7 CFR 1435.101 - Loan rates.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS SUGAR PROGRAM Sugar Loan Program § 1435.101 Loan rates. (a) The national average loan rate for raw cane sugar produced from domestically grown sugarcane is: 18... for the 2012 crop year. (b) The national average loan rate for refined beet sugar from domestically...

7 CFR 1435.101 - Loan rates.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS SUGAR PROGRAM Sugar Loan Program § 1435.101 Loan rates. (a) The national average loan rate for raw cane sugar produced from domestically grown sugarcane is: 18... for the 2012 crop year. (b) The national average loan rate for refined beet sugar from domestically...

7 CFR 1435.101 - Loan rates.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS SUGAR PROGRAM Sugar Loan Program § 1435.101 Loan rates. (a) The national average loan rate for raw cane sugar produced from domestically grown sugarcane is: 18... for the 2012 crop year. (b) The national average loan rate for refined beet sugar from domestically...

7 CFR 1435.101 - Loan rates.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS SUGAR PROGRAM Sugar Loan Program § 1435.101 Loan rates. (a) The national average loan rate for raw cane sugar produced from domestically grown sugarcane is: 18... for the 2012 crop year. (b) The national average loan rate for refined beet sugar from domestically...

Effect of loss control service on reported injury incidence.

PubMed

Nave, Michael E; Veltri, Anthony

2004-01-01

A retrospective analysis evaluated the effectiveness of an insurance carrier's flexible loss control service strategy in reducing workers' compensation policyholders' reported injury and illness claims. To assess the effects of a loss control service strategy on workers' compensation claim frequency rates, on medical-only claim rates, on severity-claim rates, and on claim cost among a group of California employers. Eighty-two small- and medium-sized companies with workers' compensation policies expiring in 1999 were randomly selected from a population of policyholders assigned to loss control consultants for two or more years. Claim performance data were obtained for each company's first expired in-force policy year and its 1999 expired policy year. The retrospective design was combined with a control component based on a randomly selected comparison group of 45 companies whose first policy year with the insurer expired in 1999 and who received safety services from the loss control staff. The flexible loss control consultation service strategy was associated with lower average claim rates and costs. Companies assigned to a loss control consultant for two or more years (the "outcome group") had an average claim rate of 1.24 per $10,000 premium, compared with a rate of 1.62 in the "initial group" and a rate of 1.60 in the "comparison group." The average severity-claim rate of the outcome group was 0.32, compared with the initial-year and comparison-group means of 0.48 and 0.46, respectively. The average medical-only claim rate was 0.92, compared with the initial- and comparison-group means of 1.14 and 1.14. The outcome group's average loss ratio was over 10% lower than that of the initial and comparison groups. Statistical analysis indicated that differences among the groups' claim rates and severity-claim rates were [F=(2,206) 4.938, P=0.008] and [F=(2,206) 8.208, P<0.001], respectively. A loss control service strategy that provides service flexibility and develops partnership between employer and consultant can help reduce the frequency and severity of workers' compensation claims. Barriers to consultation service flexibility, both internal and external, should be identified and removed to enhance service efficacy.

Study on Growth Rhythm of Juveniles Cistolemmys Flavomarginata for One and Two Years Old

NASA Astrophysics Data System (ADS)

Huang, Bin

Growth of one and two year old Cistolemmys flavomarginata is studied. In natural temperature and under artificial feeding condition, juvenile turtles grow for 180 days in Xinyang, one year old turtle average body weight increased from 18.1 g to 54.5 g, the relative growth rate is 204.1%, the absolute growth rate is 0.21. two year old turtle average body weight increased from 46.8 g to 101.1 g, the relative growth rate is 115.98%, the absolute growth rate is 0.30. But two year old turtle growth rate is slower than that of one year old turtle. The body weight, carapace length, carapace width, plastron length, plastron width and carapace high are correlated positively to daily age. The body weight growth equations of one and two year old turtles are deduced. Compared with other reptiles, whole growth cycle is grasped systemically by the growth patterns.

5 CFR 550.707 - Computation of severance pay fund.

Code of Federal Regulations, 2011 CFR

2011-01-01

... pay for standby duty regularly varies throughout the year, compute the average standby duty premium...), compute the weekly average percentage, and multiply that percentage by the weekly scheduled rate of pay in... hours in a pay status (excluding overtime hours) and multiply that average by the hourly rate of basic...

