results for the 50 states and for the nation as a whole. The Index results represent current levels of health security preparedness in a consistent format and provide actionable information to drive decision making for continuous improvement of the nation's health security. The overall 2013 National Index result was 7.2 on the reported base-10 scale, with areas of greater strength in the domains of health surveillance, incident and information management, and countermeasure management. The strength of the Index relies on the interdependencies of the many elements in health security preparedness, making the sum greater than its parts. Moving forward, additional health security-related disciplines and measures will be included alongside continued validation efforts.

  14. Informatics at the National Institues of Health

    PubMed Central

    Hendee, William R.

    1999-01-01

    Biomedical informatics, imaging, and engineering are major forces driving the knowledge revolutions that are shaping the agendas for biomedical research and clinical medicine in the 21st century. These disciplines produce the tools and techniques to advance biomedical research, and continually feed new technologies and procedures into clinical medicine. To sustain this force, an increased investment is needed in the physics, biomedical science, engineering, mathematics, information science, and computer science undergirding biomedical informatics, engineering, and imaging. This investment should be made primarily through the National Institutes of Health (NIH). However, the NIH is not structured to support such disciplines as biomedical informatics, engineering, and imaging that cross boundaries between disease- and organ-oriented institutes. The solution to this dilemma is the creation of a new institute or center at the NIH devoted to biomedical imaging, engineering, and informatics. Bills are being introduced into the 106th Congress to authorize such an entity. The pathway is long and arduous, from the introduction of bills in the House and Senate to the realization of new opportunities for biomedical informatics, engineering, and imaging at the NIH. There are many opportunities for medical informaticians to contribute to this realization. PMID:10428000

  15. Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawtscha) Near Ives and Pierce Island of the Columbia River, 2003-2004 Annual Report.

    SciTech Connect

    Mueller, Robert

    2004-10-01

    Pacific Northwest National Laboratory conducted video-based boat surveys in fall 2003 to identify spawning areas for fall Chinook salmon (Oncorhynchus tshawytscha) in deep water (>1 m) downstream of Bonneville Dam. This report documents the number and extent of Chinook salmon spawning near Ives and Pierce islands of the Columbia River, and is the fifth in a series of reports prepared since 1999. The primary objective of this study was to find deepwater spawning locations of fall Chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates of adult spawners in the surveyed area. The secondary objective was to document the occurrence of any chum salmon (O. keta) redds in the deeper sections near below Hamilton Creek. Results from the 2003 study show a continuing trend upward in the number of fall Chinook salmon redds found within the survey zones. The number of fall Chinook redds found in the Ives Pierce Island complex (river km 228.5) has increased by a factor of five since the surveys began in 1999. The total number of redds found during 2003 was 336, which compares to 192 in 2002, 43 in 2001, 76 in 2000, and 64 in 1999. The redds encompassed an area of 13.7 ha occurring adjacent to the lower part of Ives Island and Pierce Island. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 24, 2003. An expanded redd count based on percentage of video coverage in the primary and secondary search zones was 3,218 fall Chinook salmon redds in water exceeding 1 m deep and flowing at about 125 kcfs. Fall Chinook salmon redds were found at water depths from 1.07 to 7.6 m and were constructed predominantly of medium cobbles ranging from 7.6 to 15.2 cm in diameter. Two chum salmon redds were found in a small location downstream from Hamilton Creek in water depths of approximately 1 m. No salmon redds were found in other areas searched, including near

  16. Survival Estimates for the Passage of Spring-Migrating Juvenile Salmonids through Snake and Columbia River Dams and Reservoirs, 2003-2004 Annual Report.

    SciTech Connect

    Smith, Steven G.; Muir, William D.; Zabel, Richard W.

    2004-01-01

    For juvenile chinook salmon Oncorhynchus tshawytscha, sockeye salmon O. nerka, and steelhead O. mykiss that migrate through reservoirs, hydroelectric projects, and free-flowing sections of the Snake and Columbia Rivers, survival estimates are essential to develop effective strategies for recovering depressed stocks. Many management strategies were based on estimates of system survival (Raymond 1979; Sims and Ossiander 1981) derived in a river system considerably different from today's (Williams and Matthews 1995; Williams et al. 2001). Knowledge of the magnitude, locations, and causes of smolt mortality under present passage conditions, and under conditions projected for the future, are necessary to develop strategies that will optimize smolt survival during migration. From 1993 through 2002, the National Marine Fisheries Service (NMFS) and the University of Washington (UW) demonstrated the feasibility of using three statistical models to estimate survival of PIT-tagged (Prentice et al. 1990a) juvenile salmonids passing through Snake River dams and reservoirs (Iwamoto et al. 1994; Muir et al. 1995, 1996, 2001a, 2003; Smith et al. 1998, 2000a,b; Hockersmith et al. 1999; Zabel et al. 2001, 2002). Evaluation of assumptions for these models indicated that all were generally satisfied, and accurate and precise survival estimates were obtained. In 2003, NMFS and UW completed the eleventh year of the study. Flow levels during the early portion of the 2003 spring migration were similar to 2002, and only slightly higher than in the drought conditions during 2001. However, flow levels were much greater during the later part of the migration in 2003. Spill levels were similar to 2002, much higher than in 2001. Research objectives were to: (1) estimate reach survival and travel time in the Snake and Columbia Rivers throughout the yearling chinook salmon and steelhead migrations; (2) evaluate relationships between survival estimates and migration conditions; and (3) evaluate

  17. Effects of urbanization on stream ecosystems along an agriculture-to-urban land-use gradient, Milwaukee to Green Bay, Wisconsin, 2003-2004

    USGS Publications Warehouse

    Richards, Kevin D.; Scudder, Barbara C.; Fitzpatrick, Faith A.; Steuer, Jeffery J.; Bell, Amanda H.; Peppler, Marie C.; Stewart, Jana S.; Harris, Mitchell A.

    2010-01-01

    In 2003 and 2004, 30 streams near Milwaukee and Green Bay, Wisconsin, were part of a national study by the U.S. Geological Survey to assess urbanization effects on physical, chemical, and biological characteristics along an agriculture-to-urban land-use gradient. A geographic information system was used to characterize natural landscape features that define the environmental setting and the degree of urbanization within each stream watershed. A combination of land cover, socioeconomic, and infrastructure variables were integrated into a multi-metric urban intensity index, scaled from 0 to 100, and assigned to each stream site to identify a gradient of urbanization within relatively homogeneous environmental settings. The 35 variables used to develop the final urban intensity index characterized the degree of urbanization and included road infrastructure (road area and road traffic index), 100-meter riparian land cover (percentage of impervious surface, shrubland, and agriculture), watershed land cover (percentage of impervious surface, developed/urban land, shrubland, and agriculture), and 26 socioeconomic variables (U.S. Census Bureau, 2001). Characteristics examined as part of this study included: habitat, hydrology, stream temperature, water chemistry (chloride, sulfate, nutrients, dissolved and particulate organic and inorganic carbon, pesticides, and suspended sediment), benthic algae, benthic invertebrates, and fish. Semipermeable membrane devices (SPMDs) were used to assess the potential for bioconcentration of hydrophobic organic contaminants (specifically polycyclic aromatic hydrocarbons, polychlorinated biphenyls, and organochlorine and pyrethroid insecticides) in biological membranes, such as the gills of fish. Physical habitat measurements reflective of channel enlargement, including bankfull channel size and bank erosion, increased with increasing urbanization within the watershed. In this study, percentage of riffles and streambed substrate size were

  18. Chief Joseph Kokanee Enhancement Project; Strobe Light Deterrent Efficacy Test and Fish Behavior Determination at the Grand Coulee Dam Third Powerplant Forebay, 2003-2004 Annual Report.

    SciTech Connect

    Simmons, M.; McKinstry, C.; Cook, C.

    2004-01-01

    Since 1995, the Confederated Tribes of the Colville Reservation (Colville Confederated Tribes) have managed the Chief Joseph Kokanee Enhancement Project as part of the Northwest Power Planning Council (NWPPC) Fish and Wildlife Program. Project objectives have focused on understanding natural production of kokanee (a land-locked sockeye salmon) and other fish stocks in the area above Grand Coulee and Chief Joseph Dams on the Columbia River. A 42-month investigation from 1996 to 1999 determined that from 211,685 to 576,676 fish were entrained annually at Grand Coulee Dam. Analysis of the entrainment data found that 85% of the total entrainment occurred at the dam's third powerplant. These numbers represent a significant loss to the tribal fisheries upstream of the dam. In response to a suggestion by the NWPPC Independent Scientific Review Panel, the scope of work for the Chief Joseph Kokanee Enhancement Project was expanded to include a multiyear pilot test of a strobe light system to help mitigate fish entrainment. This report details the work conducted during the third year of the strobe light study by researchers of the Colville Confederated Tribes in collaboration with the Pacific Northwest National Laboratory. The objective of the study is to determine the efficacy of a prototype strobe light system to elicit a negative phototactic response in kokanee and rainbow trout under field conditions. The prototype system consists of six strobe lights affixed to an aluminum frame suspended 15 m vertically underwater from a barge secured in the center of the entrance to the third powerplant forebay. The lights, controlled by a computer, illuminate a region directly upstream of the barge. The 2003 study period extended from June 16 through August 1. Three light treatments were used: all six lights on for 24 hours, all lights off for 24 hours, and three of six lights cycled on and off every hour for 24 hours. These three treatment conditions were assigned randomly within a

  19. A Multiple Watershed Approach to Assessing the Effects of Habitat Restoration Actions on Anadromous and Resident Fish Populations, Technical Report 2003-2004.

    SciTech Connect

    Marmorek, David

    2004-03-01

    Habitat protection and restoration is a cornerstone of current strategies to restore ecosystems, recover endangered fish species, and rebuild fish stocks within the Columbia River Basin. Strategies featuring habitat restoration include the 2000 Biological Opinion on operation of the Federal Columbia River Power System (FCRPS BiOp) developed by the National Marine Fisheries Service (NMFS), the 2000 Biological Opinion on Bull Trout developed by the US Fish and Wildlife Service (USFWS), and Sub-Basin Plans developed under the Fish and Wildlife Program of the Northwest Power and Conservation Council (NWPCC). There is however little quantitative information about the effectiveness of different habitat restoration techniques. Such information is crucial for helping scientists and program managers allocate limited funds towards the greatest benefits for fish populations. Therefore, it is critical to systematically test the hypotheses underlying habitat restoration actions for both anadromous and resident fish populations. This pilot project was developed through a proposal to the Innovative Projects fund of the NWPCC (ESSA 2002). It was funded by the Bonneville Power Administration (BPA) following reviews by the Independent Scientific Review Panel (ISRP 2002), the Columbia Basin Fish and Wildlife Authority (CBFWA 2002), the NWPCC and BPA. The study was designed to respond directly to the above described needs for information on the effectiveness of habitat restoration actions, including legal measures specified in the 2000 FCRPS BiOp (RPA 183, pg. 9-133, NMFS 2000). Due to the urgency of addressing these measures, the timeline of the project was accelerated from a duration of 18 months to 14 months. The purpose of this pilot project was to explore methods for evaluating past habitat restoration actions and their effects on fish populations. By doing so, the project will provide a foundation of retrospective analyses, on which to build prospective, multi-watershed designs

  20. Mental Health under National Health Care Reform: The Empirical Foundations.

    ERIC Educational Resources Information Center

    Hudson, Christopher G.; DeVito, Jo Anne

    1994-01-01

    Reviews research pertinent to mental health services under health care reform proposals. Examines redistributional impact of inclusion of outpatient mental health benefits, optimal benefit packages, and findings that mental health services lower medical utilization costs. Argues that extending minimalist model of time-limited benefits to national…

  1. 75 FR 48853 - National Health Center Week, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... of the United States of America the two hundred and thirty-fifth. (Presidential Sig.) [FR Doc. 2010... Proclamation 8545--National Health Center Week, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal...;The President ] Proclamation 8545 of August 5, 2010 National Health Center Week, 2010 By the...

  2. 77 FR 58297 - National Farm Safety and Health Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... hundred and thirty- seventh. (Presidential Sig.) [FR Doc. 2012-23299 Filed 9-18-12; 11:15 am] Billing code... Documents#0;#0; ] Proclamation 8865 of September 14, 2012 National Farm Safety and Health Week, 2012 By the.... During National Farm Safety and Health Week, we celebrate agricultural workers' vital contributions...

  3. 75 FR 58281 - National Farm Safety and Health Week, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ...-fifth. (Presidential Sig.) [FR Doc. 2010-24096 Filed 9-22-10; 11:15 am] Billing code 3195-W0-P ... Documents#0;#0; ] Proclamation 8565 of September 17, 2010 National Farm Safety and Health Week, 2010 By the... around the globe. As we celebrate National Farm Safety and Health Week, we recognize the...

  4. 76 FR 27597 - National Women's Health Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... of America the two hundred and thirty-fifth. (Presidential Sig.) [FR Doc. 2011-11748 Filed 5-10-11... May 11, 2011 Part V The President Proclamation 8670--National Women's Health Week, 2011 Proclamation... ] Proclamation 8670 of May 6, 2011 National Women's Health Week, 2011 By the President of the United States...

  5. 76 FR 57615 - National Health Information Technology Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... the United States of America the two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2011-23924... September 15, 2011 Part IV The President Proclamation 8711--National Health Information Technology Week... September 12, 2011 National Health Information Technology Week, 2011 By the President of the United...

  6. Polity and health care expenditures: the association among 159 nations.

    PubMed

    Gregorio, Leah E; Gregorio, David I

    2013-03-01

    This paper hypothesized that democratic nations, as characterized by Polity IV Project regime scores, spend more on health care than autocratic nations and that the association reported here is independent of other demographic, health system or economic characteristics of nations. WHO Global Observatory data on 159 nations with roughly 98% of the world's population were examined. Regime scores had significant, direct and independent associations with each of four measures of health care expenditure. For every unit increment in a nation's regime score toward a more democratic authority structure of governance, we estimated significant (p<0.05) increments in the percent of GDP expended on health care (+0.14%), percent of general government expenditures targeted to health care (+0.25%), total per capita expenditures on health (+34.4Int$) and per capita general government expenditures (+22.4Int$), while controlling for a population's age distribution, life expectancy, health care workforce and system effectiveness and gross national income. Moreover, these relationships were found to persist across socio-economic development levels. The finding that practices of health care expenditure and authority structures of government co-vary is instructive about the politics of health and the challenges of advancing global health objectives. PMID:23856538

  7. Polity and health care expenditures: the association among 159 nations.

    PubMed

    Gregorio, Leah E; Gregorio, David I

    2013-03-01

    This paper hypothesized that democratic nations, as characterized by Polity IV Project regime scores, spend more on health care than autocratic nations and that the association reported here is independent of other demographic, health system or economic characteristics of nations. WHO Global Observatory data on 159 nations with roughly 98% of the world's population were examined. Regime scores had significant, direct and independent associations with each of four measures of health care expenditure. For every unit increment in a nation's regime score toward a more democratic authority structure of governance, we estimated significant (p<0.05) increments in the percent of GDP expended on health care (+0.14%), percent of general government expenditures targeted to health care (+0.25%), total per capita expenditures on health (+34.4Int$) and per capita general government expenditures (+22.4Int$), while controlling for a population's age distribution, life expectancy, health care workforce and system effectiveness and gross national income. Moreover, these relationships were found to persist across socio-economic development levels. The finding that practices of health care expenditure and authority structures of government co-vary is instructive about the politics of health and the challenges of advancing global health objectives.

  8. 77 FR 11557 - National Advisory Council on the National Health Service Corps; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... adequately represented on advisory committees; and therefore, extends particular encouragement to nominations... Health Service Corps; Request for Nominations AGENCY: Health Resources and Services Administration... Administration (HRSA) is requesting nominations to fill five vacancies on the National Advisory Council (NAC)...

  9. Towards best practice in national health workforce planning.

    PubMed

    McCarty, Maureen V; Fenech, Bethany J

    2013-09-01

    Health Workforce Australia (HWA) was established by the Council of Australian Governments through its 2008 National Partnership Agreement on Hospital and Health Workforce Reform, as the national agency to progress health workforce reform and address the challenges of providing a skilled, innovative and flexible health workforce in Australia. The Australian Health Ministers' Conference commissioned HWA to undertake a workforce planning exercise for doctors, nurses and midwives over a planning horizon to 2025. Health Workforce 2025 (HW 2025) was conducted in two phases: developing projections for the size and type of the health workforce (doctors, nurses and midwives) needed to meet future service requirements from 2012 to 2025; and modelling the training pipeline necessary to meet the size and type of this health workforce. HWA has used a number of key principles in developing HW 2025 to ensure the projections are robust and able to be applied nationally. HW 2025 is not a one-off project. Projections will be updated as new data become available, and methodology and assumptions underpinning the projections will be periodically reviewed. To also ensure the continued improvement of national health workforce planning, HWA is pursuing other areas for improvement, including better national data collections and improved estimation methodology for demand. Results of HW 2025 were presented to the Australian Health Ministers (through the Standing Council on Health) in April 2012.

  10. ADHD and Health Services Utilization in the National Health Interview Survey

    ERIC Educational Resources Information Center

    Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

    2009-01-01

    Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

  11. 76 FR 13969 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ...; National Animal Health Monitoring System; Needs Assessments AGENCY: Animal and Plant Health Inspection... National Animal Health Monitoring System needs assessments. DATES: We will consider all comments that we...-2908. SUPPLEMENTARY INFORMATION: Title: National Animal Health Monitoring System; Needs...

  12. 75 FR 52711 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ...; National Animal Health Monitoring System; Sheep 2011 Study AGENCY: Animal and Plant Health Inspection... intention to initiate an information collection to support the National Animal Health Monitoring System...-2908. SUPPLEMENTARY INFORMATION: Title: National Animal Health Monitoring System; Sheep 2011 Study....

