Science.gov

Sample records for air travel accessibility

  1. Air Travel Health Tips

    MedlinePlus

    MENU Return to Web version Air Travel Health Tips Air Travel Health Tips How can I improve plane travel? Most people don't have any problems when ... and dosages of all of your medicines. The air in airplanes is dry, so drink nonalcoholic, decaffeinated ...

  2. 78 FR 67918 - Nondiscrimination on the Basis of Disability in Air Travel; Accessibility of Aircraft and Stowage...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    .... carriers provide in-cabin space for a folding passenger wheelchair was originally adopted in 1990. (55 FR... foreign air carriers, among other things. (73 FR 27614.) The Department determined in the final rule... Travel; Accessibility of Aircraft and Stowage of Wheelchairs AGENCY: Office of the Secretary...

  3. Air travel and pneumothorax.

    PubMed

    Hu, Xiaowen; Cowl, Clayton T; Baqir, Misbah; Ryu, Jay H

    2014-04-01

    The number of medical emergencies onboard aircraft is increasing as commercial air traffic increases and the general population ages, becomes more mobile, and includes individuals with serious medical conditions. Travelers with respiratory diseases are at particular risk for in-flight events because exposure to lower atmospheric pressure in a pressurized cabin at cruising altitude may result in not only hypoxemia but also pneumothorax due to gas expansion within enclosed pulmonary parenchymal spaces based on Boyle's law. Risks of pneumothorax during air travel pertain particularly to those patients with cystic lung diseases, recent pneumothorax or thoracic surgery, and chronic pneumothorax. Currently available guidelines are admittedly based on sparse data and include recommendations to delay air travel for 1 to 3 weeks after thoracic surgery or resolution of the pneumothorax. One of these guidelines declares existing pneumothorax to be an absolute contraindication to air travel although there are reports of uneventful air travel for those with chronic stable pneumothorax. In this article, we review the available data regarding pneumothorax and air travel that consist mostly of case reports and retrospective surveys. There is clearly a need for additional data that will inform decisions regarding air travel for patients at risk for pneumothorax, including those with recent thoracic surgery and transthoracic needle biopsy. PMID:24687705

  4. Helping patients travel by air.

    PubMed Central

    Skjenna, O W; Evans, J F; Moore, M S; Thibeault, C; Tucker, A G

    1991-01-01

    Although safe and rapid, air travel may present problems for people with certain medical conditions. Most medical emergencies that occur during a flight are preventable by judicious screening and preparation. We provide guidelines for physicians who are consulted about the wisdom of undertaking a journey by air. Potential stresses before, during and after the flight are outlined, including decreased atmospheric pressure, low humidity, turbulence, inactivity and time changes. We recommend precautionary measures for passengers with certain medical conditions, such as recent myocardial infarction, pulmonary disorders, pneumothorax, cerebrovascular accidents and diabetes and for those who have recently had surgery. The policy regarding air travel for pregnant women varies with each airline, but for certain conditions associated with pregnancy supplemental oxygen should be ordered before the trip. The special equipment and care that most airlines offer to ill or disabled people are described. PMID:1989707

  5. Infectious Risks of Air Travel.

    PubMed

    Mangili, Alexandra; Vindenes, Tine; Gendreau, Mark

    2015-10-01

    Infectious diseases are still among the leading causes of death worldwide due to their persistence, emergence, and reemergence. As the recent Ebola virus disease and MERS-CoV outbreaks demonstrate, the modern epidemics and large-scale infectious outbreaks emerge and spread quickly. Air transportation is a major vehicle for the rapid spread and dissemination of communicable diseases, and there have been a number of reported outbreaks of serious airborne diseases aboard commercial flights including tuberculosis, severe acute respiratory syndrome, influenza, smallpox, and measles, to name a few. In 2014 alone, over 3.3 billion passengers (a number equivalent to 42% of the world population) and 50 million metric tons of cargo traveled by air from 41,000 airports and 50,000 routes worldwide, and significant growth is anticipated, with passenger numbers expected to reach 5.9 billion by 2030. Given the increasing numbers of travelers, the risk of infectious disease transmission during air travel is a significant concern, and this chapter focuses on the current knowledge about transmission of infectious diseases in the context of both transmissions within the aircraft passenger cabin and commercial aircraft serving as vehicles of worldwide infection spread. PMID:26542037

  6. 76 FR 71914 - Nondiscrimination on the Basis of Disability in Air Travel: Accessibility of Web Sites and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ... functionality as a directly accessible Web page under WCAG 2.0.'' See 76 FR 59307, 59313 (September 26, 2011... accessibility of ticket agents' Web sites would include Web sites operated by tour operators. See 76 FR 59307... accessibility standards. See 75 FR 43460 (July 26, 2010). Anticipating that ticket agent Web sites may also...

  7. Air travel and venous thromboembolism.

    PubMed Central

    Mendis, Shanthi; Yach, Derek; Alwan, Ala

    2002-01-01

    There has recently been increased publicity on the risk of venous thrombosis after long-haul flights. This paper reviews the evidence base related to the association between air travel and venous thromboembolism. The evidence consists only of case reports, clinical case-control studies and observational studies involving the use of intermediate end-points, or expert opinion. Some studies have suggested that there is no clear association, whereas others have indicated a strong relationship. On the whole it appears that there is probably a link between air travel and venous thrombosis. However, the link is likely to be weak, mainly affecting passengers with additional risk factors for venous thromboembolism. The available evidence is not adequate to allow quantification of the risk. There are insufficient scientific data on which to base specific recommendations for prevention, other than that leg exercise should be taken during travel. Further studies are urgently needed in order to identify prospectively the incidence of the condition and those at risk. PMID:12077617

  8. 78 FR 67881 - Nondiscrimination on the Basis of Disability in Air Travel: Accessibility of Web Sites and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... section 508 standards for Web content, forms and applications.\\12\\ \\10\\ See 75 FR 43460-43467 (July 26... the Web content accessibility standard.\\22\\ \\13\\ See 76 FR 76640, 76644, nt. 4 (December 8, 2011). \\14... people with vision impairments and other disabilities. See 69 FR 64364, 64382-83 (November 4,...

  9. 76 FR 32107 - Nondiscrimination on the Basis of Disability in Air Travel; Accessibility of Aircraft and Stowage...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-03

    ... Privacy Act statement in the Federal Register published on April 11, 2000 (65 FR 19477-78), or you may.... This rule was updated on May 13, 2008, to, among other things, cover foreign air carriers. (73 FR 27614.... (55 FR 8007) The practice of seat-strapping was not authorized, or even mentioned, in the...

  10. Health issues of air travel.

    PubMed

    DeHart, Roy L

    2003-01-01

    at least one physician on 85% of all its flights. Both passenger and cargo aircraft have proven to be vectors of disease in that they transport humans, mosquitoes, and other insects and animals who, in turn, transmit disease. Transmission to other passengers has occurred with tuberculosis and influenza. Vectors for yellow fever, malaria, and dengue have been identified on aircraft. Although there are numerous health issues associated with air travel they pale in comparison to the enormous benefits to the traveler, to commerce, to international affairs, and to the public's health. PMID:12428033

  11. Medical Problems Related to Air Travel

    PubMed Central

    Takahashi, George Y.

    1985-01-01

    Air travel has become the preferred method of transportation for many Canadians, some of whom would otherwise be unable to travel long distances. Airline medical departments will provide advice and assistance with prior notification. The pressurized cabin has a slightly hypoxic atmosphere, so cardiac and chronic pulmonary patients require individual evaluations before departure. Severely anemic patients and those with neurological disorders may need to take special precautions, as will those with conditions affected by pressure changes. Aside from a few contraindications, the majority of patients can enjoy the benefits of commercial air travel, with proper guidance from their family physician. PMID:21274124

  12. Development and Evaluation of the Air Travel Stress Scale

    ERIC Educational Resources Information Center

    Bricker, Jonathan B.

    2005-01-01

    Despite anecdotal evidence suggesting that air travel is personally demanding, little research has examined air travel stress. To address these issues, the author developed and evaluated the 1st known measure of air travel stress-the Air Travel Stress Scale-in 3 studies. Exploratory and confirmatory factor analysis indicated 3 components: (a)…

  13. Food-poisoning and commercial air travel.

    PubMed

    McMullan, R; Edwards, P J; Kelly, M J; Millar, B C; Rooney, P J; Moore, J E

    2007-09-01

    With the introduction of budget airlines and greater competitiveness amongst all airlines, air travel has now become an extremely popular form of travel, presenting its own unique set of risks from food poisoning. Foodborne illness associated with air travel is quite uncommon in the modern era. However, when it occurs, it may have serious implications for passengers and when crew are affected, has the potential to threaten safety. Quality, safe, in-flight catering relies on high standards of food preparation and storage; this applies at the airport kitchens (or at subcontractors' facilities), on the aircraft and in the transportation vehicles which carry the food from the ground source to the aircraft. This is especially challenging in certain countries. Several foodborne outbreaks have been recorded by the airline industry as a result of a number of different failures of these systems. These have provided an opportunity to learn from past mistakes and current practice has, therefore, reached such a standard so as to minimise risk of failures of this kind. This review examines: (i) the origin of food safety in modern commercial aviation; (ii) outbreaks which have occurred previously relating to aviation travel; (iii) the microbiological quality of food and water on board commercial aircraft; and (iv) how Hazard Analysis Critical Control Points may be employed to maintain food safety in aviation travel. PMID:17870632

  14. Rubella contact tracing associated with air travel.

    PubMed

    Kim, Curi; Chavez, Pollyanna; Pierce, Abbi; Murray, Andrew; Sander, Molly; Kenyon, Cynthia; Sharangpani, Ruta; Abernathy, Emily; Icenogle, Joseph; Kutty, Preeta K; Redd, Susan B; Gallagher, Kathleen; Neatherlin, John; Marienau, Karen

    2012-01-01

    This report reviews U.S. guidelines for the identification of persons exposed to rubella during air travel. In response to an individual with rubella who traveled on multiple flights, CDC conducted an airline contact investigation that was expanded beyond customary protocol to assess if current operating procedures are adequate. Of 250 potentially exposed airline passengers, 215 (86%) were contacted and none developed a rubella-like rash, arguing against the need to notify passengers beyond the standard protocol in most cases. PMID:22212199

  15. Global malaria connectivity through air travel

    PubMed Central

    2013-01-01

    Background Air travel has expanded at an unprecedented rate and continues to do so. Its effects have been seen on malaria in rates of imported cases, local outbreaks in non-endemic areas and the global spread of drug resistance. With elimination and global eradication back on the agenda, changing levels and compositions of imported malaria in malaria-free countries, and the threat of artemisinin resistance spreading from Southeast Asia, there is a need to better understand how the modern flow of air passengers connects each Plasmodium falciparum- and Plasmodium vivax-endemic region to the rest of the world. Methods Recently constructed global P. falciparum and P.vivax malaria risk maps, along with data on flight schedules and modelled passenger flows across the air network, were combined to describe and quantify global malaria connectivity through air travel. Network analysis approaches were then utilized to describe and quantify the patterns that exist in passenger flows weighted by malaria prevalence. Finally, the connectivity within and to the Southeast Asia region where the threat of imported artemisinin resistance arising is highest, was examined to highlight risk routes for its spread. Results The analyses demonstrate the substantial connectivity that now exists between and from malaria-endemic regions through air travel. While the air network provides connections to previously isolated malarious regions, it is clear that great variations exist, with significant regional communities of airports connected by higher rates of flow standing out. The structures of these communities are often not geographically coherent, with historical, economic and cultural ties evident, and variations between P. falciparum and P. vivax clear. Moreover, results highlight how well connected the malaria-endemic areas of Africa are now to Southeast Asia, illustrating the many possible routes that artemisinin-resistant strains could take. Discussion The continuing growth in air

  16. International spread of disease by air travel.

    PubMed

    Royal, L; McCoubrey, I

    1989-11-01

    Rapid air travel has increased the potential for international transmission of infectious diseases. Important aspects of this problem include the transmission of foodborne and waterborne illnesses, the translocation of insect vectors, the rapid transport of individuals with incubating illnesses, the direct transmission of diseases inside aircraft and the transmission of zoonoses through animal transport. Infectious outbreaks on aircraft and in the vicinity of airports have included influenza, staphylococcal gastroenteritis, salmonellosis, cholera and malaria. PMID:2683687

  17. Intracerebral pneumatocele presenting after air travel.

    PubMed

    Mahabir, Raman C; Szymczak, Artur; Sutherland, Garnette R

    2004-08-01

    In this report the authors discuss a patient who experienced symptoms of an acute right frontal, intraparenchymal pneumatocele while on an airplane descending to an international airport. This rare complication of an ethmoid sinus osteoma that eroded upward through the dura mater is described along with a literature review. A persistent headache and inappropriate behavior consistent with a frontal lobe syndrome brought the patient to clinical and imaging evaluation, which revealed a large right frontal lobe pneumatocele and an associated ethmoid sinus osteoma extending upward into the frontal lobe. Through a right frontal craniotomy, the air cavity was evacuated, the osteoma partially excised, and the dural defect closed using a vascularized pericranial flap. Postoperatively, the patient made an unremarkable recovery. For patients with air sinus osteomas extending into the cranial cavity, air travel or other barotrauma may result in a life-threatening tension pneumatocele. PMID:15309929

  18. Infectious diseases in air travellers arriving in the UK.

    PubMed

    Gerard, E

    2002-06-01

    The ease of access to air travel and its increased popularity over the last 30 years have led to a significant incidence of imported infectious diseases and potential infectious hazards. The commonest type of illness found is acute gastroenteritis. Tuberculosis and malaria are not currently common conditions encountered in the UK, but medical vigilance is increasingly necessary as a result of these and other infectious diseases being carried by arriving air travellers. Risks of transmission to other passengers have been considered, and tuberculosis has been shown to have relatively low infectivity on commercial flights. Incidence of serious communicable disease occurring in arriving passengers is low, and should be referred to communicable disease specialists for advice on management. High standards of precautionary hygiene measures are mandatory to commercial aircraft to prevent spread of infectious agents. Disease vectors and products of animal origin pose additional potential threats to public health. Vigilance by environmental health specialists helps maintain national defences against this group of threats. Alertness to recent travel history and awareness of international public health concerns is essential for clinicians likely to encounter sick members of the travelling public. The largest commercial airports have health surveillance units, tasked with acting as a first line of defence against infectious disease. The majority of cases do not present in flight or at the airport, so they can present to any primary care clinician or emergency department. An integrated strategy for health protection will be developed in the UK with the setting up of a Health Protection Agency. PMID:12134773

  19. World Air Travel Demand, 1950-1980

    NASA Technical Reports Server (NTRS)

    Sarames, G. N.

    1972-01-01

    Total world scheduled air passenger traffic carried by the airlines of the International Civil Aviation Organization (ICAO), excluding the U.S.S.R., increased from 17.4 billion passenger miles in 1950 to 237.4 billion in 1970. This represents an average annual growth rate of 14% during the past two decades. The U.S.S.R. became a member of ICAO in 1970, and Aeroflot - the only Russian airline - reported 49 billion passenger miles for 1970. This traffic, which encompasses both domestic and international travel as well as some nonscheduled flights, is not included in the ICAO world totals shown in this report.

  20. Coupling between air travel and climate

    NASA Astrophysics Data System (ADS)

    Karnauskas, Kristopher B.; Donnelly, Jeffrey P.; Barkley, Hannah C.; Martin, Jonathan E.

    2015-12-01

    The airline industry closely monitors the midlatitude jet stream for short-term planning of flight paths and arrival times. In addition to passenger safety and on-time metrics, this is due to the acute sensitivity of airline profits to fuel cost. US carriers spent US$47 billion on jet fuel in 2011, compared with a total industry operating revenue of US$192 billion. Beyond the timescale of synoptic weather, the El Niño/Southern Oscillation (ENSO), Arctic Oscillation (AO) and other modes of variability modulate the strength and position of the Aleutian low and Pacific high on interannual timescales, which influence the tendency of the exit region of the midlatitude Pacific jet stream to extend, retract and meander poleward and equatorward. The impact of global aviation on climate change has been studied for decades owing to the radiative forcing of emitted greenhouse gases, contrails and other effects. The impact of climate variability on air travel, however, has only recently come into focus, primarily in terms of turbulence. Shifting attention to flight durations, here we show that 88% of the interannual variance in domestic flight times between Hawaii and the continental US is explained by a linear combination of ENSO and the AO. Further, we extend our analysis to CMIP5 model projections to explore potential feedbacks between anthropogenic climate change and air travel.

  1. Advanced Crew Interface Designs for Safer Air Travel

    NASA Technical Reports Server (NTRS)

    1998-01-01

    NASA is developing advanced crew interface designs to improve performance for safe air travel. NASA's goal is to provide enabling technologies that will increase aviation safety by a factor of five within 10 years, and by a factor of ten within 25 years. This research is part of NASA's Aeronautics and Space Transportation Technology (ASTT) Enterprise's strategy to sustain U.S. leadership in aeronautics and space. The Enterprise has set bold goals that are grouped into Three Pillars: Global Civil Aviation, Revolutionary Technology Leaps and Access to Space.

  2. High-Speed Civil Transport Will Revolutionize Air Travel

    NASA Technical Reports Server (NTRS)

    1998-01-01

    NASA is developing advanced technologies that will allow industry to build a high-speed civil transport that will revolutionize overseas air travel. The technology challenges include developing low-cost materials and structural concepts as well as supersonic engines that can meet stringent noise and emissions standards. NASA's goal is to provide enabling technologies that will reduce the travel time to the Far East by 50 percent within 25 years, and do so at today's subsonic ticket prices. This research is part of NASA's Aeronautics and Space Transportation Technology (ASTT) Enterprise's strategy to sustain U.S. leadership in aeronautics and space. The Enterprise has set bold goals that are grouped into Three Pillars: Global Civil Aviation, Revolutionary Technology Leaps and Access to Space.

  3. Air travel in pregnancy: the 'air-born' study.

    PubMed

    Breathnach, F; Geoghegan, T; Daly, S; Turner, M J

    2004-06-01

    An increasingly common question posed by patients antenatally is whether air travel can be considered safe in pregnancy. The aim of this study was to assess whether any agreed standards or policies exist between airlines with respect to flying in pregnancy. Sixty-eight international airlines were surveyed, of whom seventeen (25%) replied. Three of seventeen (17.5%) airlines applied no restrictions at all to pregnant passengers; the remainder applied restrictions to air travel with varying gestations (28 to 36 weeks). A full delivery kit was carried by 5/17 airlines (29%), and some form of training in the management of a delivery was provided to the cabin crew in 12/17 airlines (70%). Experience of in-flight obstetric emergencies was reported by 11/17 airlines (65%). This study highlights a lack of consensus regarding restrictions on air travel in pregnancy. The low response rate also suggests an unwillingness on the part of the airline industry to openly declare their policy on this issue. PMID:15305617

  4. Air travel and the risk of thromboembolism.

    PubMed

    Gavish, Israel; Brenner, Benjamin

    2011-04-01

    Almost two billion people use commercial aircraft annually. Long-haul flights are taken by over 300 million people. A serious complication of long-distance travel (or prolonged time of flight) is thromboembolism. The real incidence of the problem is difficult to evaluate since there is no consensus about the diagnostic tests or limitation of time after landing connected to the VTE complication. A direct relation between VTE incidence and long-distance flights has been documented. The risk for DVT is 3-12% in a long-haul flight. The pathophysiologic changes that increase VTE risk at flight are stasis (sitting in crowded condition), hypoxia in the airplane cabin, and dehydration. Individual risk factors for air travel-related VTE include age over 40 years, gender (female), women who use oral contraceptives, varicose veins in lower limbs, obesity and genetic thrombophilia. Prevention measures include environmental protection such as keeping the pressure inside the airplane cabinet in hypobaric condition, avoiding dehydration and prolonged sitting. For individuals at increased risk, venous blood stasis can be reduced by wearing elastic stockings and prophylactic use of low-molecular-weight heparin. PMID:21057984

  5. Air Travel and TB: an airline perspective.

    PubMed

    Dowdall, Nigel P; Evans, Anthony D; Thibeault, Claude

    2010-03-01

    The commercial airline industry in the 21st century is a global business, able to transport large numbers of people to almost any part of the world within a few hours. There has long been concern in public health circles about the potential for transmission of communicable diseases, such as TB, on board aircraft. The recent threats from novel and emerging infectious diseases including SARS and pandemic flu has facilitated unprecedented levels of cooperation between international industry representatives, regulators and public health authorities in addressing the issues of air travel and communicable disease. This paper reviews the regulatory environment, ways in which the risks are mitigated through aspects of aircraft design, opportunities for prevention by identifying individuals who may be suffering from a communicable disease prior to flight and the approach used in managing suspected cases of communicable disease on board aircraft. PMID:20478517

  6. Nonurgent commercial air travel after nonhemorrhagic cerebrovascular accident.

    PubMed

    Barros, Andrew; Duchateau, François-Xavier; Huff, J Stephen; Verner, Laurent; O'Connor, Robert E; Brady, William J

    2014-01-01

    Nonurgent commercial air travel in patients who have experienced a nonhemorrhagic cerebrovascular accident (CVA) may occur, particularly in the elderly traveling population. A recent CVA, particularly occurring during a person's travel, presents a significant challenge to the patient, companions, family, and health care team. Specific medical recommendation, based on accumulated scientific data and interpreted by medical experts, is needed so that travel health care professionals can appropriately guide the patient. Unfortunately, such recommendations are almost entirely lacking despite the relative frequency of CVA and air travel. This article reviews the existing recommendations with conclusions based on both these limited data and rationale conjecture. PMID:24787513

  7. Experiences of air travel in patients with chronic heart failure

    PubMed Central

    Ingle, Lee; Hobkirk, James; Damy, Thibaud; Nabb, Samantha; Clark, Andrew L.; Cleland, John G.F.

    2012-01-01

    Aim To conduct a survey in a representative cohort of ambulatory patients with stable, well managed chronic heart failure (CHF) to discover their experiences of air travel. Methods An expert panel including a cardiologist, an exercise scientist, and a psychologist developed a series of survey questions designed to elicit CHF patients' experiences of air travel (Appendix 1). The survey questions, information sheets and consent forms were posted out in a self-addressed envelope to 1293 CHF patients. Results 464 patients (response rate 39%) completed the survey questionnaires. 54% of patients had travelled by air since their heart failure diagnosis. 20% of all patients reported difficulties acquiring travel insurance. 65% of patients who travelled by air experienced no health-related problems. 35% of patients who travelled by air experienced health problems, mainly at the final destination, going through security and on the aircraft. 27% of all patients would not travel by air in the future. 38% of patients would consider flying again if there were more leg room on the aeroplane, if their personal health improved (18%), if they could find cheaper travel insurance (19%), if there were less waiting at the airport (11%), or if there were less walking/fewer stairs to negotiate at the airport (7%). Conclusion For most patients in this sample of stable, well managed CHF, air travel was safe. PMID:21256607

  8. Forecasting the geographical spread of smallpox cases by air travel.

    PubMed

    Grais, R F; Ellis, J H; Glass, G E

    2003-10-01

    Instituting air travel restrictions to slow the geographical spread of smallpox cases would have significant consequences and present serious logistical concerns. Public health decision makers must weigh the potential benefits of such restrictions against their negative impact. The goal of this research is to provide a basic analytical framework to explore some of the issues surrounding the use of air travel restrictions as a part of an overall containment strategy. We report preliminary results of a compartmental model for the inter-city spread of smallpox cases resulting from US domestic air travel. Although air traffic can be halted within hours as was shown following the terrorist attacks of 11 September 2001, these results suggest that the consequences of halting domestic air travel may not be outweighed by public health benefits. PMID:14596525

  9. ACOG Committee Opinion No. 443: Air travel during pregnancy.

    PubMed

    2009-10-01

    In the absence of obstetric or medical complications, pregnant women can observe the same precautions for air travel as the general population and can fly safely. Pregnant women should be instructed to continuously use their seat belts while seated, as should all air travelers. Pregnant air travelers may take precautions to ease in-flight discomfort and, although no hard evidence exists, preventive measures can be used to minimize risks of venous thrombosis. For most air travelers, the risks to the fetus from exposure to cosmic radiation are negligible. For pregnant aircrew members and other frequent flyers, this exposure may be higher. Information is available from the FAA to estimate this exposure. PMID:19888065

  10. The Economic Importance of Air Travel in High-Amenity Rural Areas

    ERIC Educational Resources Information Center

    Rasker, Ray; Gude, Patricia H.; Gude, Justin A.; van den Noort, Jeff

    2009-01-01

    The western United States offers a case study on the importance of access to large population centers and their markets, via road and air travel, for economic development. The vast distances between towns and cities in the American West can be a detriment to business, yet they also serve to attract technology and knowledge-based workers seeking to…

  11. Commercial air travel after intraocular gas injection.

    PubMed

    Houston, Stephen; Graf, Jürgen; Sharkey, James

    2012-08-01

    Passengers with intraocular gas are at risk of profound visual loss when exposed to reduced absolute pressure within the cabin of a typical commercial airliner. Information provided on the websites of the world's 10 largest airlines offer a considerable range of opinion as to when it might be safe to fly after gas injection. Physicians responsible for clearing pseassengers as 'fit to fly' should be aware modern retinal surgical techniques increasingly employ long-acting gases as vitreous substitutes. The kinetics of long-acting intraocular gases must be considered when deciding how long after surgery it is safe to travel. It is standard practice to advise passengers not to fly in aircraft until the gas is fully resorbed. To achieve this, it may be necessary to delay travel for approximately 2 wk after intraocular injection of sulfur hexafluoride (SF6) and for 6 wk after injection of perfluoropropane (C3F8). PMID:22872998

  12. Air Travel Considerations for the Patients With Heart Failure

    PubMed Central

    Izadi, Morteza; Alemzadeh-Ansari, Mohammad Javad; Kazemisaleh, Davood; Moshkani-Farahani, Maryam

    2014-01-01

    Context: Prevalence of patients with heart failure (HF) is increasing in worldwide, and also the number of people with HF traveling long distances is increasing. These patients are more prone to experience problems contributed air travel and needs more attention during flight. However, observational studies about problems of HF patients during flight and appropriated considerations for them are limited. Evidence Acquisition: We evaluated the conditions that may be encountered in a HF patient and provide the recommendations to prevent the exacerbation of cardiac failure during air travel. For this review article, a comprehensive search was undertaken for the studies that evaluated the complications and considerations of HF patients during flight. Data bases searched were: MEDLINE, EMBASE, Science Direct, and Google Scholar. Results: HF patients are more prone to experience respiratory distress, anxiety, stress, cardiac decompensation, and venous thromboembolism (VTE) during air travel. Although stable HF patients can tolerate air travel, but those with acute heart failure syndrome should not fly until complete improvement is achieved. Conclusions: Thus, identifying the HF patients before the flight and providing them proper education about the events that may occur during flight is necessary. PMID:25068047

  13. Air travel and vector-borne disease movement.

    PubMed

    Tatem, A J; Huang, Z; Das, A; Qi, Q; Roth, J; Qiu, Y

    2012-12-01

    Recent decades have seen substantial expansions in the global air travel network and rapid increases in traffic volumes. The effects of this are well studied in terms of the spread of directly transmitted infections, but the role of air travel in the movement of vector-borne diseases is less well understood. Increasingly however, wider reaching surveillance for vector-borne diseases and our improving abilities to map the distributions of vectors and the diseases they carry, are providing opportunities to better our understanding of the impact of increasing air travel. Here we examine global trends in the continued expansion of air transport and its impact upon epidemiology. Novel malaria and chikungunya examples are presented, detailing how geospatial data in combination with information on air traffic can be used to predict the risks of vector-borne disease importation and establishment. Finally, we describe the development of an online tool, the Vector-Borne Disease Airline Importation Risk (VBD-Air) tool, which brings together spatial data on air traffic and vector-borne disease distributions to quantify the seasonally changing risks for importation to non-endemic regions. Such a framework provides the first steps towards an ultimate goal of adaptive management based on near real time flight data and vector-borne disease surveillance. PMID:22444826

  14. Access: On and Off the Air.

    ERIC Educational Resources Information Center

    Sherman, Barry L.

    This paper reviews the technological and social changes that have effected a new conception of feedback in mass communication called "access." Access to broadcast systems and programming has two components: "off-the-air," where groups representing public interests have developed mechanisms for influencing programming changes; and "on-the-air,"…

  15. 19 CFR 122.163 - Transit air cargo traveling to U.S. ports.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Transit air cargo traveling to U.S. ports. 122.163...; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Penalties § 122.163 Transit air cargo traveling to U.S. ports. (a) Application. If transit air cargo is traveling from the port of arrival to another U.S....

  16. 19 CFR 122.163 - Transit air cargo traveling to U.S. ports.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Transit air cargo traveling to U.S. ports. 122.163...; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Penalties § 122.163 Transit air cargo traveling to U.S. ports. (a) Application. If transit air cargo is traveling from the port of arrival to another U.S....

  17. [Preparing patients with chronic pulmonary disease for air travel].

    PubMed

    Felkai, Péter; Böszörményi Nagy, György; Gyarmati, Ildikó

    2013-03-01

    Flying is the most important way of travelling in the continually growing international tourism. Number of passengers and those with preexisting diseases, mainly with cardiopulmonary problems, is increasing over years. One of the main tasks of the pre-travel advice is to assess tolerance to hypoxia of the traveler, and specify the necessity, as well as the type and volume of supplementary oxygen therapy. It is indispensable to know the cabin-environment and impact of that on the travelers' health. Travel medicine specialist has to be aware of the examinations which provide information for the appropriate decision on the fit-to-fly condition of the patient. The physician who prepares the patient with chronic obstructive pulmonary disease for repatriation by regular flight and the escorting doctor have to be fully aware of the possibilities, modalities, advantages and contraindications of the on-board oxygen supply and therapy. In this review, the authors give a summary of literature data, outline the tools of in-flight oxygen therapy as well as discuss possibilities for the preflight assessment of patients' condition including blood gas parameters required for safe air travel, as recommended in international medical literature. The preparation process for repatriation of patients with chronic obstructive pulmonary disease is also discussed. PMID:23434882

  18. Prevention of Medical Events During Air Travel: A Narrative Review.

    PubMed

    Naouri, Diane; Lapostolle, Frederic; Rondet, Claire; Ganansia, Olivier; Pateron, Dominique; Yordanov, Youri

    2016-09-01

    Prior to traveling, and when seeking medical pretravel advice, patients consult their personal physicians. Inflight medical issues are estimated to occur up to 350 times per day worldwide (1/14,000-40,000 passengers). Specific characteristics of the air cabin environment are associated with hypoxia and the expansion of trapped gases into body cavities, which can lead to harm. The most frequent medical events during air travel include abdominal pain; ear, nose, and throat pathologies; psychiatric disorders; and life-threatening events such as acute respiratory failure or cardiac arrest. Physicians need to be aware of the management of these conditions in this unusual setting. Chronic respiratory and cardiovascular diseases are common and are at increased risk of acute exacerbation. Physicians must be trained in these conditions and inform their patients about their prevention. PMID:27267286

  19. 19 CFR 24.18 - Preclearance of air travelers in a foreign country; reimbursable cost.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Preclearance of air travelers in a foreign country... Preclearance of air travelers in a foreign country; reimbursable cost. (a) Preclearance is the tentative examination and inspection of air travelers and their baggage at foreign places where U.S. Customs...

  20. 19 CFR 24.18 - Preclearance of air travelers in a foreign country; reimbursable cost.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Preclearance of air travelers in a foreign country... Preclearance of air travelers in a foreign country; reimbursable cost. (a) Preclearance is the tentative examination and inspection of air travelers and their baggage at foreign places where U.S. Customs...

  1. Effects of Commercial Air Travel on Patients With Pulmonary Hypertension

    PubMed Central

    Elliott, C. Gregory; Barnett, Christopher F.; Blanc, Paul D.; Chen, Joan; De Marco, Teresa; Chen, Hubert

    2012-01-01

    Background: Limited data are available on the effects of air travel in patients with pulmonary hypertension (PH), despite their risk of physiologic compromise. We sought to quantify the incidence and severity of hypoxemia experienced by people with PH during commercial air travel. Methods: We recruited 34 participants for a prospective observational study during which cabin pressure, oxygen saturation (Spo2), heart rate, and symptoms were documented serially at multiple predefined time points throughout commercial flights. Oxygen desaturation was defined as Spo2 < 85%. Results: Median flight duration was 3.6 h (range, 1.0-7.3 h). Mean ± SD cabin pressure at cruising altitude was equivalent to the pressure 1,968 ± 371 m (6,456 ± 1,218 ft) above sea level (ASL) (maximum altitude = 2,621 m [8,600 ft] ASL). Median change in Spo2 from sea level to cruising altitude was −4.9% (range, 2.0% to −15.8%). Nine subjects (26% [95% CI, 12%-38%]) experienced oxygen desaturation during flight (minimum Spo2 = 74%). Thirteen subjects (38%) reported symptoms during flight, of whom five also experienced desaturations. Oxygen desaturation was associated with cabin pressures equivalent to > 1,829 m (6,000 ft) ASL, ambulation, and flight duration (all P values < .05). Conclusions: Hypoxemia is common among people with PH traveling by air, occurring in one in four people studied. Hypoxemia was associated with lower cabin pressures, ambulation during flight, and longer flight duration. Patients with PH who will be traveling on flights of longer duration or who have a history of oxygen use, including nocturnal use only, should be evaluated for supplemental in-flight oxygen. PMID:22490871

  2. Effects of travel mode on exposures to particulate air pollution.

    PubMed

    Briggs, David J; de Hoogh, Kees; Morris, Chloe; Gulliver, John

    2008-01-01

    Monitoring was carried out of particulate concentrations whilst simultaneously walking and driving 48 routes in London, UK. Monitoring was undertaken during May and June 2005. Route lengths ranged from 601 to 1351 m, and most routes were travelled in both directions. Individual journey times ranged from 1.5 to 15 min by car (average 3.7 min) and 7.3 to 30 min (average 12.8 min) whilst walking; car trips were therefore repeated up to 5 times for each single walking trip and the results averaged for the route. Car trips were made with windows closed and the ventilation system on a moderate setting. Results show that mean exposures while walking are greatly in excess of those while driving, by a factor 4.7 for the coarse particle mass (PM10-PM2.5), 2.2 for the fine particle mass (PM2.5-PM1), 1.9 for the very fine particle mass (air pollution present in the street. When account is also taken of the additional travel time involved in walking, these excesses are further increased: to factors of 15.6, 7.4, 6.5 and 4.4, respectively. Individuals who change their travel mode from car to walking in response to policies aimed at encouraging a modal shift in travel behavior are thus likely to experience considerably increased journey-time personal exposures to traffic-related air pollution. More effort is consequently needed to increase separation between road vehicles and pedestrians if negative effects of these policies are to be avoided. PMID:17688949

  3. New perspective on the accessibility of railway transport for the vulnerable traveller

    NASA Astrophysics Data System (ADS)

    Sundling, C.; Berglund, B.; Nilsson, M. E.; Emardson, R.; Pendrill, L.

    2013-09-01

    Vulnerable travellers experience various problems in the transport environment. These may reduce public travel confidence and consequently lead to decreased mobility. A goal of our research is to find out how to improve the accessibility to railway travelling, especially, for persons with functional limitations. By reducing barriers, the ability of travelling would be improved, and consequently allow for more flexible travel behaviors. In order to develop a model and a method of measurement for accessibility, we (a) constructed a reference group of representative 'typical older persons' (65-85 years) from questionnaire data, and (b) developed an accessibility measure for persons with functional limitations. In this measure barriers have different weights for the different persons depending on their functional ability and travel behavior. This gives the probability of facing a certain barrier when travelling to a certain destination; that is, a measure of accessibility for the individual. The more weight placed on a certain barrier, the less probable it is that the particular journey will take place. These weights will be obtained in forthcoming research on the perception of a set of various travel scenarios representing barriers.

  4. Radiation Physics for Space and High Altitude Air Travel

    NASA Technical Reports Server (NTRS)

    Cucinotta, F. A.; Wilson, J. W.; Goldhagen, P.; Saganti, P.; Shavers, M. R.; McKay, Gordon A. (Technical Monitor)

    2000-01-01

    Galactic cosmic rays (GCR) are of extra-solar origin consisting of high-energy hydrogen, helium, and heavy ions. The GCR are modified by physical processes as they traverse through the solar system, spacecraft shielding, atmospheres, and tissues producing copious amounts of secondary radiation including fragmentation products, neutrons, mesons, and muons. We discuss physical models and measurements relevant for estimating biological risks in space and high-altitude air travel. Ambient and internal spacecraft computational models for the International Space Station and a Mars mission are discussed. Risk assessment is traditionally based on linear addition of components. We discuss alternative models that include stochastic treatments of columnar damage by heavy ion tracks and multi-cellular damage following nuclear fragmentation in tissue.

  5. 19 CFR 148.22 - Examination of air travelers' baggage in foreign territory.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Examination of air travelers' baggage in foreign territory. 148.22 Section 148.22 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND... Baggage and Collection of Duties and Taxes § 148.22 Examination of air travelers' baggage in...

  6. Traveling Towards Disease: Transportation Barriers to Health Care Access

    PubMed Central

    Gerber, Ben S.; Sharp, Lisa K.

    2014-01-01

    Transportation barriers are often cited as barriers to healthcare access. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. These consequences may lead to poorer management of chronic illness and thus poorer health outcomes. However, the significance of these barriers is uncertain based on existing literature due to wide variability in both study populations and transportation barrier measures. The authors sought to synthesize the literature on the prevalence of transportation barriers to health care access. A systematic literature search of peer-reviewed studies on transportation barriers to healthcare access was performed. Inclusion criteria were as follows: (1) study addressed access barriers for ongoing primary care or chronic disease care; (2) study included assessment of transportation barriers; and (3) study was completed in the United States. In total, 61 studies were reviewed. Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured. Additional research needs to (1) clarify which aspects of transportation limit health care access (2) measure the impact of transportation barriers on clinically meaningful outcomes and (3) measure the impact of transportation barrier interventions and transportation policy changes. PMID:23543372

  7. 41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... use of the U.S. flag air carrier would at least double your en route travel time; or (g) When the... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false When must I travel using... Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ALLOWABLE TRAVEL...

  8. 41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... use of the U.S. flag air carrier would at least double your en route travel time; or (g) When the... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false When must I travel using... Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ALLOWABLE TRAVEL...

  9. 41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... use of the U.S. flag air carrier would at least double your en route travel time; or (g) When the... 41 Public Contracts and Property Management 4 2012-07-01 2012-07-01 false When must I travel using... Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ALLOWABLE TRAVEL...

  10. 41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... use of the U.S. flag air carrier would at least double your en route travel time; or (g) When the... 41 Public Contracts and Property Management 4 2014-07-01 2014-07-01 false When must I travel using... Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ALLOWABLE TRAVEL...

  11. Novel shielding materials for space and air travel.

    PubMed

    Vana, N; Hajek, M; Berger, T; Fugger, M; Hofmann, P

    2006-01-01

    The reduction of dose onboard spacecraft and aircraft by appropriate shielding measures plays an essential role in the future development of space exploration and air travel. The design of novel shielding strategies and materials may involve hydrogenous composites, as it is well known that liquid hydrogen is most effective in attenuating charged particle radiation. As precursor for a later flight experiment, the shielding properties of newly developed hydrogen-rich polymers and rare earth-doped high-density rubber were tested in various ground-based neutron and heavy ion fields and compared with aluminium and polyethylene as reference materials. Absorbed dose, average linear energy transfer and gamma-equivalent neutron absorbed dose were determined by means of LiF:Mg,Ti thermoluminescence dosemeters and CR-39 plastic nuclear track detectors. First results for samples of equal aerial density indicate that selected hydrogen-rich plastics and rare-earth-doped rubber may be more effective in attenuating cosmic rays by up to 10% compared with conventional aluminium shielding. The appropriate adaptation of shielding thicknesses may thus allow reducing the biologically relevant dose. Owing to the lower density of the plastic composites, mass savings shall result in a significant reduction of launch costs. The experiment was flown as part of the European Space Agency's Biopan-5 mission in May 2005. PMID:16717109

  12. Designing a Methodology for Future Air Travel Scenarios

    NASA Technical Reports Server (NTRS)

    Wuebbles, Donald J.; Baughcum, Steven L.; Gerstle, John H.; Edmonds, Jae; Kinnison, Douglas E.; Krull, Nick; Metwally, Munir; Mortlock, Alan; Prather, Michael J.

    1992-01-01

    The growing demand on air travel throughout the world has prompted several proposals for the development of commercial aircraft capable of transporting a large number of passengers at supersonic speeds. Emissions from a projected fleet of such aircraft, referred to as high-speed civil transports (HSCT's), are being studied because of their possible effects on the chemistry and physics of the global atmosphere, in particular, on stratospheric ozone. At the same time, there is growing concern about the effects on ozone from the emissions of current (primarily subsonic) aircraft emissions. Evaluating the potential atmospheric impact of aircraft emissions from HSCT's requires a scientifically sound understanding of where the aircraft fly and under what conditions the aircraft effluents are injected into the atmosphere. A preliminary set of emissions scenarios are presented. These scenarios will be used to understand the sensitivity of environment effects to a range of fleet operations, flight conditions, and aircraft specifications. The baseline specifications for the scenarios are provided: the criteria to be used for developing the scenarios are defined, the required data base for initiating the development of the scenarios is established, and the state of the art for those scenarios that have already been developed is discussed. An important aspect of the assessment will be the evaluation of realistic projections of emissions as a function of both geographical distribution and altitude from an economically viable commercial HSCT fleet. With an assumed introduction date of around the year 2005, it is anticipated that there will be no HSCT aircraft in the global fleet at that time. However, projections show that, by 2015, the HSCT fleet could reach significant size. We assume these projections of HSCT and subsonic fleets for about 2015 can the be used as input to global atmospheric chemistry models to evaluate the impact of the HSCT fleets, relative to an all

  13. Air travel of patients with abdominal aortic aneurysm: urgent air medical evacuation and nonurgent commercial air repatriation.

    PubMed

    Barros, Andrew; Haffner, Faith; Duchateau, François-Xavier; Huff, J Stephen; Verner, Laurent; O'Connor, Robert E; Brady, William J

    2014-01-01

    Abdominal aortic aneurysm (AAA) presents across a spectrum of severity. Although some resources suggest a theoretic risk for rupture related to air travel, this claim remains unproven. In fact, there are little data from which to make evidence-based recommendations. Air medical evacuation of a patient with either an AAA at risk of imminent rupture or status post recent rupture can be performed, assuming that local surgical care is not available and that transfer is taking the patient to a higher level of medical intervention. Furthermore, medical opinion suggests that patients with asymptomatic and/or surgically corrected AAA can safely travel by commercial aircraft for nonurgent reasons, assuming that other issues including postoperative needs are appropriately addressed. In this discussion, answers to the following issues are sought: flight safety for urgent evacuation and nonurgent repatriation scenarios, waiting time to fly nonurgently after AAA diagnosis, and the need for medical accompaniment. PMID:24787514

  14. 78 FR 10608 - David Grant United States Air Force Medical Center Specialty Care Travel Reimbursement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... appropriately trained provider within 4 weeks or sooner, if required, and within 1-hour travel time from the beneficiary's residence. The geographic area that represents 1-hour travel time surrounding an MTF is referred... of the Secretary David Grant United States Air Force Medical Center Specialty Care...

  15. Air Charter - The Business Airline of the Future...But, Does the Business Traveler Know?

    NASA Technical Reports Server (NTRS)

    Kaps, Robert W.; Gardner, Robin C.; Hartung, Jeffrey W.

    2001-01-01

    Historically, FAR Part 121 commercial carriers have provided efficient, economical and safe air transportation for corporate and business users. Recently, however, corporate and business travelers find their travel plans disrupted by delays, bankruptcies, poor service, lost baggage, fare increases, labor strikes and other systemic difficulties that degrade their travel experience to unsatisfactory levels. This article examines these Part 121 service delivery problems and, utilizing a tripartite investigative methodology, examines an alternative air transport mode: FAR Part 135 on-demand charter travel products. This long extant segment of our national air transportation system is set prime to support increased demand for charter services. Corporate and business travelers are set prime to utilize viable, cost effective alternatives to commercial travel products. Two research questions emerge. First is whether corporate and business travelers are aware of Part 135 travel alternatives. Second is whether Part 135 charter service providers are aware of this latent demand and are effectively targeting this demand segment in their marketing efforts. The three-part surveys employed to investigate these questions examined demand side

  16. 41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true When must I travel using U.S. flag air carrier service? 301-10.135 Section 301-10.135 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Common...

  17. [Medical Problems in Air Travel from a General Practitioner’s Perspective].