Paths to health equity: Local area variation in progress toward eliminating breast cancer mortality disparities, 1990-2009.

PubMed

Rust, George; Zhang, Shun; Malhotra, Khusdeep; Reese, Leroy; McRoy, Luceta; Baltrus, Peter; Caplan, Lee; Levine, Robert S

2015-08-15

US breast cancer deaths have been declining since 1989, but African American women are still more likely than white women to die of breast cancer. Black/white disparities in breast cancer mortality rate ratios have actually been increasing. Across 762 US counties with enough deaths to generate reliable rates, county-level, age-adjusted breast cancer mortality rates were examined for women who were 35 to 74 years old during the period of 1989-2010. Twenty-two years of mortality data generated twenty 3-year rolling average data points, each centered on a specific year from 1990 to 2009. Mixed linear models were used to group each county into 1 of 4 mutually exclusive trend patterns. The most recent 3-year average black breast cancer mortality rate for each county was also categorized as being worse or not worse than the breast cancer mortality rate for the total US population. More than half of the counties (54%) showed persistent, unchanging disparities. Roughly 1 in 4 (24%) had a divergent pattern of worsening black/white disparities. However, 10.5% of the counties sustained racial equality over the 20-year period, and 11.7% of the counties actually showed a converging pattern from high disparities to greater equality. Twenty-three counties had 2008-2010 black mortality rates better than the US average mortality rate. Disparities are not inevitable. Four US counties have sustained both optimal and equitable black outcomes as measured by both absolute (better than the US average) and relative benchmarks (equality in the local black/white rate ratio) for decades, and 6 counties have shown a path from disparities to health equity. © 2015 American Cancer Society.

39 CFR 3010.22 - Calculation of annual limitation when notices of rate adjustment are less than 12 months apart.

Code of Federal Regulations, 2014 CFR

2014-07-01

... dividing the sum by 12 (Recent Average). The partial year limitation is then calculated by dividing the Recent Average by the Recent Average from the most recent previous notice of rate adjustment (Previous Recent Average) applicable to each affected class of mail and subtracting 1 from the quotient. The result...

34 CFR 668.196 - Average rates appeals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false Average rates appeals. 668.196 Section 668.196 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION STUDENT ASSISTANCE GENERAL PROVISIONS Two Year Cohort Default Rates § 668...

Water flow statistics: SRP creeks

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

Lower, M.W.

1982-08-26

For a number of environmental studies it is necessary to know the water flow rates and variations in the SRP streams. The objective of this memorandum is to pull together and present a number of statistical analyses for Upper Three Runs Creek, Four Mile Creek and Lower Three Runs Creek. The data basis covers 8 USGS stream gage stations for the years 1972 - 1981. The average flow rates over a ten-year period along Upper Three Runs Creek were determined to be 114 cfs at US Route 278, 193 cfs at Road C, and 265 cfs at Road A. Alongmore » Four Mile Creek the average flow rates over a ten-year period doubled from 9 cfs prior to F-Area discharges to 18 cfs prior to cooling water discharges from C-Area Reactor. Finally, average flow rates along Lower Three Runs Creek over a ten-year period tripled from 32 cfs at Par Pond to 96 cfs near Snelling, South Carolina. 1 figure, 9 tables.« less

Social Inequality and Labor Force Participation.

ERIC Educational Resources Information Center

King, Jonathan

The labor force participation rates of whites, blacks, and Spanish-Americans, grouped by sex, are explained in a linear regression model fitted with 1970 U. S. Census data on Standard Metropolitan Statistical Area (SMSA). The explanatory variables are: average age, average years of education, vocational training rate, disabled rate, unemployment…

1992 five year battery forecast

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

Amistadi, D.

1992-12-01

Five-year trends for automotive and industrial batteries are projected. Topic covered include: SLI shipments; lead consumption; automotive batteries (5-year annual growth rates); industrial batteries (standby power and motive power); estimated average battery life by area/country for 1989; US motor vehicle registrations; replacement battery shipments; potential lead consumption in electric vehicles; BCI recycling rates for lead-acid batteries; US average car/light truck battery life; channels of distribution; replacement battery inventory end July; 2nd US battery shipment forecast.