  13. 78 FR 26793 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... review and evaluate grant applications. Place: Nat. Inst. of Environmental Health Sciences,...

  14. 75 FR 7487 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Inst. of Environmental Health Sciences, Office of Program Operations, Scientific Review Branch,...

  15. 76 FR 26311 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Manpower Development in the Environmental Health Sciences; 93.113, Biological Response to...

  16. 78 FR 59042 - National Institute of Environmental Health Sciences; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES, including... Environmental Health Sciences, Building 101, Rodbell Auditorium, 111 T. W. Alexander Drive, Research...

  17. 78 FR 7794 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Sciences; 93.113, Biological Response to Environmental Health Hazards; 93.114, Applied...

  18. 77 FR 61613 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Branch, Division of Extramural Research and Training, Nat. Institute Environmental Health Sciences, P....

  19. 76 FR 27653 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-12

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Review Branch, Division of Extramural Research and Training, Nat. Institute Environmental Health...

  20. 77 FR 40076 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Branch, Division of Extramural Research and Training, Nat. Institute of Environmental Health Sciences,...

  1. 78 FR 42968 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... review and evaluate grant applications. Place: Nat. Inst. of Environmental Health Sciences, Building...

  2. 77 FR 33472 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-06

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Administrator, Nat. Institute of Environmental Health Sciences, Office of Program Operations, Scientific...

  3. 77 FR 22793 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Branch, Division of Extramural Research and Training, Nat. Institute of Environmental Health Sciences,...

  4. 77 FR 26300 - National Institute of Environmental Health Sciences; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the National Institute of Environmental Health Sciences, including.... Inst. of Environmental Health Sciences, Building 101, Rodbell Auditorium, 111 T. W. Alexander...

  5. 76 FR 5184 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis.... Agenda: To review and evaluate grant applications. Place: Nat. Inst. of Environmental Health...

  6. 78 FR 18997 - National Institute of Environmental Health Sciences; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the National Institute of Environmental Health Sciences, including..., Neuropharmacology and Human Metabolism Groups. Place: Nat. Inst. of Environmental Health Sciences, Building...

  7. 76 FR 52672 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis.... Agenda: To review and evaluate contract proposals. Place: Nat. Inst. of Environmental Health...

  8. 77 FR 12602 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... and evaluate grant applications. Place: Nat. Inst. of Environmental Health Sciences, Building...

  9. 78 FR 26643 - National Institute of Environmental Health Sciences; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES, including... Biomarker-Based Epidemiology Group. Place: Nat. Inst. of Environmental Health Sciences, Building...

  10. 75 FR 10293 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-05

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences, Special Emphasis... Education; 93.894, Resources and Manpower Development in the Environmental Health Sciences;...

  11. 75 FR 71133 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Competitive Revision for..., Mental Health Research Grants; 93.281, Scientist Development Award, Scientist Development Award...

  12. Tevatron alignment issues 2003-2004

    SciTech Connect

    Volk, J.T.; Annala, J.; Elementi, L.; Gelfand, N.; Gollwitzer, K.E.; Greenwood, J.; Martens, M.; Moore, Craig D.; Nobrega, A.; Russell, A.D.; Shiltsev, V.; Stefanski, R.; Sager, T.; Syphers, M.J.; Wojcik, G.; /Fermilab

    2005-01-01

    It was observed during the early part of Run II that dipole corrector currents in the Tevatron were changing over time. Measurement of the roll for dipoles and quadrupoles confirmed that there was a slow and systematic movement of the magnets from their ideal position. A simple system using a digital protractor and laptop computer was developed to allow roll measurements of all dipoles and quadrupoles. These measurements showed that many magnets in the Tevatron had rolled more than 1 milliradian. To aid in magnet alignment a new survey network was built in the Tevatron tunnel. This network is based on the use of free centering laser tracker. During the measurement of the network coordinates for all dipole, quadrupole and corrector magnets were obtained. This paper discusses roll measurement techniques and data, the old and new Tevatron alignment network.

  13. Annual Change Report 2003/2004

    SciTech Connect

    Washington Regulatory and Environmental Services; Washington TRU Solutions LLC

    2004-11-10

    As part of continuing compliance, the U.S. Environmental Protection Agency (EPA) requires the U.S. Department of Energy (DOE) to provide any change in information since the most recent compliance application. This requirement is identified in Title 40 Code of Federal Regulations (CFR), Section 194.4(b)(4), which states: “No later than six months after the administrator issues a certification, and at least annually thereafter, the Department shall report to the Administrator, in writing, any changes in conditions or activities pertaining to the disposal system that were not required to be reported by paragraph (b)(3) of this section and that differ from information contained in the most recent compliance application.” In meeting the requirement, the DOE provides an annual report of all changes applicable under the above requirement each November. This annual report informs the EPA of changes to information in the most recent compliance application, or for this report the 1996 Compliance Certification Application (CCA). Significant planned changes must be reported to the EPA prior to implementation by the DOE. In addition, Title 40 CFR, Section 194.4(b)(3) requires that significant unplanned changes be reported to the EPA within 24 hours or ten days, depending on the severity of the activity or condition. To date, there have been no significant unplanned changes to the certification basis. Planned changes have been submitted on an individual basis. All other changes are reported annually. The period covered by this Annual Change Report includes changes that occurred between July 1, 2003, and June 30, 2004. Changes in activities or conditions are reviewed to determine if 40 CFR Section 194.4(b)(3) reporting is necessary. As indicated above, no significant unplanned changes were identified for the time period covered by this report. The enclosed tables list those items identified for reporting under 40 CFR Section 194.4(b)(4). The majority of the changes described in this report are associated with modifications to written plans and procedures for WIPP operations.

  14. ESO Fellowship Programme 2003/2004

    NASA Astrophysics Data System (ADS)

    2003-09-01

    THE EUROPEAN SOUTHERN OBSERVATORY AWARDS SEVERAL POSTDOCTORAL FELLOWSHIPS to provide young scientists opportunities and facilities to enhance their research programmes. Its goal is to bring them into close contact with the instruments, activities, and people at one of the world's foremost observatories. For more information about ESO's astronomical research activities please consult http://www.eso.org/science/

  15. Colorado Preschool Program: 2003-2004 Handbook.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Education, Denver.

    The Colorado Preschool Program (CPP) provides funding to establish quality early childhood education programs that serve children eligible to enroll in kindergarten the following year. A vital component of CPP is to strengthen families and support them as participants in their child's education. District Councils made up of representatives of key…

  16. National Institutes of Health, Office of Research on Women's Health

    MedlinePlus

    ... Report on Research on Women's Health Raising the Bar Clinical Research & Trials Including Women and Minorities in ... Report on Research on Women's Health Raising the Bar Clinical Research & Trials Including Women and Minorities in ...

  17. National Institutes of Health, Office of Research on Women's Health

    MedlinePlus

    ... D. NIH Associate Director for Research on Women's Health Messages Twitter Bio More from our Director Twitter ... list Subscribe NIH Office of Research on Women's Health (ORWH) 6707 Democracy Boulevard Bethesda, MD 20817 Phone: ...

  18. Health information technology: laying the infrastructure for national health reform.

    PubMed

    Buntin, Melinda Beeuwkes; Jain, Sachin H; Blumenthal, David

    2010-06-01

    The enactment of the Patient Protection and Affordable Care Act is a signal achievement on the road to reform, which arguably began with the passage of the American Recovery and Reinvestment Act of 2009. That statute's Health Information Technology for Economic and Clinical Health (HITECH) provisions created an essential foundation for restructuring health care delivery and for achieving the key goals of improving health care quality; reducing costs; and increasing access through better methods of storing, analyzing, and sharing health information. This article discusses the range of initiatives under HITECH to support health reform, including proposed regulations on "meaningful use" and standards; funding of regional extension centers and Beacon communities; and support for the development and use of clinical registries and linked health outcomes research networks, all of which are critical to carrying out the comparative clinical effectiveness research that will be expanded under health reform.

  19. The importance of establishing a national health security preparedness index.

    PubMed

    Lumpkin, John R; Miller, Yoon K; Inglesby, Tom; Links, Jonathan M; Schwartz, Angela T; Slemp, Catherine C; Burhans, Robert L; Blumenstock, James; Khan, Ali S

    2013-03-01

    Natural disasters, infectious disease epidemics, terrorism, and major events like the nuclear incident at Fukushima all pose major potential challenges to public health and security. Events such as the anthrax letters of 2001, Hurricanes Katrina, Irene, and Sandy, severe acute respiratory syndrome (SARS) and West Nile virus outbreaks, and the 2009 H1N1 influenza pandemic have demonstrated that public health, emergency management, and national security efforts are interconnected. These and other events have increased the national resolve and the resources committed to improving the national health security infrastructure. However, as fiscal pressures force federal, state, and local governments to examine spending, there is a growing need to demonstrate both what the investment in public health preparedness has bought and where gaps remain in our nation's health security. To address these needs, the Association of State and Territorial Health Officials (ASTHO), through a cooperative agreement with the Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response (PHPR), is creating an annual measure of health security and preparedness at the national and state levels: the National Health Security Preparedness Index (NHSPI). PMID:23506403

  20. The importance of establishing a national health security preparedness index.

    PubMed

    Lumpkin, John R; Miller, Yoon K; Inglesby, Tom; Links, Jonathan M; Schwartz, Angela T; Slemp, Catherine C; Burhans, Robert L; Blumenstock, James; Khan, Ali S

    2013-03-01

    Natural disasters, infectious disease epidemics, terrorism, and major events like the nuclear incident at Fukushima all pose major potential challenges to public health and security. Events such as the anthrax letters of 2001, Hurricanes Katrina, Irene, and Sandy, severe acute respiratory syndrome (SARS) and West Nile virus outbreaks, and the 2009 H1N1 influenza pandemic have demonstrated that public health, emergency management, and national security efforts are interconnected. These and other events have increased the national resolve and the resources committed to improving the national health security infrastructure. However, as fiscal pressures force federal, state, and local governments to examine spending, there is a growing need to demonstrate both what the investment in public health preparedness has bought and where gaps remain in our nation's health security. To address these needs, the Association of State and Territorial Health Officials (ASTHO), through a cooperative agreement with the Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response (PHPR), is creating an annual measure of health security and preparedness at the national and state levels: the National Health Security Preparedness Index (NHSPI).

  1. Organisation for Change: The British National Health Service.

    ERIC Educational Resources Information Center

    Chester, T. E.

    Begun in 1948, The National Health Service was organized in a "functional" pattern of three main groups: hospital service, primary health care, and community health services and personal social services. Dissatisfaction led to a reorganization in 1974 along geographical divisions for region, area, and district levels, necessitating a managing…

  2. The National Health Educator Job Analysis 2010: Process and Outcomes

    ERIC Educational Resources Information Center

    Doyle, Eva I.; Caro, Carla M.; Lysoby, Linda; Auld, M. Elaine; Smith, Becky J.; Muenzen, Patricia M.

    2012-01-01

    The National Health Educator Job Analysis 2010 was conducted to update the competencies model for entry- and advanced-level health educators. Qualitative and quantitative methods were used. Structured interviews, focus groups, and a modified Delphi technique were implemented to engage 59 health educators from diverse work settings and experience…

  3. The National Adolescent Student Health Survey. A Report on the Health of America's Youth.

    ERIC Educational Resources Information Center

    American School Health Association, Kent, OH.

    The National Adolescent Student Health Survey (NASHS) was designed to assess students' health-related knowledge, attitudes, and behaviors in eight areas of critical importance to the health of youth. Two grade levels, eighth and tenth, were chosen to be the focus of the study. The survey provides a national profile of students at these two grade…

  4. National health expenditures: a global analysis.

    PubMed Central

    Murray, C. J.; Govindaraj, R.; Musgrove, P.

    1994-01-01

    As part of the background research to the World development report 1993: investing in health, an effort was made to estimate public, private and total expenditures on health for all countries of the world. Estimates could be found for public spending for most countries, but for private expenditure in many fewer countries. Regressions were used to predict the missing values of regional and global estimates. These econometric exercises were also used to relate expenditure to measures of health status. In 1990 the world spent an estimated US$ 1.7 trillion (1.7 x 10(12) on health, or $1.9 trillion (1.9 x 10(12)) in dollars adjusted for higher purchasing power in poorer countries. This amount was about 60% public and 40% private in origin. However, as incomes rise, public health expenditure tends to displace private spending and to account for the increasing share of incomes devoted to health. PMID:7923542

  5. [The researchers of the National Institutes of Health. Their vicissitudes in the National System of Health].

    PubMed

    Alcocer-Varela, Jorge

    2004-01-01

    Medical researchers that work at the National Institutes of Health have a preponderant role in the scientific production of Mexico. This article focuses their behavior during the last 12 years, within the National System of Investigators (SNI). According to the citation and publication indices, the medical researchers are of greater productivity and quality. The number of investigators of the Institutes that have obtained their entrance to the SNI has grown in 129.8%, during the period of study and has been constant in each one of the Institutes of Health, with the exception of the INPer, that besides to have smaller number of researchers within the SNI, shows a tendency to low. The investigators level 1 have stayed between 10 to 12 per year in most of the Institutes, with exception of Nutrition, Cardiology and Public Health that have managed to maintain effective to more than 20 investigators of this level during the last 5 years; in the case of Nutrition over 30. These three Institutes also have maintained the greater number of investigators level 2 and 3; it emphasizes Nutrition that is counted with the average of publications by researcher in the institutes is of 4.9 +/- 3 papers. The researchers of Nutrition, Pediatría, the INPer and Neurology contribute with more than 4 publications by each year. Nevertheless, when we only included the publications of groups III-V, only the researchers of Nutrition publish annually 6 to 7 high quality research paper. All the professionals of the Institutes that have an appointment of Investigator in Medical Sciences do not belong to the SNI. In the case of the Institute of Medical Sciences and Nutrition, of 131 workers with this appointment (Julio 2003), only 47 (35.9%) belong to the NSI. When analyzing the participation of the professionals that do not belong to the SNI in the mentioned published papers from 1999 to 2002 it was found that of 484 publications of group III, in 108 (22%) nonmembers of the SNI and without

  6. Structural health monitoring activities at National Laboratories

    SciTech Connect

    Farrar, C.R.; Doebling, S.W.; James, G.H.; Simmermacher, T.

    1997-09-01

    Sandia National Laboratories and Los Alamos National Laboratory have on-going programs to assess damage in structures and mechanical systems from changes in their dynamic characteristics. This paper provides a summary of how both institutes became involved with this technology, their experience in this field and the directions that their research in this area will be taking in the future.

  7. Public health systems research: setting a national agenda.

    PubMed

    Lenaway, Dennis; Halverson, Paul; Sotnikov, Sergey; Tilson, Hugh; Corso, Liza; Millington, Wayne

    2006-03-01

    The Institute of Medicine has recommended that policy decisions about improvement of national public health systems be guided by sound scientific evidence. However, to date there is no national research agenda to help guide public health systems. The Centers for Disease Control and Prevention was called upon to lead a collaborative consensus-based process to define key research questions and establish a framework to create opportunities to better coordinate, leverage, and identify public health resources, which are increasingly scarce. The public health systems research agenda that emerged from this process has 14 over-arching priority research themes. This national agenda should stimulate and guide research to meet the urgent need to improve the nation's public health systems.

  8. Courting the idea of national health.

    PubMed

    Draper, J

    1980-02-22

    Compromise is the name of the game as America works towards a system of health insurance. In the run up to the presidential elections, John Draper looks at the current legislative proposals and their chances of survival in a country which has always shied away from 'socialised' health care. PMID:10245817

  9. National Institute for Occupational Safety and Health

    MedlinePlus

    ... and health research training centers, continuing education NIOSH Science Blog A-Z Index A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Top Resources Pocket Guide to Chemical Hazards Manual of Analytical Methods Health Hazard Evaluations (HHEs) NIOSH en Español Research ...

  10. Ensuring public health's future in a national-scale learning health system.

    PubMed

    Bernstein, Jennifer A; Friedman, Charles; Jacobson, Peter; Rubin, Joshua C

    2015-04-01

    Data and information are fundamental to every function of public health and crucial to public health agencies, from outbreak investigations to environmental surveillance. Information allows for timely, relevant, and high-quality decision making by public health agencies. Evidence-based practice is an important, grounding principle within public health practice, but resources to handle and analyze public health data in a meaningful way are limited. The Learning Health System is a platform that seeks to leverage health data to allow evidence-based real-time analysis of data for a broad range of uses, including primary care decision making, public health activities, consumer education, and academic research. The Learning Health System is an emerging endeavor that is gaining support throughout the health sector and presents an important opportunity for collaboration between primary care and public health. Public health should be a key stakeholder in the development of a national-scale Learning Health System because participation presents many potential benefits, including increased workforce capacity, enhanced resources, and greater opportunities to use health information for the improvement of the public's health. This article describes the framework and progression of a national-scale Learning Health System, considers the advantages of and challenges to public health involvement in the Learning Health System, including the public health workforce, gives examples of small-scale Learning Health System projects involving public health, and discusses how public health practitioners can better engage in the Learning Health Community.

  11. 78 FR 39738 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National... retention resources, and partnerships. The public can join the meeting via audio conference call on the date... INFORMATION CONTACT: Njeri Jones, Bureau of Clinician Recruitment and Service, Health Resources and...

  12. 77 FR 61011 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Translational Research For..., National Institute of Mental Health, National Institutes of Health, 6001 Executive Blvd., Room 6154,...