    PubMed

    Stutz, Andreas; Ensslin, Angela

    2016-07-01

    As travel by air increases, so does the number of passengers with chronic or acute medical issues. To evaluate fitness for air travel, it is necessary to consider the impact of the altered atmospheric surroundings in an airplane on the current illness to avoid a worsening of health conditions or even an emergency. As first medical contact person, the general practitioner will define supportive measures together with the patient and discuss these with the Medical Service of the airline for implementation. After a thorough evaluation, most patients will be classified fit to fly. Furthermore, a pre-travel consultation should address necessary vaccinations and information on infectious diseases. PMID:27381306

  18. Guidance from WHO on the prevention and control of TB during air travel.

    PubMed

    Martinez, Lindsay; Thomas, Kathrin; Figueroa, José

    2010-03-01

    Although tuberculosis (TB) is not highly transmissible, there is a risk of transmission of infection when close contact occurs between a person with active pulmonary TB and other passengers for prolonged periods during air travel. The World Health Organization first published Tuberculosis and air travel: guidelines for prevention and control in 1998, in response to several incidents involving TB in air travellers, with a second edition in 2006. A further revision was undertaken to address issues arising from the emergence of extensively resistant TB (XDR-TB), the occurrence of several international incidents involving TB and air travel, and the entry into force of the revised International Health Regulations (IHR) in 2007. This article describes the process followed in preparing the third edition, the special issues considered and the conclusions reached, with recommendations for travellers, physicians, public health authorities, and airline companies. New material includes: (i) additional guidance on the assessment of infectiousness, and on procedures, roles and responsibilities involved in the prevention of transmission of infection on board and for dealing with incidents; (ii) information on basic provisions of the IHR and measures relevant to incidents involving TB among air travellers; and (iii) a proposed procedure for carrying out contact investigations. PMID:20478515

  19. Overall accessibility to traveling by rail for the elderly with and without functional limitations: the whole-trip perspective.

    PubMed

    Sundling, Catherine; Berglund, Birgitta; Nilsson, Mats E; Emardson, Ragne; Pendrill, Leslie R

    2014-12-01

    Elderly persons’ perceived accessibility to railway traveling depends on their functional limitations/diseases, their functional abilities and their travel behaviors in interaction with the barriers encountered during whole trips. A survey was conducted on a random sample of 1000 city residents (65–85 years old; 57% response rate). The travels were perceived least accessible by respondents with severely reduced functional ability andby those with more than one functional limitation/disease (e.g., restricted mobility and chronic pain). Those who traveled "often", perceived the accessibility to be better than those who traveled less frequently. For travelers with high functional ability, the main barriers to more frequent traveling were travel costs and low punctuality. For those with low functionalability, one's own health was reported to be the main barrier. Our results clarify the links among existing functional limitations/functional abilities, the barriers encountered, the travel behavior, and the overall accessibility to traveling. By operationalizing the whole-trip concept as a chain of events, we deliver practical knowledge on vulnerable groups for decision-making to improve the transport environment for all. PMID:25590078

  20. Overall accessibility to traveling by rail for the elderly with and without functional limitations: the whole-trip perspective.

    PubMed

    Sundling, Catherine; Berglund, Birgitta; Nilsson, Mats E; Emardson, Ragne; Pendrill, Leslie R

    2014-01-01

    Elderly persons' perceived accessibility to railway traveling depends on their functional limitations/diseases, their functional abilities and their travel behaviors in interaction with the barriers encountered during whole trips. A survey was conducted on a random sample of 1000 city residents (65-85 years old; 57% response rate). The travels were perceived least accessible by respondents with severely reduced functional ability and by those with more than one functional limitation/disease (e.g., restricted mobility and chronic pain). Those who traveled "often", perceived the accessibility to be better than those who traveled less frequently. For travelers with high functional ability, the main barriers to more frequent traveling were travel costs and low punctuality. For those with low functional ability, one's own health was reported to be the main barrier. Our results clarify the links among existing functional limitations/functional abilities, the barriers encountered, the travel behavior, and the overall accessibility to traveling. By operationalizing the whole-trip concept as a chain of events, we deliver practical knowledge on vulnerable groups for decision-making to improve the transport environment for all. PMID:25514149

  1. Overall Accessibility to Traveling by Rail for the Elderly with and without Functional Limitations: The Whole-Trip Perspective

    PubMed Central

    Sundling, Catherine; Berglund, Birgitta; Nilsson, Mats E.; Emardson, Ragne; Pendrill, Leslie R.

    2014-01-01

    Elderly persons’ perceived accessibility to railway traveling depends on their functional limitations/diseases, their functional abilities and their travel behaviors in interaction with the barriers encountered during whole trips. A survey was conducted on a random sample of 1000 city residents (65–85 years old; 57% response rate). The travels were perceived least accessible by respondents with severely reduced functional ability and by those with more than one functional limitation/disease (e.g., restricted mobility and chronic pain). Those who traveled “often”, perceived the accessibility to be better than those who traveled less frequently. For travelers with high functional ability, the main barriers to more frequent traveling were travel costs and low punctuality. For those with low functional ability, one’s own health was reported to be the main barrier. Our results clarify the links among existing functional limitations/functional abilities, the barriers encountered, the travel behavior, and the overall accessibility to traveling. By operationalizing the whole-trip concept as a chain of events, we deliver practical knowledge on vulnerable groups for decision-making to improve the transport environment for all. PMID:25514149

  2. Prevention of spread of communicable disease by air travel.

    PubMed

    Evans, Anthony D; Thibeault, Claude

    2009-07-01

    Mathematical modeling suggests that travel restrictions are likely to have only a limited effect on minimizing the spread of disease. Nevertheless, medical screening of travelers remains an option to be considered in a risk-reduction strategy. Screening of departing and/or arriving travelers are possibilities, although the World Health Organization (WHO) favors the former as it is normally easier to geographically contain a disease prior to its transmission outside the outbreak area. Apart from airport screening, several other related issues require consideration, including: transmission of disease on board aircraft; transmission of disease in airport terminal buildings; and contact tracing. A major challenge is to ensure adequate resources are devoted to pandemic preparedness planning in the aviation sector, which may not be fully considered in a national preparedness plan. This is because the prevention of accidents occupies most of the attention of regulatory aviation authorities, and public health authorities do not always see aviation as a priority area. Chief medical officers of regulatory authorities may be in a position to facilitate collaboration between the many stakeholders involved in preparedness planning for aviation. PMID:19601500

  3. Surveillance of air-travel-related tuberculosis incidents, England and Wales: 2007-2008.

    PubMed

    Abubakar, I; Welfare, R; Moore, J; Watson, J M

    2008-06-01

    The potential spread of tuberculosis (TB) from infectious passengers during air travel has recently received increasing attention in the media and from public health authorities. We reviewed all air travel-related tuberculosis incidents reported to the Health Protection Agency Centre for Infections between January 2007 and February 2008 in England and Wales and investigated the effectiveness of contact investigation. Incidents involving air travel were defined according to the World Health Organization's guidelines on TB and Air Travel. We collected data on the index case, the incident and the outcome of contact investigation where available. We identified 24 incidents involving 39 flights. The median flight duration was 8.9 hours (inter-quartile range (IQR) 8 to 11.7). Most flights (36) were from or to a high burden country and 19 of the 24 incidents reported had a smear-positive index case. Two index cases had multidrug-resistant tuberculosis. In 17 incidents, no further investigation could be undertaken due to the lack of passenger information. In the remaining seven incidents, the quality of contact information obtained was variable. No further cases of TB infection or disease were identified. This study suggests that the process of investigating passenger contacts of a TB infected individual travelling by air is complicated and usually unsuccessful without dedicated resources and availability of high-quality contact information from airlines. Further research into the effectiveness of contact investigation in this setting is needed. PMID:18761951

  4. Risk factors for venous thromboembolism following prolonged air travel. Coach class thrombosis.

    PubMed

    Arfvidsson, B; Eklof, B; Kistner, R L; Masuda, E M; Sato, D T

    2000-04-01

    Venous thromboembolism (VTE) in legs and lungs is a potentially life-threatening condition. The incidence of VTE associated with air travel is still unknown, but it may have increased. Most travelers who develop symptoms do so within 24 hours after their flight takes off. Predisposing risk factors may be divided into patient-related and cabin-related factors, both of which are described. It is emphasized that better information and better inflight precautions can minimize these risk factors. PMID:10806562

  5. 41 CFR 102-76.80 - What is required if the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... costs of alterations to provide an accessible path of travel to an altered area containing a primary... to provide an accessible path of travel to an altered area containing a primary function are... accessible path of travel to an altered area containing a primary function are disproportionate to the...

  6. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... Architectural Barriers Act § 102-76.70 When are the costs of alterations to provide an accessible path of travel... in § 102-76.65(a), the costs of alterations to provide an accessible path of travel to an...

  7. 41 CFR 102-76.80 - What is required if the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... costs of alterations to provide an accessible path of travel to an altered area containing a primary... to provide an accessible path of travel to an altered area containing a primary function are... accessible path of travel to an altered area containing a primary function are disproportionate to the...

  8. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... Architectural Barriers Act § 102-76.70 When are the costs of alterations to provide an accessible path of travel... in § 102-76.65(a), the costs of alterations to provide an accessible path of travel to an...

  9. 41 CFR 102-76.80 - What is required if the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... costs of alterations to provide an accessible path of travel to an altered area containing a primary... to provide an accessible path of travel to an altered area containing a primary function are... accessible path of travel to an altered area containing a primary function are disproportionate to the...

  10. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... Architectural Barriers Act § 102-76.70 When are the costs of alterations to provide an accessible path of travel... in § 102-76.65(a), the costs of alterations to provide an accessible path of travel to an...

  11. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... Architectural Barriers Act § 102-76.70 When are the costs of alterations to provide an accessible path of travel... in § 102-76.65(a), the costs of alterations to provide an accessible path of travel to an...

  12. 41 CFR 102-76.80 - What is required if the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... costs of alterations to provide an accessible path of travel to an altered area containing a primary... to provide an accessible path of travel to an altered area containing a primary function are... accessible path of travel to an altered area containing a primary function are disproportionate to the...

  13. 41 CFR 102-76.80 - What is required if the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... costs of alterations to provide an accessible path of travel to an altered area containing a primary... to provide an accessible path of travel to an altered area containing a primary function are... accessible path of travel to an altered area containing a primary function are disproportionate to the...

  14. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... Architectural Barriers Act § 102-76.70 When are the costs of alterations to provide an accessible path of travel... in § 102-76.65(a), the costs of alterations to provide an accessible path of travel to an...

  15. How accessible are coral reefs to people? A global assessment based on travel time.

    PubMed

    Maire, Eva; Cinner, Joshua; Velez, Laure; Huchery, Cindy; Mora, Camilo; Dagata, Stephanie; Vigliola, Laurent; Wantiez, Laurent; Kulbicki, Michel; Mouillot, David

    2016-04-01

    The depletion of natural resources has become a major issue in many parts of the world, with the most accessible resources being most at risk. In the terrestrial realm, resource depletion has classically been related to accessibility through road networks. In contrast, in the marine realm, the impact on living resources is often framed into the Malthusian theory of human density around ecosystems. Here, we develop a new framework to estimate the accessibility of global coral reefs using potential travel time from the nearest human settlement or market. We show that 58% of coral reefs are located < 30 min from the nearest human settlement. We use a case study from New Caledonia to demonstrate that travel time from the market is a strong predictor of fish biomass on coral reefs. We also highlight a relative deficit of protection on coral reef areas near people, with disproportional protection on reefs far from people. This suggests that conservation efforts are targeting low-conflict reefs or places that may already be receiving de facto protection due to their isolation. Our global assessment of accessibility in the marine realm is a critical step to better understand the interplay between humans and resources. PMID:26879898

  16. In-flight deaths during commercial air travel. How big is the problem?

    PubMed

    Cummins, R O; Chapman, P J; Chamberlain, D A; Schubach, J A; Litwin, P E

    1988-04-01

    Do passenger deaths occur during commercial air travel? If so, how often and from what causes? We reviewed information reported to the International Air Transport Association on in-flight deaths that occurred during commercial air travel for the eight years between 1977 and 1984. Of the 120 airlines in the International Air Transport Association, 42 carriers reported deaths during these eight years. A total of 577 in-flight deaths were recorded, for a reported average of 72 deaths per year. Deaths occurred at average rates of 0.31 per million passengers, 125 per billion passenger-kilometers, and 25.1 per million departures. The majority of those who died were men (66%, 382/577) and middle-aged (mean age, 53.8 years). Most of the individuals (77%, 399/515) reported no health problems prior to travel. Physicians aboard the aircraft offered medical assistance for 43% (247/577) of the deaths. More than half of the deaths (56%, 326/577) seemed to be related to cardiac problems. Sudden unexpected cardiac death was the cause of death in 63% (253/399) of the apparently healthy people and seems to be the major cause of death during air travel. These observations support the initiation of programs to train cabin personnel in the skills of basic cardiopulmonary resuscitation and in the use of automatic external defibrillators. PMID:3346980

  17. Influenza A(H1N1)pdm09 during air travel

    PubMed Central

    Neatherlin, John; Cramer, Elaine H.; Dubray, Christine; Marienau, Karen J.; Russell, Michelle; Sun, Hong; Whaley, Melissa; Hancock, Kathy; Duong, Krista K.; Kirking, Hannah L.; Schembri, Christopher; Katz, Jacqueline M.; Cohen, Nicole J.; Fishbein, Daniel B.

    2015-01-01

    Summary The global spread of the influenza A(H1N1)pdm09 virus (pH1N1) associated with travelers from North America during the onset of the 2009 pandemic demonstrates the central role of international air travel in virus migration. To characterize risk factors for pH1N1 transmission during air travel, we investigated travelers and airline employees from four North American flights carrying ill travelers with confirmed pH1N1 infection. Of 392 passengers and crew identified, information was available for 290 (74%) passengers were interviewed. Overall attack rates for acute respiratory infection and influenza-like illness 1–7 days after travel were 5.2% and 2.4% respectively. Of 43 individuals that provided sera, 4 (9.3%) tested positive for pH1N1 antibodies, including 3 with serologic evidence of asymptomatic infection. Investigation of novel influenza aboard aircraft may be instructive. However, beyond the initial outbreak phase, it may compete with community-based mitigation activities, and interpretation of findings will be difficult in the context of established community transmission. PMID:23523241

  18. Influenza A(H1N1)pdm09 during air travel.

    PubMed

    Neatherlin, John; Cramer, Elaine H; Dubray, Christine; Marienau, Karen J; Russell, Michelle; Sun, Hong; Whaley, Melissa; Hancock, Kathy; Duong, Krista K; Kirking, Hannah L; Schembri, Christopher; Katz, Jacqueline M; Cohen, Nicole J; Fishbein, Daniel B

    2013-01-01

    The global spread of the influenza A(H1N1)pdm09 virus (pH1N1) associated with travelers from North America during the onset of the 2009 pandemic demonstrates the central role of international air travel in virus migration. To characterize risk factors for pH1N1 transmission during air travel, we investigated travelers and airline employees from four North American flights carrying ill travelers with confirmed pH1N1 infection. Of 392 passengers and crew identified, information was available for 290 (74%) passengers were interviewed. Overall attack rates for acute respiratory infection and influenza-like illness 1-7 days after travel were 5.2% and 2.4% respectively. Of 43 individuals that provided sera, 4 (9.3%) tested positive for pH1N1 antibodies, including 3 with serologic evidence of asymptomatic infection. Investigation of novel influenza aboard aircraft may be instructive. However, beyond the initial outbreak phase, it may compete with community-based mitigation activities, and interpretation of findings will be difficult in the context of established community transmission. PMID:23523241

  19. Effects of simulated domestic and international air travel on sleep, performance, and recovery for team sports.

    PubMed

    Fowler, P; Duffield, R; Vaile, J

    2015-06-01

    The present study examined effects of simulated air travel on physical performance. In a randomized crossover design, 10 physically active males completed a simulated 5-h domestic flight (DOM), 24-h simulated international travel (INT), and a control trial (CON). The mild hypoxia, seating arrangements, and activity levels typically encountered during air travel were simulated in a normobaric, hypoxic altitude room. Physical performance was assessed in the afternoon of the day before (D - 1 PM) and in the morning (D + 1 AM) and afternoon (D + 1 PM) of the day following each trial. Mood states and physiological and perceptual responses to exercise were also examined at these time points, while sleep quantity and quality were monitored throughout each condition. Sleep quantity and quality were significantly reduced during INT compared with CON and DOM (P < 0.01). Yo-Yo Intermittent Recovery level 1 test performance was significantly reduced at D + 1 PM following INT compared with CON and DOM (P < 0.01), where performance remained unchanged (P > 0.05). Compared with baseline, physiological and perceptual responses to exercise, and mood states were exacerbated following the INT trial (P < 0.05). Attenuated intermittent-sprint performance following simulated international air travel may be due to sleep disruption during travel and the subsequent exacerbated physiological and perceptual markers of fatigue. PMID:24750359

  20. Skip the trip: air travelers' behavioral responses to pandemic influenza.

    PubMed

    Fenichel, Eli P; Kuminoff, Nicolai V; Chowell, Gerardo

    2013-01-01

    Theory suggests that human behavior has implications for disease spread. We examine the hypothesis that individuals engage in voluntary defensive behavior during an epidemic. We estimate the number of passengers missing previously purchased flights as a function of concern for swine flu or A/H1N1 influenza using 1.7 million detailed flight records, Google Trends, and the World Health Organization's FluNet data. We estimate that concern over "swine flu," as measured by Google Trends, accounted for 0.34% of missed flights during the epidemic. The Google Trends data correlates strongly with media attention, but poorly (at times negatively) with reported cases in FluNet. Passengers show no response to reported cases. Passengers skipping their purchased trips forwent at least $50 M in travel related benefits. Responding to actual cases would have cut this estimate in half. Thus, people appear to respond to an epidemic by voluntarily engaging in self-protection behavior, but this behavior may not be responsive to objective measures of risk. Clearer risk communication could substantially reduce epidemic costs. People undertaking costly risk reduction behavior, for example, forgoing nonrefundable flights, suggests they may also make less costly behavior adjustments to avoid infection. Accounting for defensive behaviors may be important for forecasting epidemics, but linking behavior with epidemics likely requires consideration of risk communication. PMID:23526970

  1. Skip the Trip: Air Travelers' Behavioral Responses to Pandemic Influenza

    PubMed Central

    Fenichel, Eli P.; Kuminoff, Nicolai V.; Chowell, Gerardo

    2013-01-01

    Theory suggests that human behavior has implications for disease spread. We examine the hypothesis that individuals engage in voluntary defensive behavior during an epidemic. We estimate the number of passengers missing previously purchased flights as a function of concern for swine flu or A/H1N1 influenza using 1.7 million detailed flight records, Google Trends, and the World Health Organization's FluNet data. We estimate that concern over “swine flu,” as measured by Google Trends, accounted for 0.34% of missed flights during the epidemic. The Google Trends data correlates strongly with media attention, but poorly (at times negatively) with reported cases in FluNet. Passengers show no response to reported cases. Passengers skipping their purchased trips forwent at least $50 M in travel related benefits. Responding to actual cases would have cut this estimate in half. Thus, people appear to respond to an epidemic by voluntarily engaging in self-protection behavior, but this behavior may not be responsive to objective measures of risk. Clearer risk communication could substantially reduce epidemic costs. People undertaking costly risk reduction behavior, for example, forgoing nonrefundable flights, suggests they may also make less costly behavior adjustments to avoid infection. Accounting for defensive behaviors may be important for forecasting epidemics, but linking behavior with epidemics likely requires consideration of risk communication. PMID:23526970

  2. Barotrauma-induced pneumocephalus experienced by a high risk patient after commercial air travel.

    PubMed

    Huh, Jisoon

    2013-08-01

    A 49-year-old female with a history of several neurosurgical and otolaryngologic procedures for occipital meningioma and cerebrospinal fluid leaks was diagnosed with pneumocephalus after a one hour flight on a domestic jet airliner. Despite multiple operations, the air appeared to enter the cranium through a weak portion of the skull base due to the low atmospheric pressure in the cabin. The intracranial air was absorbed with conservative management. The patient was recommended not to fly before a definite diagnostic work up and a sealing procedure for the cerebrospinal fluid leak site had been performed. Recent advances in aviation technology have enabled many people to travel by air, including individuals with medical conditions. Low cabin pressure is not dangerous to healthy individuals; however, practicing consultant neurosurgeons should understand the cabin environment and prepare high risk patients for safe air travel. PMID:24175032

  3. Demand modelling of passenger air travel: An analysis and extension. Volume 1: Background and summary

    NASA Technical Reports Server (NTRS)

    Jacobson, I. D.

    1978-01-01

    The framework for a model of travel demand which will be useful in predicting the total market for air travel between two cities is discussed. Variables to be used in determining the need for air transportation where none currently exists and the effect of changes in system characteristics on attracting latent demand are identified. Existing models are examined in order to provide insight into their strong points and shortcomings. Much of the existing behavioral research in travel demand is incorporated to allow the inclusion of non-economic factors, such as convenience. The model developed is characterized as a market segmentation model. This is a consequence of the strengths of disaggregation and its natural evolution to a usable aggregate formulation. The need for this approach both pedagogically and mathematically is discussed.

  4. 41 CFR 301-10.139 - May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? 301-10.139... Transportation Use of United States Flag Air Carriers § 301-10.139 May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? No. Foreign air carrier...

  5. 41 CFR 301-10.139 - May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? 301-10.139... Transportation Use of United States Flag Air Carriers § 301-10.139 May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? No. Foreign air carrier...

  6. 41 CFR 301-10.139 - May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? 301-10.139... Transportation Use of United States Flag Air Carriers § 301-10.139 May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? No. Foreign air carrier...

  7. 41 CFR 301-10.139 - May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? 301-10.139... Transportation Use of United States Flag Air Carriers § 301-10.139 May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? No. Foreign air carrier...

  8. 41 CFR 301-10.139 - May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? 301-10.139... Transportation Use of United States Flag Air Carriers § 301-10.139 May I travel by a foreign air carrier if the cost of my ticket is less than traveling by a U.S. flag air carrier? No. Foreign air carrier...

  9. 76 FR 58243 - Proposed Information Collection; Comment Request; Survey of International Air Travelers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ... travel and tourism, statistics and other marketing information, and (4) support the continuation of the... International Trade Administration Proposed Information Collection; Comment Request; Survey of International Air... information collections, as required by the Paperwork Reduction Act of 1995. DATES: Written comments must...

  10. Intraosseous access in trauma by air medical retrieval teams.

    PubMed

    Sheils, Mark; Ross, Mark; Eatough, Noel; Caputo, Nicholas D

    2014-01-01

    Trauma accounts for a significant portion of overall mortality globally. Hemorrhage is the second major cause of mortality in the prehospital environment. Air medical retrieval services throughout the world have been developed to help improve the outcomes of patients suffering from a broad range of medical conditions, including trauma. These services often utilize intraosseous (IO) devices as an alternative means for access of both medically ill and traumatically injured patients in austere environments. However, studies have suggested that IO access cannot reach acceptable rates for massive transfusion. We review the subject to find the answer of whether IO access should be performed by air medical teams in the prehospital setting, or would central venous (CVC) access be more appropriate? We decided to assess the literature for capacity of IO access to meet resuscitation requirements in the prehospital management of trauma. We also decided to compare the insertion and complication characteristics of IO and CVC access. PMID:25049187

  11. COPD and air travel: does hypoxia-altitude simulation testing predict in-flight respiratory symptoms?

    PubMed

    Edvardsen, Anne; Ryg, Morten; Akerø, Aina; Christensen, Carl Christian; Skjønsberg, Ole H

    2013-11-01

    The reduced pressure in an aircraft cabin may cause significant hypoxaemia and respiratory symptoms in patients with chronic obstructive pulmonary disease (COPD). The current study evaluated whether there is a relationship between hypoxaemia obtained during hypoxia-altitude simulation testing (HAST), simulating an altitude of 2438 m, and the reporting of respiratory symptoms during air travel. 82 patients with moderate to very severe COPD answered an air travel questionnaire. Arterial oxygen tensions during HAST (PaO2HAST) in subjects with and without in-flight respiratory symptoms were compared. The same questionnaire was answered within 1 year after the HAST. Mean ± sd PaO2HAST was 6.3 ± 0.6 kPa and 62 (76%) of the patients had PaO2HAST <6.6 kPa. 38 (46%) patients had experienced respiratory symptoms during air travel. There was no difference in PaO2HAST in those with and those without in-flight respiratory symptoms (6.3 ± 0.7 kPa versus 6.3 ± 0.6 kPa, respectively; p=0.926). 54 (66%) patients travelled by air after the HAST, and patients equipped with supplemental oxygen (n = 23, 43%) reported less respiratory symptoms when flying with than those without such treatment (four (17%) versus 11 (48%) patients; p=0.039). In conclusion, no difference in PaO2HAST was found between COPD patients with and without respiratory symptoms during air travel. PMID:23258777

  12. Nondiscrimination on the basis of disability in air travel; compensation for damage to wheelchairs and other assistive devices. Office of the Secretary, DOT. Final rule.

    PubMed

    1999-08-01

    The Department is amending its rules implementing the Air Carrier Access Act of 1986 (ACAA) to lift an existing cap on the amount of compensation airlines have to pay to passengers for loss or damage of their wheelchairs and other assistive devices. The rule is intended to provide additional relief to passengers who use expensive assistive devices that are lost, destroyed or damaged in the course of airline travel. PMID:11010720

  13. A case of cerebral aneurysm rupture and subarachnoid hemorrhage associated with air travel.

    PubMed

    Cui, Victoria; Kouliev, Timur; Wood, Jason

    2014-01-01

    During air travel, passengers are exposed to unique conditions such as rapid ascent and descent that can trigger significant physiological changes. In addition, the cabins of commercial aircraft are only partially pressured to 552-632 mmHg or the equivalent terrestrial altitudes of 1,500-2,500 m (5,000-8,000 feet) above sea level. While studies in high-altitude medicine have shown that all individuals experience some degree of hypoxia, cerebral edema, and increased cerebral blood flow, the neurological effects that accompany these changes are otherwise poorly understood. In this study, we report a case of acute subarachnoid hemorrhage from a ruptured cerebral aneurysm associated with travel on commercial aircraft. We then review relevant cases of neurological incidents with possible air travel-related etiology and discuss the physiological factors that may have contributed to the patient's acute subarachnoid hemorrhage. In the future, this report may serve as reference for more detailed and conservative medical guidelines and recommendations regarding air travel. PMID:27147875

  14. An Open-Access Modeled Passenger Flow Matrix for the Global Air Network in 2010

    PubMed Central

    Huang, Zhuojie; Wu, Xiao; Garcia, Andres J.; Fik, Timothy J.; Tatem, Andrew J.

    2013-01-01

    The expanding global air network provides rapid and wide-reaching connections accelerating both domestic and international travel. To understand human movement patterns on the network and their socioeconomic, environmental and epidemiological implications, information on passenger flow is required. However, comprehensive data on global passenger flow remain difficult and expensive to obtain, prompting researchers to rely on scheduled flight seat capacity data or simple models of flow. This study describes the construction of an open-access modeled passenger flow matrix for all airports with a host city-population of more than 100,000 and within two transfers of air travel from various publicly available air travel datasets. Data on network characteristics, city population, and local area GDP amongst others are utilized as covariates in a spatial interaction framework to predict the air transportation flows between airports. Training datasets based on information from various transportation organizations in the United States, Canada and the European Union were assembled. A log-linear model controlling the random effects on origin, destination and the airport hierarchy was then built to predict passenger flows on the network, and compared to the results produced using previously published models. Validation analyses showed that the model presented here produced improved predictive power and accuracy compared to previously published models, yielding the highest successful prediction rate at the global scale. Based on this model, passenger flows between 1,491 airports on 644,406 unique routes were estimated in the prediction dataset. The airport node characteristics and estimated passenger flows are freely available as part of the Vector-Borne Disease Airline Importation Risk (VBD-Air) project at: www.vbd-air.com/data. PMID:23691194

  15. An open-access modeled passenger flow matrix for the global air network in 2010.

    PubMed

    Huang, Zhuojie; Wu, Xiao; Garcia, Andres J; Fik, Timothy J; Tatem, Andrew J

    2013-01-01

    The expanding global air network provides rapid and wide-reaching connections accelerating both domestic and international travel. To understand human movement patterns on the network and their socioeconomic, environmental and epidemiological implications, information on passenger flow is required. However, comprehensive data on global passenger flow remain difficult and expensive to obtain, prompting researchers to rely on scheduled flight seat capacity data or simple models of flow. This study describes the construction of an open-access modeled passenger flow matrix for all airports with a host city-population of more than 100,000 and within two transfers of air travel from various publicly available air travel datasets. Data on network characteristics, city population, and local area GDP amongst others are utilized as covariates in a spatial interaction framework to predict the air transportation flows between airports. Training datasets based on information from various transportation organizations in the United States, Canada and the European Union were assembled. A log-linear model controlling the random effects on origin, destination and the airport hierarchy was then built to predict passenger flows on the network, and compared to the results produced using previously published models. Validation analyses showed that the model presented here produced improved predictive power and accuracy compared to previously published models, yielding the highest successful prediction rate at the global scale. Based on this model, passenger flows between 1,491 airports on 644,406 unique routes were estimated in the prediction dataset. The airport node characteristics and estimated passenger flows are freely available as part of the Vector-Borne Disease Airline Importation Risk (VBD-Air) project at: www.vbd-air.com/data. PMID:23691194

  16. Demand modelling of passenger air travel: An analysis and extension, volume 2

    NASA Technical Reports Server (NTRS)

    Jacobson, I. D.

    1978-01-01

    Previous intercity travel demand models in terms of their ability to predict air travel in a useful way and the need for disaggregation in the approach to demand modelling are evaluated. The viability of incorporating non-conventional factors (i.e. non-econometric, such as time and cost) in travel demand forecasting models are determined. The investigation of existing models is carried out in order to provide insight into their strong points and shortcomings. The model is characterized as a market segmentation model. This is a consequence of the strengths of disaggregation and its natural evolution to a usable aggregate formulation. The need for this approach both pedagogically and mathematically is discussed. In addition this volume contains two appendices which should prove useful to the non-specialist in the area.

  17. A travel mode comparison of commuters' exposures to air pollutants in Barcelona

    NASA Astrophysics Data System (ADS)

    de Nazelle, Audrey; Fruin, Scott; Westerdahl, Dane; Martinez, David; Ripoll, Anna; Kubesch, Nadine; Nieuwenhuijsen, Mark

    2012-11-01

    Daily commutes may contribute disproportionately to overall daily inhalations of urban air contaminants. Understanding factors that explain variability of exposures during travel, and especially differences across transportation modes, is essential to accurately assess health impacts of traffic emissions and to develop effective mitigating measures. We evaluated exposures and inhaled doses of air pollution and assessed factors that contributed to their variability in different travel modes in Barcelona. Black carbon (BC), ultrafine particles (UFP), carbon monoxide (CO), fine particle mass (PM2.5) and carbon dioxide (CO2) were measured and compared across walk, bike, bus, and car modes for a total of 172 trips made on two different round trip routes. On average, the car mode experienced highest concentrations for all contaminants. In pairwise t-tests between concurrent mode runs, statistically significant differences were found for cars compared to walking and biking. Car-to-walk or car-to-bike concentration ratios ranged from 1.3 for CO2 to 25 for CO and were 2-3 for PM2.5, BC, and UFP. In multivariate analyses, travel mode explained the greatest variability in travel exposures, from 8% for PM2.5 to 70% for CO. Different modal patterns emerged when estimating daily inhaled dose, with active commuters' two to three times greater total inhalation volume during travel producing about equal UFP and BC daily inhaled doses to car commuters and 33-50% higher UFP and BC doses compared to bus commuters. These findings, however, are specific to the bike and pedestrian lanes in this study being immediately adjacent to the roadways measured. Dedicated bike or pedestrian routes away from traffic would lead to lower active travel doses.

  18. 41 CFR 102-76.75 - What costs are included in the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... in the costs of alterations to provide an accessible path of travel to an altered area containing a....75 What costs are included in the costs of alterations to provide an accessible path of travel to an... facilities subject to the standards in § 102-76.65(a), the costs of alterations to provide an accessible...

  19. 41 CFR 102-76.75 - What costs are included in the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... in the costs of alterations to provide an accessible path of travel to an altered area containing a....75 What costs are included in the costs of alterations to provide an accessible path of travel to an... facilities subject to the standards in § 102-76.65(a), the costs of alterations to provide an accessible...

  20. 41 CFR 102-76.75 - What costs are included in the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... in the costs of alterations to provide an accessible path of travel to an altered area containing a....75 What costs are included in the costs of alterations to provide an accessible path of travel to an... facilities subject to the standards in § 102-76.65(a), the costs of alterations to provide an accessible...

  1. 41 CFR 102-76.75 - What costs are included in the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... in the costs of alterations to provide an accessible path of travel to an altered area containing a....75 What costs are included in the costs of alterations to provide an accessible path of travel to an... facilities subject to the standards in § 102-76.65(a), the costs of alterations to provide an accessible...

  2. 41 CFR 102-76.75 - What costs are included in the costs of alterations to provide an accessible path of travel to an...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... in the costs of alterations to provide an accessible path of travel to an altered area containing a....75 What costs are included in the costs of alterations to provide an accessible path of travel to an... facilities subject to the standards in § 102-76.65(a), the costs of alterations to provide an accessible...

  3. CO2 Emissions from Air Travel by AGU and ESA Conference Attendees

    NASA Astrophysics Data System (ADS)

    Scott, B.; Plug, L. J.

    2003-12-01

    Air travel by scientists is one contributor to rising concentrations of CO2 and other greenhouse gases in the atmosphere. To assess the magnitude of this contribution in per-capita and overall terms, we calculated emissions derived from air travel for two major scientific conferences held in 2002: the western meeting of the American Geophysical Union (AGU) in San Francisco and the Ecological Society of America meeting in Tucson (ESA). Round trip travel distance for sampled attendees is 7971 +/- 6968 km (1 sigma range given, n=337) for AGU and 5452 +/- 5664 km for ESA (n=263), conservatively assuming great circle routes were followed. Using accepted CO2 production rates for commercial aircraft, mean AGU emissions are 1.3 tonnes per attendee and 12351 tonnes total and for ESA 0.9 tonnes per attendee and 3140 tonnes total. Although small compared to total anthropogenic emissions (2.275 x 1010 tonnes y-1 in 1999), per attendee emissions are significant compared to annual per-capita emissions; CO2 emission per AGU and ESA attendee exceeds the per capita annual emission of 42% and 19% of Earth's population, respectively. Per attendee AGU emissions are ≈6% of U.S. and ≈14% of British and Japanese per capita annual emission. Relocation of AGU and ESA to cities which minimize travel distances, Denver and Omaha respectively, would result in modest emission reductions of 8% and 14% (assuming 2002 attendee composition). To form a preliminary estimate of annual CO2 emissions for scientists in academia, we surveyed Earth Science faculty at our home institution. Mean annual air travel distance for professional activities was 38064 km y-1 (7 respondents). The consequent release of 6.1 tonnes y-1 of CO2 is 30% of annual per capita emissions in North America, and exceeds global per capita average of 4 tonnes y-1 by 150%. Society and the environment often benefit from scientific enquiry which is facilitated by travel. These benefits, however, might be balanced against the

  4. International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A

    PubMed Central

    Brannen, Donald E.; Alhammad, Ali; Branum, Melissa; Schmitt, Amy

    2016-01-01

    The State of Ohio led the United States in measles in 2014, ostensibly related to international air travel (IAT), and ranked lower than 43 other states in infectious disease outbreak preparedness. We conducted a retrospective cohort study using surveillance data of the total Ohio population of 11 million from 2010 through 2014 with a nested case control of air travelers to determine the risk of malaria, seasonal influenza hospitalizations (IH), and hepatitis A (HA) disease related to international travel and to estimate the association with domestic enplanement. IAT appeared protective for HA and IH with a risk of 0.031 (.02–.04) but for malaria was 2.7 (2.07–3.62). Enplanement increased the risk for nonendemic M 3.5 (2.5–4.9) and for HA and IH 1.39 (1.34–1.44). IAT's ratio of relative risk (RRR) of malaria to HA and IH was 87.1 (55.8–136) greater than 219 times versus domestic enplanement which was protective for malaria at 0.397 (0.282–0.559). Malaria is correlated with IAT with cases increasing by 6.9 for every 10,000 passports issued. PMID:27123365

  5. Assessment of the potential for international dissemination of Ebola virus via commercial air travel during the 2014 west African outbreak

    PubMed Central

    Bogoch, Isaac I; Creatore, Maria I; Cetron, Martin S; Brownstein, John S; Pesik, Nicki; Miniota, Jennifer; Tam, Theresa; Hu, Wei; Nicolucci, Adriano; Ahmed, Saad; Yoon, James W; Berry, Isha; Hay, Simon I; Anema, Aranka; Tatem, Andrew J; MacFadden, Derek; German, Matthew; Khan, Kamran

    2015-01-01

    Summary Background The WHO declared the 2014 west African Ebola epidemic a public health emergency of international concern in view of its potential for further international spread. Decision makers worldwide are in need of empirical data to inform and implement emergency response measures. Our aim was to assess the potential for Ebola virus to spread across international borders via commercial air travel and assess the relative efficiency of exit versus entry screening of travellers at commercial airports. Methods We analysed International Air Transport Association data for worldwide flight schedules between Sept 1, 2014, and Dec 31, 2014, and historic traveller flight itinerary data from 2013 to describe expected global population movements via commercial air travel out of Guinea, Liberia, and Sierra Leone. Coupled with Ebola virus surveillance data, we modelled the expected number of internationally exported Ebola virus infections, the potential effect of air travel restrictions, and the efficiency of airport-based traveller screening at international ports of entry and exit. We deemed individuals initiating travel from any domestic or international airport within these three countries to have possible exposure to Ebola virus. We deemed all other travellers to have no significant risk of exposure to Ebola virus. Findings Based on epidemic conditions and international flight restrictions to and from Guinea, Liberia, and Sierra Leone as of Sept 1, 2014 (reductions in passenger seats by 51% for Liberia, 66% for Guinea, and 85% for Sierra Leone), our model projects 2·8 travellers infected with Ebola virus departing the above three countries via commercial flights, on average, every month. 91 547 (64%) of all air travellers departing Guinea, Liberia, and Sierra Leone had expected destinations in low-income and lower-middle-income countries. Screening international travellers departing three airports would enable health assessments of all travellers at highest risk

  6. Effects of domestic air travel on technical and tactical performance and recovery in soccer.

    PubMed

    Fowler, Peter; Duffield, Rob; Vaile, Joanna

    2014-05-01

    The current study examined the effects of short-haul air travel on competition performance and subsequent recovery. Six male professional Australian football (soccer) players were recruited to participate in the study. Data were collected from 12 matches, which included 6 home and away matches against the same 4 teams. Together with the outcome of each match, data were obtained for team technical and tactical performance indicators and individual player-movement patterns. Furthermore, sleep quantity and quality, hydration, and perceptual fatigue were measured 2 days before, the day of, and 2 days after each match. More competition points were accumulated (P > .05, d = 1.10) and fewer goals were conceded (P > .05, d = 0.93) in home than in away matches. Furthermore, more shots on goal (P > .05, d = 1.17) and corners (P > .05, d = 1.45) and fewer opposition shots on goal (P > .05, d = 1.18) and corners (P < .05, d = 2.32) occurred, alongside reduced total distance covered (P > .05, d = 1.19) and low-intensity activity (P < .05, d = 2.25) during home than during away matches. However, while oxygen saturation was significantly lower during than before and after outbound and return travel (P < .01), equivocal differences in sleep quantity and quality, hydration, and perceptual fatigue were observed before and after competition away compared with home. These results suggest that, compared with short-haul air travel, factors including situational variables, territoriality, tactics, and athlete psychological state are more important in determining match outcome. Furthermore, despite the potential for disrupted recovery patterns, return travel did not impede player recovery or perceived readiness to train. PMID:24755963

  7. 75 FR 44885 - Nondiscrimination on the Basis of Disability in Air Travel; Corrections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-30

    ...The Department of Transportation published its amended Air Carrier Access Act (ACAA) rule in the Federal Register on Tuesday, May 13, 2008 (73 FR 27614). That rule amended the ACAA rules to apply to foreign air carriers and added new provisions concerning passengers who use medical oxygen and passengers who are deaf or hard-of-hearing. A corrections notice was published on March 18, 2009. This......

  8. Current legal framework and practical aspects of oxygen therapy during air travel.

    PubMed

    Cascante-Rodrigo, Jose Antonio; Iridoy-Zulet, Amaia Atenea; Alfonso-Imízcoz, María

    2015-01-01

    It is unusual for pulmonologists to be familiar with the European and US regulations governing the administration of oxygen during air travel and each airline's policy in this respect. This lack of knowledge is in large part due to the scarcity of articles addressing this matter in specialized journals and the noticeably limited information provided by airlines on their websites. In this article we examine the regulations, the policies of some airlines and practical aspects that must be taken into account, so that the questions of a patient who may need to use oxygen during a flight may be answered satisfactorily. PMID:25062830

  9. Improving transfer task practices used with air travelers with mobility impairments: a systematic literature review.

    PubMed

    Fadul, Rose M; Brown, Lisa M; Powell-Cope, Gail

    2014-02-01

    Manual lifting in healthcare and air transportation is a high-risk activity and a primary cause of musculoskeletal injuries for workers who are required to provide transfer assistance to people with mobility impairments. In the healthcare industry, safe patient-handling programs and policies are accepted as effective ways to prevent worker injury and to improve patient safety. We reviewed evidence-based studies and several websites for disability groups and the airline industry. Seven studies found significant improvements in musculoskeletal comfort levels and declines in musculoskeletal injuries. One study found significant improvements in every musculoskeletal group surveyed. Our review of websites revealed that there were no published research studies or policies about safe handling practices for air travelers. It is evident that passengers with mobility impairments have different expectations for assistance, not congruent with existing services offered by the airline industry. PMID:24257630

  10. Non discrimination on the basis of disability in air travel. Final rule.

    PubMed

    2001-05-01

    The Department of Transportation (DOT or Department) is amending its rules implementing the Air Carrier Access Act of 1986 (ACAA) and section 504 of the Rehabilitation Act of 1973 to require airports and air carriers to provide boarding assistance to individuals with disabilities by using ramps, mechanical lifts, or other suitable devices where level-entry boarding by loading bridge or mobile lounge is not available on any aircraft with a seating capacity of 31 or more passengers. This final rule parallels the 1996 final rule for aircraft with a seating capacity of 19 through 30 passengers PMID:11712566

  11. Travelers' thrombosis.

    PubMed

    Johnston, Raymond V; Hudson, Martin F

    2014-02-01

    The suggestion that venous thromboembolism (VTE) is associated with air travel has for several decades been the subject of both "media hype" and extensive debate in the medical literature. As emotion and anecdote is often a feature in this debate, it is therefore necessary to separate evidence from anecdote. "Travelers' thrombosis" is a more appropriate term because the evidence suggests that any form of travel involving immobility lasting more than 4 h can predispose to thrombosis. There is no unique factor in the air travel cabin environment that has been shown to have any effect on the coagulation cascade. Prevention of thrombosis in any form of travel, including air travel, requires being aware of the issue and making an adequate risk assessment together with appropriate prophylactic measures. PMID:24597166

  12. Predictive Power of Air Travel and Socio-Economic Data for Early Pandemic Spread

    PubMed Central

    Hosseini, Parviez; Sokolow, Susanne H.; Vandegrift, Kurt J.; Kilpatrick, A. Marm; Daszak, Peter

    2010-01-01

    Background Controlling the pandemic spread of newly emerging diseases requires rapid, targeted allocation of limited resources among nations. Critical, early control steps would be greatly enhanced if the key risk factors can be identified that accurately predict early disease spread immediately after emergence. Methodology/Principal Findings Here, we examine the role of travel, trade, and national healthcare resources in predicting the emergence and initial spread of 2009 A/H1N1 influenza. We find that incorporating national healthcare resource data into our analyses allowed a much greater capacity to predict the international spread of this virus. In countries with lower healthcare resources, the reporting of 2009 A/H1N1 cases was significantly delayed, likely reflecting a lower capacity for testing and reporting, as well as other socio-political issues. We also report substantial international trade in live swine and poultry in the decade preceding the pandemic which may have contributed to the emergence and mixed genotype of this pandemic strain. However, the lack of knowledge of recent evolution of each H1N1 viral gene segment precludes the use of this approach to determine viral origins. Conclusions/Significance We conclude that strategies to prevent pandemic influenza virus emergence and spread in the future should include: 1) enhanced surveillance for strains resulting from reassortment in traded livestock; 2) rapid deployment of control measures in the initial spreading phase to countries where travel data predict the pathogen will reach and to countries where lower healthcare resources will likely cause delays in reporting. Our results highlight the benefits, for all parties, when higher income countries provide additional healthcare resources for lower income countries, particularly those that have high air traffic volumes. In particular, international authorities should prioritize aid to those poorest countries where both the risk of emerging infectious

  13. People living with HIV travel farther to access healthcare: a population-based geographic analysis from rural Uganda

    PubMed Central

    Akullian, Adam N; Mukose, Aggrey; Levine, Gillian A; Babigumira, Joseph B

    2016-01-01

    Introduction The availability of specialized HIV services is limited in rural areas of sub-Saharan Africa where the need is the greatest. Where HIV services are available, people living with HIV (PLHIV) must overcome large geographic, economic and social barriers to access healthcare. The objective of this study was to understand the unique barriers PLHIV face when accessing healthcare compared with those not living with HIV in a rural area of sub-Saharan Africa with limited availability of healthcare infrastructure. Methods We conducted a population-based cross-sectional study of 447 heads of household on Bugala Island, Uganda. Multiple linear regression models were used to compare travel time, cost and distance to access healthcare, and log binomial models were used to test for associations between HIV status and access to nearby health services. Results PLHIV travelled an additional 1.9 km (95% CI (0.6, 3.2 km), p=0.004) to access healthcare compared with those not living with HIV, and they were 56% less likely to access healthcare at the nearest health facility to their residence, so long as that facility lacked antiretroviral therapy (ART) services (aRR=0.44, 95% CI (0.24 to 0.83), p=0.011). We found no evidence that PLHIV travelled further for care if the nearest facility supplies ART services (aRR=0.95, 95% CI (0.86 to 1.05), p=0.328). Among those who reported uptake of care at one of two facilities on the island that provides ART (81% of PLHIV and 68% of HIV-negative individuals), PLHIV tended to seek care at a higher tiered facility that provides ART, even when this facility was not their closest facility (30% of PLHIV travelled further than the closest ART facility compared with 16% of HIV-negative individuals), and travelled an additional 2.2 km (p=0.001) to access that facility, relative to HIV-negative individuals (aRR=1.91, 95% CI (1.00 to 3.65), p=0.05). Among PLHIV, residential distance was associated with access to facilities providing ART (RR=0

  14. Endoscopic examination of snakes by access through an air sac.

    PubMed

    Jekl, V; Knotek, Z

    2006-03-25

    Sixteen boa constrictors (Boa constrictor), three royal pythons (Python regius) and 15 Burmese pythons (Python molurus bivittatus) were examined endoscopically by access through the air sac. The snakes were immobilised in a ventral position using a half-open anaesthetic system with assisted ventilation and a mixture of isoflurane and oxygen. The rigid endoscope was introduced percutaneously and the internal structure of the lungs and the air sac, and the shape, size and external surface of the liver were visible in the cranial direction. In the smaller snakes the bifurcation and caudal part of the trachea could be viewed, provided the endoscope was positioned in a retrograde orientation. The caudal orientation of the endoscope made it possible to view the gall bladder and the size, shape and surface of the spleen. In some cases, the pancreas and the surface of the stomach and colon could be monitored. Endoscopy through the air sac also made it possible to check the major veins in the coelom. The snakes were monitored for at least 30 days after the intervention and no changes in their respiratory function or general health were observed. PMID:16565339

  15. Association Between Geographic Access to Cancer Care, Insurance, and Receipt of Chemotherapy: Geographic Distribution of Oncologists and Travel Distance

    PubMed Central

    Lin, Chun Chieh; Bruinooge, Suanna S.; Kirkwood, M. Kelsey; Olsen, Christine; Jemal, Ahmedin; Bajorin, Dean; Giordano, Sharon H.; Goldstein, Michael; Guadagnolo, B. Ashleigh; Kosty, Michael; Hopkins, Shane; Yu, James B.; Arnone, Anna; Hanley, Amy; Stevens, Stephanie; Hershman, Dawn L.