Paths to Health Equity – Local Area Variation in Progress toward Eliminating Breast Cancer Mortality Disparities, 1990–2009

PubMed Central

Rust, George; Zhang, Shun; Malhotra, Khusdeep; Reese, Leroy; McRoy, Luceta; Baltrus, Peter; Caplan, Lee; Levine, Robert S

2015-01-01

Background U.S. breast cancer deaths have been declining since 1989, but African American women are still more likely than white women to die of breast cancer. Black-white disparities in breast cancer mortality rate-ratios have actually been increasing. Methods Across 762 U.S. counties with enough deaths to generate reliable rates, we examined county-level age-adjusted breast cancer mortality rates for women aged 35–74 during the period 1989–2010. Twenty-two years of mortality data generated 20 three-year rolling average data points, each centered on a specific year from 1990 – 2009. We used mixed linear models to group each county into one of four mutually exclusive trend patterns. We also categorized the most recent three-year average black breast cancer mortality rate for each county as being worse than or not worse than the breast cancer mortality rate for the total U.S. population. Results More than half of counties (54%) showed persistent, unchanging disparities. Roughly one in four (24%) had a divergent pattern of worsening black-white disparities. However, 10.5% of counties sustained racial equality over the 20-year period, and 11.7% of counties actually showed a converging pattern from high disparities to greater equality. Twenty-three counties had 2008–2010 black mortality rates better than the U.S. average mortality rate. Conclusion Disparities are not inevitable. Four U.S. counties have sustained both optimal and equitable black outcomes, as measured by both absolute (better than US average) and relative (equality in local black-white rate-ratio) benchmarks for decades, while six counties have shown a path from disparities to health equity. PMID:25906833

Fire danger rating and fire behavior prediction in the United States

Treesearch

Patricia L. Andrews

2005-01-01

For the seven year period from 1998 to 2004, an average of almost 79,000 fires per year on U.S. Federal and State land burned a yearly average of over 22,000 km2. An average of 1 billion US dollars was spent on suppression each year by the Federal agencies alone. Variation in climate, vegetation, and population across the U.S. leads to significant differences in the...

Quantifying the utilization of medical devices necessary to detect postmarket safety differences: A case study of implantable cardioverter defibrillators.

PubMed

Bates, Jonathan; Parzynski, Craig S; Dhruva, Sanket S; Coppi, Andreas; Kuntz, Richard; Li, Shu-Xia; Marinac-Dabic, Danica; Masoudi, Frederick A; Shaw, Richard E; Warner, Frederick; Krumholz, Harlan M; Ross, Joseph S

2018-06-12

To estimate medical device utilization needed to detect safety differences among implantable cardioverter defibrillators (ICDs) generator models and compare these estimates to utilization in practice. We conducted repeated sample size estimates to calculate the medical device utilization needed, systematically varying device-specific safety event rate ratios and significance levels while maintaining 80% power, testing 3 average adverse event rates (3.9, 6.1, and 12.6 events per 100 person-years) estimated from the American College of Cardiology's 2006 to 2010 National Cardiovascular Data Registry of ICDs. We then compared with actual medical device utilization. At significance level 0.05 and 80% power, 34% or fewer ICD models accrued sufficient utilization in practice to detect safety differences for rate ratios <1.15 and an average event rate of 12.6 events per 100 person-years. For average event rates of 3.9 and 12.6 events per 100 person-years, 30% and 50% of ICD models, respectively, accrued sufficient utilization for a rate ratio of 1.25, whereas 52% and 67% for a rate ratio of 1.50. Because actual ICD utilization was not uniformly distributed across ICD models, the proportion of individuals receiving any ICD that accrued sufficient utilization in practice was 0% to 21%, 32% to 70%, and 67% to 84% for rate ratios of 1.05, 1.15, and 1.25, respectively, for the range of 3 average adverse event rates. Small safety differences among ICD generator models are unlikely to be detected through routine surveillance given current ICD utilization in practice, but large safety differences can be detected for most patients at anticipated average adverse event rates. Copyright © 2018 John Wiley & Sons, Ltd.

