... improved health Before your flightOne key to air travel is to prepare ahead of time. If you are carrying on a bag, make ... need to change if your eating and sleeping times will change at your destination.If you have diabetes or epilepsy, you should travel with your ID card. For instance, the American ...
Kumar, Vivek; Horio, Brant M.; DeCicco, Anthony H.; Hasan, Shahab; Stouffer, Virginia L.; Smith, Jeremy C.; Guerreiro, Nelson M.
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.
Thesis 3. DATES COVERED (FROM - TO) xx-xx-1999 to xx-xx-1999 4. TITLE AND SUBTITLE Reengineering the Air Travel Process Unclassified 5a. CONTRACT...RELEASE , 13. SUPPLEMENTARY NOTES 14. ABSTRACT Every year, Department of Defense (DOD) travelers make thousands of trips that include air transportation
Skjenna, O W; Evans, J F; Moore, M S; Thibeault, C; Tucker, A G
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
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
Mendis, Shanthi; Yach, Derek; Alwan, Ala
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
DeHart, Roy L
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.
Mason, Keith J.
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.
Mason, Keith J.
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.
Kersey, J. W.
The factors involved in developing a market for air cargo services are discussed. A comparison is made between the passenger traffic problems and those of cargo traffic. Emphasis is placed on distribution analyses which isolates total distribution cost, including logistical costs such as transportation, inventory, materials handling, packaging, and processing. Specific examples of methods for reducing air cargo costs are presented.
Bricker, Jonathan B.
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)…
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
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.
Diseases and Conditions Edema What causes leg and foot swelling during air travel? Answers from Sheldon G. Sheps, M.D. Leg and foot ... 191. Sterns RH. Clinical manifestations and diagnosis of edema in adults. http://www.uptodate.com/home. Accessed ...
... CFR Part 27 Nondiscrimination on the Basis of Disability in Air Travel: Accessibility of Web Sites and... Nondiscrimination on the Basis of Disability in Air Travel: Accessibility of Web Sites and Automated Kiosks at U.S... and foreign air carriers to make their Web sites that market air transportation to the general...
McMullan, R; Edwards, P J; Kelly, M J; Millar, B C; Rooney, P J; Moore, J E
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.
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
Sarames, G. N.
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.
Chen, Chien-Wen; Perng, Wann-Cherng; Li, Min-Hui; Yan, Horng-Chin; Wu, Chin-Pyng
Pulmonary bullae are a common late complication in patients with emphysema. Non-communicating emphysematous bullae may expand during air travel when the ambient pressure is reduced, resulting in various forms of barotrauma including pneumothorax and air embolism. We report a 62-yr-old man with emphysema who developed hemoptysis during international commercial air travel. CT scan of the chest obtained after the travel showed air-fluid level in an enlarged bulla. He underwent resection of the bulla and had a full recovery. This is a unique presentation of stretch injury of a bulla as a form of pulmonary barotrauma occurring during commercial air travel. With the most recent ruling by the Federal Aviation Administration to allow patients with advanced chronic obstructive lung disease to travel by air with their own supplemental oxygen devices, physicians need to be aware of this type of pulmonary barotrauma and properly advise such patients who are planning to travel by air.
Karnauskas, Kristopher B.; Donnelly, Jeffrey P.; Barkley, Hannah C.; Martin, Jonathan E.
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.
The roles of time and money cost in the demand for air travel are analyzed. The first step is to construct the theory of consumer demand under a...time constraint and to deduce its theorems. Then these theorems are applied to air travel through use of a total price demand function. This analysis...air travel . Many results concerning elasticities are obtained, including a necessary relationship between the time, price, and total price
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.
Dowdall, Nigel P; Evans, Anthony D; Thibeault, Claude
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.
Lapostolle, F; Borron, S W; Surget, V; Sordelet, D; Lapandry, C; Adnet, F
Prolonged air travel is associated with an increased incidence of thromboembolic events. The occurrence of stroke was studied in patients with pulmonary embolism after air travel in a review of all flights arriving at Charles de Gaulle Airport in Paris during an 8-year period. Thromboembolic stroke and patent foramen ovale were diagnosed in four patients with pulmonary embolus.
Kaps, Robert W.; Gardner, Robin C.; Hartung, Jeffrey W.
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
Grais, R. F.; Ellis, J. H.; Glass, G. E.
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
Rasker, Ray; Gude, Patricia H.; Gude, Justin A.; van den Noort, Jeff
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…
Jacobson, I. D.
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.
Youngstedt, S D; O'Connor, P J
Rapid transmeridian flight is a common reality for modern athletes and it has often been assumed that air travel has detrimental effects on athletic performance. The plausibility of this assumption is supported by established deteriorations in sleep and mood following transmeridian flight. However, the scientific evidence supporting the assumption is neither consistent nor compelling. Studies that have assessed athletic performance following transmeridian flight have produced mixed results and are characterised by major methodological flaws. Recent retrospective assessments of athletic team performance based on distance travelled have generally failed to indicate performance impairments following transmeridian flight. The plausibility of transmeridian air travel impairing athletic performance would be indicated by demonstration of an internally-driven circadian rhythm of athletic performance, or of deleterious performance consequences following sleep deprivation or desynchronisation between the circadian system and the environment. More rigorous research is needed to establish whether athletic performance is influenced by air travel.
The Air Markets Program Data tool allows users to search EPA data to answer scientific, general, policy, and regulatory questions about industry emissions. Air Markets Program Data (AMPD) is a web-based application that allows users easy access to both current and historical data collected as part of EPA's emissions trading programs. This site allows you to create and view reports and to download emissions data for further analysis. AMPD provides a query tool so users can create custom queries of industry source emissions data, allowance data, compliance data, and facility attributes. In addition, AMPD provides interactive maps, charts, reports, and pre-packaged datasets. AMPD does not require any additional software, plug-ins, or security controls and can be accessed using a standard web browser.
Houston, Stephen; Graf, Jürgen; Sharkey, James
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).
Bunch, Andy; Duchateau, François-Xavier; Verner, Laurent; Truwit, Jonathon; O'Connor, Robert; Brady, William
Because of the physiological stresses of commercial air travel, the presence of a pneumothorax has long been felt to be an absolute contraindication to flight. Additionally, most medical societies recommend that patients wait at least 2 weeks after radiographic resolution of the pneumothorax before they attempt to travel in a nonurgent fashion via commercial air transport. This review sought to survey the current body of literature on this topic to determine if a medical consensus exists; furthermore, this review considered the scientific support, if any, supporting these recommendations. In this review, we found a paucity of data on the issue and noted only a handful of prospective and retrospective studies; thus, true evidence-based recommendations are difficult to develop at this time. We have made recommendations, when possible, addressing the nonurgent commercial air travel for the patient with a recent pneumothorax. However, more scientific research is necessary in order to reach an evidence-based conclusion on pneumothoraces and flying.
... 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....
... 19 Customs Duties 1 2011-04-01 2011-04-01 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....
... 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....
... 19 Customs Duties 1 2010-04-01 2010-04-01 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....
... 19 Customs Duties 1 2014-04-01 2014-04-01 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....
Felkai, Péter; Böszörményi Nagy, György; Gyarmati, Ildikó
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.
Lau, Joseph T. F.; Yang, Xilin; Tsui, Hiyi; Pang, Ellie; Kim, Jean H.
This study aims to investigate Severe Acute Respiratory Syndrome (SARS)-related behaviours of travellers returning to Hong Kong by air. A total of 820 travellers returning to Hong Kong by air were interviewed about their SARS-related behaviours in April 2003. Three quarters of the respondents wore a mask most/all of the time on board, 15% did so in public places at the travel destination. Perceived susceptibility to SARS at the destination predicted mask-wearing in public places and avoidance of crowded places, and perceived efficacy was a predictor for mask-wearing during flight. Approximately 16% of the respondents stated that they would delay their medical consultation for flu-like symptoms until returning to Hong Kong. Nearly 18.2% stated that they would not wear a mask in public places at the destination if they had flu-like symptoms. Education programmes, special services and effective thermal screening are required to minimize the chance of the spread of SARS by air travellers. PMID:15310175
Jacobson, I. D.
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.
... of the Secretary David Grant United States Air Force Medical Center Specialty Care Travel... States Air Force Medical Center Specialty Care Travel Reimbursement Demonstration Project. This... MTF, and sustain readiness-related medical skills activities for the military providers....
Coker, R K; Shiner, R J; Partridge, M R
Airlines commonly report respiratory in-flight emergencies; flight outcomes have not been examined prospectively in large numbers of respiratory patients. The current authors conducted a prospective, observational study of flight outcomes in this group. UK respiratory specialists were invited to recruit patients planning air travel. Centres undertook their usual pre-flight assessment. Within 2 weeks of returning, patients completed a questionnaire documenting symptoms, in-flight oxygen use and unscheduled healthcare use. In total, 616 patients were recruited. Of these, 500 (81%) returned questionnaires. The most common diagnoses were airway (54%) and diffuse parenchymal lung disease (23%). In total, 12 patients died, seven before flying and five within 1 month. Pre-flight assessment included oximetry (96%), spirometry (95%), hypoxic challenge (45%) and walk test (10%). Of the patients, 11% did not fly. In those who flew, unscheduled respiratory healthcare use increased from 9% in the 4 weeks prior to travel to 19% in the 4 weeks after travel. However, when compared with self-reported data during the preceding year, medical consultations increased by just 2%. In patients flying after careful respiratory specialist assessment, commercial air travel appears generally safe.
Koyama, Daisuke; Wada, Yuji; Nakamura, Kentaro; Nishikawa, Masato; Nakagawa, Tatsuyuki; Kihara, Hitoshi
An ultrasonic air pump that uses a traveling wave along a small air gap between a bending vibrator and a reflector is discussed. The authors investigate ultrasonic air pumps that make use of bending vibrators and reflectors and confirm that air can be induced to flow by generating an asymmetric acoustic standing wave along an air gap. In this paper, we proposed a novel ultrasonic air pump in which a traveling wave along an air gap induces acoustic streaming and achieves one-way airflow. Two new reflector configurations, stepped and tapered, were designed and used to generate traveling waves. To predict airflow generation, sound pressure distribution in the air gap was calculated by means of finite element analysis (FEA). As a preliminary step, 2 FEA models were compared: one piezoelectric-structure-acoustic model and one piezoelectric- structure-fluid model, which included the viscosity effect of the fluid. The sound pressure distribution in the air gap, including fluid viscosity, was calculated by the FEA because it is expected to be dominant and thus have a strong effect on the sound pressure field in such a thin fluid layer. Based on the FEA results of the stepped and the tapered reflectors, it was determined that acoustic traveling waves could propagate along the gaps. Experiments were carried out with the designed bending vibrator and the reflectors. The acoustic fields in the air gap were measured via a fiber optic probe, and it was determined that the sound pressure and the phase distribution tendencies corresponded well with the results computed by FEA. Through our experiments, one-way airflow generation, in the same direction of the traveling wave and with the maximum flow velocity of 5.6 cm/s, was achieved.
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.
The National Association of EMS Physicians (NAEMSP), the American College of Emergency Physicians (ACEP), the Air Medical Physician Association (AMPA), the Association of Air Medical Services (AAMS), and the National Association of State EMS Officials (NASEMSO) believe that patient care and outcomes are optimized by using air medical transport services that are licensed air ambulance providers with robust physician medical director oversight and ongoing quality assessment and review. Only air ambulance medical transport services with these credentials should advertise/market themselves as air ambulance services.
Briggs, David J; de Hoogh, Kees; Morris, Chloe; Gulliver, John
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 (
Although the presentation will touch upon the areas of market for air transportation, the theoretical foundations of the demand function, the demand models, and model selection and evaluation, the emphasis of the presentation will be on a qualitative description of the factors affecting the demand for air transportation. The presentation will rely heavily on the results of market surveys carried out by the Port of New York Authority, the University of Michigan, and Census of Transportation.
Khanna, Mansi; Shackleton, Claire; Verheggen, Maureen; Sharp, Mary; Wilson, Andrew C; Hall, Graham L
Up to a third of ex-preterm infants flying near term exhibit pulse oxygen saturation (SpO2) of less than 85% during air travel. A hypoxia challenge test (HCT) is recommended to evaluate the requirement for in-flight supplemental O2. The validity of the HCT in healthy, term infants has not been reported. This study aimed to characterise the in-flight hypoxia response and the accuracy of the HCT to predict this response in healthy, term infants in the first year of life. Infants (n=24: (15 male)) underwent a HCT prior to commercial air travel during which parents monitored SpO2. Thirty-two flights were undertaken with six infants completing multiple flights. The median in-flight SpO2 nadir was 87% and significantly lower than the HCT SpO2 nadir (92%: p<0.001). Infants on seven flights recorded SpO2<85% with one infant recording a HCT with a SpO2 less than 85%. There was marked variability in the in-flight SpO2 in the six infants who undertook multiple flights, and for three of these infants, the SpO2 nadir was both above and below 85%. We report that in healthy term infants an in-flight SpO2 below 85% is common and can vary considerably between flights and that the HCT poorly predicts the risk of in-flight hypoxia (SpO2<85%). As it is common for healthy term infants to have SpO2 less than 85% during air travel further research is needed to clarify whether this is an appropriate cut-off in this age group.
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.
Cucinotta, F. A.; Wilson, J. W.; Goldhagen, P.; Saganti, P.; Shavers, M. R.; McKay, Gordon A. (Technical Monitor)
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.
Ohio State Univ., Columbus. Vocational Instructional Materials Lab.
Developed through a modified DACUM (Developing a Curriculum) process involving business, industry, labor, and community agency representatives in Ohio, this document is a comprehensive and verified employer competency profile for travel and tourism occupations. The list contains units (with and without subunits), competencies, and competency…
Chen, Jing; Newton, Dustin
Based on air travel statistics in 1984, it was estimated that less than 4 % of the population dose from cosmic ray exposure would result from air travel. In the present study, cosmic ray doses were calculated for more than 3,000 flights departing from more than 200 Canadian airports using actual flight profiles. Based on currently available air travel statistics, the annual per capita effective dose from air transportation is estimated to be 32 μSv for Canadians, about 10 % of the average cosmic ray dose received at ground level (310 μSv per year).
... 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...
Adi, Yaser; Bayliss, Sue; Rouse, Andrew; Taylor, R S
Background Air travel has been linked with the development of deep vein thrombosis (DVT) since the 1950s with a number of plausible explanations put forward for causation. No systematic review of the literature exploring this association has previously been published. Methods A comprehensive search was undertaken (Data bases searched were: MEDLINE, EMBASE, Cochrane Library) for studies that estimated both the incidence and the risk of DVT in air travellers relative to non-air travellers. Results In total 254 studies were identified but only six incidence studies and four risk studies met inclusion criteria justifying their use in a systematic review. Incidence of symptomatic DVT ranged from (0%) in one study to (0.28%) which was reported in pilots over ten years. The incidence of asymptomatic DVT ranged from (0%) to (10.34%). Pooled odds ratios for the two case control studies examining the risk of DVT following air travel were 1.11 (95% CI: 0.64–1.94). Pooled odds ratios for all models of travel including two studies of prolonged air travel (more than three hours) were 1.70 (95% CI: 0.89–3.22). Conclusion We found no definitive evidence that prolonged (more than 3-hours) travel including air travel, increases the risk of DVT. There is evidence to suggest that flights of eight hours or more increase the risk of DVT if additional risk factors exist. PMID:15151705
Possick, Stephen E; Barry, Michèle
Almost 2 billion passengers embark on international and domestic air travel each year. An increasing number of travelers will have cardiovascular disease as the population continues to age and our ability to treat cardiac disease improves. Guidelines for safe air travel in this population vary and are supported by few concrete data from randomized trials. Although the overall risk for clinically significant myocardial ischemia and arrhythmia during flight seems to be low in the population with stable cardiovascular disease, certain groups may be at increased risk. In-flight venous thrombosis is an increasingly recognized potential complication of prolonged air travel. Travelers with cardiovascular disease may be at increased risk for venous thrombosis as a result of depressed ejection fraction or immobility. This case-based review describes the risks of air travel in a 65-year-old man with known cardiovascular disease. After reviewing the limited data on safe air travel after myocardial infarction and the common complications after both percutaneous intervention and coronary artery bypass grafting, we provide recommendations on safe air travel after myocardial infarction. We discuss the safety of both preflight screening and the in-flight environment with regard to pacemakers and implantable automatic defibrillators. We also review the literature on in-flight venous thrombosis and provide recommendations to prevent in-flight deep venous thrombosis.
Vana, N; Hajek, M; Berger, T; Fugger, M; Hofmann, P
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.
Wuebbles, Donald J.; Baughcum, Steven L.; Gerstle, John H.; Edmonds, Jae; Kinnison, Douglas E.; Krull, Nick; Metwally, Munir; Mortlock, Alan; Prather, Michael J.
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
Mihailovic, Zoran; Radnic, Bojana; Atanasijevic, Tatjana; Popovic, Vesna
Air travel as a risk factor for pulmonary thromboembolism (PTE) is rarely described in forensic literature. Two cases of PTE after air travel are presented in this report. Each flight was intercontinental and lasted for more than 10 h, resulting in typical "traveler's thrombosis" within 2 weeks. In both cases, the risk factors were age, duration of flight and also peripheral circulation problems caused by heart (hypertension, arrhythmia), and varicose veins failures. Possible pathophysiological mechanisms of thrombus formation in these cases were blood flow stasis from prolonged recumbence, reduced function of the lower leg muscle pump, dehydration, and hypobaric hypoxia. Legal aspects of death due to PTE after air travel and possible responsibility of air companies are discussed.
Jacobson, I. D.; Martinez, J.
The results of a questionnaire and interview survey are used as a basis for proposing a descriptive model of the comfort and satisfaction of the commercial air traveler. Passenger attitudes toward the present commercial air travel system are examined. Comfort is interpreted as being represented by a four-dimensional composite of commonly encountered environmental variables. Satisfaction is represented as a composite of safety, cost-benefit, luxury, and in-flight activity dimensions.
Martinez, Lindsay; Thomas, Kathrin; Figueroa, José
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.
Background Medical tourism companies play an important role in promoting transnational medical travel for elective, out-of-pocket medical procedures. Though researchers are paying increasing attention to the global phenomenon of medical tourism, to date websites of medical tourism companies have received limited scrutiny. This article analyzes websites of Canadian medical tourism companies that advertised international healthcare but ultimately exited the marketplace. Using content analysis of company websites as an investigative tool, the article provides a detailed account of medical tourism companies that were based in Canada but no longer send clients to international health care facilities. Methods Internet searches, Google Alerts, searches on Google News Canada and ProQuest Newsstand, and searches of an Industry Canada database were used to locate medical tourism companies located in Canada. Once medical tourism companies were identified, the social science research method of content analysis was used to extract relevant information from company websites. Company websites were analyzed to determine: 1) where these businesses were based; 2) the destination countries and medical facilities that they promoted; 3) the health services they advertised; 4) core marketing messages; and 5) whether businesses marketed air travel, hotel accommodations, and holiday excursions in addition to medical procedures. Results In total, 25 medical tourism companies that were based in Canada are now defunct. Given that an estimated 18 medical tourism companies and 7 regional, cross-border medical travel facilitators now operate in Canada, it appears that approximately half of all identifiable medical tourism companies in Canada are no longer in business. 13 of the previously operational companies were based in Ontario, 7 were located in British Columbia, 4 were situated in Quebec, and 1 was based in Alberta. 14 companies marketed medical procedures within a single country, 9
Izadi, Morteza; Alemzadeh-Ansari, Mohammad Javad; Kazemisaleh, Davood; Moshkani-Farahani, Maryam; Shafiee, Akbar
International travel has become increasingly common and accessible, and it is part of everyday life in pregnant women. Venous thromboembolism (VTE) is a serious public health disorder that occurs following long-haul travel, especially after air travel. The normal pregnancy is accompanied by a state of hypercoagulability and hypofibrinolysis. Thus, it seems that pregnant women are at a higher risk of VTE following air travel, and, if they have preexisting risk factors, this risk would increase. There is limited data about travel-related VTE in pregnant women; therefore, in the present study, we tried to evaluate the pathogenesis of thrombosis, association of thrombosis and air travel, risk factors and prevention of VTE in pregnant women based on available evidences. Pregnancy is associated with a five- to 10-fold increased risk of VTE compared with nonpregnant women; however, during the postpartum period, this risk would increase to 20–80-fold. Furthermore, the risk of thrombosis is higher in individuals with preexisting risk factors, and the most common risk factor for VTE during pregnancy is a previous history of VTE. Pregnant women are at a higher risk for thrombosis compared with other women. Thus, the prevention of VTE and additional risk factors should be considered for all pregnant women who travel by plane. PMID:25802829
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.
Abubakar, I; Welfare, R; Moore, J; Watson, J M
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.
Evans, Anthony D; Thibeault, Claude
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.