  13. The public health infrastructure and our nation's health.

    PubMed

    Baker, Edward L; Potter, Margaret A; Jones, Deborah L; Mercer, Shawna L; Cioffi, Joan P; Green, Lawrence W; Halverson, Paul K; Lichtveld, Maureen Y; Fleming, David W

    2005-01-01

    Threats to Americans' health-including chronic disease, emerging infectious disease, and bioterrorism-are present and growing, and the public health system is responsible for addressing these challenges. Public health systems in the United States are built on an infrastructure of workforce, information systems, and organizational capacity; in each of these areas, however, serious deficits have been well documented. Here we draw on two 2003 Institute of Medicine reports and present evidence for current threats and the weakness of our public health infrastructure. We describe major initiatives to systematically assess, invest in, rebuild, and evaluate workforce competency, information systems, and organizational capacity through public policy making, practical initiatives, and practice-oriented research. These initiatives are based on applied science and a shared federal-state approach to public accountability. We conclude that a newly strengthened public health infrastructure must be sustained in the future through a balancing of the values inherent in the federal system.

  14. A resolution supporting National Men's Health Week.

    THOMAS, 111th Congress

    Sen. Crapo, Mike [R-ID

    2009-06-09

    06/09/2009 Referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S6385) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  15. National electronic health record interoperability chronology.

    PubMed

    Hufnagel, Stephen P

    2009-05-01

    The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the current congressional mandates for an aligned, interoperable, and agile DoD AHLTA and VA VistA.

  16. 75 FR 32486 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... Award; 93.282, Mental Health National Research Service Awards for Research Training, National Institutes... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel; National Cooperative Drug...

  17. Summary Health Statistics for U.S. Children: National Health Interview Survey, 1999.

    ERIC Educational Resources Information Center

    Blackwell, Debra L.; Tonthat, Luong

    This report presents statistics from the 1999 National Health Interview Survey (NHIS) on selected health measures for children under 18 years of age, classified by sex, age, race/ethnicity, family structure, parent education, family income, poverty status, health insurance coverage, place of residence, region, and current health status. The NHIS…

  18. 75 FR 42100 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-20

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special..., National Center on Minority Health and Health Disparities, 6707 Democracy Boulevard, Suite 800,...

  19. 76 FR 18566 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special...-Sharp, PhD, Scientific Review Officer, National Institute on Minority Health and Health...

  20. ASSESSING BIOACCUMULATION FOR DERIVING NATIONAL HUMAN HEALTH WATER QUALITY CRITERIA

    EPA Science Inventory

    The United States Environmental Protection Agency is revising its methodology for deriving national ambient water quality criteria (AWQC) to protect human health. A component of this guidance involves assessing the potential for chemical bioaccumulation in commonly consumed fish ...

  1. Rhetoric and Reality in the English National Health Service

    PubMed Central

    Klein, Rudolf

    2015-01-01

    Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide PMID:26340494

  2. National health policy for traditional medicine in India.

    PubMed

    Srinivasan, P

    1995-01-01

    External pressures have combined to erode the practice of India's traditional medical systems to such an extent that they are in danger of becoming extinct. A better balanced national health policy could go a long way towards reversing this trend.

  3. What Yugoslavia means: progress, nationalism, and health.

    PubMed

    Kunitz, S J

    1996-01-01

    Theories of modernization have assumed that the creation of nation-states involved the breakdown of parochial ethnic boundaries and increasing secularism, all of which resulted in a demographic transition from high to low fertility and mortality. Recent experiences suggests, however, that in some circumstances nation-states may be highly unstable as ethnic minorities assert their rights to self-determination. Under such conditions, converging patterns of mortality may begin to diverge as growing inequalities appear between newly independent region of once unified states. The recent history of Yugoslavia is described to provide an example of how this process might occur and what the results might be.

  4. National Institute on Minority Health and Health Disparities

    MedlinePlus

    ... diabetes epidemic. More Toolkit Available to Educate About African American Men and Mental Health Learn how you can ... to educate communities about depression and stress in African American men. More NIH Launching Landmark Adolescent Brain Cognitive ...

  5. Gross national happiness as a framework for health impact assessment

    SciTech Connect

    Pennock, Michael; Ura, Karma

    2011-01-15

    The incorporation of population health concepts and health determinants into Health Impact Assessments has created a number of challenges. The need for intersectoral collaboration has increased; the meaning of 'health' has become less clear; and the distinctions between health impacts, environmental impacts, social impacts and economic impacts have become increasingly blurred. The Bhutanese concept of Gross National Happiness may address these issues by providing an over-arching evidence-based framework which incorporates health, social, environmental and economic contributors as well as a number of other key contributors to wellbeing such as culture and governance. It has the potential to foster intersectoral collaboration by incorporating a more limited definition of health which places the health sector as one of a number of contributors to wellbeing. It also allows for the examination of the opportunity costs of health investments on wellbeing, is consistent with whole-of-government approaches to public policy and emerging models of social progress.

  6. Toward a national health risk management approach in Australia.

    PubMed

    O'Donnell, Carol

    2002-01-01

    There has been increasing international consensus about the importance of competition for achieving national growth and community well-being. The Australian government accordingly has introduced policies to promote such competition. Major legislative review and many public inquiries have assisted implementation of national competition policy and the development of national goals and standards related to international agreements to promote health and sustainable development. Since the 1980s, Australia has had legislation that requires the identification and control of health risks arising at work. The management structures necessary for coordinated delivery of national programs designed for effective identification and control of health risks arising in communities to achieve national health and development goals are still being developed, however. Major difficulties related to this development are discussed. National health development programs should be approached primarily through establishment of regional partnerships between bodies responsible for managing community health, local government, and employment placement, in consultation with other relevant organizations and the community. Related research and evaluation programs are required. PMID:11905388

  7. Methodological issues in studying an insular, traditional population: a women's health survey among Israeli haredi (ultra-Orthodox) Jews.

    PubMed

    Rier, David A; Schwartzbaum, Avraham; Heller, Chaya

    2008-01-01

    This article describes obstacles encountered and strategies devised in planning and conducting a national telephone health survey (n = 459) of an insular, deeply traditional religious population, haredi (ultra-Orthodox Jewish) Israeli women. The paper discusses how special characteristics of this population influenced study design, sampling, data collection, and interpretation. Sampling employed polling data to identify haredi concentrations. Despite haredim's reputation for low survey participation, we achieved a 71-74% response rate (depending on the unknown eligibility of 24 phones never answered) in interviews conducted in 2003-2004. We describe our systematic attention to special aspects of haredi culture such as: modesty and speech codes; the need for rabbinic endorsement; and the importance of female, haredi interviewers. This research was initiated and managed by a community-based women's health non-governmental organization, in partnership with trained researchers. Our experiences can guide others surveying insular communities, such as traditional Muslim and Christian societies.

  8. The National Federation of Families for Children's Mental Health

    ERIC Educational Resources Information Center

    Brown, Corey

    2011-01-01

    This article outlines the mission and vision of the National Federation of Families for Children's Mental Health and its history and accomplishments in the family movement. It gives examples of how the National Federation is leading the way for positive, collaborative, and engaging training; as well as research and advocacy. Five core principles…

  9. Rhetoric and Reality in the English National Health Service Comment on "Who Killed the English National Health Service?".

    PubMed

    Klein, Rudolf

    2015-09-01

    Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide. PMID:26340494

  10. Rhetoric and Reality in the English National Health Service Comment on "Who Killed the English National Health Service?".

    PubMed

    Klein, Rudolf

    2015-09-01

    Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide.

  11. 76 FR 58711 - National Farm Safety and Health Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... the two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2011-24445 Filed 9-20-11; 11:15 am... Documents#0;#0; ] Proclamation 8716 of September 16, 2011 National Farm Safety and Health Week, 2011 By the... to embrace safe farming practices and to participate in farm safety and health programs....

  12. 76 FR 49645 - National Health Center Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    .... (Presidential Sig.) [FR Doc. 2011-20497 Filed 8-9-11; 11:15 am] Billing code 3195-W1-P ... August 10, 2011 Part IV The President Proclamation 8698--National Health Center Week, 2011 #0; #0; #0... Health Center Week, 2011 By the President of the United States of America A Proclamation Across...

  13. 77 FR 47765 - National Health Center Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... hundred and thirty-seventh. (Presidential Sig.) [FR Doc. 2012-19749 Filed 8-8-12; 11:15 am] Billing code... Documents#0;#0; ] Proclamation 8847 of August 6, 2012 National Health Center Week, 2012 By the President of the United States of America A Proclamation For nearly half a century, health centers have helped...

  14. 77 FR 29527 - National Women's Health Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... United States of America the two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2012-12222 Filed...;#0; ] Proclamation 8820 of May 14, 2012 National Women's Health Week, 2012 By the President of the... medical decisions for their families, their own health care needs have too often gone unmet....

  15. A review of national health surveys in India.

    PubMed

    Dandona, Rakhi; Pandey, Anamika; Dandona, Lalit

    2016-04-01

    Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India's disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health. PMID:27034522

  16. Stigma, Obesity, and the Health of the Nation's Children

    ERIC Educational Resources Information Center

    Puhl, Rebecca M.; Latner, Janet D.

    2007-01-01

    Preventing childhood obesity has become a top priority in efforts to improve our nation's public health. Although much research is needed to address this health crisis, it is important to approach childhood obesity with an understanding of the social stigma that obese youths face, which is pervasive and can have serious consequences for emotional…

  17. Does Income Inequality Harm Health? New Cross-National Evidence

    ERIC Educational Resources Information Center

    Beckfield, Jason

    2004-01-01

    The provocative hypothesis that income inequality harms population health has sparked a large body of research, some of which has reported strong associations between income inequality and population health. Cross-national evidence is frequently cited in support of this important hypothesis, but the hypothesis remains controversial, and the…

  18. A review of national health surveys in India.

    PubMed

    Dandona, Rakhi; Pandey, Anamika; Dandona, Lalit

    2016-04-01

    Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India's disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health.

  19. Legal foundations for a national public health agency in Canada.

    PubMed

    Ries, Nola M; Caulfield, Timothy

    2005-01-01

    This commentary addresses some of the key legal challenges associated with establishing a national public health agency in Canada. These include issues related to privacy and confidentiality of personal health information in the public health context, constraints on the jurisdiction and powers of a national agency, the need to respect individual rights and freedoms in an outbreak situation, and international cooperation in infectious disease control. The authors are part of a research initiative, comprised of experts in law, public health policy and medicine, that is currently analyzing legal considerations that may influence the mandate of a national public health agency in regard to infectious disease activities. This article discusses critical issues raised at a meeting in August 2004 that brought the research team together with key federal and provincial policy-makers and members of the public health community. The commentary emphasizes that law sets the foundation for public health activities, and the promise of a national public health agency will only be realized if significant legal issues are examined early on to ensure the agency is built on a robust legal and policy framework.

  20. Promoting Health/Preventing Disease. Objectives for the Nation.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD.

    Broad national goals, expressed as reductions in overall death rates or days of disability, have been established as guidelines for private and public sector policy makers in health-related fields. These goals were established through the work of various agencies, organizations, and individuals participating in a Department of Health and Human…

  1. 77 FR 8890 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center... . Name of Committee: National Institute of Mental Health Special Emphasis Panel; Cognitive...

  2. 76 FR 60508 - National Institute of Mental Health Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard,...

  3. 77 FR 64119 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... grant applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience... review and evaluate grant applications. Place: National Institutes of Health, Neuroscience Center,...

  4. 78 FR 72093 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-02

    .... Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH Neuroscience Center, 6001 Executive Blvd... evaluate grant applications. Place: National Institutes of Health, Neuroscience Center, 6001...

  5. 75 FR 82408 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-30

    ...: To review and evaluate grant applications. Place: National Institutes of Health, Neuroscience Center... of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard,...

  6. 78 FR 26645 - National Institute of Mental Health; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... discussion of NIMH program and policy issues. Place: National Institutes of Health, Neuroscience Center, 6001... review and evaluate grant applications. Place: National Institutes of Health, Neuroscience Center, 6001...., Director, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  7. 78 FR 34662 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-10

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH Neuroscience Center... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard,...

  8. 75 FR 8373 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  9. 77 FR 38847 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center... evaluate grant applications. Place: National Institutes of Health,Neuroscience Center, 6001...

  10. 77 FR 64527 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... grant applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience... review and evaluate grant applications. Place: National Institutes of Health, Neuroscience Center,...

  11. 76 FR 9586 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-18

    .... Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center/Room 6138/MSC 9608, 6001...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD...

  12. 78 FR 9404 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard,...

  13. 75 FR 57044 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  14. 78 FR 24153 - Notice of Emergency Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ...; National Animal Health Monitoring System; Equine Herpesvirus Myeloencephalopathy Study AGENCY: Animal and... information collection for a National Animal Health Monitoring System Equine Herpesvirus Myeloencephalopathy...: National Animal Health Monitoring System; Equine Herpesvirus Myeloencephalopathy Study. OMB Number:...

  15. 76 FR 9319 - Notice of Request for Reinstatement of an Information Collection; National Animal Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ... an Information Collection; National Animal Health Monitoring System; Feedlot 2011 Study AGENCY... information collection to support the National Animal Health Monitoring Feedlot 2011 Study. DATES: We will... Coordinator, at (301) 851-2908. SUPPLEMENTARY INFORMATION: Title: National Animal Health Monitoring...

  16. 75 FR 3740 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-22

    ... and Characterization of Sensitive Periods for Neurodevelopment in Studies of Mental Illness. Date... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, Translational...

  17. 76 FR 54469 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting..., Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease Control...

  18. 77 FR 10746 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-23

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Subcommittee on.... EST. Place: National Center for Health Statistics, 3311 Toledo Road, Auditorium, Hyattsville, MD...

  19. 76 FR 4696 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting... from Marjorie S. Greenberg, Executive Secretary, NCVHS, National Center for Health Statistics,...

  20. 75 FR 52950 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting..., Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease Control...

  1. 77 FR 55214 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-07

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting.... Greenberg, Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease...

  2. 75 FR 31789 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-04

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting..., Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease Control...

  3. 75 FR 70926 - National Committee on Vital and Health Statistics: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... HUMAN SERVICES National Committee on Vital and Health Statistics: Meeting Pursuant to the Federal... committee meeting. Name: National Committee on Vital and Health Statistics (NCVHS), Full Committee Meeting.... Greenberg, Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease...

  4. Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2012

    2012-01-01

    This report presents results pertaining to mental health from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. This report presents national estimates of the prevalence of past year mental disorders and past year mental health…

  5. Communication and Cancer: The Role of Health Communication Specialists in Achieving National Health Goals.

    ERIC Educational Resources Information Center

    Cline, Rebecca J.

    Proceeding from the implicit message promoted by the National Cancer Institute to the communication profession--expertise in health communication is central to the effort to alleviate the costs of the national burden placed on the economy because of cancer--this paper proposes the development of health communication as a career. Specifically, the…

  6. First Nations women's encounters with mainstream health care services.

    PubMed

    Browne, A J; Fiske, J A

    2001-03-01

    Health care encounters are important areas for study because they reflect social, political, economic, and ideological relations between patients and the dominant health care system. This study examines mainstream health care encounters from the viewpoint of First Nations women from a reserve community in northwestern Canada. Perspectives from critical medical anthropology and the concept of cultural safety provided the theoretical orientation for the study. Critical and feminist ethnographic approaches were used to guide in-depth interviews conducted with 10 First Nations women. Findings were organized around two broad themes that characterized women's descriptions of "invalidating" and "affirming" encounters. These narratives revealed that women's encounters were shaped by racism, discrimination, and structural inequities that continue to marginalize and disadvantage First Nations women. The women's health care experiences have historical, political, and economic significance and are reflective of wider postcolonial relations that shape their everyday lives.

  7. 75 FR 78775 - National Advisory Committee on Occupational Safety and Health (NACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Announcement of meeting of the National Advisory Committee on Occupational Safety and Health (NACOSH) and NACOSH......

  8. 76 FR 32374 - National Advisory Committee on Occupational Safety and Health (NACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Announcement of meetings of the National Advisory Committee on Occupational Safety and Health (NACOSH) and NACOSH......

  9. 3 CFR 8711 - Proclamation 8711 of September 12, 2011. National Health Information Technology Week, 2011

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Health Information Technology Week, 2011 8711 Proclamation 8711 Presidential Documents Proclamations Proclamation 8711 of September 12, 2011 Proc. 8711 National Health Information Technology Week, 2011By the... health information systems. During National Health Information Technology Week, we highlight the...

  10. 77 FR 61771 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-11

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: Environmental Health Sciences Review Committee. Date: November 15... Institute of Environmental Health Sciences, Building 101, Rodbell Auditorium, 111 T. W. Alexander...

  11. 75 FR 35042 - National Institute of Child Health and Human Development; Revision to Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development; Revision to Proposed Collection; Comment Request; The National Children's Study (NCS), Vanguard (Pilot... National Institute of Child Health and Human Development (NICHD), the National Institutes of Health...

  12. 76 FR 572 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-05

    ....282, Mental Health National Research Service Awards for Research Training, National Institutes of... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel K99. Date: February 3,...

  13. 76 FR 11799 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  14. 78 FR 70312 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ... evaluate grant applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH,...

  15. 75 FR 17150 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  16. 77 FR 47082 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-07

    ... grant applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  17. 78 FR 45933 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ...: National Institutes of Health Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  18. Tracking Psychosocial Health in Adults with Epilepsy—Estimates from the 2010 National Health Interview Survey

    PubMed Central

    Kobau, R; Cui, W; Kadima, N; Zack, MM; Sajatovic, M; Kaiboriboon, K; Jobst, B

    2015-01-01

    Objective This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey. Methods Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with and those without epilepsy: 1) the Kessler-6 scale of Serious Psychological Distress; 2) cognitive limitation; the extent of impairments associated with psychological problems; and work limitation; 3) Social participation; and 4) the Patient Reported Outcome Measurement Information System Global Health scale. Results Compared with adults without epilepsy, adults with epilepsy, especially those with active epilepsy, reported significantly worse psychological health, more cognitive impairment, difficulty in participating in some social activities, and reduced health-related quality of life (HRQOL). Conclusions These disparities in psychosocial health in U.S. adults with epilepsy serve as baseline national estimates of their HRQOL, consistent with Healthy People 2020 national objectives on HRQOL. PMID:25305435

  19. 75 FR 33983 - Establishing the National Prevention, Health Promotion, and Public Health Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ... any other person. (Presidential Sig.) THE WHITE HOUSE, June 10, 2010. [FR Doc. 2010-14613 Filed 6-15... National Prevention, Health Promotion, and Public Health Council By the authority vested in me as President... 1. Establishment. There is established within the Department of Health and Human Services,...