Canopy disturbance intervals, early growth rates, and canopy accession trends of oak-dominated old-growth forests

Treesearch

James S. Rentch; Ray R., Jr. Hicks

2003-01-01

Using a radial growth averaging technique, changes in growth rates of overstory oaks were used to quantify canopy disturbance events at five old-growth sites. On average, at least one canopy disturbance occurred on these sites every 3 years; larger multiple-tree disturbances occurred every 17 years. Although there was some variation by site and by historical period,...

Comparing the Rates of Retinal Nerve Fiber Layer and Ganglion Cell-Inner Plexiform Layer Loss in Healthy Eyes and in Glaucoma Eyes.

PubMed

Hammel, Naama; Belghith, Akram; Weinreb, Robert N; Medeiros, Felipe A; Mendoza, Nadia; Zangwill, Linda M

2017-06-01

To compare the rates of circumpapillary retinal nerve fiber layer (RNFL) and macular retinal ganglion cell-inner plexiform layer (GCIPL) change over time in healthy and glaucoma eyes. Cohort study. The rates of circumpapillary RNFL and macular GCIPL loss in 28 healthy subjects and 97 glaucoma subjects from the Diagnostic Innovations in Glaucoma Study (DIGS) were compared using mixed-effects models. The median follow-up time and number of visits were 1.7 years and 6 visits and 3.2 years and 7 visits for healthy and glaucoma eyes, respectively. Significant rates of loss of both global circumpapillary RNFL and average macular GCIPL thickness were detectable in early and moderate glaucoma eyes; in severe glaucoma eyes, rates of average macular GCIPL loss were significant, but rates of global circumpapillary RNFL loss were not. In glaucoma eyes, mean rates of global circumpapillary RNFL thickness change (-0.98 μm/year [95% confidence interval (CI), -1.20 to -0.76]) and normalized global circumpapillary RNFL change (-1.7%/year [95% CI, -2.1 to -1.3]) were significantly faster than average macular GCIPL change (-0.57 μm/year [(95% CI, -0.73 to -0.41]) and normalized macular GCIPL change (-1.3%/year [95% CI, -1.7 to -0.9]). The rates of global and inferior RNFL change were weakly correlated with global and inferior macular GCIPL change (r ranges from 0.16 to 0.23, all P < .05). In this cohort, the rate of circumpapillary RNFL thickness change was faster than macular GCIPL change for glaucoma eyes. Global circumpapillary RNFL thickness loss was detectable in early and moderate glaucoma, and average macular GCIPL thickness loss was detectable in early, moderate, and severe glaucoma, suggesting that structural changes can be detected in severe glaucoma. Copyright © 2017 Elsevier Inc. All rights reserved.

Sudden cardiac death rates in an Australian population: a data linkage study.

PubMed

Feng, Jia-Li; Hickling, Siobhan; Nedkoff, Lee; Knuiman, Matthew; Semsarian, Christopher; Ingles, Jodie; Briffa, Tom G

2015-11-01

The aim of the present study was to develop criteria to identify sudden cardiac death (SCD) and estimate population rates of SCD using administrative mortality and hospital morbidity records in Western Australia. Four criteria were developed using place, death within 24 h, principal and secondary diagnoses, underlying and associated cause of death, and/or occurrence of a post mortem to identify SCD. Average crude, age-standardised and age-specific rates of SCD were estimated using population person-linked administrative data. In all, 9567 probable SCDs were identified between 1997 and 2010, with one-third aged ≥ 35 years having no prior admission for cardiovascular disease. SCD was more frequent in men (62.1%). The estimated average annual crude SCD rate for the period was 34.6 per 100 000 person-years with an average annual age-standardised rate of 37.8 per 100 000 person-years. Age-specific standardised rates were 1.1 per 100 000 person-years and 70.7 per 100 000 person-years in people aged 1-34 and ≥ 35 years, respectively. Ischaemic heart disease (IHD) was recorded as the underlying cause of death in approximately 80% of patients aged ≥ 35 years, followed by valvular heart disease and heart failure. IHD was the most common cause of death in those aged 1-34 years, followed by unspecified cardiomyopathy and dysrhythmias. Administrative morbidity and mortality data can be used to estimate rates of SCD and therefore provide a suitable methodology for monitoring SCD over time. The findings highlight the magnitude of SCD and its potential for public health prevention.