Kilbreath, Sharon L; Ward, Leigh C; Lane, Kirstin; McNeely, Margaret; Dylke, Elizabeth S; Refshauge, Kathryn M; McKenzie, Don; Lee, Mi-Joung; Peddle, Carolyn; Battersby, Katie J
To assess the impact of air travel on swelling of the 'at risk' arm of women treated for breast cancer. Women treated for breast cancer from Canada (n = 60) and from within Australia (n = 12) attending a dragon boat regatta in Queensland, Australia participated. Women were measured within 2 weeks prior to their flight, on arrival in Queensland and, for 40 women travelling from Canada, measured again 6 weeks following return to Canada. Changes to extracellular fluid were measured using a single-frequency bioimpedance device (BIA). Each arm was measured separately using a standardized protocol to obtain the inter-limb impedance ratio. An increase in the ratio indicates accumulated fluid. Information regarding medical management of participants' breast cancer, use of compression garment and history of exercise were also obtained. For most women (95%), air travel did not adversely affect the impedance ratio. The BIA ratio of long-haul travellers was 1.007 +/- 0.065 prior to the flight and 1.006 +/- 0.087 following the flight. The ratio of short-haul travellers was 0.994 +/- 0.033 and following the flight was 1.001 +/- 0.038. Air travel did not cause significant change in BIA ratio in the 'at-risk' arm for the majority of breast cancer survivors who participated in dragon boat racing. Further research is required to determine whether these findings are generalizable to the population of women who have been treated for breast cancer.
Eriksen, S. E.; Liu, E. W.
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.
Daniell, A. ); Bell, S.E. ); Vogt, D.P. )
This paper reports on an examination of gender differences in commuting behavior within the Army National Guard. This labor market provides a more level playing field than most for a direct comparison between male and female willingness to travel. In contrast to other studies, we find that women as a group are willing to travel greater distances, in this particular labor market. 9 refs., 1 fig., 10 tabs.
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Lapostolle, Frédéric; Le Toumelin, Philippe; Chassery, Carine; Galinski, Michel; Ameur, Lydia; Jabre, Patricia; Lapandry, Claude; Adnet, Frédéric
It was the objective of this study to confirm the hypothesis that women experience an increased risk of pulmonary embolism (PE) and/or thromboembolic events after long-distance air travel. We systematically reviewed the records of all patients with confirmed pulmonary embolism after arrival at Roissy-Charles-de-Gaulle (CDG) Airport (Paris, France) during a 13-year period. The incidence of PE was calculated as a function of distance travelled and gender using Bayesian conditional probabilities obtained in part from a control population of long-distance travellers arriving in French Polynesia (Tahiti). A total of 287.6 million passengers landed at CDG airport during the study period. The proportion of male to female long-distance travellers was estimated to be 50.5% to 49.5%. Overall, 116 patients experienced PE after landing [90 females (78%), 26 males (22%)]. The estimated incidence of PE was 0.61 (0.61-0.61) cases per million passengers in females and 0.2 (0.20-0.20) in males, and reached 7.24 (7.17-7.31) and 2.35 (2.33-2.38) cases, respectively, in passengers travelling over 10,000 km. Our study strongly suggests that there is a relationship between risk of PE after air travel and gender. This relationship needs to be confirmed in order to develop the best strategy for prophylaxis.
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
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.
Fowler, P; Duffield, R; Vaile, J
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.
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.
Fenichel, Eli P; Kuminoff, Nicolai V; Chowell, Gerardo
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.
Sajid, Muhammad Shafique; Desai, Mittal; Morris, Richard; Hamilton, George
OBJECTIVE: To systematically review the randomized controlled trials that have evaluated the efficacy of knee-length (KL) compression stockings for thromboprophylaxis in air travellers. METHOD: After an electronic database search, the randomized controlled trials that studied passengers on long-haul flights were selected and analyzed to generate summative data. RESULTS: Nine trials studying participants using KL stockings were analyzed. Forty-six of 1261 participants randomly assigned to the control group developed deep vein thrombosis (DVT), compared with two of 1237 participants (0.16%) in the KL stockings group. The weighted risk difference was −0.034, which indicated that the absolute difference was 3.4% in the incidence of DVT, in favour of KL stockings. The number needed to treat with KL stockings to avoid one case of DVT was 29.4. However, there was significant heterogeneity among trials. The RR for DVT was 0.08 in high-risk participants and 0.14 in low- to medium-risk participants. CONCLUSION: KL stockings are effective for thromboprophylaxis in air travellers at low, medium and high risk of DVT. The use of KL stockings should form an important part of air traveller education on lowering the burden of DVT. The results of the present meta-analysis can be used to advise travellers on their risk of DVT and preventive strategies. PMID:22477413
Crooks, Valorie A; Turner, Leigh; Snyder, Jeremy; Johnston, Rory; Kingsbury, Paul
The practice of medical tourism depends on successfully informing potential patients about procedure options, treatment facilities, tourism opportunities, travel arrangements, and destination countries. The promotion of medical tourism includes a wide range of marketing materials such as flyers, booklets, and websites. Yet, there is a paucity of knowledge about the dissemination, content, and reception of these promotional materials. Drawing on a thematic content analysis of the promotional print material distributed at the first medical tourism trade show in Canada in 2009, the main purpose of this article is to identify and understand the messages and images that companies use to market India as a global destination. While researchers and news media frequently cite low cost procedures as a key determinant for international patient travel, particularly to developing nations, our analysis reveals few low cost-related images or messages in the promotional materials distributed at the trade show. To help explain this surprising disjuncture, we consider four related issues: (1) promotional materials may be designed to be circulated amongst potential patients' concerned family and friends who privilege knowing about things such as the use of advanced technologies; (2) developing nations need to portray safe and advanced treatment facilities in order to dispel potential patients' suspicions that their medical care is inferior; (3) companies may avoid making cost saving claims that cannot be fulfilled for all of their international patients, especially those traveling from developing nations; and (4) messages of low cost may detract from and even undermine messages about quality. We conclude by identifying numerous avenues for future research by social and health scientists, and by considering the implications of our findings for existing knowledge gaps and debates within health geography specifically.
de Nazelle, Audrey; Fruin, Scott; Westerdahl, Dane; Martinez, David; Ripoll, Anna; Kubesch, Nadine; Nieuwenhuijsen, Mark
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.
The objective of this report is to provide a comprehensive and balanced view of the market for engineering and consulting services to improve the energy efficiency of plant compressed air systems. The report is intended for use by Compressed Air Challenge and other industrial energy efficiency program operators in developing strategies to encourage the growth of the compressed air system efficiency and enhance the quality of the services it offers.
Hwang, Ho-Ling; Reuscher, Tim; Wilson, Daniel W; Schmoyer, Richard L
The idea of livable communities suggests that people should have the option to utilize non-motorized travel (NMT), specifically walking and bicycling, to conduct their daily tasks. Forecasting personal travel by walk and bike is necessary as part of regional transportation planning, and requires fine detail not only about individual travel, but also on transportation and neighborhood infrastructure. In an attempt to characterize the 'market' potential for NMT, the Office of Planning, Federal Highway Administration (FHWA) funded the Center for Transportation Analysis (CTA) of the Oak Ridge National Laboratory (ORNL) to conduct a study. The objectives of this effort were to identify factors that influence communities to walk and bike and to examine why, or why not, travelers walk and bike in their communities. This study relied on information collected under the 2009 National Household Travel Survey (NHTS) as the major source of data, and was supplemented with data from the American Community Survey (ACS), educational survey, health, employment, and others. Initial statistical screening methods were applied to sort through over 400 potential predictor variables, and examined with various measures (e.g., walk trip per person, walk mileage per person, bike trip per person, bike mileage per person) as the dependent variables. The best geographic level of detail used in the modeling for this study was determined to be the Census block group level for walking and Census tract level for biking. The need for additional supplemental private data (i.e., Walk Scores and Nielsen employment data), and geospatial information that reflects land use and physical environments, became evident after an examination of findings from the initial screening models. To be feasible, in terms of costs and time, the geographic scale of the study region was scaled down to nine selected NHTS add-on regions. These regions were chosen based on various criteria including transit availability
Learn about how EPA uses Long Term Monitoring (LTM) and Temporily Integrated Monitoring of Ecosystems (TIME) to track the effect of the Clean Air Act Amendments on acidity of surface waters in the eastern U.S.
Scott, B.; Plug, L. J.
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
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
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
Brannen, Donald E.; Alhammad, Ali; Branum, Melissa; Schmitt, Amy
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
Flanagan, Paula; O'Donnell, Joan; Mereckiene, Jolita; O'Flanagan, Darina
The risk of communicable disease transmission during air travel is of public health concern and has received much attention over the years. We retrospectively reviewed information from nine flights (≥ 8 hours) associated with infectious tuberculosis (TB) cases in Ireland between September 2011 and November 2014 to investigate whether possible transmission had occurred. Twenty-four flights notified in Ireland associated with sputum smear-positive pulmonary TB cases with a history of air travel were reviewed. Nine were suitable for inclusion and analysed. Six cases of infectious TB travelled on nine flights. A total of 232 passengers were identified for contact tracing; 85.3% (n = 198) had sufficient information available for follow-up. In total, 12.1% (n = 24) were reported as screened for TB. The results revealed no active TB cases among passengers and 16.7% (n = 4) were diagnosed with latent TB infection (LTBI) all of whom had other risk factors. Despite the limited sample size, we found no evidence of M. tuberculosis transmission from infectious passengers. This study identified challenges in obtaining complete timely airline manifests, leading to inadequate passenger information for follow-up. Receipt of TB screening results from international colleagues was also problematic. The challenge of interpreting the tuberculin skin test results in determining recent vs earlier infection was encountered. PMID:27748251
Cascante-Rodrigo, Jose Antonio; Iridoy-Zulet, Amaia Atenea; Alfonso-Imízcoz, María
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.
Johnston, Raymond V; Hudson, Martin F
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.
This study has among other findings substantiated the observation that, under the relaxed mobile-source NO/sub x/ standards of H.R. 5252, rapid vehicle motor travel (VMT) growth would produce a net increase in NO/sub x/ loading from mobile sources at least through the remaining years of the present decade. However, moderate VMT growth will result in stable or slightly declining mobile-source NO/sub x/. Consequently, any urbanized area that is currently in attainment with respect to ambient NO/sub x/ and expects neither high VMT growth (greater than or equal to 5% per year) nor a radical change in the distribution of its highway fleet mix (car/truck split) is probably safe from future NO/sub x/ attainment problems. If such problems are forecast, the relevant planning and air quality control agencies should probably reexamine the premises on which their regional travel projections are based. On the other hand, metropolitan areas that will experience high VMT growth must realize that this growth is associated with rapid residential development, a major factor in increasing area source NO/sub x/ burden. Even if such areas are not now subject to NO/sub x/ levels at or near the ambient standard, reevaluation of NO/sub x/ control strategies for a future in which automobile emission standards are relaxed would be appropriate.
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)...
... the Basis of Disability in Air Travel: Accessibility of Web Sites and Automated Kiosks at U.S... supplemental notice of proposed rulemaking (SNPRM) on the accessibility of Web sites and automated kiosks that... for an extension, citing difficulties in using the online comment form on the www.regulations.gov...
... to Richard Champley or Ron Erdmann, ITA's Office of Travel & Tourism Industries (OTTI), Phone: (202..., ] administered by the Office of Travel and Tourism Industries (OTTI) of the International Trade Administration... 1961, 1981, and 1996 travel and tourism related acts to collect and publish comprehensive...
Sobo, Elisa J; Herlihy, Elizabeth; Bicker, Mary
More US-based patients than ever are travelling abroad for medical or dental services. Beyond financial incentives, what cultural factors have supported this trend? Because of their interest in selling medical travel, medical travel agencies (MTAs) have vested interests in this question. To find out how they are answering it, an ethnographic content analysis of MTA websites was undertaken. Beyond themes promoting a 'worry-free experience' of 'legitimate services', themes linking healthcare consumerism to culturally specific identity ideals and self-creation/representation processes predominated. Themes relating to the demonstration of social position, savvy expression of good consumer judgment, and achievement of libertarian ideals figured highly. However, various inconsistencies (including an appeal to tourism in some but not other situations) suggested that medical travel involves, for the US-based consumer, a complex act of juggling context-specific self-identity desires and expectations in relation to healthcare. The potential impact of prevailing discourses on 'self-construction-in-practice' was explored. Findings enhance understanding of the care seeking process as experienced within the context of globalized, mass-mediated healthcare consumerism. They also point to the need for finer-grained distinctions than the global gloss 'medical travel' offers.
CO2 reduction and fossil fuel saving represent two of the cornerstones of the environmental commitments of all the countries of the world. The first engagement is of a medium to long term type, and unequivocally calls for a new energetic era. The second delays in time the fossil fuel technologies to favour an energetic transition. In order to sustain the two efforts, new immaterial markets have been established in almost all the countries of the world, whose exchanges (purchases and sales) concern CO2 emissions and equivalent fossil fuels that have not been emitted or burned. This paper goes deep inside two aspects not yet exploited: specific CO2 emissions and equivalent fossil fuel burned, as a function of compressed air produced. Reference is made to the current compressor technology, carefully analysing CAGI's (Compressed Air Gas Institute) data and integrating it with the PNUEROP (European Association of manufacturers of compressors, vacuum pumps, pneumatic tools and allied equipment) contribution on the compressor European market. On the base of energy saving estimates that could be put in place, this article also estimates the financial value of the CO2 emissions and fossil fuels avoided.
New York State Education Dept., Albany. Bureau of Occupational Education Curriculum Development.
Intended as an advanced option for distributive education students in the twelfth grade, this travel and tourism module is designed to cover a minimum of ten weeks or a maximum of twenty weeks. Introductory material includes information on employment demands, administrative considerations, course format, teaching suggestions, expected outcomes,…
Porter, C K; El Mohammady, H; Baqar, S; Rockabrand, D M; Putnam, S D; Tribble, D R; Riddle, M S; Frenck, R W; Rozmajzl, P; Kilbane, E; Fox, A; Ruck, R; Lim, M; Johnston, Y J; Murphy, E; Sanders, J W
Military personnel with traveler's diarrhea (n=202) while deployed to Incirlik Air Base, Turkey, from June to September 2002 were evaluated for pathogen-specific immune responses. Serologic and fecal immunoglobulin A (IgA) titers to enterotoxigenic Escherichia coli antigens (CS6, CS3, and LT) were quite low. In contrast, subjects with Campylobacter infections had high serologic and fecal IgA responses.
Josephs, Lynn K; Coker, Robina K; Thomas, Mike
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.
Landes, K. H.; Matter, J. A.
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.
Roberts, P. O.; Marcus, H. S.; Pollock, J. H.
An approach is presented to marketing analysis for lighter than air vehicles in a commercial freight market. After a discussion of key characteristics of supply and demand factors, a three-phase approach to marketing analysis is described. The existing transportation systems are quantitatively defined and possible roles for lighter than air vehicles within this framework are postulated. The marketing analysis views the situation from the perspective of both the shipper and the carrier. A demand for freight service is assumed and the resulting supply characteristics are determined. Then, these supply characteristics are used to establish the demand for competing modes. The process is then iterated to arrive at the market solution.
Magann, Everett F; Chauhan, Suneet P; Dahlke, Joshua D; McKelvey, Samantha S; Watson, Erin M; Morrison, John C
To review flight regulations and gestational complications associated with air travel in pregnant passengers, flight attendants, and aviators. A literature search was undertaken on the relationship of air travel and spontaneous pregnancy losses, intrauterine fetal demise (IUFD), birth weight<10th percentile, preterm delivery, and neonatal intensive care unit admissions. The literature search identified 128 abstracts, of which 9 evaluated air travel and pregnancy outcomes. The risk of a pregnancy loss (spontaneous abortion or IUFD) was greater in flight attendants than controls (odds ratio [OR]: 1.62, 95% confidence interval [CI]: 1.29, 2.04). The risk of preterm birth<37 weeks was greater in passengers than controls (OR: 1.44, 95% CI: 1.07, 1.93). However, the risk of preeclampsia (OR: 0.86, 95% CI: 0.58, 1.27), neonatal intensive care unit admissions (OR: 1.19, 95% CI: 0.78, 1.82), or birth weight<10th percentile (OR: 1.25, 95% CI: 0.62, 2.48) was not increased. Flight attendants did not have an increased risk of preterm birth compared to controls (OR: 1.37, 95% CI: 0.85, 2.22) or delivering infants with birth weight<10th percentile (OR: 1.57, 95% CI: 0.68, 3.74). The risks of spontaneous abortions and other adverse pregnancy outcomes have been poorly studied in a limited number of investigations. An analysis of the available information suggests a greater risk of spontaneous abortions or IUFD in flight attendants, and a greater risk of preterm birth<37 weeks in air passengers. However, the literature on which these findings are based is generally not of high methodologic quality.
Smith, Alan D
The marketability and viability of biometric technologies by companies marketing their own versions of pre-approved registered travel programmes have generated a number of controversies. Data were collected and analysed to formulate graphs, run regression and correlation analyses, and use Chi-square to formally test basic research propositions on a sample of 241 professionals in the Pittsburgh area. It was found that there was a significant relationship between the respondents' familiarity with new technology (namely web-enabled and internet sophistication) and knowledge of biometrics, in particular iris scans. Participants who frequently use the internet are more comfortable with innovative technology; although individuals with higher income levels have less trust in the government, it appeared that virtually everyone is concerned about trusting the government with their personal information. Healthcare professionals need to document the safety, CRM-related factors, and provide leadership in the international collaboration of biometric-related personal identification technologies, since they will be one of the main beneficiaries of the implementation of such technologies.
Haley, Charles; Dewey, Catherine E; Widowski, Tina; Friendship, Robert
An observational study was conducted from July to October 2004 to determine the association between in-transit losses of swine and internal trailer temperature after controlling for loading density, trip distance, herd size, and random trip effect. A convenience sample of 3 trucking companies was used to collect temperature, relative humidity, and global positioning data for 104 trips that delivered 21,834 pigs from 371 producers to Ontario abattoirs. The association between in-transit loss and trailer temperature was determined using the 90th percentiles of internal temperature for each trip. Average loading density was 0.36 m2/100 kg pig (range 0.28 to 0.50 m2/100 kg pig). Average in-transit loss was 0.12%; however, 94% of producers experienced no losses. As the 90th percentile of internal trailer temperature increased from a range of 8.6 degrees C to 23.3 degrees C to a range of 23.4 degrees C to 26.1degreesC, average in-transit loss ratio increased approximately 3-fold, with an additional 2-fold increase as the range increased from 26.2 degrees C to 28.9 degrees C to 29.0 degrees C to 30.5 degrees C. As the 90th percentile of temperature increased by 1degreesC over the full range of temperatures in this study, in-transit loss was expected to increase 1.26 times. The in-transit loss was expected to decrease 0.81 times for each 50-km increase in distance traveled between the farm and the abattoir.
Fowler, Peter; Duffield, Rob; Howle, Kieran; Waterson, Adam; Vaile, Joanna
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.
An argument was made at the First Arcachon Conference on Private Human Access to Space in 2008  that some systematic market research should be conducted into potential market segments for point-to-point suborbital space transportation (PtP), in order to understand whether a commercial market exists which might augment possible government use for such a vehicle. The cargo market potential was subsequently addressed via desk research, and the results, which resulted in a pessimistic business case outlook, were presented in . The same desk research approach is now used in this paper to address the potential business and wealthy individual passenger traveler market segment ("point-to-point people with purpose"). The results, with the assumed ticket pricing, are not encouraging.
Presented are useful materials to help you build homes that meet Indoor airPLUS specifications and to promote Indoor airPLUS qualified homes. These materials are FREE of charge and are available in PDF.
Colussy, D. A.
The rapid growth and broadening of the air travel market, coupled with a more sophisticated consumer, will dramatically change airline marketing over the next decade. Discussed is the direction this change is likely to take and its implications for companies within the industry. New conceptualization approaches are required if the full potential of this expanding market is to be fully realized. Marketing strategies are developed that will enable various elements of the travel industry to compete not only against each other but also with other products that are competing for the consumer's discretionary income.
The report summarizes available information on candles and incense as potential sources of indoor air pollution. It covers market information and a review of the scientific literature. The market information collected focuses on production and sales data, typical uses in the U.S....
Goodnow, Wilma Elizabeth
The applicability of the "benefit segmentation" marketing technique to education was tested at the College of DuPage in 1979. Benefit segmentation identified target markets homogeneous in benefits expected from a program offering and may be useful in combatting declining enrollments. The 487 randomly selected students completed the 223…
Chay, Kenneth Y.; Greenstone, Michael
We exploit the structure of the Clean Air Act to provide new evidence on the capitalization of total suspended particulates (TSPs) air pollution into housing values. This legislation imposes strict regulations on polluters in "nonattainment" counties, which are defined by concentrations of TSPs that exceed a federally set ceiling. TSPs…
Battersby, Bryn D.
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.
... Disabilities Pregnant Travelers Diane F. Morof, I. Dale Carroll INTRODUCTION Pregnancy is an altered state of health ... Obstet Gynecol. 2009 Oct;114(4):954–5. Carroll ID, Williams DC. Pre-travel vaccination and medical ...