    2015-01-01

    Purpose Geographic access to care may be associated with receipt of chemotherapy but has not been fully examined. This study sought to evaluate the association between density of oncologists and travel distance and receipt of adjuvant chemotherapy for colon cancer within 90 days of colectomy. Patients and Methods Patients in the National Cancer Data Base with stage III colon cancer, diagnosed between 2007 and 2010, and age 18 to 80 years were selected. Generalized estimating equation clustering by hospital service area was conducted to examine the association between geographic access and receipt of oncology services, controlling for patient sociodemographic and clinical characteristics. Results Of 34,694 patients in the study cohort, 75.7% received adjuvant chemotherapy within 90 days of colectomy. Compared with travel distance less than 12.5 miles, patients who traveled 50 to 249 miles (odds ratio [OR], 0.87; P = .009) or ≥ 250 miles (OR, 0.36; P < .001) had decreased likelihood of receiving adjuvant chemotherapy. Density level of oncologists was not statistically associated with receipt of adjuvant chemotherapy (low v high density: OR, 0.98; P = .77). When stratifying analyses by insurance status, non–privately insured patients who resided in areas with low density of oncologists were less likely to receive adjuvant chemotherapy (OR, 0.85; P = .03). Conclusion Increased travel burden was associated with a decreased likelihood of receiving adjuvant chemotherapy, regardless of insurance status. Patients with nonprivate insurance who resided in low-density oncologist areas were less likely to receive adjuvant chemotherapy. If these findings are validated prospectively, interventions to decrease geographic barriers may improve the timeliness and quality of colon cancer treatment. PMID:26304878

  16. Influence of travel speed on spray deposition uniformity from an air-assisted variable-rate sprayer

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A newly developed LiDAR-guided air-assisted variable-rate sprayer for nursery and orchard applications was tested at various travel speeds to compare its spray deposition and coverage uniformity with constant-rate applications. Spray samplers, including nylon screens and water-sensitive papers (WSP)...

  17. Diatom attachment inhibition: limiting surface accessibility through air entrapment.

    PubMed

    Wu, Alex H-F; Nakanishi, Kenichi; Cho, K L; Lamb, Robert

    2013-12-01

    Surfaces consisting of sub micron holes (0.420-0.765 μm) engineered into nanoparticle (12 nm) coatings were examined for marine antifouling behaviour that defines early stage settlement. Immersed surfaces were found to be resistant to a 5-hour attachment assay of Amphora coffeaeformis, a marine organism commonly found in abundance on fouled substrates such as foul-releasing paints and self-polishing coatings. Attachment inhibition was attributed to the accessibility of diatoms to the surface. This was governed by the size and morphology of trapped interfacial air pockets measured in-situ using synchrotron small angle x-ray scattering. Surfaces containing larger pores (0.765 μm) exhibited the highest resistance. Macroscopic wettability via contact angle measurements however remained at 160° and sliding angle of < 5° and was found to be independent of pore size and not indicative of early stage fouling behaviour. The balance of hierarchical nano/micro length scales was critical in defining the early stage stability of biofouling character of the interface. PMID:24706117

  18. Randomised, Double Blind, Placebo-Controlled Trial of Echinacea Supplementation in Air Travellers

    PubMed Central

    Tiralongo, E.; Lea, R. A.; Wee, S. S.; Hanna, M. M.; Griffiths, L. R.

    2012-01-01

    Objective. To identify whether a standardised Echinacea formulation is effective in the prevention of respiratory and other symptoms associated with long-haul flights. Methods. 175 adults participated in a randomised, double-blind placebo-controlled trial travelling back from Australia to America, Europe, or Africa for a period of 1–5 weeks on commercial flights via economy class. Participants took Echinacea (root extract, standardised to 4.4 mg alkylamides) or placebo tablets. Participants were surveyed before, immediately after travel, and at 4 weeks after travel regarding upper respiratory symptoms and travel-related quality of life. Results. Respiratory symptoms for both groups increased significantly during travel (P < 0.0005). However, the Echinacea group had borderline significantly lower respiratory symptom scores compared to placebo (P = 0.05) during travel. Conclusions. Supplementation with standardised Echinacea tablets, if taken before and during travel, may have preventive effects against the development of respiratory symptoms during travel involving long-haul flights. PMID:22229040

  19. 14 CFR 382.63 - What are the requirements for accessible lavatories?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (AVIATION PROCEEDINGS) SPECIAL REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL..., provide an accessible lavatory. (c) You are not required to retrofit cabin interiors of existing...

  20. Managing patients with stable respiratory disease planning air travel: a primary care summary of the British Thoracic Society recommendations.

    PubMed

    Josephs, Lynn K; Coker, Robina K; Thomas, Mike

    2013-06-01

    Air travel poses medical challenges to passengers with respiratory disease, principally because of exposure to a hypobaric environment. In 2002 the British Thoracic Society published recommendations for adults and children with respiratory disease planning air travel, with a web update in 2004. New full recommendations and a summary were published in 2011, containing key recommendations for the assessment of high-risk patients and identification of those likely to require in-flight supplemental oxygen. This paper highlights the aspects of particular relevance to primary care practitioners with the following key points: (1) At cabin altitudes of 8000 feet (the usual upper limit of in-flight cabin pressure, equivalent to 0.75 atmospheres) the partial pressure of oxygen falls to the equivalent of breathing 15.1% oxygen at sea level. Arterial oxygen tension falls in all passengers; in patients with respiratory disease, altitude may worsen preexisting hypoxaemia. (2) Altitude exposure also influences the volume of any air in cavities, where pressure x volume remain constant (Boyle's law), so that a pneumothorax or closed lung bulla will expand and may cause respiratory distress. Similarly, barotrauma may affect the middle ear or sinuses if these cavities fail to equilibrate. (3) Patients with respiratory disease require clinical assessment and advice before air travel to: (a) optimise usual care; (b) consider contraindications to travel and possible need for in-flight oxygen; (c) consider the need for secondary care referral for further assessment; (d) discuss the risk of venous thromboembolism; and (e) discuss forward planning for the journey. PMID:23732637

  1. Travelers Edge: A Model on the Cutting Edge of Corporate College Access and Success Support

    ERIC Educational Resources Information Center

    Pell Institute for the Study of Opportunity in Higher Education, 2012

    2012-01-01

    It is intuitive for businesses and corporations to be worried about the nation's economic competitiveness in the globalized marketplace. To help close this income-based degree attainment gap, models of college access and success programs continue to emerge among the corporate sector. For years, many corporations have established internship and/or…

  2. Travel counseling for the elderly traveler.

    PubMed

    Schindler, Kasey J

    2005-01-01

    As the baby boomer's generation retirees, many will have the time and money to travel abroad to see the world's exotic wonders or visit family and friends. When the travelers are elderly, they are particularly vulnerable to the effects of travel. Healthcare professionals are responsible for counseling elders on travel health based on their medical history, destination, method of transportation, and exposure risks. Important areas of travel counseling include preparing for travel, air travel, safety, sun and heat, insect precautions, food and water precautions, and vaccinations. PMID:16271122

  3. Avatars travel for free: virtual access to evidence-based intervention training and capacity building.

    PubMed

    Villarruel, Antonia M; Aebersold, Michelle; Valladares, Angel F; Yeagley, Emily; Tschannen, Dana

    2014-10-01

    Virtual facilitator trainings have the potential to accelerate the dissemination of evidence-based interventions by increasing accessibility and affordability. We explore the feasibility and acceptability of translating facilitator trainings of ¡Cuídate!, an evidence-based sexual risk intervention for Latino youth, to a multi-user virtual environment (Second Life). We describe the adaptation process and compare participant ratings of face-to-face (n = 35) and Second Life trainings (n = 26). Second Life participants reported that training resources, activities, and demonstrations were good/very good (97%, 88.5%, 94%). While face-to-face participants rated training process outcomes significantly higher than those in Second Life (p < 0.05), these differences may not be practically significant given high ratings overall. Results suggest that virtual trainings are an acceptable and feasible option for training community facilitators on evidence-based interventions. This study contributes to the development of trainings necessary to disseminate and implement evidence-based interventions and is an important effort in providing end-users with access to trainings in order to provide needed community services. PMID:25299808

  4. Effect of fare and travel time on the demand for domestic air transportation

    NASA Technical Reports Server (NTRS)

    Eriksen, S. E.; Liu, E. W.

    1979-01-01

    An econometric travel demand model was presented. The model was used for analyzing long haul domestic passenger markets in the United States. The results showed the sensitivities of demand to changes in fares and speed reflecting technology through more efficient aircraft designs.

  5. 19 CFR 24.18 - Preclearance of air travelers in a foreign country; reimbursable cost.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... are stationed for that purpose. (b) At the request of an airline, travelers on a direct flight to the... as defined in paragraph (c) of this section shall be made to the airline. (c) The reimbursable excess... used in calculating the prorated charge for preclearance service for each airline in accordance...

  6. International Dispersal of Dengue through Air Travel: Importation Risk for Europe

    PubMed Central

    Semenza, Jan C.; Sudre, Bertrand; Miniota, Jennifer; Rossi, Massimiliano; Hu, Wei; Kossowsky, David; Suk, Jonathan E.; Van Bortel, Wim; Khan, Kamran

    2014-01-01

    Background The worldwide distribution of dengue is expanding, in part due to globalized traffic and trade. Aedes albopictus is a competent vector for dengue viruses (DENV) and is now established in numerous regions of Europe. Viremic travellers arriving in Europe from dengue-affected areas of the world can become catalysts of local outbreaks in Europe. Local dengue transmission in Europe is extremely rare, and the last outbreak occurred in 1927–28 in Greece. However, autochthonous transmission was reported from France in September 2010, and from Croatia between August and October 2010. Methodology We compiled data on areas affected by dengue in 2010 from web resources and surveillance reports, and collected national dengue importation data. We developed a hierarchical regression model to quantify the relationship between the number of reported dengue cases imported into Europe and the volume of airline travellers arriving from dengue-affected areas internationally. Principal Findings In 2010, over 5.8 million airline travellers entered Europe from dengue-affected areas worldwide, of which 703,396 arrived at 36 airports situated in areas where Ae. albopictus has been recorded. The adjusted incidence rate ratio for imported dengue into European countries was 1.09 (95% CI: 1.01–1.17) for every increase of 10,000 travellers; in August, September, and October the rate ratios were 1.70 (95%CI: 1.23–2.35), 1.46 (95%CI: 1.02–2.10), and 1.35 (95%CI: 1.01–1.81), respectively. Two Italian cities where the vector is present received over 50% of all travellers from dengue-affected areas, yet with the continuing vector expansion more cities will be implicated in the future. In fact, 38% more travellers arrived in 2013 into those parts of Europe where Ae. albopictus has recently been introduced, compared to 2010. Conclusions The highest risk of dengue importation in 2010 was restricted to three months and can be ranked according to arriving traveller volume from dengue

  7. Effects of northbound long-haul international air travel on sleep quantity and subjective jet lag and wellness in professional Australian soccer players.

    PubMed

    Fowler, Peter; Duffield, Rob; Howle, Kieran; Waterson, Adam; Vaile, Joanna

    2015-07-01

    The current study examined the effects of 10-h northbound air travel across 1 time zone on sleep quantity, together with subjective jet lag and wellness ratings, in 16 male professional Australian football (soccer) players. Player wellness was measured throughout the week before (home training week) and the week of (away travel week) travel from Australia to Japan for a preseason tour. Sleep quantity and subjective jet lag were measured 2 d before (Pre 1 and 2), the day of, and for 5 d after travel (Post 1-5). Sleep duration was significantly reduced during the night before travel (Pre 1; 4.9 [4.2-5.6] h) and night of competition (Post 2; 4.2 [3.7-4.7] h) compared with every other night (P<.01, d>0.90). Moreover, compared with the day before travel, subjective jet lag was significantly greater for the 5 d after travel (P<.05, d>0.90), and player wellness was significantly lower 1 d post-match (Post 3) than at all other time points (P<.05, d>0.90). Results from the current study suggest that sleep disruption, as a result of an early travel departure time (8 PM) and evening match (7:30 PM), and fatigue induced by competition had a greater effect on wellness ratings than long-haul air travel with a minimal time-zone change. Furthermore, subjective jet lag may have been misinterpreted as fatigue from sleep disruption and competition, especially by the less experienced players. Therefore, northbound air travel across 1 time zone from Australia to Asia appears to have negligible effects on player preparedness for subsequent training and competition. PMID:25569181

  8. 14 CFR 382.71 - What other aircraft accessibility requirements apply to carriers?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DISABILITY IN AIR TRAVEL Accessibility of Aircraft § 382.71 What other aircraft accessibility requirements... working order. (b) You must ensure that any replacement or refurbishing of the aircraft cabin or...

  9. 19 CFR 122.163 - Transit air cargo traveling to U.S. ports.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... following factors: (1) Any data or documents available to the airline which presented a receipt for the transit air cargo, and available to the importing airline relating to the description and value of...

  10. Consumer Expectations of Capacity Constrains and Their Effect on the Demand for Multi-Class Air Travel

    NASA Technical Reports Server (NTRS)

    Battersby, Bryn D.

    2003-01-01

    This paper argues that a consumer's decision on ticket class takes into account the expected likelihood of obtaining a seat in a particular class which, in turn, partially depends on an optimum "transaction cost". Taking into account the preferences of the consumer and the information that the consumer is endowed with, the consumer will select a ticket that includes its own optimal transaction cost. This motivates the inclusion of the capacity constraint as a proxy independent variable for these consumer expectations This then forms the basis of a model of air-travel demand with specific reference to Australia. A censored likelihood function allowing for correlation in the disturbance term across k classes is introduced. The correlation in the disturbances arises as a result of the interdependence of the capacity constraints in k different ticket classes on each flight.

  11. 77 FR 39799 - Nondiscrimination on the Basis of Disability in Air Travel: Draft Technical Assistance Manual

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ... April 11, 2000 (65 FR 19477-78), or you may visit http://DocketsInfo.dot.gov . Docket: For access to the... comment. See 70 FR 20640. After reviewing the comments received and making changes to the TAM where appropriate, the Department issued a final TAM on July 19, 2005. See 70 FR 41482. Since that time, DOT...

  12. Using Open and Interoperable Ways to Publish and Access LANCE AIRS Near-Real Time Data

    NASA Astrophysics Data System (ADS)

    Zhao, P.; Lynnes, C.; Vollmer, B.; Savtchenko, A. K.; Yang, W.

    2011-12-01

    Atmospheric Infrared Sounder (AIRS) Near-Real Time (NRT) data from the Land Atmosphere Near real time Capability for EOS (LANCE) provide the information on the global and regional atmospheric state with very low latency. An open and interoperable platform is useful to facilitate access to and integration of LANCE AIRS NRT data. This paper discusses the use of open-source software components to build Web services for publishing and accessing AIRS NRT data in the context of Service Oriented Architecture (SOA). The AIRS NRT data have also been made available through an OPeNDAP server. OPeNDAP allows several open-source netCDF-based tools such as Integrated Data Viewer, Ferret and Panoply to directly display the Level 2 data over the network. To enable users to locate swath data files in the OPeNDAP server that lie within a certain geographical area, graphical "granule maps" are being added to show the outline of each file on a map of the Earth. The metadata of AIRS NRT data and services is then explored to implement information advertisement and discovery in catalogue systems. Datacasting, an RSS-based technology for accessing Earth Science data and information to facilitate the subscriptions to AIRS NRT data availability, filtering, downloading and viewing data, is also discussed. To provide an easy entry point to AIRS NRT data and services, a Web portal designed for customized data downloading and visualization is introduced.

  13. Modeling the impact of air, sea, and land travel restrictions supplemented by other interventions on the emergence of a new influenza pandemic virus

    PubMed Central

    2012-01-01

    Background During the early stages of a new influenza pandemic, travel restriction is an immediate and non-pharmaceutical means of retarding incidence growth. It extends the time frame of effective mitigation, especially when the characteristics of the emerging virus are unknown. In the present study, we used the 2009 influenza A pandemic as a case study to evaluate the impact of regulating air, sea, and land transport. Other government strategies, namely, antivirals and hospitalizations, were also evaluated. Methods Hong Kong arrivals from 44 countries via air, sea, and land transports were imported into a discrete stochastic Susceptible, Exposed, Infectious and Recovered (SEIR) host-flow model. The model allowed a number of latent and infectious cases to pass the border, which constitutes a source of local disease transmission. We also modeled antiviral and hospitalization prevention strategies to compare the effectiveness of these control measures. Baseline reproduction rate was estimated from routine surveillance data. Results Regarding air travel, the main route connected to the influenza source area should be targeted for travel restrictions; imposing a 99% air travel restriction delayed the epidemic peak by up to two weeks. Once the pandemic was established in China, the strong land connection between Hong Kong and China rendered Hong Kong vulnerable. Antivirals and hospitalization were found to be more effective on attack rate reductions than travel restrictions. Combined strategies (with 99% restriction on all transport modes) deferred the peak for long enough to establish a vaccination program. Conclusion The findings will assist policy-makers with decisions on handling similar future pandemics. We also suggest regulating the extent of restriction and the transport mode, once restriction has been deemed necessary for pandemic control. Although travel restrictions have yet to gain social acceptance, they allow time for mitigation response when a new and

  14. [Physical exposure by travelling].

    PubMed

    Lange, U

    2011-06-01

    Approximately 40 million Germans travel abroad every year. Air travel is the most frequently used mean of transportation followed by the automobile. During airplane flights rheumatic patients are subjected to numerous physical, biological and climatic factors which can cause stress and adverse effects on general health. Therefore, preventive strategies are helpful to protect against health damage, provided that there is general fitness for air travel. The present article focuses on physical and biological stress as well as psychological aspects during air travel and reviews prophylactic measures. PMID:21533614

  15. Understanding Air Transportation Market Dynamics Using a Search Algorithm for Calibrating Travel Demand and Price

    NASA Technical Reports Server (NTRS)

    Kumar, Vivek; Horio, Brant M.; DeCicco, Anthony H.; Hasan, Shahab; Stouffer, Virginia L.; Smith, Jeremy C.; Guerreiro, Nelson M.

    2015-01-01

    This paper presents a search algorithm based framework to calibrate origin-destination (O-D) market specific airline ticket demands and prices for the Air Transportation System (ATS). This framework is used for calibrating an agent based model of the air ticket buy-sell process - Airline Evolutionary Simulation (Airline EVOS) -that has fidelity of detail that accounts for airline and consumer behaviors and the interdependencies they share between themselves and the NAS. More specificially, this algorithm simultaneous calibrates demand and airfares for each O-D market, to within specified threshold of a pre-specified target value. The proposed algorithm is illustrated with market data targets provided by the Transportation System Analysis Model (TSAM) and Airline Origin and Destination Survey (DB1B). Although we specify these models and datasources for this calibration exercise, the methods described in this paper are applicable to calibrating any low-level model of the ATS to some other demand forecast model-based data. We argue that using a calibration algorithm such as the one we present here to synchronize ATS models with specialized forecast demand models, is a powerful tool for establishing credible baseline conditions in experiments analyzing the effects of proposed policy changes to the ATS.

  16. Elderberry Supplementation Reduces Cold Duration and Symptoms in Air-Travellers: A Randomized, Double-Blind Placebo-Controlled Clinical Trial.

    PubMed

    Tiralongo, Evelin; Wee, Shirley S; Lea, Rodney A

    2016-01-01

    Intercontinental air travel can be stressful, especially for respiratory health. Elderberries have been used traditionally, and in some observational and clinical studies, as supportive agents against the common cold and influenza. This randomized, double-blind placebo-controlled clinical trial of 312 economy class passengers travelling from Australia to an overseas destination aimed to investigate if a standardised membrane filtered elderberry (Sambucus nigra L.) extract has beneficial effects on physical, especially respiratory, and mental health. Cold episodes, cold duration and symptoms were noted in a daily diary and assessed using the Jackson score. Participants also completed three surveys containing questions regarding upper respiratory symptoms (WURSS-21) and quality of life (SF-12) at baseline, just before travel and at 4-days after travel. Most cold episodes occurred in the placebo group (17 vs. 12), however the difference was not significant (p = 0.4). Placebo group participants had a significantly longer duration of cold episode days (117 vs. 57, p = 0.02) and the average symptom score over these days was also significantly higher (583 vs. 247, p = 0.05). These data suggest a significant reduction of cold duration and severity in air travelers. More research is warranted to confirm this effect and to evaluate elderberry's physical and mental health benefits. PMID:27023596

  17. Elderberry Supplementation Reduces Cold Duration and Symptoms in Air-Travellers: A Randomized, Double-Blind Placebo-Controlled Clinical Trial

    PubMed Central

    Tiralongo, Evelin; Wee, Shirley S.; Lea, Rodney A.

    2016-01-01

    Intercontinental air travel can be stressful, especially for respiratory health. Elderberries have been used traditionally, and in some observational and clinical studies, as supportive agents against the common cold and influenza. This randomized, double-blind placebo-controlled clinical trial of 312 economy class passengers travelling from Australia to an overseas destination aimed to investigate if a standardised membrane filtered elderberry (Sambucus nigra L.) extract has beneficial effects on physical, especially respiratory, and mental health. Cold episodes, cold duration and symptoms were noted in a daily diary and assessed using the Jackson score. Participants also completed three surveys containing questions regarding upper respiratory symptoms (WURSS-21) and quality of life (SF-12) at baseline, just before travel and at 4-days after travel. Most cold episodes occurred in the placebo group (17 vs. 12), however the difference was not significant (p = 0.4). Placebo group participants had a significantly longer duration of cold episode days (117 vs. 57, p = 0.02) and the average symptom score over these days was also significantly higher (583 vs. 247, p = 0.05). These data suggest a significant reduction of cold duration and severity in air travelers. More research is warranted to confirm this effect and to evaluate elderberry’s physical and mental health benefits. PMID:27023596

  18. [Health risks of long-distance air travel. Role of the general practitioner].

    PubMed

    Bazex, Jacques; Cabanis, Emmanuel Alain

    2010-06-01

    Air transport is seeing an increase in long-distance flights (12-16 hours average flight time), greater seating capacity, and a higher proportion of elderly, and hence more fragile, passengers. The French Academy of Medicine recommends that medical care be reinforced, particularly on long-distance flights, through the following measures: (i) passengers should be informed in advance of potential risks, through a Passenger's Guide, (ii) all future passengers should be encouraged to seek health advice and information from their general practitioner, (iii) flight crew members should receive training as "in-flight medical correspondents", and (iv) airlines and plane designers should reserve a "medical space" on the plane, equipped with appropriate medical materials. PMID:21513137

  19. Accessibility

    MedlinePlus

    ... www.nlm.nih.gov/medlineplus/accessibility.html MedlinePlus Accessibility To use the sharing features on this page, ... Subscribe to RSS Follow us Disclaimers Copyright Privacy Accessibility Quality Guidelines Viewers & Players MedlinePlus Connect for EHRs ...

  20. A comparison of greenhouse gas emissions and local area pollution of highspeed rail and air travel between Los Angeles and Las Vegas

    NASA Astrophysics Data System (ADS)

    Mullins, Damien

    Global warming is one of the most discussed global environmental issues in the world today. Global warming is driven by fossil fuel combustion emissions known as Green-house Gases (GHG). One of the major contributors to GHG emissions is the transport sector, emitting approximately 30% of total U.S. CO 2 emissions in 2010. Air travel contributed approximately 3.5% of total U.S. CO2 in 2008. High-speed Rail (HSR) is often touted as cleaner, more sustainable mode of transport than air travel. HSR is one of few modes of transport capable of competing with air travel for short to medium-haul distances. There has been considerable study of GHG emissions of each independently. Research has also been carried out into the economics and competition of these transport modes. However, there has been very limited study of the comparative emissions of each, apart from one study in Europe (Givoni, 2007). The current study was undertaken with the goal of quantifying potential emission savings due to mode substitution from air travel to HSR in the Los Angeles to Las Vegas corridor. This study only considered the emissions which occurred from the combustion of the relevant fuels, either in power plants or the engines of an aircraft. Emissions from fuel production/refining or transport of fuels were not considered. Another issue compared was Local Area Pollution (LAP), which is a measure of the severity of emissions effect on the environment. This was examined because all emissions from HSR occur close to the surface of the earth, and hence effect the local environment, while only a portion of aircraft emissions do. This study was carried out using internationally recognized emission inventory methodologies. For the air travel emission estimate methodologies and data published by the Intergovernmental Panel on Climate Change (IPCC) and the International Civil Aviation Organization (ICAO) were used. The HSR energy use was estimated from energy use data from currently running HSR

  1. Air Quality uFIND: User-oriented Tool Set for Air Quality Data Discovery and Access

    NASA Astrophysics Data System (ADS)

    Hoijarvi, K.; Robinson, E. M.; Husar, R. B.; Falke, S. R.; Schultz, M. G.; Keating, T. J.

    2012-12-01

    Historically, there have been major impediments to seamless and effective data usage encountered by both data providers and users. Over the last five years, the international Air Quality (AQ) Community has worked through forums such as the Group on Earth Observations AQ Community of Practice, the ESIP AQ Working Group, and the Task Force on Hemispheric Transport of Air Pollution to converge on data format standards (e.g., netCDF), data access standards (e.g., Open Geospatial Consortium Web Coverage Services), metadata standards (e.g., ISO 19115), as well as other conventions (e.g., CF Naming Convention) in order to build an Air Quality Data Network. The centerpiece of the AQ Data Network is the web service-based tool set: user-oriented Filtering and Identification of Networked Data. The purpose of uFIND is to provide rich and powerful facilities for the user to: a) discover and choose a desired dataset by navigation through the multi-dimensional metadata space using faceted search, b) seamlessly access and browse datasets, and c) use uFINDs facilities as a web service for mashups with other AQ applications and portals. In a user-centric information system such as uFIND, the user experience is improved by metadata that includes the general fields for discovery as well as community-specific metadata to narrow the search beyond space, time and generic keyword searches. However, even with the community-specific additions, the ISO 19115 records were formed in compliance with the standard, so that other standards-based search interface could leverage this additional information. To identify the fields necessary for metadata discovery we started with the ISO 19115 Core Metadata fields and fields that were needed for a Catalog Service for the Web (CSW) Record. This fulfilled two goals - one to create valid ISO 19115 records and the other to be able to retrieve the records through a Catalog Service for the Web query. Beyond the required set of fields, the AQ Community added

  2. Connected Traveler

    SciTech Connect

    Schroeder, Alex

    2015-11-01

    The Connected Traveler project is a multi-disciplinary undertaking that seeks to validate potential for transformative transportation system energy savings by incentivizing efficient traveler behavior. This poster outlines various aspects of the Connected Traveler project, including market opportunity, understanding traveler behavior and decision-making, automation and connectivity, and a projected timeline for Connected Traveler's key milestones.

  3. Using Open and Interoperable Ways to Publish and Access LANCE AIRS Near-Real Time Data

    NASA Technical Reports Server (NTRS)

    Zhao, Peisheng; Lynnes, Christopher; Vollmer, Bruce; Savtchenko, Andrey; Theobald, Michael; Yang, Wenli

    2011-01-01

    The Atmospheric Infrared Sounder (AIRS) Near-Real Time (NRT) data from the Land Atmosphere Near real-time Capability for EOS (LANCE) element at the Goddard Earth Sciences Data and Information Services Center (GES DISC) provides information on the global and regional atmospheric state, with very low temporal latency, to support climate research and improve weather forecasting. An open and interoperable platform is useful to facilitate access to, and integration of, LANCE AIRS NRT data. As Web services technology has matured in recent years, a new scalable Service-Oriented Architecture (SOA) is emerging as the basic platform for distributed computing and large networks of interoperable applications. Following the provide-register-discover-consume SOA paradigm, this presentation discusses how to use open-source geospatial software components to build Web services for publishing and accessing AIRS NRT data, explore the metadata relevant to registering and discovering data and services in the catalogue systems, and implement a Web portal to facilitate users' consumption of the data and services.

  4. [Thromboembolism in travelers].

    PubMed

    Bihari, I; Sándor, T

    2001-11-11

    The association between long haul travel and the risk of venous thromboembolism are suspected for long time. Mostly air travel related thrombosis series have been reported in the literature. Risk factors can be classified as: 1. travel related factors (coach position, immobilization, prolonged air travel, narrow seat and room, diuretic effect of alcohol, insufficient fluid intake, dehydration, direct pressure on leg veins, rare inspiration). 2. air plane related risk factors (low humidity, relative hypoxia, stress). 3. patient related factors (hereditary and acquired thrombophylia, previous deep venous thrombosis, age over 40, recent surgery or trauma, gravidity, puerperium, oestrogen containing pills, varicosity, chronic heart disease, obesity, fever, diarrhoea, vomiting, smoking). No patient related factors were found in some cases. To reduce the hazards air travellers are rightly concerned to know the level of the risk and the airlines should be responsible for this information. People should discuss with their physician what prophlylactic measures should be taken, such as compression stockings or low molecular weight heparin. Not only flight but car, bus and train travellers are also at risk of developing venous thromboembolism. Long haul travel alone is a separate risk factor for venous thromboembolism. PMID:11778354

  5. Stigma and barriers to accessing mental health services perceived by Air Force nursing personnel.

    PubMed

    Hernandez, Stephen H A; Bedrick, Edward J; Parshall, Mark B

    2014-11-01

    We investigated perceptions of stigma and barriers associated with accessing mental health services among active component U.S. Air Force officer and enlisted nursing personnel (N = 211). The Britt and Hoge et al Stigma scale and Hoge et al Barriers to Care scale were administered via an anonymous, online survey. Stigma items pertained to concerns that might affect decisions to seek mental health treatment. Most of the sample agreed with the items "Members of my unit might have less confidence in me" and "My unit leadership might treat me differently." Approximately 20% to 46% agreed with the other four stigma items. Officer nursing personnel were significantly more likely than enlisted to agree that accessing mental health services would be embarrassing, harm their career, or cause leaders to blame them for the problem (p ≤ 0.03 for each comparison). Getting time off from work for treatment and scheduling appointments were perceived as barriers by 41% and 21% of respondents, respectively. We conclude that proportions of Air Force nursing personnel reporting concerns about potential stigmatizing consequences of seeking mental health care are substantial and similar to ranges previously reported by military service members screening positive for mental health problems after deployment. PMID:25373066

  6. Travel medicine

    PubMed Central

    Aw, Brian; Boraston, Suni; Botten, David; Cherniwchan, Darin; Fazal, Hyder; Kelton, Timothy; Libman, Michael; Saldanha, Colin; Scappatura, Philip; Stowe, Brian

    2014-01-01

    Abstract Objective To define the practice of travel medicine, provide the basics of a comprehensive pretravel consultation for international travelers, and assist in identifying patients who might require referral to travel medicine professionals. Sources of information Guidelines and recommendations on travel medicine and travel-related illnesses by national and international travel health authorities were reviewed. MEDLINE and EMBASE searches for related literature were also performed. Main message Travel medicine is a highly dynamic specialty that focuses on pretravel preventive care. A comprehensive risk assessment for each individual traveler is essential in order to accurately evaluate traveler-, itinerary-, and destination-specific risks, and to advise on the most appropriate risk management interventions to promote health and prevent adverse health outcomes during travel. Vaccinations might also be required and should be personalized according to the individual traveler’s immunization history, travel itinerary, and the amount of time available before departure. Conclusion A traveler’s health and safety depends on a practitioner’s level of expertise in providing pretravel counseling and vaccinations, if required. Those who advise travelers are encouraged to be aware of the extent of this responsibility and to refer all high-risk travelers to travel medicine professionals whenever possible. PMID:25500599

  7. 14 CFR 382.71 - What other aircraft accessibility requirements apply to carriers?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false What other aircraft accessibility requirements apply to carriers? 382.71 Section 382.71 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT... DISABILITY IN AIR TRAVEL Accessibility of Aircraft § 382.71 What other aircraft accessibility...

  8. 14 CFR 382.71 - What other aircraft accessibility requirements apply to carriers?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false What other aircraft accessibility requirements apply to carriers? 382.71 Section 382.71 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT... DISABILITY IN AIR TRAVEL Accessibility of Aircraft § 382.71 What other aircraft accessibility...

  9. 14 CFR 382.71 - What other aircraft accessibility requirements apply to carriers?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false What other aircraft accessibility requirements apply to carriers? 382.71 Section 382.71 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT... DISABILITY IN AIR TRAVEL Accessibility of Aircraft § 382.71 What other aircraft accessibility...

  10. 76 FR 59307 - Nondiscrimination on the Basis of Disability in Air Travel: Accessibility of Web Sites and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... complete Privacy Act statement in the Federal Register published on April 11, 2000 (65 FR 19477-78), or you... are deaf, hard of hearing, and deaf-blind. See 73 FR 27614 (May 13, 2008). This latest amendment... these amendments are the following: April 3, 1990, 55 FR 12336; June 11, 1990, 55 FR 23539; November...

  11. Travelers' Health

    MedlinePlus

    ... Citizens and Residents Living in Areas with Ongoing Zika Virus Transmission Guidelines for Travelers Visiting Friends and Family ... Vaccines. Medicines. Advice. Do you have questions about Zika virus or travel to the Olympics ? Destinations Who are ...

  12. Travelers' Diarrhea

    MedlinePlus

    ... or Zika Travel to the Olympics Infographic: Olympic Games in Brazil Olympics Freqently Asked Questions Find a ... Travelers Zika infographic: Enjoy Your Vacation Infographic: Olympic Games in Brazil Pack smart to prevent Zika Prevent ...

  13. Armchair Travels.

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    1994-01-01

    Includes ideas and activities for school library media specialists relating to vacationing and traveling, including the use of maps, travel brochures, travel diaries, postcards, videos, slides, and guest speakers. An annotated bibliography of 75 pertinent sources of information, including picture books, intermediate level, nonfiction,…

  14. Travelers' Health: Travel and Breastfeeding

    MedlinePlus

    ... providers should explain clearly to breastfeeding mothers the value of continuing breastfeeding during travel. For the first 6 months of life, exclusive breastfeeding is recommended. This is especially important during travel because exclusive breastfeeding means feeding only ...

  15. FACILITATING ADVANCED URBAN METEOROLOGY AND AIR QUALITY MODELING CAPABILITIES WITH HIGH RESOLUTION URBAN DATABASE AND ACCESS PORTAL TOOLS

    EPA Science Inventory

    Information of urban morphological features at high resolution is needed to properly model and characterize the meteorological and air quality fields in urban areas. We describe a new project called National Urban Database with Access Portal Tool, (NUDAPT) that addresses this nee...

  16. Travel and venous thrombosis.

    PubMed

    Gallus, Alexander S; Goghlan, Douglas C

    2002-09-01

    Debate continues about whether and to what extent travel predisposes to venous thrombosis and pulmonary embolism (PE). Almost certainly, the strength of any association was greatly exaggerated in recent press reports. Conclusions from case-control studies vary, with some finding no excess of recent travel among patients with venous thromboembolism and others reporting a two-four fold excess. The strongest evidence that prolonged air travel predisposes to thrombosis comes from the travel history of people who present with PE immediately after landing. Two independent analyses suggest that the risk of early embolism increases exponentially with travel times beyond 6 hours and may reach 1:200,000 passengers traveling for more than 12 hours. The most likely explanation is venous stasis in the legs from prolonged sitting, and there is evidence (preliminary and controversial) that elastic support stockings may prevent deep vein thrombosis in people who travel long-distances. There is an urgent need for more and better studies to define the absolute hazard from travel-related thrombosis and the personal risk factors that may contribute. Without these, it is difficult to give a balanced account to people who intend to travel or to consider definitive prevention trials. Case reports suggest that in most cases, travel-related thrombosis has affected people who were also at risk because of previous thrombosis, recent injury, or other predispositions. This makes it sensible to target such "at risk" people with advice about hazards and precautions, at least until formal study validates some other approach. PMID:12172438

  17. Understanding taxi travel patterns

    NASA Astrophysics Data System (ADS)

    Cai, Hua; Zhan, Xiaowei; Zhu, Ji; Jia, Xiaoping; Chiu, Anthony S. F.; Xu, Ming

    2016-09-01

    Taxis play important roles in modern urban transportation systems, especially in mega cities. While providing necessary amenities, taxis also significantly contribute to traffic congestion, urban energy consumption, and air pollution. Understanding the travel patterns of taxis is thus important for addressing many urban sustainability challenges. Previous research has primarily focused on examining the statistical properties of passenger trips, which include only taxi trips occupied with passengers. However, unoccupied trips are also important for urban sustainability issues because they represent potential opportunities to improve the efficiency of the transportation system. Therefore, we need to understand the travel patterns of taxis as an integrated system, instead of focusing only on the occupied trips. In this study we examine GPS trajectory data of 11,880 taxis in Beijing, China for a period of three weeks. Our results show that taxi travel patterns share similar traits with travel patterns of individuals but also exhibit differences. Trip displacement distribution of taxi travels is statistically greater than the exponential distribution and smaller than the truncated power-law distribution. The distribution of short trips (less than 30 miles) can be best fitted with power-law while long trips follow exponential decay. We use radius of gyration to characterize individual taxi's travel distance and find that it does not follow a truncated power-law as observed in previous studies. Spatial and temporal regularities exist in taxi travels. However, with increasing spatial coverage, taxi trips can exhibit dual high probability density centers.

  18. Presence of pathogenic enteric viruses in illegally imported meat and meat products to EU by international air travelers.

    PubMed

    Rodríguez-Lázaro, David; Diez-Valcarce, Marta; Montes-Briones, Rebeca; Gallego, David; Hernández, Marta; Rovira, Jordi

    2015-09-16

    One hundred twenty two meat samples confiscated from passengers on flights from non-European countries at the International Airport of Bilbao (Spain) were tested for the presence of the main foodborne viral pathogens (human noroviruses genogroups I and II, hepatitis A and E viruses) during 2012 and 2013. A sample process control virus, murine norovirus, was used to evaluate the correct performance of the method. Overall, 67 samples were positive for at least one enteric viruses, 65 being positive for hepatitis E virus (53.3%), 3 for human norovirus genogroup I (2.5%) and 1 for human norovirus genogroup II (0.8%), whereas hepatitis A virus was not detected in any sample. The type of positive meat samples was diverse, but mainly was pork meat products (64.2%). The geographical origin of the positive samples was wide and diverse; samples from 15 out 19 countries tested were positive for at least one virus. However, the estimated virus load was low, ranging from 55 to 9.0 × 10(4) PDU per gram of product. The results obtained showed the potential introduction of viral agents in travelers' luggage, which constitute a neglected route of introduction and transmission. PMID:25951793

  19. Traveler's Diarrhea.

    PubMed

    Giddings, Stanley L; Stevens, A Michal; Leung, Daniel T

    2016-03-01

    Traveler's diarrhea (TD) is the most common travel-related illness, and it can have a significant impact on the traveler. Pretravel consultation provides an excellent opportunity for the clinician to counsel the traveler and discuss strategies such as food and water hygiene, vaccinations, and medications for prophylaxis or self-treatment that may decrease the incidence and impact of TD. Postinfectious sequelae, such as postinfectious irritable bowel syndrome, reactive arthritis, and Guillain-Barre syndrome, may develop weeks or months after return. PMID:26900116

  20. Travelers' Health: Deep Vein Thrombosis and Pulmonary Embolism

    MedlinePlus

    ... related VTE, particularly in regards to duration of travel and time window after travel. Estimates of travel-related VTE incidence vary because ... with preexisting risk factors. The risk decreases with time after air travel; most air travel–related VTE occurs within the ...

  1. 7 CFR 1484.37 - Must Cooperators adhere to Federal Travel Regulations?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... to Federal Travel Regulations? Travel shall conform to the U.S. Federal Travel Regulation (41 CFR Chapters 300 through 304) and air travel shall conform to the requirements of the “Fly America Act” (49...

  2. 7 CFR 1484.37 - Must Cooperators adhere to Federal Travel Regulations?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... to Federal Travel Regulations? Travel shall conform to the U.S. Federal Travel Regulation (41 CFR Chapters 300 through 304) and air travel shall conform to the requirements of the “Fly America Act” (49...

  3. Air

    MedlinePlus

    ... do to protect yourself from dirty air . Indoor air pollution and outdoor air pollution Air can be polluted indoors and it can ... this chart to see what things cause indoor air pollution and what things cause outdoor air pollution! Indoor ...

  4. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport.

    PubMed

    Sundling, Catherine

    2015-11-01

    Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+) travelers' motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers' critical reactions (i.e., cognitive, emotional, and/or behavioral) to 77 critical incidents were examined. By applying critical incident technique (CIT), five reaction themes were identified that had generated travel-behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. To improve older travelers' access to public transport, key findings were: (a) service must be designed so as to strengthen the feeling of being in control throughout the journey; (b) extended personal service would increase predictability in the travel chain and decrease travel complexity; consequently, PMID:26593935

  5. Air breathing in the Arctic: influence of temperature, hypoxia, activity and restricted air access on respiratory physiology of the Alaska blackfish Dallia pectoralis

    PubMed Central

    Lefevre, Sjannie; Damsgaard, Christian; Pascale, Desirae R.; Nilsson, Göran E.; Stecyk, Jonathan A. W.