  20. American College Health Association-National College Health Assessment Spring 2007 Reference Group Data Report (Abridged)

    ERIC Educational Resources Information Center

    Journal of American College Health, 2008

    2008-01-01

    Objective: Assessing and understanding the health needs and capacities of college students is paramount to creating healthy campus communities. The American College Health Association-National College Health Assessment (ACHA-NCHA) is a survey that ACHA developed in 1998 to assist institutions of higher education in achieving this goal. The…

  1. Health Coaching: An Update on the National Consortium for Credentialing of Health & Wellness Coaches

    PubMed Central

    2015-01-01

    In September 2014, Global Advances in Health and Medicine editor Michele Mittelman, RN, MPH, interviewed four of the leaders in health and wellness coaching about trends in coaching and the progress of the National Consortium for Credentialing of Health & Wellness Coaches. Following are the transcripts of those interviews. Additionally, videos of the interviews are available at www.gahmj.com. PMID:25694854

  2. The Health of Children--1970: Selected Data From the National Center for Health Statistics.

    ERIC Educational Resources Information Center

    National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

    In this booklet, charts and graphs present data from four divisions of the National Center for Health Statistics. The divisions represented are those concerned with vital statistics (births, deaths, fetal deaths, marriages and divorces); health interview statistics (information on health and demographic factors related to illness); health…

  3. Health coaching: an update on the national consortium for credentialing of health & wellness coaches.

    PubMed

    Mittelman, Michele

    2015-01-01

    In September 2014, Global Advances in Health and Medicine editor Michele Mittelman, RN, MPH, interviewed four of the leaders in health and wellness coaching about trends in coaching and the progress of the National Consortium for Credentialing of Health & Wellness Coaches. Following are the transcripts of those interviews. Additionally, videos of the interviews are available at www.gahmj.com.

  4. 77 FR 43850 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... and Eliminating Health Disparities: Planning Phase (R24). Date: August 6-8, 2012. Time: 8:00 a.m. to 3..., National Institute on Minority Healthand Health Disparities, 6707 Democracy Blvd., Suite 800, Bethesda, MD... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH...

  5. European Union health policy and its implications for national convergence.

    PubMed

    Cucic, S

    2000-06-01

    This paper explores the relevance for health care of European Union (EU) legislation, regulation and policies. Reports, communications and other materials of the European Commission and other relevant European bodies are screened for their implications for health care, primarily on the national health system level. The paper provides a brief overview of EU history and its main institutions, followed by an analysis of health (care)-related provisions in the EU's main legal documents--its treaties. The impact of the EU actions on health protection is considered with regard to both actions in the field of public health and health protection requirements in its policies. In the public health area, information systems that are now being developed are discussed, followed by an outline of health protection requirements in EU policies that can have an impact on health systems. These policies are then analysed using the political factions model. Finally an attempt is made to predict future developments, stressing the need for a far-reaching synchronization of national systems.

  6. Association of parental health literacy with oral health of Navajo Nation preschoolers.

    PubMed

    Brega, A G; Thomas, J F; Henderson, W G; Batliner, T S; Quissell, D O; Braun, P A; Wilson, A; Bryant, L L; Nadeau, K J; Albino, J

    2016-02-01

    Health literacy is 'the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions'. Although numerous studies show a link between health literacy and clinical outcomes, little research has examined the association of health literacy with oral health. No large-scale studies have assessed these relationships among American Indians, a population at risk for limited health literacy and oral health problems. This analysis was conducted as part of a clinical trial aimed at reducing dental decay among preschoolers in the Navajo Nation Head Start program. Using baseline data for 1016 parent-child dyads, we examined the association of parental health literacy with parents' oral health knowledge, attitudes, and behavior, as well as indicators of parental and pediatric oral health. More limited health literacy was associated with lower levels of oral health knowledge, more negative oral health attitudes, and lower levels of adherence to recommended oral health behavior. Parents with more limited health literacy also had significantly worse oral health status (OHS) and reported their children to have significantly worse oral health-related quality of life. These results highlight the importance of oral health promotion interventions that are sensitive to the needs of participants with limited health literacy.

  7. Association of parental health literacy with oral health of Navajo Nation preschoolers.

    PubMed

    Brega, A G; Thomas, J F; Henderson, W G; Batliner, T S; Quissell, D O; Braun, P A; Wilson, A; Bryant, L L; Nadeau, K J; Albino, J

    2016-02-01

    Health literacy is 'the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions'. Although numerous studies show a link between health literacy and clinical outcomes, little research has examined the association of health literacy with oral health. No large-scale studies have assessed these relationships among American Indians, a population at risk for limited health literacy and oral health problems. This analysis was conducted as part of a clinical trial aimed at reducing dental decay among preschoolers in the Navajo Nation Head Start program. Using baseline data for 1016 parent-child dyads, we examined the association of parental health literacy with parents' oral health knowledge, attitudes, and behavior, as well as indicators of parental and pediatric oral health. More limited health literacy was associated with lower levels of oral health knowledge, more negative oral health attitudes, and lower levels of adherence to recommended oral health behavior. Parents with more limited health literacy also had significantly worse oral health status (OHS) and reported their children to have significantly worse oral health-related quality of life. These results highlight the importance of oral health promotion interventions that are sensitive to the needs of participants with limited health literacy. PMID:26612050

  8. 76 FR 40384 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special... Health and Health Disparities, 6707 Democracy Boulevard, Suite 800, Bethesda, MD 20892. (301)...

  9. 75 FR 25273 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special... Center on Minority Health and Health Disparities, 6707 Democracy Boulevard, Suite 800, Bethesda, MD...

  10. What did you drink yesterday? Public health relevance of a recent recall method used in the 2004 Australian National Drug Strategy Household Survey

    PubMed Central

    Stockwell, Tim; Zhao, Jinhui; Chikritzhs, Tanya; Greenfield, Tom K.

    2009-01-01

    Aim To (i) compare the Yesterday method with other methods of assessing alcohol use applied in the 2004 Australian National Drug Strategy Household Survey (NDSHS) in terms of extent of underreporting of actual consumption assessed from sales data and (ii) illustrate applications of the Yesterday method as a means of variously measuring the size of an Australian “standard drink”, extent of risky/high risk alcohol use, unrecorded alcohol consumption and beverage specific patterns of risk in the general population. Setting The homes of respondents who were eligible and willing to participate. Participants 24,109 Australians aged 12 years and over. Design The 2004 NDSHS assessed drug use, experiences and attitudes using a “drop and collect” self completion questionnaire with random sampling and geographic (State and Territory) and demographic (age and gender) stratification. Measures Self-completion questionnaire using Quantity-Frequency (QF) and Graduated-Frequency (GF) methods plus two questions about consumption ‘yesterday’: one in standard drinks, another with empirically-based estimates of drink size and strength. Results The Yesterday method yielded an estimate of 12.8 g as the amount of ethanol in a typical Australian standard drink (vs. official 10 g). Estimated coverage of the 2003-2004 age 12+ years per capita alcohol consumption in Australia (9.33ml of ethanol) was 69.17% for GF and 64.63% for the QF when assuming a 12.8 g standard drink. Highest coverage of 80.71% was achieved by the detailed Yesterday method. The detailed Yesterday method found that 60.1% of Australian alcohol consumption was above low risk guidelines; 81.5% for 12 to 17-year-olds, 84.8% for 18 to 24-year-olds and 88.8% for Indigenous respondents. Spirit-based drinks and regular strength beer were most likely to be drunk this way, low and mid-strength beer least likely. Conclusions Compared to more widely used methods, the Yesterday method minimized underreporting of overall

  11. Cross-national diffusion of mental health policy

    PubMed Central

    Shen, Gordon C

    2014-01-01

    Background: Following the tenets of world polity and innovation diffusion theories, I focus on the coercive and mimetic forces that influence the diffusion of mental health policy across nations. International organizations’ mandates influence government behavior. Dependency on external resources, namely foreign aid, also affects governments’ formulation of national policy. And finally, mounting adoption in a region alters the risk, benefits, and information associated with a given policy. Methods: I use post-war, discrete time data spanning 1950 to 2011 and describing 193 nations’ mental health systems to test these diffusion mechanisms. Results: I find that the adoption of mental health policy is highly clustered temporally and spatially. Results provide support that membership in the World Health Organization (WHO), interdependence with neighbors and peers in regional blocs, national income status, and migrant sub-population are responsible for isomorphism. Aid, however, is an insufficient determinant of mental health policy adoption. Conclusion: This study examines the extent to which mental, neurological, and substance use disorder are addressed in national and international contexts through the lens of policy diffusion theory. It also adds to policy dialogues about non-communicable diseases as nascent items on the global health agenda. PMID:25337601

  12. Results from the 2002 National Survey on Drug Use and Health: National Findings.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Office of Applied Studies.

    This report presents the first information from the 2002 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. Prior to 2002, the survey was called the National Household Survey on Drug Abuse (NHSDA). This initial report on the 2002 data…

  13. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2011

    2011-01-01

    This report presents a first look at results from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. The report presents national estimates of rates of use, numbers of users, and other measures related to illicit drugs, alcohol,…

  14. Results from the 2006 National Survey on Drug Use and Health: National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2007

    2007-01-01

    This updated report from Substance Abuse and Mental Health Services Administration's (SAMHSA's) Office of Applied Studies presents the first information from the 2006 National Survey on Drug Use and Health (NSDUH) and is the primary source of information on the prevalence, patterns, and consequences of alcohol, tobacco, and illegal drug use and…

  15. 42 CFR 124.515 - Compliance alternative for community health centers, migrant health centers and certain National...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Compliance alternative for community health centers, migrant health centers and certain National Health Service Corps sites. 124.515 Section 124.515 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES...

  16. Pathway to Support the Sustainable National Health Information System

    NASA Astrophysics Data System (ADS)

    Sahavechaphan, Naiyana; Phengsuwan, Jedsada; U-Ruekolan, Suriya; Aroonrua, Kamron; Ponhan, Jukrapong; Harnsamut, Nattapon; Vannarat, Sornthep

    Heath information across geographically distributed healthcare centers has been recognized as an essential resource that drives an efficient national health-care plan. There is thus a need for the National Health Information System (NHIS) that provides the transparent and secure access to health information from different healthcare centers both on demand and in a time efficient manner. As healthiness is the ultimate goal of people and nation, we believe that the NHIS should be sustainable by taking the healthcare center and information consumer perspectives into account. Several issues in particular must be resolved altogether: (i) the diversity of health information structures among healthcare centers; (ii) the availability of health information sharing from healthcare centers; (iii) the efficient information access to various healthcare centers; and (iv) the privacy and privilege of heath information. To achieve the sustainable NHIS, this paper details our work which is divided into 3 main phases. Essentially, the first phase focuses on the application of metadata standard to enable the interoperability and usability of health information across healthcare centers. The second phase moves forward to make information sharing possible and to provide an efficient information access to a large number of healthcare centers. Finally, in the third phase, the privacy and privilege of health information is promoted with respect to access rights of information consumers.

  17. The political economy of health promotion: part 2, national provision of the prerequisites of health.

    PubMed

    Raphael, Dennis

    2013-03-01

    Governmental authorities of wealthy developed nations differ in their professed commitments and activity related to the provision of the prerequisites of health through public policy action. Part 1 of this article showed how nations identified as social democratic or liberal welfare states were those where such commitments are present. Nations identified as conservative or Latin welfare states were less likely to express such commitments. However, the political economy literature suggests that despite their expressed commitments to provision of the prerequisites of health, liberal welfare states fare rather poorly in implementing these commitments. The opposite is seen for conservative welfare states. Social democratic welfare states show both commitments and public policy consistent with this objective. Part 2 of this article documents the extent to which public policy activity that provides the prerequisites of health through public policy action differs among varying welfare state regimes. Despite extensive rhetoric concerning the prerequisites of health, nations identified as liberal welfare states do a rather poor job of meeting these goals and show evidence of adverse health outcomes. In contrast, social democratic welfare states fare better in providing such prerequisites--consistent with their rhetorical statements--with better health outcomes. Interestingly, conservative--and to a lesser extent Latin--nations fare well in providing the prerequisites of health despite their lack of explicit commitment to such concepts. Findings suggest that health promoters have to concern themselves with the broad strokes of public policymaking whether or not these policy activities are identified as health promotion activities.

  18. A conversation with Donald Berwick on implementing national health reform.

    PubMed

    Berwick, Donald

    2012-08-01

    Michael Birnbaum interviews Donald Berwick shortly after his departure from the Centers for Medicare and Medicaid Services about the national health care landscape. Berwick discusses the strategic vision, policy levers, operational challenges, and political significance of federal health care reform. He rejects the notion that the Affordable Care Act represents a government takeover of health care financing or service delivery but says the law's Medicaid expansion and its creation of health benefit exchanges present a "watershed moment for American federalism." Berwick argues that the solution to Medicare's cost-containment challenge lies in quality improvement. He is optimistic that accountable care organizations can deliver savings and suggests that shifting risk downstream to providers throws the health insurance model into question. Finally, looking to the future, Berwick sees a race against time to make American health care more affordable.

  19. How Australia came to have a National Women's Health Policy.

    PubMed

    Gray, G

    1998-01-01

    A National Women's Health Policy was launched in Australia in 1989, and Australia became the only country to have a comprehensive policy on women's health. The policy is intended to provide a framework for decision-making in both mainstream and separate women's health services. The author examines the forces and factors that led to the formulation and adoption of the policy, then addresses the question of why Australia is alone in choosing a national policy as a focus for women's health action. A number of key influences, either absent or weaker in comparable countries, worked together to facilitate policy development. The activities of women working in a number of arenas coincided with the election of relatively supportive governments, creation of women's policy machinery in bureaucracies, employment of feminists in key positions, and opportunities for policy expansion afforded by federalism. These influences, within the Australian ideological context of strong support for social liberalism, account for the country's distinctive policy position.

  20. Does income inequality harm health? New cross-national evidence.

    PubMed

    Beckfield, Jason

    2004-09-01

    The provocative hypothesis that income inequality harms population health has sparked a large body of research, some of which has reported strong associations between income inequality and population health. Cross-national evidence is frequently cited in support of this important hypothesis, but the hypothesis remains controversial, and the cross-national work has been criticized for several methodological shortcomings. This study replicates previous work using a larger sample (692 observations from 115 countries over the 1947-1996 period), a wider range of statistical controls, and fixed-effects models that address heterogeneity bias. The relationship between health and inequality shrinks when controls are included. In fixed-effects models that capture unmeasured heterogeneity, the association between income inequality and health disappears. The null findings hold for two measures of income inequality: the Gini coefficient and the share of income received by the poorest quintile of the population. Analysis of a sample of wealthy countries also fails to support the hypothesis.

  1. A new visual identity for the National Health Service.

    PubMed

    England, P

    2000-03-01

    The following article gives a brief overview of the new visual identity being adopted by the National Health Service in England. It looks at the thinking behind the identity, the identity's component parts and provides sources for obtaining further information on the identity's application. It is compiled from a presentation by Stephanie Hood from the corporate identity team of the NHS Executive communications unit given on 22nd October 1999 at the National Designers in Health Network seminar, Time-out '99, Sheffield. Supporting information was obtained from the NHS Communications website http:¿nww.doh.nhsweb.uk/commsnet.

  2. Challenges in Building Disease-Based National Health Accounts

    PubMed Central

    Rosen, Allison B.; Cutler, David M.

    2012-01-01

    Background Measuring spending on diseases is critical to assessing the value of medical care. Objective To review the current state of cost of illness (COI) estimation methods, identifying their strengths, limitations and uses. We briefly describe the current National Health Expenditure Accounts (NHEA), and then go on to discuss the addition of COI estimation to the NHEA. Conclusion Recommendations are made for future research aimed at identifying the best methods for developing and using disease-based national health accounts to optimize the information available to policymakers as they struggle with difficult resource allocation decisions. PMID:19536017

  3. India's draft National Health Policy, 2015: Improving policy to implementation effectiveness.

    PubMed

    Menabde, Nata; Lahariya, Chandrakant

    2015-01-01

    As the Government of India is working on drafting a new National Health Policy, developing national health accounts, and planning for a "health assurance mission," this opportunity has the potential to transform health status of millions of Indians and achieve universal health coverage. The draft of new National Health Policy of India was put in public domain for comments in early 2015. This editorial reviews the draft National Health Policy 2015 and proposes a few steps to improve implementation effectiveness.