Intercity Travel Data Search is an annotated bibliography on U.S. domestic intercity passenger travel by the four major modes of air, auto, bus and...socioeconomic, attitudinal and trip behavior characteristics of intercity travelers , and (3) demand models for predicting point-to-point intercity... travel . The bibliography totals 422 items, almost all published after 1964. Approximately 100 of these are in the first two subject areas and the
Lima, Joaquim Santos; Sandler, Belinda; McWilliams, Eric
A previously asymptomatic 69-year-old lady, who recently travelled on a 4 h flight, presented with acute left-sided pleuritic pain, dyspnoea and calf pain. Blood gases revealed hypoxaemia and D-dimer was significantly elevated. She also had low-grade fever, leukocytosis and a small left-sided pleural effusion on chest x-ray. The working diagnosis was pulmonary embolism and chest infection and she received low molecular weight heparin and antibiotics. A subsequent CT pulmonary angiogram ruled out pulmonary embolism but revealed an abnormal finding in the ascending aorta, suggestive of a penetrating aortic ulcer. Urgent transoesophageal echocardiography was consistent with an intramural haematoma and the patient underwent emergency aortic root replacement with imminent aortic rupture confirmed at surgery. This case highlights the fact that acute aortic syndromes may have atypical presentations and also emphasises the fact that D-dimer levels are elevated in aortic syndromes.
Learn about monitoring mass sulfur dioxide and mass carbon dioxide emissions, nitrogen oxide emission rate, and heat input by units affected by the Acid Rain Program and the Clean Air Interstate Rule.
Demir, I.; Ruch, R.R.; Cahill, R.A.; Lytle, J.M.; Ho, K.K.
The purpose of this study was to generate float-sink washability data to estimate how much more hazardous air pollutants content of Illinois coals can be decreased if advanced gravity based coal cleaning was used at preparation plants.
Wood, J. E. R.
A review of the marketability of the airship is given, and the relative energy consumption and speed potential of the airship is compared to other modes and guidelines to areas of initial development are also provided, together with a brief historical review.
...The Department of Transportation is updating its technical assistance manual (TAM) for airlines and passengers with disabilities concerning their rights and responsibilities under the Air Carrier Access Act (ACAA) and its implementing regulation. This draft updated TAM is being published in the Federal Register to insure a full opportunity for public comment before the document is published in......
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
The experiments here described were performed for the purpose of obtaining the essential facts concerning the distribution of the air force along the span. We did not follow, however, the time-consuming method of point-to-point measurements of the pressure distribution on the wing surfaces, but determined directly the moment of mean force about an axis passing through the middle of the span parallel to the direction of flight.
Tiralongo, Evelin; Wee, Shirley S.; Lea, Rodney A.
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
Tiralongo, Evelin; Wee, Shirley S; Lea, Rodney A
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.
Bazex, Jacques; Cabanis, Emmanuel Alain
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.
Fan, S.; Horonjeff, R.; Kanafani, A.; Mogharabi, A.
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.
The Geological Society of America (GSA)is accepting applications for the 30th International Geological Congress (IGC) Travel Grant Program. The 1996 congress will be held in Beijing, China, August 4-14. The program was formed at the end of the 28th IGC, held in Washington, D.C. in July 1989. The fund is to be used to support the attendance of young geoscientists to future IGCs until the United States again hosts an IGC. Travel grants consist of economy air-fare to China. To be eligible, an applicant must be a resident or citizen of the United States; must have been born after August 31, 1956; and must have an abstract included in the program of the 30th IGC. Official application forms are available from the grants administrator, GSA Headquarters, 3300 Penrose Place, P.O. Box 9140, Boulder, CO 80301.
Basu, Jayasree; Mobley, Lee R.
Purpose: To examine how local health care resources impact travel patterns of patients age 65 and older across the rural urban continuum. Methods: Information on inpatient hospital discharges was drawn from complete 2004 hospital discharge files from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) for New York,…
Johnson, L.R.; Rote, D.M.; Hull, J.R.; Coffey, H.T.; Daley, J.G.; Giese, R.F.
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.
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
Oxygen - travel; Collaped lung - travel; Chest surgery - travel; COPD - travel; Chronic obstructive airways disease - travel; Chronic obstructive lung disease - travel; Chronic bronchitis - travel; ...
... Minute Travel Long-Term Travel Mass Gatherings Medical Tourism Mental Health Motion Sickness Natural Disasters Pregnant Travelers Road Safety Senior Citizens Sex Tourism STDs Sun Exposure Swimming and Diving Study Abroad ...
Chun, K.C.; Chang, Y.S.; Rabchuk, J.A.
The Western Area Power Administration, which is responsible for marketing electricity produced at the hydroelectric power-generating facilities operated by the Bureau of Reclamation on the Upper Colorado River, has proposed changes in the levels of its commitment (sales) of long-term firm capacity and energy to its customers. This report describes (1) the existing conditions of air resources (climate and meteorology, ambient air quality, and acoustic environment) of the region potentially affected by the proposed action and (2) the methodology used and the results of analyses conducted to assess the potential impacts on air resources of the proposed action and the commitment-level alternatives. Analyses were performed for the potential impacts of both commitment-level alternatives and supply options, which include combinations of electric power purchases and different operational scenarios of the hydroelectric power-generating facilities.
The number of Japanese oversea travelers has gradually increased year by year, however they usually pay less attention to the poor physical condition at the voyage place. Many oversea travelers caught vaccine preventable diseases in developing countries. The Vaccine Guideline for Oversea Travelers 2010 published by Japanese Society of Travel Health will be helpful for spreading the knowledge of travelers' vaccine and vaccine preventable diseases in developing countries. Many travelers' vaccines have not licensed in Japan. I hope these travelers' vaccines, such as typhoid vaccine, meningococcal vaccine, cholera vaccine and so on will be licensed in the near future.
Pochettino, María Lelia; Puentes, Jeremías P.; Buet Costantino, Fernando; Arenas, Patricia M.; Ulibarri, Emilio A.; Hurrell, Julio A.
This paper presents the results of a research in urban ethnobotany, conducted in a market of Bolivian immigrants in the neighborhood of Liniers, Ciudad Autónoma de Buenos Aires (Argentina). Functional foods and nutraceuticals belonging to 50 species of 18 families, its products, and uses were recorded. Some products are exclusive from the Bolivian community; others are frequent within the community, but they are also available in the general commercial circuit; they are introduced into it, generally, through shops called dietéticas (“health-food stores”), where products associated with the maintenance of health are sold. On this basis, the traditional and nontraditional components of the urban botanical knowledge were evaluated as well as its dynamics in relation to the diffusion of the products. Both the framework and methodological design are innovative for the studies of the urban botanical knowledge and the traditional markets in metropolitan areas. PMID:22203866
Mason, Keith J.
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.
Aw, Brian; Boraston, Suni; Botten, David; Cherniwchan, Darin; Fazal, Hyder; Kelton, Timothy; Libman, Michael; Saldanha, Colin; Scappatura, Philip; Stowe, Brian
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
This thesis is a review and critique of the development of the acid rain control policy codified as Title IV of the Clean Air Act. The amendments include provisions to address acid rain-air pollution that has been transformed and transported over long distances. Title IV also embodies the first large scale adoption of market principles and economic incentives in the cause of environmental protection. The acid rain control amendments are being hailed as a break with past environmental protection practice and are being offered as a model for further regulatory reform. The thesis looks at the roots of the acid rain policy and considers the set of legal, social, and economic relations embedded in the policy which define the nature of its legal controls over pollution and its inverse, environmental quality. It explores whether the creation of the emissions allowance trading system changes the social relationships that prevailed under the pre-amended Clean Air Act. It responds to and rebuts the concerns of some critics that the policy represents an alienation of the public's right to clean air. A review of the acid rain policymaking process provides a recent and concrete example of the two central concerns inherent in public policy: the making of decisions that establish institutional arrangements, or structures, that both constrain and liberate individual action at the operational level; and the search for the boundary between autonomous behavior and collective decision making. The policy responds to regulatory reform recommendations concerned with improving the effectiveness, accountability, and cost-effectiveness of environmental protection. As a model for future policymaking, the policy goes beyond and encompasses more than the welfare economics ideal of static economic efficiency and the [open quotes]free market environmentalism[close quotes] emphasis on private property and common law.
Omagari, Yuko; Sugihara, Hideharu; Tsuji, Kiichiro
This paper evaluates the economic impact of the introduction of customer-owned Thermal Storage Air-conditioning (TSA) systems, in an electricity market, from the viewpoint of the load service entity. We perform simulations on the condition that several thousand customers install TSA systems and shift peak demand in an electricity market by one percent. Our numerical results indicate that the purchase cost of the LSE was reduced through load management of customers with TSA systems. The introduction of TSA systems also reduced the volatility of market clearing price and reduced the whole-trade cost in an electricity market.
The Connected Traveler framework seeks to boost the energy efficiency of personal travel and the overall transportation system by maximizing the accuracy of predicted traveler behavior in response to real-time feedback and incentives. It is anticipated that this approach will establish a feedback loop that 'learns' traveler preferences and customizes incentives to meet or exceed energy efficiency targets by empowering individual travelers with information needed to make energy-efficient choices and reducing the complexity required to validate transportation system energy savings. This handout provides an overview of NREL's Connected Traveler project, including graphics, milestones, and contact information.
Abdelaziz, Omar; Shen, Bo; Gao, Zhiming; Baxter, Van D; Iu, Ipseng
Heat pumps present a significant advantage over conventional residential heating technologies due to higher energy efficiencies and less dependence on imported oil. The US development of heat pumps dates back to the 1930 s with pilot units being commercially available in the 1950 s. Reliable and cost competitive units were available in the US market by the 1960 s. The 1973 oil embargo led to increased interest in heat pumps prompting significant research to improve performance, particularly for cold climate locations. Recent increasing concerns on building energy efficiency and environmental emissions have prompted a new wave of research in heat pump technology with special emphasis on reducing performance degradation at colder outdoor air temperatures. A summary of the advantages and limitations of several performance improvement options sought for the development of high performance air source heat pump systems for cold climate applications is the primary focus of this paper. Some recommendations for a high performance cold climate heat pump system design most suitable for the US market are presented.
Rose, Adam; Avetisyan, Misak; Rosoff, Heather; Burns, William J; Slovic, Paul; Chan, Oswin
U.S. airports and airliners are prime terrorist targets. Not only do the facilities and equipment represent high-value assets, but the fear and dread that is spread by such attacks can have tremendous effects on the U.S. economy. This article presents the methodology, data, and estimates of the macroeconomic impacts stemming from behavioral responses to a simulated terrorist attack on a U.S. airport and on a domestic airliner. The analysis is based on risk-perception surveys of these two scenarios. The responses relate to reduced demand for airline travel, shifts to other modes, spending on nontravel items, and savings of potential travel expenditures by U.S. resident passengers considering flying domestic routes. We translate these responses to individual spending categories and feed these direct impact results into a computable general equilibrium (CGE) model of the U.S. economy to ascertain the indirect and total impacts on both the airline industry and the economy as a whole. Overall, the estimated impacts on GDP of both types of attacks exceed $10B. We find that the behavioral economic impacts are almost an order of magnitude higher than the ordinary business interruption impacts for the airliner attack and nearly two orders of magnitude higher for the airport attack. The results are robust to sensitivity tests on the travel behavior of U.S. residents in response to terrorism.
Zipper, Carl E; Gilroy, Leonard
The Clean Air Act Amendments of 1990 (CAAA90) established a national program to control sulfur dioxide (SO2) emissions from electricity generation. CAAA90's market-based approach includes trading and banking of Soumissions allowances. We analyzed data describing electric utility SO2 emissions in 1995, the first year of the program's Phase I, and market effects over the 1990-1995 period. Fuel switching and flue-gas desulfurization were the dominant means used in 1995 by targeted generators to reduce emissions to 51% of 1990 levels. Flue-gas desulfur-ization costs, emissions allowance prices, low-sulfur coal prices, and average sulfur contents of coals shipped to electric utilities declined over the 1990-1995 period. Projections indicate that 13-15 million allowances will have been banked during the program's Phase I, which ends in 1999, a quantity expected to last through the first decade of the program's stricter Phase II controls. In 1995, both allowance prices and SO2 emissions were below pre-CAAA90 expectations. The reduction of SO2 emissions beyond pre-CAAA90 expectations, combined with lower-than-expected allowance prices and declining compliance costs, can be viewed as a success for market-based environmental controls.
Charfeddine, Souhir; DeColigny, Marc; Camino, Felix Mora; Cosenza, Carlos Alberto Nunes
The aim of this communication is to study with a new scope the conditions of the equilibrium in an air transport market where two competitive airlines are operating. Each airline is supposed to adopt a strategy maximizing its profit while its estimation of the demand has a fuzzy nature. This leads each company to optimize a program of its proposed services (frequency of the flights and ticket prices) characterized by some fuzzy parameters. The case of monopoly is being taken as a benchmark. Classical convex optimization can be used to solve this decision problem. This approach provides the airline with a new decision tool where uncertainty can be taken into account explicitly. The confrontation of the strategies of the companies, in the ease of duopoly, leads to the definition of a fuzzy equilibrium. This concept of fuzzy equilibrium is more general and can be applied to several other domains. The formulation of the optimization problem and the methodological consideration adopted for its resolution are presented in their general theoretical aspect. In the case of air transportation, where the conditions of management of operations are critical, this approach should offer to the manager elements needed to the consolidation of its decisions depending on the circumstances (ordinary, exceptional events,..) and to be prepared to face all possibilities. Keywords: air transportation, competition equilibrium, convex optimization , fuzzy modeling,
Al-Abri, Seif S; Beeching, Nick J; Nye, Fred J
Traveller's diarrhoea affects over 50% of travellers to some destinations and can disrupt holidays and business trips. This review examines the main causes and epidemiology of the syndrome, which is associated with poor public health infrastructure and hygiene practices, particularly in warmer climates. Although travellers may be given common sense advice on avoidance of high-risk foods and other measures to prevent traveller's diarrhoea, adherence to such advice is sometimes difficult and the evidence for its effectiveness is contradictory. However, non-antimicrobial means for prevention of traveller's diarrhoea are favoured in most settings. A simple stepwise approach to the management of traveller's diarrhoea includes single doses or 3-day courses of antimicrobials, often self administered. The antibiotics of choice are currently fluoroquinolones or azithromycin, with an emerging role for rifaximin. In the long term, there will be greater benefit and effect on the health of local inhabitants and travellers from improving public health and hygiene standards at tourist destinations.
Chambers, David W
There is not enough marketing of dentistry; but there certainly is too much selling of poor quality service that is being passed off as dentistry. The marketing concept makes the patient and the patients' needs the ultimate criteria of marketing efforts. Myths and good practices for effective marketing that will promote oral health are described under the traditional four "Ps" categories of "product" (best dental care), "place" (availability), "promotion" (advertising and other forms of making patients aware of available services and how to use them), and "price" (the total cost to patients of receiving care).
In Hungary, the first studies on travel thrombosis were published at the beginning of the 2000s. In this paper recent investigational results of this special type of venous thrombosis have been reviewed. Travel thrombosis is a subgroup of sitting thromboses. It is a consequence of prolonged sitting which is common of ground transportation and air travel. More and more computer-linked sitting thromboses have been observed as well. Long-haul air travel related venous thrombosis is a multifactorial disease. Possible contributory risk factors are in connection with the milieu of the cabin. Various investigations evaluated the effect of immobilization and hypobaric hypoxia on thrombin generation and fibrinolysis. The studies differed much in participants' characteristics, duration and type of exposure and statistical analysis, so the results are contradictory. Personal, traveller-related risk factors may be regarded as triggers. The presently available evidences do not permit to assess the exact actual risk. For healthy young passengers there seem to be low risk. However, passengers suffering from predisposing factors for venous thromboembolism can be exposed to serious hazards, if they fly more than 5000 km or travel more than 8 hours. Proper safety measures are summarized on the basis of recent international recommendations.
Appel, David L.
This booklet suggests ways in which institutions--Catholic schools in particular--can move beyond public relations and advertising to engage in the broader arena of marketing with its focus on consumer satisfaction. The first of the book's three chapters reviews the concept of marketing, providing definitions of key terms, clarification of…
Maust, Robert N.
Although college administrators may be committed to the concept and need for institutional marketing, even a well-developed marketing plan may not work if it is not clearly organized to address special needs. This article reviews management fads, how to make jargon operational, organizational dynamics, and monitoring fads. (MSE)
Ma, Junhai; Xie, Lei
The paper focuses on the dynamic pricing game of the duopoly air conditioner market with disturbance in demand and analyzes the influence of disturbance on the dynamic game system. Considering the demand for products, such as air conditioner, varies with different seasons, we assume three cases based on the condition of disturbance, including growth market (Case 1), declining market (Case 2) and completely random market (Case 3). By analyzing these three cases and making comparison among them, the paper shows that the growth market is more sensitive to the changing parameters such as the adjustment variable and the competitive factor than the declining market. It is more difficult to keep the system stable in a growth market. Although the demand is completely random, the dynamic system can reach a stable state, on condition that the adjustment variable is small enough. The results also indicate that the bullwhip effect between the order quantity and the actual demand is weakened gradually along with the price adjustment.
Cai, Hua; Zhan, Xiaowei; Zhu, Ji; Jia, Xiaoping; Chiu, Anthony S. F.; Xu, Ming
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.
Bauduceau, B; Mayaudon, H; Ducorps, M; Belmejdoub, G; Thiolet, C; Pellan, M; Cosson, E
With the continuing expansion in international air travel, increasing numbers of diabetic patients consult physicians for advice before going abroad. Careful planning is required taking into account climatic and medical conditions at the destination. Diabetic travelers should pack an appropriate treatment kit and contract special insurance coverage for medical evacuation. Precautions are necessary to limit the effects of motion sickness and time differences on diabetes control and especially the risk of hypoglycemia. Special attention is needed to avoid digestive problems and prevent foot injuries which can lead to serious complications in diabetic patients. Diabetic patients cannot forget their health problem during vacation and must be especially cautious when traveling. However with proper training, the risks of foreign travel can be reduced to acceptable levels.
Vila, Jordi; Oliveira, Ines; Zboromyrska, Yuliya; Gascon, Joaquim
Traveller's diarrhoea (TD) is acquired primarily through ingestion of food and drinks contaminated with pathogens that cause diarrhoea. They can be bacteria, protozoa, helminths, and viruses. Globally, the most common causes of TD are two pathotypes of Escherichia coli (enterotoxigenic and enteroaggregative) and Campylobacter, although there are significant variations by geographic area visited. Most TD occurs in individuals traveling to low-middle income countries. The type of travel, length of stay, traveller's age, and the presence of certain underlying conditions are important risk factors to consider for the acquisition of TD. While TD is usually a mild and self-limiting disease, half of travellers with TD experience some limitation of activities during their trip, while up to 10% will experience persistent diarrhoea or other complications. The purpose of this article is to provide an updated microbiological, epidemiological, and clinical profile of traveller's diarrhoea, including known risk factors, as well as to make recommendations on the prevention and treatment of TD.
Dunbar, Christian; Prette, John; Andersen, Gerald; Sprunck, Martin; Vogel, Christine; Rivera, Francisco
The RTL-46 provides an aircraft which utilizes advanced technology within the fictional Aeroworld market to better service the air travel customers and airlines of Aeroworld. The RTL-46 is designed to serve the portion of the travel market which flies less than 10,000 feet per flight. The design cruise velocity for the aircraft is 35 ft/sec, which rapidly expedites travel through Aeroworld. The major focus of the endeavor was to design an aircraft which would serve the Aeroworld market better than the existing aircraft, the HB-40. This could have been done through targeting another portion of the Aeroworld market or through serving the current HB-40 market more effectively. Due to the fact that approximately 70 percent of the potential Aeroworld passengers desired flights of 10,000 ft or less, this range became the target market for the RTL-46.
Hatz, Christoph; Beck, Bernhard; Steffen, Robert; Genton, Blaise; d'Acremont, Valérie; Loutan, Louis; Hartmann, Katharina; Herzog, Christian
There are various methods to collect adverse events (AEs) in clinical trials. The methods how AEs are collected in vaccine trials is of special interest: solicited reporting can lead to over-reporting events that have little or no biological relationship to the vaccine. We assessed the rate of AEs listed in the package insert for the virosomal hepatitis A vaccine Epaxal(®), comparing data collected by solicited or unsolicited self-reporting. In an open, multi-centre post-marketing study, 2675 healthy travellers received single doses of vaccine administered intramuscularly. AEs were recorded based on solicited and unsolicited questioning during a four-day period after vaccination. A total of 2541 questionnaires could be evaluated (95.0% return rate). Solicited self-reporting resulted in significantly higher (p<0.0001) rates of subjects with AEs than unsolicited reporting, both at baseline (18.9% solicited versus 2.1% unsolicited systemic AEs) and following immunization (29.6% versus 19.3% local AEs; 33.8% versus 18.2% systemic AEs). This could indicate that actual reporting rates of AEs with Epaxal(®) may be substantially lower than described in the package insert. The distribution of AEs differed significantly between the applied methods of collecting AEs. The most common AEs listed in the package insert were reported almost exclusively with solicited questioning. The reporting of local AEs was more likely than that of systemic AEs to be influenced by subjects' sex, age and study centre. Women reported higher rates of AEs than men. The results highlight the need for detailing the methods how vaccine tolerability was reported and assessed.
... 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 ...