    2014-01-01

    The Alaska blackfish (Dallia pectoralis) is an air-breathing fish native to Alaska and the Bering Sea islands, where it inhabits lakes that are ice-covered in the winter, but enters warm and hypoxic waters in the summer to forage and reproduce. To understand the respiratory physiology of this species under these conditions and the selective pressures that maintain the ability to breathe air, we acclimated fish to 5°C and 15°C and used respirometry to measure: standard oxygen uptake () in normoxia (19.8 kPa PO2) and hypoxia (2.5 kPa), with and without access to air; partitioning of standard in normoxia and hypoxia; maximum and partitioning after exercise; and critical oxygen tension (Pcrit). Additionally, the effects of temperature acclimation on haematocrit, haemoglobin oxygen affinity and gill morphology were assessed. Standard was higher, but air breathing was not increased, at 15°C or after exercise at both temperatures. Fish acclimated to 5°C or 15°C increased air breathing to compensate and fully maintain standard in hypoxia. Fish were able to maintain through aquatic respiration when air was denied in normoxia, but when air was denied in hypoxia, standard was reduced by ∼30–50%. Pcrit was relatively high (5 kPa) and there were no differences in Pcrit, gill morphology, haematocrit or haemoglobin oxygen affinity at the two temperatures. Therefore, Alaska blackfish depends on air breathing in hypoxia and additional mechanisms must thus be utilised to survive hypoxic submergence during the winter, such as hypoxia-induced enhancement in the capacities for carrying and binding blood oxygen, behavioural avoidance of hypoxia and suppression of metabolic rate. PMID:25394628

  6. Beyond "medical tourism": Canadian companies marketing medical travel

    PubMed Central

    2012-01-01

    Background Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, “Liberation therapy” for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Methods Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Results Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other

  7. Travellers' diarrhoea.

    PubMed

    Ericsson, Charles D

    2003-02-01

    Risk of travellers' diarrhoea is about 7% in developed countries and 20-50% in the developing world. Options for prevention include education and chemoprophylaxis. Vaccination is a promising but incomplete option. Achieving behaviour modification of food and water choices among tourists is difficult. Bismuth subsalicylate (BSS)-containing compounds are about 62% effective in the prevention of travellers' diarrhoea. Antibiotics are about 84% effective in preventing travellers' diarrhoea. Routine prophylaxis of travellers' diarrhoea, especially with antibiotics, should be discouraged. Oral rehydration is generally important in the treatment of diarrhoea, but travellers' diarrhoea is only infrequently dehydrating in adults. The addition of oral rehydration solutions confers no additional benefit to loperamide in the treatment of travellers' diarrhoea in adults. Presently, the most active of the antibiotics routinely available for treatment are members of the fluoroquinolone group. Antibiotics that are not absorbed such as aztreonam and a rifampicin-like agent, rifaximin, are both effective. The latter might become a therapy of choice once it is routinely available, due to predictably less adverse reactions with a non-absorbed antibiotic. Preliminary results with azithromycin look very promising. Less severe disease can be treated with a variety of non-antibiotic agents (e.g. BSS-containing compounds, loperamide and a calmodulin inhibitor, zaldaride). The combination of an antibiotic and loperamide is superior to treatment with either agent alone in a several studies and is arguably the treatment of choice for distressing travellers' diarrhoea. PMID:12615374

  8. [Adventure travel].

    PubMed

    Beck, Bernhard R

    2013-06-01

    Extreme travelling experiences appear to be a quite popular kick offered by tourist operators and sought by some travellers. But some travellers expose themselves to increased risk also during normal holidays, either voluntarily by booking hikes or tours leading them to adventurous locations or to unexpectedly encountering dangerous situations. In planned adventures, precise information in advance, good physical condition, careful planning, and profound medical preparation may contribute to a less hazardous adventure. Advising medical persons may need an expert consultation for specific topics in order to optimise the preparation. Based on three specific environmental situations (jungle, desert, and cave) the specific conditions, dangers and some medical aspects are outlined. PMID:23732454

  9. TRAVEL FORECASTER

    NASA Technical Reports Server (NTRS)

    Mauldin, L. E.

    1994-01-01

    Business travel planning within an organization is often a time-consuming task. Travel Forecaster is a menu-driven, easy-to-use program which plans, forecasts cost, and tracks actual vs. planned cost for business-related travel of a division or branch of an organization and compiles this information into a database to aid the travel planner. The program's ability to handle multiple trip entries makes it a valuable time-saving device. Travel Forecaster takes full advantage of relational data base properties so that information that remains constant, such as per diem rates and airline fares (which are unique for each city), needs entering only once. A typical entry would include selection with the mouse of the traveler's name and destination city from pop-up lists, and typed entries for number of travel days and purpose of the trip. Multiple persons can be selected from the pop-up lists and multiple trips are accommodated by entering the number of days by each appropriate month on the entry form. An estimated travel cost is not required of the user as it is calculated by a Fourth Dimension formula. With this information, the program can produce output of trips by month with subtotal and total cost for either organization or sub-entity of an organization; or produce outputs of trips by month with subtotal and total cost for international-only travel. It will also provide monthly and cumulative formats of planned vs. actual outputs in data or graph form. Travel Forecaster users can do custom queries to search and sort information in the database, and it can create custom reports with the user-friendly report generator. Travel Forecaster 1.1 is a database program for use with Fourth Dimension Runtime 2.1.1. It requires a Macintosh Plus running System 6.0.3 or later, 2Mb of RAM and a hard disk. The standard distribution medium for this package is one 3.5 inch 800K Macintosh format diskette. Travel Forecaster was developed in 1991. Macintosh is a registered trademark of

  10. Maglev vehicles and superconductor technology: Integration of high-speed ground transportation into the air travel system

    SciTech Connect

    Johnson, L.R.; Rote, D.M.; Hull, J.R.; Coffey, H.T.; Daley, J.G.; Giese, R.F.

    1989-04-01

    This study was undertaken to (1) evaluate the potential contribution of high-temperature superconductors (HTSCs) to the technical and economic feasibility of magnetically levitated (maglev) vehicles, (2) determine the status of maglev transportation research in the United States and abroad, (3) identify the likelihood of a significant transportation market for high-speed maglev vehicles, and (4) provide a preliminary assessment of the potential energy and economic benefits of maglev systems. HTSCs should be considered as an enhancing, rather than an enabling, development for maglev transportation because they should improve reliability and reduce energy and maintenance costs. Superconducting maglev transportation technologies were developed in the United States in the late 1960s and early 1970s. Federal support was withdrawn in 1975, but major maglev transportation programs were continued in Japan and West Germany, where full-scale prototypes now carry passengers at speeds of 250 mi/h in demonstration runs. Maglev systems are generally viewed as very-high-speed train systems, but this study shows that the potential market for maglev technology as a train system, e.g., from one downtown to another, is limited. Rather, aircraft and maglev vehicles should be seen as complementing rather than competing transportation systems. If maglev systems were integrated into major hub airport operations, they could become economical in many relatively high-density US corridors. Air traffic congestion and associated noise and pollutant emissions around airports would also be reduced. 68 refs., 26 figs., 16 tabs.

  11. 14 CFR 382.63 - What are the requirements for accessible lavatories?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What are the requirements for accessible lavatories? 382.63 Section 382.63 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) SPECIAL REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Accessibility of Aircraft § 382.63...

  12. 14 CFR 382.71 - What other aircraft accessibility requirements apply to carriers?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What other aircraft accessibility requirements apply to carriers? 382.71 Section 382.71 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) SPECIAL REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Accessibility of Aircraft...

  13. Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.

    PubMed

    Asdourian, Maria S; Skolny, Melissa N; Brunelle, Cheryl; Seward, Cara E; Salama, Laura; Taghian, Alphonse G

    2016-09-01

    Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed. PMID:27599144

  14. Note: A heated-air curtain design using the Coanda effect to protect optical access windows in high-temperature, condensing, and corrosive stack environments.

    PubMed

    Williams, Gustavious Paul; Keenan, Thomas L; Herning, James; Kimblin, Clare; DiBenedetto, John; Anthony, Glen

    2011-01-01

    We present an air knife design for creating a heated air curtain to protect optical infrared access windows in high-temperature, condensing, and corrosive stack environments. The design uses the Coanda effect to turn the air curtain and to attach the air curtain to the window surface. The design was tested and verified on our 24 m stack and used extensively over a 6 yr period on several release stacks. During testing and subsequent use no detrimental changes to access window materials have been noted. This design allows stack monitoring without significantly affecting the stack flow profile or chemical concentration. PMID:21280868

  15. Note: A heated-air curtain design using the Coanda effect to protect optical access windows in high-temperature, condensing, and corrosive stack environments

    NASA Astrophysics Data System (ADS)

    Williams, Gustavious Paul; Keenan, Thomas L.; Herning, James; Kimblin, Clare; DiBenedetto, John; Anthony, Glen

    2011-01-01

    We present an air knife design for creating a heated air curtain to protect optical infrared access windows in high-temperature, condensing, and corrosive stack environments. The design uses the Coanda effect to turn the air curtain and to attach the air curtain to the window surface. The design was tested and verified on our 24 m stack and used extensively over a 6 yr period on several release stacks. During testing and subsequent use no detrimental changes to access window materials have been noted. This design allows stack monitoring without significantly affecting the stack flow profile or chemical concentration.

  16. Travelers' Health: Cruise Ship Travel

    MedlinePlus

    ... provider before travel. Passengers should practice good respiratory hygiene and cough etiquette. Passengers should report their respiratory ... from: http://www.who.int/water_sanitation_health/hygiene/ships/en/shipsancomp.pdf?ua=1 . Chapter 6 - ...

  17. Enhanced oxidation of air contaminants on an ultra-low density UV-accessible aerogel photocatalyst

    SciTech Connect

    Dreyer, M.; Newman, G.K.; Lobban, L.; Kersey, S.J.; Wang, R.; Harwell, J.H.

    1997-12-31

    This research developed new forms of photocatalysts that could potentially move photocatalytic degradation of air contaminants into the main stream of industrially used remediation technologies. Tests of the photocatalytic activity of the TiO{sub 2} aerogel catalysts have been carried out using both acetone and methane as the air contaminant. For comparison, the same tests were carried out on a standard (non-aerogel) anatase powder. Despite having very low crystallinity, the aerogel decontaminates the air far more effectively than an equal volume of the anatase powder which indicates that a much larger fraction of the aerogel is activated by the UV light. Experimental data were used to determine adsorption equilibrium constants for acetone, and to determine reaction rate constants assuming a Langmuir-Hinshelwood type rate expression.

  18. Traveling Apples.

    ERIC Educational Resources Information Center

    Rowland Unified School District, Rowland Heights, CA.

    Teacher-developed materials for a basic computer literacy and utilization program for elementary students in grades 3-6 are included in this 4-part packet, which was originally prepared for use with or without the Apple IIe "traveling" microcomputers shared by 15 Rowland Unified School District elementary schools. Implementation procedures are…

  19. 31 CFR 515.420 - Travel to Cuba.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Travel to Cuba. 515.420 Section 515....420 Travel to Cuba. The prohibition on dealing in property in which Cuba or a Cuban national has an...) also prohibits payment for air travel to Cuba on a third-country carrier unless the travel is...

  20. Role of helicopters in airport access

    NASA Technical Reports Server (NTRS)

    Dajani, J. S.; Snyder, W. J.

    1978-01-01

    The paper briefly reviews the role of helicopter systems in the provision of airport access services and evaluates the potential for the future development of such services in major metropolitan areas in the United States. The evaluation is based on a computer simulation of potential helicopter system proposed for 20 metropolitan areas. The simulation provides two indicators that are used to gage the extent of the feasibility of developing successful systems in these areas: (1) the cost per seat mile, and (2) the break-even number of passengers, expressed as a percentage of total air travelers. It is found that a few metropolitan areas presently have the potential of marginally supporting intra-urban helicopter airport access service. The access systems offer a viable alternative for air passengers placing a high value on their time, and provides the opportunity for better integrating the air transportation service of multiple airports in a given urban region.

  1. 75 FR 66718 - Helena National Forest; Montana; Blackfoot Travel Plan EIS

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... Forest Service Helena National Forest; Montana; Blackfoot Travel Plan EIS AGENCY: Forest Service, USDA... the existing motorized public access routes and prohibitions within the Blackfoot travel planning area. Consistent with the Forest Service travel planning regulations, the resulting available public...

  2. Travel Medical Kit.

    PubMed

    Terry, Anne C; Haulman, N Jean

    2016-03-01

    "The traveler's medical kit is an essential tool for both the novice and expert traveler. It is designed to treat travel-related illness and injury and to ensure preexisting medical conditions are managed appropriately. Travelers are at increased risk for common gastrointestinal issues during travel. Respiratory illnesses make up approximately 8% of the ailments present in returned international travelers. Approximately 12% of travelers experience a travel-related skin condition. First aid treatment for minor injuries is essential to all travel medical kits. The complexity ranges from a small, simple case for the urban traveler to a larger, extensive case for wilderness travel." PMID:26900112

  3. 2001 New York State NHTS: Travel Patterns of Special Populations

    SciTech Connect

    Hu, Patricia S; Reuscher, Tim

    2010-03-01

    Policymakers rely on transportation statistics, including data on personal travel behavior, to formulate strategic transportation policies, and to improve the safety and efficiency of the U.S. transportation system. Data on personal travel trends are needed to examine the reliability, efficiency, capacity, and flexibility of the Nation's transportation system to meet current demands and accommodate future demands; to assess the feasibility and efficiency of alternative congestion-alleviating technologies (e.g., high-speed rail, magnetically levitated trains, intelligent vehicle and highway systems); to evaluate the merits of alternative transportation investment programs; and to assess the energy-use and air-quality impacts of various policies. To address these data needs, the U.S. Department of Transportation (USDOT) initiated an effort in 1969 to collect detailed data on personal travel. The 1969 survey was the first Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990, 1995, and 2001. Data on daily travel were collected in 1969, 1977, 1983, 1990 and 1995. Longer-distance travel was collected in 1977 and 1995. The 2001 National Household Travel Survey (NHTS) collected both daily and longer-distance trips in one survey. The 2001 survey was sponsored by three USDOT agencies: Federal Highway Administration (FHWA), Bureau of Transportation Statistics (BTS), and National Highway Traffic Safety Administration (NHTSA). The primary objective of the survey was to collect trip-based data on the nature and characteristics of personal travel so that the relationships between the characteristics of personal travel and the demographics of the traveler can be established. Commercial and institutional travel was not part of the survey. New York State participated in the 2001 NHTS by procuring additional 12,000 sample households. These additional sample households allowed New York State to address transportation planning issues

  4. I(sup STAR), NASA's Next Step in Air-Breathing Propulsion for Space Access

    NASA Technical Reports Server (NTRS)

    Hutt, John J.; McArthur, Craig; Cook, Stephen (Technical Monitor)

    2001-01-01

    The United States' National Aeronautics and Space Administration (NASA) has established a strategic plan for future activities in space. A primary goal of this plan is to make drastic improvements in the cost and safety of earth to low-earth-orbit transportation. One approach to achieving this goal is through the development of highly reusable, highly reliable space transportation systems analogous to the commercial airline system. In the year 2000, NASA selected the Rocket Based Combined Cycle (RBCC) engine as the next logical step towards this goal. NASA will develop a complete flight-weight, pump-fed engine system under the Integrated System Test of an Airbreathing Rocket (I(sup STAR)) Project. The objective of this project is develop a reusable engine capable of self-powering a vehicle through the air-augmented rocket, ramjet and scramjet modes required in all RBCC based operational vehicle concepts. The project is currently approved and funded to develop the engine through ground test demonstration. Plans are in place to proceed with flight demonstration pending funding approval. The project is in formulation phase and the Preliminary Requirements Review has been completed. The engine system and vehicle have been selected at the conceptual level. The I(sup STAR) engine concept is based on an air-breathing flowpath downselected from three configurations evaluated in NASA's Advanced Reusable Technology contract. The selected flowpath features rocket thrust chambers integrated into struts separating modular flowpath ducts, a variable geometry inlet, and a thermally choked throat. The engine will be approximately 220 inches long and 79 inches wide and fueled with a hydrocarbon fuel using liquid oxygen as the primary oxidizer candidate. The primary concept for the pump turbine drive is pressure-fed catalyzed hydrogen peroxide. In order to control costs, the flight demonstration vehicle will be launched from a B-52 aircraft. The vehicle concept is based on the Air

  5. Malaria: prevention in travellers

    PubMed Central

    2007-01-01

    Introduction Malaria transmission occurs most frequently in environments with humidity over 60% and ambient temperature of 25-30 °C. Risks increase with longer visits and depend on activity. Infection can follow a single mosquito bite. Incubation is usually 10-14 days but can be up to 18 months depending on the strain of parasite. Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of non-drug preventive interventions in adult travellers? What are the effects of drug prophylaxis in adult travellers? What are the effects of antimalaria vaccines in travellers? What are the effects of antimalaria interventions in child travellers, pregnant travellers, and in airline pilots? We searched: Medline, Embase, The Cochrane Library and other important databases up to February 2006 (BMJ Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). Results We found 69 systematic reviews, RCTs, or observational studies that met our inclusion criteria. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: acoustic buzzers, aerosol insecticides, amodiaquine, air conditioning and electric fans, atovaquone-proguanil, biological control measures, chloroquine (alone or with proguanil), diethyltoluamide (DEET), doxycycline, full-length and light-coloured clothing, insecticide-treated clothing/nets, mefloquine, mosquito coils and vaporising mats, primaquine, pyrimethamine-dapsone, pyrimethamine-sulfadoxine, smoke, topical (skin-applied) insect repellents, and vaccines. PMID:19450348

  6. President's Address: Travel Medicine and Principles of Safe Travel

    PubMed Central

    DuPont, Herbert L.

    2008-01-01

    Persons crossing international boundaries away from their medical support systems are put at risk for illness and injury. Travel medicine is a new medical discipline that quantifies these health risks and develops strategies for reducing them. Obtaining health and evacuation insurance for a future trip is important for persons with medical conditions, those planning trips to developing tropical or semi-tropical regions of the world or when an international stay anywhere will be as long as a month. Pre-travel medical evaluation, vaccines against endemic infectious diseases and medications to reduce the occurrence of diarrhea and malaria during trips to endemic areas, and medications for self-treatment of common illnesses such as diarrhea are fundamental to travel medicine. There are a number of miscellaneous areas to consider in travel medicine including preventing deep vein thrombosis and minimizing jet lag during long haul air travel and reducing the occurrence of accidents and water- and altitude-related illnesses. An important recently defined challenge to the field is the growing number of ill-prepared persons put at great risk for illness while visiting friends and relatives living in areas of reduced hygiene. All persons need to have an idea of how and where they may find medical care if they develop illness while abroad. This article summarizes essential elements in travel medicine and offers 10 recommendations for safe travel. PMID:18596858

  7. A unique measles B3 cluster in the United Kingdom and the Netherlands linked to air travel and transit at a large international airport, February to April 2014.

    PubMed

    Nic Lochlainn, Laura; Mandal, Sema; de Sousa, Rita; Paranthaman, Karthik; van Binnendijk, Rob; Ramsay, Mary; Hahné, Susan; Brown, Kevin E

    2016-01-01

    This report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus strain of genotype B3 were detected in the UK and the Netherlands, of which nine secondary cases were epidemiologically linked to an infectious measles case travelling from the Philippines. Through a combination of epidemiological investigation and sequence analysis, we found that measles transmission occurred in flight, airport and household settings. The secondary measles cases included airport workers, passengers in transit at the same airport or travelling on the same flight as the infectious case and also household contacts. This investigation highlighted the particular importance of measles genotyping in identifying transmission networks and the need to improve vaccination, public health follow-up and management of travellers and airport staff exposed to measles. PMID:27074646

  8. Plains Traveler

    NASA Technical Reports Server (NTRS)

    2006-01-01

    10 April 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a dust devil traveling across a plain west-southwest of Schiaparelli Crater, in far eastern Sinus Meridiani. The dust devil is casting a shadow toward the northeast, just south (below) of an egg-shaped crater.

    Location near: 6.4oS, 349.3oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Southern Summer

  9. Travel Schooling: Helping Children Learn through Travel.

    ERIC Educational Resources Information Center

    Byrnes, Deborah A.

    2001-01-01

    Provides information for teachers to help parents create rewarding and educational travel experiences for children. Examines the benefits of travel schooling, fundamental elements of a meaningful travel schooling experience, fostering cross cultural sensitivity through travel, and returning to the traditional classroom. (SD)

  10. The Traveler with Sickle Cell Disease

    PubMed Central

    Willen, Shaina M.; Thornburg, Courtney D.; Lantos, Paul M.

    2014-01-01

    Background Sickle cell disease (SCD) is the most common genetic disease among persons with African ancestry. This article provides a background on SCD and reviews many important aspects of travel preparation in this population. Methods The medical literature was searched for studies about travel-associated preparedness and complications in individuals with SCD. Topics researched included malaria, bacterial infections, vaccinations, dehydration, altitude, air travel, and travel preparedness. Results There is very little published literature that specifically addresses the risks faced by travelers with SCD. Rates of medical complications during travel appear to be high. There is a body of literature that describes complications of SCD in indigenous populations, particularly within Africa. The generalizability of these data to a traveler are uncertain. Combining these sources of data and the broader medical literature we address major travel-related questions that may face a provider preparing an individual with SCD for safe travel. Conclusions Travelers with SCD face considerable medical risks when traveling to developing tropical countries; these include malaria, bacterial infections, hypovolemia, and sickle cell-associated vaso-occlusive crises. Frank counseling about risks, vigilant preventative measures, and contingency planning for illness while abroad are necessary parts of the pre-travel visit for individuals with SCD. PMID:24947546

  11. 2 CFR 200.474 - Travel costs.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) pursuant to any provisions of such subchapter must apply to travel under Federal awards (48 CFR 31.205-46(a)). (d) Commercial air travel. (1) Airfare costs in excess of the basic least expensive unrestricted accommodations class offered by commercial airlines are unallowable except when such accommodations would:...

  12. Travel insurance and health.

    PubMed

    Leggat, P A; Carne, J; Kedjarune, U

    1999-12-01

    Travel insurance normally underwrites travel, medical, and dental expenses incurred by travelers abroad and arranges aeromedical evacuation of travelers under conditions specified by the travel insurance policy. Because of the costs of medical and dental treatment abroad and the high cost associated with aeromedical evacuation, all travelers should be advised of the need for comprehensive travel insurance and be advised to read their policies carefully to see what is covered and to check for any exclusions. In particular, those travelers who have known preexisting conditions, who are working overseas, or who are going to undertake any form of hazardous recreational pursuit may need to obtain a special travel insurance policy, which may attract a higher premium. Conservatively, it is estimated that between 30-50% of travelers become ill or injured whilst traveling. Relative estimated monthly incidence rates of various health problems have been compiled elsewhere. The risk of severe injury is thought to be greater for people when traveling abroad. These risks should be covered by travel insurance to protect the traveler, however it is not known what proportion of travel agents or airlines give advice routinely on travel insurance. Travel insurance is the most important safety net for travelers in the event of misadventure, and should be reinforced by travel health advisers. Although only 4% of general practitioners (GPs) in a late 1980's study in the United Kingdom would advise a traveler going to Turkey about travel insurance,4 more recent studies have shown about 60% of GPs in New Zealand and 39% of travel clinics worldwide usually advised travelers concerning travel insurance. In addition, 54% of GPs in New Zealand usually also advised travelers about finding medical assistance abroad, but only 19% of GPs recommended travel insurance companies as a source of medical assistance while traveling. PMID:10575173

  13. Preparing patients to travel abroad safely. Part 1: Taking a travel history and identifying special risks.

    PubMed Central

    Thomas, R. E.

    2000-01-01

    OBJECTIVE: To present for family physicians without access to a travel clinic and the Internet the questions to ask about the medical history and itinerary of their patients traveling abroad. To suggest ways to identify and advise high-risk patients. QUALITY OF EVIDENCE: MEDLINE searches from 1990 to November 1998 located 51 articles on travel and diabetes, 37 on travel and chronic obstructive pulmonary disease (COPD), 63 on travel and heart disease, 192 on travel and pregnancy, and 298 on travel with infants or children. Additional searches were undertaken in September 1999. The quality of evidence in most articles is level III (expert opinion). There are no randomized controlled trials of the best advice for family physicians to give travelers. MAIN MESSAGE: A history should include countries to be visited, planned activities, previous tropical travel, medical history, vaccination status, whether children are traveling, pregnancy status, and patients' opinions of the risks and precautions needed. Detailed advice should be given to reduce risks. The main causes of mortality abroad are existing cardiovascular conditions and accidents. High-risk conditions to be identified in travelers are cardiovascular illness, COPD, diabetes, immunodeficiency, pregnancy, and traveling with children. CONCLUSIONS: Patients with cardiovascular illness or COPD should be advised to avoid too much exertion while traveling. Detailed instruction should be given to diabetic patients on how to maintain stable glucose levels, to pregnant women on avoiding malarial infection, and to parents on protecting their children from infections and accidents. PMID:10660795

  14. Travelers' Health: Water Disinfection for Travelers

    MedlinePlus

    ... be superior to tap water. Moreover, the plastic bottles create an ecological problem, since most developing countries do not recycle plastic bottles. All international travelers, especially long-term travelers or ...

  15. A compact UHV package for microfabricated ion-trap arrays with direct electronic air-side access

    NASA Astrophysics Data System (ADS)

    Wilpers, Guido; See, Patrick; Gill, Patrick; Sinclair, Alastair G.

    2013-04-01

    We have demonstrated a new apparatus for operating microfabricated ion-trap arrays in a compact ultra-high-vacuum setup with excellent optical and electrical access. The approach uses conventional components, materials and techniques in a unique fashion. The microtrap chip is mounted on a modified ceramic leadless chip carrier, the conductors of which serve as the vacuum feedthrough. The chip carrier is indium-sealed to stainless-steel components to form vacuum seals, resulting in short electrical path lengths of ≤20 mm from the trap electrodes under vacuum to air side. The feedthrough contains conductors for the radio-frequency trap drive, as well as 42 conductors for DC electrodes. Vacuum pressures of ˜1 × 10-11 mbar are achieved, and ions have been confined and laser cooled in a microtrap chip. The apparatus enables accurate measurements of radio-frequency voltage amplitudes on the trap electrodes, yielding an excellent agreement between measured and modelled trap efficiencies. This feature is of significant use in establishing initial operation of new devices. The principle of the connectivity scheme presented here is applicable to larger ceramic chip carriers containing many more conductors.

  16. 48 CFR 752.7002 - Travel and transportation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... referred to as the Standardized Regulations—as from time to time amended, for not more than the travel time...” clause of this contract, time spent away from post resulting from educational travel will be counted as... time amended, for not more than the travel time required by scheduled commercial air carrier using...

  17. 48 CFR 752.7002 - Travel and transportation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... referred to as the Standardized Regulations—as from time to time amended, for not more than the travel time...” clause of this contract, time spent away from post resulting from educational travel will be counted as... time amended, for not more than the travel time required by scheduled commercial air carrier using...

  18. Reviews Book: At Home: A Short History of Private Life Book: The Story of Mathematics Book: Time Travel: A Writer's Guide to the Real Science of Plausible Time Travel Equipment: Rotational Inertial Wands DVD: Planets Book: The Fallacy of Fine-Tuning Equipment: Scale with Dial Equipment: Infrared Thermometers Book: 300 Science and History Projects Book: The Nature of Light and Colour in the Open Air Equipment: Red Tide Spectrometer Web Watch

    NASA Astrophysics Data System (ADS)

    2011-09-01

    WE RECOMMEND The Story of Mathematics Book shows the link between maths and physics Time Travel: A Writer's Guide to the Real Science of Plausible Time Travel Book explains how to write good time-travelling science fiction Rotational Inertial Wands Wands can help explore the theory of inertia Infrared Thermometers Kit measures temperature differences Red Tide Spectrometer Spectrometer gives colour spectra WORTH A LOOK At Home: A Short History of Private Life Bryson explores the history of home life The Fallacy of Fine-Tuning Book wades into the science/religion debate Scale with Dial Cheap scales can be turned into Newton measuring scales 300 Science History Projects Fun science projects for kids to enjoy The Nature of Light and Colour in the Open Air Text looks at fascinating optical effects HANDLE WITH CARE Planets DVD takes a trip through the solar system WEB WATCH Websites offer representations of nuclear chain reactions

  19. Observational Study of Travelers' Diarrhea.

    PubMed

    Meuris

    1995-03-01

    Background: European air travelers returning from Algeria, Egypt, Mexico, Morocco, and Tunisia were interviewed about their experience of travelers' diseases upon arrival in Brussels. Diarrhea was mentioned by 37% of the adults and 27% of the children. These subjects were questioned about the types of measures taken, type and duration of drug treatment (if any), and about duration of diarrhea and side effects experienced. Methods: Final analysis was performed based on 2160 interviews. The largest proportion of diarrhea was reported in the age group 15-24 years (46%). Results: The majority of the 2160 subjects had opted for drug treatment (81%): 927 subjects for loperamide alone, 235 for loperamide in combination with nifuroxazide, and 178 for nifuroxazide alone. Other drugs had been used less frequently. The median time to recovery was 2.4 days with loperamide compared to 3.2 days with nifuroxazide and to 3.4 days for the no-treatment group. Conclusions: A stratification of the results by severity of the diarrhea suggests a rank of antidiarrheal potency as follows: loperamide > nifuroxazide > no-drug treatment. The side effect with the highest incidence was constipation (2.4% with loperamide). (J Travel Med 2:11-15, 1995) Travelers' diarrhea is usually defined as the passage of at least three unformed stools per day or any number of such stools when accompanied by fever, abdominal cramping, or vomiting. The definition may be broadened to include more trivial bowel disturbance.1,2 The duration of this self-limited disease generally is 3 to 5 days. Medical intervention aims at shortening the duration of disease, thus allowing the sufferer to resume his or her usual activities at an early stage. A shortened period of recovery to physical well-being has obvious favorable economic implications if the traveler is on business and may help the maintenance of a desired level of quality of life while a traveler is on holiday. An observational study of various medical

  20. Childhood and Travel Literature.

    ERIC Educational Resources Information Center

    Espey, David

    If children are not present in most travel literature--precisely because the genre has most typically been the domain of solitary male travelers who are escaping domestic obligation, routine, the familiar, and the family--they nevertheless are an integral part of the genre. The traveler is in many ways a child, an innocent abroad. Traveler writers…

  1. Travel-related illness.

    PubMed

    Ziegler, Carol C

    2013-06-01

    Travel abroad for business and pleasure should be safe and meaningful for the traveler. To assure that safe experience, certain processes should be considered before travel. A thorough pretravel health assessment will offer patients and health care providers valuable information for anticipatory guidance before travel. The destination-based risk assessment will help determine the risks involved in travel to specific locations and guide in the development of contingency plans for all travelers, especially those with chronic conditions. Diseases are more prevalent overseas, and immunizations and vaccinations are all important considerations for persons traveling abroad. PMID:23692948

  2. [Travel-associated pneumonias].

    PubMed

    Geerdes-Fenge, H F

    2014-10-01

    Respiratory infections are responsible for up to 11% of febrile infections in travellers or immigrants from tropical and subtropical regions. The main pathogens are the same as in temperate climate zones: Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydophila pneumoniae, influenza viruses, Legionella pneumophila. However, some pulmonary diseases can be attributed to bacterial, parasitic, viral or fungal pathogens that are endemic in tropical and subtropical regions. The most commonly imported infections are malaria, dengue, and tuberculosis. Pulmonary symptoms and eosinophilia in returning travellers and migrants may be caused by several parasitic infections such as Katayama syndrome, Loeffler syndrome, tropical pulmonary eosinophilia, amebiasis, paragonimiasis, echinococcosis, and toxocariasis. In Asia, Tsutsugamushi fever is transmitted by chiggers, spotted fever rickettsiae are transmitted by ticks. Transmission of zoonotic diseases occurs mainly via contact with infected animals or their excretions, human-to-human transmission is generally rare: MERS-CoA (dromedary camels), pulmonary hantavirus infection (rodents), tularemia (rabbits and hares), leptospirosis (rats), Q-fever (sheep and goats), very rarely anthrax (hides of ruminants) and pest (infected rats and wildlife). Inhalation of contaminated dust can cause infections with dimorphic fungi: histoplasmosis (bat guano) and coccidioidomycosis in America and parts of Africa, blastomycosis in America. Some infections can cause symptoms years after a stay in tropical or subtropical regions (melioidosis, tuberculosis, histoplasmosis, schistosomiasis-associated pulmonary hypertension). Noninfectious respiratory diseases caused by inhalation of high amounts of air pollution or toxic dusts may also be considered. PMID:25290923

  3. Predicting travel attitudes among university faculty after 9/11.

    PubMed

    Staats, Sara; Panek, Paul E; Cosmar, David

    2006-03-01

    The authors interviewed a random sample of 306 university faculty as part of an annual university poll. Items focused on air travel concerns following 9/11, positive aspects of travel, and future travel intentions. Demographic factors were not significant predictors for men or women faculty. Faculty expressed positive attitudes toward travel, for example agreeing that travel allows them to demonstrate competency. Concerns about missing connections and delays elicited a larger percent of negative reactions than concerns about hijackings or security. Gender differences were not observed on individual items, but in regression analyses a composite of self-reported travel risk factors was more predictive of future travel plans for women than for men, although women expected to travel as much in the future as men. The results are consistent with positive psychology and speak to applied aspects of travel and tourism. PMID:16770939

  4. You, too, can be an international medical traveler: reading medical travel guidebooks.

    PubMed

    Ormond, Meghann; Sothern, Matthew

    2012-09-01

    Drawing on literature on self-help and travel guide writing, this paper interrogates five international medical travel guidebooks aimed at encouraging American and British audiences to travel abroad to purchase medical care. These guidebooks articulate a three-step self-help "program" to produce a "savvy" international medical traveler. First, readers are encouraged to view their home healthcare system as dysfunctional. Second, they are encouraged to re-read destinations' healthcare landscapes as hosting excellent and accessible care. Finally, these texts explicitly enjoin readers to see themselves as active, cosmopolitan consumers whose pursuits are central to rectifying the dysfunction of their home healthcare systems. PMID:22809711

  5. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport

    PubMed Central

    Sundling, Catherine

    2015-01-01

    Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+) travelers’ motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers’ critical reactions (i.e., cognitive, emotional, and/or behavioral) to 77 critical incidents were examined. By applying critical incident technique (CIT), five reaction themes were identified that had generated travel-behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. To improve older travelers’ access to public transport, key findings were: (a) service must be designed so as to strengthen the feeling of being in control throughout the journey; (b) extended personal service would increase predictability in the travel chain and decrease travel complexity; consequently, (c) when designing new services and making effective accessibility interventions, policy makers should consider and utilize underlying psychological factors that could direct traveler behavior. PMID:26593935

  6. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports

    PubMed Central

    2012-01-01

    advice than Australian-born travelers. Conclusions This study highlights differences in health-seeking practices including the uptake of pre-travel health advice by region of residence and country of birth. There is a public health need to identify strategies targeting these travel groups. This includes the promotion of affordable and accessible travel clinics in low resource countries as traveler numbers increase and travel health promotion targeting migrant groups in high resource countries. General practitioners should play a central role. Determining the most appropriate strategies for increasing pre-travel health preparation, particularly for vaccine preventable diseases in travelers is the next stage in advancing travel medicine research. PMID:22550996

  7. Travel fosters tool use in wild chimpanzees.

    PubMed

    Gruber, Thibaud; Zuberbühler, Klaus; Neumann, Christof

    2016-01-01

    Ecological variation influences the appearance and maintenance of tool use in animals, either due to necessity or opportunity, but little is known about the relative importance of these two factors. Here, we combined long-term behavioural data on feeding and travelling with six years of field experiments in a wild chimpanzee community. In the experiments, subjects engaged with natural logs, which contained energetically valuable honey that was only accessible through tool use. Engagement with the experiment was highest after periods of low fruit availability involving more travel between food patches, while instances of actual tool-using were significantly influenced by prior travel effort only. Additionally, combining data from the main chimpanzee study communities across Africa supported this result, insofar as groups with larger travel efforts had larger tool repertoires. Travel thus appears to foster tool use in wild chimpanzees and may also have been a driving force in early hominin technological evolution. PMID:27431611

  8. 77 FR 63245 - Rules of Practice in Air Safety Proceedings; Rules Implementing the Equal Access to Justice Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... Equal Access to Justice Act of 1980 AGENCY: National Transportation Safety Board (NTSB or Board). ACTION... procedure, Airmen, Aviation safety. 49 CFR Part 826 Claims, Equal access to justice, Lawyers. For the... to Justice Act of 1980 (EAJA). The NTSB previously issued an advance notice of proposed...

  9. 75 FR 80452 - Rules of Practice in Air Safety Proceedings and Implementing the Equal Access to Justice Act of 1980

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... Equal Access to Justice Act of 1980 AGENCY: National Transportation Safety Board (NTSB or Board). ACTION... concerning applications for fees and expenses under the Equal Access to Justice Act (EAJA). The NTSB is... with a request for comments. 65 FR 42637. This Interim Rule amended 49 CFR part 821 by providing...

  10. Positioner with long travel in two dimensions

    DOEpatents

    Trumper, David L.; Williams, Mark E.

    1997-12-23

    A precision positioning system is provided which provides long travel in two of the linear dimensions, while using non-contact bearings for both a first subassembly which provides long travel in one of the linear dimension and a second subassembly which provides long travel in the second linear dimension. The first or upper subassembly is preferably a magnetic subassembly which, in addition to providing long travel, also compensates or positions in three rotary dimensions and in the third linear dimension. The second subassembly is preferably either an air bearing or magnetic subassembly and is normally used only to provide long travel. Angled surfaces may be provided for magnetic bearings and capacitive or other gap sensing probes may be mounted to the stage and ground flush with the bearing actuators to provide more precise gap measurements.

  11. Travelers' Health: Leishmaniasis, Visceral

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Infected travelers should be advised to consult an infectious disease or tropical medicine specialist. Therapy for VL should ...

  12. Zika Travel Information

    MedlinePlus

    ... Citizens and Residents Living in Areas with Ongoing Zika Virus Transmission Guidelines for Travelers Visiting Friends and Family ... with Zika . For the most current information about Zika virus, please visit CDC’s Zika website . Traveling soon? Get ...

  13. Travelers' Health: HIV Infection

    MedlinePlus

    ... 448-4911 ( www.nccc.ucsf.edu ). HIV TESTING REQUIREMENTS FOR US TRAVELERS ENTERING FOREIGN COUNTRIES International travelers ... extended stay should review that country’s policies and requirements. This information is usually available from the consular ...

  14. Traveling Safely with Medicines

    MedlinePlus

    ... Medications Safely My Medicine List How to Administer Traveling Safely with Medicines Planes, trains, cars – even boats ... your trip, ask your pharmacist about how to travel safely with your medicines. Make sure that you ...

  15. Traveling with children

    MedlinePlus

    ... airplane References Centers for Disease Control and Prevention. Travelers' health: common travel health topics. Updated 10/23/2014. ... A.M. Editorial team. Related MedlinePlus Health Topics Traveler's Health Browse the Encyclopedia A.D.A.M., Inc. ...

  16. The Jet Travel Challenge

    ERIC Educational Resources Information Center

    Roman, Harry T.

    2007-01-01

    Airplane travelers are dismayed by the long lines and seemingly chaotic activities that precede boarding a full airplane. Surely, the one who can solve this problem is going to make many travelers happy. This article describes the Jet Travel Challenge, an activity that challenges students to create some alternatives to this now frustrating…

  17. Travel Agent Course Outline.

    ERIC Educational Resources Information Center

    British Columbia Dept. of Education, Victoria.

    Written for college entry-level travel agent training courses, this course outline can also be used for inservice training programs offered by travel agencies. The outline provides information on the work of a travel agent and gives clear statements on what learners must be able to do by the end of their training. Material is divided into eight…

  18. Plasma Colloquium Travel Grant Program

    SciTech Connect

    Hazeltine, R.D.

    1998-09-14

    OAK B188 Plasma Colloquium Travel Grant Program. The purpose of the Travel Grant Program is to increase the awareness of plasma research. The new results and techniques of plasma research in fusion plasmas, plasma processing space plasmas, basic plasma science, etc, have broad applicability throughout science. The benefits of these results are limited by the relatively low awareness and appreciation of plasma research in the larger scientific community. Whereas spontaneous interactions between plasma scientists and other scientists are useful, a focused effort in education and outreach to other scientists is efficient and is needed. The academic scientific community is the initial focus of this effort, since that permits access to a broad cross-section of scientists and future scientists including undergraduates, graduate students, faculty, and research staff.

  19. Comprehensive care of travelers.

    PubMed

    Pust, R E; Peate, W F; Cordes, D H

    1986-12-01

    Travel, especially if it is international, often means major changes for the family. Family physicians should assess the epidemiologic risk and psychosocial significance of travel or relocation in light of the family's life-cycle stage and antecedent health. Using core references, which are kept current in partnership with public health agencies, family physicians are able to provide comprehensive immunization, medications, and patient education for all travel risks. Families are given medical record summaries and recommended sources of care at their destination. Eight weeks after their return patients are reassessed for newly acquired illness and helped to integrate the perspectives gained during the travel into the family's future dynamics. Taking advantage of growing travel medicine opportunities, family medicine educators should base the care of travelers and teaching of residents on defined competence priorities. Travelers' health provides a mutually rewarding model of shared care with public health consultants in the community medicine curriculum. PMID:3537200

  20. Student Travel: Policies - Regulations - Exhibits.

    ERIC Educational Resources Information Center

    Trujillo, Lorenzo A.; And Others

    The Jefferson County (Colorado) Public Schools' regulations and policies concerning student travel covers these forms of travel: student activity travel, extended student travel, district sponsored student travel, district authorized student travel, student exchange, and bonus learning trips. Issues and items addressed include: (1) authorization…

  1. Immunizations for foreign travel.

    PubMed Central

    Hill, D. R.

    1992-01-01

    One of the most important aspects of preparing travelers for destinations throughout the world is providing them with immunizations. Before administering any vaccines, however, a careful health and immunization history and travel itinerary should be obtained in order to determine vaccine indications and contraindications. There are three categories of immunizations for foreign travel. The first category includes immunizations which are routinely recommended whether or not the individual is traveling. Many travelers are due for primary vaccination or boosting against tetanus-diphtheria, measles-mumps-rubella, pneumococcal pneumonia, and influenza, for example, and the pre-travel visit is an ideal time to administer these. The second category are immunizations which might be required by a country as a condition for entry; these are yellow fever and cholera. The final category contains immunizations which are recommended because there is a risk of acquiring a particular disease during travel. Typhoid fever, meningococcal disease, rabies, and hepatitis are some examples. Travelers who are pregnant or who are infected with the human immunodeficiency virus require special consideration. Provision of appropriate immunizations for foreign travel is an important aspect of preventing illness in travelers. PMID:1337807

  2. Traveller health and primary care in Ireland: a consultative forum.

    PubMed

    Van Hout, Marie Claire

    2010-05-01

    Travellers in Ireland continue to experience health disparity, cultural fragmentation and a lack of visibility in health service provision. This paper reports on a pilot study exploring factors that affect Traveller health and the experiences of primary care services from the perspectives of key Traveller health stakeholders in Ireland. The study was designed as an initial consultative forum using a single focus group (n = 13) in order to yield specific recommendations for the development of a designated primary care service framework for Travellers. A thematic analysis of the narratives identified key areas of interest--emerging issues in Traveller health, recognition of Traveller culture and ethnic identity,Traveller uptake of primary care services, the role of the primary health care Traveller (PHCT) worker, and recommendations for a primary care service framework for Travellers in Ireland. The findings highlight the importance of consulting Traveller communities in the design of a primary care service framework within each local needs analysis. The promotion of Traveller advocacy, visible access and referral pathways can therefore be achieved, with PHCT workers acting as a 'bridge' between Travellers and the designated area primary care team. PMID:20503791

  3. [Vaccination for international travelers].

    PubMed

    Arrazola, M Pilar; Serrano, Almudena; López-Vélez, Rogelio

    2016-05-01

    Traveler's vaccination is one of the key strategies for the prevention of infectious diseases during international travel. The risk of acquiring an infectious disease is determined in each case by the characteristics of the traveler and the travel, so the pre-departure medical advice of the traveler must be individualized. The World Health Organization classifies travelerś vaccines into three groups. - Vaccines for routine use in national immunization programs: Haemophilus influenzae type b, hepatitis B, polio, measles-mumps-rubella, tetanus-diphtheria-whooping a cough, and chickenpox. - Vaccinations required by law in certain countries before to enter them: yellow fever, meningococcal disease and poliomyelitis. - Vaccines recommended depending on the circumstances: cholera, japanese encephalitis, tick-borne encephalitis, meningococcal disease, typhoid fever, influenza, hepatitis A, hepatitis B, rabies and BCG. This review is intended to introduce the reader to the field of international vaccination. PMID:26920587

  4. The Effect of Corporate Influence in the Short Haul Business Travel Market

    NASA Technical Reports Server (NTRS)

    Mason, Keith J.

    1999-01-01

    The importance of corporate involvement in the decision making process for business related air travel is being increasingly recognised in the literature. Business travellers consume air services (i.e. they take airline flights), however; they may not be the principal decision-maker in the purchase. Also it is the organization that employs the traveller that incurs die cost for air travel. Consequently this research addresses the relationship between the traveller and the employing organisation in the purchase of air travel. In this paper traveller opinions on their corporate travel policy are evaluated using a Likert summated rating scale. The benefits sought, by the traveller, from the air service are also investigated and these benefits are used to segment the short haul business air travel market in the EU. Changes in the market for short haul business travel since the full liberalisation of the aviation market in-the EU are evaluated by comparing the data to an earlier study of similar travellers in 1992.

  5. The Effect of Corporate Influence in the Short Haul Business Travel Market

    NASA Technical Reports Server (NTRS)

    Mason, Keith J.

    1999-01-01

    The importance of corporate involvement in the decision making process for business related air travel is being increasingly recognized in the literature. Business travellers consume air services (i.e. they take airline flights), however; they may not be the principal decision-maker in the purchase, Also it is the organization that employs the traveller that incurs the cost for air travel, Consequently this research addresses the relationship between the traveller and the employing organization in the purchase of air travel. In this paper traveller opinions on their corporate travel policy are evaluated using a Likert summated rating scale. The benefits sought, by the traveller, from the air service are also investigated and these benefits are used to segment the short haul business air travel market in the EU. Changes in the market for short haul business travel since the full liberalisation of the aviation market in the EU are evaluated by comparing the data to an earlier study of similar travellers in 1992.