The Nazca-South American convergence rate and the recurrence of the great 1960 Chilean earthquake

NASA Technical Reports Server (NTRS)

Stein, S.; Engeln, J. F.; Demets, C.; Gordon, R. G.; Woods, D.

1986-01-01

The seismic slip rate along the Chile Trench estimated from the slip in the great 1960 earthquake and the recurrence history of major earthquakes has been interpreted as consistent with the subduction rate of the Nazca plate beneath South America. The convergence rate, estimated from global relative plate motion models, depends significantly on closure of the Nazca - Antarctica - South America circuit. NUVEL-1, a new plate motion model which incorporates recently determined spreading rates on the Chile Rise, shows that the average convergence rate over the last three million years is slower than previously estimated. If this time-averaged convergence rate provides an appropriate upper bound for the seismic slip rate, either the characteristic Chilean subduction earthquake is smaller than the 1960 event, the average recurrence interval is greater than observed in the last 400 years, or both. These observations bear out the nonuniformity of plate motions on various time scales, the variability in characteristic subduction zone earthquake size, and the limitations of recurrence time estimates.

Mountain erosion over decades and millennia: New insights from sediment yields and cosmogenic nuclides

NASA Astrophysics Data System (ADS)

Callahan, R. P.; Riebe, C. S.; Ferrier, K.

2017-12-01

For more than two decades, cosmogenic nuclides have been used to quantify catchment-wide erosion rates averaged over tens of thousands of years. These rates have been used as baselines for comparison with sediment yields averaged over decades, leading to insights on how human activities such as deforestation and agriculture have influenced the production and delivery of sediment to streams and oceans. Here we present new data from the southern Sierra Nevada, California, where sediment yields have been measured over the last ten years using sediment trapping and gauging methods. Cosmogenic nuclides measured in stream sediment reveal erosion rates that are between 13 and 400 (average = 94) times faster than erosion rates inferred from annual accumulations in sediment traps. We show that the discrepancy can be explained by extremely low sediment trapping efficiency, which leads to bias in the short-term rates due to incomplete capture of suspended sediment. Thus the short-term rates roughly agree with the long-term rates, despite intensive timber harvesting in the study catchments over the last century. This differs from results obtained in similar forested granitic catchments of Idaho, where long-term rates are more than ten times greater than short-term rates because large, rare events do not contribute to the short-term averages. Our analysis of a global database indicates that both the magnitude and sign of differences between short- and long-term average erosion rates are difficult to predict, even when the history of land use in known.

Leading medical causes of mortality among male prisoners in Texas, 1992--2003.

PubMed

Harzke, Amy J; Baillargeon, Jacques G; Kelley, Michael F; Pruitt, Sandi L; Pulvino, John S; Paar, David P

2011-07-01

Data from the Texas prison system and the Texas Vital Statistics Bureau were used to identify and assess the leading medical causes of death from 1992 to 2003 among male prisoners in Texas (N = 4,026). The leading medical causes of death were infection, cancer, cardiovascular disease (CVD), liver disease, and respiratory disease. Of these, only cancer showed a significant average annual increase in crude death rates (2.5% [0.2% to 4.9%]). Among prisoners aged 55 to 84 years, crude average annual death rates due to cancer and CVD were high and substantially exceeded death rates due to other causes. Among prisoners aged 25 to 44 years, crude average annual death rates due to infection exceeded death rates due to other causes. Continued improvements in the prevention, screening, and treatment of these conditions are warranted in correctional health care settings.

Eight-Year Trends in Federal Graduation Rates and Graduation Success Rates at NCAA Division I Institutions

ERIC Educational Resources Information Center

National Collegiate Athletic Association (NJ1), 2009

2009-01-01

Data is presented on: (1) Comparison of GSR and Federal Graduation Rate Cohorts (1999-2002 Entering Classes); (2) Average GSRs for Division I Student-Athletes in 1998-01 Cohorts Vs. 1999-2002 Cohorts; (3) Graduation Success Rate Trends for Division I Men's Sports: Four-Class Averages for 1998-01 Cohorts vs. 1999-02 Cohorts; (4) Graduation Success…

26 CFR 1.809-9 - Computation of the differential earnings rate and the recomputed differential earnings rate.

Code of Federal Regulations, 2011 CFR

2011-04-01

... REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED... the amount equal to the product of— (i) The life insurance company's average equity base for the... the excess of— (i) The imputed earnings rate for the taxable year; over (ii) The average mutual...