Chełmińska, Katarzyna; Jaremin, Bogdan
During the past several decades, the number of both business and tourist travels has greatly increased. Among them are persons suffering from chronic diseases, including diabetics for whom travels pose the additional health-hazard. Irrespective of better education, self-control and constantly improving quality of specialistic equipment available, diabetics still are the group of patients requiring particular attention. In the case of travelling diabetics, problems may occur concerning the transport and storage of insulin, as well as control of glycaemia, all caused by irregularity of meals, variable diet, physical activity, stress, kinetosis (sea voyages), and the change of time zones. The travel may as well evoke ailments caused by the change of climate and concomitant diseases such as traveller's diarrhoea, malaria, etc. Apart from avoiding glycaemia fluctuations, important for retaining health of diabetics is the prevention of other diseases and carrying the necessary drugs.
Rodríguez-Lázaro, David; Diez-Valcarce, Marta; Montes-Briones, Rebeca; Gallego, David; Hernández, Marta; Rovira, Jordi
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.
Winston, M. M.; Conner, D. W.
An overview is given of the Cargo/Logistics Airlift Systems Study (CLASS) project which was a 10 man-year effort carried out by two contractor teams, aimed at defining factors impacting future system growth and obtaining market requirements and design guidelines for future air freighters. Growth projection was estimated by two approaches: one, an optimal systems approach with a more efficient and cost effective system considered as being available in 1990; and the other, an evolutionary approach with an econometric behavior model used to predict long term evolution from the present system. Both approaches predict significant growth in demand for international air freighter services and less growth for U.S. domestic services. Economic analysis of air freighter fleet options indicate very strong market appeal of derivative widebody transports in 1990 with little incentive to develop all new dedicated air freighters utilizing the 1990's technology until sometime beyond the year 2000. Advanced air freighters would be economically attractive for a wide range of payload sizes (to 500 metric tons), however, if a government would share in the RD and T costs by virtue of its needs for a slightly modified version of a civil air freighter design (a.g. military airlifter).
Schubert, S; Grimm, M
Travel medicine deals with travellers' diseases. The target group is therefore distinct from tropical medicine. It has gained in significance due to the increase in tourism and professional work abroad in the last 50 years. Dangerous and widespread diseases in tropical countries, in particular tropical malaria, have come into focus in industrialized countries because of their appearance in travellers. Travel medicine deals not only with infectious or transmittable diseases, but also with the ability of patients with chronic diseases to travel, the medical aspects of flying, as well as the health hazards of professional work or high-risk sports abroad. The risk of disease as a result of travelling can be minimized by advice and prophylactic measures, such as vaccinations and drug prophylaxis against malaria, if indicated. On return, medical symptoms should be investigated promptly to ensure early detection of life-threatening disease courses, particularly tropical malaria, as well as to prevent the occurrence of small-scale epidemics. A small number of diseases can also emerge after several years, such as benign types of malaria, amoebic liver abscess and visceral leishmaniasis (kala-azar). Aids also belongs to these diseases. Therefore, in this era of HIV pandemic travellers concerned should be made aware of the risks.
Mauldin, L. E.
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
... Vaccines. Medicines. Advice. Do you have questions about Zika virus ? Destinations Who are you? Traveler Clinician Where are ... including: Alert Level 2, Practice Enhanced Precautions Updated Zika Virus in Argentina March 31, 2017 New Malaria in ...
... 7 Agriculture 2 2010-01-01 2010-01-01 false Traveling and other expenses. 51.40 Section 51.40... STANDARDS) Regulations 1 Schedule of Fees and Charges at Destination Markets § 51.40 Traveling and other expenses. Costs including travel incurred by the Agricultural Marketing Service in providing...
... 7 Agriculture 2 2011-01-01 2011-01-01 false Traveling and other expenses. 51.40 Section 51.40... STANDARDS) Regulations 1 Schedule of Fees and Charges at Destination Markets § 51.40 Traveling and other expenses. Costs including travel incurred by the Agricultural Marketing Service in providing...
... 7 Agriculture 2 2012-01-01 2012-01-01 false Traveling and other expenses. 51.40 Section 51.40... STANDARDS) Regulations 1 Schedule of Fees and Charges at Destination Markets § 51.40 Traveling and other expenses. Costs including travel incurred by the Agricultural Marketing Service in providing...
... 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 ...
... mosquito bites and vectorborne infections: Use an effective insect repellent (see Chapter 2, Protection against Mosquitoes, Ticks, & ... on risk. Discuss food and water precautions and insect bite prevention. Older travelers, especially those with a ...
Cannegieter, Suzanne C
Travel-related thrombosis is a serious public health concern considering the large and increasing number of travellers. Due to a lack of evidence, counselling air travellers on their venous thrombosis risk is not immediately straightforward, and advice will have to be based mostly on theoretical grounds. In this review a basis for these considerations is given. First of all it needs to be recognized that venous thrombosis is a multicausal disease, i.e. several risk factors have to be present before an event occurs. This is reflected in the literature where clearly increased risks have been described for certain groups, such as subjects with factor V Leiden, those who use oral contraceptives or are obese. Also, an increased risk for tall and short people has been reported. So, for subjects with a known risk factor who plan to travel, benefits and risks of thrombosis prophylaxis, (pharmacological or other), need to be weighed. This review provides some theoretical examples. For all other travellers, the advice to move and exercise as much as possible is likely to be sufficient.
Gallus, Alexander S
Current evidence indicates that prolonged air travel predisposes to venous thrombosis and pulmonary embolism. An effect is seen once travel duration exceeds 6 to 9 hours and becomes obvious in long-haul passengers traveling for 12 or more hours. A recent records linkage study found that increase in thrombosis rate among arriving passengers peaked during the first week and was no longer apparent after 2 weeks. Medium- to long-distance travelers have a 2- to 4-fold increase in relative thrombosis risk compared with nontravelers, but the averaged absolute risk is small (approximately one symptomatic event per 2 million arrivals, with a case-fatality rate of approximately 2%) and there is no evidence that thrombosis is more likely in economy class than in business- or first-class passengers. It remains uncertain whether and to what extent thrombosis risk is increased by short-distance air travel or prolonged travel by motorcar, train, or other means. Most travelers who develop venous thrombosis or pulmonary embolism also have one or more other predisposing risk factors that may include older age, obesity, recent injury or surgery, previous thrombosis, venous insufficiency, malignancy, hormonal therapies, or pregnancy. Limited (though theoretically plausible) evidence suggests that factor V Leiden and the prothrombin gene mutation predispose to thrombosis in otherwise healthy travelers. Given that very many passengers with such predispositions do not develop thrombosis, and a lack of prospective studies to link predisposition with disease, it is not now possible to allocate absolute thrombosis risk among intending passengers or to estimate benefit-to-risk ratios or benefit-to-cost ratios for prophylaxis. Randomized comparisons using ultrasound imaging indicate a measurable incidence of subclinical leg vein thrombosis after prolonged air travel, which appears to increase with travel duration and is reduced by graded pressure elastic support stockings. Whether this
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.
On the average, one-fourth of North Americans visiting developing countries experience a self-limited diarrheal illness that interferes with holiday or business activities. Recent work suggests that these episodes are caused by a small inoculum of enteropathogenic Escherichia coli which are common in the country visited and rare in the country of origin. Neither antimicrobial treatment nor anti-diarrheal agents have proven benefit once the illness has begun. Despite its frequent use, iodochlorhydroxyquin has not been shown in double blind studies to be effective as a preventive agent, and may be dangerous. The status of furazolidone for prevention of tourist diarrhea is questionable. Both neomycin sulfate and phythalylsulfathiazole have demonstrated efficacy as chemoprophylactics in Mexico. However, their use should be restricted to limited types of travel and travelers. General admonitions concerning avoidance of certain ingestibles are recommended; despite questionable value in preventing travelers' diarrhea such precautions may prevent more serious gastrointestinal illness.
AD-A236 677 NAVAL POSTGRADUATE SCHOOL Monterey, California DTIC ELECTE JN12 1981’ THESIS RECONCILIATION OF TRAVEL ADVANCES AND TRAVEL LIQUIDATIONS by...Classification) RECONCILIATION OF TRAVEL ADVANCES AND TRAVEL LIQUIDATIONS 12. PERSONAL AUTHOR(S) Conzales. Dnmingo 13a. TYPE OF REPORT 13b TIME COVERED 14 DATE OF...TERMS (Continue on reverse if necessary and identify by block numoer) FIELD GROUP SUB-GROUP Travel orders, Travel advance, Travel liquida- tion
Burby, R. J.; Kuhlman, W. H.
Book 2 of this volume is divided into the following sections: (1) commodities and system networks; (2) future mode choice decisions and commodity air eligibility; (3) comparative cargo transportation costs - air, truck, rail and water; (4) elasticities of demand; (5) operating cost; (6) operating profit, rate making, and returns; (7) importance of rate and service on future aircraft; (8) potential market demand for new aircraft; (9) scenario of events affecting system/market growth; and (10) future study and technology requirements.
... probably safe to eat or drink the following:Soft drinks that are carbonated (such as cola).Hot drinks, ... for Staying HealthyInternational travel has its share of health and safety challenges. Talk to your doctor about the area ...
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…
New York State Education Dept., Albany. Bureau of Business Education.
The sample test items included in this document are intended as a resource for teachers of Marketing and Distributive Education programs with emphasis on hospitality and recreation marketing, and tourism and travel services marketing. The related curriculum material has been published in the Travel and Tourism syllabus, an advanced-level module in…
... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Electronic System for Travel Authorization... VISA WAIVER PROGRAM § 217.5 Electronic System for Travel Authorization. (a) Travel authorization required. Each nonimmigrant alien intending to travel by air or sea to the United States under the...
... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 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...
... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Electronic System for Travel Authorization... VISA WAIVER PROGRAM § 217.5 Electronic System for Travel Authorization. (a) Travel authorization required. Each nonimmigrant alien intending to travel by air or sea to the United States under the...
... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Electronic System for Travel Authorization... VISA WAIVER PROGRAM § 217.5 Electronic System for Travel Authorization. (a) Travel authorization required. Each nonimmigrant alien intending to travel by air or sea to the United States under the...
... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 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...
... 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...
... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 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...
... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 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...
... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Electronic System for Travel Authorization... VISA WAIVER PROGRAM § 217.5 Electronic System for Travel Authorization. (a) Travel authorization required. Each nonimmigrant alien intending to travel by air or sea to the United States under the...
Allen, Bruce H.
The college and university marketing system must be viewed as a separate but integrated area within the institution requiring its own planning and implementation cycle. The marketing concept as it applies to higher education means that a college or university exists to provide satisfaction to external and internal constituents (or segments…
Cooper, Edward M.; Gackenbach, Rusty
The level of awareness, knowledge, and current practices regarding strategic marketing within institutional research (IR) offices were studied for colleges in the Rocky Mountain region. Of the 18 responding offices, 9 indicated that their institutions utilized a marketing approach to planning. Of these 9 offices, 56 percent reported formal…
Hung, Kevin K C; Lin, Agatha K Y; Cheng, Calvin K Y; Chan, Emily Y Y; Graham, Colin A
Four levels of pre-travel health preparations were defined to allow the measurement of general travel health preparations by the traveling public. A cross-sectional survey of 770 travelers using Hong Kong International Airport was conducted. Important gaps were found in the self-preparation domain. Length of travel was the only factor associated with higher levels of health preparations after adjusting for potential confounders. Targeted health education should be considered to improve health risk perceptions among travelers in Hong Kong and other similar metropolitan cities that are critical hubs for commercial air transport.
Waterhouse, J; Reilly, T; Edwards, B
International travel is an essential part of the life of elite athletes, both for competition and training. It is also becoming increasingly common among recreational sportspersons. Long-distance travel is associated with a group of transient negative effects, collectively referred to as 'travel fatigue', which result from anxiety about the journey, the change to an individual's daily routine, and dehydration due to time spent in the dry air of the aircraft cabin. Travel fatigue lasts for only a day or so, but for those who fly across several time zones, there are also the longer-lasting difficulties associated with 'jet lag'. The problems of jet lag can last for over a week if the flight crosses 10 time zones or more, and they can reduce performance and the motivation to train effectively. Knowledge of the properties of the body clock enables the cause of the difficulties to be understood (an unadjusted body clock), and forms the basis of using light in the new time zone to promote adjustment of the body clock. Sleep loss and its effects are important components of jet lag, and attempts to promote sleep by the use of melatonin and other hypnotics are also relevant. Sleep loss is also found in those who undertake challenges that involve long periods where the normal consolidated sleep of 8 h length is not possible. Advice on sleep regimens in such circumstances is given.
Paediatric travel medicine involves the education of parents about the numerous health and safety issues related to traveling with infants and young children--whether overseas or a weekend at a local lake. It includes providing children with vaccines and medications, giving telephone advice to parents while they are traveling, and treating children should they come home ill. Practitioners must be knowledgeable about such varied topics like avoiding diarrhoea, infant safety seats for air travel, altitude sickness, sun exposure, waterfront safety, insect protection, dealing with hot and cold environments, and at what age it is safe to begin scuba diving, to name just a very few. Practitioners must also know when adult recommendations can--and cannot--be adapted for children; that vaccine doses, needle size, and injection site may vary with the size of the child; and the answers to hundreds of everyday questions such as how to administer an essential but bitter tasting medication to an uncooperative child--and what to do when the child refuses to take the medication or vomits it.
Ransone, R. K.; Kuhlthau, A. R.; Deptula, D. A.
A methodology for estimating market conception was developed as a part of the short-haul air transportation program. It is based upon an analysis of actual documents which provide a record of known travel history. Applying this methodology a forecast was made of the demand for an air feeder service between Charlottesville, Virginia and Dulles International Airport. Local business travel vouchers and local travel agent records were selected to provide the documentation. The market was determined to be profitable for an 8-passenger Cessna 402B aircraft flying a 2-hour daily service pattern designed to mesh to the best extent possible with the connecting schedules at Dulles. The Charlottesville - Dulles air feeder service market conception forecast and its methodology are documented.
Delmont, J; Igo-Kemenes, A; Peyron, F; Ruiz, J M; Moreau, J; Bourgeade, A
More and more immunocompromised people travel abroad especially in tropical countries where infectious risks are high. Before leaving, these subjects must consult their general practitioner who will determine their fitness in function of type of immunodeficiency, travel destination, availability of medical care at the destination, and possibility of medical evacuation. Counseling should also be provided concerning the precautions necessary to avoid the hazards of exposure to fecal material, venereal disease, insect bites, and sun. Antimalarial drug prophylaxis is the same as for uncompromised subjects. Advising immunocompromised subjects about vaccinations is difficult since there is no consensus on the subject. Administration of inert vaccines is usually recommended but their effectiveness is often diminished and harmful effects have been observed in HIV-infected subjects. Administration of live vaccines is always contraindicated in severely immunocompromised subjects but some live vaccines can be used in moderately immunocompromised subjects. The guidelines for vaccination differ depending on the underlying cause of immunodeficiency: congenital defects, cancer, hemopathy, treatment with immunosuppressors or corticosteroids (transplant patients and patients with systemic disease), HIV-infection, or spleen dysfunction. If there is a high risk of contracting a disease for which vaccination is contraindicated, drug prophylaxis or administration of immunoglobulins can be an alternative. If not, travel should either be postponed or the destination should be changed.
... Events Advocacy For Patients About ACOG Travel During Pregnancy Home For Patients Search FAQs Travel During Pregnancy ... Pregnancy FAQ055, February 2016 PDF Format Travel During Pregnancy Pregnancy When is the best time to travel ...
Terry, Anne C; Haulman, N Jean
"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."
Hodgins, Margaret; Millar, Michelle; Barry, Margaret M
This paper explores the perceptions of illness causation and health inequalities of Travellers, an ethnic minority group who experience considerable social and health disadvantages in Ireland. In order to allow for subjective meanings to emerge, a qualitative methodology with purposive sampling was employed. Participants in the study were invited to respond to a vignette in a focus group setting. Forty-one Traveller women were recruited to the focus groups through community projects or adult education initiatives. The study not only illustrates the complexity of lay perceptions of ill-health and health inequalities, but raises important questions about the prevalence of depression and of domestic violence in the Travelling community. These Traveller women were very willing to discuss the structural factors that contributed to their health status, attributing ill-health to social and environmental factors, such as accommodation, hardship and discrimination. Further, they broadly rejected behavioural explanations of the heart disease described in the vignette. Traveller women's understandings of health and the factors that determine it are deeply embedded in the social context of their lives and their ethnic identity. These findings are discussed in the context of social identity and ethnicity, and contribute to theoretical debates about the role of that identity in recognising inequality. The study revealed that Traveller women see many shortcomings in health service provision. They need service provision to be culturally sensitive and responsive to their needs.
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
Introduction Malaria transmission occurs most frequently in environments with humidity greater than 60% and ambient temperature of 25 °C to 30 °C. Risks increase with longer visits and depend on activity. Infection can follow a single mosquito bite. Incubation is usually 10 to 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 non-pregnant adult travellers? What are the effects of drug prophylaxis in non-pregnant adult travellers? What are the effects of antimalaria vaccines in adult and child 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 November 2009 (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 79 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: aerosol insecticides, amodiaquine, air conditioning and electric fans, atovaquone–proguanil, biological control measures, chloroquine (alone or with proguanil), diethyltoluamide (DEET), dietary supplementation, doxycycline, electronic mosquito repellents, full-length and light-coloured clothing, insecticide-treated clothing/nets, mefloquine, mosquito coils and vapourising mats, primaquine, pyrimethamine–dapsone, pyrimethamine–sulfadoxine, smoke
The medium density air travel market is examined and defined in terms of numbers of people transported per route per day and frequency of service. The operational characteristics for aircraft to serve this market are determined and a basepoint aircraft is designed from which tradeoff studies and parametric variations can be conducted. The impact of the operational characteristics on the air travel system is evaluated along with the economic viability of the study aircraft. Research and technology programs for future study consideration are identified.
2006-01-0110 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
Busse, M.R.; Keohane, N.O.
Many environmental regulations encourage the use of 'clean' inputs. When the suppliers of such an input have market power, environmental regulation will affect not only the quantity of the input used but also its price. We investigate the effect of the Title IV emissions trading program for sulfur dioxide on the market for low-sulfur coal. We find that the two railroads transporting coal were able to price discriminate on the basis of environmental regulation and geographic location. Delivered prices rose for plants in the trading program relative to other plants, and by more at plants near a low-sulfur coal source.
Overlin, Trudy K.
This paper will present information regarding the fate of technologies developed in the national laboratory, which were designed to meet a specific law enforcement user need, but were or were not successful in making it to market. The two examples, one successful and one not completely successful, will be presented in a perspective to provide discussion as too why their individual fates were as such. The two examples, air bag restraint and barriers strip, both law enforcement technologies, were both designed to meet a targeted need, and yet their success was different. One has been licensed to an industry partner and is currently on the shelf for purchase. The other is awaiting a licensee and its future is still undetermined. The purpose of this paper is to discuss the specific paths these technologies have taken to market, and to demonstrate that even when researchers have a good idea, their technology may never make it to the shelf. This paper also addresses some of the pitfalls of what occurs when researchers are too distant from the user community and what that distance can do to a successful or unsuccessful technology. Understanding this process is essential to the user communities that anticipate the market of technologies that they often help assist with or provide insight to. It is also important for users and manufacturers to understand why the research and development process can take years, and why some things do not fully actualize in accepted technologies.
Borden, Victor M. H.
A market segmentation analysis was conducted on students at a large midwestern urban university using two forms of hierarchical cluster analysis on student characteristics: an agglomerative procedure using a matching-type association measure and a divisive chi-square based automatic interaction detection (CHAID) procedure. Data were extracted from…
Product-market planning is an inherently difficult practice. It aims at a match between consumer preference and institutional behavior. Unfortunately, consumer reactions to changes in institutional behavior are often highly uncertain. This paper assumes that institutional planners should neither ignore uncertainty nor seek to avoid all actions…
Muston, Ray A.
Enrollment management and marketing strategies employed by the largest state university users of American College Testing (ACT) program tests were studied. The primary objective was to develop a descriptive profile of institutional practices and role performance factors. The study population was the 54 largest state university users of ACT student…
Lay, Robert; And Others
The inquiry pool represented by prospective college applicants who seek information from the institution and a marketing response that has been implemented at Boston College are considered. It is suggested that researchers may trace specific individuals from the inquiry stage through application to the final college choice. To benefit from an…
Campbell, Jill F.; Spiro, Louis M.
The impact of media marketing strategies on continuing education enrollment at the State University of New York College at Brockport (SUNY-CB), was evaluated. The evaluation of advertising impacts used advertising records of SUNY-CB and other area colleges and a telephone questionnaire instrument. A stratified, random countywide sample, in…
Spiro, Louis M.
Student market segmentation separates prospective college students into subgroups with similar characteristics, the most commonly used being geography, demography, attitudes, and behavior. Recruitment efforts can then focus on student segments similar to the present student body or on other students that might be attracted. The goal is to make…
The possibility of life threatening venous thromboembolism (VTE) associated with long-haul air travel has received increasing attention in recent years. VTE can develop after long travel by car, bus or train, as well. In this paper recent investigational results on the pathomechanism of this special type of venous thrombosis have been reviewed. Travel thrombosis is a subgroup of sitting thromboses. It is a consequence of prolonged sitting, which is common of ground transportation and air travel. Air travel-related venous thromboembolism (ATVT) is a multifactorial disease. Possible contributory risk factors are in connection with the milieu of the cabin, such as narrow sitting in cramp position, hypobaric hypoxia and lower humidity. Personal, traveler-related risk factors may be regarded as a trigger. The risk of thrombosis is depending on the duration and distance of the travel. Recent studies have clarified effects of long-haul travel on the coagulation system. Various investigations evaluated the effect of immobilization and hypobaric hypoxia on thrombin generation and fibrinolysis. The studies differed much in participant characteristics, duration and type of exposure and statistical analysis, so the results are contradictory. Healthy passengers seem to have low risk. However, travelers suffering from predisposing risk factors for VTE can be exposed to serious hazards.