  6. [Fever in returning travelers].

    PubMed

    Burchard, G

    2014-03-01

    Travel-related illness is most often due to gastrointestinal, febrile, and dermatologic diseases. Fever in a returned traveler demands prompt attention because it may be a manifestation of an infection that could be rapidly progressive and lethal. The approach to the febrile patient should be stepwise and consider travel and exposure history. Malaria is the most common cause of fever in patients returning from Sub-Saharan Africa, whereas dengue is more frequent in travelers from other tropical and subtropical areas. Other serious diseases are typhoid and paratyphoid fever, amebic liver abscess, visceral leishmaniasis, leptospirosis and-rarely-viral hemorrhagic fevers. PMID:24557143

  7. Pre-Travel Medical Preparation of Business and Occupational Travelers

    PubMed Central

    Khan, Nomana M.; Jentes, Emily S.; Brown, Clive; Han, Pauline; Rao, Sowmya R.; Kozarsky, Phyllis; Hagmann, Stefan H.F.; LaRocque, Regina C.; Ryan, Edward T.

    2016-01-01

    Objectives: The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers. Methods: De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed. Results: Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns. Conclusions: Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage. PMID:26479857

  8. Pilot Study of the Effects of Simulated Turbine Passage Pressure on Juvenile Chinook Salmon Acclimated with Access to Air at Absolute Pressures Greater than Atmospheric

    SciTech Connect

    Carlson, Thomas J.; Abernethy, Cary S.

    2005-04-28

    The impacts of pressure on juvenile salmon who pass through the turbines of hydroelectric dams while migrating downstream on the Columbia and Snake rivers has not been well understood, especially as these impacts relate to injury to the fish's swim bladder. The laboratory studies described here were conducted by Pacific Northwest National Laboratory for the US Army Corps of Engineers Portland District at PNNL's fisheries research laboratories in 2004 to investigate the impacts of simulated turbine passage pressure on fish permitted to achieve neutral buoyancy at pressures corresponding to depths at which they are typically observed during downstream migration. Two sizes of juvenile Chinook salmon were tested, 80-100mm and 125-145mm total length. Test fish were acclimated for 22 to 24 hours in hyperbaric chambers at pressures simulating depths of 15, 30, or 60 ft, with access to a large air bubble. High rates of deflated swim bladders and mortality were observed. Our results while in conclusive show that juvenile salmon are capable of drawing additional air into their swimbladder to compensate for the excess mass of implanted telemetry devices. However they may pay a price in terms of increased susceptibility to injury, predation, and death for this additional air.

  9. 75 FR 69080 - Federal Travel Regulation (FTR)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... ADMINISTRATION Federal Travel Regulation (FTR) Fly America Act; United States and European Union ``Open Skies... Services Administration (GSA). ] ACTION: Notice of FTR Bulletin 11-02, revising Fly America Act air... Bulletin 11-02, updating the Fly America Act information on the GSA web site with recent changes to the...

  10. From Livingstone to ecotourism. What's new in travel medicine?

    PubMed Central

    Houston, S.

    2000-01-01

    OBJECTIVE: To review recent developments in the field of travel medicine and to outline the knowledge and resources family physicians need for providing health advice to travelers headed for tropical or developing countries. QUALITY OF EVIDENCE: Personal files; references from review articles and from a recent textbook of travel medicine; current guidelines on pretravel advice; and a review of the 1996 to 1999 MEDLINE database using "travel medicine" as a term and subject heading, "trave(l)lers' diarrhea" as a text word and subject heading, "immunization + travel," and "malaria + chemo prevention" were used as information sources. Priority was given to randomized controlled trials and recommendations of expert or national bodies. MAIN MESSAGE: Some elements of travel medicine, such as malaria chemoprophylaxis, have become more complex. Some valuable new preventive measures, such as hepatitis A vaccine, treated bed nets, and antimalarial drugs, have become available. Some health risks, such as cholera, have been overemphasized in the past, whereas others, such as tuberculosis and sexually transmitted diseases, have been underemphasized. Information sources relevant for providing travel health advice have improved and expanded. Canadian evidence-based guidelines addressing most important travel health issues are now available. CONCLUSIONS: Travel medicine is a rapidly evolving field. Physicians intending to provide health advice to travelers to high-risk parts of the world should be well prepared and have access to good, up-to-date information. Images p122-a PMID:10660794

  11. Travelling for radiation cancer treatment: patient satisfaction.

    PubMed

    Fitch, Margaret I; Gray, Ross E; Mcgowan, Tom; Brunskill, Ian; Steggles, Shawn; Sellick, Scott; Bezjak, Andrea; McLeese, Donna

    2005-01-01

    This study was conducted for the purpose of describing cancer patients' satisfaction with their care when they had to travel unexpectedly away from home for treatment. Ontario initiated a rereferral program for cancer patients who needed radiation therapy when the waiting lists in southern Ontario became lengthy. Patients travelled to the United States or northern Ontario for their care. A standardized survey containing 25 items with five-point Likert scale responses was mailed to all patients who participated in the rereferral program, following completion of their treatment. Items covered patient experiences before leaving home, in preparing for travel, and staying at the cancer facilities away from home. A total of 466 (55.8%) patients returned the survey. Overall, patients were satisfied with their care. However, there were a number of areas identified by patients where improvements could be made. These areas included access to support prior to leaving home, access to information about supportive care services while away from home, and sensitivity to personal needs in making arrangements for travel. Provision of information and support are important to cancer patients having to travel for cancer treatment. PMID:15969333

  12. Pregnancy and travel

    MedlinePlus

    ... a cruise, it may not be the best time to go. Travel by sea may cause motion sickness or nausea. ... out of the country. Plan ahead to allow time for any shots or medicines you may need. When you travel, take a copy of your prenatal care record ...

  13. Illness in Returned Travellers

    PubMed Central

    Lawee, D.; Scappatura, P.; Gutman, E.

    1989-01-01

    Intercontinental travel is more common now than it has ever been before, and so are travel-related diseases. A thorough history and physical examination provide many clues to possible pathogens, particularly when combined with knowledge of the geographic distribution of specific diseases. Prompt diagnosis and proper treatment are imperative. PMID:21249095

  14. Information for Travellers' Physicians

    PubMed Central

    Allison, David J.; Blinco, Kimberley

    1990-01-01

    Physicians can obtain advice about international travel for their patients from many different sources of information. The authors review some of the most common sources based on their experience at the International Travellers' Clinic operated by the New Brunswick Department of Health and Community Services in Fredericton. They identify readily available handbooks and periodicals and compare two computer software programs. PMID:21233910

  15. [Vaccinations for the travellers].

    PubMed

    Gendrel, Dominique

    2004-03-15

    Immunisations for the traveller include, before specific vaccine, a correct immunisation schedule according to national recommendations with appropriate boosters and hepatitis B immunisation. The yellow fever vaccine is required to entry in countries of endemic area and quadrivalent ACYW135 meningococcal vaccine for entry in Saudi Arabia. Hepatitis A immunisation could be performed at 1 year of age and is recommended for travellers in tropical areas and children vaccination control the disease both in the patient and in the contacts. Meningococcal A+C vaccines are required for travellers in meningitis-prone areas of tropical Africa during the dry season (December to June), and quadrivalent ACYW135 is useful only in Burkina-Faso and Niger. Typhoid and rabies vaccines are required for ambulatory travellers in endemic areas, as Japanese encephalitis in south-west Asia. In central Europe, tick-borne encephalitis vaccination is recommended for patients travelling in forest areas during spring and summer. PMID:15176511

  16. [Food environment and space accessibility evaluation to perform physical activity in 3 socially contrasting neighbourhoods of Buenos Aires city].

    PubMed

    Garipe, Leila Yasmin; Gónzalez, Verónica; Biasizzo, Antonella; Soriano, Jennifer Laila; Perman, Gaston; Giunta, Diego

    2014-01-01

    Due to the environmental influences on health, the goal of this study was to describe and compare the built environment in 3 socially contrasting neighbourhoods of Buenos Aires city.In 2011 a cross-sectional study was conducted in 3 socially contrasting neighbourhoods of Buenos Aires city: Recoleta (upper class), Almagro (middle class) and Constitución (lower class). Grocery stores and food stands were surveyed as well as all suitable spaces to perform physical activity. An analysis was conducted to assess the density of every food outlet per Km2 of each neighbourhood's area and per 10000 inhabitants. 2778 food stores and 149 outdoor physical activity facilities were surveyed. A higher density was observed in Constitución for fast food restaurants (Recoleta 3.6; Almagro 2.4; Constitución 6.7) and food stands (Recoleta 4.2; Almagro 1.2; Constitución 25.7) and a lower density for outdoor physical activity facilities. Population density and area density proved to be analogous. Statistically relevant differences were observed regarding the dimension of each food outlet: grocery stores, fruit stands, pubs, restaurants and food stands, as well as in the number of food stores and outdoor physical activity facilities. The information gathered in this study could be highly useful for public health policies on healthy lifestyles, and could eventually redefine the built environment in order to improve the city's equality regarding outdoor physical activity facilities and food stores. PMID:25647550

  17. Long-range airplane study: The consumer looks at SST travel

    NASA Technical Reports Server (NTRS)

    Landes, K. H.; Matter, J. A.

    1980-01-01

    The attitudes of long-range air travelers toward several basic air travel decisions, were surveyed. Of interest were tradeoffs involving time versus comfort and time versus cost as they pertain to supersonic versus conventional wide-body aircraft on overseas routes. The market focused upon was the segment of air travelers most likely to make that type of tradeoff decision: those having flown overseas routes for business or personal reasons in the recent past. The information generated is intended to provide quantifiable insight into consumer demand for supersonic as compared to wide-body aircraft alternatives for long-range overseas air travel.

  18. Opportunities and benefits. [commuter air travel

    NASA Technical Reports Server (NTRS)

    Galloway, T. L.

    1983-01-01

    The service characteristics and changes affecting commuter airline operations are summarized. Community and passenger considerations are addressed and the benefits identified in NASA-sponsored aircraft studies are discussed.

  19. Travel Air commercial airplane -- Type 5000

    NASA Technical Reports Server (NTRS)

    1927-01-01

    The 5000 is a semicantilever monoplane, closed cabin type, with pilot about in line with the leading edge of the wing and room for 4 passengers behind him. It is equipped with a Wright Whirlwind engine.

  20. Access to Air-Stable 1,3-Diphosphacyclobutane-2,4-diyls by an Arylation Reaction with Arynes.

    PubMed

    Ueta, Yasuhiro; Mikami, Koichi; Ito, Shigekazu

    2016-06-20

    Tuning of the physicochemical properties of the 1,3-diphosphacyclobutane-2,4-diyl unit is attractive in view of materials applications. The use of arynes is shown to be effective for installing relatively electron rich aryl substituents into the open-shell singlet P-heterocyclic system. Treatment of the sterically encumbered 1,3-diphosphacyclobuten-4-yl anion with ortho-silylated aryl triflates in the presence of fluoride under appropriate conditions afforded the corresponding 1-aryl 1,3-diphosphacyclobutane-2,4-diyls. The air-stable open-shell singlet P-heterocycles exhibit considerable electron-donating character, and the aromatic substituent influences the open-shell character, which is thought to be related to the property of p-type semiconductivity. The P-arylated 1,3-diphosphacyclobutane-2,4-diyl systems can be further utilized as detectors of hydrogen fluoride (HF), which causes a remarkable change in their photoabsorption properties. PMID:27135439

  1. Three essays on access pricing

    NASA Astrophysics Data System (ADS)

    Sydee, Ahmed Nasim

    access pricing with congestion and in which investments in infrastructure are lumpy. To fix ideas, the model is formulated in the context of airport infrastructure investments, which captures both the element of congestion and the lumpiness involved in infrastructure investments. The optimal investment program suggests how many units of capacity should be installed and at which times. Because time is continuous in the model, the discounted cost -- despite the lumpiness of capacity additions -- can be made to vary continuously by varying the time a capacity addition is made. The main results that emerge from the analysis can be described as follows: First, the global demand for air travel rises with time and experiences an upward jump whenever a capacity addition is made. Second, the access price is constant and stays at the basic level when the system is not congested. When the system is congested, a congestion surcharge is imposed on top of the basic level, and the congestion surcharge rises with the level of congestion until the next capacity addition is made at which time the access price takes a downward jump. Third, the individual demand for air travel is constant before congestion sets in and after the last capacity addition takes place. During a time interval in which congestion rises, the individual demand for travel is below the level that prevails when there is no congestion and declines as congestion worsens. The third essay contains a model of access pricing for natural gas transmission pipelines, both when pipeline operators are regulated and when they behave strategically. The high sunk costs involved in building a pipeline network constitute a serious barrier of entry, and competitive behaviour in the transmission pipeline sector cannot be expected. Most of the economic analyses of access pricing for natural gas transmission pipelines are carried out from the regulatory perspective, and the access price paid by shippers are cost-based. The model formalized

  2. 23 CFR 511.309 - Provisions for traffic and travel conditions reporting.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... requirements for traffic and travel conditions made available by real-time information programs are: (1... or less from the time the hazardous conditions, blockage, or closure is observed. (4) Travel time information. The timeliness for the availability of travel time information along limited access...

  3. 76 FR 55643 - Helena National Forest; Montana; Divide Travel Plan EIS

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Forest Service Helena National Forest; Montana; Divide Travel Plan EIS AGENCY: Forest Service, USDA... the existing motorized public access routes and prohibitions within the Divide travel planning area for wheeled and over-snow motorized vehicles. Consistent with Forest Service travel...

  4. 23 CFR 511.309 - Provisions for traffic and travel conditions reporting.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... requirements for traffic and travel conditions made available by real-time information programs are: (1... or less from the time the hazardous conditions, blockage, or closure is observed. (4) Travel time information. The timeliness for the availability of travel time information along limited access...

  5. 23 CFR 511.309 - Provisions for traffic and travel conditions reporting.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... requirements for traffic and travel conditions made available by real-time information programs are: (1... or less from the time the hazardous conditions, blockage, or closure is observed. (4) Travel time information. The timeliness for the availability of travel time information along limited access...

  6. 23 CFR 511.309 - Provisions for traffic and travel conditions reporting.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... requirements for traffic and travel conditions made available by real-time information programs are: (1... or less from the time the hazardous conditions, blockage, or closure is observed. (4) Travel time information. The timeliness for the availability of travel time information along limited access...

  7. Travelers' Health: Rubella

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  8. Travelers' Health: Hepatitis C

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... American Association for Study of Liver Diseases (AASLD), Infectious Diseases Society of America (IDSA). Recommendations for testing, managing, ...

  9. Travelers' Health: Hepatitis E

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  10. Travelers' Health: Cryptosporidiosis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  11. Travelers' Health: Leishmaniasis, Cutaneous

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  12. Travelers' Health: Japanese Encephalitis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  13. Travelers' Health: Tickborne Encephalitis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  14. Travelers' Health: Diphtheria

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  15. Travelers' Health: Mumps

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  16. Travelers' Health: Giardiasis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Gabriel PS, Alonso M, et al. Prevalence of infectious diseases among internationally adopted children. Pediatrics. 2001 Sep 3; ...

  17. Travelers' Health: Varicella (Chickenpox)

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy ...

  18. Travelers' Health: Hepatitis B

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  19. Travelers' Health: Pertussis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy ...

  20. Travelers' Health: Coccidioidomycosis

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  1. Travelers' Health: Meningococcal Disease

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy ...

  2. Travelers' Health: Scabies

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy ...

  3. Travelers' Health: Yellow Fever

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Global Migration and Quarantine (DGMQ) ...

  4. Space Traveler Project.

    ERIC Educational Resources Information Center

    Instructor, 1981

    1981-01-01

    Describes the winners of the Space Traveler Project, a contest jointly sponsored by Rockwell International, NASA, and this magazine to identify worthwhile elementary science programs relating to the Space Shuttle. (SJL)

  5. Traveling Space Museum

    NASA Video Gallery

    In an effort to inspire and motivate the next generation of space explorers, NASA’s Ames Research Center teamed up with the Traveling Space Museum to teach students the way astronauts are taughtâ...

  6. Traveling-wave photodetector

    DOEpatents

    Hietala, V.M.; Vawter, G.A.

    1993-12-14

    The traveling-wave photodetector of the present invention combines an absorptive optical waveguide and an electrical transmission line, in which optical absorption in the waveguide results in a photocurrent at the electrodes of the electrical transmission line. The optical waveguide and electrical transmission line of the electrically distributed traveling-wave photodetector are designed to achieve matched velocities between the light in the optical waveguide and electrical signal generated on the transmission line. This velocity synchronization provides the traveling-wave photodetector with a large electrical bandwidth and a high quantum efficiency, because of the effective extended volume for optical absorption. The traveling-wave photodetector also provides large power dissipation, because of its large physical size. 4 figures.

  7. Traveling-wave photodetector

    DOEpatents

    Hietala, Vincent M.; Vawter, Gregory A.

    1993-01-01

    The traveling-wave photodetector of the present invention combines an absorptive optical waveguide and an electrical transmission line, in which optical absorption in the waveguide results in a photocurrent at the electrodes of the electrical transmission line. The optical waveguide and electrical transmission line of the electrically distributed traveling-wave photodetector are designed to achieve matched velocities between the light in the optical waveguide and electrical signal generated on the transmission line. This velocity synchronization provides the traveling-wave photodetector with a large electrical bandwidth and a high quantum efficiency, because of the effective extended volume for optical absorption. The traveling-wave photodetector also provides large power dissipation, because of its large physical size.

  8. Travel during Pregnancy

    MedlinePlus

    ... of pregnancy. If you are planning an international flight, the cutoff point for traveling with international airlines ... up and stretch your legs during a long flight. Avoid gas-producing foods and carbonated drinks before ...

  9. Identifying future VFR travelers among immigrant families in the Bronx, New York.

    PubMed

    Hagmann, Stefan; Reddy, Namrata; Neugebauer, Richard; Purswani, Murli; Leder, Karin

    2010-01-01

    Travelers visiting friends and relatives (VFR) have low rates of pre-travel health encounters. In 2006 in the Bronx, New York, a convenience sample of 129 families originating in malaria-endemic countries and presenting for a routine pediatric outpatient evaluation completed a standardized questionnaire regarding future travel plans to their country of origin. Pro-active screening for intended travel activities can identify future VFR travelers and ascertain potentially high-risk itineraries, thereby enabling education regarding the importance of accessing competent pre-travel medicine services. PMID:20536889

  10. Infections in travelers.

    PubMed

    Bomsztyk, Mayan; Arnold, Richard W

    2013-07-01

    Travel medicine continues to grow as international tourism and patient medical complexity increases. This article reflects the state of the current field, but new recommendations on immunizations, resistance patterns, and treatment modalities constantly change. The US Centers for Disease Control and the World Health Organization maintain helpful Web sites for both patient and physician. With thoughtful preparation and prevention, risks can be minimized and travel can continue as safely as possible. PMID:23809721

  11. Cerebral air embolism and subsequent transient neurologic abnormalities in a liver transplant recipient following the removal of the pulmonary artery catheter from the central venous access device: a case report

    PubMed Central

    Kim, Sun-Key; Jun, In-Gu; Jang, Dong-Min; Lim, Jinwook; Hwang, Gyu-Sam

    2016-01-01

    Cerebral air embolism is a rare but potentially life-threatening complication. We experienced a living-donor liver transplant recipient who presented with unexpected cerebral air embolism and transient neurologic abnormalities that subsequently developed just after the removal of the pulmonary artery catheter from the central venous access device. One day after the initial event, the patient's neurologic status gradually improved. The patient was discharged 30 days after liver transplantation without neurologic sequelae. PMID:26885308

  12. Choice, changeover, and travel

    PubMed Central

    Baum, William M.

    1982-01-01

    Since foraging in nature can be viewed as instrumental behavior, choice between sources of food, known as “patches,” can be viewed as choice between instrumental response alternatives. Whereas the travel required to change alternatives deters changeover in nature, the changeover delay (COD) usually deters changeover in the laboratory. In this experiment, pigeons were exposed to laboratory choice situations, concurrent variable-interval schedules, that were standard except for the introduction of a travel requirement for changeover. As the travel requirement increased, rate of changeover decreased and preference for a favored alternative strengthened. When the travel requirement was small, the relations between choice and relative reinforcement revealed the usual tendencies toward matching and undermatching. When the travel requirement was large, strong overmatching occurred. These results, together with those from experiments in which changeover was deterred by punishment or a fixed-ratio requirement, deviate from the matching law, even when a correction is made for cost of changeover. If one accepted an argument that the COD is analogous to travel, the results suggest that the norm in choice relations would be overmatching. This overmatching, however, might only be the sign of an underlying strategy approximating optimization. PMID:16812283

  13. The Traveling Microbiome.

    PubMed

    Riddle, Mark S; Connor, Bradley A

    2016-09-01

    Given the recent interest in the human gut microbiome in health and disease, we have undertaken a review of the role of the gut microbiome as it relates to travel. Considering the microbiome as the interface with the external world of the traveler, not only from the perspective of protection from enteric infection by colonization resistance but also the possibility that a traveler's unique microbiome may place him or her at lesser or greater risk for enteric infection. We review available data on travel, travelers' diarrhea, and the use of antibiotics as it relates to changes in the microbiome and the acquisition of multi-drug-resistant bacteria and explore the interplay of these factors in the development of dysbiosis and the post-infectious sequelae of TD, specifically PI-IBS. In addition, we explore whether dietary changes in travel affect the gut microbiome in a way which modulates gastrointestinal function and susceptibility to infection and discuss whether pre- or probiotics have any meaningful role in prevention or treatment of TD. Finally, a discussion of important research gaps and opportunities in this area is identified. PMID:27447891

  14. Travel fosters tool use in wild chimpanzees

    PubMed Central

    Gruber, Thibaud; Zuberbühler, Klaus; Neumann, Christof

    2016-01-01

    Ecological variation influences the appearance and maintenance of tool use in animals, either due to necessity or opportunity, but little is known about the relative importance of these two factors. Here, we combined long-term behavioural data on feeding and travelling with six years of field experiments in a wild chimpanzee community. In the experiments, subjects engaged with natural logs, which contained energetically valuable honey that was only accessible through tool use. Engagement with the experiment was highest after periods of low fruit availability involving more travel between food patches, while instances of actual tool-using were significantly influenced by prior travel effort only. Additionally, combining data from the main chimpanzee study communities across Africa supported this result, insofar as groups with larger travel efforts had larger tool repertoires. Travel thus appears to foster tool use in wild chimpanzees and may also have been a driving force in early hominin technological evolution. DOI: http://dx.doi.org/10.7554/eLife.16371.001 PMID:27431611

  15. Patterns of measles transmission among airplane travelers.

    PubMed

    Edelson, Paul J

    2012-09-01

    With advanced air handling systems on modern aircraft and the high level of measles immunity in many countries, measles infection in air travelers may be considered a low-risk event. However, introduction of measles into countries where transmission has been controlled or eliminated can have substantial consequences both for the use of public health resources and for those still susceptible. In an effort to balance the relatively low likelihood of disease transmission among largely immune travelers and the risk to the public health of the occurrence of secondary cases resulting from importations, criteria in the United States for contact investigations for measles exposures consider contacts to be those passengers who are seated within 2 rows of the index case. However, recent work has shown that cabin air flow may not be as reliable a barrier to the spread of measles virus as previously believed. Along with these new studies, several reports have described measles developing after travel in passengers seated some distance from the index case. To understand better the potential for measles virus to spread on an airplane, reports of apparent secondary cases occurring in co-travelers of passengers with infectious cases of measles were reviewed. Medline™ was searched for articles in all languages from 1946 to week 1 of March 2012, using the search terms "measles [human] or rubeola" and ("aircraft" or "airplane" or "aeroplane" or "aviation" or "travel" or "traveler" or "traveller"); 45 citations were returned. Embase™ was searched from 1988 to week 11 2012, using the same search strategy; 95 citations were returned. Papers were included in this review if they reported secondary cases of measles occurring in persons traveling on an airplane on which a person or persons with measles also flew, and which included the seating location of both the index case(s) and the secondary case(s) on the plane. Nine reports, including 13 index cases and 23 apparent secondary cases

  16. [Foodborne dermatosis after traveling: gnathostomiasis].

    PubMed

    Orduna, Tomás A; Lloveras, Susana C; Echazarreta, Sofía E; Garro, Santiago L; González, Gustavo D; Falcone, Claudia C

    2013-01-01

    We describe a case of a 32-year-old man, resident in Buenos Aires, with dermatologic manifestations compatible with gnathostomiasis. The patient had traveled to Colombia in the month prior to the onset of symptoms. There, he repeatedly ate ceviche (raw fish marinated in lemon juice). He presented with an erythematous migratory panniculitis accompanied by eosinophilia. He underwent skin biopsy of a lesion and pathological diagnosis was "eosinophilic panniculitis". The triad of migratory panniculitis, eosinophilia and consume of raw fish during the trip to Colombia was suggestive of gnathostomiasis. Ivermectin treatment started out with good initial response but subsequent relapse. We performed a new treatment with the same drug with good results and no relapses during three years of follow up. The dermatological disease is common upon return from a trip, and is the third leading cause of morbidity in travelers. It is very important to recognize cutaneous manifestations of disease as many of them are potentially serious and may compromise the patient's life if not promptly diagnosed and treated. PMID:24356269

  17. Management of travellers' diarrhoea.

    PubMed

    Caeiro, J P; DuPont, H L

    1998-07-01

    The most common health problem encountered in international travellers to topical and subtropical areas is diarrhoea. Even though it is not a life-threatening condition, it may influence deeply the quality of a vacation or the success of a business trip. The majority of cases of travellers' diarrhoea are due to bacterial pathogens, but viruses have also been implicated in a minority of patients. It is advocated that travellers with diarrhoea provide themselves with sources of salt (crackers or soup) and mineral water, to prevent and treat dehydration. Otherwise, treatment recommendations follow illness severity. For mild cases, symptomatic relief alone can be recommended. Loperamide is an effective agent improving diarrhoea and associated symptoms. For moderate diarrhoea (requiring a forced change in itinerary) combination therapy is advised using a fluoroquinolone together with loperamide. Severe diarrhoea [fever > 38 degrees C, dysentery (bloody stools) or incapacitating symptoms] should prompt the voyager to take an antibiotic alone for 3 to 5 days. Loperamide is relatively contraindicated in these cases. For the minority of patients receiving chemoprophylaxis to prevent travellers' diarrhoea, fluoroquinolones taken once a day while in the area at risk produce the highest protection rate (up to 95%). However, most authorities do not recommend routine prophylaxis for travellers. PMID:9664200

  18. Colored Traveling Salesman Problem.

    PubMed

    Li, Jun; Zhou, MengChu; Sun, Qirui; Dai, Xianzhong; Yu, Xiaolong

    2015-11-01

    The multiple traveling salesman problem (MTSP) is an important combinatorial optimization problem. It has been widely and successfully applied to the practical cases in which multiple traveling individuals (salesmen) share the common workspace (city set). However, it cannot represent some application problems where multiple traveling individuals not only have their own exclusive tasks but also share a group of tasks with each other. This work proposes a new MTSP called colored traveling salesman problem (CTSP) for handling such cases. Two types of city groups are defined, i.e., each group of exclusive cities of a single color for a salesman to visit and a group of shared cities of multiple colors allowing all salesmen to visit. Evidences show that CTSP is NP-hard and a multidepot MTSP and multiple single traveling salesman problems are its special cases. We present a genetic algorithm (GA) with dual-chromosome coding for CTSP and analyze the corresponding solution space. Then, GA is improved by incorporating greedy, hill-climbing (HC), and simulated annealing (SA) operations to achieve better performance. By experiments, the limitation of the exact solution method is revealed and the performance of the presented GAs is compared. The results suggest that SAGA can achieve the best quality of solutions and HCGA should be the choice making good tradeoff between the solution quality and computing time. PMID:25494521

  19. The travel-related carbon dioxide emissions of atmospheric researchers

    NASA Astrophysics Data System (ADS)

    Stohl, A.

    2008-04-01

    Most atmospheric scientists agree that greenhouse gas emissions have already caused significant changes to the global climate system and that these changes will accelerate in the near future. At the same time, atmospheric scientists who - like other scientists - rely on international collaboration and information exchange travel a lot and, thereby, cause substantial emissions of carbon dioxide (CO2). In this paper, the CO2 emissions of the employees working at an atmospheric research institute (the Norwegian Institute for Air Research, NILU) caused by all types of business travel (conference visits, workshops, field campaigns, instrument maintainance, etc.) were calculated for the years 2005-2007. It is estimated that more than 90% of the emissions were caused by air travel, 3% by ground travel and 5% by hotel usage. The travel-related annual emissions were between 1.9 and 2.4 t CO2 per employee or between 3.9 and 5.5 t CO2 per scientist. For comparison, the total annual per capita CO2 emissions are 4.5 t worldwide, 1.2 t for India, 3.8 t for China, 5.9 t for Sweden and 19.1 t for Norway. The travel-related CO2 emissions of a NILU scientist, occurring in 24 days of a year on average, exceed the global average annual per capita emission. Norway's per-capita CO2 emissions are among the highest in the world, mostly because of the emissions from the oil industry. If the emissions per NILU scientist derived in this paper are taken as representative for the average Norwegian researcher, travel by Norwegian scientists would nevertheless account for a substantial 0.2% of Norway's total CO2 emissions. Since most of the travel-related emissions are due to air travel, water vapor emissions, ozone production and contrail formation further increase the relative importance of NILU's travel in terms of radiative forcing.

  20. The travel-related carbon dioxide emissions of atmospheric researchers

    NASA Astrophysics Data System (ADS)

    Stohl, A.

    2008-11-01

    Most atmospheric scientists agree that greenhouse gas emissions have already caused significant changes to the global climate system and that these changes will accelerate in the near future. At the same time, atmospheric scientists who like other scientists rely on international collaboration and information exchange travel a lot and, thereby, cause substantial emissions of CO2. In this paper, the CO2 emissions of the employees working at an atmospheric research institute (the Norwegian Institute for Air Research, NILU) caused by all types of business travel (conference visits, workshops, field campaigns, instrument maintainance, etc.) were calculated for the years 2005 2007. It is estimated that more than 90% of the emissions were caused by air travel, 3% by ground travel and 5% by hotel usage. The travel-related annual emissions were between 1.9 and 2.4 t CO2 per employee or between 3.9 and 5.5 t CO2 per scientist. For comparison, the total annual per capita CO2 emissions are 4.5 t worldwide, 1.2 t for India, 3.8 t for China, 5.9 t for Sweden and 19.1 t for Norway. The travel-related CO2 emissions of a NILU scientist, occurring in 24 days of a year on average, exceed the global average annual per capita emission. Norway's per-capita CO2 emissions are among the highest in the world, mostly because of the emissions from the oil industry. If the emissions per NILU scientist derived in this paper are taken as representative for the average Norwegian researcher, travel by Norwegian scientists would nevertheless account for a substantial 0.2% of Norway's total CO2 emissions. Since most of the travel-related emissions are due to air travel, water vapor emissions, ozone production and contrail formation further increase the relative importance of NILU's travel in terms of radiative forcing.

  1. Virologic suppression among HIV-infected US Air Force members in a highly-structured programme with free access to care.

    PubMed

    Matthews, P E; Le, T; Delmar, J; Okulicz, J F

    2015-11-01

    SummaryThe United States Air Force HIV programme has several features that may enhance antiretroviral therapy outcomes, including free access to healthcare and mandatory clinical visits every six months at a single centre. We evaluated viral load suppression (<50 copies/ml) after 12 months of initial antiretroviral therapy, with extension to 18 and 24 months. Active duty Air Force members were categorised by year of antiretroviral therapy initiation: 2000-2005 (n = 95, 36.1%) and 2006-2011 (n = 168, 63.9%). The median months from HIV diagnosis to initial antiretroviral therapy were shorter in the 2000-2005 group (2.4, IQR 1.2-5.9) compared with the 2006-2011 group (12.6, IQR 2.6-29.0; p < 0.001). Viral load suppression was greater in the 2006-2011 group compared with the 2000-2005 group at 12 months (93.2% versus 78.6%, p = 0.002) and 18 months (91.8% versus 80.3%, p = 0.03), and trended higher at 24 months (90.8% versus 82.5%; p = 0.15). Factors associated with viral load suppression at 12 months in multivariate models included antiretroviral therapy initiation during 2006-2011 (OR 5.22, 95% CI 1.50-18.18) and CD4 count at antiretroviral therapy initiation (OR 2.29, 95% CI 1.19-14.43 per 100 cells/µl increase). Structured programmes that minimise traditional barriers to care combined with the use of contemporary antiretroviral therapy regimens can achieve clinic-wide viral load suppression in >90% of patients. PMID:25505041

  2. Surgical Travellers: Tapestry to Bayeux

    PubMed Central

    Hedley-Whyte, John; Milamed, Debra R

    2014-01-01

    The planning for surgery in war was revisited in 1937 when Ian Fraser was elected a member of the Surgical Travellers. At their 1938 Surgical Travellers meeting in Vienna, Ian and Eleanor Fraser were evicted from their hotel room by the Nazis. The 1939 meeting in Belfast discussed the organization of surgery and the conduct of Emergency Medical Service Hospitals in the United Kingdom; the vast majority were to be under civilian government and military control. From 1943 lengthy and informative organizational meetings were held at least monthly under the chairmanship of Sir Alexander Hood, KBE, Head of the RAMC. Surgical Consultants, now Major Generals, Brigadiers or Full Colonels in the British and U.S. Armies stationed in the UK, prepared for the invasion of Europe. The allocation of medical, surgical, nursing and auxiliary responsibilities was delineated. Liaison with the RAF and US Army Air Force was close as it was with the proposed leaders, Ulstermen Brooke and Montgomery. Montgomery chose Arthur Porritt as Surgeon in Chief to Supreme Headquarters Allied Expeditionary Force (SHAEF), and Eisenhower, General Albert W. Kenner. Just after D-Day, Porritt met Ian Fraser, who had waded in on Arromanches Beach. The triage and evacuation plans for Allied casualties had been controversial, particularly as regards Landing Ship Tanks (LSTs). The dispute with the Hood-selected surgeons on one side, against medical and surgical deployment of LSTs, and Admiral Ernest King and Winston Churchill on the other, favouring LST use for surgery and evacuation. King and Churchill were correct but total Allied air superiority allowed wide use of many of the Allies' Dakotas; 10,000 DC-3s were eventually in service. Supported by forty Allied combat planes to each Luftwaffe, the dispute about Landing Ship Tank use in about a fortnight became moot. The multifaceted role of the Princess Royal in the Emergency Medical Services of the United Kingdom and her close liaison with the Consultant

  3. Surgical travellers: tapestry to Bayeux.

    PubMed

    Hedley-Whyte, John; Milamed, Debra R

    2014-09-01

    The planning for surgery in war was revisited in 1937 when Ian Fraser was elected a member of the Surgical Travellers. At their 1938 Surgical Travellers meeting in Vienna, Ian and Eleanor Fraser were evicted from their hotel room by the Nazis. The 1939 meeting in Belfast discussed the organization of surgery and the conduct of Emergency Medical Service Hospitals in the United Kingdom; the vast majority were to be under civilian government and military control. From 1943 lengthy and informative organizational meetings were held at least monthly under the chairmanship of Sir Alexander Hood, KBE, Head of the RAMC. Surgical Consultants, now Major Generals, Brigadiers or Full Colonels in the British and U.S. Armies stationed in the UK, prepared for the invasion of Europe. The allocation of medical, surgical, nursing and auxiliary responsibilities was delineated. Liaison with the RAF and US Army Air Force was close as it was with the proposed leaders, Ulstermen Brooke and Montgomery. Montgomery chose Arthur Porritt as Surgeon in Chief to Supreme Headquarters Allied Expeditionary Force (SHAEF), and Eisenhower, General Albert W. Kenner. Just after D-Day, Porritt met Ian Fraser, who had waded in on Arromanches Beach. The triage and evacuation plans for Allied casualties had been controversial, particularly as regards Landing Ship Tanks (LSTs). The dispute with the Hood-selected surgeons on one side, against medical and surgical deployment of LSTs, and Admiral Ernest King and Winston Churchill on the other, favouring LST use for surgery and evacuation. King and Churchill were correct but total Allied air superiority allowed wide use of many of the Allies' Dakotas; 10,000 DC-3s were eventually in service. Supported by forty Allied combat planes to each Luftwaffe, the dispute about Landing Ship Tank use in about a fortnight became moot. The multifaceted role of the Princess Royal in the Emergency Medical Services of the United Kingdom and her close liaison with the Consultant

  4. Travel, migration and HIV.

    PubMed

    Hawkes, S J; Hart, G J

    1993-01-01

    This is a review of recent publications on the subject of travel (taken in its widest sense) and HIV/AIDS. As with all epidemics caused by transmissible pathogens, AIDS has been seen in many countries as an imported problem. What this perspective fails to recognize is that with the explosion of international travel in the past thirty years it is virtually impossible to prevent the spread of infectious disease across international frontiers. Here we highlight the relative paucity of studies that describe or investigate the context in which sexual risk behaviour of travellers takes place, and suggest areas of further research which could increase understanding of the nature of sexual risk taking, and help in the design of health education programmes. PMID:8329484

  5. 19. TRAVELING CRANE ATOP SUPERSTRUCTURE, FROM RUN LINE DECK. Looking ...

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

    19. TRAVELING CRANE ATOP SUPERSTRUCTURE, FROM RUN LINE DECK. Looking up to north northeast. - Edwards Air Force Base, Air Force Rocket Propulsion Laboratory, Test Stand 1-A, Test Area 1-120, north end of Jupiter Boulevard, Boron, Kern County, CA

  6. [Viral hepatitis in travellers].

    PubMed

    Abreu, Cândida

    2007-01-01

    Considering the geographical asymmetric distribution of viral hepatitis A, B and E, having a much higher prevalence in the less developed world, travellers from developed countries are exposed to a considerable and often underestimated risk of hepatitis infection. In fact a significant percentage of viral hepatitis occurring in developed countries is travel related. This results from globalization and increased mobility from tourism, international work, humanitarian and religious missions or other travel related activities. Several studies published in Europe and North America shown that more than 50% of reported cases of hepatitis A are travel related. On the other hand frequent outbreaks of hepatitis A and E in specific geographic areas raise the risk of infection in these restricted zones and that should be clearly identified. Selected aspects related with the distribution of hepatitis A, B and E are reviewed, particularly the situation in Portugal according to the published studies, as well as relevant clinical manifestations and differential diagnosis of viral hepatitis. Basic prevention rules considering enteric transmitted hepatitis (hepatitis A and hepatitis E) and parenteral transmitted (hepatitis B) are reviewed as well as hepatitis A and B immunoprophylaxis. Common clinical situations and daily practice "pre travel" advice issues are discussed according to WHO/CDC recommendations and the Portuguese National Vaccination Program. Implications from near future availability of a hepatitis E vaccine, a currently in phase 2 trial, are highlighted. Potential indications for travellers to endemic countries like India, Nepal and some regions of China, where up to 30% of sporadic cases of acute viral hepatitis are caused by hepatitis E virus, are considered. Continued epidemiological surveillance for viral hepatitis is essential to recognize and control possible outbreaks, but also to identify new viral hepatitis agents that may emerge as important global health

  7. [Pregnancy and traveling].

    PubMed

    Walentiny, C

    2009-03-01

    The second trimester is the safest time for travelling, because the pregnant woman feels generally most at ease and the risk of spontaneous abortion and pre-term labour is very low. Possible risks must be discussed with the obstetrician before travelling. If the pregnancy is uncomplicated most airlines allow flying up to the 36th (domestic flights) and 35th (international flights) week of gestation. Unless the fetal oxygen supply is already impaired at ground level due to an underlying disease, flying does not pose a risk of fetal hypoxia. Radiation exposure during a long distant flight is low compared to the average annual exposure dosage, but the risk of thrombosis is increased. Altitudes up to 2,500 m pose no problem. Sufficient time to acclimatize must be taken when travelling to high altitudes and exercise kept to a minimum. Scuba diving is contraindicated. Since only a few drugs are completely safe during pregnancy a thorough risk/benefit evaluation is mandatory. Treatment of infections can be considerably complicated, but any necessary treatment should not be withheld because of the fear of potential fetal injury. Good knowledge of local medical resources is essential before travelling. Several personal protective measures minimize the risk of infection: food and water precautions, protection from insect bites and avoidance of crowds, unsafe sex and, if need be, freshwater. Many vaccinations are recommended for travellers. However, live vaccines are contraindicated in pregnant women because of theoretical considerations. Exceptionally a yellow fever vaccination may be given after the first trimester. Killed, inactivated or polysaccharide vaccines can be given after the first trimester after a thorough risk/benefit evaluation. Because of the potentially devastating effect of malaria to the mother and the child, travelling to endemic malaria regions should be avoided. If the risk of infection is high chemoprophylaxis with mefloquine is indicated. In low

  8. Intergalactic Travel Bureau

    NASA Astrophysics Data System (ADS)

    Koski, Olivia; Rosin, Mark; Guerilla Science Team

    2014-03-01

    The Intergalactic Travel Bureau is an interactive theater outreach experience that engages the public in the incredible possibilities of space tourism. The Bureau is staffed by professional actors, who play the role of space travel agents, and professional astrophysicists, who play the role of resident scientists. Members of the public of all ages were invited to visit with bureau staff to plan the vacation of their dreams-to space. We describe the project's successful nine day run in New York in August 2013. Funded by the American Physical Society Public Outreach and Informing the Public Grants.

  9. Travel health. Part 1: preparing the tropical traveller.

    PubMed

    Carroll, Bernadette; Daniel, Amanda; Behrens, Ron H

    The health threats of modern day travel change as population, wealth and tourism increase across the world. A series of three articles have been written to describe the spectrum of health issues associated with travel. Pre-travel health advice has become more focused on risk assessment and educating the traveller about infectious disease and the more frequent non-infectious hazards associated with travel, while ensuring they are not unnecessarily exposed to injury from vaccines and drugs. In part one, the role of the health advisor and the needs of the traveller are examined. The importance of risk assessment during a consultation is described and factors that influence recommendations and prescribing are explored. As most travel-associated morbidity and mortality is non-vaccine preventable, the focus of the pre-travel consultation should be on educating the traveller and influencing behaviour change. The second article in this series deals with the highest risk group of travellers--residents who visit friends and relatives. It highlights their specific problems and special needs and how to influence their risk of disease by addressing their health beliefs and their cultural dimension of risk. The third article explores the common, and not so common, clinical problems found in returned travellers. Nurses have to deal with a large range of clinical problems and diagnostic dilemmas when attending to the returned traveller. The review provides a perspective on the frequency and severity of problems and how nurses should manage travel associated disease. PMID:19062458

  10. Interstellar Travel without 'Magic'

    NASA Astrophysics Data System (ADS)

    Woodcock, G.

    The possibility of interstellar space travel has become a popular subject. Distances of light years are an entirely new realm for human space travel. New means of propulsion are needed. Speculation about propulsion has included "magic", space warps, faster-than-light travel, known physics such as antimatter for which no practical implementation is known and also physics for which current research offers at least a hint of implementation, i.e. fusion. Performance estimates are presented for the latter and used to create vehicle concepts. Fusion propulsion will mean travel times of hundreds of years, so we adopt the "space colony" concepts of O'Neill as a ship design that could support a small civilization indefinitely; this provides the technical means. Economic reasoning is presented, arguing that development and production of "space colony" habitats for relief of Earth's population, with addition of fusion engines, will lead to vessels that can go interstellar. Scenarios are presented and a speculative estimate of a timetable is given.

  11. NCSS Travel Study Guidelines.

    ERIC Educational Resources Information Center

    Wicks, Raymond E.

    These guidelines were designed for teachers, school administrators, parents, and students to aid their investigation and selection of foreign excursion programs. There are hundreds of travel programs available to high school and college students. Some provide formal education; some include living with a host family, while others feature guided…

  12. Teachers and Gypsy Travellers.

    ERIC Educational Resources Information Center

    Lloyd, Gwynedd; Stead, Joan; Jordan, Elizabeth; Norris, Claire

    1999-01-01

    Interviews in 12 Scottish schools examined how teachers and staff perceived and responded to the culture and behavior of Traveller children--both Gypsies and occupational migrants. The findings raise issues about "difference" versus deviance and the extent to which schools can accommodate cultural diversity when it challenges norms of behavior and…

  13. Risk for Travelers

    MedlinePlus

    ... specified risk materials from animal feed and human food chains as of October 1, 2000; such bans had already been instituted in most member states. To reduce any risk of acquiring vCJD from food, concerned travelers to Europe or other areas with ...

  14. Mentors as Fellow Travelers

    ERIC Educational Resources Information Center

    Ambrosino, Roberta

    2009-01-01

    A junior faculty member arrives at an unfamiliar university for a new teaching assignment. She is poised for the adventure, but feels like a traveler at the edge of long, unknown road. She does not know what obstacles or vistas may appear on the road, and wants to avoid major potholes. She takes a nervous look around and finds an experienced…

  15. Traveler's diarrhea diet

    MedlinePlus

    ... J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Diarrhea Traveler's Health Browse the Encyclopedia A. ...