  4. American College Health Association National College Health Assessment Spring 2006 Reference Group Data Report (Abridged): The American College Health Association

    ERIC Educational Resources Information Center

    Journal of American College Health, 2007

    2007-01-01

    Objective: Assessing and understanding the health needs and capacities of college students is paramount to creating healthy campus communities. The American College Health Association-National College Health Assessment (ACHA-NCHA) is a survey developed by the ACHA in 1998 to assist institutions of higher education in achieving this goal. The…

  5. Statement of National Environmental Health Assocation on Future National Health Legislation

    ERIC Educational Resources Information Center

    Pohlit, Nicholas; And Others

    1974-01-01

    This article concerns the need for more preventative health legislation to cutback increasing curative medical costs. Preventative action would provide better nutrition, better housing, and more effective controls on food, water, and solid wastes. Environmental health specialists would play a major role in the staffing of the new health systems.…

  6. Evidence from the national health account: the case of Dubai

    PubMed Central

    Hamidi, Samer

    2014-01-01

    Introduction National health accounts (NHAs) provide useful information to aid in understanding the health care financing system. This article aims to present a profile of health system financing in Dubai using data from the NHA. We also aim to compare the provider structure of financing schemes in Dubai with those of the State of Qatar and selected Organization for Economic Cooperation and Development (OECD) countries. Methods The author analyzed secondary data published in NHAs for Dubai and Qatar, and data collected by the OECD countries and publicly available from the Statistical Office of the European Union (Eurostat), for 25 OECD countries for comparative analysis. All health financing measures used are as defined in the international System of Health Accounts (SHA). Results In Dubai, only 33% of current health expenditure (CHE) is funded by the government. However, the public sector is the main source of health funding in Qatar and most OECD countries, with an average of 79% and 72%, respectively. Households in Dubai spent about 22% of CHE, equivalent to an average US$187 per capita, ranking the highest among Gulf Cooperation Council (GCC) countries, and compared with 20% of CHE across OECD countries. Hospitals in Dubai accounted for 48% of CHE, which is much higher than Qatar (40%) and the OECD average (36%). Conclusion The Dubai health care financing system differs substantially from that in OECD countries, as it is more private oriented. The findings point to several potential opportunities for growth and improvement. Policy areas that may be addressed using the information presented in this article are broad and include the following: shift from hospital care to ambulatory and day care, sustainability of health finance, shift the cost of health care to the private sector, introduce cost-containment measures, revise payment systems for health providers, and produce subnational accounts for non-communicable diseases. More investment in the translation of

  7. The Chinese health care system: lessons for other nations.

    PubMed

    Hsiao, W C

    1995-10-01

    This paper examines China's health care from a system perspective and draws some lessons for less developed nations. A decade ago, Chinese macro-health policy shifted its health care financing and delivery toward a free market system. It encouraged all levels of health facilities to rely on user fees to support their operations. However, China continued its administered prices and hospitals continued to be operated by the government. These financing, pricing and organizational policies were not coordinated. The author found these uncoordinated policies created serious dissonance in the system. Irrational prices distorted medical practices which resulted in overuse of drugs and high technology tests. Market-based financing created more unequal access to health care between the rich and poor. Public control of hospitals and poor management caused inefficiency, waste and poor quality of care. The disarray of the Chinese health system, however, had not caused a measurable decline in health status of the Chinese people. One explanation was that the government had maintained its level of funding (per capita) for public health and prevention. Another possible explanation was that rapid rising income in China had improved nutrition, clean water and education which offset any adverse impacts of poorer medical services to the low-income populations. Nonetheless, the Chinese experience showed that its increasing expenditure per person for health care through user fees and insurance had not produced commensurate improvement in health status. China'a experience holds several lessons for less developed nations. First, there is a close linkage between financing, price and organization of health care. Uncoordinated policies could exacerbate inequity and inefficiency in health care.(ABSTRACT TRUNCATED AT 250 WORDS)

  8. A review of national health surveys in India

    PubMed Central

    Pandey, Anamika; Dandona, Lalit

    2016-01-01

    Abstract Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India’s disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health. PMID:27034522

  9. National health insurance policy in Nepal: challenges for implementation.

    PubMed

    Mishra, Shiva Raj; Khanal, Pratik; Karki, Deepak Kumar; Kallestrup, Per; Enemark, Ulrika

    2015-01-01

    The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015), the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS) after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal. PMID:26300556

  10. National health insurance policy in Nepal: challenges for implementation.

    PubMed

    Mishra, Shiva Raj; Khanal, Pratik; Karki, Deepak Kumar; Kallestrup, Per; Enemark, Ulrika

    2015-01-01

    The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015), the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS) after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  11. Refining estimates of public health spending as measured in national health expenditure accounts: the Canadian experience.

    PubMed

    Ballinger, Geoff

    2007-01-01

    The recent focus on public health stemming from, among other things, severe acute respiratory syndrome and avian flu has created an imperative to refine health-spending estimates in the Canadian Health Accounts. This article presents the Canadian experience in attempting to address the challenges associated with developing the needed taxonomies for systematically capturing, measuring, and analyzing the national investment in the Canadian public health system. The first phase of this process was completed in 2005, which was a 2-year project to estimate public health spending based on a more classic definition by removing the administration component of the previously combined public health and administration category. Comparing the refined public health estimate with recent data from the Organization for Economic Cooperation and Development still positions Canada with the highest share of total health expenditure devoted to public health than any other country reporting. The article also provides an analysis of the comparability of public health estimates across jurisdictions within Canada as well as a discussion of the recommendations for ongoing improvement of public health spending estimates. The Canadian Institute for Health Information is an independent, not-for-profit organization that provides Canadians with essential statistics and analysis on the performance of the Canadian health system, the delivery of healthcare, and the health status of Canadians. The Canadian Institute for Health Information administers more than 20 databases and registries, including Canada's Health Accounts, which tracks historically 40 categories of health spending by 5 sources of finance for 13 provincial and territorial jurisdictions. Until 2005, expenditure on public health services in the Canadian Health Accounts included measures to prevent the spread of communicable disease, food and drug safety, health inspections, health promotion, community mental health programs, public

  12. Why some countries have national health insurance, others have national health services, and the U.S. has neither.

    PubMed

    Navarro, V

    1989-01-01

    This article presents a discussion of why some capitalist developed countries have national health insurance schemes, others have national health services, and the U.S. has neither. The first section provides a critical analysis of some of the major answers given to these questions by authors belonging to the schools of thought defined as 'public choice', 'power group pluralism' and 'post-industrial convergence'. The second section puts forward an alternative explanation rooted in an historical analysis of the correlation of class forces in each country. The different forms of funding and organization of health services, structured according to the corporate model or to the liberal-welfare market capitalism model, have appeared historically in societies with different correlations of class forces. In all these societies the major social force behind the establishment of a national health program has been the labor movement (and its political instruments--the socialist parties) in its pursuit of the welfare state. In the final section the developments in the health sector after World War II are explained. It is postulated that the growth of public expenditures in the health sector and the growth of universalism and coverage of health benefits that have occurred during this period are related to the strength of the labor movement in these countries.

  13. 76 FR 38401 - National Institute of Child Health and Human Development; Revision to Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development; Revision to Proposed Collection; Comment Request; Formative Research Methodology Studies for the National... Institute of Child Health and Human Development (NICHD), the National Institutes of Health (NIH)...

  14. 76 FR 25699 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... amended (5 U.S.C. App.), notice is hereby given of a meeting of the National Advisory Child Health and... personal privacy. Name of Committee: National Advisory Child Health and Human Development Council....

  15. 76 FR 55076 - Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-06

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... amended (5 U.S.C. App.), notice is hereby given of a meeting of the National Advisory Child Health and... personal privacy. Name of Committee: National Advisory Child Health and Human Development Council...

  16. 75 FR 74069 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-30

    ... Research Scientist Award; 93.282, Mental Health National Research Service Awards for Research Training... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Reducing HIV Risk....

  17. 76 FR 51379 - National Institute of Mental Health Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-18

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Meeting... hereby given of a meeting of the National Advisory Mental Health Council. The meeting will be open to the... unwarranted invasion of personal privacy. Name of Committee: National Advisory Mental Health Council....

  18. 75 FR 43528 - Seeking Public Comment on Draft National Health Security Strategy Biennial Implementation Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... HUMAN SERVICES Office of the Secretary Seeking Public Comment on Draft National Health Security Strategy... achieve national health security and to implement the first quadrennial National Health Security Strategy... the National Health Security Strategy of the United States of America (2009) the U.S. Government...

  19. 77 FR 3480 - National Institute of Environmental Health Sciences Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences Notice....), notice is hereby given of a meeting of the National Advisory Environmental Health Sciences Council. The... of Committee: National Advisory Environmental Health Sciences Council. Date: February 15-16,...

  20. 76 FR 46823 - National Institute of Environmental Health Sciences; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice....), notice is hereby given of a meeting of the National Advisory Environmental Health Sciences Council. The... of Committee: National Advisory Environmental Health Sciences Council. Date: September 1-2,...

  1. 75 FR 12243 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-15

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, NeuroAIDS Therapies. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  2. 78 FR 52937 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... individual intramural programs and projects conducted by the National Institute of Mental Health, including...: Board of Scientific Counselors, National Institute of Mental Health. Date: September 30-October 2,...

  3. 77 FR 12603 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... individual intramural programs and projects conducted by the National Institute of Mental Health, including...: Board of Scientific Counselors, National Institute of Mental Health. Date: March 13-14, 2012....

  4. 78 FR 77692 - National Institute of Mental Health Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Meeting... hereby given of a meeting of the National Advisory Mental Health Council. The meeting will be open to the... unwarranted invasion of personal privacy. Name of Committee: National Advisory Mental Health Council....

  5. 76 FR 36931 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... privacy. Name of Committee: National Institute of Mental Health Special Emphasis Panel, R34/T32 HIV and... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  6. 78 FR 77474 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... individual intramural programs and projects conducted by the NATIONAL INSTITUTE OF MENTAL HEALTH, including...: Board of Scientific Counselors, National Institute of Mental Health. Date: January 21-22, 2014. Time:...

  7. 77 FR 74198 - National Institute of Mental Health; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Meeting... hereby given of a meeting of the National Advisory Mental Health Council. The meeting will be closed to... unwarranted invasion of personal privacy. Name of Committee: National Advisory Mental Health Council....

  8. 78 FR 15728 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; HIV/AIDS Research Education... Officer, Division of Extramural Activities , National Institute of Mental Health, NIH, Neuroscience...

  9. 78 FR 26643 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... individual intramural programs and projects conducted by the National Institute of Mental Health, including...: Board of Scientific Counselors, National Institute of Mental Health. Date: June 3-5, 2013. Time: 5:00...

  10. 75 FR 51276 - National Institute of Mental Health; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Meeting... hereby given of a meeting of the National Advisory Mental Health Council. The meeting will be open to the... unwarranted invasion of personal privacy. Name of Committee: National Advisory Mental Health Council....

  11. 75 FR 56549 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics (NCHS... topics: Contrast Dye Removal Endovascular partial occlusion of abdominal aorta Endovascular Intracranial... Pulmonary Artery Pressure Monitoring Addenda (procedures) September 16, 2010 Corticobasal...

  12. Oral health status in Navajo Nation Head Start Children

    PubMed Central

    Batliner, Terrence; Wilson, Anne; Tiwari, Tamanna; Glueck, Deborah; Henderson, William G; Thomas, Jacob F; Braun, Patricia A; Cudeii, Diana; Quissell, David O; Albino, Judith

    2014-01-01

    Objective This study assessed oral health status for preschool aged children in Navajo Nation to obtain baseline decayed, missing, and filled tooth surfaces (dmfs) data and dental caries patterns, describe socio-demographic correlates of children’s baseline dmfs measures, and compare the children’s dmfs measures to previous dental survey data for Navajo Nation from Indian Health Service and the National Health and Nutrition Examination Survey (NHANES). Methods The analyzed study sample included 981 child/caregiver dyads residing in Navajo Nation who completed baseline dmfs assessments for an ongoing randomized clinical trial involving Navajo Nation Head Start Centers. Calibrated dental hygienists collected baseline dmfs data from child participants ages 3–5 years (488 males and 493 females), and caregivers completed a Basic Research Factors Questionnaire (BRFQ). Results Mean dmfs for the study population was 21.33 (SD =19.99) and not appreciably different from the 1999 Indian Health Service survey of Navajo Nation preschool aged children (mean=19.02, SD=16.59, p=0.08). However, 69.5 percent of children in the current study had untreated decay compared to 82.9 percent in the 1999 Indian Health Service survey (p<0.0001). Study results were considerably higher than the 16.0 percent reported for 2–4 year old children in the Whites Only group from the 1999–2004 NHANES data. Age had the strongest association with dmfs, followed by child gender, and caregivers’ income and education. Conclusion Dental caries in preschool aged Navajo children is extremely high compared to other US population segments and dmfs has not appreciably changed for more than a decade. PMID:24954053

  13. Subjective socioeconomic status and health in cross-national comparison.

    PubMed

    Präg, Patrick; Mills, Melinda C; Wittek, Rafael

    2016-01-01

    Research has established a robust association between subjective socioeconomic status (SES) and health outcomes, which holds over and above the associations between objective markers of SES and health. Furthermore, comparative research on health inequalities has shown considerable variation in the relationship between different objective markers of SES and health across countries. Drawing on data from 29 countries, we present the first cross-national study on the subjective SES-health relationship. For two health outcomes, namely self-rated health (SRH) and psychological wellbeing, we are able to confirm that subjective SES is related to health in all countries under study, even when income, education, and occupational prestige are accounted for. Furthermore, we document considerable variation in the strength of the subjective SES-health association across countries. This variation however is largely independent of country differences in income inequality and country affluence. The health benefits of a high subjective SES appear to be slightly larger in more affluent countries, but only for SRH, not for psychological wellbeing.

  14. Well installation, single-well testing, and particle-size analysis for selected sites in and near the Lost Creek Designated Ground Water Basin, north-central Colorado, 2003-2004

    USGS Publications Warehouse

    Beck, Jennifer A.; Paschke, Suzanne S.; Arnold, L. Rick

    2011-01-01

    This report describes results from a groundwater data-collection program completed in 2003-2004 by the U.S. Geological Survey in support of the South Platte Decision Support System and in cooperation with the Colorado Water Conservation Board. Two monitoring wells were installed adjacent to existing water-table monitoring wells. These wells were installed as well pairs with existing wells to characterize the hydraulic properties of the alluvial aquifer and shallow Denver Formation sandstone aquifer in and near the Lost Creek Designated Ground Water Basin. Single-well tests were performed in the 2 newly installed wells and 12 selected existing monitoring wells. Sediment particle size was analyzed for samples collected from the screened interval depths of each of the 14 wells. Hydraulic-conductivity and transmissivity values were calculated after the completion of single-well tests on each of the selected wells. Recovering water-level data from the single-well tests were analyzed using the Bouwer and Rice method because test data most closely resembled those obtained from traditional slug tests. Results from the single-well test analyses for the alluvial aquifer indicate a median hydraulic-conductivity value of 3.8 x 10-5 feet per second and geometric mean hydraulic-conductivity value of 3.4 x 10-5 feet per second. Median and geometric mean transmissivity values in the alluvial aquifer were 8.6 x 10-4 feet squared per second and 4.9 x 10-4 feet squared per second, respectively. Single-well test results for the shallow Denver Formation sandstone aquifer indicate a median hydraulic-conductivity value of 5.4 x 10-6 feet per second and geometric mean value of 4.9 x 10-6 feet per second. Median and geometric mean transmissivity values for the shallow Denver Formation sandstone aquifer were 4.0 x 10-5 feet squared per second and 5.9 x 10-5 feet squared per second, respectively. Hydraulic-conductivity values for the alluvial aquifer in and near the Lost Creek Designated

  15. Expanding the g-Nexus: Further Evidence Regarding the Relations among National IQ, Religiosity and National Health Outcomes

    ERIC Educational Resources Information Center

    Reeve, Charlie L.

    2009-01-01

    The current study seeks to better understand how religiosity and health are positioned within the g-nexus. Specifically, the degree to which differences in average IQ across nations is associated with differences in national religiosity (i.e., belief rate) and national health statistics independent of differences in national wealth is examined.…

  16. 76 FR 63310 - National Center On Minority and Health Disparities Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... HUMAN SERVICES National Institutes of Health National Center On Minority and Health Disparities Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special Emphasis Panel; NIMHD Health Disparities Research (R01). Date: November 7-8, 2011. Time: 8 a.m. to 5...

  17. 75 FR 71449 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities...

  18. 76 FR 52959 - National Center on Minority and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special Emphasis Panel; NIMHD Revision Applications to Support Environmental Health Disparities Research P20....

  19. 75 FR 29357 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-25

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special NCMHD Health Disparities Research on Minority and Underserved Population (R01). Date: June 16-18,...

  20. Como pagar tu educacion, 2003-2004 (How To Pay for Your Education, 2003-2004).

    ERIC Educational Resources Information Center

    Office of Federal Student Aid (ED), Washington, DC.

    This Spanish language booklet discusses paying for college. The guide presents information in question-and-answer form about things an applicant should ask and how to obtain financial aid. It describes the criteria for receiving aid and provides information about complying with aid requirements. The booklet also describes federal Pell grants and…

  1. [Health in the post-2015 United Nations Development Agenda].

    PubMed

    Buss, Paulo Marchiori; Magalhães, Danielly de Paiva; Setti, Andréia Faraoni Freitas; Gallo, Edmundo; Franco Netto, Francisco de Abreu; Machado, Jorge Mesquita Huet; Buss, Daniel Forsin

    2014-12-01

    This paper evaluates health as a Sustainable Development Goal (SDG) in the context of the Post-2015 Development Agenda, between 2012 and 2014. Health was part of the debate since the Millennium Summit and the MDGs (2000), and it also appears in the documents discussing the Post-2015 Agenda, from the Rio+20 to the Open Working Group (OWG), whose report was submitted to the General Assembly of the United Nations (UNGA) 2014-2015, and in the Global Consultation on Health and the High-Level Panel of Eminent Persons reports. The Authors concluded that the treatment of health in all these documents is uniform. They point out that the scope of the health-related SDG is very comprehensive, but its targets are conceptually fragmented and reduced. They advocate their change as to include not only the idea of social determinants of health, but also targets in the field of public health, which were not included in the proposal of the OWG. They also warn that the global and national governance systems need to be reformed and advocate more participation of the civil society, which can influence diplomacy, which, in turn, will be responsible for the agreement signed at the UNGA in 2015.