... 7 Agriculture 3 2012-01-01 2012-01-01 false Travel expenses and other charges. 58.42 Section 58.42 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... § 58.42 Travel expenses and other charges. Charges shall be made to cover the cost of travel and...
... 7 Agriculture 3 2013-01-01 2013-01-01 false Travel expenses and other charges. 58.42 Section 58.42 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... § 58.42 Travel expenses and other charges. Charges shall be made to cover the cost of travel and...
... 7 Agriculture 3 2011-01-01 2011-01-01 false Travel expenses and other charges. 58.42 Section 58.42 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... § 58.42 Travel expenses and other charges. Charges shall be made to cover the cost of travel and...
... 7 Agriculture 3 2011-01-01 2011-01-01 false Travel expenses and other charges. 70.75 Section 70.75 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Travel expenses and other charges. Charges are to be made to cover the cost of travel and other...
... 7 Agriculture 3 2012-01-01 2012-01-01 false Travel expenses and other charges. 70.75 Section 70.75 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Travel expenses and other charges. Charges are to be made to cover the cost of travel and other...
... 7 Agriculture 3 2014-01-01 2014-01-01 false Travel expenses and other charges. 58.42 Section 58.42 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... § 58.42 Travel expenses and other charges. Charges shall be made to cover the cost of travel and...
... 7 Agriculture 3 2013-01-01 2013-01-01 false Travel expenses and other charges. 70.75 Section 70.75 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Travel expenses and other charges. Charges are to be made to cover the cost of travel and other...
... 7 Agriculture 3 2010-01-01 2010-01-01 false Travel expenses and other charges. 70.75 Section 70.75 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Travel expenses and other charges. Charges are to be made to cover the cost of travel and other...
... 7 Agriculture 3 2014-01-01 2014-01-01 false Travel expenses and other charges. 70.75 Section 70.75 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Travel expenses and other charges. Charges are to be made to cover the cost of travel and other...
... 7 Agriculture 2 2013-01-01 2013-01-01 false Traveling and other expenses. 51.40 Section 51.40 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards... § 51.40 Traveling and other expenses. Costs including travel incurred by the Agricultural...
... 7 Agriculture 2 2014-01-01 2014-01-01 false Traveling and other expenses. 51.40 Section 51.40 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards... § 51.40 Traveling and other expenses. Costs including travel incurred by the Agricultural...
... 7 Agriculture 3 2010-01-01 2010-01-01 false Travel expenses and other charges. 58.42 Section 58.42 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... § 58.42 Travel expenses and other charges. Charges shall be made to cover the cost of travel and...
Crozier, G K D; Martin, Dominique
One of the areas of concern raised by cross-border reproductive travel regards the treatment of women who are solicited to provide their ova or surrogacy services to foreign consumers. This is particularly troublesome in the context of developing countries where endemic poverty and low standards for both medical care and informed consent may place these women at risk of exploitation and harm. We explore two contrasting proposals for policy development regarding the industry, both of which seek to promote ethical outcomes and social justice: While one proposal advocates efforts to minimize cross-border demand for female reproductive resources through the pursuit of national self-sufficiency, the other defends cross-border trade as a means for meeting the needs of vulnerable groups. Despite the conflicting objectives of the proposed strategies, the paper identifies common values and points of agreement between the two, including the importance of regulations to safeguard those providing ova or surrogacy services.
Awada, Adnan; Kojan, Suleiman
Travel is associated with a number of neurological disorders that can be divided into two categories: (1) Neurological infections including encephalitides, neurotuberculosis, neurobrucellosis, cysticercosis and trichinosis. Some of these disorders can be prevented by vaccinations, such as Japanese B encephalitis and rabies, some by the use of insect repellents and some by avoiding raw milk products and undercooked meat. (2) Non-infective neurological disorders, such as acute mountain sickness and high altitude cerebral oedema, problems occurring during air travel such as syncope, seizures, strokes, nerve compression, barotrauma and vertigo, motion sickness and foodborne neurotoxic disorders such as ciguatera, shellfish poisoning and intoxication by cassava. This group of diseases and disorders could be prevented if the traveller knows about them, applies simple physiological rules, takes some specific medications and knows how to avoid intoxications in certain geographical areas. Meningococcal meningitis, malaria and jet lag syndrome are extensively discussed in other articles of this issue. The discussion in this paper will be limited to the other disorders.
... 7 Agriculture 10 2010-01-01 2010-01-01 false Must Cooperators adhere to Federal Travel Regulations... 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...
... 7 Agriculture 10 2011-01-01 2011-01-01 false Must Cooperators adhere to Federal Travel Regulations... 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...
The medium density air travel market was studied to determine the aircraft design and operational requirements. The impact of operational characteristics on the air travel system and the economic viability of the study aircraft were also evaluated. Medium density is defined in terms of numbers of people transported (20 to 500 passengers per day on round trip routes), and frequency of service ( a minumium of two and maximum of eight round trips per day) for 10 regional carriers. The operational characteristics of aircraft best suited to serve the medium density air transportation market are determined and a basepoint aircraft is designed from which tradeoff studies and parametric variations could be conducted. The impact of selected aircraft on the medium density market, economics, and operations is ascertained. Research and technology objectives for future programs in medium density air transportation are identified and ranked.
Chasin, S; Schlacter, J; Shirley, C
This article has examined the application of a marketing and community planning process to the development of a regional, complete patient transportation system. The model is designed to interface with a region whose existing Emergency Medical Service System is operating at the advanced Life Support (usually paramedic) level. It is suitable for regions whose existing ambulance (ground and air) services are in need of improvement and/or coordination, and specifically utilizes the concept of ownership and management by a hospital consortium. The model, as described, is sufficiently flexible to be usable in a variety of local and regional environments, where changes in the patient transportation system can enhance the quality and operations of emergency medical services.
... 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 ...
Bonnet, D; Marotel, C; Miltgen, J; N'Guyen, G; Cuguilliere, A; L'Her, P
Changes in climate, altitude and lifestyle during travel confronts patients presenting chronic respiratory insufficiency with special problems. A major challenge is related to high altitude during air travel. To limit risks, a preflight examination is necessary to ascertain respiratory status. Patients requiring oxygen therapy must ensure availability both during the flight and at the destination. Patients with asthma or chronic bronchitis must bring along a sufficient supply of usual inhalers. All patients should carry a doctor's letter describing their condition and listing medications. Using these elementary precautions, patients with chronic respiratory insufficiency can safely enjoy sightseeing and outdoor leisure activities.
... 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...
A number of deaths from pulmonary embolism caused by deep vein thrombosis (DVT) have been attributed to long-distance airplane travel. Although airplanes provide the most convenient means of long-distance travel, the aircraft environment can take a physical toll on passengers. This article describes the causes and risk factors for discusses preventive strategies, and offers recommendations for making air travel safer.
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
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
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
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…
Ziegler, Carol C
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.
This presentation from the 2016 TRB Summer Conference on Transportation Planning and Air Quality summarizes the application of the Travel Efficiency Assessment Method (TEAM) which analyzed selected transportation emission reduction strategies in three case
Staats, Sara; Panek, Paul E; Cosmar, David
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.
Gautret, Philippe; Parola, Philippe
Most cases of rabies in travelers are associated with dog bites and occur in adults who are commonly migrants. The incidence of injuries to travelers caused by potentially rabid animals is approximately 0.4 % per month of stay. Dogs account for 51 % of cases, but nonhuman primates are the leading animals responsible for injuries in travelers returning from Southeast Asia. Travel to Southeast Asia, India and North Africa, young age, and traveling for tourism are risk factors for potential exposure. More than 70 % of travelers are not immunized prior to departing and do not receive adequate care when injured. The intradermal vaccination route has been proven economical, safe and immunogenic in travelers. The immunity provided by the three-dose series is long-lasting and should be considered an investment for future travel. Abbreviated schedules may be used for last-minute travelers.
Trumper, David L.; Williams, Mark E.
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.
Rizvon, M K; Qazi, S; Ward, L A
With the increase in global travel, no disease is beyond the reach of any population. Traveling patients should be advised to follow food and water precautions and encouraged to receive the recommended immunizations. Travel medicine plays a vital role not only in limiting the morbidity of travel-related illnesses but also in limiting the spread of diseases. This article addresses the common issues related to travel, reviews the care of the immunocompromised traveler, and updates the available vaccinations and prophylactic regimens available to limit sickness abroad. PMID:10063396
Kneafsey, J. T.; Taneja, N. K.
Demand models for air transportation that are sensitive to the impact of changing technology were developed. The models are responsive to potential changes in technology, and to changing economic, social, and political factors as well. In addition to anticipating the wide differences in the factors influencing the demand for long haul and short haul air travel, the models were designed to clearly distinguish among the unique features of these markets.
... GeoSentinel Global TravEpiNet Mobile Apps RSS Feeds Zika Travel Information Recommend on Facebook Tweet Share Compartir Language: ... Map of Areas with Risk of Zika Zika Travel Notices Zika Virus in Cape Verde Zika Virus ...
... Partners GeoSentinel Global TravEpiNet Mobile Apps RSS Feeds Zika Travel Information Recommend on Facebook Tweet Share Compartir ... website . World Map of Areas with Risk of Zika Zika Travel Notices Zika Virus in Cape Verde ...
... Counterfeit Drugs Cruise Ship Travel Families with Children Fish Poisoning in Travelers Food and Water Getting Health ... Suppl 2: B26–36. Rosenstein NE, Perkins BA, Stephens DS, Popovic T, Hughes JM. Meningococcal disease. N ...
... medical records with you while traveling. High Altitudes, Exotic Spots Traveling to higher altitudes shouldn’t necessarily ... The bigger concern, Gandy said, is that an exotic place may have less access to good medical ...
... Emergency Room? What Happens in the Operating Room? Traveling and Asthma KidsHealth > For Kids > Traveling and Asthma A A A What's in this ... t have to get in the way of travel fun. Let's find out how to be prepared ...
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…
Roman, Harry T.
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…
Discusses marketing and management strategies and evaluates the path most traveled; going beyond market-driven; proactive and reactive organizational positioning; ways to manage human and physical resources to make both market-driven and market-making contributions; and values necessary for an organization to move from market-driven to…
Spira, Alan M
The four steps for giving travellers the foundation for healthy journeys are to assess their health, analyse their itineraries, select vaccines, and provide education about prevention and self-treatment of travel-related diseases. This process takes time. Since there is a risk of information overload, travellers should leave the clinic with some written advice for reinforcement. The order of these steps can be tailored to what best suits the travel clinic, but vaccinating early in the process allows monitoring for adverse reactions. Face-to-face discussion is vital for explaining the use and side-effects of medications. Those who provide a travel medicine service should be seeing many travellers and should seek specialist training. In 2003, the International Society of Travel Medicine introduced a certificate of knowledge examination in travel medicine. We cannot make travellers bullet-proof but it is possible to make them bullet-resistant. The pre-travel visit should minimise health risks specific to the journey, give travellers the capability to handle most minor medical problems, and allow them to identify when to seek local care during the trip or on return.
... Can Be Acquired During Travel* Contaminated Food and Water More Common giardiasis cryptosporidiosis cyclosporiasis Less Common amebiasis ... Page last updated: July 28, 2016 Content source: Global Health - Division of Parasitic Diseases Email Recommend Tweet ...
... travel promotion and marketing and who have expertise and experience in specific sectors of the travel and tourism industry. The purpose of the initial Board is to, among other things, serve as... board of directors of eleven members with knowledge of international travel promotion and marketing...
Wilder-Smith, Annelies; Deen, Jacqueline L
Dengue is an arthropod-borne infection caused by a flavivirus and spread by the Aedes mosquitoes. Many of the countries where dengue is endemic are popular tourist destinations and the disease is an increasingly important problem encountered by international travelers. Personal protection against the day-feeding dengue vectors is problematic, indicating the urgent need for a dengue vaccine. This review discusses the challenges of vaccine development, current vaccine strategies and the prospects for the availability of a vaccine for travelers in the future. Cost-effectiveness studies will need to take into account many factors, including the attack rate of dengue in travelers, the proportion of travelers who will need hospitalization, the cost of altered travel itineraries, the cost of the vaccine, duration of travel, destination and season. To be licensed as a travelers' vaccine, vaccine trials must address safety, immunogenicity, duration of protection, schedules and boosters in adults (in particular in immunologically naive adults), trials that may differ from those conducted in endemic countries. Vaccine schedules with long intervals would be a major obstacle to the uptake of the vaccine by travelers. Enhanced reactogenicity or interference with immunization must be effectively excluded for travelers with prior or concurrent vaccination against other flaviviruses, such as yellow fever or Japanese encephalitis. Licensing dengue as a travelers' vaccine poses unique challenges beyond the development of a vaccine for the endemic population.
Hill, D. R.
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
Arrazola, M Pilar; Serrano, Almudena; López-Vélez, Rogelio
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.
Segel, Michael J; Rozenman, Judith; Lindsley, Mark D; Lachish, Tamar; Berkman, Neville; Neuberger, Ami; Schwartz, Eli
Histoplasmosis is a common endemic human mycoses acquired mostly in the Americas. We reviewed 23 cases of histoplasmosis in Israeli travelers; 22 had traveled to Central or South America and one to North America. Fourteen cases had been exposed to bat habitats and were symptomatic, presenting ≤ 3 months after their return. Asymptomatic patients (N = 9) were diagnosed during the evaluation of incidental radiological findings or because a travel partner had been suspected of Histoplasma infection, 16-120 months after their return. Serological testing was positive in 75% of symptomatic cases but only 22% of asymptomatic cases. Histoplasmosis should be considered in travelers returning from the Americas with respiratory or febrile illness within weeks of return, particularly if exposed to bat habitats. Travel history is essential in patients presenting with pulmonary nodules, even years after travel to endemic countries.
Drake, R.H.; Williams, D.S.
This report is about the market for airline travel in northern New Mexico. Interest in developing a northern New Mexico regional airport has periodically surfaced for a number of years. The New Mexico State Legislature passed a memorial during the 1998 Second Session calling for the conduct of a study to determine the feasibility of building a new regional airport in NNM. This report is a study of the passenger market feasibility of such an airport. In addition to commercial passenger market feasibility, there are other feasibility issues dealing with siting, environmental impact, noise, economic impact, intermodal transportation integration, region-wide transportation services, airport engineering requirements, and others. These other feasibility issues are not analyzed in any depth in this report although none were discovered to be show-stoppers as a by-product of the authors doing research on the passenger market itself. Preceding the need for a detailed study of these other issues is the determination of the basic market need for an airport with regular commercial airline service in the first place. This report is restricted to an in-depth look at the market for commercial passenger air service in NNM. 20 figs., 8 tabs.
Hallundbæk Mikkelsen, Kristian; Knudsen, Stine Ulrik; Nannestad Jørgensen, Lars
A literature study on the association between travel and venous thromboembolism (VTE) is conducted. Studies examining the risk of travel-associated VTE, predisposing factors and prophylactic measures are presented. It is concluded that the absolute risk of travel-associated VTE is low and holds a 2-4 fold increase after travel. The risk increases with duration, presence of other risk factors for VTE and extremes of height. Stockings reduces the risk of asymptomatic VTE. Heparin is presumed to constitute protection whereas there is no evidence of a prophylactic effect of acetylsalicylic acid.
Barry, M; Bia, F
The special problems of travel during pregnancy have become clinically important as more women are traveling to remote places for business or recreation. Optimal maintenance of fetal and maternal health under these circumstances entails specific considerations for which data, unfortunately, remain incomplete. Nevertheless, questions regarding immunizations, antimalarials, therapy for traveler's diarrhea, and even the risks of high altitude or vigorous exercise for the pregnant woman may be examined clinically. With a few important exceptions, sufficient information is available to ensure relatively safe travel in pregnancy provided precautions are taken and preparations are made.
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.
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
... in a letter from the EPA project officer or the award official. (b) If you travel to or from a.... 1371, to the extent that such carriers provide service, even if the foreign air carrier costs less...
Allison, D J; Blinco, K
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.
The report consists of an introduction in which is given a list of published papers on the travel times of body waves together with brief comments on...velocity distribution in the outer core have been based on the travel times of SKS. However, SKS arrivals can only be observed satisfactorily for arc
Lawee, D.; Scappatura, P.; Gutman, E.
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
... about this message, please visit this page: About CDC.gov . Home Destinations Travel Notices Zika Travel Information World Map of Zika Questions and ... confirmation of mumps involves virus isolation with RT-PCR or culture. For further information on laboratory testing, see ... ...
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. Approximately 3 percent of people traveling internationally for short periods (<2 weeks) report fever even after travel. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status use or nonuse of antimalarial chemoprophylaxis, and degree of compliance with a chemoprophylactic regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particular helpful in ruling out possible causes of fever. Specific examinations targeting the individual infection, assumed to be responsible for the development of febrile disease may ascertain diagnosis and lead to effective treatment.
Ward, L C; Battersby, K J; Kilbreath, S L
A single subject prospective study of the relationship between air travel and lymphedema is reported. This proof of concept study was aimed at assessing the feasibility of using self-measured, inter-limb impedance ratios as a quantitative measure of lymphedema immediately prior to and following flying. The participant, a breast cancer survivor with lymphedema, measured whole arm impedance prior to and following air travel on 20 occasions, varying in duration of between 1 and 9 h, over a 12-month period. Although the inter-arm impedance ratio fluctuated over this time, it generally increased and worsened following flying. Impedance measurements were easily performed by the participant and could be obtained as close to the start and cessation of flying as is practicably possible. These data, when associated with self-assessment of lymphedema-related symptoms, could provide a comprehensive evidence base for an assessment of the risks associated with air travel and the provision of appropriate advice to prospective travelers. Further large-scale studies are recommended.
Berens-Riha, N; Alberer, M; Löscher, T
Vaccinations are a prominent part of health preparations before international travel. They can avoid or significantly reduce the risk of numerous infectious diseases. Until recently, vaccination against yellow fever was the only obligatory vaccination. However, according to updated international health regulations, other vaccinations and prophylactic measures may be required at entry from certain countries. For all routine vaccinations as recommended in Germany, necessary revaccination and catch-up of missed vaccinations should be administered before travel. At most destinations the risk of infection is higher than in Germany. Hepatitis A vaccine is generally recommended for travelers to areas of increased risk, polio vaccine for all destinations where eradication is not yet confirmed (Asia and Africa). The indications for other travel vaccines must take into consideration travel destination and itinerary, type and duration of travel, individual risk of exposure as well as the epidemiology of the disease to be prevented. Several vaccines of potential interest for travel medicine, e.g., new vaccines against malaria and dengue fever, are under development.
Lay, Robert S.
The advantages and disadvantages of new software for market segmentation analysis are discussed, and the application of this new, chi-square based procedure (CHAID), is illustrated. A comparison is presented of an earlier, binary segmentation technique (THAID) and a multiple discriminant analysis. It is suggested that CHAID is superior to earlier…
Luna, Andrew L.
The purpose of this study was to determine if a market ratio factor was a better predictor of faculty salaries than the use of k-1 dummy variables representing the various disciplines. This study used two multiple regression analyses to develop an explanatory model to determine which model might best explain faculty salaries. A total of 20 out of…
Dold, Charles N.; Duff, Franklin L.
A computerized system set up at the University of Illinois for monitoring graduates and their experiences in the labor market is discussed, along with trends among graduates that have occurred over an 11-year period. The university initiated studies of graduates in 1972. About one-third of the content of the surveys is devoted to vocational…
Crutcher, Rodney A.
Altitude-related medical problems have received much attention in the recent medical literature. Family physicians must be knowledgeable about these problems so that they can give appropriate advice to travellers. The author, a practising family physician, discusses issues arising from both the modest cabin altitudes experienced in modern-day air travel and the greater altitudes experienced by skiers and trekkers, pilots and mountaineers, and lowland adventurers of all sorts. He reviews the process of acclimatization to altitude and the four principal forms of altitude illness. PMID:21233912
The rapidly increasing number of patients with immunosuppression is followed by their expectation to lead-as much as possible-a "normal" life, including long-distance travel. The advice and preventive measures for diseases associated with travelling depend overall on the mode of the patient's immunosuppression. This report explains the individual preventive possibilities, limits and risks for travellers with asplenia, common variable immunodeficiency, chronic inflammatory bowel and rheumatic diseases, HIV, as well as for patients having undergone solid organ or bone marrow transplantation or chemotherapy.
Ferguson, Neil M.; Anderson, Roy M.
A small proportion of air travelers make disproportionately more journeys than the rest of travelers. They also tend to interact predominantly with other frequent travelers in hotels and airport lounges. This group has the potential to accelerate global spread of infectious respiratory diseases. Using an epidemiologic model, we simulated exportation of cases from severe acute respiratory syndrome–like and influenza-like epidemics in a population for which a small proportion travel more frequently than the rest. Our simulations show that frequent travelers accelerate international spread of epidemics only if they are infected early in an outbreak and the outbreak does not expand rapidly. If the epidemic growth rate is high, as is likely for pandemic influenza, heterogeneities in travel are frequently overwhelmed by the large number of infected persons in the majority population and the resulting high probability that some of these persons will take an international flight. PMID:18252097
Hietala, Vincent M.; Vawter, Gregory A.