  16. Learning through Travel.

    ERIC Educational Resources Information Center

    Krans, Jeffrey P.; Roarke, Susan M.

    1994-01-01

    As part of an experiential education program, students from Keuka College (New York) traveled to Costa Rica to participate in a service project and to learn about the country's political, socioeconomic, and ecological conditions. Pretrip preparation included studying experiential learning models that emphasized experience, reflection, abstract…

  17. A unifying framework of the demand for transnational medical travel.

    PubMed

    Osterle, August; Johnson, Tricia; Delgado, Jose

    2013-01-01

    Transnational medical travel has gained attention recently as a strategy for patients to obtain care that is higher quality, costs less, or offers improved access relative to care provided within their home countries. This article examines institutional environments in the European Union and United States that influence transnational medical travel, describes the conceptual model of demand for medical travel, and illustrates individual dimensions in the conceptual model of medical travel using a series of case studies. The conceptual model of medical travel is predicated on Andersen's behavioral model of health services. Transnational medical travel is a heterogeneous phenomenon that is influenced by a number of patient-related factors and by the institutional environment in which the patient resides. While cost, access, and quality are commonly cited factors that influence a patient's decision regarding where to seek care, multiple factors may simultaneously influence the decision about the destination for care, including culture, social factors, and the institutional environment. The conceptual framework addresses the patient-related factors that influence where a patient seeks care. This framework can help researchers and regulatory bodies to evaluate the opportunities and the risks of transnational medical travel and help providers and governments to develop international patient programs. PMID:24066413

  18. International Safety Regulation and Standards for Space Travel and Commerce

    NASA Astrophysics Data System (ADS)

    Pelton, J. N.; Jakhu, R.

    The evolution of air travel has led to the adoption of the 1944 Chicago Convention that created the International Civil Aviation Organization (ICAO), headquartered in Montreal, Canada, and the propagation of aviation safety standards. Today, ICAO standardizes and harmonizes commercial air safety worldwide. Space travel and space safety are still at an early stage of development, and the adoption of international space safety standards and regulation still remains largely at the national level. This paper explores the international treaties and conventions that govern space travel, applications and exploration today and analyzes current efforts to create space safety standards and regulations at the national, regional and global level. Recent efforts to create a commercial space travel industry and to license commercial space ports are foreseen as means to hasten a space safety regulatory process.

  19. Unsteady planar diffusion flames: Ignition, travel, burnout

    NASA Technical Reports Server (NTRS)

    Fendell, F.; Wu, F.

    1995-01-01

    In microgravity, a thin planar diffusion flame is created and thenceforth travels so that the flame is situated at all times at an interface at which the hydrogen and oxygen meet in stoichiometric proportion. If the initial amount of hydrogen is deficient relative to the initial amount of oxygen, then the planar flame will travel further and further into the half volume initially containing hydrogen, until the hydrogen is (virtually) fully depleted. Of course, when the amount of residual hydrogen becomes small, the diffusion flame is neither vigorous nor thin; in practice, the flame is extinguished before the hydrogen is fully depleted, owing to the finite rate of the actual chemical-kinetic mechanism. The rate of travel of the hydrogen-air diffusion flame is much slower than the rate of laminar flame propagation through a hydrogen-air mixture. This slow travel facilitates diagnostic detection of the flame position as a function of time, but the slow travel also means that the time to burnout (extinction) probably far exceeds the testing time (typically, a few seconds) available in earth-sited facilities for microgravity-environment experiments. We undertake an analysis to predict (1) the position and temperature of the diffusion flame as a function of time, (2) the time at which extinction of the diffusion flame occurs, and (3) the thickness of quench layers formed on side walls (i.e., on lateral boundaries, with normal vectors parallel to the diffusion-flame plane), and whether, prior to extinction, water vapor formed by burning will condense on these cold walls.

  20. Evaluating School Travel Initiatives and Promoting "Healthy Travel" through PSHCE

    ERIC Educational Resources Information Center

    Baslington, Hazel

    2010-01-01

    The number of primary school children travelling to school by car in the UK has almost doubled from 22% to 43% in 20 years. A governmental policy response is school travel plans (STPs). This paper reports the findings of an empirical evaluation designed to measure the effectiveness of the travel initiative at three schools. Quantitative and…

  1. Prophylaxis of travel-related thrombosis in women.

    PubMed

    Brenner, Benjamin

    2009-01-01

    Travel-related thrombosis occurs in 1/6,000 individuals who fly long-haul flights. The risk is increased significantly in passengers with thrombophilia and during hormonal therapy. Pregnancy is a hypercoagulable state with 5-10-fold increase in VTE risk. Mechanisms for hypercoagulation on air are related to cabin atmospheric conditions, with immobility and flight duration playing a major role. Prophylactic measures include frequent exercise in all passengers, elastic stockings and LMWH in travelers at high risk. PMID:19203643

  2. Transferring 2001 National Household Travel Survey

    SciTech Connect

    Hu, Patricia S; Reuscher, Tim; Schmoyer, Richard L; Chin, Shih-Miao

    2007-05-01

    Policy makers rely on transportation statistics, including data on personal travel behavior, to formulate strategic transportation policies, and to improve the safety and efficiency of the U.S. transportation system. Data on personal travel trends are needed to examine the reliability, efficiency, capacity, and flexibility of the Nation's transportation system to meet current demands and to accommodate future demand. These data are also needed to assess the feasibility and efficiency of alternative congestion-mitigating technologies (e.g., high-speed rail, magnetically levitated trains, and intelligent vehicle and highway systems); to evaluate the merits of alternative transportation investment programs; and to assess the energy-use and air-quality impacts of various policies. To address these data needs, the U.S. Department of Transportation (USDOT) initiated an effort in 1969 to collect detailed data on personal travel. The 1969 survey was the first Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990, 1995, and 2001. Data on daily travel were collected in 1969, 1977, 1983, 1990 and 1995. In 2001, the survey was renamed the National Household Travel Survey (NHTS) and it collected both daily and long-distance trips. The 2001 survey was sponsored by three USDOT agencies: Federal Highway Administration (FHWA), Bureau of Transportation Statistics (BTS), and National Highway Traffic Safety Administration (NHTSA). The primary objective of the survey was to collect trip-based data on the nature and characteristics of personal travel so that the relationships between the characteristics of personal travel and the demographics of the traveler can be established. Commercial and institutional travel were not part of the survey. Due to the survey's design, data in the NHTS survey series were not recommended for estimating travel statistics for categories smaller than the combination of Census division (e.g., New England, Middle

  3. [Legionnaires' disease in travellers].

    PubMed

    Jarraud, S; Reyrolle, M; Riffard, S; Lo Presti, F; Etienne, J

    1998-01-01

    The outbreak of pneumonia involving delegates to the 1976 American Legion convention at a Philadelphia hotel was the first example of travel-associated legionnaires' disease. Travel is now well known as a common risk factor for legionnaires' disease. This travel-associated disease is a preoccupation among European countries because of morbidity among citizens of the European Union. The definition of the case of legionellosis is a patient who presents an acute lower respiratory tract infection with focal signs of pneumonia and/or radiological features, and microbiological evidence of Legionella infection. A case is considered to be travel associated if the patient has spent one or more nights away from home during the ten days before becoming ill. An European Surveillance Scheme for Travel-Associated Legionnaires' Disease was established in 1987 to identify clusters and outbreaks of cases of the disease. This group centralizes the case reports of twenty-nine collaborating centres in twenty-five countries. Outbreaks of legionnaires' disease were described in hotels, camps or cruise ships. In 1996, the number of travel-associated cases of legionnaires' disease represented 16% of the total number cases. The increase of the number of reported cases may reflect improved surveillance and increased ascertainment. In Europe in 1996, the diagnosis of legionellosis was confirmed by detection of Legionella pneumophila sero-group 1 antigen in urine (36%), seroconversion (fourfold rise in antibody titre, 33%) and culture of the organism (16%). Fifteen per cent of legionellosis was diagnosed by the identification of a single high antibody titre. In France a coordination between Public Health Institutions (Réseau National de Santé Public and DDASS), clinicians, laboratories and National Reference Center was established to improve prevention and control of legionnaires' disease outbreaks. Legislation obliges to report each case. When more two cases in the same area are notified

  4. Travel and Adventure Medicine Resources.

    PubMed

    Sanford, Christopher A; Pottinger, Paul S

    2016-03-01

    Given the ever-changing nature of travel medicine, practitioners who provide pretravel and posttravel care are obligatorily students for the duration of their professional careers. A large variety of resources are available for medical practitioners. Providers should join at least one travel or tropical medicine professional association, attend its annual meeting, and read its journal. The largest general travel medicine association is the International Society of Travel Medicine. PMID:26900122

  5. [The fever of international travel].

    PubMed

    Hristea, Adriana; Luka, A I; Aramă, Victoria; Moroti, Ruxandra

    2008-01-01

    Between 20 and 70 percent of the 50 million people who travel from the industrialized world to the developing world each year report some illness associated with their travel. Although most illness reported by travellers are mild, 20-70% of travellers become ill enough to seek medical attention, either during or immediately after travel. The full spectrum of health complaints is unknown. Nevertheless the usual presentation of a returned traveller is a particular syndrome-fever, respiratory infection, diarrhoea, eosinophilia, or skin and soft tissue infection- or screening for asymptomatic infection. The most common diseases diagnosed in returning travellers are more often of cosmopolitan than exotic origin. However, fever in returned travelers always should raise suspicion for a severe or potentially life-threatening tropical infection. Therefore, fever in a returned traveller requires prompt investigation focused on infections that are life-threatening, treatable or transmissible. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status, use or non-use of antimalarial chemoprophylaxis and degree of compliance with the prescribed regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particularly helpful in ruling out possible causes of fever. Malaria is the most important cause of fever in the returned traveller. While most travel-related infections present within 6 months of return, some infections with long latent periods or potential for lifetime persistence might be seen in those who have lived abroad. PMID:20201239

  6. The sexual health of travelers.

    PubMed

    Hawkes, S; Hart, G

    1998-06-01

    Sex and travel do not infrequently coincide as pleasurable occupations. This articles explores the possible risks of unsafe sexual activity in a travel-related context, gives guidelines on how to decrease risks for both partners, and outlines how to manage the exposed or infected traveler on his or her return home. Both sexually transmitted infections and contraception are covered. PMID:9658251

  7. Program Tracks Cost Of Travel

    NASA Technical Reports Server (NTRS)

    Mauldin, Lemuel E., III

    1993-01-01

    Travel Forecaster is menu-driven, easy-to-use computer program that plans, forecasts cost, and tracks actual vs. planned cost of business-related travel of division or branch of organization and compiles information into data base to aid travel planner. Ability of program to handle multiple trip entries makes it valuable time-saving device.

  8. 75 FR 43395 - Campaign Travel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... of 2007. See Final Rules on Campaign Travel, 74 FR 63951 (Dec. 7, 2009) (the ``Travel Rules... 11 CFR 9004.7 at a later date. Travel Rules, 74 FR at 63951. Through this Notice, the Commission...;having general applicability and legal effect, most of which are keyed #0;to and codified in the Code...

  9. Travelers In The Night

    NASA Astrophysics Data System (ADS)

    Grauer, Albert D.

    2014-11-01

    Travelers In The Night is an engaging and informative series of two minute radio programs about asteroids, comets, spacecraft, and other objects in space. The pieces are evergreen in that they are current but not dated. They are published on the Public Radio Exchange and carried by a number of radio stations. For teachers, students, and kids of all ages, the script for each piece and the start of a path for further inquiry can be found on the website travelersinthenight.org . The Travelers InThe Night Pieces are written and produced by an observing member of the Catalina Sky Survey Team at the University of Arizona. DPS members are encouraged to submit program ideas which can be developed to feature their research efforts.

  10. Aging and space travel

    NASA Technical Reports Server (NTRS)

    Mohler, S. R.

    1982-01-01

    The matter of aging and its relation to space vehicle crewmembers undertaking prolonged space missions is addressed. The capabilities of the older space traveler to recover from bone demineralization and muscle atrophy are discussed. Certain advantages of the older person are noted, for example, a greater tolerance of monotony and repetitious activities. Additional parameters are delineated including the cardiovascular system, the reproductive system, ionizing radiation, performance, and group dynamics.

  11. Time - A Traveler's Guide

    NASA Astrophysics Data System (ADS)

    Pickover, Clifford A.

    1999-09-01

    "Bucky Fuller thought big," Wired magazine recently noted, "Arthur C. Clarke thinks big, but Cliff Pickover outdoes them both." In his newest book, Cliff Pickover outdoes even himself, probing a mystery that has baffled mystics, philosophers, and scientists throughout history--What is the nature of time?In Time: A Traveler's Guide , Pickover takes readers to the forefront of science as he illuminates the most mysterious phenomenon in the universe--time itself. Is time travel possible? Is time real? Does it flow in one direction only? Does it have a beginning and an end? What is eternity? Pickover's book offers a stimulating blend of Chopin, philosophy, Einstein, and modern physics, spiced with diverting side-trips to such topics as the history of clocks, the nature of free will, and the reason gold glitters. Numerous diagrams ensure readers will have no trouble following along.By the time we finish this book, we understand a wide variety of scientific concepts pertaining to time. And most important, we will understand that time travel is, indeed, possible.

  12. [Travelers, mad, wandering].

    PubMed

    Vaschetto, Emilio

    2014-01-01

    This article explores the notion of "wandering" through the use of some phenomena enrolled at the dawn of modernity such as the Rousseau dromomanie's philosopher and writer, the origin of the first mad traveler (Albert Dadas), epidemics of mad travelers Europe and romantic tourism (with renewed acquires significance in the "beat generation" of the twentieth century). These historical facts are "mounting" as play contemporary manifestations such as loss, disorientation, to lose one's way, and wandering without reducing them only to clinical psychosis. Readings of classic psychiatrists such as Régis, Foville, Sérieux and Capgras, Tissié, go hand in hand with the current readings of the philosopher Ian Hacking and critics of pop culture as S. Reynolds and D. Diederichsen, illustrating how the travel's phenomenon can make different subjective configurations depending on historical times. In conclusion it is noted that not only psychosis exposes the wandering soul of suffering but there are also subject positions (as will be exemplified in a clinical case) and go no further nesting wandering into human existence. PMID:25153978

  13. The pre-travel medical evaluation: the traveler with chronic illness and the geriatric traveler.

    PubMed Central

    Patterson, J. E.

    1992-01-01

    The pre-travel medical evaluation of elderly patients and patients with chronic illness requires special assessment and advice. Screening and special precautions are reviewed for traveling patients with respiratory disease, cardiac disease, sinusitis, diabetes mellitus, HIV infection, and other chronic medical conditions. Current guidelines for empiric therapy and prophylaxis of travelers' diarrhea are reviewed, with emphasis on concerns in geriatric or chronically ill travelers. Special considerations such as potential drug-drug interactions and insurance coverage are also discussed. PMID:1290273

  14. Evidence on global medical travel

    PubMed Central

    Záliš, Ladislav; Meurice, Christopher R; Hilton, Ian; Ly, Terry-Lisa; Zupan, Zorana; Hinrichs, Saba

    2015-01-01

    Abstract The potential benefits of travelling across national borders to obtain medical treatment include improved care, decreased costs and reduced waiting times. However, medical travel involves additional risks, compared to obtaining treatment domestically. We review the publicly-available evidence on medical travel. We suggest that medical travel needs to be understood in terms of its potential risks and benefits so that it can be evaluated against alternatives by patients who are seeking care. We propose three domains –quality standards, informed decision-making, economic and legal protection – in which better evidence could support the development of medical travel policies. PMID:26549906

  15. Evidence on global medical travel.

    PubMed

    Ruggeri, Kai; Záliš, Ladislav; Meurice, Christopher R; Hilton, Ian; Ly, Terry-Lisa; Zupan, Zorana; Hinrichs, Saba

    2015-11-01

    The potential benefits of travelling across national borders to obtain medical treatment include improved care, decreased costs and reduced waiting times. However, medical travel involves additional risks, compared to obtaining treatment domestically. We review the publicly-available evidence on medical travel. We suggest that medical travel needs to be understood in terms of its potential risks and benefits so that it can be evaluated against alternatives by patients who are seeking care. We propose three domains -quality standards, informed decision-making, economic and legal protection - in which better evidence could support the development of medical travel policies. PMID:26549906

  16. Malaria: prevention in travellers

    PubMed Central

    Croft, Ashley

    2000-01-01

    Definition Malaria is caused by a protozoan infection of red blood cells with one of four species of the genus plasmodium: P falciparum, P vivax, P ovale, or P malariae.1 Clinically, malaria may present in different ways, but it is usually characterised by fever (which may be swinging), tachycardia, rigors, and sweating. Anaemia, hepatosplenomegaly, cerebral involvement, renal failure, and shock may occur. Incidence/prevalence Each year there are 300-500 million clinical cases of malaria. About 40% of the world's population is at risk of acquiring the disease.23 Each year 25-30 million people from non-tropical countries visit areas in which malaria is endemic,4 of whom between 10 000 and 30 000 contract malaria.5 Aetiology/risk factors Malaria is mainly a rural disease, requiring standing water nearby. It is transmitted by bites6 from infected female anopheline mosquitoes,7 mainly at dusk and during the night.18 In cities, mosquito bites are usually from female culicene mosquitoes, which are not vectors of malaria.9 Malaria is resurgent in most tropical countries and the risk to travellers is increasing.10 Prognosis Ninety per cent of travellers who contract malaria do not become ill until after they return home.5 “Imported malaria” is easily treated if diagnosed promptly, and it follows a serious course in only about 12% of people.1112 The most severe form of the disease is cerebral malaria, with a case fatality rate in adult travellers of 2-6%,3 mainly because of delays in diagnosis.5 Aims To reduce the risk of infection; to prevent illness and death. Outcomes Rates of malarial illness and death, and adverse effects of treatment. Proxy measures include number of mosquito bites and number of mosquitoes in indoor areas. We found limited evidence linking number of mosquito bites and risk of malaria.13 Methods Clinical Evidence search and appraisal in November 1999. We reviewed all identified systematic reviews and randomised controlled trials (RCTs

  17. Travelers with Disabilities and Medical Conditions

    MedlinePlus

    ... Claims Travel Tips Travel Bulletin Travel Checklist FAQ Disabilities and Medical Conditions To ensure your security, all ... other questions or concerns about traveling with a disability please contact passenger support . If you are approved ...

  18. Home range and travels

    USGS Publications Warehouse

    Stickel, L.F.

    1968-01-01

    The concept of home range was expressed by Seton (1909) in the term 'home region,' which Burr (1940, 1943) clarified with a definition of home range and exemplified in a definitive study of Peromyscus in the field. Burt pointed out the ever-changing characteristics of home-range area and the consequent absence of boundaries in the usual sense--a finding verified by investigators thereafter. In the studies summarized in this paper, sizes of home ranges of Peromyscus varied within two magnitudes, approximately from 0.1 acre to ten acres, in 34 studies conducted in a variety of habitats from the seaside dunes of Florida to the Alaskan forests. Variation in sizes of home ranges was correlated with both environmental and physiological factors; with habitat it was conspicuous, both in the same and different regions. Food supply also was related to size of home range, both seasonally and in relation to habitat. Home ranges generally were smallest in winter and largest in spring, at the onset of the breeding season. Activity and size also were affected by changes in weather. Activity was least when temperatures were low and nights were bright. Effects of rainfall were variable. Sizes varied according to sex and age; young mice remained in the parents' range until they approached maturity, when they began to travel more widely. Adult males commonly had larger home ranges than females, although there were a number of exceptions. An inverse relationship between population density and size of home range was shown in several studies and probably is the usual relationship. A basic need for activity and exploration also appeared to influence size of home range. Behavior within the home range was discussed in terms of travel patterns, travels in relation to home sites and refuges, territory, and stability of size of home range. Travels within the home range consisted of repeated use of well-worn trails to sites of food, shelter, and refuge, plus more random exploratory travels

  19. Global aerial flyways allow efficient travelling.

    PubMed

    Kranstauber, B; Weinzierl, R; Wikelski, M; Safi, K

    2015-12-01

    Birds migrate over vast distances at substantial costs. The highly dynamic nature of the air makes the selection of the best travel route difficult. We investigated to what extent migratory birds may optimise migratory route choice with respect to wind, and if route choice can be subject to natural selection. Following the optimal route, calculated using 21 years of empirical global wind data, reduced median travel time by 26.5% compared to the spatially shortest route. When we used a time-dependent survival model to quantify the adaptive benefit of choosing a fixed wind-optimised route, 84.8% of pairs of locations yielded a route with a higher survival than the shortest route. This suggests that birds, even if incapable of predicting wind individually, could adjust their migratory routes at a population level. As a consequence, this may result in the emergence of low-cost flyways representing a global network of aerial migratory pathways. PMID:26477348

  20. Travelers' Health: Hepatitis A

    MedlinePlus

    ... EPIDEMIOLOGY HAV is common in areas with inadequate sanitation and limited access to clean water. In highly ... frequently eat or drink in settings of poor sanitation. CLINICAL PRESENTATION The incubation period averages 28 days ( ...

  1. Quantifying Access Disadvantage and Gathering Information in Rural and Remote Localities: The Griffith Service Access Frame.

    ERIC Educational Resources Information Center

    Griffith, Dennis A.

    2003-01-01

    A purely geographic classification is not the best way to measure rural disadvantage in Australia. A service access model is described that incorporates the following elements: population center size; distance, time, and cost of travel to the service center; and a measure of the economic capacity of residents to overcome the cost of travel.…

  2. Traveling-Wave Tubes

    NASA Technical Reports Server (NTRS)

    Kory, Carol L.

    1998-01-01

    The traveling-wave tube (TWT) is a vacuum device invented in the early 1940's used for amplification at microwave frequencies. Amplification is attained by surrendering kinetic energy from an electron beam to a radio frequency (RF) electromagnetic wave. The demand for vacuum devices has been decreased largely by the advent of solid-state devices. However, although solid state devices have replaced vacuum devices in many areas, there are still many applications such as radar, electronic countermeasures and satellite communications, that require operating characteristics such as high power (Watts to Megawatts), high frequency (below 1 GHz to over 100 GHz) and large bandwidth that only vacuum devices can provide. Vacuum devices are also deemed irreplaceable in the music industry where musicians treasure their tube-based amplifiers claiming that the solid-state and digital counterparts could never provide the same "warmth" (3). The term traveling-wave tube includes both fast-wave and slow-wave devices. This article will concentrate on slow-wave devices as the vast majority of TWTs in operation fall into this category.

  3. The Travelling Telescope

    NASA Astrophysics Data System (ADS)

    Murabona Oduori, Susan

    2015-08-01

    The telescope has been around for more than 400 years, and through good use of it scientists have made many astonishing discoveries and begun to understand our place in the universe. Most people, however, have never looked through one. Yet it is a great tool for cool science and observation especially in a continent and country with beautifully dark skies. The Travelling Telescope project aims to invite people outside under the stars to learn about those curious lights in the sky.The Travelling Telescope aims to promote science learning to a wide range of Kenyan schools in various locations exchanging knowledge about the sky through direct observations of celestial bodies using state of the art telescopes. In addition to direct observing we also teach science using various hands-on activities and astronomy software, ideal for explaining concepts which are hard to understand, and for a better grasp of the sights visible through the telescope. We are dedicated to promoting science using astronomy especially in schools, targeting children from as young as 3 years to the youth, teachers, their parents and members of the public. Our presentation focuses on the OAD funded project in rural coastal Kenya.

  4. Turbulent boundary-layer control with spanwise travelling waves

    NASA Astrophysics Data System (ADS)

    Whalley, Richard D.; Choi, Kwing-So

    2011-12-01

    It has been demonstrated through numerical simulations using Lorentz forcing that spanwise travelling waves on turbulent wall flows can lead to a skin-friction drag reduction on the order of 30%. As an aeronautical application of this innovative flow control technique, we have investigated into the use of Dielectric-Barrier-Discharge (DBD) plasma actuators to generate spanwise travelling waves in air. The near-wall structures modified by the spanwise travelling waves were studied using the PIV technique in a wind tunnel, while the associated turbulence statistics were carefully documented using hot-wire anemometry. We observed the spreading of low-speed fluid by the spanwise travelling streamwise vortices, which seems to have greatly attenuated the turbulence production process. This is very much in line with the finding of DNS studies, where wide low-speed ribbons replaced the low-speed streaks.

  5. Malaria Prevention Strategies: Adherence Among Boston Area Travelers Visiting Malaria-Endemic Countries.

    PubMed

    Stoney, Rhett J; Chen, Lin H; Jentes, Emily S; Wilson, Mary E; Han, Pauline V; Benoit, Christine M; MacLeod, William B; Hamer, Davidson H; Barnett, Elizabeth D

    2016-01-01

    We conducted a prospective cohort study to assess adherence to malaria chemoprophylaxis, reasons for nonadherence, and use of other personal protective measures against malaria. We included adults traveling to malaria-endemic countries who were prescribed malaria chemoprophylaxis during a pre-travel consultation at three travel clinics in the Boston area and who completed three or more surveys: pre-travel, at least one weekly during travel, and post-travel (2-4 weeks after return). Of 370 participants, 335 (91%) took malaria chemoprophylaxis at least once and reported any missed doses; 265 (79%) reported completing all doses during travel. Adherence was not affected by weekly versus daily chemoprophylaxis, travel purpose, or duration of travel. Reasons for nonadherence included forgetfulness, side effects, and not seeing mosquitoes. Main reasons for declining to take prescribed chemoprophylaxis were peer advice, low perceived risk, and not seeing mosquitoes. Of 368 travelers, 79% used insect repellent, 46% used a bed net, and 61% slept in air conditioning at least once. Because travelers may be persuaded to stop taking medication by peer pressure, not seeing mosquitoes, and adverse reactions to medications, clinicians should be prepared to address these barriers and to empower travelers with strategies to manage common side effects of antimalarial medications. PMID:26483125

  6. Skin lesions in returning travellers.

    PubMed

    Korzeniewski, Krzysztof; Juszczak, Dariusz; Jerzemowski, Janusz

    2015-01-01

    Skin lesions, apart from diarrhoeas, fever of unknown origin, and respiratory tract infections belong to the most frequent medical problems in travellers returned from tropical and subtropical destinations, accounting more than 10% of reported cases. Most dermatoses have their clinical onset during travel, although some of them can occur after return. Travel-related dermatological problems can have a wide spectrum of clinical picture, from macular, popular or nodular rash, linear and migratory lesions, to plaques, vesicles, bullae, erosions or ulcers. Skin conditions in returning travellers may be of infectious and non-infectious aetiologies. Infectious lesions may be originally tropical (e.g. dengue, chikungunya, schistosomiasis, leishmaniasis, myiasis, tungiasis, loiasis), although the majority are cosmopolitan (arthropod bites, sunburns, allergic rashes). The evaluation of skin lesions depends on many factors, including immune status of patients, use of medicines, exposure on health hazards (fauna, flora, risky behaviours), as well as the time, duration and location of travel. As the number of travellers to tropical and subtropical destinations has been continuously rising, the number of skin illnesses has also been increasing. This means that specialists in travel medicine need to extend their knowledge of epidemiology, clinical features and diagnosis of travel-related health problems including skin lesions in returning travellers. PMID:26394319

  7. Traveling wave tube circuit

    NASA Technical Reports Server (NTRS)

    Connolly, D. J. (Inventor)

    1978-01-01

    A traveling wave tube (TWT) has a slow wave structure (SWS) which is severed into two or more sections. A signal path, connects the end of an SWS section to the beginning of the following SWS section. The signal path comprises an impedance matching coupler (IMC), followed by an isolator, a variable phase shifter, and a second IMC. The aggregate band pass characteristic of the components in the signal path is chosen to reject, or strongly attenuate, all frequencies outside the desired operating frequency range of the TWT and yet pass, with minimal attenuation in the forward direction, all frequencies within the desired operating frequency range. The isolator is chosen to reject, or strongly attenuate, waves, of all frequencies, which propagate in the backward direction. The aggregate phase shift characteristic of the components in the signal path is chosen to apply signal power to the beginning of the following SWS section with the phase angle yielding maximum efficiency.

  8. [Travel and skin diseases].

    PubMed

    Stüttgen, G

    1992-02-20

    The problem "travelling and dermatological diseases" is presented as a temporary change of place with associated changes in ecological conditions. Latent dermatoses may be provoked--but full-blown dermatoses may also improve with no specific treatment (climatic therapy of neurodermatitis). Physiological changes at the surface of the skin brought about by, for example, temperature or the effects of solar radiation, may allow fungal, bacterial or viral infections to develop. Direct contact with the living environment on land or in the water, in particular in the tropics, can lead to the development of diseases. Some dermatoses have a lengthy latency and develop only later at home. Recommendations for general and specific prophylaxis and treatment are made. PMID:1544613

  9. Solar wind travel time

    NASA Astrophysics Data System (ADS)

    Russell, C. T.

    A useful rule of thumb in solar terrestrial studies is that the solar wind travels 4 Earth radii (RE) per minute. Long-term studies of solar wind velocity [e.g., Luhmann et al., 1993; 1994] show that the median velocity is about 420 km/s, corresponding to 3.96 RE min-1. The quartiles are about 370 km/s and 495 km/s, corresponding to 3.48 Re min-1 and 4.66 Re min-1 respectively. This number helps estimate the delays expected when observing a discontinuity at a solar wind monitor; one example is ISEE-3 when it was at the forward libration point (about 60 min). It is also helpful for estimating how much time passes before the dayside magnetosphere is compressed as denser solar wind flows by (about 2.5 min).

  10. Student Guide for Documenting Experiential Learning: Travel Agency Operation.

    ERIC Educational Resources Information Center

    Coastline Community Coll., Fountain Valley, CA.

    Coastline Community College has developed a series of guides to assist adults who wish to obtain college credit or advanced standing in evaluating and verifying their non-college learning experiences. This guide lists the competency requirements of four courses within the Travel Agency Operation program: Domestic Air Transportation; International…

  11. UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): protocol for an exploratory, qualitative study

    PubMed Central

    Jackson, Cath; Crocker, Annie; Emslie, Carol; Dyson, Lisa; Gallagher, Bridget; Schicker, Frieda; Shepherd, Christine; Smith, Lesley; Vousden, Linda

    2015-01-01

    Introduction Gypsies, Travellers and Roma (referred to here as Travellers) experience significantly poorer health and have shorter life expectancy than the general population. They are also less likely to access health services including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. This study has two aims: (1) Investigate the barriers and facilitators to acceptability and uptake of immunisations among six Traveller communities in the UK; (2) Identify potential interventions to increase uptake in these Traveller communities. Methods and analysis A three-phase qualitative study with six Traveller communities. PHASE 1: In each community, we will explore up to 45 Travellers’ views about the influences on their immunisation behaviours and ideas for improving uptake in their community. PHASE 2: In each community, we will investigate 6–8 service providers’ perspectives on barriers and facilitators to childhood and adult immunisations for Traveller communities with whom they work, and ideas to improve uptake. Interview data will be analysed using the Framework approach. PHASE 3: The findings will be discussed and interventions prioritised in six workshops, each with 10–12 phase 1 and 3–4 phase 2 participants. Ethics and dissemination This research received approval from NRES Committee Yorkshire and The Humber-Leeds East (Ref. 13/YH/02). It will produce (1) findings on the barriers and facilitators to uptake of immunisations in six Traveller communities; (2) a prioritised list of potentially feasible and acceptable interventions for increasing uptake in these communities; and (3) methodological development in undertaking research with diverse Traveller communities. The study has the potential to inform new ways of delivering services to ensure high immunisation uptake. Findings will be disseminated to participants, relevant UK organisations with responsibility

  12. Access to Libraries and Information Services.

    ERIC Educational Resources Information Center

    Bob, Murray L.

    The unresolved aspects of access that were handled in the "Report of the Commissioner of Education's Committee on Library Development, 1970" and the "Report of the Commissioner of Education's Committee on Direct Access, 1974" are discussed. Travel distance to libraries providing reference and referral, interlibrary loan, and on-line data base…

  13. Travel determinants and multi-scale transferability of national activity patterns to local populations

    SciTech Connect

    Henson, Kriste M; Gou; ias, Konstadinos G

    2010-11-30

    The ability to transfer national travel patterns to a local population is of interest when attempting to model megaregions or areas that exceed metropolitan planning organization (MPO) boundaries. At the core of this research are questions about the connection between travel behavior and land use, urban form, and accessibility. As a part of this process, a group of land use variables have been identified to define activity and travel patterns for individuals and households. The 2001 National Household Travel Survey (NHTS) participants are divided into categories comprised of a set of latent cluster models representing persons, travel, and land use. These are compared to two sets of cluster models constructed for two local travel surveys. Comparison of means statistical tests are used to assess differences among sociodemographic groups residing in localities with similar land uses. The results show that the NHTS and the local surveys share mean population activity and travel characteristics. However, these similarities mask behavioral heterogeneity that are shown when distributions of activity and travel behavior are examined. Therefore, data from a national household travel survey cannot be used to model local population travel characteristics if the goal to model the actual distributions and not mean travel behavior characteristics.

  14. Winter Wilderness Travel and Camping.

    ERIC Educational Resources Information Center

    Gilchrest, Norman

    Knowledge and skill are needed for safe and enjoyable travel and camping in the wilderness in winter. The beauty of snow and ice, reduced human use, and higher tolerance of animals toward humans make the wilderness attractive during winter. The uniqueness of winter travel presents several challenges that are not present in other seasons. Safety is…

  15. Sensitivity of ray travel times.

    PubMed

    Smirnov, I. P.; Virovlyansky, A. L.; Zaslavsky, G. M.

    2002-09-01

    Ray in a waveguide can be considered as a trajectory of the corresponding Hamiltonian system, which appears to be chaotic in a nonuniform environment. From the experimental and practical viewpoints, the ray travel time is an important characteristic that, in some way, involves an information about the waveguide condition. It is shown that the ray travel time as a function of the initial momentum and propagation range in the unperturbed waveguide displays a scaling law. Some properties of the ray travel time predicted by this law still persist in periodically nonuniform waveguides with chaotic ray trajectories. As examples we consider few models with special attention to the underwater acoustic waveguide. It is demonstrated for a deep ocean propagation model that even under conditions of ray chaos the ray travel time is determined, to a considerable extent, by the coordinates of the ray endpoints and the number of turning points, i.e., by a topology of the ray path. We show how the closeness of travel times for rays with equal numbers of turning points reveals itself in ray travel time dependencies on the starting momentum and on the depth of the observation point. It has been shown that the same effect is associated with the appearance of the gap between travel times of chaotic and regular rays. The manifestation of the stickiness (the presence of such parts in a chaotic trajectory where the latter exhibits an almost regular behavior) in ray travel times is discussed. (c) 2002 American Institute of Physics. PMID:12779591

  16. Travel and the Consumer 1974.

    ERIC Educational Resources Information Center

    Idleman, Hillis K.

    The State Education Department of New York has prepared a series of modules--Expanded Programs in Consumer Education. "Travel and the Consumer" is the most recently produced module. It can be used as a discrete unit or with others in the series. The module stresses the importance of making travel creative, getting the most for one's money, seeking…

  17. Create a Traveling Literacy Trunk.

    ERIC Educational Resources Information Center

    Fromherz, Robin Wright

    2003-01-01

    Considers how the concept of Traveling Literacy Trunk was designed to reach all corners of the state of Oregon with compelling, student-centered, developmentally appropriate writing activities that could be shared with teaching professionals. Outlines 12 steps for developing a Traveling Literacy Trunk. Describes many benefits of the Literacy…

  18. Travel and Adult Transformative Learning

    ERIC Educational Resources Information Center

    Lindstrom, Steven K.

    2011-01-01

    This phenomenological research study examines the lived experience of individual adult transformation in the context of travel. Adults throughout history have experienced profound personal and perception changes as a result of significant travel events. Transformative learning occurs through experience, crisis, and reflection, all of which are…

  19. Preparing for Travel in India.

    ERIC Educational Resources Information Center

    Oswald, James M.

    The complexity of the Indian society can be overwhelming, and preparation for travel in India requires careful and detailed advance planning. Practical suggestions are provided for travelers to help them understand cultural differences, avoid illnesses, and select appropriate clothing for the intense heat. Explanations are given about the monetary…

  20. Immunization for children traveling abroad.

    PubMed

    Sood, S K

    2000-04-01

    More children are travelling these days, often to underdeveloped countries with high prevalence of vaccine-preventable vector-borne, food-borne, zoonotic, and other infections. The pretravel office visit involves consideration of routine and travel vaccines. Epidemiology of typhoid fever, rabies, yellow fever, Japanese encephalitis, vaccines against them, and their recommended use are reviewed. PMID:10761513

  1. Parameter studies for traveling wave coaxial launchers

    SciTech Connect

    Wu, A.Y. . Center for Electromechanics)

    1991-01-01

    The traveling wave coaxial launcher is a complex machine that requires very extensive parameter studies to optimize. Most of previous attempts to realize hypervelocity using coaxial launchers have failed partly due to inadequate analyses. This paper reports the results of very extensive air-core coaxial launcher parameter studies performed using computers. These results and the methodology introduced should help future researchers on this topic. In the course of studying the feasibility of accelerating a 1-kg projectile to 10 km/s with an 18 m air-core multiphase coaxial launcher powered by a rising frequency generator (RFGs), a complete simulation code based on the current filament method was developed. Results from the simulation code indicate rather chaotic behavior of an arbitrary coaxial launcher design. More fundamental studies were then conducted using various computer codes based on the current filament method.

  2. 49 CFR 229.55 - Piston travel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Piston travel. 229.55 Section 229.55... Piston travel. (a) Brake cylinder piston travel shall be sufficient to provide brake shoe clearance when... piston travel may not exceed 11/2 inches less than the total possible piston travel. The total...

  3. 75 FR 24434 - Federal Travel Regulation (FTR); Transportation in Conjunction With Official Travel and Relocation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... Federal Travel Regulation (FTR); Transportation in Conjunction With Official Travel and Relocation AGENCY... final rule amends the Federal Travel Regulation (FTR), by adding new terms and definitions for ``Official travel'' and ``Transit system''; clarifies reimbursement for transportation at an official...

  4. [Telemedicine in your suitcase: useful tools for the traveler].

    PubMed

    Geissbuhler, A

    2014-05-01

    In our digital age, telemedicine becomes, under various forms, a useful companion for the traveler, providing access to up-to-date information about health and security risks, remote consultation of specialists to ascertain a diagnosis of select an appropriate treatment, connection to similar patients in order to obtain contextualized advice, biomedical sensors and other monitoring and diagnostic portable tools, as well as transportable electronic health records enabling continuity of care and mobility. Commercial telemedicine services are being developed specifically for travelers, most of which are using mobile phones as the main device, which thus becomes a real telestethoscope. PMID:24908747

  5. [The second report on Japanese abroad with psychiatric problems: air transportation of Japanese with mental disorders in western Europe].

    PubMed

    Kuramoto, H; Ikegami, K; Uchiki, S; Tamura, T; Kurabayashi, L; Ohta, H; Inamura, H

    1991-04-01

    This is to report on airline travel processes experienced with two Japanese psychotics (schizophrenic) abroad who were treated by the local consulates of Japan, and escorted by Japanese psychiatrists from April to May in 1989. A comparative analysis was made of the two cases from the following six points of view: psychopathology concerning travel, psychiatric evaluation at the time of travel, access to local psychiatric medical services, trust between the patient and escorting physician, method of administering drugs, and cooperation in strategy with the airline company. Results indicate that the following three points are crucial in the air transportation of Japanese psychotics: 1) Establishment of patient-escorting physician trust relationship, 2) Adequate sedation through sufficient administration of tranquilizers, 3) Establishment of communication and close cooperation with the airline company. PMID:1958877

  6. Summer Travel: Plan Ahead To Stay Healthy

    MedlinePlus

    ... This Issue Features Summer Travel Strange Migrations and Killer Cramps Health Capsules How Secondhand Smoke Affects the ... healthy.” search Features Summer Travel Strange Migrations and Killer Cramps Wise Choices Links Plan for Healthy Travel ...

  7. Travelers' Health: Natural Disasters and Environmental Hazards

    MedlinePlus

    ... Safety Blood Clots Bug Bites Business Travel Cold Climates Counterfeit Drugs Cruise Ship Travel Families with Children ... Abroad Getting Sick After Travel High Altitudes Hot Climates Humanitarian Aid Workers Humanitarian Aid Workers in Ecuador ...

  8. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 2 2011-04-01 2011-04-01 false Restrictions affecting travel and travel expense... travel and travel expense reimbursement. (a) When an employee is on officially authorized travel his or... in cash or kind for travel expenses from any other source, even when the employee's expenses...

  9. 76 FR 43236 - Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... ADMINISTRATION 41 CFR Chapter 301 Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice... Federal Travel Regulation (FTR) in an effort to streamline travel policies, increase travel efficiency and... pertain to Temporary Duty (TDY) Travel Allowances that include special conveyances, per diem and...

  10. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false Restrictions affecting travel and travel expense... travel and travel expense reimbursement. (a) When an employee is on officially authorized travel his or... in cash or kind for travel expenses from any other source, even when the employee's expenses...

  11. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 2 2012-04-01 2012-04-01 false Restrictions affecting travel and travel expense... travel and travel expense reimbursement. (a) When an employee is on officially authorized travel his or... in cash or kind for travel expenses from any other source, even when the employee's expenses...

  12. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false Restrictions affecting travel and travel expense... travel and travel expense reimbursement. (a) When an employee is on officially authorized travel his or... in cash or kind for travel expenses from any other source, even when the employee's expenses...

  13. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Restrictions affecting travel and travel expense... travel and travel expense reimbursement. (a) When an employee is on officially authorized travel his or... in cash or kind for travel expenses from any other source, even when the employee's expenses...

  14. Who are the medical travelers and what do they want?: a qualitative study.

    PubMed

    Karuppan, Corinne M; Karuppan, Muthu

    2011-04-01

    The ongoing debate on U.S. healthcare reform fueled by increasing cost and poor access to quality healthcare is spurring interest in medical travel. The topic of medical travel-going abroad to seek medical care-has been widely reported in various news outlets. This issue even resulted in a Senate Hearing before the Special Committee on Aging. Despite this popularity, very little empirical research has been conducted to describe and understand medical travelers. To fill this gap, the present study involves in-depth interviews of medical travel facilitators with extensive exposure to and communication with medical travelers. This article has multiple objectives. It aims to develop a demographic and psychographic profile of medical travelers and identify their underlying motives to seek medical care overseas. Based on these insights, it presents a list of propositions to be tested in further research. Finally, it offers practical implications for the healthcare industry. PMID:21590560

  15. Turbulent burst control through phase-locked traveling surface depressions

    NASA Technical Reports Server (NTRS)

    Wilkinson, S. P.; Balasubramanian, R.

    1985-01-01

    The influence of a traveling, surface depression on turbulent pre-burst flow has been investigated both theoretically and experimentally. Two-dimensional calculations of a transverse vortex (representing a 'typical' eddy) embedded in a laminar boundary layer show that properly phased-wall motion can reduce vorticity and raise wall pressure beneath the convecting vortex. Experiments in low-speed air with an electromagnetically driven wall membrane show that a traveling wall depression can accelerate flow near the wall and reduce pre-burst Reynolds stress.

  16. California air transportation study: A transportation system for the California Corridor of the year 2010

    NASA Technical Reports Server (NTRS)

    1989-01-01

    To define and solve the problems of transportation in the California Corrider in the year 2010, the 1989 California Polytechnic State University Aeronautical Engineering Senior Design class determined future corridor transportation needs and developed a system to meet the requirements. A market study, which included interpreting travel demand and gauging the future of regional and national air travel in and out of the corridor, allowed the goals of the project to be accurately refined. Comprehensive trade-off studies of several proposed transporation systems were conducted to determine which components would form the final proposed system. Preliminary design and further analysis were performed for each resulting component. The proposed system consists of three vehicles and a special hub or mode mixer, the Corridor Access Port (CAP). The vehicles are: (1) an electric powered aircraft to serve secondary airports and the CAP; (2) a high speed magnetic levitation train running through the CAP and the high population density areas of the corridor; and (3) a vertical takeoff and landing tilt rotor aircraft to serve both intercity and intrametropolitan travelers from the CAP and city vertiports. The CAP is a combination and an extension of the hub, mode mixer, and Wayport concepts. The CAP is an integrated part of the system which meets the travel demands in the corridor, and interfaces with interstate and international travel.