  2. [Health in the post-2015 United Nations Development Agenda].

    PubMed

    Buss, Paulo Marchiori; Magalhães, Danielly de Paiva; Setti, Andréia Faraoni Freitas; Gallo, Edmundo; Franco Netto, Francisco de Abreu; Machado, Jorge Mesquita Huet; Buss, Daniel Forsin

    2014-12-01

    This paper evaluates health as a Sustainable Development Goal (SDG) in the context of the Post-2015 Development Agenda, between 2012 and 2014. Health was part of the debate since the Millennium Summit and the MDGs (2000), and it also appears in the documents discussing the Post-2015 Agenda, from the Rio+20 to the Open Working Group (OWG), whose report was submitted to the General Assembly of the United Nations (UNGA) 2014-2015, and in the Global Consultation on Health and the High-Level Panel of Eminent Persons reports. The Authors concluded that the treatment of health in all these documents is uniform. They point out that the scope of the health-related SDG is very comprehensive, but its targets are conceptually fragmented and reduced. They advocate their change as to include not only the idea of social determinants of health, but also targets in the field of public health, which were not included in the proposal of the OWG. They also warn that the global and national governance systems need to be reformed and advocate more participation of the civil society, which can influence diplomacy, which, in turn, will be responsible for the agreement signed at the UNGA in 2015. PMID:26247985

  3. Comparisons among national health care systems in the European marketplace.

    PubMed

    Normand, C

    1993-01-01

    Most European countries have adopted either a Bismarckian system of compulsory health care insurance or a national health care system funded by taxation. For both systems, a basic level of health care is free at the point of use for all citizens. Health care has been undergoing reforms in most European countries. In the western nations, the autonomy of providers of services has increased, elements of competition and cost control have been introduced, and incentives to provide more cost-effective care have been initiated. Most central and eastern European countries have begun to return to the social insurance model for funding services. The ownership of some hospitals in these countries has been transferred to the private sector or to not-for-profit organizations. The European countries vary widely in their standards of facilities and professional staffing, and these generally reflect the prosperity of the country. During the 1980s, western countries implemented measures to limit the growth of health care expenditure, resulting in some reduction in the proportion of the gross domestic product spent on health care. Cost controls may not be as effective in the 1990s, as a result of demographic changes. More modern health care systems will likely develop in some of the central and eastern European countries, although this change will probably be slow.

  4. Eating Disorders: National Institute of Mental Health's Perspective

    ERIC Educational Resources Information Center

    Chavez, Mark; Insel, Thomas R.

    2007-01-01

    The mission of the National Institute of Mental Health (NIMH) is to reduce the burden of mental and behavioral disorders through research, and eating disorders embody an important fraction of this burden. Although past and current research has provided important knowledge regarding the etiology, classification, pathophysiology, and treatment of…

  5. National Institutes of Health Presentation at IPE Conference Program

    NASA Technical Reports Server (NTRS)

    Holloway, Caroline

    1992-01-01

    The conference objective was to set up a working dialogue among representatives from industry and various Federal agencies. Discussed here are present National Institutes of Health (NIH) support in the area of intelligent processing equipment (IPE) and how researchers can work together on future research objectives. Information is given in viewgraph form with accompanying comments.

  6. 78 FR 49357 - National Health Center Week, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ... Independence of the United States of America the two hundred and thirty- eighth. (Presidential Sig.) [FR Doc... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9002 of August 9, 2013 National Health Center Week, 2013 By the President of the United States of America A Proclamation Community...

  7. Problem Gambling Treatment within the British National Health Service

    ERIC Educational Resources Information Center

    Rigbye, Jane; Griffiths, Mark D.

    2011-01-01

    According to the latest British Gambling Prevalence Survey, there are approximately 300,000 adult problem gamblers in Great Britain. In January 2007, the "British Medical Association" published a report recommending that those experiencing gambling problems should receive treatment via the National Health Service (NHS). This study examines the…

  8. National Study on Community College Health. Research Brief.

    ERIC Educational Resources Information Center

    Ottenritter, Nan

    This is a report on a national survey of community colleges conducted by the American Association of Community Colleges (AACC) in 2000. The survey was designed to identify various community health programs, centers, classes, and services related to HIV/AIDS that community colleges administered, partnered, or sponsored. The study surveyed 1,100…

  9. National health policy for traditional medicine in India.

    PubMed

    Srinivasan, P

    1995-01-01

    External pressures have combined to erode the practice of India's traditional medical systems to such an extent that they are in danger of becoming extinct. A better balanced national health policy could go a long way towards reversing this trend. PMID:7794464

  10. Growing pains of East Timor: health of an infant nation.

    PubMed

    Morris, K

    2001-03-17

    In August, 1999, three-quarters of East Timorese adults voted to end more than two decades of an Indonesian administration never recognised by the United Nations. The ensuing spree of violence and destruction by militia backed by the Indonesian military meant the birth of the fledgling nation became a complex humanitarian disaster. 1 year on, progress was heartening: a transitional government, a judiciary, and tax systems were in place, and East Timor was a proud competitor in the Sydney Olympic games. Rebuilding a country from ground level has brought a golden opportunity for fresh approaches. However, reconstruction is also a slow, complex, and sometimes controversial process at the mercy of multiple agendas. The health sector has seen basic care restored, establishment of a much-needed public-health service, and planning for the future health system. An innovative partnership between WHO/Roll Back Malaria and Merlin for post-conflict research has provided data to guide malaria control. The story of progress from humanitarian emergency to national health plan epitomises the triumphs and challenges of this newest nations' first 18 months.

  11. Tackling Work Related Stress in a National Health Service Trust

    ERIC Educational Resources Information Center

    Vick, Donna; Whyatt, Hilary

    2004-01-01

    The challenge of tackling the problem of coping with work related stress in a National Health Service (NHS) Trust was undertaken. Ideas were developed within the context of two different action learning sets and led to actions resulting in a large therapy Taster Session event and the establishment of a centre offering alternative therapies and…

  12. National training and education standards for health and wellness coaching: the path to national certification.

    PubMed

    Jordan, Meg; Wolever, Ruth Q; Lawson, Karen; Moore, Margaret

    2015-05-01

    The purpose of this article is twofold: (1) to announce the findings of the job task analysis as well as national training and education standards for health and wellness coaching (HWC) that have been developed by the large-scale, collaborative efforts of the National Consortium for Credentialing Health and Wellness Coaches (NCCHWC) and (2) to invite commentary from the public. The rapid proliferation of individuals and organizations using the terms of health and/or wellness coaches and the propagation of private industry and academic coach training and education programs endeavoring to prepare these coaches has created an urgent and pressing need for national standards for use of the term health and wellness coach, as well as minimal requirements for training, education, and certification. Professionalizing the field with national standards brings a clear and consistent definition of health and wellness coaching and accepted practice standards that are uniform across the field. In addition, clear standards allow for uniform curricular criteria to ensure a minimal benchmark for education, training, and skills and knowledge evaluation of professional health and wellness coaches.

  13. National Training and Education Standards for Health and Wellness Coaching: The Path to National Certification

    PubMed Central

    Wolever, Ruth Q.; Lawson, Karen; Moore, Margaret

    2015-01-01

    The purpose of this article is twofold: (1) to announce the findings of the job task analysis as well as national training and education standards for health and wellness coaching (HWC) that have been developed by the large-scale, collaborative efforts of the National Consortium for Credentialing Health and Wellness Coaches (NCCHWC) and (2) to invite commentary from the public. The rapid proliferation of individuals and organizations using the terms of health and/or wellness coaches and the propagation of private industry and academic coach training and education programs endeavoring to prepare these coaches has created an urgent and pressing need for national standards for use of the term health and wellness coach, as well as minimal requirements for training, education, and certification. Professionalizing the field with national standards brings a clear and consistent definition of health and wellness coaching and accepted practice standards that are uniform across the field. In addition, clear standards allow for uniform curricular criteria to ensure a minimal benchmark for education, training, and skills and knowledge evaluation of professional health and wellness coaches. PMID:25984418

  14. National training and education standards for health and wellness coaching: the path to national certification.

    PubMed

    Jordan, Meg; Wolever, Ruth Q; Lawson, Karen; Moore, Margaret

    2015-05-01

    The purpose of this article is twofold: (1) to announce the findings of the job task analysis as well as national training and education standards for health and wellness coaching (HWC) that have been developed by the large-scale, collaborative efforts of the National Consortium for Credentialing Health and Wellness Coaches (NCCHWC) and (2) to invite commentary from the public. The rapid proliferation of individuals and organizations using the terms of health and/or wellness coaches and the propagation of private industry and academic coach training and education programs endeavoring to prepare these coaches has created an urgent and pressing need for national standards for use of the term health and wellness coach, as well as minimal requirements for training, education, and certification. Professionalizing the field with national standards brings a clear and consistent definition of health and wellness coaching and accepted practice standards that are uniform across the field. In addition, clear standards allow for uniform curricular criteria to ensure a minimal benchmark for education, training, and skills and knowledge evaluation of professional health and wellness coaches. PMID:25984418

  15. 78 FR 38067 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852, (Telephone... Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive Blvd., Room...

  16. 78 FR 64227 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive BLVD... Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852 (Telephone Conference...

  17. 75 FR 44272 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ... Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852 (Telephone Conference Call..., National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive Blvd., Room 6140, MSC 9608... proposals. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard,...

  18. 78 FR 39299 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center... of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852, (Telephone...

  19. Youth Risk Behavior Surveillance System: Selected 2011 National Health Risk Behaviors and Health Outcomes by Sex

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2011

    2011-01-01

    The national Youth Risk Behavior Survey (YRBS) monitors priority health risk behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults in the United States. The national YRBS is conducted every two years during the spring semester and provides data representative of 9th through 12th grade…

  20. A consensus-based approach to national public health accreditation.

    PubMed

    Ingram, Richard C; Bender, Kaye; Wilcox, Robin; Kronstadt, Jessica

    2014-01-01

    The Public Health Accreditation Board (PHAB) solicited (and continues to solicit) the input of more than 400 subject matter experts in various areas of public health during the development and ongoing revision of the accreditation standards and measures. This process is designed to ensure that the standards and measures remain relevant and accommodate the various contexts under which public health departments practice in the United States. One way PHAB gathers feedback is convening a series of discussion meetings, or think tanks, with thought leaders in specific areas of public health, that focus on specific programmatic areas of public health, on the broader context of public health practice, or on emerging issues, such as public health informatics. The think tanks complement other mechanisms to assure that standards and measures are relevant, including gathering input from the practice community, receiving recommendations from public health departments that have undergone the accreditation process, and reviewing relevant literature. While this process allows PHAB to demonstrate its commitment to continuous quality improvement by modifying and improving the standards and measures, it also serves as a communication vehicle for PHAB to educate thought leaders and public health practitioners about the national accreditation program.

  1. Working towards a national health information system in Australia.

    PubMed

    Bomba, B; Cooper, J; Miller, M

    1995-01-01

    One of the major administrative dilemmas facing the Australian national health care system is the need to reform practices associated with massive data-information overload. The current system is burdened with paper-based administrative forms, patient record files, referral notes and other manual methods of data organisation. An integrated computer-based information system may be perceived as an attractive solution to such burdens. However, computerisation must not be seen as a panacea with the possibility of exacerbating information overload and accentuating privacy concerns. Recent surveys in Australia [1] and the US [2] indicate a perceived causal link between computers and privacy invasion. Any moves toward a national health information system must counter this perception through macro-level education schemes of affected parties and micro-level mechanisms such as the establishment of hospital privacy officers. Such concerns may be viewed as a subset of the wider privacy debate, and information policy development should address such considerations to develop policies to prevent unauthorized access to personal information and to avoid the extraction and sale of sensitive health data. Conservative in nature and slow to change the health care sector may be forced to adopt more efficient work practices through the increasing proliferation of information technology (IT) in health care delivery and an escalating emphasis upon accountability and efficiency of the public health care dollar. The economic rationalist stance taken by governments in Australia and other nations generally will also force health care workers to adopt and develop more efficient information management practices, health indicators and best practice care methods than presently employed by this sector The benefits of a national health information system are far reaching, particularly in developing a more effective health care system through better identifying and understanding community health care

  2. Workforce Implications of Injury among Home Health Workers: Evidence from the National Home Health Aide Survey

    ERIC Educational Resources Information Center

    McCaughey, Deirdre; McGhan, Gwen; Kim, Jungyoon; Brannon, Diane; Leroy, Hannes; Jablonski, Rita

    2012-01-01

    Purpose of study: The direct care workforce continues to rank as one of the most frequently injured employee groups in North America. Occupational health and safety studies have shown that workplace injuries translate into negative outcomes for workers and their employers. The National Institute for Occupational Safety and Health (NIOSH)…

  3. The Third National Health and Nutrition Examination Survey: Contributing Data on Aging and Health.

    ERIC Educational Resources Information Center

    Burt, Vicki L.; Harris, Tamara

    1994-01-01

    Describes third National Health and Nutrition Examination Survey (NHANES III), noting that upper age limit was removed and that older black, Mexican American, and white populations were oversampled. Sees NHANES III component for older adults providing multidimensional overview of physical and functional health status (osteoporosis; arthritis;…

  4. Promoting health equity: WHO health inequality monitoring at global and national levels

    PubMed Central

    Hosseinpoor, Ahmad Reza; Bergen, Nicole; Schlotheuber, Anne

    2015-01-01

    Background Health equity is a priority in the post-2015 sustainable development agenda and other major health initiatives. The World Health Organization (WHO) has a history of promoting actions to achieve equity in health, including efforts to encourage the practice of health inequality monitoring. Health inequality monitoring systems use disaggregated data to identify disadvantaged subgroups within populations and inform equity-oriented health policies, programs, and practices. Objective This paper provides an overview of a number of recent and current WHO initiatives related to health inequality monitoring at the global and/or national level. Design We outline the scope, content, and intended uses/application of the following: Health Equity Monitor database and theme page; State of inequality: reproductive, maternal, newborn, and child health report; Handbook on health inequality monitoring: with a focus on low- and middle-income countries; Health inequality monitoring eLearning module; Monitoring health inequality: an essential step for achieving health equity advocacy booklet and accompanying video series; and capacity building workshops conducted in WHO Member States and Regions. Conclusions The paper concludes by considering how the work of the WHO can be expanded upon to promote the establishment of sustainable and robust inequality monitoring systems across a variety of health topics among Member States and at the global level. PMID:26387506

  5. Integrating oral health into Haiti's National Health Plan: from disaster relief to sustainable development.

    PubMed

    Estupiñán-Day, Saskia; Lafontant, Christina; Acuña, Maria Cecilia

    2011-11-01

    In 2010, Haiti suffered three devastating national emergencies: a 7.0 magnitude earthquake that killed over 200 000 and injured 300 000; a cholera outbreak that challenged recovery efforts and caused more deaths; and Hurricane Tomas, which brought additional destruction. In the aftermath, the Pan American Health Organization (PAHO) reoriented its technical cooperation to face the myriad of new challenges and needs. Efforts included support and technical assistance to the Ministry of Health and Population of Haiti and coordination of actions by the United Nations Health Cluster. This Special Report focuses specifically on the PAHO Regional Oral Health Program's call to action in Haiti and the institutional partnerships that were developed to leverage resources for oral health during this critical time and beyond. To date, achievements include working with Haiti's private sector, dental schools, public health associations, and other stakeholders, via the Oral Health of Haiti (OHOH) Coalition. The OHOH aims to meet the immediate needs of the dental community and to rebuild the oral health component of the health system; to provide dental materials and supplies to oral health sites in affected areas; and to ensure that the "Basic Package of Health Services" includes specific interventions for oral health care and services. The experience in Haiti serves as a reminder to the international community of how important linking immediate/short-term disaster-response to mid- and longterm strategies is to building a health system that provides timely access to health services, including oral health. Haiti's humanitarian crisis became an important time to rethink the country's health system and services in terms of the right to health and the concepts of citizenship, solidarity, and sustainable development.

  6. A national action plan for workforce development in behavioral health.

    PubMed

    Hoge, Michael A; Morris, John A; Stuart, Gail W; Huey, Leighton Y; Bergeson, Sue; Flaherty, Michael T; Morgan, Oscar; Peterson, Janice; Daniels, Allen S; Paris, Manuel; Madenwald, Kappy

    2009-07-01

    Across all sectors of the behavioral health field there has been growing concern about a workforce crisis. Difficulties encompass the recruitment and retention of staff and the delivery of accessible and effective training in both initial, preservice training and continuing education settings. Concern about the crisis led to a multiphased, cross-sector collaboration known as the Annapolis Coalition on the Behavioral Health Workforce. With support from the Substance Abuse and Mental Health Services Administration, this public-private partnership crafted An Action Plan for Behavioral Health Workforce Development. Created with input from a dozen expert panels, the action plan outlines seven core strategic goals that are relevant to all sectors of the behavioral health field: expand the role of consumers and their families in the workforce, expand the role of communities in promoting behavioral health and wellness, use systematic recruitment and retention strategies, improve training and education, foster leadership development, enhance infrastructure to support workforce development, and implement a national research and evaluation agenda. Detailed implementation tables identify the action steps for diverse groups and organizations to take in order to achieve these goals. The action plan serves as a call to action and is being used to guide workforce initiatives across the nation.