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.
Hietala, V.M.; Vawter, G.A.
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.
Avoid bringing bed bugs home by taking precautions when traveling such as inspecting bedding and luggage racks in hotel rooms, and upon returning home unpacking directly into a washing machine and dry at high temperatures.
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)
... was significantly associated with travel to Asia, particularly India, and Latin America. Another study found a 6. ... have direct anti- Cryptosporidium activity. PREVENTION Food and water precautions (see Chapter 2, Food & Water Precautions ) and ...
In an effort to inspire and motivate the next generation of space explorers, NASAâs Ames Research Center teamed up with the Traveling Space Museum to teach students the way astronauts are taughtâ...
... means taking a trip. To be sure that you can stay healthy on your trip, ask your pharmacist about how to travel safely with your medicines. Make sure that you always carry a list of all the medicines ...
Galloway, T. L.
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.
Garske, Tini; Yu, Hongjie; Peng, Zhibin; Ye, Min; Zhou, Hang; Cheng, Xiaowen; Wu, Jiabing; Ferguson, Neil
The spread of infectious disease epidemics is mediated by human travel. Yet human mobility patterns vary substantially between countries and regions. Quantifying the frequency of travel and length of journeys in well-defined population is therefore critical for predicting the likely speed and pattern of spread of emerging infectious diseases, such as a new influenza pandemic. Here we present the results of a large population survey undertaken in 2007 in two areas of China: Shenzhen city in Guangdong province, and Huangshan city in Anhui province. In each area, 10,000 randomly selected individuals were interviewed, and data on regular and occasional journeys collected. Travel behaviour was examined as a function of age, sex, economic status and home location. Women and children were generally found to travel shorter distances than men. Travel patterns in the economically developed Shenzhen region are shown to resemble those in developed and economically advanced middle income countries with a significant fraction of the population commuting over distances in excess of 50 km. Conversely, in the less developed rural region of Anhui, travel was much more local, with very few journeys over 30 km. Travel patterns in both populations were well-fitted by a gravity model with a lognormal kernel function. The results provide the first quantitative information on human travel patterns in modern China, and suggest that a pandemic emerging in a less developed area of rural China might spread geographically sufficiently slowly for containment to be feasible, while spatial spread in the more economically developed areas might be expected to be much more rapid, making containment more difficult. PMID:21311745
Bomsztyk, Mayan; Arnold, Richard W
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.
Leatherwood, Whitney E; Dragoo, Jason L
The need for athletes to travel long distances has spurred investigation into the effect of air travel across multiple time zones on athletic performance. Rapid eastward or westward travel may negatively affect the body in many ways; therefore, strategies should be employed to minimise these effects which may hamper athletic performance. In this review, the fundamentals of circadian rhythm disruption are examined along with additional effects of airline travel including jet lag, sleep deprivation, travel at altitude and nutritional considerations that negatively affect performance. Evidence-based recommendations are provided at the end of the manuscript to minimise the effects of airline travel on performance.
Edelson, Paul J
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
Leggat, Peter A; Zwar, Nicholas; Hudson, Bernie
The Travel Health Advisory Group (THAG), established in 1997, is a joint initiative between the travel industry and travel health professionals in Australia that aims to promote healthy travel. THAG seeks to promote cooperation in improving the health of travellers between the travel industry and travel medicine professionals and to raise public awareness of the importance of travel health. From 2011, THAG has been a Special Interest Group of The Australasian College of Tropical Medicine and its membership has been active in several areas, including web-based travel health information, travel health promotion, media releases, research and education in Australia. Information is given on the objectives, membership and an overview of the various activities of the group.
Leggat, Peter A
Risk assessment is an integral part of pre-travel and post- assessment. Risk assessment largely determines what health and safety advice and interventions are given within the relevant prevailing travel health guidelines. Risk assessment needs time and depends on information, including that given by the traveller. Risk assessment also needs to be documented. Risk assessment of the traveller preferably starts before they enter the consulting room, where travellers may complete a pre-travel health questionnaire. Armed with this information, risk assessment may be assisted by access to computerised travel health databases and the published literature. Experience of travel to the destination may also assist in risk assessment and the tour operator, overseas employer or agency, the traveller or even the travel health advisers themselves may provide this information.
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.
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.
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
Sorge, F; Gendrel, D
Consultation of child traveler has two main objectives: to assess of health risk related to the child's health status and history and also the risk related to travel environment; to counsel and prescribe preventive measure to reduce these travel health risks. The evaluation is based on physical examination and a detailed interview including personal history and information regarding the regions of proposed travel. Up to date knowledge of the epidemiology of visited sites, preventive measures and presumptive treatment is required. Essential health recommendations include, in case of exposure, prevention of malaria, arthropod borned diseases and vaccine preventable diseases. For all destinations advice regarding prevention of diarrhea, accident risks and aggravation of preexisting chronic diseases is needed. Universal primary prevention counselling is valuable for all travellers regardless of their age. In the case of children, special attention must be given to food and water hygiene, sun and heat exposure, swimming risks and transports security measures. Evaluation of risk and health education take time and often several visits are needed to complete the immunization schedule before departure.
Hedley-Whyte, John; Milamed, Debra R
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
Hedley-Whyte, John; Milamed, Debra R
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
Hawkes, S J; Hart, G J
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.
Stewart, L; Leggat, P A
As travel has become easier and more affordable, the number of people traveling has risen sharply. People travel for many and varied reasons, from the business person on an overseas assignment to backpackers seeking new and exotic destinations. Others may take up residence in different regions, states or countries for family, business or political reasons. Other people are fleeing religious or political persecution. Wherever they go and for whatever reason they go, people take their culture with them. Culture, like language, is acquired innately in early childhood and is then reinforced through formal and complex informal social education into adulthood. Culture provides a framework for interpersonal and social interactions. Therefore, the contact with a new culture is often not the exciting or pleasurable experience anticipated. When immersed in a different culture, people no longer know how to act when faced with disparate value systems. Contact with the unfamiliar culture can lead to anxiety, stress, mental illness and, in extreme cases, physical illness and suicide. "Culture shock" is a term coined by the anthropologist Oberg. It is the shock of the new. It implies that the experience of the new culture is an unpleasant surprise or shock, partly because it is unexpected and partly because it can lead to a negative evaluation of one's own culture. It is also known as cross-cultural adjustment, being that period of anxiety and confusion experienced when entering a new culture. It affects people intellectually, emotionally, behaviorally and physically and is characterized by symptoms of psychological distress. Culture shock affects both adults and children. In travelers or workers who have prolonged sojourns in foreign countries, culture shock may occur not only as they enter the new culture, but also may occur on their return to their original culture. Children may also experience readjustment problems after returning from leading sheltered lives in expatriate
Koski, Olivia; Rosin, Mark; Guerilla Science Team
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.
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.
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.
Fendell, F.; Wu, F.
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.
... 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 ...
Sohail, Muhammad R; Fischer, Philip R
B. hominis is a unicellular protozoan commonly identified in stool specimens of travelers who have returned from tropical countries. It has a world-wide distribution, and infection is more common in developing countries compared to industrialized nations. Clinical features of illness which have been attributed to Blastocystis include nausea, anorexia, abdominal pain, flatulence and acute or chronic diarrhea. The preferred method of diagnosis is a permanently stained smear of an unconcentrated stool specimen. The presence of B. hominis in stool specimens of symptomatic travelers should prompt clinicians to search for other unrecognized co-pathogens. Due to controversy regarding the pathogenicity of B. hominis in humans, clinicians are often faced with the dilemma of whether or not they should offer treatment for B. hominis infection in returned travelers. The most commonly used drugs for treatment include metronidazole and trimethoprim-sulfamethoxazole (TMP-SMX), when treatment is deemed necessary. Prevention in travelers should focus on food and water precautions as the organism is transmitted by the fecal-oral route.
Rooks, Kirsten; McLean, Mary
Based on Jonathan Swift's novel "Gulliver's Travels," this lesson plan presents activities designed to help students understand that Swift comments on undesirable outcomes of advances in science; and other authors have also warned against abuse of science. The main activity of the lesson involves students developing a poster illustrating views of…
Lloyd, Gwynedd; Stead, Joan; Jordan, Elizabeth; Norris, Claire
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…
... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL...
... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL...
Lawlor, D A; Burke, J; Bouskill, E; Conn, G; Edwards, P; Gillespie, D
Travel-related illness is a burden for primary care, with more than two million travellers consulting a general practitioner each year. The annual cost of travel-related illness in the United Kingdom is 11 million Pounds. Travel agents are in a unique position to influence this burden as the most common and most serious problems are preventable with simple advice and/or immunisation. This study, using covert researchers, suggests this potential is not being fully utilised. PMID:10954940
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…
Hu, Patricia S; Reuscher, Tim; Schmoyer, Richard L; Chin, Shih-Miao
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
Espino, C; Sundstrom, S; Frick, H; Jacobs, M; Peters, M
Objectives: Spouses and staff of the World Bank Group (WBG) were questioned about the impact of international business travel on families and travellers. Dependent variables were self reported stress, concern about the health of the traveller, and negative impact on the family. We hypothesised that several travel factors (independent variables) would be associated with these impacts. These travel factors had to do with the frequency, duration, and predictability of travel and its interference with family activities. Methods: Survey forms were developed and distributed to all spouses of travelling staff as well as a small sample of operational staff. Kendall's tau b correlation coefficients of response frequencies were computed with the data from scaled items. Written responses to open ended questions were categorised. Results: Response rates for spouses and staff were 24% and 36%, respectively. Half the spouse sample (n=533) and almost 75% of the staff sample (n=102) reported high or very high stress due to business travel. Self reported spouse stress was associated with six out of eight travel factors. Female spouses, those with children, and younger spouses reported greater stress. Self reported staff stress was significantly associated with four out of nine travel factors. Further insight into how business travel affects families and staff (including children's behavioural changes) and how families cope was gained through responses to written questions. Conclusions: The findings support the notion that lengthy and frequent travel and frequent changes in travel dates which affect family plans, all characteristic of WBG missions, negatively affects many spouses and children (particularly young children) and that the strain on families contributes significantly to the stress staff feel about their travel. Policies or management practices that take into consideration family activities and give staff greater leeway in controlling and refusing travel may help relieve
Sanford, Christopher A; Pottinger, Paul S
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.
Hristea, Adriana; Luka, A I; Aramă, Victoria; Moroti, Ruxandra
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.
Mauldin, Lemuel E., III
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.
Lloyd, Gwynned; Stead, Joan
Examined the educational exclusion and inclusion of Gypsy Traveller students, exploring how some Scottish schools responded to Traveller student culture and how this led to exclusion. Interviews with school staff, Traveller students, and parents indicated that continuing prejudice and harassment promoted inappropriate school placement and…
Lavelle, O; Berland, Y
Traveling can be dangerous for subjects with kidney insufficiency. Water loss or septic episodes can further increase renal dysfunction. Poor diet can lead to hyperkaliemia. Immunosuppression not only enhances the risk of infection but also complicates administration of live vaccines. Some antimalarial drugs are contraindicated (e.g. mefloquine) and others must be used with precaution. Prior to departure persons requiring hemodialysis should book sessions at centers listed in specialized guidebooks. In addition to infection, risks for hemodialysis patients include thrombosis of the arteriovenous fistula in case of dehydration or hypotension. In subjects with transplanted kidney, the risk of rejection can be enhanced either by poor compliance with immunodepressor treatment or by vaccination-induced antigenic stimulation. Pre-travel evaluation is necessary to determine metabolic, nutritional, and immune status. Subjects with kidney insufficiency and transplanted kidneys should be informed of the dangers and appropriate action in case of trouble.
Grauer, Albert D.
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.
The UK population likes to travel to sunny parts of the world, where the risk of sunburn is greater than it is at home. Sunburn and the cultural desire for a tan is one of the risk factors for the increase in skin cancer. The rise in foreign travel has resulted in an increased demand for pre-travel health services, with nurses in primary care acting as the main providers.Within these consultations, the traveller and their travel plans are risk assessed.Travel health consultations give an ideal opportunity to discuss and advise the public regarding sun burn and skin cancer protection. However, there are also other ways to impart safety in the sun message to travellers. Skin protection is a health promoting activity provided as a part of public health provision and all nurses can play a role in prevention.
Mohler, S. R.
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.
Zhou, Jie; Wu, Jie; Zeng, Xianqiao; Huang, Guofeng; Zou, Lirong; Song, Yingchao; Gopinath, Divya; Zhang, Xin; Kang, Min; Lin, Jinyan; Cowling, Benjamin J; Lindsley, William G.; Ke, Changwen; Peiris, Joseph Sriyal Malik; Yen, Hui-Ling
Zoonotic infections by avian influenza viruses occur at the human–poultry interface, but the modes of transmission have not been fully investigated. We assessed the potential for airborne and fomite transmission at live poultry markets in Guangzhou city and in Hong Kong Special Administrative Region (SAR), China, during 2014 and 2015. Viral genome and infectious avian influenza A viruses of H5N6, H7N9, and H9N2 subtypes were detected predominantly from particles larger or equal to 1 μm in diameter in the air sampled with cyclone-based bioaerosol samplers at the live poultry markets in Guangzhou. Influenza A(H9N2) viruses were ubiquitously isolated every month during the study period from air and environmental swabs, and different lineages of H9N2 virus were isolated from markets where chickens and minor land-based poultry were sold. The use of de-feathering devices increased the quantity of virus-laden airborne particles while market closure reduced the amount of such particles. The results highlight the possibility of airborne transmission of avian influenza viruses among poultry or from poultry to humans within such settings. This may explain epidemiological observations in which some patients with H7N9 infection reported being in markets but no direct contact with live poultry or poultry stalls. PMID:27608369
Zhou, Jie; Wu, Jie; Zeng, Xianqiao; Huang, Guofeng; Zou, Lirong; Song, Yingchao; Gopinath, Divya; Zhang, Xin; Kang, Min; Lin, Jinyan; Cowling, Benjamin J; Lindsley, William G; Ke, Changwen; Peiris, Joseph Sriyal Malik; Yen, Hui-Ling
Zoonotic infections by avian influenza viruses occur at the human-poultry interface, but the modes of transmission have not been fully investigated. We assessed the potential for airborne and fomite transmission at live poultry markets in Guangzhou city and in Hong Kong Special Administrative Region (SAR), China, during 2014 and 2015. Viral genome and infectious avian influenza A viruses of H5N6, H7N9, and H9N2 subtypes were detected predominantly from particles larger or equal to 1 μm in diameter in the air sampled with cyclone-based bioaerosol samplers at the live poultry markets in Guangzhou. Influenza A(H9N2) viruses were ubiquitously isolated every month during the study period from air and environmental swabs, and different lineages of H9N2 virus were isolated from markets where chickens and minor land-based poultry were sold. The use of de-feathering devices increased the quantity of virus-laden airborne particles while market closure reduced the amount of such particles. The results highlight the possibility of airborne transmission of avian influenza viruses among poultry or from poultry to humans within such settings. This may explain epidemiological observations in which some patients with H7N9 infection reported being in markets but no direct contact with live poultry or poultry stalls.
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.
Patterson, J. E.
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
Coles, Tim; Poland, Roger H. C.; Clifton, Julian
The global expansion and diversification of the travel market has opened up new opportunities to deliver educational programmes through tourism. Applying the principles and practices commonly associated with ecotourism enables students to gain lasting benefits through their active participation in conservation-oriented activities. In many cases,…
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Záliš, Ladislav; Meurice, Christopher R; Hilton, Ian; Ly, Terry-Lisa; Zupan, Zorana; Hinrichs, Saba
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
Ruggeri, Kai; Záliš, Ladislav; Meurice, Christopher R; Hilton, Ian; Ly, Terry-Lisa; Zupan, Zorana; Hinrichs, Saba
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.
Staats, Sara; Pierfelice, Loretta
The authors surveyed retired persons (predominately women) with regard to their immediate, intermediate, and long-range activities following retirement. As predicted, leisure travel emerged as a frequent long-range goal for persons retired more than 5 years. The travel activity preferences of long-retired older women present challenges and opportunities to both researchers and marketers. Length of trips and frequency of trips have been predicted from regression models, with trip length in particular being well predicted by the problem of daily life hassles. A theoretical model of continued post-retirement travel is presented as a variant of Solomon's opponent process theory of affect (R. L. Solomon, 1980). The authors suggest that to the degree that places traveled to are varied and different, older people may remain stimulated and continue to enjoy retirement.
Miguéns, J. I. L.; Mendes, J. F. F.
It is discussed how the worldwide tourist arrivals, about 10% of the world’s domestic product, form a largely heterogeneous and directed complex network. Remarkably the random network of connectivity is converted into a scale-free network of intensities. The importance of weights on network connections is brought into discussion. It is also shown how strategic positioning particularly benefits from market diversity and that interactions among countries prevail on a technological and economic pattern, questioning the backbone of driving forces in traveling.
Stickel, L.F.; King, John A.
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
Kranstauber, B; Weinzierl, R; Wikelski, M; Safi, K
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.
deVillemeur, Etienne Billette
Despite deregulation on the air-transportation markets, many connections are still operated by a single operator. Regulation is thus a central issue in this industry. There is however a great concern for the (possibly negative) consequences of price regulation on the quality of services. We argue that both aspects should be considered jointly and propose a mechanism that allow to decentralize the optimal structure of services in this industry. The regulatory procedure is robust to the introduction of heterogeneity in the travellers' valuation of the connections' frequency.
Gautret, Philippe; Parola, Philippe
Rabies prevention in travelers is a controversial issue. According to experts, the decision to vaccinate results from an individual risk assessment based on the duration of stay, the likelihood of engagement in at-risk activities, the age of the traveler, the rabies endemicity and access to appropriate medical care in the country of destination. However, no detailed information is available regarding the last two determinants in many regions. Twenty-two cases of rabies were reported in tourists, expatriates and migrant travelers over the last decade, including three cases following short-term travel of no more than two weeks. Studies on rabies post-exposure prophylaxis (PEP) in travelers show that overall, 0.4% (range 0.01-2.3%) of travelers have experienced an at-risk bite per month of stay in a rabies-endemic country, while 31% of expatriates and 12% of tourists were vaccinated against rabies before traveling. The main reason cited by travelers for not being vaccinated is the cost of the vaccine. The majority of patients who sustained a high risk injury was not vaccinated against rabies before traveling and were not properly treated abroad. From available studies, the following risk factors for injuries sustained from potentially rabid animals may be identified: traveling to South-East Asia, India or North Africa, young age, and traveling for tourism. The duration of travel does not appear to be a risk factor. It should be noted that "at-risk activities" have not been addressed in these studies. Detailed rabies distribution maps and information on the availability of rabies biologics are urgently needed in order to identify those travelers who need pre-travel vaccination. Meanwhile, cost-minimization of rabies pre-exposure vaccination may be achieved in several ways, notably by using the intra-dermal method of vaccination.
Dere, Ekrem; Dere, Dorothea; de Souza Silva, Maria Angelica; Huston, Joseph P; Zlomuzica, Armin
The impairment of mental time travel is a severe cognitive symptom in patients with brain lesions and a number of neuropsychiatric disorders. Whether animals are also able to mentally travel in time both forward and backward is still a matter of debate. In this regard, we have proposed a continuum of mental time travel abilities across different animal species, with humans being the species with the ability to perform most sophisticated forms of mental time travel. In this review and perspective article, we delineate a novel approach to understand the evolution, characteristics and function of human and animal mental time travel. Furthermore, we propose a novel approach to measure mental time travel in rodents in a comprehensive manner using a test battery composed of well-validated and easy applicable tests.
Southworth, Frank; Garrow, Dr. Laurie
This chapter describes the principal types of both passenger and freight demand models in use today, providing a brief history of model development supported by references to a number of popular texts on the subject, and directing the reader to papers covering some of the more recent technical developments in the area. Over the past half century a variety of methods have been used to estimate and forecast travel demands, drawing concepts from economic/utility maximization theory, transportation system optimization and spatial interaction theory, using and often combining solution techniques as varied as Box-Jenkins methods, non-linear multivariate regression, non-linear mathematical programming, and agent-based microsimulation.
Cliff, Andrew; Haggett, Peter
The collapse of geographical space over the last 200 years has had profound effects on the circulation of human populations and on the transfer of infectious diseases. Three examples are used to illustrate the process: (a) the impact of the switch from sail to steamships in importing measles into Fiji over a 40-year period; (b) changes in measles epidemic behaviour in Iceland over a 150-year period; and (c) changes in the spread of cholera within the United States over a 35-year period. In each case, the link between time, travel and disease has been an intimate one.
Traumatic pathologies are the most frequent medical events to be observed among French travellers. Accidents on the public highway by lack of respect of the fundamental rules of road security, particularly abroad, traffic conditions in bad repair in numerous emergent countries, usually the destination of mass tourism and underdeveloped organization of health care and local urgency help. Sports activities are also a source of accidents. A good physical training is essential. Drowning is a real plague, especially among children due to a lack of vigilance. Preventive measures are simple, keep them constantly in mind and apply them carefully so as to have beautiful memories of our trip back home.