  17. Foreign travel for advanced cancer patients: a guide for healthcare professionals

    PubMed Central

    Perdue, Colin; Noble, Simon

    2007-01-01

    The opportunity for a patient with advanced cancer to travel abroad may, for some, be a life affirming event during a dark period in their life. For others, what they hoped to be a time of joy may become an unmitigated disaster if they become unwell while away from the safety net of local cancer services. The rise of low budget airlines and cheaper foreign travel has led to an increase in the number of people travelling by air. Health professionals are more likely to face requests by patients to advise them on travel plans. Although foreign travel is an unrealistic goal for some patients, appropriate forward planning and proactive management can allow some patients to make an important journey abroad. This paper looks at the practical issues facing cancer patients who intend to travel overseas and offers practical advice on considerations that need to be made. PMID:17621611

  18. Foreign travel for advanced cancer patients: a guide for healthcare professionals.

    PubMed

    Perdue, Colin; Noble, Simon

    2007-07-01

    The opportunity for a patient with advanced cancer to travel abroad may, for some, be a life affirming event during a dark period in their life. For others, what they hoped to be a time of joy may become an unmitigated disaster if they become unwell while away from the safety net of local cancer services. The rise of low budget airlines and cheaper foreign travel has led to an increase in the number of people travelling by air. Health professionals are more likely to face requests by patients to advise them on travel plans. Although foreign travel is an unrealistic goal for some patients, appropriate forward planning and proactive management can allow some patients to make an important journey abroad. This paper looks at the practical issues facing cancer patients who intend to travel overseas and offers practical advice on considerations that need to be made. PMID:17621611

  19. Energy conservation and air transportation

    NASA Technical Reports Server (NTRS)

    1973-01-01

    Air transportation demand and passenger energy demand are discussed, in relation to energy conservation. Alternatives to air travel are reviewed, along with airline advertising and ticket pricing. Cargo energy demand and airline systems efficiency are also examined, as well as fuel conservation techniques. Maximum efficiency of passenger aircraft, from B-747 to V/STOL to British Concorde, is compared.

  20. 41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country?...

  1. 41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country?...

  2. Travelers' Health: Viral Hemorrhagic Fevers

    MedlinePlus

    ... Global TravEpiNet Mobile Apps RSS Feeds Chapter 3 Infectious Diseases Related to Travel Recommend on Facebook Tweet Share ... Guerrant RL, Walker DH, Weller PF, editors. Tropical Infectious Diseases: Principles, Pathogens and Practice. 3rd ed. Philadelphia: Elsevier; ...

  3. Influenza Prevention: Information for Travelers

    MedlinePlus

    ... season and are traveling to parts of the world where influenza activity is ongoing should get a ... have been circulating in other parts of the world. People should get vaccinated at least 2 weeks ...

  4. Travelers' Health: Injuries and Safety

    MedlinePlus

    ... optimal care for serious injuries are uncommon outside urban areas in many foreign destinations. Travelers should be ... poor in many countries, victims of injuries and violence can die before reaching a hospital, and there ...

  5. Tuberculosis Information for International Travelers

    MedlinePlus

    ... shelters). Travelers who will be working in clinics, hospitals, or other health care settings where TB patients are likely to be encountered should consult infection control or occupational health experts. They should ask about ...

  6. Sequentially pulsed traveling wave accelerator

    DOEpatents

    Caporaso, George J.; Nelson, Scott D.; Poole, Brian R.

    2009-08-18

    A sequentially pulsed traveling wave compact accelerator having two or more pulse forming lines each with a switch for producing a short acceleration pulse along a short length of a beam tube, and a trigger mechanism for sequentially triggering the switches so that a traveling axial electric field is produced along the beam tube in synchronism with an axially traversing pulsed beam of charged particles to serially impart energy to the particle beam.

  7. [Sexually transmitted diseases and travel].

    PubMed

    Halioua, B; Prazuck, T; Malkin, J E

    1997-01-01

    Travelers are highly exposed to acquiring sexually transmitted diseases especially since the most popular destinations are high risk areas. While this risk applies to all travelers, it is highest for the "sex" tourist who is typically a male with a mean age of 38 years. Awareness of risks is still incomplete, especially with regard to HIV. Several studies have shown that only 20% to 70% of travelers use condoms. This finding accounts for the high incidence of sexually transmitted diseases in returning travelers: 2% to 10%. The risk of HIV infection is particularly high for persons living abroad. Based on available data, we can define the typical profile of the high risk traveler who should be targeted for prevention. Prevention depends on providing adequate information before departure, especially concerning HIV infection. Use of a condom throughout sexual contact is a basic safety rule. However condom quality is poor in many developing countries. Returning travelers should seek medical advice if manifestations involving the anogenital regions should appear. PMID:9612761

  8. Infectious Risks of Traveling Abroad.

    PubMed

    Chen, Lin H; Blair, Barbra M

    2015-08-01

    A popular leisure activity, international travel can be associated with some infections. The most common travel-related illnesses appear to be gastrointestinal, dermatologic, respiratory, and systemic febrile syndromes. The pretravel medical consultation includes immunizations, malaria chemoprophylaxis, self-treatment for traveler's diarrhea, and advice on the prevention of a myriad of other infectious causes including dengue, chikungunya, rickettsiosis, leptospirosis, schistosomiasis, and strongyloidiasis. Travel to locations experiencing outbreaks such as Ebola virus disease, Middle East respiratory syndrome, avian influenza, and chikungunya call for specific alerts on preventive strategies. After travel, evaluation of an ill traveler must explore details of exposure, including destinations visited; activities; ingestion of contaminated food or drinks; contact with vectors, animals, fresh water, or blood and body fluids; and other potential exposures. Knowledge of the geographic distribution of infectious diseases is important in generating the differential diagnoses and testing accordingly. Empiric treatment is sometimes necessary when suspicion of a certain diagnosis is strong and confirmatory tests are delayed or lacking, particularly for infections that are rapidly progressive (for example, malaria) or for which timing of testing is prolonged (such as leptospirosis). PMID:26350325

  9. 25 CFR 700.341 - Access to life estate leases.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) Visitors and residents shall use the existing road systems and access rights of way when traveling to and... 25 Indians 2 2011-04-01 2011-04-01 false Access to life estate leases. 700.341 Section 700.341... Life Estate Leases § 700.341 Access to life estate leases. (a) Family members and other persons...

  10. Momentum harvesting techniques for solar system travel

    NASA Technical Reports Server (NTRS)

    Willoughby, Alan J.

    1991-01-01

    Astronomers are lately estimating there are 400,000 earth visiting asteroids larger than 100 meters in diameter. These asteroids are uniquely accessible sources of building materials, propellants, oxygen, water, and minerals. They also constitute a huge momentum reserve, potentially usable for travel throughout the solar system. To use this momentum, these stealthy objects must be tracked and the ability to extract the desired momentum obtained. Momentum harvesting by momentum transfer from asteroid to spacecraft, and by using the momentum of the extraterrestrial material to help deliver itself to its destination is discussed. The purpose is neither to quantify nor justify the momentum exchange processes, but to stimulate collective imaginations with some intriguing possibilities which emerge when momentum as well as material is considered. A net and tether concept is the suggested means of asteroid capture, the basic momentum exchange process. The energy damping characteristics of the tether determines the velocity mismatch that can be tolerated, and hence the amount of momentum that can be harvested per capture. As the tether plays out of its reel, drag on the tether steadily accelerates the spacecraft and dilutes, in time, the would-be collision. A variety of concepts for riding and using asteroids after capture are introduced. The hitchhiker uses momentum transfer only. The beachcomber, the caveman, the swinger, the prospector, and the rock wrecker also take advantage of raw asteroid materials. The chemist and the hijacker go further, they process the asteroid into propellants. Or, an asteroid railway system could be constructed with each hijacked asteroid becoming a scheduled train. Travelers could board this space railway system assured that water, oxygen propellants, and shielding await them. Austere space travel could give way to comforts, with a speed and economy impossible without nature's gift of earth visiting asteroids.

  11. A Free Program for Using and Teaching an Accessible Electronic Wayfinding Device

    ERIC Educational Resources Information Center

    Greenberg, Maya Delgado; Kuns, Jerry

    2012-01-01

    Accessible Global Positioning Systems (GPS) are changing the way many people with visual impairments (that is, those who are blind or have low vision) travel. GPS provides real-time orientation information so that a traveler with a visual impairment can make informed decisions about path of travel and destination. Orientation and mobility (O&M)…

  12. Momentum harvesting techniques for solar system travel

    NASA Technical Reports Server (NTRS)

    Willoughby, Alan J.

    1990-01-01

    Astronomers are lately estimating there are 400,000 Earth visiting asteroids larger than 100 meters in diameter. These asteroids are accessible sources of building materials, propellants, oxygen, water, and minerals which also constitute a huge momentum reserve, potentially usable for travel throughout the solar system. To use this momentum, these stealthy objects must be tracked and the extraction of the momentum wanted must be learned. Momentum harvesting by momentum transfer from asteroid to spacecraft, and by using the momentum of the extraterrestrial material to help deliver itself to the destination are discussed. A net and tether concept is the suggested means of asteroid capture, the basic momentum exchange process. The energy damping characteristics of the tether will determine the velocity mismatch that can be tolerated, and hence the amount of momentum that can be harvested per capture. As it plays out of its reel, drag on the tether steadily accelerates the spacecraft. A variety of concepts for riding and using the asteroid after capture are discussed. The hitchhiker uses momentum transfer only. The beachcomber, the caveman, the swinger, the prospector, and the rock wrecker also take advantage of raw asteroidal materials. The chemist and the hijacker go further, they process the asteroid into propellant. Or, an 'asteroid railway system' could evolve with each hijacked asteroid becoming a scheduled train. Travelers could board the space railway system assured that water, oxygen, and propellants await them.

  13. Preparing patients to travel abroad safely. Part 2: Updating vaccinations.

    PubMed Central

    Thomas, R. E.

    2000-01-01

    OBJECTIVE: To provide, for family physicians without access to a travel clinic, evidence-based recommendations on vaccinating infants and children, adults, pregnant women, and immunocompromised patients traveling to non-Western countries. QUALITY OF EVIDENCE: Searches were undertaken of MEDLINE from 1990 to November 1998 (372 articles); the Cochrane Collaboration Library; publications of the National Action Committee on Immunization and the Committee to Advise on Tropical Medicine and Travel in Canada Communicable Disease Reports; the Canadian Immunization Guide; and Laboratory Centre for Disease Control, United States Centres for Disease Control, and World Health Organization websites. Evidence-based statements, randomized controlled trials, systematic reviews, and meta-analyses were selected. Vaccination recommendations are based on this evidence. MAIN MESSAGE: Physicians should complete vaccination schedules for children whose primary series is incomplete and vaccinate unvaccinated adults. Hepatitis A is widespread, and travelers to areas where it is endemic should be vaccinated. The elderly should be vaccinated against influenza and pneumococcal disease. Pregnant women should receive vaccines appropriate to their trimester. Immunocompromised patients should be vaccinated, but BCG and live vaccines are contraindicated. Travelers to areas where meningitis, typhoid, cholera, Japanese encephalitis, and rabies are endemic should be vaccinated if they are likely to be exposed. Those traveling to areas where tuberculosis is endemic should take precautions and should have skin tests before traveling and 2 to 4 months after return. CONCLUSIONS: Family physicians can administer all necessary vaccinations. They can advise pregnant women and immunocompromised people about the balance of risk of disease and benefits of vaccination. PMID:10752003

  14. Integrating Humanities and Educational Travel Abroad Programs.

    ERIC Educational Resources Information Center

    Cornelius, Erwin C.

    Various materials are presented to provide guidelines for integrating humanities and travel abroad programs. After noting the long tradition of educational travel and the recent emergence of travel study programs for adult learners, the study-travel program at McHenry County College, a small rural community college in Illinois, is briefly…

  15. 8 CFR 244.15 - Travel abroad.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Travel abroad. 244.15 Section 244.15 Aliens... NATIONALS OF DESIGNATED STATES § 244.15 Travel abroad. (a) After the grant of Temporary Protected Status... to travel abroad. Permission to travel may be granted by the director pursuant to the...

  16. 28 CFR 2.93 - Travel approval.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Travel approval. 2.93 Section 2.93... Travel approval. (a) A parolee's Supervision Officer may approve travel outside the district of... possibilities. (3) Recurring travel across a district boundary, not to exceed fifty miles outside the...

  17. 8 CFR 1244.15 - Travel abroad.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Travel abroad. 1244.15 Section 1244.15... REGULATIONS TEMPORARY PROTECTED STATUS FOR NATIONALS OF DESIGNATED STATES § 1244.15 Travel abroad. (a) After... Status shall not constitute permission to travel abroad. Permission to travel may be granted by...

  18. Advising pregnant women on miminising travel risks.

    PubMed

    Tucker, Rosemary

    Pregnant women may face additional risks when travelling overseas, which must be considered with assessment and travel health advice before they decide to travel. A careful risk assessment should be completed to identify the key risks and strategies for staying safe while travelling. PMID:24772798

  19. 38 CFR 21.7103 - Travel expenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Bill-Active Duty) Counseling § 21.7103 Travel expenses. (a) Travel for veterans and servicemembers. (1... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.7103... travel to and from the place of counseling for individuals who are required to receive counseling if—...

  20. Walkyourplace - Evaluating Neighbourhood Accessibility at Street Level

    NASA Astrophysics Data System (ADS)

    Steiniger, S.; Poorazizi, M. E.; Hunter, A. J. S.

    2013-05-01

    The popularity of a neighbourhood is often explained by its perceived "higher" quality of life. Good access to shops, restaurants, parks, etc., is seen as an indicator that reflects improved quality of life. We present a web-based tool for assessment of accessibility to such services. The system evaluates in real time an area that is accessible using pedestrian, transit, and cycling infrastructure. The accessible area is evaluated using "quality of life" indicators, such as the number of grocery stores, shopping and recreation facilities, and local crime within that area. This tool sets itself apart from pre-computed and neighbourhood-level walkability indices, because it makes use of detailed street-level data, rather than block-level generalizations. It uses real network travel time, and, when transit data are provided, permits the creation and evaluation of accessibility areas for a combination of travel modes such as walking with transit use.

  1. Paediatric travel medicine: vaccines and medications

    PubMed Central

    Starr, Mike

    2013-01-01

    The paediatric aspects of travel medicine can be complex, and individual advice is often required. Nonetheless, children are much more likely to acquire common infections than exotic tropical diseases whilst travelling. Important exceptions are malaria and tuberculosis, which are more frequent and severe in children. Overall, travellers' diarrhoea is the most common illness affecting travellers. This review discusses vaccines and medications that may be indicated for children who are travelling overseas. It focuses on immunizations that are given as part of the routine schedule, as well as those that are more specific to travel. Malaria and travellers' diarrhoea are also discussed. PMID:23163285

  2. Further We Travel the Faster We Go

    PubMed Central

    Varga, Levente; Kovács, András; Tóth, Géza; Papp, István; Néda, Zoltán

    2016-01-01

    The average travelling speed increases in a nontrivial manner with the travel distance. This leads to scaling-like relations on quite extended spatial scales, for all mobility modes taken together and also for a given mobility mode in part. We offer a wide range of experimental results, investigating and quantifying this universal effect and its measurable causes. The increasing travelling speed with the travel distance arises from the combined effects of: choosing the most appropriate travelling mode; the structure of the travel networks; the travel times lost in the main hubs, starting or target cities; and the speed limit of roads and vehicles. PMID:26863605

  3. Further We Travel the Faster We Go.

    PubMed

    Varga, Levente; Kovács, András; Tóth, Géza; Papp, István; Néda, Zoltán

    2016-01-01

    The average travelling speed increases in a nontrivial manner with the travel distance. This leads to scaling-like relations on quite extended spatial scales, for all mobility modes taken together and also for a given mobility mode in part. We offer a wide range of experimental results, investigating and quantifying this universal effect and its measurable causes. The increasing travelling speed with the travel distance arises from the combined effects of: choosing the most appropriate travelling mode; the structure of the travel networks; the travel times lost in the main hubs, starting or target cities; and the speed limit of roads and vehicles. PMID:26863605

  4. Tropical Skin Infections Among Israeli Travelers

    PubMed Central

    Solomon, Michal; Benenson, Shmuel; Baum, Sharon; Schwartz, Eli

    2011-01-01

    Infectious skin disorders are common dermatologic illnesses in travelers. Knowledge of post-travel–related infectious skin disorders will allow for effective pre- and post-travel counseling. All cases of returning travelers seen in our center seeking care for infectious skin diseases were included in this study. For a comparison, data on returned travelers with non-infectious skin diseases and healthy travelers who had pre-travel consultations in our institution were also analyzed. Altogether, skin-related diagnosis was reported in 540 ill travelers, and among them, 286 (53%) had infectious skin diseases. Tropical skin infection was diagnosed in 64% of the infectious cases. Travelers returning from Latin America were significantly more ill with tropical skin infections than those traveling to Asia and Africa, The most common diagnoses were cutaneous leishmaniasis, myiasis, and cutaneous larva migrans. In conclusion, tropical skin infections are common among Israeli travelers, especially among those who visited Latin America. PMID:22049040

  5. Health, sustainability and student travel.

    PubMed

    Green, Gill; Morris, Jenny; Wade, Margaret

    2012-01-01

    A survey of 246 pre-registration nursing students in a University in the South West of England was carried out to explore the impact of course related travel on the student experience. Results from the survey indicated that students' main mode of transport to practice placements was by car which reflects the rural nature of the South West and the relative paucity of public transport. Long distances that many students travel to their study centre and to placements, and the concurrent financial strain that this creates, impacted negatively on the student experience. Students recognised the need to travel to a place of study and clinical placements and suggestions of minimising the negative impact of travel were offered. These included the increased use of electronic delivery of lectures, attendance at local university premises, the provision of shared transport to placements and placements closer to the student's home. Few students, however, considered the environmental impact of travel. Higher Education Institutions need to address issues of sustainability through promoting student wellbeing and taking steps to reduce greenhouse gas emissions. It is therefore important that student awareness of sustainability related issues is increased as well as focusing on reducing the environmental impact through organisational change. PMID:21664188

  6. 30 CFR 75.321 - Air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Air quality. 75.321 Section 75.321 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Ventilation § 75.321 Air quality. (a)(1) The air in areas where persons work or travel, except as...

  7. 30 CFR 75.321 - Air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Air quality. 75.321 Section 75.321 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Ventilation § 75.321 Air quality. (a)(1) The air in areas where persons work or travel, except as...

  8. [Advice for allergic travellers].

    PubMed

    Sonneville, A

    1999-09-01

    Business and tourist journeys by air contribute to exposure of the body to multiple environments. The allergic patient, considered rightly to be a sentry of the environment, has many reasons to care about his journeys and to take precautions that are adapted to his case under the impetus of advice and information from his physician and his specialist. Some advice falls within a simple logic that is enough to remember when planning the journey while the others measures must follow a correct preventative strategy for allergy risks as much as those that concern the modalities before leaving as a drive taken on the ground. It is important therefore to know how to give advice and information on the different risks linked to the allergic condition and to the field of allergy and help the patient to orientate his choice of place of the journey, the methods of lodging, of transport and the programme of the journey. The advice should also include the preventative measures as a function of the known pathology under the form of medical equipment before, during the stay and on return. Finally some advice relative to medical equipment for prevention and cure would appear to be judicious. PMID:10524269

  9. Future Trends in Business Travel Decision Making

    NASA Technical Reports Server (NTRS)

    Mason, Keith J.

    2002-01-01

    This research surveys twenty large companies and their travellers to identify and evaluate the effects of pressures on the business travel market in the future. The influence of the following areas on the decision making process are addressed: (1) Corporate travel policies and increasing professionalism in corporate purchasing; (2) The development of global strategic airline alliances; (3) The emergence of low cost airlines on short haul markets; and (4) The development of internet based booking tools and travel agency IT. The survey shows differences in views between travel managers, and travellers with regard to corporate travel policies. While travel managers see policy rules, travellers interpret these as guidelines, indicating travel managers will need to take further actions to exercise true control of travel budgets. The data shows that companies are more likely to prescribe a class of airline ticket, than the choice of airline itself. Corporate hierarchical bias in travel policies is still common both for short and particularly long haul flying. Other findings show that while travel managers believe that their companies are likely to sign global deals with strategic airline groups within a five year period in a bid to consolidating spending, they also believe that nearly a third of short haul flying will be taken with low cost carriers, indicating further penetration in this business travel market by these carriers. The paper also provides other predictions about the business travel market, based on the survey findings.

  10. Forecasting the demand potential for STOL air transportation

    NASA Technical Reports Server (NTRS)

    Fan, S.; Horonjeff, R.; Kanafani, A.; Mogharabi, A.

    1973-01-01

    A process for predicting the potential demand for STOL aircraft was investigated to provide a conceptual framework, and an analytical methodology for estimating the STOL air transportation market. It was found that: (1) schedule frequency has the strongest effect on the traveler's choice among available routes, (2) work related business constitutes approximately 50% of total travel volume, and (3) air travel demand follows economic trends.

  11. The Flying Newsboy: A Small Daily Attempts Air Delivery.

    ERIC Educational Resources Information Center

    Watts, Elizabeth A.

    For 10 months in 1929-30, subscribers to "The McCook (Nebraska) Daily Gazette" (a daily newspaper serving 33 towns in southwestern Nebraska and northwestern Kansas) received their newspapers via air delivery with "The Newsboy," a Curtis Robin cabin monoplane. In an age when over-the-road travel was difficult and air travel was just emerging,…

  12. Toxoplasmosis as a travel risk.

    PubMed

    Sepúlveda-Arias, Juan C; Gómez-Marin, Jorge E; Bobić, Branko; Naranjo-Galvis, Carlos A; Djurković-Djaković, Olgica

    2014-01-01

    Toxoplasma gondii is a protozoan parasite with worldwide distribution that infects more than one third of the global population. Primary infection in immunocompetent individuals is usually asymptomatic; however, different organs can be affected in immunocompromised individuals leading to the development of encephalitis, myocarditis or pneumonitis. The prevalence of infection with Toxoplasma as well as its genetic structure varies geographically and for that reason travel may be considered as a risk factor to acquire the infection. As toxoplasmosis is a foodborne disease, health care providers should give health education on prevention measures to all prospective travelers in order to decrease the risk of infection in endemic areas. This review presents an overview of the infection with T. gondii with some considerations for travelers to and from endemic zones. PMID:24951321

  13. Fundamental Travel Demand Model Example

    NASA Technical Reports Server (NTRS)

    Hanssen, Joel

    2010-01-01

    Instances of transportation models are abundant and detailed "how to" instruction is available in the form of transportation software help documentation. The purpose of this paper is to look at the fundamental inputs required to build a transportation model by developing an example passenger travel demand model. The example model reduces the scale to a manageable size for the purpose of illustrating the data collection and analysis required before the first step of the model begins. This aspect of the model development would not reasonably be discussed in software help documentation (it is assumed the model developer comes prepared). Recommendations are derived from the example passenger travel demand model to suggest future work regarding the data collection and analysis required for a freight travel demand model.

  14. Entry and exit screening of airline travellers during the A(H1N1) 2009 pandemic: a retrospective evaluation

    PubMed Central

    Eckhardt, Rose; Brownstein, John S; Naqvi, Raza; Hu, Wei; Kossowsky, David; Scales, David; Arino, Julien; MacDonald, Michael; Wang, Jun; Sears, Jennifer; Cetron, Martin S

    2013-01-01

    Abstract Objective To evaluate the screening measures that would have been required to assess all travellers at risk of transporting A(H1N1)pdm09 out of Mexico by air at the start of the 2009 pandemic. Methods Data from flight itineraries for travellers who flew from Mexico were used to estimate the number of international airports where health screening measures would have been needed, and the number of travellers who would have had to be screened, to assess all air travellers who could have transported the H1N1 influenza virus out of Mexico during the initial stages of the 2009 A(H1N1) pandemic. Findings Exit screening at 36 airports in Mexico, or entry screening of travellers arriving on direct flights from Mexico at 82 airports in 26 other countries, would have resulted in the assessment of all air travellers at risk of transporting A(H1N1)pdm09 out of Mexico at the start of the pandemic. Entry screening of 116 travellers arriving from Mexico by direct or connecting flights would have been necessary for every one traveller at risk of transporting A(H1N1)pdm09. Screening at just eight airports would have resulted in the assessment of 90% of all air travellers at risk of transporting A(H1N1)pdm09 out of Mexico in the early stages of the pandemic. Conclusion During the earliest stages of the A(H1N1) pandemic, most public health benefits potentially attainable through the screening of air travellers could have been achieved by screening travellers at only eight airports. PMID:23678200

  15. Schistosomiasis in Travelers and Expatriates.

    PubMed

    Jelinek; Nothdurft; Löscher

    1996-09-01

    Background: Several outbreaks of schistosomiasis among travelers, expatriates, and military serviceman have been reported in recent years. Methods: The travel histories and anamnestic and clinical features of 62 patients with schistosomiasis, who presented to a German outpatient clinic specializing in infectious and tropical diseases, were investigated to identify risk factors that could lead to infection in travelers and expatriates. Results: All patients remembered incidents that led to a likely exposure to cercariae of Schistosoma sp. Fifty nine patients (95%) acquired infection in Africa, two (3%) in South America, and one each (2% each) in Iraq and the Mekong River, respectively. The highest proportion of infection (45%) was imported from West Africa. Patients returning from West Africa reported either contact with tributaries of the Niger (including freshwater pools in the Dogon country, Mali) or with waters of the Volta River, notably Lake Volta and/or its delta. Six patients (10%) acquired infection in little-visited areas such as Central Africa and the Congo Basin. East Africa (especially Lake Victoria) and Lake Malawi contributed 14 patients (22%) to our study group; a further nine patients (14%) became infected after contact with waters of the Zambezi River. Conclusions: The most sensitive method for detection of possible infection with schistosomiasis appeared to be a combination of thorough travel history and serologic testing by indirect hemagglutination (IHA), immunofluorescence antibody test (IFAT), and enzyme-linked immunosorbent assay (ELISA). Most infections were acquired by travelers on lengthy and adventurous journeys or by expatriates venturing outside their normal areas of activity. Most patients knew that they had traveled in an area endemic for schistosomiasis, but were uninformed about behavioral risks they had taken in specific settings. PMID:9815445

  16. Web Accessibility and Accessibility Instruction

    ERIC Educational Resources Information Center

    Green, Ravonne A.; Huprich, Julia

    2009-01-01

    Section 508 of the Americans with Disabilities Act (ADA) mandates that programs and services be accessible to people with disabilities. While schools of library and information science (SLIS*) and university libraries should model accessible Web sites, this may not be the case. This article examines previous studies about the Web accessibility of…

  17. [Pulmonary diseases among returning travelers].

    PubMed

    Barras, G; Michel, Y; Wagner, N; Loutan, L

    2012-05-01

    Respiratory tract infections are a frequent cause of travelers' health problems. Tropical diseases are relatively rare compared to common respiratory infections. Nevertheless, due to their potential gravity, they must be systematically considered. The differential diagnosis of tropical pathogens is wide. A targeted travel history taking into account specific epidemiological, geographical and behavioral risk factors helps focusing biological exams to identify the causative diagnosis. The chest radiography remains very helpful in this context; however, more specific exams, such as serologies are often necessary to reach a final diagnosis. PMID:22662629

  18. Black Holes: A Traveler's Guide

    NASA Astrophysics Data System (ADS)

    Pickover, Clifford A.

    1998-03-01

    BLACK HOLES A TRAVELER'S GUIDE Clifford Pickover's inventive and entertaining excursion beyond the curves of space and time. "I've enjoyed Clifford Pickover's earlier books . . . now he has ventured into the exploration of black holes. All would-be tourists are strongly advised to read his traveler's guide." -Arthur C. Clarke. "Many books have been written about black holes, but none surpass this one in arousing emotions of awe and wonder towards the mysterious structure of the universe." -Martin Gardner. "Bucky Fuller thought big. Arthur C. Clarke thinks big, but Cliff Pickover outdoes them both." -Wired. "The book is fun, zany, in-your-face, and refreshingly addictive." -Times Higher Education Supplement.

  19. Cosmic-string traveling waves

    NASA Astrophysics Data System (ADS)

    Garfinkle, David

    1991-08-01

    An attempt to solve Einstein's equations by assuming the existence of symmetries and by treating metrics that possess a Killing vector is presented. A spacetime with a null Killing field can be regarded as the history of a disturbance that propagates at the speed of light without changing its amplitude or shape. Such spacetimes are referred to as traveling waves. A new technique for generating solutions of Einstein's equations is then presented. The technique produces a new traveling wave spacetime given an old one. It applies to both the vacuum Einstein equations and Einstein's equations coupled to various types of matter.

  20. Traveling-Wave Membrane Photomixers

    NASA Technical Reports Server (NTRS)

    Wyss, R. A.; Martin, S. C.; Nakamura, B. J.; Neto, A.; Pasqualini, D.; Siegel, P. H.; Kadow, C.; Gossard, A. C.

    2001-01-01

    Traveling-wave photomixers have superior performance when compared with lumped area photomixers in the 1 to 3 THz frequency range. Their large active area and distributed gain mechanism assure high thermal damage threshold and elimination of the capacitive frequency roll-off. However, the losses experienced by the radio frequency wave traveling along the coplanar strips waveguide (due to underlying semi-infinite GaAs substrate) were a serious drawback. In this paper we present device designs and an experimental setup that make possible the realization of photomixers on membranes which eliminate the losses.

  1. Navigation: traveling the water highways!

    USGS Publications Warehouse

    Fisher, Marion; Vandas, Stephen; Farrar, Frank, (artist)

    1996-01-01

    NAVIGATION is travel or transportation over water. Many different kinds of boats and ships are used on rivers and oceans to move people and products from one place to another. Navigation was extremely important for foreign and domestic trade and travel in the early days of our country before cars, trucks, trains, and airplanes were invented. In those days, rivers were used as "roads" to connect inland settlements to river and coastal ports. Communities established at these commercial ports became important economic, cultural, and social hubs in the development of our Nation.

  2. Collection Development "Mini-Travel Guides": Traveling Light

    ERIC Educational Resources Information Center

    Kaufmann, Linda M.

    2009-01-01

    Predictions regarding how much traveling Americans will be doing this year and where they might go vary, but it is expected that many will cut back on what is increasingly considered a luxury. Even so, gasoline prices are down substantially from a year ago, the stronger dollar means better prices in Europe, and there are discounts in all areas of…

  3. 14 CFR 382.117 - Must carriers permit passengers with a disability to travel with service animals?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Must carriers permit passengers with a disability to travel with service animals? 382.117 Section 382.117 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) SPECIAL REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL...

  4. 14 CFR 382.117 - Must carriers permit passengers with a disability to travel with service animals?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Must carriers permit passengers with a disability to travel with service animals? 382.117 Section 382.117 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Services on Aircraft § 382.117 Must carriers permit passengers with...

  5. 14 CFR 382.117 - Must carriers permit passengers with a disability to travel with service animals?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Must carriers permit passengers with a disability to travel with service animals? 382.117 Section 382.117 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Services on Aircraft § 382.117 Must carriers permit passengers with...

  6. Racial disparities in travel time to radiotherapy facilities in the Atlanta metropolitan area.

    PubMed

    Peipins, Lucy A; Graham, Shannon; Young, Randall; Lewis, Brian; Flanagan, Barry

    2013-07-01

    Low-income women with breast cancer who rely on public transportation may have difficulty in completing recommended radiation therapy due to inadequate access to radiation facilities. Using a geographic information system (GIS) and network analysis we quantified spatial accessibility to radiation treatment facilities in the Atlanta, Georgia metropolitan area. We built a transportation network model that included all bus and rail routes and stops, system transfers and walk and wait times experienced by public transportation system travelers. We also built a private transportation network to model travel times by automobile. We calculated travel times to radiation therapy facilities via public and private transportation from a population-weighted center of each census tract located within the study area. We broadly grouped the tracts by low, medium and high household access to a private vehicle and by race. Facility service areas were created using the network model to map the extent of areal coverage at specified travel times (30, 45 and 60 min) for both public and private modes of transportation. The median public transportation travel time to the nearest radiotherapy facility was 56 min vs. approximately 8 min by private vehicle. We found that majority black census tracts had longer public transportation travel times than white tracts across all categories of vehicle access and that 39% of women in the study area had longer than 1 h of public transportation travel time to the nearest facility. In addition, service area analyses identified locations where the travel time barriers are the greatest. Spatial inaccessibility, especially for women who must use public transportation, is one of the barriers they face in receiving optimal treatment. PMID:23726213

  7. Rotorcraft air transportation

    NASA Technical Reports Server (NTRS)

    Gilbert, G. A.

    1983-01-01

    Intermodal relationships and the particular ways in which they affect public transportation applications of rotorcraft are addressed. Some aspects of integrated services and general comparisons with other transportation modes are reviewed. Two potential application scenarios are discussed: down-to-downtown rotorcraft service and urban public transport rotorcraft service. It is concluded that to integrate well with ground access modes community rotorcraft service should be limited stop service with published schedules, and operate on a few specific routes between a few specific destinations. For downtown-to-downtown service, time savings favorable to rotorcraft are benefits that reflect its more direct access, relatively higher line-haul travel speeds, and less circuitous travel. For the scenario of public transport within urban areas, first, improving cruise speeds has a limited potential due to allowing for a ""station spacing'' effect. Secondly, public acceptance of higher acceleration/deceleration rates may be just as effective as a technological innovation as achieving higher cruise speeds.

  8. Travel itinerary uncertainty and the pre-travel consultation--a pilot study.

    PubMed

    Flaherty, Gerard; Md Nor, Muhammad Najmi

    2016-01-01

    Risk assessment relies on the accuracy of the information provided by the traveller. A questionnaire was administered to 83 consecutive travellers attending a travel medicine clinic. The majority of travellers was uncertain about destinations within countries, transportation or type of accommodation. Most travellers were uncertain if they would be visiting malaria regions. The degree of uncertainty about itinerary potentially impacts on the ability of the travel medicine specialist to perform an adequate risk assessment, select appropriate vaccinations and prescribe malaria prophylaxis. This study reveals high levels of traveller uncertainty about their itinerary which may potentially reduce the effectiveness of their pre-travel consultation. PMID:26782127

  9. Time Travel in the Library

    ERIC Educational Resources Information Center

    Brown, Donna W.

    2005-01-01

    A Time Travel project in the library gives enthusiasm to students to connect with the past and reinforces their research skills while instilling respect for the past years. The librarian should choose one specific decade to highlight in the library and create an extravaganza that would allow memorabilia from that time period to be located without…

  10. Music Travel: Avoiding the Potholes

    ERIC Educational Resources Information Center

    Olson, Cathy Applefeld

    2010-01-01

    Even given the countless hours clocked in class and rehearsal time, there's nothing that compares to a road trip to seal the bond among band, orchestra, and vocal music students. "Nothing can replace travel," says Peter Markes, orchestra director at Edmond North High School in Oklahoma. "It's safe, well-structured and, for many of the kids, it's…

  11. Preparing Students for Travel Abroad.

    ERIC Educational Resources Information Center

    Novotny, Jeanne

    1989-01-01

    This article outlines information which can be provided by the school nurse or health educator to help make student trips abroad healthy as well as educational. Topics covered include: food and water, traveler's diarrhea, handwashing, insect and animal bites, stress, and prior health problems. (IAH)

  12. Your Travel Dollar. Money Management.

    ERIC Educational Resources Information Center

    Baran, Nancy H., Ed.

    This illustrated guide was designed to familiarize consumers with planning a vacation trip, whether domestic or abroad. The guide covers setting up a budget; package tours; cruises and charter flights; travel agencies and clubs; and arranging stays in hotels/motels, rental condominiums, bed-and-breakfasts, hostels, campsites, and private…

  13. Economic Downturn Limits Conference Travel

    ERIC Educational Resources Information Center

    Young, Jeffrey R.

    2009-01-01

    Attendance is down at many academic and professional conferences in higher education this year, and next year's numbers are expected to be far worse, as campus budgets take further beatings. With many colleges limiting travel to professors or administrators who are speaking at events they are attending, will anyone be left in the audience? A new…

  14. Working Concept of Accessibility

    PubMed Central

    Schroeder, Bastian J.; Rouphail, Nagui M.; Hughes, Ronald G.

    2010-01-01

    This research presents an analysis framework and associated performance measures for quantifying the accessibility of pedestrian crossings at modern roundabouts for pedestrians who are blind. The measures, developed under two ongoing national research projects, NCHRP Project 3-78A and a bioengineering research grant from the National Institutes of Health–National Eye Institute, attempt to isolate the components of the crossing task for a blind pedestrian into computable and replicable quantities that allow the comparison of accessibility across individuals or sites. The framework differentiates between crossing opportunities in the form of yields and crossable gaps and the utilization of these opportunities by the pedestrian. It further accounts for the amount of delay and risk involved in the crossing. The analysis framework and measures are demonstrated for two single-lane roundabouts in North Carolina evaluated under the aforementioned research projects. The application shows that the accessibility of a pedestrian crossing to a blind pedestrian is characterized by a combination of different measures and further depends on crossing geometry, traffic volume, driver behavior, and the travel skills and risk-taking behavior of the individual. With successful demonstration at roundabout crosswalks, the analysis framework is hypothesized to have broader application to unsignalized pedestrian crossings, including midblock locations. PMID:20664802

  15. Open Access

    ERIC Educational Resources Information Center

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  16. Access Denied

    ERIC Educational Resources Information Center

    Villano, Matt

    2008-01-01

    Building access control (BAC)--a catchall phrase to describe the systems that control access to facilities across campus--has traditionally been handled with remarkably low-tech solutions: (1) manual locks; (2) electronic locks; and (3) ID cards with magnetic strips. Recent improvements have included smart cards and keyless solutions that make use…

  17. 49 CFR 230.76 - Piston travel.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Steam Locomotives and...) Maximum piston travel. The maximum piston travel when steam locomotive is standing shall be as follows... Driving Wheel Brake 6 Engine Truck Brake 8 Tender Brake 9...

  18. 49 CFR 230.76 - Piston travel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Steam Locomotives and...) Maximum piston travel. The maximum piston travel when steam locomotive is standing shall be as follows... Driving Wheel Brake 6 Engine Truck Brake 8 Tender Brake 9...

  19. 49 CFR 230.76 - Piston travel.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Steam Locomotives and...) Maximum piston travel. The maximum piston travel when steam locomotive is standing shall be as follows... Driving Wheel Brake 6 Engine Truck Brake 8 Tender Brake 9...

  20. 49 CFR 230.76 - Piston travel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Steam Locomotives and...) Maximum piston travel. The maximum piston travel when steam locomotive is standing shall be as follows... Driving Wheel Brake 6 Engine Truck Brake 8 Tender Brake 9...

  1. 49 CFR 230.76 - Piston travel.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Steam Locomotives and...) Maximum piston travel. The maximum piston travel when steam locomotive is standing shall be as follows... Driving Wheel Brake 6 Engine Truck Brake 8 Tender Brake 9...

  2. Network Structure and Travel Time Perception

    PubMed Central

    Parthasarathi, Pavithra; Levinson, David; Hochmair, Hartwig

    2013-01-01

    The purpose of this research is to test the systematic variation in the perception of travel time among travelers and relate the variation to the underlying street network structure. Travel survey data from the Twin Cities metropolitan area (which includes the cities of Minneapolis and St. Paul) is used for the analysis. Travelers are classified into two groups based on the ratio of perceived and estimated commute travel time. The measures of network structure are estimated using the street network along the identified commute route. T-test comparisons are conducted to identify statistically significant differences in estimated network measures between the two traveler groups. The combined effect of these estimated network measures on travel time is then analyzed using regression models. The results from the t-test and regression analyses confirm the influence of the underlying network structure on the perception of travel time. PMID:24204932

  3. Sex difference in travel is concentrated in adolescence and tracks reproductive interests

    PubMed Central

    Miner, Emily J.; Gurven, Michael; Kaplan, Hillard; Gaulin, Steven J. C.

    2014-01-01

    Sexual selection theory suggests that the sex with a higher potential reproductive rate will compete more strongly for access to mates. Stronger intra-sexual competition for mates may explain why males travel more extensively than females in many terrestrial vertebrates. A male-bias in lifetime distance travelled is a purported human universal, although this claim is based primarily on anecdotes. Following sexual maturity, motivation to travel outside the natal territory may vary over the life course for both sexes. Here, we test whether travel behaviour among Tsimane forager–horticulturalists is associated with shifting reproductive priorities across the lifespan. Using structured interviews, we find that sex differences in travel peak during adolescence when men and women are most intensively searching for mates. Among married adults, we find that greater offspring dependency load is associated with reduced travel among women, but not men. Married men are more likely to travel alone than women, but only to the nearest market town and not to other Tsimane villages. We conclude that men's and women's travel behaviour reflects differential gains from mate search and parenting across the life course. PMID:25320169

  4. Sex difference in travel is concentrated in adolescence and tracks reproductive interests.

    PubMed

    Miner, Emily J; Gurven, Michael; Kaplan, Hillard; Gaulin, Steven J C

    2014-12-01

    Sexual selection theory suggests that the sex with a higher potential reproductive rate will compete more strongly for access to mates. Stronger intra-sexual competition for mates may explain why males travel more extensively than females in many terrestrial vertebrates. A male-bias in lifetime distance travelled is a purported human universal, although this claim is based primarily on anecdotes. Following sexual maturity, motivation to travel outside the natal territory may vary over the life course for both sexes. Here, we test whether travel behaviour among Tsimane forager-horticulturalists is associated with shifting reproductive priorities across the lifespan. Using structured interviews, we find that sex differences in travel peak during adolescence when men and women are most intensively searching for mates. Among married adults, we find that greater offspring dependency load is associated with reduced travel among women, but not men. Married men are more likely to travel alone than women, but only to the nearest market town and not to other Tsimane villages. We conclude that men's and women's travel behaviour reflects differential gains from mate search and parenting across the life course. PMID:25320169

  5. [Medical problems of the elderly traveler].

    PubMed

    Leischker, A H

    2006-09-28

    Prior good medical preparation and counseling enable senior citizens to travel abroad in safety. The recommendations for travel vaccinations apply also to the elderly traveler. In addition, adequate protection against viral influenza and pneumococci must be ensured. In the case of travelers to Mediterranean countries, suitable protection against mosquito bites should be provided (leishmaniasis). Those with previous diseases should carry with them a copy of a recent resting ECG, and a list of medicaments with the international generic names. PMID:17059196

  6. 38 CFR 60.5 - Travel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel. 60.5 Section 60.5... TEMPORARY LODGING § 60.5 Travel. As a condition for receiving temporary lodging under this part, a veteran must be required to travel either 50 or more miles, or at least two hours from his or her home to...

  7. 38 CFR 60.5 - Travel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Travel. 60.5 Section 60.5... TEMPORARY LODGING § 60.5 Travel. As a condition for receiving temporary lodging under this part, a veteran must be required to travel either 50 or more miles, or at least two hours from his or her home to...

  8. 38 CFR 60.5 - Travel.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Travel. 60.5 Section 60.5... TEMPORARY LODGING § 60.5 Travel. As a condition for receiving temporary lodging under this part, a veteran must be required to travel either 50 or more miles, or at least two hours from his or her home to...

  9. 5 CFR 630.207 - Travel time.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Travel time. 630.207 Section 630.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title...

  10. 5 CFR 630.207 - Travel time.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Travel time. 630.207 Section 630.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title...

  11. 5 CFR 630.207 - Travel time.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Travel time. 630.207 Section 630.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted...

  12. 5 CFR 630.207 - Travel time.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Travel time. 630.207 Section 630.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted...

  13. 5 CFR 630.207 - Travel time.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Travel time. 630.207 Section 630.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Definitions and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted...

  14. 20 CFR 617.46 - Travel allowance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... mile at the prevailing mileage rate authorized under the Federal travel regulations (see 41 CFR part... prevailing per diem allowance rate authorized under the Federal travel regulations (see 41 CFR part 101-7... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Travel allowance. 617.46 Section...

  15. 38 CFR 21.9585 - Travel expenses.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Travel expenses. 21.9585 Section 21.9585 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-9/11 GI Bill Counseling § 21.9585 Travel expenses. VA will not pay for any costs of travel to and from...

  16. 38 CFR 21.9585 - Travel expenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.9585...) VOCATIONAL REHABILITATION AND EDUCATION Post-9/11 GI Bill Counseling § 21.9585 Travel expenses. VA will not pay for any costs of travel to and from the place of counseling regardless of whether the...

  17. 28 CFR 2.41 - Travel approval.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Travel approval. 2.41 Section 2.41..., YOUTH OFFENDERS, AND JUVENILE DELINQUENTS United States Code Prisoners and Parolees § 2.41 Travel approval. (a) The probation officer may approve travel outside the district without approval of...

  18. 32 CFR 726.6 - Travel orders.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Travel orders. 726.6 Section 726.6 National... MENTALLY INCOMPETENT MEMBERS OF THE NAVAL SERVICE § 726.6 Travel orders. The Chief of Naval Personnel or the Deputy Commandant, Manpower & Reserve Affairs, may issue travel orders to a member to...

  19. 38 CFR 21.3105 - Travel expenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.3105.... Chapter 35 Counseling § 21.3105 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for an eligible person who is required to...

  20. 38 CFR 21.7603 - Travel expenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.7603 Section 21.7603 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED... § 21.7603 Travel expenses. The Department of Veterans Affairs will not pay for any costs of travel...

  1. 32 CFR 726.6 - Travel orders.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Travel orders. 726.6 Section 726.6 National... MENTALLY INCOMPETENT MEMBERS OF THE NAVAL SERVICE § 726.6 Travel orders. The Chief of Naval Personnel or the Deputy Commandant, Manpower & Reserve Affairs, may issue travel orders to a member to...