Investigating the reasons for Spain's falling birth rate.

PubMed

Bosch, X

1998-09-12

On August 25, 1998, the Spanish National Institute of Statistics announced that Spain, which has had the most accelerated decrease in fecundity of all European countries during the last 25 years, had the lowest birth rate in Europe. Spain's average birth rate was 2.86 in 1970, 2.21 in 1980, and 1.21 in 1994. According to Eurostat, Spain's average birth rate in 1995 was 1.18, while the European Community's was 1.43. Although all the countries of the European Community have birth rates below 2.1, Spain's is 44% below this minimum rate needed to achieve generation replacement. In 1994 and 1997, in 5 northern communities, including the Basque country and Galicia, the birth rate was less than 1.0. The lowest birth rate (0.76 in 1997) was in the northern region of Asturias. Although southern autonomous regions have higher birth rates (between 1.21 and 1.44 for 1997) than northern ones, these are also decreasing (from 3.36 in 1970 to 1.29 in 1997 in Andalusia). Credit for the rapid decrease is given to improved quality of life and education, increased contraceptive usage, and social change. Employment of women has increased, and unemployed sons are remaining at home for longer periods. The most important reasons are 1) the increased number of single people and 2) the increased average age of women having their first child. The latter increase began in 1988. Most Spanish women now have their first child between the ages of 30 and 39 years. The average age was 28 years in 1975; in 1995, it was 30 years. Women from the northern autonomous regions have the highest average age at first birth (Basque women, 31.2 years in 1995). The pattern of fecundity in Spain is different from other countries in Europe. In Spain, the decrease started in the late 1960s and early 1970s. Until the 1980s, Spain had one of the highest birth rates in Europe. This was followed by a decrease in the 1990s. However, in 1997, there were 3000 more births than in 1996. The National Institute of Demography predicts a maximum birth rate of 1.8 for 2026. Specialists believe there will be an increase in fecundity until at least 2005, when women born during the Spanish "baby boom" of the 1960s will begin reaching childbearing age.

Epidemiological survey of amyotrophic lateral sclerosis in the province of Reggio Emilia, Italy: influence of environmental exposure to lead.

PubMed

Guidetti, D; Bondavalli, M; Sabadini, R; Marcello, N; Vinceti, M; Cavalletti, S; Marbini, A; Gemignani, F; Colombo, A; Ferrari, A; Vivoli, G; Solimè, F

1996-01-01

We carried out a retrospective incidence, prevalence and mortality survey of amyotrophic lateral sclerosis (ALS) in the province of Reggio Emilia, northern Italy. Based on 79 patients, the mean incidence per year for the period 1980 through 1992 was 1.5 cases per 100,000. On December 31st, 1992, the prevalence rate was 5.4 per 100,000. In the 10-year period of 1983-1992 the average mortality rate was 1.3 per 100,000 per year. The average age at onset was 61.3 +/- 10.2, the average survival period thereafter was 26.3 months +/- 17.7; 27.3 +/- 17.6 for classic ALS, 19.5 +/- 8.4 for progressive bulbar palsy and 36.3 +/- 41.4 for pseudopolyneuritic ALS. The incidence rate, recorded in public health district No.12, an area with documented lead pollution since the 1970s, was standardized to the sex and age of the population of the province. Its incidence and prevalence rate were comparable to the rates found in the remaining area of the province.

Infiltration and recharge at Sand Hollow, an upland bedrock basin in southwestern Utah: Chapter I in Ground-water recharge in the arid and semiarid southwestern United States (Professional Paper 1703)

USGS Publications Warehouse

Heilweil, Victor M.; Solomon, D. Kip; Gardner, Philip M.; Stonestrom, David A.; Constantz, Jim; Ferré, Ty P.A.; Leake, Stanley A.