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.
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 non adherence 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
independent travel agency . Within this determination lies the nature of future air passenger transportation cost control. Justification The need for...8. The SATO located at McGuire AFB, New Jersey should provide comparable performance results to the travel agency operating at Travis AFB, California...cussion of the selection of WPAFB is included in Chapter II.) 3. The model constructed for the travel agency is based on published projections
Kory, Carol L.
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.
Murabona Oduori, Susan
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.
Lortholary, Olivier; Charlier, Caroline; Lebeaux, David; Lecuit, Marc; Consigny, Paul Henri
Immunocompromised patients represent an increasing group of travelers, for business, tourism, and visiting friends and relatives. Those with severe cellular immunodeficiency (advanced human immunodeficiency virus infection and transplant recipients) display the highest risk of fungal infections. International travel is less risky in most other types of immunodeficiency (except those with neutropenia). A systematic visit in a travel clinic for immunocompromised patients traveling to the tropics ensures that the specific risks of acquiring fungal infections (and others) are understood. When immunocompromised hosts return to their area of residence, a nonbacteriologically documented, potentially severe, febrile pneumonia, with or without dissemination signs (skin lesions, cytopenia) should alert for travel-acquired fungal infection, even years after return. Localized subcutaneous nodule may be also ascribed to fungal infection. Finally, infectious diseases physicians should be aware of major clinical patterns of travel-acquired fungal infection, as well as the fungi involved, and risk factors according to the geographical area visited.
Llorente, Patricia; Barnech, Laura; Irino, Kinue; Rumi, María Valeria; Bentancor, Adriana
Consumption of raw/undercooked ground beef is the most common route of transmission of Shiga toxin-producing E. coli (STEC). The aim of the study was to determine the STEC contamination level of the ground beef samples collected in 36 markets of different socioeconomic strata in Buenos Aires, Argentina, and the characterization of the isolated strains. Ninety-one out of 252 (36.1%) samples were stx+. Fifty-seven STEC strains were recovered. Eleven STEC strains belonged to O157 serogroup, and 46 to non-O157 serogroups. Virulence markers of the 57 STEC were stx1, 5.3% (3/57); stx2, 86.0% (49/57); stx1/stx2, 8.8% (5/57); ehxA, 61.4% (35/57); eae, 26.3% (15/57); saa, 24.6% (14/57). Shiga toxin subtypes were stx2, 31.5% (17/54); stx2c-vhb, 24.1% (13/54); stx2c-vha, 20.4% (11/54); stx2/stx2c-vha, 14.8% (8/54); stx2/stx2c-vhb, 5.6% (3/54); stx2c-vha/vhb, 3.7% (2/54). Serotypes O178:H19 and O157:H7 were prevalent. Contamination rate of STEC in all strata was high, and the highest O157 contamination was observed at low strata at several sampling rounds. Persistence of STEC was not detected. Sixteen strains (28.1%) were resistant to ampicillin, streptomycin, amikacin, or tetracycline. The STEC contamination level of ground beef could vary according to the sociocultural characteristics of the population.
Llorente, Patricia; Barnech, Laura; Irino, Kinue; Rumi, María Valeria
Consumption of raw/undercooked ground beef is the most common route of transmission of Shiga toxin-producing E. coli (STEC). The aim of the study was to determine the STEC contamination level of the ground beef samples collected in 36 markets of different socioeconomic strata in Buenos Aires, Argentina, and the characterization of the isolated strains. Ninety-one out of 252 (36.1%) samples were stx+. Fifty-seven STEC strains were recovered. Eleven STEC strains belonged to O157 serogroup, and 46 to non-O157 serogroups. Virulence markers of the 57 STEC were stx1, 5.3% (3/57); stx2, 86.0% (49/57); stx1/stx2, 8.8% (5/57); ehxA, 61.4% (35/57); eae, 26.3% (15/57); saa, 24.6% (14/57). Shiga toxin subtypes were stx2, 31.5% (17/54); stx2c-vhb, 24.1% (13/54); stx2c-vha, 20.4% (11/54); stx2/stx2c-vha, 14.8% (8/54); stx2/stx2c-vhb, 5.6% (3/54); stx2c-vha/vhb, 3.7% (2/54). Serotypes O178:H19 and O157:H7 were prevalent. Contamination rate of STEC in all strata was high, and the highest O157 contamination was observed at low strata at several sampling rounds. Persistence of STEC was not detected. Sixteen strains (28.1%) were resistant to ampicillin, streptomycin, amikacin, or tetracycline. The STEC contamination level of ground beef could vary according to the sociocultural characteristics of the population. PMID:25006586
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…
Khanra, Senjuti; Das Barman, Abhirup
A traveling wave time domain model of bulk InGaAs/InP uni-traveling carrier photodiode is presented in terms of integral carrier density rate equation. The wavelength dependent responsivity at different absorption width has been derived from quantum mechanical principle. Output photocurrent response with time is found in close agreement with the experimental value.
Korzeniewski, Krzysztof; Pieruń, Katarzyna
The number of people travelling to regions with hot climate such as Asia, Africa and South America increases steadily every year. The reason for travel varies greatly, from business trips to tourist excursions, the latter definitely prevailing. There has been an increase in travel to destinations where exposure to vector-borne, food- and water-borne, air-borne or sexually transmitted pathogens is common. As one of vector-borne diseases, malaria poses as a serious health hazard to local as well as immigrant populations. Over 40% of the world's inhabitants live in malaria-endemic regions. Although highly developed countries of North America and Europe are generally free from endemic malaria foci, numerous cases of imported infections are observed. Some cases of malaria are also reported in Poland, they are usually brought by persons returning from tropical regions in Africa, Asia, South America, Australia and Oceania. The number of cases depends on the destination as well as on the use or rejection of chemoprophylaxis. The article provides general information on epidemiology, pathogenesis, clinical manifestation and diagnosis of malaria. Emphasis has been put on treatment as well as on chemoprophylaxis of the disease, which are changing relatively quickly, what is mainly related to increasing Plasmodium resistance to applied medicines.
Manning, Carl R.
Observing and debugging concurrent actor programs on a distributed architecture such as the Apiary poses new problems not found in sequential systems. Since events are only partially ordered, the chronological order of events no longer corresponds to their causal ordering, so the execution trace of a computation must be more structured than a simple stream. Many events may execute concurrently, so a stepper must give the programmer control over the order in which events are stepped. Because of the arrival order nondeterminism of the actor model, different actors may have different views on the ordering of events. We conquer these problems by recording the activation ordering, the transaction pairing, and the arrival ordering of messages in the Apiary and displaying the resulting structures in Traveler's window oriented interface under user control.
In China, Mr. Chang Junjie, a retired middle school principal has personally organized and financed the "Family Planning Retired Cadre's Troupe," which travels around the countryside performing newly written costume operas. In the six years since he first began to organize the troupe, Chang's players have performed more than 1700 times for more than a million people. The operas draw their material from the real life situations faced by farmers and emphasize the importance of family planning by setting good examples. Chang's operas have been well received, and it is not unusual for his audiences to be moved to laughter and tears. Despite his widespread success, Chang is not content with what he has accomplished and is currently organizing a children's opera troupe and seeking ways to make a greater impact on the promotion of family planning.
Wu, A.Y. . Center for Electromechanics)
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.
Fromherz, Robin Wright
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…
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…
Lindstrom, Steven K.
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…
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…
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…
.... market share of spending by international travelers fell from 17 percent to 11 percent of the global market from 2000 to 2010, more than a 30 percent decrease in our share of the global market. This decrease was due primarily to increased international competition, changing patterns in global...
... 49 Transportation 4 2012-10-01 2012-10-01 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...
... 49 Transportation 4 2011-10-01 2011-10-01 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...
... 49 Transportation 4 2013-10-01 2013-10-01 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...
... 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...
... 49 Transportation 4 2014-10-01 2014-10-01 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...
Futrell, Gene; And Others
This marketing unit focuses on the seasonal and cyclical patterns of livestock markets. Cash marketing, forward contracting, hedging in the futures markets, and the options markets are examined. Examples illustrate how each marketing tool may be useful in gaining a profit on livestock and cutting risk exposure. The unit is organized in the…
Miltgen, J; N'Guyen, G; Cuguilliere, A; Marotel, C; Bonnet, D
By changing their surroundings and lifestyle, travelers with allergic conditions exposed themselves to new risks. The main perennial allergens are house dust mites which thrive in tropical areas and can be especially sensitizing. The risk of seasonal reactions to grass-pollens varies from region to region. Reactions to some highly sensitizing respiratory allergens can occur in travelers who return to regions where they were previously exposed. Subjects with food allergies should beware of possible reactions to ingredients in exotic dishes. The bites of several insects can cause anaphylactic reactions. Some medications required for tropical travel (e.g. antimalarial drugs) can trigger severe hypersensitivity reactions. Avoidance of allergens is more difficult during travel. Travelers with allergic conditions should carry alert identification cards and medications for routine as well as emergency treatment including self-injectable adrenaline.
MacPherson, D. W.
Travellers should know as much as possible about the quality of food and drink in the areas of travel, and be prepared with safety measures if necessary. Routine immunization should be up to date; cholera and yellow fever vaccinations are required for travel to certain areas. Such prophylaxis should be sought, ideally, several months before departure. Resurgences of malaria are occurring in areas where the disease had previously been controlled, making prophylaxis essential for travel to endemic areas. Other mild disorders may be treated with medication appropriate to the type of travel and area. Patients may appreciate cautionary advice about behavior, to lessen the likelihood of physical or social harm. ImagesFig. 3Fig. 4 PMID:21274123
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.
... 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...
... 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...
... 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...
... 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...
... 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...
... 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...
Wilkinson, S. P.; Balasubramanian, R.
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.
Morris-Jones, Rachael; Morris-Jones, Stephen
Travel associated skin disease is extremely common and a frequent cause of the returning traveller seeking medical attention. Widespread cutaneous eruptions usually represent reactive rashes, indicating an underlying systemic infection or allergic reaction. Patients with disseminated or spreading rashes following travel often present with fever and malaise. In contrast, those presenting with localised skin disease such as a blister, nodule, plaque, ulcer etc are usually well in themselves but have sustained a bite/sting/penetrating injury or introduction of infection directly into the skin at the affected site. As a general rule widespread rashes are investigated with blood tests/serology and localised lesions with a skin biopsy for culture and histology.
Leon; Lateef; Fuentes
Traveling has always been a distinction of man. In Homer's Odyssey, we find a narrative description of the astonishing and long-standing adventures of Odysseus returning to Ithaca from Troy, and later on Thoukedides and Herodotos described different civilizations and historic events based on personal experiences obtained from traveling. At that time, the only available means of transportation were animals and ships. Therefore the trips were time consuming and frequently accompanied by unpredictable events. Nowadays, the use of modern means of transportation has made traveling much more enjoyable and faster; however, it can occasionally become stressful and, as a result, can be associated with a variety of medical problems both in healthy patients and in subjects with cardiovascular diseases. Previous epidemiologic studies have consistently demonstrated that cardiovascular events (including myocardial infarctions and cerebrovascular events) are one of the leading causes of morbidity and mortality among adult travelers.1-6 Since the population of many industrialized countries shows aging trends, the potential problems occurring in elderly passengers, many of whom are more likely to have cardiopulmonary problems, are anticipated to increase. Assessment of the risk of cardiopulmonary problems prior to travel in a mobile society becomes an issue for the public and, in particular, for physicians. The data regarding the cardiovascular risks prior to traveling are limited because of the lack of a central registry for the collection of information regarding health problems or emergencies among travelers. However, review of the literature provides us with important observations in which we can make specific recommendations for assessing cardiovascular status and risk prior to travel during a pretravel medical consultation.
Vyas, A.D.; Rote, D.M.
High-speed magnetically levitated (maglev) vehicles can provide an alternative mode of transportation for intercity travel, particularly for short- and medium-distance trips between 100 to 600 mi (160 and 960 km). The patterns of growth and the underlying factors affecting that growth In the year 2010 are evaluated to determine the magnitude of US Intercity travel that would become the basis for maglev demand. A methodology that is sensitive to the travelers' socioeconomic attributes was developed to Forecast intercity travel. Travel between 78 major metropolitan areas by air and highway modes is projected, and 12 high-density travel corridors are Identified and selected. The potential for a maglev system to substitute for part or that travel is calculated by using a model that estimates the extent of diversion from highway and air to maglev. Energy demand is estimated on the basis of energy usage during acceleration and cruise phases for each corridor and corridor connections.
Vyas, A.D.; Rote, D.M.
High-speed magnetically levitated (maglev) vehicles can provide an alternative mode of transportation for intercity travel, particularly for short- and medium-distance trips between 100 to 600 mi (160 and 960 km). The patterns of growth and the underlying factors affecting that growth In the year 2010 are evaluated to determine the magnitude of US Intercity travel that would become the basis for maglev demand. A methodology that is sensitive to the travelers` socioeconomic attributes was developed to Forecast intercity travel. Travel between 78 major metropolitan areas by air and highway modes is projected, and 12 high-density travel corridors are Identified and selected. The potential for a maglev system to substitute for part or that travel is calculated by using a model that estimates the extent of diversion from highway and air to maglev. Energy demand is estimated on the basis of energy usage during acceleration and cruise phases for each corridor and corridor connections.
... 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?...
... 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?...
International medical travel is a rapidly developing phenomenon that promises patients cheap and affordable medical care abroad. However, the logistics of making travel arrangements, selecting a medical provider, and evaluating quality can be a daunting task for even the most experienced traveler. At the nexus, connecting patients and providers are medical travel facilitators (MTFs), who are individuals and companies that market foreign medical care to patients. While the services that MTFs offer vary, they primarily focus on making foreign medical care more accessible to patients through commodifying the medical experience and providing logistical support. Although they are an important part of international medical travel they are often overlooked, especially along the US/Mexico border. This paper contributes to the discussion on medical travel by focusing on MTFs and the methods they employ through (1) discussing the characteristics and logistical challenges of medical travel; (2) identifying the different types of medical travel facilitators; and (3) addressing how MTFs remake patients into consumers. Findings suggest that while MTFs operate on a variety of different scales, and market their services differently, they all emphasize the consumer experience through advertising quality assurances and logistical support.
Hu, Patricia S; Reuscher, Tim
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
jurisdiction of the Army and are relatively easy to solve. Keywords: Passenger traffic, Service contracting; Travel agency ; Travel contracting; Travel...management; Travel service; Commercial travel office; Travel service contractor; Travel support; Commercial travel services; Commercial travel agency .
Greenslade, Thomas B.
Ireland is one of the most popular destinations for American travelers. The market is enormous: while there are only 3.6 million Irish in the Republic of Ireland and 1.6 million in Northern Ireland, there are 40 million Americans of Irish descent. Almost every person you speak with in Ireland has a cousin in Chicago, an aunt in Boston and a brother in Los Angeles. The author has no Irish relatives at all, but went to Ireland in June 1998 and September 1999 to visit scientific sites. This article describes three of them: The collections of historical apparatus at the Universities in Maynooth and Galway, and the Great Rosse Telescope in Birr. I have added a short coda about geologic sites in Ireland.
Project #OA-FY15-0156, April 20, 2015. The U.S. Environmental Protection Agency (EPA), Office of Inspector General (OIG), plans to begin preliminary research for an audit of the management of travel cards.
... 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 ...
... 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 ...
Pace, A; Carron, A V
The purpose of the present study was to examine the relative contributions of various travel related variables to visiting team success in the National Hockey League. A multiple regression design was used with game outcome as the dependent variable. The independent variables of interest included, as main effects and interactions, number of time zones crossed, direction of travel, distance traveled, preparation/adjustment time, time of season, game number on the road trip, and the home stand. Visiting team success was negatively associated with the interaction of number of time zones crossed and increased preparation time between games, and was positively associated with game number on the road. It was concluded that only a small portion of the variance in the home advantage/visitor disadvantage can be explained by travel related factors.
Hellinga, B.; Fu, L.
The use of probe vehicles to provide estimates of link travel times has been suggested as a means of obtaining travel times within signalized networks for use in advanced travel information systems. Past research in the literature has proved contradictory conclusions regarding the expected accuracy of these probe-based estimates, and consequently has estimated different levels of market penetration of probe vehicles required to sustain accurate data within an advanced traveler information system. This paper examines the effect of sampling bias on the accuracy of the probe estimates. An analytical expression is derived on the basis of queuing theory to prove that bias in arrival time distributions and/or in the proportion of probes associated with each link departure turning movement will lead to a systematic bias in the sample estimate of the mean delay. Subsequently, the potential for and impact of sampling bias on a signalized link is examined by simulating an arterial corridor. The analytical derivation and the simulation analysis show that the reliability of probe-based average link travel times is highly affected by sampling bias. Furthermore, this analysis shows that the contradictory conclusions of previous research are directly related to the presence of absence of sample bias.
Saxe, S E; Gardner, P
The febrile returning traveler tests a clinician's knowledge of tropical medicine as well as skills in differential diagnosis. A thorough history with special emphasis placed on the patient's travel itinerary and knowledge of the geographic location and incubation times of certain tropical diseases will narrow the diagnostic possibilities. This will allow the clinician to focus the diagnostic work-up and make wise choices of laboratory tests and procedures.
Caporaso, George J.; Nelson, Scott D.; Poole, Brian R.
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.
Halioua, B; Prazuck, T; Malkin, J E
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.
Chen, Lin H; Blair, Barbra M
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).
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.
... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 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...
... 28 Judicial Administration 1 2014-07-01 2014-07-01 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...
... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 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...
... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Travel expenses. 21.7103... Bill-Active Duty) Counseling § 21.7103 Travel expenses. (a) Travel for veterans and servicemembers. (1... travel to and from the place of counseling for individuals who are required to receive counseling if—...
... 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...
... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 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...
... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 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...
... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 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...
... 28 Judicial Administration 1 2012-07-01 2012-07-01 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...
... 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...
... 28 Judicial Administration 1 2013-07-01 2013-07-01 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...
... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Travel expenses. 21.7103... Bill-Active Duty) Counseling § 21.7103 Travel expenses. (a) Travel for veterans and servicemembers. (1... travel to and from the place of counseling for individuals who are required to receive counseling if—...
... 28 Judicial Administration 1 2011-07-01 2011-07-01 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...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Travel expenses. 21.7103... Bill-Active Duty) Counseling § 21.7103 Travel expenses. (a) Travel for veterans and servicemembers. (1... travel to and from the place of counseling for individuals who are required to receive counseling if—...
... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 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...
Millet Learning Center, Saginaw, MI.
The community travel program for physically impaired children at the Millet Learning Center (Saginaw, Michigan) blends skills from two professions: orientation and mobility, and physical therapy. Program goals include enabling students to overcome travel fears, to learn travel skills, to learn to make adaptations necessary for successful travel,…
Varga, Levente; Kovács, András; Tóth, Géza; Papp, István; Néda, Zoltán
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
Varga, Levente; Kovács, András; Tóth, Géza; Papp, István; Néda, Zoltán
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.
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
Walz, Alexander; Hatz, Christoph
The risk of malaria and other communicable diseases is well addressed in pre-travel advice. Accidents are usually less discussed. Thus, we aimed at assessing accident figures for the Swiss population, based on data of the register from 2004 to 2008 of the largest Swiss accident insurance organization (SUVA). More than 139'000 accidents over 5 years showed that 65 % of the accidents overseas are injuries, and 24 % are caused by poisoning or harm by cold, heat or air pressure. Most accidents happened during leisure activities or sports. More than one third of the non-lethal and more than 50 % of the fatal accidents happened in Asia. More than three-quarters of non-lethal accidents take place in people between 25 and 54 years. One out of 74 insured persons has an accident abroad per year. Despite of many analysis short-comings of the data set with regard to overseas travel, the figures document the underestimated burden of disease caused by accidents abroad and should affect the given pre-health advice.
Korzeniewski, Krzysztof; Nitsch-Osuch, Aneta; Lass, Anna; Guzek, Aneta
Respiratory tract infections (RTIs), beside diarrheas, skin lesions, and fevers of unknown origin, are one of the most common health problems acquired by travelers going to tropical and subtropical countries. Visitors to African, Asian, or South American destinations, typically characterized by harsh environmental conditions and poor sanitation standards, are at risk of exposure to a large number of pathogens causing infectious diseases. The infections are transmitted from contaminated food and water, through the air, direct contact, or by insects. The main modes of RTIs transmission include droplet infection and direct contact. The clinical spectrum of RTIs in travelers is broad, from upper respiratory tract infections, pharyngitis, bronchitis, pneumonia, to influenza-like illness. The spectrum of microbial agents causing respiratory infections include numerous viruses and bacteria, rarely fungi, and parasites. Most travelers complain of mild infections, only a small minority seek medical assistance and report to health care facilities. Because of the risk of importing pathogens into Europe or North America and transferring them onto the local population, it is important to present the scale of the problem in relation to rapid development of tourism industry and an increasing number of intercontinental journeys. The aim of the study was to discuss the occurrence of travel-related respiratory infections among representatives of temperate climate traveling to and returning from the tropics.