  2. 32 CFR 726.6 - Travel orders.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Travel orders. 726.6 Section 726.6 National... MENTALLY INCOMPETENT MEMBERS OF THE NAVAL SERVICE § 726.6 Travel orders. The Chief of Naval Personnel or the Deputy Commandant, Manpower & Reserve Affairs, may issue travel orders to a member to...

  3. Acute Chagas Disease in a Returning Traveler

    PubMed Central

    Carter, Yvonne L.; Juliano, Jonathan J.; Montgomery, Susan P.; Qvarnstrom, Yvonne

    2012-01-01

    Acute Chagas disease is rarely recognized, and the risk for acquiring the disease is undefined in travelers to Central America. We describe a case of acute Chagas disease in a traveler to Costa Rica and highlight the need for increased awareness of this infection in travelers to Chagas-endemic areas. PMID:23091192

  4. Traveling wave type ultrasonic linear motor using twin bending bars

    NASA Astrophysics Data System (ADS)

    Kondo, Shuichi; Yamaura, Hiroshi; Koyama, Daisuke; Nakamura, Kentaro

    2010-01-01

    Ultrasonic linear motors with a small body are highly demanded since efficiency does not decrease very much with downsizing. In this study, we aim at realizing ultrasonic linear motor with the diameter less than 10 mm as an alternative to small air cylinder actuators. We propose a new stator structure using two PZT elements between two parallel bending bars. The PZT elements are bonded at the position of several mm from the bar end. In this structure, both bar ends vibrate resonantly in a bending mode, and high vibration displacement amplitude can be obtained along the bars. The length between the PZT element and the bar end determines the optimum driving frequency. The slider simply consists of three metal plates, which sandwich the bending bars, and the preload can be controlled by springs. The conditions in which the traveling wave can be generated along the bars were investigated. When the bars vibrate in a symmetric mode and traveling waves are generated, the slider moves in the direction to the opposite of traveling wave. Traveling wave could be generated by controlling the driving phase difference between the two PZT elements. It was found that the phase differences depend on the distance between the two PZT elements. We experimentally achieved the stroke of 10 mm and the thrust of 78 mN at 23 kHz.

  5. Polio travel restrictions: a sledgehammer to crack a nut?

    PubMed

    Jooma, Rashid

    2014-07-01

    Imposition by WHO of mandatory vaccination for international travelers from Pakistan has caused confusion and panic amongst travelers besides the adverse effect on the country's image from the widely reported statement. It is felt that the announced measure is not primarily supported by science but is rather a response to disillusionment in the donors about the repeatedly missed eradication targets set by WHO. In the past few years, exportation of poliovirus from Pakistan has caused outbreaks in China, Iraq and Syria besides the ongoing two way transmission with Afghanistan, but the carriers in these spreads are mainly land route travelers. Vaccinating all air travelers is unnecessarily punitive besides being probably ineffectual in halting exportation. The unrelenting focus on polio eradication may have negative impact on fragile health systems besides arousing suspicions of religious elements opposed to vaccination. Routine vaccination and polio campaigns as part of community development measures such as provision of clean drinking water and elimination of surface sewage drainage would be more accepted. The government would be well advised to assume control of the polio eradication program and make it a national development issue. PMID:25097496

  6. Aggregate vehicle travel forecasting model

    SciTech Connect

    Greene, D.L.; Chin, Shih-Miao; Gibson, R.

    1995-05-01

    This report describes a model for forecasting total US highway travel by all vehicle types, and its implementation in the form of a personal computer program. The model comprises a short-run, econometrically-based module for forecasting through the year 2000, as well as a structural, scenario-based longer term module for forecasting through 2030. The short-term module is driven primarily by economic variables. It includes a detailed vehicle stock model and permits the estimation of fuel use as well as vehicle travel. The longer-tenn module depends on demographic factors to a greater extent, but also on trends in key parameters such as vehicle load factors, and the dematerialization of GNP. Both passenger and freight vehicle movements are accounted for in both modules. The model has been implemented as a compiled program in the Fox-Pro database management system operating in the Windows environment.

  7. [Travelers with underlying medical conditions].

    PubMed

    Cailhol, Johann

    2015-04-01

    Travelers with pre-existing medical disease are at risk of exacerbation of their underlying disease during their journey but are also more susceptible to various infectious agents, which consequences could be much more severe than in healthy subjects. Prevention and education are primordial in order to optimize the trip. Each new prescription should be checked for potential drug/drug interactions. Malaria chemoprophylaxis should be considered if applicable, as well as mechanical protection against insect-bites. Vaccinations should be recommended after weighting risks and benefits, keeping in mind that live-attenuated vaccines are not recommended in case of cellular immune suppression. Prevention of travel- related diarrhea by general hygiene measures is of particular interest in this population. Thereafter, we are discussing specific preventive measure according to different medical conditions. PMID:26058202

  8. 41 CFR Appendix C to Chapter 301 - Standard Data Elements for Federal Travel [Traveler Identification

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true Standard Data Elements for Federal Travel C Appendix C to Chapter 301 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES Ch. 301, App. C Appendix C to Chapter 301—Standard Data Elements for Federal Travel...

  9. 78 FR 73702 - Federal Travel Regulation (FTR); Telework Travel Expenses Test Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ...] RIN 3090-AJ23 Federal Travel Regulation (FTR); Telework Travel Expenses Test Programs AGENCY: Office... 2010, which establishes and authorizes telework travel expenses test programs, authorizes reimbursement for any necessary travel expenses in conjunction with such a test program in lieu of any...

  10. Treating time travel quantum mechanically

    NASA Astrophysics Data System (ADS)

    Allen, John-Mark A.

    2014-10-01

    The fact that closed timelike curves (CTCs) are permitted by general relativity raises the question as to how quantum systems behave when time travel to the past occurs. Research into answering this question by utilizing the quantum circuit formalism has given rise to two theories: Deutschian-CTCs (D-CTCs) and "postselected" CTCs (P-CTCs). In this paper the quantum circuit approach is thoroughly reviewed, and the strengths and shortcomings of D-CTCs and P-CTCs are presented in view of their nonlinearity and time-travel paradoxes. In particular, the "equivalent circuit model"—which aims to make equivalent predictions to D-CTCs, while avoiding some of the difficulties of the original theory—is shown to contain errors. The discussion of D-CTCs and P-CTCs is used to motivate an analysis of the features one might require of a theory of quantum time travel, following which two overlapping classes of alternate theories are identified. One such theory, the theory of "transition probability" CTCs (T-CTCs), is fully developed. The theory of T-CTCs is shown not to have certain undesirable features—such as time-travel paradoxes, the ability to distinguish nonorthogonal states with certainty, and the ability to clone or delete arbitrary pure states—that are present with D-CTCs and P-CTCs. The problems with nonlinear extensions to quantum mechanics are discussed in relation to the interpretation of these theories, and the physical motivations of all three theories are discussed and compared.

  11. Investigation of the mechanism in Rijke pulse combustors with tangential air and fuel injection. Final report

    SciTech Connect

    Zinn, B.T.; Jagoda, J.I.; Daniel, B.R.; Bai, T.

    1993-03-01

    To study the mechanisms that control the operation of this combustor, an experimental setup is developed with access for detailed optical measurements. Propane is employed as fuel because the absence of liquid drops and combustion generated particulates in the combustion region significantly simplifies the optical diagnostics. The experimental techniques utilized include acoustic pressure measurements, space and time resolved radiation measurements, steady temperature measurements, exhaust flow chemical analysis, high speed video and intensified images of the reacting flow field by a computer based CCD camera imaging system. Flow visualization by the imaging system and the results from radiation intensity distribution measurements suggest that the periodic combustion processes caused by periodic vortex shedding and impingement provide the energy required to sustain the pressure oscillations. High radiation intensity occurs during a relatively short period of time and is in phase with the pressure oscillations, indicating that Rayleigh`s criterion is satisfied. Periodic variations of the air and fuel flow rates and, consequently, the air/fuel ratio of the reacting mixture inside the combustor appear to be another mechanism that contributes to the occurrence of periodic combustion and heat release processes. The presence of this mechanism has been uncovered by acoustic pressure measurements that revealed the presence of traveling pressure waves inside the air and fuel feed lines. These traveling waves produce periodic fuel and air feed rates which, in turn, result in periodic combustion and heat release processes within the combustor.

  12. Traveling-wave induction launchers

    NASA Technical Reports Server (NTRS)

    Elliott, David G.

    1989-01-01

    An analysis of traveling-wave induction launchers shows that induction is a feasible method of producing armature current and that efficient accelerators can be built without sliding contacts or arcs. In a traveling-wave induction launcher the armature current is induced by a slip speed between the armature and a traveling magnetic field. At 9 m/s slip speed a 9 kg projectile with an aluminum armature weighing 25 percent of the total mass can be accelerated to 3000 m/s in a 5 m-long barrel with a total ohmic loss in the barrel coils and armature of 4 percent of the launch kinetic energy and with an average armature temperature rise of 220 deg C, but a peak excitation frequency of 8600 Hz is required. With a 2 kg launch mass the ohmic loss is 7 percent. A launcher system optimized for rotating generators would have a peak frequency of 4850 Hz; with an aluminum armature weighing 33 percent of the launch mass and a slip speed of 30 m/s the total ohmic loss in the generators, cables, and accelerator would be 43 percent of the launch kinetic energy, and the average armature temperature rise would be 510 deg C.

  13. Twitter for travel medicine providers.

    PubMed

    Mills, Deborah J; Kohl, Sarah E

    2016-03-01

    Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Twitter platform. Twitter use among our travellers, as well as by physicians and health providers, is growing exponentially. There is a rapidly expanding body of published literature on this information tool. This review provides a brief overview of the ways Twitter is being used by health practitioners, the advantages that are peculiar to Twitter as a platform of social media, and how the interested practitioner can get started. Some key points about the dark side of Twitter are highlighted, as well as the potential benefits of using Twitter as a way to disseminate accurate medical information to the public. This article will help readers develop an increased understanding of Twitter as a tool for extracting useful facts and insights from the ever increasing volume of health information. PMID:26988200

  14. International travel and HIV infection.

    PubMed Central

    von Reyn, C. F.; Mann, J. M.; Chin, J.

    1990-01-01

    Although human immunodeficiency virus (HIV) infection is a worldwide problem, its prevalence and pattern vary from country to country. Accordingly, the risk to international travellers of acquiring HIV infection also varies widely in different parts of the world, and depends principally on their behaviour. The risk of sexual acquisition of HIV infection can be virtually eliminated by avoiding penetrative sexual intercourse with intravenous drug users and persons who have had multiple sexual partners (such as prostitutes) or reduced by the use of condoms. The risk of parenteral exposure to HIV can be reduced by avoiding parenteral drug use and behaviour that is likely to lead to injury (with its attendant risk of requiring blood transfusion) and by seeking medical facilities with adequate capabilities to screen blood donors for HIV and to sterilize instruments. HIV screening of international travellers is an ineffective, costly, and impractical public health strategy for limiting the worldwide spread of HIV infection. Travellers infected with HIV require specialized advice regarding health precautions, prophylactic medications, and immunization. PMID:2194689

  15. Travel-related infections in children.

    PubMed

    Fox, Thomas G; Manaloor, John J; Christenson, John C

    2013-04-01

    Malaria, diarrhea, respiratory infections, and cutaneous larva migrans are common travel-related infections observed in children and adolescents returning from trips to developing countries. Children visiting friends and relatives are at the highest risk because few visit travel clinics before travel, their stays are longer, and the sites they visit are more rural. Clinicians must be able to prepare their pediatric-age travelers before departure with preventive education, prophylactic and self-treating medications, and vaccinations. Familiarity with the clinical manifestations and treatment of travel-related infections will secure prompt and effective therapy. PMID:23481114

  16. Illness in the Returned International Traveler.

    PubMed

    Sanford, Christopher A; Fung, Claire

    2016-03-01

    Familiarity with the distribution, mode of transmission, and risk factors for acquisition of illnesses commonly transmitted to travelers to low-income nations can help guide clinicians in their work-up of an ill returned traveler. The 3 most common categories of illness in returned international travelers are gastrointestinal illness, fever, and dermatoses. Diarrhea is the most common illness reported in returned international travelers. Fever is a marker of a potentially significant illness; work-up of the ill febrile returned traveler should be conducted promptly. PMID:26900121

  17. Remarks on the travelling wave decomposition

    USGS Publications Warehouse

    Pollitz, F.F.

    2001-01-01

    In elastic wave propagation on a spherically symmetric earth model, a normal mode sum is converted into a sum of equivalent travelling waves by means of a travelling wave decomposition (TWD). For two decades, seismologists have assumed that each travelling wave in the TWD is associated with only real phase velocities, that is, no evanescent waves travel on a spherically symmetric earth model. In this paper, this assumption is proven false. By including a countably infinite set of waves travelling as evanescent waves, several conceptual difficulties confronting the TWD are resolved.

  18. Business travelers: vaccination considerations for this population.

    PubMed

    Chen, Lin H; Leder, Karin; Wilson, Mary E

    2013-04-01

    Illness in business travelers is associated with reduced productivity on the part of the employee as well as the employer. Immunizations offer a reliable method of preventing infectious diseases for international business travelers. The authors review the travel patterns of business travelers, available data on illnesses they encounter, their potential travel-associated risks for vaccine-preventable diseases and recommendations on immunizations for this population. Routine vaccines (e.g., measles, tetanus and influenza) should be reviewed to assure that they provide current coverage. The combined hepatitis A and hepatitis B vaccine with a rapid schedule offers options for those with time constraints. Other vaccine recommendations for business travelers need to focus on their destinations and activities and underlying health, taking into account the concept of cumulative risk for those with frequent travel, multiple trips or long stays. PMID:23560925

  19. [Travel medicine for HIV-infected patients].

    PubMed

    Rossi, M; Furrer, H

    2001-06-01

    Many HIV-infected persons travel from temperate zones to (sub)tropical destinations. HIV-specific immigration issues, medical resources abroad and problems regarding travelling with multiple medications have to be anticipated. When prescribing immunizations and specific chemoprophylaxis, the stage of immunodeficiency as well as drug interactions with antiretrovirals and medicaments against opportunistic infections have to be taken into account. Live vaccines may be contraindicated. Immunocompromised HIV-infected travellers have a higher risk for serious courses of diseases by enteropathogens. Therefore a good information about food hygiene is important and a prescription of an antibiotic to take in case of severe diarrhea may be indicated. A new antiretroviral combination therapy should not be started immediately before travelling to the tropics. The possibility to continue an established HIV treatment during travel has to be evaluated cautiously. With good pre-travel advice the risk of severe health problems is low for most HIV-infected travellers. PMID:11441700

  20. 41 CFR 301-53.3 - How may I use promotional materials and frequent traveler benefits?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES ARRANGING FOR TRAVEL SERVICES, PAYING TRAVEL EXPENSES, AND CLAIMING REIMBURSEMENT 53-USING PROMOTIONAL MATERIALS AND FREQUENT... benefits earned on official travel to obtain travel services for a subsequent official travel...

  1. The air transportation/energy system

    NASA Technical Reports Server (NTRS)

    1973-01-01

    The changing pattern of transportation is discussed, and the energy intensiveness of various modes of transportation is also analyzed. Sociopsychological data affecting why people travel by air are presented, along with governmental regulation and air transportation economics. The aviation user tax structure is shown in tabular form.

  2. Cutaneous leishmaniasis in travellers: a focus on epidemiology and treatment in 2015.

    PubMed

    Showler, Adrienne J; Boggild, Andrea K

    2015-07-01

    Imported cutaneous leishmaniasis (CL) is a growing problem with increasing global travel to endemic areas. Returned travellers seeking care encounter significant barriers to treatment, including diagnostic delays and difficult access to anti-leishmanial drugs. Treatment recommendations in non-endemic settings are a moving target, reflecting recent developments in Leishmania diagnostics and therapeutics. Accumulating experience with molecular-based species identification has enabled species-directed therapy. Clinicians are reevaluating more toxic traditional regimens in light of newly approved therapeutic agents and emerging data on local cutaneous treatments. Referral centers are implementing treatment decision algorithms designed to maximize efficacy while minimizing adverse events. Although management strategies continue to evolve, treatment of CL in non-endemic settings remains controversial. Persistent reliance on expert opinion reflects lack of research focused on travellers and limited randomized controlled trial evidence. We herein review the current epidemiology of cutaneous leishmaniasis in travellers and species-specific evidence for available therapies. PMID:26031962

  3. Improved Traveling-Wave Tube

    NASA Technical Reports Server (NTRS)

    Rousseau, Art; Tammaru, Ivo; Vaszari, John

    1988-01-01

    New space traveling-wave tube (TWT) provides coherent source of 75 watts of continuous-wave power output over bandwidth of 5 GHz at frequency of 65 GHz. Coupled-cavity TWT provides 50 dB of saturated gain. Includes thermionic emitter, M-type dispenser cathode providing high-power electron beam. Beam focused by permanent magnets through center of radio-frequency cavity structure. Designed for reliable operation for 10 years, and overall efficiency of 35 percent minimizes prime power input and dissipation of heat.

  4. On traveling waves in beams

    NASA Technical Reports Server (NTRS)

    Leonard, Robert W; Budiansky, Bernard

    1954-01-01

    The basic equations of Timoshenko for the motion of vibrating nonuniform beams, which allow for effects of transverse shear deformation and rotary inertia, are presented in several forms, including one in which the equations are written in the directions of the characteristics. The propagation of discontinuities in moment and shear, as governed by these equations, is discussed. Numerical traveling-wave solutions are obtained for some elementary problems of finite uniform beams for which the propagation velocities of bending and shear discontinuities are taken to be equal. These solutions are compared with modal solutions of Timoshenko's equations and, in some cases, with exact closed solutions. (author)

  5. Bites and stings in travellers

    PubMed Central

    Reid, H. Alistair

    1975-01-01

    As a rule, bites and stings in travellers are merely a nuisance. But it is sensible to be informed about the more serious possibilities which can result. Systemic diseases can be transmitted, the skin lesions from insects can be troublesome and finally, some bites and stings can cause envenoming. Thus, the bather may be harmed by venomous fish stings, sea urchins, jellyfish and in Asian-Pacific waters by sea-snakes. Land hazards include bites or stings by scorpions, spiders, ticks, centipedes, bees, wasps, caterpillars and snakes. The main clinical features of such bites and stings, including treatment and prevention, are outlined. PMID:1239754

  6. Hemodialysis access - self care

    MedlinePlus

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - hemodialysis access; dialysis - hemodialysis access

  7. Innovative Airbreathing Propulsion Concepts for Access to Space

    NASA Technical Reports Server (NTRS)

    Whitlow, Jr., Woodrow; Blech, Richard A.; Blankson, Isaiah M.

    2001-01-01

    This paper will present technologies and concepts for novel aeropropulsion systems. These technologies will enhance the safety of operations, reduce life cycle costs, and contribute to reduced costs of air travel and access to space. One of the goals of the NASA program is to reduce the carbon-dioxide emissions of aircraft engines. Engine concepts that use highly efficient fuel cell/electric drive technologies in hydrogen-fueled engines will be presented in the proposed paper. Carbon-dioxide emissions will be eliminated by replacing hydrocarbon fuel with hydrogen, and reduce NOx emissions through better combustion process control. A revolutionary exoskeletal engine concept, in which the engine drum is rotated, will be shown. This concept has the potential to allow a propulsion system that can be used for subsonic through hypersonic flight. Dual fan concepts that have ultra-high bypass ratios, low noise, and low drag will be presented. Flow-controlled turbofans and control-configured turbofans also will be discussed. To increase efficiency, a system of microengines distributed along lifting surfaces and on the fuselage is being investigated. This concept will be presented in the paper. Small propulsion systems for affordable, safe personal transportation vehicles will be discussed. These low-oil/oilless systems use technologies that enable significant cost and weight reductions. Pulse detonation engine-based hybrid-cycle and combined-cycle propulsion systems for aviation and space access will be presented.

  8. 77 FR 5252 - Federal Travel Regulation; GSA E-Gov Travel Service (ETS) Transition to E-Gov Travel Service 2...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... ADMINISTRATION Federal Travel Regulation; GSA E-Gov Travel Service (ETS) Transition to E-Gov Travel Service 2..., DC 22202 E-GOV TRAVEL SERVICE GSA Bulletin ETS 12-01 TO: Heads of Federal Agencies SUBJECT: GSA E-Gov... Regulation (FTR) Part 301-73 requires all agencies to deploy and implement an E-Gov Travel Service (ETS)....

  9. Study of low density air transportation concepts

    NASA Technical Reports Server (NTRS)

    Webb, H. M.

    1972-01-01

    Low density air transport refers to air service to sparsely populated regions. There are two major objectives. The first is to examine those characteristics of sparsely populated areas which pertain to air transportation. This involves determination of geographical, commercial and population trends, as well as those traveler characteristics which affect the viability of air transport in the region. The second objective is to analyze the technical, economic and operational characteristics of low density air service. Two representative, but diverse arenas, West Virginia and Arizona, were selected for analysis: The results indicate that Arizona can support air service under certain assumptions whereas West Virginia cannot.

  10. [Analysis of prevention of diseases in travellers on the basis of latest results in travel medicine].

    PubMed

    Felkai, Péter

    2008-09-01

    When we survey the possibilities of prevention in travel medicine, it is soon detected that the "classical" or "infectology-oriented" approach of prevention (vaccination - chemoprophylaxis - pretravel advice) cannot respond to all peritravel medical problems. These newly arisen challenges require a new, complex outlook for travel medicine, mainly in the field of prevention, treatment and management of travel-related illnesses. Although travellers are still exposed to various infectious diseases, which are mostly preventable by the primary prevention methods (biomedical prophylaxis), the majority of travellers suffer from non-infectious diseases and fall ill or suffer accident by other, travel-relating factors. Moreover, the predominant destination is Europe for an average Hungarian traveller. The travellers, whose destination is not any tropical or developing country, i.e. adventure travellers, people in extreme sports, chronic patients all require same-level peritravel (prevention-oriented) advice, too. Thus besides vaccination, helmets, salt-tablets, medical kit, mobile oxygenator must belong to a travel doctors' arsenal. We also have to mention the travellers' acute illness/accident abroad, travellers who require repatriation, and also the appropriate travel insurance policy which should be worked out following evidence-based medical considerations. The above-mentioned complex task requires not only a broad-spectrum, multidisciplinary knowledge, but an appropriate co-operation between the travel medicine physician, the general practitioner of the patient, and the doctor of the insurance company. But, above all, we have to redefine the topic of travel medicine, its subspecialties and role in the three-level (primary, secondary and tertiary) prevention. We have to redefine the different prevention levels and the used methods relating to the different subdisciplines of travel medicine. Upon the recent scientific researches, we can lay down four topics of travel

  11. Australian senior adventure travellers to Peru: Maximising older tourists' travel health experience.

    PubMed

    Bauer, Irmgard

    2012-03-01

    Financially comfortable, with ample spare time and much better health, older people travel more than ever and to more adventurous destinations. Taking Australian senior adventure travellers to Peru as an example, travel health preparations need to take into account the phenomenon 'senior traveller', the destination with its attractions and challenges, and age-related changes and restrictions. The need for routine travel health advice, vaccinations and prophylaxis remains unchanged. However, more emphasis should be placed on locality-specific issues so that age-appropriate advice and preparations maximize the chances for a safe and memorable travel experience. PMID:22459635

  12. Greenhouse Earth: A Traveling Exhibition

    SciTech Connect

    Booth, W.H.; Caesar, S.

    1992-09-01

    The Franklin Institute Science Museum provided an exhibit entitled the Greenhouse Earth: A Traveling Exhibition. This 3500 square-foot exhibit on global climate change was developed in collaboration with the Association of Science-Technology Centers. The exhibit opened at The Franklin Institute on February 14, 1992, welcoming 291,000 visitors over its three-month stay. During its three-year tour, Greenhouse Earth will travel to ten US cities, reaching two million visitors. Greenhouse Earth aims to deepen public understanding of the scientific issues of global warming and the conservation measures that can be taken to slow its effects. The exhibit features hands-on exhibitry, interactive computer programs and videos, a theater production, a demonstration cart,'' guided tours, and lectures. supplemental educational programs at the Institute included a teachers preview, a symposium on climate change, and a satellite field trip.'' The development of Greenhouse Earth included front-end and formative evaluation procedures. Evaluation includes interviews with visitors, prototypes, and summative surveys for participating museums. During its stay in Philadelphia, Greenhouse Earth was covered by the local and national press, with reviews in print and broadcast media. Greenhouse Earth is the first large-scale museum exhibit to address global climate change.

  13. New Developments in Traveler's Diarrhea

    PubMed Central

    de la Cabada Bauche, Javier

    2011-01-01

    Traveler's diarrhea (TD) is a crucial area for research, as it affects millions of tourists each year and creates a large economic burden. More than 60% of TD cases are caused by a variety of bacterial enteropathogens: diarrhea-producing Escherichia coli, Shigella, Campylobacter, Salmonella, Aeromonas, Plesiomonas, and noncholera Vibrios. Noroviruses are also an important cause of morbidity among travelers. Recent studies have identified host genetic risk factors associated with susceptibility to pathogen-specific TD. Prevention strategies should be emphasized, as all individuals with TD experience approximately 24 hours of disability and 5-10% experience chronic functional bowel disease. Poorly absorbed rifaximin provides protection for trips lasting 2 weeks or less. TD vaccines are also currently in development. All individuals planning trips to developing regions should be armed with 1 of the 3 agents that have shown efficacy for self-treatment of TD: ciprofloxacin (or levofloxacin), rifaximin, or azithromycin, depending upon the location of the trip. Although global epidemiologic changes in etiologic agents as well as antibiotic resistance patterns have been better understood recently, changes should be expected during the next decade due to new prevention and treatment approaches. PMID:21475415

  14. Hemodialysis access - self care

    MedlinePlus

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - ...

  15. Travel and electricity demand analysis of potential US high-speed rail and maglev corridors. Final report

    SciTech Connect

    Vyas, A.D.; Pitstick, M.E.; Rote, D.M.; Johnson, L.R.; Bernard, M.J. III

    1994-01-01

    High-speed rail (HSR) and magnetically levitated (maglev) vehicles will provide an alternative mode of transportation for intercity travel, particularly for short and medium-length trips between 100 and 600 miles (160 to 960 kilometers). A significant portion of highway and air travel can potentially be diverted to such high-speed ground transportation (HSGT) systems. Also, electric utilities will have to meet the energy demands of these systems. Because these systems require significant investments and time to construct an extensive network, they need more time for analysis and planning. This study evaluates the patterns of growth for these systems and the factors affecting that growth for the year 2010 to determine the magnitude of intercity travel, the basis for HSGT use and electricity demand. To forecast the number and frequency of intercity trips, a methodology was developed that accounts for the travelers` socioeconomic status and the attractiveness of metropolitan areas. The study revealed that aggregate travel demand relied upon population growth, the employment status of the traveler, their household size, and income. Further, the study projects travel for 78 major metropolitan areas via air and highway, and identifies the 12 highest density corridors, describing the potential for HSGT systems to substitute some of that travel. In addition, the study estimates the energy demand and power requirements for a representative high-speed rail and maglev system for each corridor and the corridor connections.

  16. How many electric miles do Nissan Leafs and Chevrolet Volts in The EV Project travel?

    SciTech Connect

    John Smart

    2014-05-01

    This paper presents travel statistics and metrics describing the driving behavior of Nissan Leaf and Chevrolet Volt drivers in the EV Project. It specifically quantifies the distance each group of vehicles drives each month. This paper will be published to INL's external website and will be accessible by the general public.

  17. Synergies between Solar Power Supply from Space and Passenger Space Travel

    NASA Astrophysics Data System (ADS)

    Collins, P.

    2004-12-01

    Energy supply from space, as proposed by Peter Glaser in 1968, requires low launch costs in order to be economic, which can only be achieved through large-scale operations of reusable launch vehicles. From market research and feasibility studies performed over the past decade, passenger space travel services, which also require low launch costs, and appear to have the potential to develop into an industry as large as passenger air travel. The paper discusses the synergistic relationship between power supply from space and passenger space travel, whereby each may require the other for its realisation. While governments have been slow to adopt energy policies needed to avoid energy shortages and environmental destruction, the need for new industries to reduce record levels of unemployment world-wide may stimulate the development of passenger space travel - which could in turn stimulate the development of space-based solar power supply systems.

  18. [Key aspects regarding HIV and travel].

    PubMed

    Gardiol, Céline; Cavassini, Matthias

    2013-05-01

    The risk of contracting a sexually transmitted infection while traveling abroad is increased in certain populations. Pre-travel consultation should include the education of travelers on the prevalence of HIV in the countries visited and on appropriate prevention measures. In patients infected with HIV (PHIV), combined antiretroviral therapy (cART) improves immunity, enabling them to travel with less risk for their health. Pre-travel consultation of PVIH has the following objectives: to determine immune status, to update immunization and to decide on anti-malaria drug prophylaxis, taking into account potential drug interactions with antiretroviral therapy. Vaccine response and duration of protection is shorter-lived in PVIH, especially if the CD4 count is below 200 cells/mm3 and the HIV viral load is detectable. Therefore cART is a cornerstone for disease prevention among patients infected with HIV who travel. PMID:23750388

  19. Expanding Access

    ERIC Educational Resources Information Center

    Roach, Ronald

    2007-01-01

    There is no question that the United States lags behind most industrialized nations in consumer access to broadband Internet service. For many policy makers and activists, this shortfall marks the latest phase in the struggle to overcome the digital divide. To remedy this lack of broadband affordability and availability, one start-up firm--with…

  20. Access Denied

    ERIC Educational Resources Information Center

    Raths, David

    2012-01-01

    As faculty members add online and multimedia elements to their courses, colleges and universities across the country are realizing that there is a lot of work to be done to ensure that disabled students (and employees) have equal access to course material and university websites. Unfortunately, far too few schools consider the task a top priority.…

  1. Easy Access

    ERIC Educational Resources Information Center

    Gettelman, Alan

    2009-01-01

    School and university restrooms, locker and shower rooms have specific ADA accessibility requirements that serve the needs of staff, students and campus visitors who are disabled as a result of injury, illness or age. Taking good care of them is good for the reputation of a sensitive community institution, and fosters positive public relations.…

  2. Trends and characteristics among HIV-infected and diabetic travelers seeking pre-travel advice.

    PubMed

    Elfrink, Floor; van den Hoek, Anneke; Sonder, Gerard J B

    2014-01-01

    The number of individuals with a chronic disease increases. Better treatment options have improved chronic patients' quality of life, likely increasing their motivation for travel. This may have resulted in a change in the number of HIV-infected travelers and/or travelers with Diabetes Mellitus (DM) visiting our travel clinic. We retrospectively analyzed the database of the travel clinic of the Public Health Service Amsterdam, between January 2001 and December 2011 and examined the records for patients with these conditions. Of the 25,000 travelers who consult our clinic annually, the proportion of travelers with HIV or DM has increased significantly. A total of 564 HIV-infected travelers visited our clinic. The mean age was 41 years, 86% were male, 43% visited a yellow fever endemic country and 46.5% had a CD4 count <500 cells/mm(3). Travelers with low CD4 counts traveled significantly more often to visit friends or relatives. A total of 3704 diabetics visited our clinic. The mean age was 55 years, 52% were male, 27% visited a yellow fever endemic country and 36% were insulin-dependent. Insulin-dependent diabetics traveled more often for work than non-insulin-dependent diabetics. Adequately trained and qualified travel health professionals and up-to-date guidelines for travelers with chronic diseases are of increasing importance. PMID:23942389

  3. Central nervous system infections in travelers.

    PubMed

    Kirsch, H L; Thakur, K T; Birbeck, G L

    2013-12-01

    International travelers commonly contract infections while abroad, many of which are primary neurological diseases or have potential neurological sequelae. The implications of these neuroinfectious diseases extend beyond the individual, since returning travelers may contribute to the spread of infection in novel areas. In this review, we discuss signs, symptoms, treatments, and prophylaxes for these infections, as well as emerging trends with regard to neuroinfectious diseases of the returning traveler. PMID:24190735

  4. Have Diabetes? Get Tips for Safe Travels

    MedlinePlus

    ... Staying Healthy On-the-Go with Diabetes Video Transportation Security Administration instructions for passengers with diabetes Transportation Security Administration instructions for travelers with disabilities and ...

  5. Water disinfection for international and wilderness travelers.

    PubMed

    Backer, Howard

    2002-02-01

    Acquisition of waterborne disease is a substantial risk for international travelers to countries with inadequate sanitation facilities. It also poses smaller but still significant risks for wilderness travelers who rely on surface water in developed countries with low rates of diarrheal illness, such as the United States. This article reviews the etiology and risks associated with waterborne disease that might be encountered by both types of travelers. It also summarizes--and makes recommendations for--the various water-treatment methods available to travelers for reducing their risk of contracting waterborne disease. PMID:11774083

  6. Approach to Immunization for the Traveling Child.

    PubMed

    Myers, Angela L; Christenson, John C

    2015-12-01

    Children are traveling to regions of the world that could pose a risk of acquiring diseases such as malaria, dermatosis, and infectious diarrhea. Most of these can be prevented by modifying high-risk behaviors or through the use of medications. Many of these same regions are endemic with diseases that are preventable through vaccination. Clinicians must be able to effectively prepare their pediatric-age travelers for international travel. Preventive education, prophylactic and self-treating medications, and vaccinations are all important components of this preparation. Familiarity with the use of travel vaccines is imperative. PMID:26610424

  7. Zika Virus in an American Recreational Traveler.

    PubMed

    Summers, Dyan J; Acosta, Rebecca Wolfe; Acosta, Alberto M

    2015-01-01

    We report the case of a 48-year-old American traveler who presented to our clinic with diffuse rash, malaise, fatigue, fever, arthralgia, low back pain, and bilateral exudative conjunctivitis. The patient had an extensive vaccination and travel history: most notable for prior receipt of yellow fever vaccine; extensive travel or residence in areas endemic for dengue, chikungunya, and West Nile virus; and recent travel to French Polynesia. Clinical and laboratory findings were consistent with Zika virus (ZIKV) infection. Our report highlights the need to include ZIKV in the differential diagnosis, especially in febrile patients with a rash returning from endemic areas. PMID:25996909

  8. Vaccination for safe travel to India.

    PubMed

    Mehta, Bharti; Jindal, Harashish; Bhatt, Bhumika; Kumar, Vijay; Singh Choudhary, Satvinder

    2014-01-01

    Worldwide more than 900 million international journeys are undertaken every year. India is one of the favorite tourist destinations around the world. International travel exposes travelers to a range of health risks. Traveling to India possess a threat to travelers with waterborne diseases like bacterial diarrhea, hepatitis A and E, and typhoid fever; vector borne diseases like dengue fever, Japanese encephalitis, and malaria; animal contact disease like rabies. Furthermore diseases spreading through behavior aspects cannot be ruled out hence posing a risk for hepatitis B, HIV/AIDS, hepatitis C as well. Hence, before travel the travelers are advised about the risk of disease in the country or countries they plan to visit and the steps to be taken to prevent illness. Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. There is no single vaccination schedule that fits all travelers. Each schedule must be individualized according to the traveler's previous immunizations, countries to be visited, type and duration of travel, and the amount of time available before departure. PMID:24284411

  9. Safe and Healthy Travel for Senior Citizens

    MedlinePlus

    ... Emergency Preparedness & Response Environmental Health Healthy Living Injury, Violence & Safety Life Stages & Populations Travelers' Health Workplace Safety & Health Features Media Sign up for Features ...

  10. Prospects for dengue vaccines for travelers

    PubMed Central

    2016-01-01

    Travel-acquired dengue cases have been increasing as the overall global dengue burden has expanded. In Korea, imported dengue cases have been reported since 2000 when it first became a notifiable disease. During the first four months of 2016, three times more dengue cases were reported in Korea than during the same period the previous year. A safe and efficacious vaccine for travelers would be beneficial to prevent dengue disease in individual travelers and potentially decrease the risk of virus spread to non-endemic areas. Here, we summarize the characteristics of dengue vaccines for travelers and review dengue vaccines currently licensed or in clinical development. PMID:27489798

  11. [Pregnant women, children and international travel].

    PubMed

    Høgh, Birthe; Rønn, Anita Mandrup

    2005-10-17

    Pregnant women and children have special needs and vulnerabilities that should be addressed when preparing for travel abroad. The most stable time for travel during pregnancy is the second trimester. Live vaccines should be avoided during pregnancy. Children should be up to date on both routine and travel-related vaccines. Elective travel to malarious areas, especially where chloroquine-resistant malaria is endemic, should be avoided, as some vaccines and antimalarial drugs may not be used during pregnancy and for children below a certain age. Guidelines on preventive measures are given. PMID:16232399

  12. Preparing active patients for international travel.

    PubMed

    Jiménez, Carlos E

    2003-10-01

    The risk of acquiring an illness when traveling internationally depends mostly on the area of the world to be visited. Today, with so many transportation options, increasing numbers of athletes are traveling abroad for training and competition, and leisure travelers are enjoying physically challenging adventure vacations-thus exposing themselves to potential medical problems. Primary care, sports medicine, and team physicians must be able to provide travelers with up-to-date information on immunization and chemoprophylaxis requirements, as well as other preventive medicine recommendations. PMID:20086435

  13. 2006 Ocean Sciences Meeting Travel Grant opportunities

    NASA Astrophysics Data System (ADS)

    Travel support for students participating in the 2006 Ocean Sciences Meeting (20-24 February, Honolulu, Hawaii) is being offered through two programs. The 2006 Ocean Sciences Meeting is jointly sponsored by AGU, the American Society of Limnology and Oceanography (ASLO), and The Oceanography Society (TOS).Student Travel Grant Program: Students presenting first-author papers at the Ocean Sciences Meeting are eligible to apply for partial travel support through the Student Travel Grant program. Support for this program has been made available by a grant from the U.S. National Oceanographic Partnership Program (www.nopp.org), with additional contributions from AGU and ASLO.

  14. Prospects for dengue vaccines for travelers.

    PubMed

    Lim, Sl-Ki; Lee, Yong Seok; Namkung, Suk; Lim, Jacqueline K; Yoon, In-Kyu

    2016-07-01

    Travel-acquired dengue cases have been increasing as the overall global dengue burden has expanded. In Korea, imported dengue cases have been reported since 2000 when it first became a notifiable disease. During the first four months of 2016, three times more dengue cases were reported in Korea than during the same period the previous year. A safe and efficacious vaccine for travelers would be beneficial to prevent dengue disease in individual travelers and potentially decrease the risk of virus spread to non-endemic areas. Here, we summarize the characteristics of dengue vaccines for travelers and review dengue vaccines currently licensed or in clinical development. PMID:27489798

  15. Effect of Travel on Influenza Epidemiology

    PubMed Central

    Rimmelzwaan, Guus F.; van den Hoek, Anneke; Sonder, Gerard J.B.

    2013-01-01

    To assess the attack and incidence rates for influenza virus infections, during October 2006–October 2007 we prospectively studied 1,190 adult short-term travelers from the Netherlands to tropical and subtropical countries. Participants donated blood samples before and after travel and kept a travel diary. The samples were serologically tested for the epidemic strains during the study period. The attack rate for all infections was 7% (86 travelers) and for influenza-like illness (ILI), 0.8%. The incidence rate for all infections was 8.9 per 100 person-months and for ILI, 0.9%. Risk factors for infection were birth in a non-Western country, age 55–64 years, and ILI. In 15 travelers with fever or ILI, influenza virus infection was serologically confirmed; 7 of these travelers were considered contagious or incubating the infection while traveling home. Given the large number of travelers to (sub)tropical countries, travel-related infection most likely contributes to importation and further influenza spread worldwide. PMID:23735636

  16. Solidarity by demand? Exit and voice in international medical travel - the case of Indonesia.

    PubMed

    Ormond, Meghann

    2015-01-01

    Globally, more patients are intentionally travelling abroad as consumers for medical care. However, while scholars have begun to examine international medical travel's (IMT) impacts on the people and places that receive medical travellers, study of its impacts on medical travellers' home contexts has been negligible and largely speculative. While proponents praise IMT's potential to make home health systems more responsive to the needs of market-savvy healthcare consumers, critics identify it as a way to further de-politicise the satisfaction of healthcare needs. This article draws from work on political consumerism, health advocacy and social movements to argue for a reframing of IMT not as a 'one-off' statement about or an event external to struggles over access, rights and recognition within medical travellers' home health systems but rather as one of a range of critical forms of on-going engagement embedded within these struggles. To do this, the limited extant empirical work addressing domestic impacts of IMT is reviewed and a case study of Indonesian medical travel to Malaysia is presented. The case study material draws from 85 interviews undertaken in 2007-08 and 2012 with Indonesian and Malaysian respondents involved in IMT as care recipients, formal and informal care-providers, intermediaries, promoters and policy-makers. Evidence from the review and case study suggests that IMT may effect political and social change within medical travellers' home contexts at micro and macro levels by altering the perspectives, habits, expectations and accountability of, and complicity among, medical travellers, their families, communities, formal and informal intermediaries, and medical providers both within and beyond the container of the nation-state. Impacts are conditioned by the ideological foundations underpinning home political and social systems, the status of a medical traveller's ailment or therapy, and the existence of organised support for recognition and

  17. A travel clinic in your office: grow your practice and protect international travelers.

    PubMed

    Kirsch, Michael

    2009-01-01

    Medical practices today face economic challenges from declining reimbursements and rising overhead costs. Physicians need to develop new income sources to invigorate their practices and remain viable. Travel medicine-advising and immunizing international travelers-is a rapidly growing specialty in the United States that generates substantial cash reimbursements and professional satisfaction. Travel Clinics of America, a physician-operated company, specializes in helping physicians to incorporate travel medicine into their existing practices. PMID:20073166

  18. Headache associated with airplane travel: a rare entity.

    PubMed

    Cherian, Ajith; Mathew, Mini; Iype, Thomas; Sandeep, P; Jabeen, Afshan; Ayyappan, K

    2013-01-01

    Airplane travel headache is rare and has recently been described as a new form of headache associated with a specific situation. Of the 1,208 patients with primary headaches attending a tertiary care neurology hospital, two (0.16%) patients satisfied the criteria for headache related to airplane travel. Both the patients fulfilled the proposed diagnostic criteria for airplane travel headache. This unique headache had a mean duration of 24 minutes, localized to the medial supraorbital region described as having an intense jabbing or stabbing character that occurred exclusively and maximally during aircraft landing or take-off, following which pain intensity subsided . This rare headache felt on aircraft descent is probably due to the squeeze effect on the frontal sinus wall, when air trapped inside it contracts producing a negative pressure leading to mucosal edema, transudation and intense pain. Use of nasal decongestants either alone or in combination with naproxen sodium prior to ascent and descent abated the headache episodes. Awareness about this unique entity is essential to provide proper treatment and avoid patient suffering. PMID:23644317

  19. Traveling wave magnetic particle imaging.

    PubMed

    Vogel, Patrick; Ruckert, Martin A; Klauer, Peter; Kullmann, Walter H; Jakob, Peter M; Behr, Volker C

    2014-02-01

    Most 3-D magnetic particle imaging (MPI) scanners currently use permanent magnets to create the strong gradient field required for high resolution MPI. However, using permanent magnets limits the field of view (FOV) due to the large amount of energy required to move the field free point (FFP) from the center of the scanner. To address this issue, an alternative approach called "Traveling Wave MPI" is here presented. This approach employs a novel gradient system, the dynamic linear gradient array, to cover a large FOV while dynamically creating a strong magnetic gradient. The proposed design also enables the use of a so-called line-scanning mode, which simplifies the FFP trajectory to a linear path through the 3-D volume. This results in simplified mathematics, which facilitates the image reconstruction. PMID:24132006

  20. Migrant and Refugee Patient Perspectives on Travel and Tuberculosis along the Thailand-Myanmar Border: A Qualitative Study

    PubMed Central

    Sein, Tabitha; Nosten, Francois; Foster, Angel M.

    2016-01-01

    Background The Thailand-Myanmar border separates two very different health systems. The healthcare system in eastern Myanmar remains underdeveloped as a result of decades of instability. Comparatively, Tak province, Thailand has more healthcare resources. In this Thai border province government hospitals and non-governmental organizations provide tuberculosis (TB) treatment to migrants and refugees. Objectives Our overall study aimed to explore accessibility of TB treatment, TB surveillance and health system responsiveness specific to migrant and refugee populations in Tak province. In this paper, we focus on the perspectives of migrant and refugee TB patients with respect to travel and treatment in Tak province. Methods In 2014 we conducted focus group discussions with 61 TB, Tuberculosis and Human Immunodeficiency Virus co-infection, and multidrug-resistant TB patients in Tak province. We analyzed the data for content and themes and documented individual travel trajectories. Results and Discussion Migrants are travelling with active TB within the country and between Thailand and Myanmar. Migrants primarily travelled to obtain treatment but two participants reported travelling home to seek family care in Myanmar before returning to Thailand for treatment. Travel, while expensive and arduous, is an adaptive strategy that migrants use to access healthcare. Conclusions Migrant’s need for travel points to larger difficulties associated with healthcare access in the border region. Long distance travel with an infectious disease can be seen as an indicator that local healthcare is not available or affordable. These findings suggest that public health officials from both sides of the border should discuss the factors that contribute to travel with active TB and explore potential solutions to mitigate disease transmission in migrant populations. PMID:27509036