  7. Ethical assessment of national health insurance system of Korea.

    PubMed

    Lee, Yuri; Kim, Soyoon; Kim, Ganglip

    2012-09-01

    The current adverse effects of the health insurance system in Korea are considered to be problems that arise from an insufficient reflection of the notion of respecting human rights. The ethical principles most commonly suggested and used in public health are the 4 principles suggested by Beauchamp and Childress in 1994. From the perspective of the community, these 4 principles of medical ethics can be expanded to resolve problems surrounding existing social systems from a socialistic standpoint. This article describes a flexible, easy-to-use model for incorporating the 4 medical ethics principles into the National Health Insurance System (NHIS). First, the principle of respect for autonomy involves respecting the decision-making capacities of autonomous medical consumers and providers and enabling individuals to make reasoned and informed choices. Second is the principle of good practice. The government and medical institutions should act in a way that benefits the health care consumers. The principle of prohibiting bad practice involves avoiding causing health problems. The National Health Insurance Corporation and health care providers should not harm the health care consumers. Finally, the principle of justice is concerned with distributing benefits, risks, and costs fairly-that is, the notion that patients in similar positions should be treated in a similar manner. If these problems are solved, health system quality could be better and more accessible and sustainable. The ethical assessment of the NHIS could be a trial to match the 4 medical ethics principles and the NHIS. It can be applied internationally to relevant policy makers in different settings.

  8. 75 FR 55582 - National Institutes of Health Statement of Organization, Functions, and Delegations of Authority

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... Delegations of Authority for the Department of Health and Human Services (40 FR 22859, May 27, 1975, as... and Health Disparities (NCMHD) as the National Institute on Minority Health and Health Disparities..., Organization and Functions, under the heading National Center on Minority Health and Health Disparities...

  9. Lessons from the first to the latest nation to enact national health insurance.

    PubMed

    Eastaugh, S R

    1992-01-01

    In 1989, South Korea became the latest country to enact a national health insurance plan. In 1989-91, South Korea experienced a 22 percent increase in health care spending despite instituting the world's highest level of cost-sharing and coinsurance. Now, taking a page from the lesson book of Germany--the first country to adopt a national insurance strategy--South Korea is applying a system of global budgeting that should produce an optimal amount of cost control while preserving consumer choice.

  10. Health Literacy Impact on National Healthcare Utilization and Expenditure

    PubMed Central

    Rasu, Rafia S.; Bawa, Walter Agbor; Suminski, Richard; Snella, Kathleen; Warady, Bradley

    2015-01-01

    Background: Health literacy presents an enormous challenge in the delivery of effective healthcare and quality outcomes. We evaluated the impact of low health literacy (LHL) on healthcare utilization and healthcare expenditure. Methods: Database analysis used Medical Expenditure Panel Survey (MEPS) from 2005-2008 which provides nationally representative estimates of healthcare utilization and expenditure. Health literacy scores (HLSs) were calculated based on a validated, predictive model and were scored according to the National Assessment of Adult Literacy (NAAL). HLS ranged from 0-500. Health literacy level (HLL) and categorized in 2 groups: Below basic or basic (HLS <226) and above basic (HLS ≥226). Healthcare utilization expressed as a physician, nonphysician, or emergency room (ER) visits and healthcare spending. Expenditures were adjusted to 2010 rates using the Consumer Price Index (CPI). A P value of 0.05 or less was the criterion for statistical significance in all analyses. Multivariate regression models assessed the impact of the predicted HLLs on outpatient healthcare utilization and expenditures. All analyses were performed with SAS and STATA® 11.0 statistical software. Results: The study evaluated 22 599 samples representing 503 374 648 weighted individuals nationally from 2005-2008. The cohort had an average age of 49 years and included more females (57%). Caucasian were the predominant racial ethnic group (83%) and 37% of the cohort were from the South region of the United States of America. The proportion of the cohort with basic or below basic health literacy was 22.4%. Annual predicted values of physician visits, nonphysician visits, and ER visits were 6.6, 4.8, and 0.2, respectively, for basic or below basic compared to 4.4, 2.6, and 0.1 for above basic. Predicted values of office and ER visits expenditures were $1284 and $151, respectively, for basic or below basic and $719 and $100 for above basic (P < .05). The extrapolated national

  11. Consumers' Perspectives on National Health Insurance in South Africa: Using a Mobile Health Approach

    PubMed Central

    Stuttaford, Maria C

    2014-01-01

    Background Building an equitable health system is a cornerstone of the World Health Organization (WHO) health system building block framework. Public participation in any such reform process facilitates successful implementation. South Africa has embarked on a major reform in health policy that aims at redressing inequity and enabling all citizens to have equal access to efficient and quality health services. Objective This research is based on a survey using Mxit as a mobile phone–based social media network. It was intended to encourage comments on the proposed National Health Insurance (NHI) and to raise awareness among South Africans about their rights to free and quality health care. Methods Data were gathered by means of a public e-consultation, and following a qualitative approach, were then examined and grouped in a theme analysis. The WHO building blocks were used as the conceptual framework in analysis and discussion of the identified themes. Results Major themes are the improvement of service delivery and patient-centered health care, enhanced accessibility of health care providers, and better health service surveillance. Furthermore, health care users demand stronger outcome-based rather than rule-based indicators of the health system’s governance. Intersectoral solidarity and collaboration between private and public health care providers are suggested. Respondents also propose a code of ethical values for health care professionals to address corruption in the health care system. It is noteworthy that measures for dealing with corruption or implementing ethical values are neither described in the WHO building blocks nor in the NHI. Conclusions The policy makers of the new health system for South Africa should address the lack of trust in the health care system that this study has exposed. Furthermore, the study reveals discrepancies between the everyday lived reality of public health care consumers and the intended health policy reform. PMID:25351980

  12. France tries to save its ailing national health insurance system.

    PubMed

    Sorum, Paul Clay

    2005-07-01

    France has provided universal health care through employment-based health insurance funds. As its governments have increasingly used tax revenues to supplement payroll levies, they have assumed a larger role. Faced with widening deficits in the funds' accounts, the National Assembly adopted in August 2004 legislation designed to decrease health expenses, increase revenues to the funds, and improve quality of care. The apparent impacts of the so-called Douste-Blazy law are to reaffirm social solidarity and equality of access; to reinforce central control rather than relying more on decentralized and market forces; to give the now-unified funds a stronger director, shielded not only from labor and business but also, possibly, from the central government; to allow French private physicians to retain their unrivaled freedom of prescription; and to continue France's reliance on taxes as well as payroll levies to finance its health care. PMID:16022215

  13. EPIDEMIOLOGY and Health Care Reform The National Health Survey of 1935-1936

    PubMed Central

    2011-01-01

    The National Health Survey undertaken in 1935 and 1936 was the largest morbidity survey until that time. It was also the first national survey to focus on chronic disease and disability. The decision to conduct a survey of this magnitude was part of the larger strategy to reform health care in the United States. The focus on morbidity allowed reformers to argue that the health status of Americans was poor, despite falling mortality rates that suggested the opposite. The focus on chronic disease morbidity proved to be an especially effective way of demonstrating the poor health of the population and the strong links between poverty and illness. The survey, undertaken by a small group of reform-minded epidemiologists led by Edgar Sydenstricker, was made possible by the close interaction during the Depression of agencies and actors in the public health and social welfare sectors, a collaboration which produced new ways of thinking about disease burdens. PMID:21233434

  14. Implementation and Integration of Regional Health Care Data Networks in the Hellenic National Health Service

    PubMed Central

    Vidalis, Ioannis; Papanikolaou, Christos; Vagelatos, Aristides

    2002-01-01

    Background Modern health care is provided with close cooperation among many different institutions and professionals, using their specialized expertise in a common effort to deliver best-quality and, at the same time, cost-effective services. Within this context of the growing need for information exchange, the demand for realization of data networks interconnecting various health care institutions at a regional level, as well as a national level, has become a practical necessity. Objectives To present the technical solution that is under consideration for implementing and interconnecting regional health care data networks in the Hellenic National Health System. Methods The most critical requirements for deploying such a regional health care data network were identified as: fast implementation, security, quality of service, availability, performance, and technical support. Results The solution proposed is the use of proper virtual private network technologies for implementing functionally-interconnected regional health care data networks. Conclusions The regional health care data network is considered to be a critical infrastructure for further development and penetration of information and communication technologies in the Hellenic National Health System. Therefore, a technical approach was planned, in order to have a fast cost-effective implementation, conforming to certain specifications. PMID:12554551

  15. 78 FR 50068 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... HUMAN SERVICES National Institutes of Health Office of the Director, National Institutes of Health....S.C. App.), notice is hereby given of a meeting of the Advisory Committee to the Director, National.... Name of Committee: Advisory Committee to the Director, National Institutes of Health. Date: September...

  16. 75 FR 32474 - National Institute of Child Health and Human Development; Revision to Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development; Revision to Proposed Collection; Comment Request; the National Children's Study (NCS), Vanguard (Pilot... Paperwork Reduction Act of 1995, the National Institute of Child Health and Human Development (NICHD),...

  17. 75 FR 57476 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, National Research Service Award Institutional Research Training Grants (NRSA T32). Date: October 20, 2010. Time: 8:30 a.m. to 5...

  18. National health spending by medical condition, 1996-2005.

    PubMed

    Roehrig, Charles; Miller, George; Lake, Craig; Bryant, Jenny

    2009-01-01

    This study responds to recent calls for information about how personal health expenditures from the National Health Expenditure Accounts are distributed across medical conditions. It provides annual estimates from 1996 through 2005 for thirty-two conditions mapped into thirteen all-inclusive diagnostic categories. Circulatory system spending was highest among the diagnostic categories, accounting for 17 percent of spending in 2005. The most costly conditions were mental disorders and heart conditions. Spending growth rates were lowest for lung cancer, chronic obstructive pulmonary disease, pneumonia, coronary heart disease, and stroke, perhaps reflecting benefits of preventive care.

  19. A New Collaborative Tool for Visually Understanding National Health Indicators

    SciTech Connect

    Xu, Songhua; Jewell, Brian C; Steed, Chad A; Schryver, Jack C

    2012-01-01

    The authors propose a new online collaborative tool for visually understanding national health indicators, which facilitates the full spectrum of investigation of indicators, from an overview of all the correlation coefficients between variables, to investigation of subsets of selected variables, and to individual data element analysis. this tool is publicly accessible at http://cda.ornl.gov/heat/heatmap.html. In this paper, they discuss the key issues regarding the interface design and implementation. They also illustrate how to use their interface for analyzing the health indicator dataset by showing some key system views. In the end, they introduce and discuss some ongoing research efforts extending this work.

  20. 76 FR 160 - National Advisory Committee on Rural Health and Human Services; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Committee on Rural Health.... Purpose: The National Advisory Committee on Rural Health and Human Services provides advice and... meet during the month of February 2011. The National Advisory committee on Rural Health will...

  1. 77 FR 1496 - National Advisory Committee on Rural Health and Human Services; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-10

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Committee on Rural Health.... Purpose: The National Advisory Committee on Rural Health and Human Services provides counsel and... meet during the month of February 2012. The National Advisory Committee on Rural Health will...

  2. 76 FR 25696 - National Advisory Committee on Rural Health and Human Services; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Committee on Rural Health...-seventh meeting. Name: National Advisory Committee on Rural Health and Human Services. Dates and Times... meeting will be open to the public. Purpose: The National Advisory Committee on Rural Health and...

  3. 78 FR 15728 - National Institute of Mental Health; Amended Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Amended Notice of Meeting Notice is hereby given of a change in the meeting of the National Institute of Mental Health Special Emphasis Panel, March 28, 2013 from...

  4. 75 FR 22411 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-28

    ... Review Group; Interventions Committee for Adult Disorders. Date: June 8-9, 2010. Time: 8:30 a.m. to 5 p.m... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group; Mental Health Services in...

  5. 76 FR 28995 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

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    2011-05-19

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group, Health, Behavior, and Context Subcommittee. Date: June 20-21, 2011. Time:...

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    2013-02-13

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group; Health, Behavior, and Context Subcommittee. Date: February 19, 2013. Time:...

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    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group; Health, Behavior, and Context Subcommittee. Date: June 14, 2012. Time:...

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    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group, Health, Behavior, and Context Subcommittee. Date: October 17, 2011. Time:...

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    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group; Health, Behavior, and Context Subcommittee. Date: October 22, 2012. Time:...

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    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group; Health, Behavior, and Context Subcommittee. Date: February 22, 2010. Time:...

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    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Initial Review Group, Health, Behavior, and Context Subcommittee. Date: September 30-October...

  12. 78 FR 58269 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

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    2013-09-23

    ...; National Animal Health Monitoring System; Bison 2014 Study AGENCY: Animal and Plant Health Inspection... intention to request approval of a new information collection for the National Animal Health Monitoring...: National Animal Health Monitoring System; Bison 2014 Study. OMB Number: 0579-XXXX. Type of...

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    2013-09-23

    ...; National Animal Health Monitoring System; Cervid 2014 Study AGENCY: Animal and Plant Health Inspection... intention to request approval of a new information collection for the National Animal Health Monitoring...: National Animal Health Monitoring System; Cervid 2014 Study. OMB Number: 0579-XXXX. Type of...

  14. 75 FR 31800 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

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    2010-06-04

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development Special Emphasis Panel; Race-Based Social Stress and Health in the MADICS Longitudinal...

  15. 75 FR 2876 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

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    2010-01-19

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Environmental Health Sciences, P.O. Box 12233, MD EC-30, Research Triangle Park, NC 27709, (919) 541-...

  16. 75 FR 41506 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

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  17. 75 FR 3474 - National Institute of Environmental Health Sciences; Notice of Meeting

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    2010-01-21

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice....), notice is hereby given of a meeting of the National Advisory Environmental Health Sciences Council. The...: Discussion of program policies and issues. Place: Nat. Inst. of Environmental Health Sciences, Building...

  18. 76 FR 11500 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

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    2011-03-02

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Environmental Health Sciences, Office of Program Operations, Scientific Review Branch, P.O. Box 12233 MD...

  19. 75 FR 32797 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

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    2010-06-09

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  20. 77 FR 74198 - National Institute Environmental Health Sciences Notice of Meeting

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    2012-12-13

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  1. 77 FR 66853 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

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  9. 76 FR 5594 - National Institute of Environmental Health Sciences; Notice of Meeting

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  14. 75 FR 61765 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

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  15. 78 FR 20931 - National Institute of Environmental Health Sciences; Notice of Meeting

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    2013-04-08

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  16. 78 FR 48695 - National Institute of Environmental Health Sciences; Notice of Meeting

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    2013-08-09

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  17. 78 FR 51734 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

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    2013-08-21

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  19. 75 FR 49500 - National Institute of Environmental Health Sciences; Notice of Meeting

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    2010-08-13

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  1. 75 FR 55807 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

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  7. 78 FR 35637 - National Institute of Environmental Health Sciences; Amended Notice of Meeting

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    2013-06-13

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  8. 78 FR 22272 - National Institute of Mental Health; Notice of Closed Meeting

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    2013-04-15

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  9. 77 FR 62536 - National Advisory Committee on Occupational Safety and Health (NACOSH)

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    2012-10-15

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  10. The state of research funding from the National Institutes of Health for criminal justice health research

    PubMed Central

    Ahalt, Cyrus; Bolano, Marielle; Wang, Emily A.; Williams, Brie

    2015-01-01

    Background Over 20 million Americans are currently incarcerated or have been in the past. Most are from medically underserved populations; one in three African American men and one in six Latino men born in 2001 are projected to go to prison during their lifetimes. The amount of funding from the National Institutes of Health (NIH) to understand and improve the health of criminal justice-involved persons is unknown. Objective Describe NIH funding for research addressing the health and healthcare needs of criminal justice-involved individuals. Design Review of NIH grants (from 2008 through 2012) in the RePORT (Research Portfolio Online Reporting Tools) database. Setting The NIH RePORT database. Patients Criminal justice involved individuals participating in NIH-funded clinical research. Measurements NIH research and training grants awarded by number, type, research area, institute or center, and dollar amount. Results Of more than 250,000 NIH funded grants, 180 (less than 0.1%) focused on criminal justice health research. The three most common foci of criminal justice health research grants were substance use and/or HIV (64%), mental health (11%), and juvenile health (8%). Two institutes, the National Institute on Drug Abuse and the National Institute of Mental Health, funded 78% of all grants. In 2012, the NIH invested $40.9 million in criminal justice health research, or 1.5% of the $2.7 billion health disparities budget for that year. Limitations NIH-supported research that did not explicitly include current or former prisoners but may have relevance to criminal justice health was not included. Conclusions Federal funding for research focused on understanding and improving the health of criminal justice-involved persons is small, even when compared to the NIH’s overall investment in health disparities research. The NIH is well-positioned to transform the care of current and former prisoners by investing in this critical yet overlooked research area. Primary

  11. Location decisions of National Health Service Corps physicians.

    PubMed

    Stamps, P L; Kuriger, F H

    1983-08-01

    Results of a survey of 100 National Health Service Corps (NHSC) physicians in 10 east coast states (94 per cent response rate) indicate that 56 have plans to locate in a rural area after their service obligation is complete and 15 have not yet decided. Those who decide for a rural practice value personal and community factors to a higher degree than professional factors and are more likely to have a primary care practice. PMID:6869644

  12. Improving Health Care: National Policy and Local Practice

    PubMed Central

    Roper, William L.