Englesbe, M J; Merion, R M
Transplant surgeons are exposed to workplace risk due to the urgent nature of travel related to organ procurement. A retrospective cohort study was completed using data from the Scientific Registry of Transplant Recipients and the National Transportation Safety Board. A web-based survey was administered to members of the American Society of Transplant Surgeons. The survey response rate was 38% (281/747). Involvement in > or =1 procurement-related travel accident was reported by 15% of respondents; surgeons reported 61 accidents and 11 fatalities. Air travel was used in 26% of procurements and was involved in 56% of accidents. The risk of fatality while traveling on an organ procurement flight was estimated to be 1000 times higher than scheduled commercial flight. Involvement in a 'near miss accident' was reported by 80.8%. Only 16% of respondents reported feeling 'very safe' while traveling. Procurement of organs by the geographically closest transplant center would have reduced the need for air travel (>100 nautical miles) for lung, heart, liver and pancreas procurement by 35%, 43%, 31% and 49%, respectively (p < 0.0001). These reductions were observed in each Organ Procurement and Transplantation Network region. Though these data have important limitations, they suggest that organ procurement travel is associated with significant risk. Improvements in organ procurement travel are needed.
Mayer, Cora A; Neilson, Amy A
This article is the second in a series providing a summary of prevention strategies and vaccination for infections that may be acquired by travellers. The series aims to provide practical strategies to assist general practitioners in giving travel advice, as a synthesis of multiple information sources which must otherwise be consulted. Poliomyelitis is a potentially fatal viral illness, which may cause acute flaccid paralysis and permanent central nervous system damage. Ongoing global efforts to eradicate poliomyelitis have been under way since 1988. Travellers are at risk of infection in countries with endemic wild poliomyelitis virus or imported cases, and can spread the infection to areas where poliomyelitis has been eradicated. While all adults should be immune to poliomyelitis, it is important that at-risk travellers are vaccinated appropriately. Vaccine options and regions currently reporting poliomyelitis are presented from a number of sources, which may facilitate the process of giving travel advice in a general practice setting, although it is also important to seek up-to-date epidemiological information.
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.
Moore, David A; Grant, Alison D; Armstrong, Margaret; Stümpfle, Richard; Behrens, Ron H
After observing an apparent increase in severe falciparum malaria among travellers returning from The Gambia to the United Kingdom (UK) in the last quarter of 2000, we conducted a case-control study to investigate risk factors for malaria. The study participants had visited The Gambia between 1 September and 31 December 2000, travelling with the largest UK tour operator serving this destination. The main outcome measures were risk factors associated with malaria. Forty-six cases and 557 controls were studied. Eighty-seven percent of all participants reported antimalarial use (41% chloroquine/proguanil, 31% mefloquine). On univariate analysis the strongest risk factors for disease were: early calendar period of visit, longer duration of stay, non-use of antimalarial prophylaxis, non-use of mefloquine, lack of room air-conditioning, less use of insect repellent, prior visit to another malarial area and accommodation in 'hotel X'. After adjustment in multivariate analysis, use of mefloquine remained strongly protective (odds ratios, OR 0.13 [95% confidence intervals, 95% CI 0.04-0.40]), and the strongest independent risk factors for malaria were early calendar period (OR 5.19 [2.35-11.45] for 1 September to 9 November 2000 versus 10 November to 31 December 2000), prior visit to another malarial area (OR 3.27 [1.41-7.56]), main accommodation in 'hotel X' (OR 3.24 [1.51-6.97]) and duration of stay (OR 2.05 per extra week [1.42-2.95]). Neither any use, nor > 90% adherence to chloroquine/proguanil were protective (adjusted OR for any use 0.57 [0.27-1.21], P = 0.14). We concluded mefloquine use was strongly protective against malaria (87% protective efficacy), whereas chloroquine/proguanil, which is no longer recommended but remains widely used, was less than half as effective (43% protective efficacy). Waning efficacy of chloroquine/proguanil may have contributed to the observed increase in malaria among travellers to The Gambia in 2000. Local factors may also influence
For travelers malaria represents the principal infectious risk of severe complications and death. Infection during traveling depends on the geographical area visited, the predominant species of parasite, the frequency of resistance to antimalarial agents, and whether preventive measures have been taken. Until a vaccine has been developed, prevention strategies consist of providing travelers with information, the use of barrier methods against vector bites, the correct use of chemoprophylaxis, and the possibility of self-diagnosis and treatment. The choice of chemoprophylaxis regimen should be individualized since no regimen guarantees 100% protection or is free of adverse effects or contraindications. The most effective drugs are doxycycline, atovaquone-proguanil and mefloquine while those producing severe adverse effects with the least frequency are atovaquone-proguanil and doxycycline.
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.
Levy, Tali; Kivity, Shaye; Schwartz, Eli
Protracted rheumatological manifestations especially arthralgia and or polyarthritis may occur as a consequence of a wide range of pathogens including viral, bacterial and parasites. Few pathogenetic mechanisms leading to these clinical presentations have been suggested including a direct invasion of the synovial cells by the pathogens, immune complex formation, and others. The natural history of infectious arthritis/arthralgia is altogether benign, with full recovery and without sequelae, albeit sometimes very long. Diagnosis of infections-related arthralgia/arthritis is important since these diseases have a better prognosis, and can relieve anxiety among patients who are afraid of developing a chronic rheumatic disease. Since many patients will seek medical advice with these chronic complaints a long time after travel, physicians should be aware of the possible association between these complaints and remote travel. Thus, travel history should be mandatory, even in a rheumatologic setting.
Winfield, Hannah; Kamboj, Sunjeev K
Mental time travel is the capacity to imagine the autobiographical past and future. Schizotypy is a dimensional measure of psychosis-like traits found to be associated with creativity and imagination. Here, we examine the phenomenological qualities of mental time travel in highly schizotypal individuals. After recollecting past episodes (autobiographical memory) and imagining future events (episodic future thinking), those scoring highly on positive schizotypy reported a greater sense of 'autonoetic awareness,' defined as a greater feeling of mental time travel and re-living/'pre-living' imagined events. Furthermore, in contrast to other sensory domains, imagery of the past and future episodes contained more olfactory detail in these high scorers. The results are discussed in relation to previous reports of anomalous olfactory experiences in schizotypy and heightened vividness of olfactory imagery in post-traumatic stress disorder, for which schizotypy is a risk factor.
Sepúlveda-Arias, Juan C; Gómez-Marin, Jorge E; Bobić, Branko; Naranjo-Galvis, Carlos A; Djurković-Djaković, Olgica
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.
This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.
Jelinek; Nothdurft; Löscher
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.
... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false May a carrier require a passenger with a disability to travel with a safety assistant? 382.29 Section 382.29 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information § 382.29...
... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false May a carrier require a passenger with a disability to travel with a safety assistant? 382.29 Section 382.29 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information § 382.29...
... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false May a carrier require a passenger with a disability to travel with a safety assistant? 382.29 Section 382.29 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information § 382.29...
... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false May a carrier require a passenger with a disability to travel with a safety assistant? 382.29 Section 382.29 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information § 382.29...
... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false May a carrier require a passenger with a disability to travel with a safety assistant? 382.29 Section 382.29 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information § 382.29...
Wyss, R. A.; Martin, S. C.; Nakamura, B. J.; Neto, A.; Pasqualini, D.; Siegel, P. H.; Kadow, C.; Gossard, A. C.
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.
Lang, Raynell; Minion, Jessica; Wong, Alexander
Hematospermia is a common complaint among patients seen in outpatient urology clinics. The differential diagnosis is broad and includes inflammatory, infectious, neoplastic, structural, systemic, and traumatic causes. The most common infectious causes are uropathogens and sexually transmitted infections. However, with increasing global travel, physicians must maintain a high clinical suspicion for pathogens not endemic to their region, including Echinococcus, Mycobacterium tuberculosis, and Schistosoma.1 We present a case of hematospermia in a traveler returning from Eastern Africa with exposure to Lake Malawi. The patient’s microscopic analysis of semen was positive for Schistosoma haematobium, revealing a rare presentation of S. haematobium infection. PMID:28163813
Fisher, Marion; Vandas, Stephen; Farrar, Frank
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.
Kaufmann, Linda M.
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…
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…
... the time in a travel status, including delay at origin and accelerated arrival at destination, by at... gateway airport in the United States would extend time in a travel status by at least 6 hours more than... the time in a travel status by at least 6 hours more than travel by a foreign-flag air...
... the time in a travel status, including delay at origin and accelerated arrival at destination, by at... gateway airport in the United States would extend time in a travel status by at least 6 hours more than... the time in a travel status by at least 6 hours more than travel by a foreign-flag air...
Vanabkoude, J. C.
The impact of the most promising fuel conserving options on fuel consumption, passenger demand, operating costs, and airline profits when implemented into the U.S. domestic and international airline fleets is assessed. The potential fuel savings achievable in the U.S. scheduled air transportation system over the forecast period, 1973-1990, are estimated.
Miner, Emily J.; Gurven, Michael; Kaplan, Hillard; Gaulin, Steven J. C.
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
Miner, Emily J; Gurven, Michael; Kaplan, Hillard; Gaulin, Steven J C
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.
Flaherty, Gerard; Md Nor, Muhammad Najmi
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.
Young, Jeffrey R.
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…
Brown, Donna W.
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…
Olson, Cathy Applefeld
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…
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)
... / Monday, July 26, 2010 / Rules and Regulations#0;#0; ] FEDERAL ELECTION COMMISSION 11 CFR Part 9004 Campaign Travel AGENCY: Federal Election Commission. ACTION: Announcement of effective date. SUMMARY: On... by and on behalf of presidential candidates receiving public funding for the general election, 11...
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…
Muñoz Gutiérrez, Jose; Aldasoro, Edelweiss; Requena, Ana; Comin, Ana M; Pinazo, Maria Jesús; Bardají, Azucena; Oliveira, Inés; Valls, Maria Eugenia; Gascon, Joaquim
Drug failure is a common cause of symptom persistence after treatment of imported Giardia duodenalis. In this retrospective study we describe a high prevalence of refractory giardiasis in people attended in a travel clinic in Spain, especially those with infections acquired in Asia. Moreover, we discuss various treatment strategies to tackle G. duodenalis that is refractory to nitroimidazoles.
Redmond, W H
This chapter outlines current marketing practice from a managerial perspective. The role of marketing within an organization is discussed in relation to efficiency and adaptation to changing environments. Fundamental terms and concepts are presented in an applied context. The implementation of marketing plans is organized around the four P's of marketing: product (or service), promotion (including advertising), place of delivery, and pricing. These are the tools with which marketers seek to better serve their clients and form the basis for competing with other organizations. Basic concepts of strategic relationship management are outlined. Lastly, alternate viewpoints on the role of advertising in healthcare markets are examined.
Farley, J U; Leavitt, H J
There are many elements in population programs that are more familiar to marketing men than to some population experts. Advertising is essential to reach the target population, and advertising evaluation techniques (e.g., surrogate indexes or audience measures) might be useful for evaluating both population information activities and the import of the entire program. Fundamental research on basid demand for fertility control is needed and a marketer's experience with planning and evaluating test markets can be useful in assessing potential selling targets and evaluating alternative promotional and distributional strategies. Special family planning clinics have certain disadvantages: expensive and scarce personnel are needed; red tape may be present; the network is based on the assumption that the client is willing to travel relatively great distances repeatedly; and clinics lack anonymity which may scare potential acceptors away. Most developing cultures have an intensively functioning distribution structure which delivers basic commodities to the most remote areas, providing relatively anonymous outlets that are physically close to the customs. Materials requiring a prescription might be distributed in exchange for script issued at and ultimately redeemed by clinics, this requiring only an occasional visit to a clinic. Mail-order service can be used to supplement a clinic's distribution of some contraceptives. It should be remembered that population administrators often have an antipathetic view toward business and marketing and "suspect" the profit motive.
Zhang, Anming (Editor); Bowen, Brent D. (Editor)
Issues around direct flights across Taiwan Strait are always one of the hottest topics in eastern Asia transport market. Although the direct links have not been connected yet, they are still highly concerned by different disciplines of politics, laws, and management. Airlines and related business also watch closely to these issues for policy changes will easily affect their interests in Chinese market which the future of the air transportation in eastern Asia is heavily depending on. In the past decades, Hong Kong was the most important hub in this market; it will still be an important one in the future. It is proved, however, traffic on the link between Hong Kong and Taiwan can be shifted to the link between Macau and Taiwan, so can it be shifted to the links across Taiwan Strait. Moreover, outgoing passengers from China transferred in Hong Kong can also find transit services in Taiwan. These movements will possibly cause a big change in eastern Asian air transport system for there are millions of passengers travelling in this area. The uncertainties of direct links across Taiwan Strait are still leaving, some problems unsolved. Whether the direct links will be defined as international routes or domestic' routes are not clear; the selection of hubs and airlines to provide direct services are not yet made; even the type of freedoms and bilateral agreements can also change the market and network quite a lot. A much bigger volume of passengers can also be found if further travelling deregulation for Chinese to travel across Taiwan Strait can be made. All these variables are making issues around direct flights worthy of continuous observant.
Cox, N. L. J.
For the past two decades interest in the possibilities of commercial (manned) space travel or space tourism has increased among engineers, scientists, entrepreneurs and also citizens. A continuously growing collection of papers is being published on space tourism itself and associated subjects, like new reusable launch vehicles, space habitats, space entertainment and corresponding law and regulation. Market research promises sufficient interest in tourist space travel to take off and develop into a multi billion-dollar business. The basic engineering knowledge and expertise is available to start development and designing of safe and affordable reusable vertical lift off and landing vehicles, like the Kankoh-Maru. However, many issues remain fairly untouched in literature. These include, for example, regulations, law, international agreement on space traffic control and also insurance policy. One important topic however has been barely touched upon. This concerns the ethical issues in commercial (manned) space travel, which need to be considered thoroughly, preferably before actual take off of the first regular space tourist services. The answer to the latter question comprises the major part of the paper. First, the paper deals with the issue of who wants, needs and will go to space at what stage in the development of the space tourism industry. A schematic pyramid differentiating between several community groups is made. Secondly, it discusses the way we can and should deal with our environment. Space is still fairly unspoiled, although there is a lot of (government) debris out there. Rules of the space tourist game need to be established. A few general directions are presented, for example on debris cleaning and garbage disposal. Also our right to exploit the asteroids and the moon for material is discussed. In the last part of this paper, the risks involved with the harsh environment of space are considered. Is it safe and responsible to eject people into outer
Parthasarathi, Pavithra; Levinson, David; Hochmair, Hartwig
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.
Parthasarathi, Pavithra; Levinson, David; Hochmair, Hartwig
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
Schlagenhauf, P; Santos-O'Connor, F; Parola, P
Europe, because of its geographical location, strategic position on trade routes, and colonial past, has a long history of caring for travellers' health. Within Europe, there is great diversity in the practice of travel medicine. Some countries have travel medicine societies and provisions for a periodic distribution of recommendations, but many countries have no national pre-travel guidelines and follow international recommendations such as those provided by the WHO. Providers of travel medicine include tropical medicine specialists, general practice nurses and physicians, specialist 'travel clinics', occupational physicians, and pharmacists. One of the core functions of the European Centre for Disease Prevention and Control-funded network of travel and tropical medicine professionals, EuroTravNet, is to document the status quo of travel medicine in Europe. A three-pronged approach is used, with a real-time online questionnaire, a structured interview with experts in each country, and web searching.
..., 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...
..., 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...
..., 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...
Report #10-P-0078, March 9, 2010. The EPA travel program, which comprises EPA policies and GovTrip, lacks necessary control procedures to assure all travel authorizations were necessary and in the best interest of the government.
Henderson, Karla A.
A marketing model for camps includes a mix of services, presentation, and communication elements that promote the virtues of camp, convince potential campers and their families of the benefits of camp, and successfully distinguish the camp from others. Includes resources related to marketing strategies, theme merchandise, and market trends…
Terrorist Travel Visa Waiver Program The Visa Waiver Program (VWP) generally enables citizens of 27 countries to travel to the United States for tourism or...NATIONAL STRATEGY TO COMBAT TERRORIST TRAVEL May 2, 2006 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the...Strategy to Combat Terorist Travel 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER
In this paper, the GPS data collected by more than 130 permanent GPS stations that belong to the Southern California Integrated GPS Network (SCIGN) around the launch of a Minuteman-II missile on 8 July 2000 (UTC) is processed to reveal traveling ionospheric disturbance (TID) all over the network on average 15 min after the launch. This TID was initially perceived to be excited by the launch itself, but this conclusion is challenged by the propagation direction. This is because this TID seems to travel towards the air force base from where the launch took place, not far away from it. This challenge is based on the assumption that TID is occurring at one single ionospheric altitude. While the nature of ionosphere supports such horizontally-guided propagation, multi-altitude ionospheric pierce points are hypothesized, which would support the suggestion that detected TID is excited by the missile launch itself, despite the apparent reverse direction of propagation. The overall analysis rules out any extra-terrestrial sources like solar flares, or seismic sources like earthquakes, which confirms the conclusion of TID excitation by the launch. There is apparent coherence of the TID for about 45 min and the propagation speed of TID within the layer of ionosphere is calculated to be approximately equal to 1230 m/s. While the usual assumption for TID is that they occur around an altitude of 350 km, such sound speed can only occur at much higher altitudes. Further research is recommended to accurately pinpoint the ionospheric pierce points and develop an algorithm to locate the source of TID in case it is totally unknown.
... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 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...
... 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...
... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Travel costs. 200.474 Section 200.474 Grants... REQUIREMENTS FOR FEDERAL AWARDS Cost Principles General Provisions for Selected Items of Cost § 200.474 Travel costs. (a) General. Travel costs are the expenses for transportation, lodging, subsistence, and...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 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...
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Travel allowance. 617.46 Section 617.46... FOR WORKERS UNDER THE TRADE ACT OF 1974 Relocation Allowances § 617.46 Travel allowance. (a) Computation. The amount of travel allowance (including lodging and meals) payable under § 617.45(a)(1)...
... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Travel allowance. 617.46 Section 617.46... FOR WORKERS UNDER THE TRADE ACT OF 1974 Relocation Allowances § 617.46 Travel allowance. (a) Computation. The amount of travel allowance (including lodging and meals) payable under § 617.45(a)(1)...
... 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...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Travel expenses. 21.5103.... Chapter 32 Counseling § 21.5103 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for a veteran who is required to receive...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.5103.... Chapter 32 Counseling § 21.5103 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for a veteran who is required to receive...
... 28 Judicial Administration 1 2014-07-01 2014-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Travel expenses. 21.5103.... Chapter 32 Counseling § 21.5103 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for a veteran who is required to receive...
... 32 National Defense 5 2011-07-01 2011-07-01 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...
... 32 National Defense 5 2014-07-01 2014-07-01 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...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 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 Employees' Benefits 3 2011-04-01 2011-04-01 false Travel allowance. 617.46 Section 617.46... FOR WORKERS UNDER THE TRADE ACT OF 1974 Relocation Allowances § 617.46 Travel allowance. (a) Computation. The amount of travel allowance (including lodging and meals) payable under § 617.45(a)(1)...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 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...
... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Travel allowance. 617.46 Section 617.46... FOR WORKERS UNDER THE TRADE ACT OF 1974 Relocation Allowances § 617.46 Travel allowance. (a) Computation. The amount of travel allowance (including lodging and meals) payable under § 617.45(a)(1)...
... 28 Judicial Administration 1 2011-07-01 2011-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Travel expenses. 21.5103.... Chapter 32 Counseling § 21.5103 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for a veteran who is required to receive...
... 28 Judicial Administration 1 2012-07-01 2012-07-01 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...
... 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...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 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 Employees' Benefits 3 2013-04-01 2013-04-01 false Travel allowance. 617.46 Section 617.46... FOR WORKERS UNDER THE TRADE ACT OF 1974 Relocation Allowances § 617.46 Travel allowance. (a) Computation. The amount of travel allowance (including lodging and meals) payable under § 617.45(a)(1)...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Travel expenses. 21.5103.... Chapter 32 Counseling § 21.5103 Travel expenses. (a) General. VA shall determine and pay the necessary expense of travel to and from the place of counseling for a veteran who is required to receive...
... 28 Judicial Administration 1 2013-07-01 2013-07-01 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...
... 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...
... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 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...
... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time...
... 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...
... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time...
Verma, Ramesh; Khanna, Pardeep; Chawla, Suraj
India's tourism industry generated 6.6% of the nation's Gross Domestic Product (GDP) during 2012. International travel to India is predicted to grow at an average annual rate of ∼ 8% over the next decade. The number of foreign tourists has increased by 9% to 5.8 million. Approximately 8% of travelers to developing countries require medical care during or after travel; the main diagnoses are vaccine-preventable diseases. Travelers to India can be exposed to various infectious diseases; water-borne, water-related, and zoonotic diseases may be imported to India where the disease is not endemic. The World Health Organization (WHO) emphasizes that all international travelers should be up to date with routine vaccinations. The recommended vaccinations for travelers to India vary according to the traveler's age, immunization history, existing medical conditions, duration, legal requirements for entry into countries being visited, travelers preferences, and values. Travelers should consult with a doctor so that there is sufficient time for completion of optimal vaccination schedules. No matter where traveling, one should be aware of potential exposure to certain organisms that can cause severely illnesses, even death. There is no doubt that vaccines have reduced or virtually eliminated many diseases that killed or severely disabled children and adults just a few generations ago. Thus, travelers must take recommended vaccines per schedule before traveling to India.