    2008-01-01

    1Attention to quality and patient safety in health care has grown substantially over recent years. From 1982, I have been involved in advocating for efforts to improve quality and safety. Four years ago, I was given the opportunity to lead an academic health system - hospitals, doctors, and a medical school. This article recounts the shift in perspective, from a focus solely on national policy, to one now of changing local practice. Both are important and needed. The past 25 years have seen a large scale shift in the way the public at large and especially the medical community view the state of quality and safety in health care. I have been privileged to participate in this transformation at the national level in several roles, and I would like to describe that evolution. Now, however, I have the job of leading an academic medical enterprise, and am challenged by the task of putting lofty national ideas into practice at the local level. I am very committed to this effort, but am sobered by the challenges we face. PMID:18596859

  13. Benchmarking in national health service procurement in Scotland.

    PubMed

    Walker, Scott; Masson, Ron; Telford, Ronnie; White, David

    2007-11-01

    The paper reports the results of a study on benchmarking activities undertaken by the procurement organization within the National Health Service (NHS) in Scotland, namely National Procurement (previously Scottish Healthcare Supplies Contracts Branch). NHS performance is of course politically important, and benchmarking is increasingly seen as a means to improve performance, so the study was carried out to determine if the current benchmarking approaches could be enhanced. A review of the benchmarking activities used by the private sector, local government and NHS organizations was carried out to establish a framework of the motivations, benefits, problems and costs associated with benchmarking. This framework was used to carry out the research through case studies and a questionnaire survey of NHS procurement organizations both in Scotland and other parts of the UK. Nine of the 16 Scottish Health Boards surveyed reported carrying out benchmarking during the last three years. The findings of the research were that there were similarities in approaches between local government and NHS Scotland Health, but differences between NHS Scotland and other UK NHS procurement organizations. Benefits were seen as significant and it was recommended that National Procurement should pursue the formation of a benchmarking group with members drawn from NHS Scotland and external benchmarking bodies to establish measures to be used in benchmarking across the whole of NHS Scotland. PMID:17958971

  14. National Survey of Yoga Practitioners: Mental and Physical Health Benefits

    PubMed Central

    Ross, Alyson; Friedmann, Erika; Bevans, Margaret; Thomas, Sue

    2013-01-01

    Summary Objectives to describe yoga practice and health characteristics of individuals who practice yoga, and to explore their beliefs regarding the effects of their yoga practice on their health. Design a cross-sectional design with anonymous online surveys Setting 4307 randomly selected individuals from 15 US Iyengar yoga studios (n = 18,160), representing 41 states; 1087 individuals responded, with 1045 (24.3%) surveys completed. Outcome Measures Freiberg Mindfulness Inventory, Mental Health Continuum (subjective well-being), Multi-factor Screener (diet), PROMIS sleep disturbance, fatigue, and social support, International Physical Activity Questionnaire. Results Age: 19 to 87 years (M = 51.7 ± 11.7), 84.2% female, 89.2% white, 87.4% well educated (≥ bachelor’s degree). Mean years of yoga practice = 11.4 (± 7.5). BMI = 12.1–49.4 (M = 23.1 ± 3.9). Levels of obesity (4.9%), smoking (2%), and fruit and vegetable consumption (M = 6.1 ± 1.1) were favorable compared to national norms. 60% reported at least one chronic/serious health condition, yet most reported very good (46.3%) or excellent (38.8%) general health. Despite high levels of depression (24.8 %), nearly all were moderately mentally healthy (55.2%) or flourishing (43.8%). Participants agreed yoga improved: energy (84.5%), happiness (86.5%), social relationships (67%), sleep (68.5%), and weight (57.3%), and beliefs did not differ substantially according to race or gender. The more they practiced yoga, whether in years or in amount of class or home practice, the higher their odds of believing yoga improved their health. Conclusions Individuals who practice yoga are not free of health concerns, but most believe their health improved because of yoga. Yoga might be beneficial for a number of populations including elderly women and those with chronic health conditions. PMID:23876562

  15. Establishing a national resource: a health informatics collection to maintain the legacy of health informatics development.

    PubMed

    Ellis, Beverley; Roberts, Jean; Cooper, Helen

    2007-01-01

    This case study report of the establishment of a national repository of multi-media materials describes the creation process, the challenges faced in putting it into operation and the opportunities for the future. The initial resource has been incorporated under standard library and knowledge management practices. A collaborative action research method was used with active experts in the domain to determine the requirements and priorities for further development. The National Health Informatics Collection (NatHIC) is now accessible and the further issues are being addressed by inclusion in future University and NHS strategic plans. Ultimately the Collection will link with other facilities that contribute to the description and maintenance of effective informatics in support of health globally. The issues raised about the National Health Informatics Collection as established in the UK have resonance with the challenges of capturing the overall historic development of an emerging discipline in any country.

  16. National Institutes of Health addresses the science of diversity.

    PubMed

    Valantine, Hannah A; Collins, Francis S

    2015-10-01

    The US biomedical research workforce does not currently mirror the nation's population demographically, despite numerous attempts to increase diversity. This imbalance is limiting the promise of our biomedical enterprise for building knowledge and improving the nation's health. Beyond ensuring fairness in scientific workforce representation, recruiting and retaining a diverse set of minds and approaches is vital to harnessing the complete intellectual capital of the nation. The complexity inherent in diversifying the research workforce underscores the need for a rigorous scientific approach, consistent with the ways we address the challenges of science discovery and translation to human health. Herein, we identify four cross-cutting diversity challenges ripe for scientific exploration and opportunity: research evidence for diversity's impact on the quality and outputs of science; evidence-based approaches to recruitment and training; individual and institutional barriers to workforce diversity; and a national strategy for eliminating barriers to career transition, with scientifically based approaches for scaling and dissemination. Evidence-based data for each of these challenges should provide an integrated, stepwise approach to programs that enhance diversity rapidly within the biomedical research workforce.

  17. National Institutes of Health addresses the science of diversity.

    PubMed

    Valantine, Hannah A; Collins, Francis S

    2015-10-01

    The US biomedical research workforce does not currently mirror the nation's population demographically, despite numerous attempts to increase diversity. This imbalance is limiting the promise of our biomedical enterprise for building knowledge and improving the nation's health. Beyond ensuring fairness in scientific workforce representation, recruiting and retaining a diverse set of minds and approaches is vital to harnessing the complete intellectual capital of the nation. The complexity inherent in diversifying the research workforce underscores the need for a rigorous scientific approach, consistent with the ways we address the challenges of science discovery and translation to human health. Herein, we identify four cross-cutting diversity challenges ripe for scientific exploration and opportunity: research evidence for diversity's impact on the quality and outputs of science; evidence-based approaches to recruitment and training; individual and institutional barriers to workforce diversity; and a national strategy for eliminating barriers to career transition, with scientifically based approaches for scaling and dissemination. Evidence-based data for each of these challenges should provide an integrated, stepwise approach to programs that enhance diversity rapidly within the biomedical research workforce. PMID:26392553

  18. National community health worker programs: how can they be strengthened?

    PubMed

    Gilson, L; Walt, G; Heggenhougen, K; Owuor-Omondi, L; Perera, M; Ross, D; Salazar, L

    1989-01-01

    This article is based on a collaborative research study of policy and practice in national community health worker (CHW) programs in developing countries. The study involved a review of the relevant literature, case studies in Botswana, Colombia and Sri Lanka, and an international workshop where the future of such programs was discussed. The findings of this research are discussed under four headings: unrealistic expectations, poor initial planning, problems of sustainability, and the difficulties of maintaining quality. It is clear that existing national community health worker programs have suffered from conceptual and implementation problems. However, given the interest and political will, governments can address these problems by adopting more flexible approaches within their CHW programs, by planning for them within the context of all health sector activities rather than as a separate activity, and by immediately addressing weaknesses in task allocation, training and supervision. CHWs represent an important health resource, whose potential in extending coverage and providing a reasonable level of care to otherwise underserved populations must be fully tapped.

  19. Coverage of genetic technologies under national health reform.

    PubMed Central

    Mehlman, M. J.; Botkin, J. R.; Scarrow, A.; Woodhall, A.; Kass, J.; Siebenschuh, E.

    1994-01-01

    This article examines the extent to which the technologies expected to emerge from genetic research are likely to be covered under Government-mandated health insurance programs such as those being proposed by advocates of national health reform. Genetic technologies are divided into three broad categories; genetic information services, including screening, testing, and counseling; experimental technologies; and gene therapy. This article concludes that coverage of these technologies under national health reform is uncertain. The basic benefits packages provided for in the major health reform plans are likely to provide partial coverage of experimental technologies; relatively broad coverage of information services; and varying coverage of gene therapies, on the basis of an evaluation of their costs, benefits, and the degree to which they raise objections on political and religious grounds. Genetic services that are not included in the basic benefits package will be available only to those who can purchase supplemental insurance or to those who can purchase the services with personal funds. The resulting multitiered system of access to genetic services raises serious questions of fairness. PMID:7977343

  20. The British National Health Service: a tarnished moral vision?

    PubMed

    Doyal, L; Doyal, L

    1999-01-01

    Last year (1998) saw the celebration of the 50th Anniversary of the British National Health Service (NHS). One of the few completely nationalized systems of health care in the world, the NHS is seen by many as a moral beacon of what it means to provide equitable medical treatment to all citizens on the basis of need and need alone. However, others argue that it has failed to achieve the overall goals for which it was created. Because of scarce resources, some urgently needed care is not available at all, while that which is received is sometimes second class. For these reasons, it is claimed that the NHS should be scrapped and replaced by other systems of health care delivery. This paper outlines the history of the NHS, indicating some of the problems and innovations which have led to its current organization and structure. The philosophical foundations of the NHS are then articulated and defended on the grounds that it still represents a morally coherent and economically efficient approach to the delivery of health care. Scarce resources are the key problem facing the NHS, making rationing inevitable and it is shown that this is not incompatible with the moral foundations of the service. However, there can be little doubt that the NHS is now becoming dangerously under-funded. The paper concludes with arguments about why this is so and what might be done about it.

  1. Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health.

    PubMed

    Keyes, Corey L M

    2007-01-01

    This article summarizes the conception and diagnosis of the mental health continuum, the findings supporting the two continua model of mental health and illness, and the benefits of flourishing to individuals and society. Completely mentally healthy adults--individuals free of a 12-month mental disorder and flourishing--reported the fewest missed days of work, the fewest half-day or greater work cutbacks, the healthiest psychosocial functioning (i.e., low helplessness, clear goals in life, high resilience, and high intimacy), the lowest risk of cardiovascular disease, the lowest number of chronic physical diseases with age, the fewest health limitations of activities of daily living, and lower health care utilization. However, the prevalence of flourishing is barely 20% in the adult population, indicating the need for a national program on mental health promotion to complement ongoing efforts to prevent and treat mental illness. Findings reveal a Black advantage in mental health as flourishing and no gender disparity in flourishing among Whites.

  2. Developing of National Accreditation Model for Rural Health Centers in Iran Health System

    PubMed Central

    TABRIZI, Jafar Sadegh; GHARIBI, Farid; PIRAHARY, Samereh

    2013-01-01

    Abstract Background The primary health care has notable effects on community health and accreditation is one of the appropriate evaluation methods that led to health system performance improvement, therefore, this study aims to developing of national accreditation model for rural health centers in Iran Health System. Methods Firstly the suitable accreditation models selected to benchmarking worldwide via systematic review, the related books and medical university’s web site surveyed and some interviews hold with experts. Then the obtain standards surveyed from the experts’ perspectives via Delphi technique. Finally, the obtainedmodel assessedvia the experts’ perspective and pilot study. Results The researchers identified JCAHO and CCHSA as the most excellent models. The obtained standards and their quality accepted from experts’ perspective and pilot study, and finally the number of 55 standards acquired. Conclusion The designed model has standards with acceptable quality and quantity, and researchers’ hopeful that its application in rural health centers led to continues quality improvement. PMID:26060646

  3. 77 FR 16249 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852, (Telephone... Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive Blvd., Room...

  4. Mental health professionals' perspectives of telemental health with remote and rural First Nations communities.

    PubMed

    Gibson, Kerri; O'Donnell, Susan; Coulson, Heather; Kakepetum-Schultz, Tina

    2011-01-01

    We conducted an online survey and interviews amongst mental health workers in Canada who reported experience in working with rural and remote First Nations (although not necessarily telemental health). Sixty-three respondents (of the 164) to the online survey reported experience in working with clients in remote and rural First Nations. Only 16 of the online survey respondents with remote and rural First Nations experience reported having received training in videoconferencing use. When asked how frequently they used videoconferencing with clients, 51% reported never using it, 19% used it once every few months and 10% reported using it a few times a month. Approximately 50% of participants reported finding it useful. Approximately 38% found the technology easy or very easy to use, and 15% found it very difficult. Individual in-depth interviews were also conducted with professionals who had First Nations telemental health experience specifically (n = 5). A quantitative data analysis was used to explore their perceptions of usefulness and ease of use of telemental health, as well as the relationships among these constructs. Advantages, disadvantages and challenges in using the technology were identified from the qualitative data. Promising ways forward include incorporating traditional practices and the Seven Teachings into telemental health services.

  5. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999-2002.

    PubMed

    Dye, B A; Barker, L K; Selwitz, R H; Lewis, B G; Wu, T; Fryar, C D; Ostchega, Y; Beltran, E D; Ley, E

    2007-04-01

    The Oral Health Component of the 1999-2002 National Health and Nutrition Examination Survey (NHANES) is a collaborative effort between the National Institute of Dental and Craniofacial Research (NIDCR), the National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health (NCCDPHP/DOH), and the National Center for Health Statistics (NCHS). The current NHANES is designed as a continuous survey with data released on a 2-year cycle to represent the civilian, non-institutionalized population of the US. Oral health data are currently available for 8082 and 9010 persons aged > or =2 years who participated in the 1999-2000 and 2001-2002 NHANES, respectively. This article provides background information on previous national examination surveys with oral health content. It also provides general analytical considerations, oral health content information, and evaluations of data quality in terms of examiner reliability statistics (percent agreements, kappa, and correlation coefficients) for the 1999-2002 NHANES Oral Health Component.

  6. Vegetation Health and Productivity Indicators for Sustained National Climate Assessments

    NASA Astrophysics Data System (ADS)

    Jones, M. O.; Running, S. W.

    2014-12-01

    The National Climate Assessment process is developing a system of physical, ecological, and societal indicators that communicate key aspects of the physical climate, climate impacts, vulnerabilities, and preparedness for the purpose of informing both decision makers and the public. Implementing a 14 year record of Gross and Net Primary Productivity (GPP/NPP) derived from the NASA EOS MODIS satellite sensor we demonstrate how these products can serve as Ecosystem Productivity and Vegetation Health National Climate Indicators for implementation in sustained National Climate Assessments. The NPP product combines MODIS vegetation data with daily global meteorology to calculate annual growth of all plant material at 1 sq. km resolution. NPP anomalies identify regions with above or below average plant growth that may result from climate fluctuations and can inform carbon source/sink dynamics, agricultural and forestry yield measures, and response to wildfire or drought conditions. The GPP product provides a high temporal resolution (8-day) metric of vegetation growth which can be used to monitor short-term vegetation response to extreme events and implemented to derive vegetation phenology metrics; growing season start, end, and length, which can elucidate land cover and regionally specific vegetation responses to a changing climate. The high spatial resolution GPP and NPP indicators can also inform and clarify responses seen from other proposed Pilot Indicators such as forest growth/productivity, land cover, crop production, and phenology. The GPP and NPP data are in continuous production and will be sustained into the future with the next generation satellite missions. The long-term Ecosystem Productivity and Vegetation Health Indicators are ideal for use in sustained National Climate Assessments, providing regionally specific responses to a changing climate and complete coverage at the national scale.

  7. 75 FR 54348 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

    ...: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive..., Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852. (Telephone Conference Call) Contact...

  8. 76 FR 67468 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... applications. Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center..., Neuroscience Center, 6001 Executive Blvd., Room 6142, MSC 9606, Bethesda, MD 20892-9606, (301)...

  9. 75 FR 22816 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    .... Place: National Institutes of Health, Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive Blvd..., Neuroscience Center, 6001 Executive Boulevard, Rockville, MD 20852 (Telephone Conference Call). Contact...

  10. 76 FR 9784 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy Committee Advisory Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for...

  11. 75 FR 6398 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-09

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy Committee's Adoption/Certification Workgroup Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces...

  12. 75 FR 32472 - Office of the National Coordinator for Health Information Technology; HIT Standards Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Standards... Information Technology AGENCY: Office of the National Coordinator for Health Information Technology, HHS... Information Technology (ONC). Name of Committee: HIT Standards Committee. General Function of the...

  13. 75 FR 369 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a federal advisory committee of the Office of the National Coordinator for Health...

  14. 75 FR 3906 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a federal advisory committee of the Office of the National Coordinator for Health...

  15. 75 FR 12752 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of Meetings. This notice announces forthcoming subcommittee meetings of a Federal advisory committee of the Office of the National Coordinator for Health...

  16. 75 FR 8078 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a Federal advisory committee of the Office of the National Coordinator for Health...

  17. 76 FR 1432 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a Federal advisory committee of the Office of the National Coordinator for Health...

  18. 75 FR 51819 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a Federal advisory committee of the Office of the National Coordinator for Health...

  19. 75 FR 21630 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy... Information Technology, HHS. ACTION: Notice of meetings. This notice announces forthcoming subcommittee meetings of a Federal advisory committee of the Office of the National Coordinator for Health...

  20. Objectives for the nation: occupational safety and health

    SciTech Connect

    Not Available

    1980-01-01

    Fifteen priority areas were identified in the 1979 Surgeon General's report pertaining to improving health in America, for which objectives were then established. Specific to the problem of occupational safety and health was modification of working conditions where individuals were exposed to toxic chemicals, harmful fibrous dusts, coal dust, cotton fiber, ionizing radiation, physical hazards, excessive noise and stress, and routinized trivial tasks. Various health problems associated with these tasks included lung cancer and other cancers, heart disease, birth defects, sensory deficits, injuries, and psychological problems. Prevention/promotion measures included potential measures aimed at worker education and development of occupational health and safety systems, service measures for preventive and treatment services, technological measures (engineering, control technology, and measurement methods), legislative and regulatory measures, and economic measures. Use of specific measures differed for different problems. Specific objectives for no later than 1990, including improving health status, reducing risk factors, improving public and professional awareness, improving services and protection, and improving surveillance and evaluation were described. Data sources at national and state or local levels were provided.