2007-01-01

Permeable bedrock aquifers in arid regions of the southwestern United States are being used increasingly as a source of water for rapidly growing populations, yet in many areas little is known about recharge processes and amounts available for sustainable development. Environmental tracers were used in this study to investigate infiltration and recharge to the Navajo Sandstone at Sand Hollow in the eastern Mojave Desert of southwestern Utah. Average annual precipitation is about 210 millimeters per year. Tracers included bromide, chloride, deuterium, oxygen-18, and tritium. The basin-wide average recharge rate, based on ground-water chloride mass balance, is about 8 millimeters per year, or 4 percent of precipitation. However, infiltration and recharge are highly variable spatially within Sand Hollow. Recharge primarily occurs both as focused infiltration of runoff from areas of outcropping bedrock and as direct infiltration beneath coarse surficial soils. Locations with higher rates generally have lower vadose-zone and ground-water chloride concentrations, smaller vadose-zone oxygen-18 evaporative shifts, and higher ground-water tritium concentrations. Infiltration rates estimated from vadose-zone tritium concentrations at borehole sites within Sand Hollow range from 1 to more than 57 millimeters per year; rates calculated from average vadose-zone chloride concentrations between land surface and the bottom of the chloride bulge range from 0 to 9 millimeters per year; rates calculated from average vadose-zone chloride concentrations below the chloride bulge range from 0.5 to 15 millimeters per year; and rates calculated from ground-water chloride concentrations range from 3 to 60 millimeters per year. A two-end-member deuterium-mixing model indicates that about 85 percent of ground-water recharge in Sand Hollow occurs in the 50 percent of the basin covered by coarser soils and bedrock. Vadose-zone chloride concentrations at individual boreholes represent as much as 12,000 years of accumulation, whereas vadose-zone tritium has only been accumulating during the past 50 years. Environmental tracers at Sand Hollow indicate the possibility of a cyclical recharge pattern from higher infiltration rates earlier in the Holocene to lower rates later in the Holocene, back again to higher infiltration rates during the past 50 years.

High Satisfaction and Return to Sports After Total Shoulder Arthroplasty in Patients Aged 55 Years and Younger.

PubMed

Garcia, Grant H; Liu, Joseph N; Sinatro, Alec; Wu, Hao-Hua; Dines, Joshua S; Warren, Russell F; Dines, David M; Gulotta, Lawrence V

2017-06-01

Young, active candidates for total shoulder arthroplasty (TSA) are a unique group of patients. Not only do they demand longevity and improved function, but they also desire a return to physical activities. To determine the rate of return to sports in patients aged ≤55 years undergoing TSA. Case series; Level of evidence, 4. This was a retrospective review of consecutive patients who underwent anatomic TSA at a single institution. Exclusion criteria included age at the time of surgery >55 years and <2 years of follow-up. All patients had end-stage osteoarthritis with significant glenohumeral joint space narrowing. The final follow-up consisted of a patient-reported sports questionnaire, American Shoulder and Elbow Surgeons (ASES) score, and visual analog scale (VAS) score. From 70 eligible patients, 59 patients (61 shoulders) were included with an average follow-up of 61.0 months (range, 25-103 months) and average age at the time of surgery of 48.9 years (range, 25-55 years). The average VAS score improved from 5.6 to 0.9 ( P < .001), and the average ASES score improved from 39.3 to 88.4 ( P < .001). Forty-nine procedures (80.3%) were performed for a primary diagnosis of osteoarthritis. Four shoulders returned to the operating room; none were for glenoid loosening. There was a 93.2% satisfaction rate, and 67.7% of patients (n = 40) stated that they underwent their surgery to return to sports. Moreover, patients in 96.4% of shoulders (55/57) restarted at least 1 sport at an average of 6.7 months. Direct rates of return were as follows: fitness sports (97.2%), golf (93.3%), singles tennis (87.5%), swimming (77.7%), basketball (75.0%), and flag football (66.7%). Patients in 47 shoulders (82.4%) returned to a similar or higher level of sports; 90.3% returned to high-demand sports, and 83.8% returned to high upper extremity sports. There was no significant difference in rates of return to sports by body mass index, sex, age, preoperative diagnosis, revision status, and dominant extremity. In patients aged ≤55 years undergoing TSA, there was a 96.4% rate of return to ≥1 previous sports at an average of 6.7 months. Furthermore, at an average follow-up of 61.0 months, no patients needed revision of their glenoid component, despite an 83.8% rate of return to high upper extremity sports. While caution should still be advised in young, active patients undergoing TSA, these results demonstrate a high satisfaction rate and improved ability to return to most sports after surgery.

Leptin levels in patients with anorexia nervosa following day/inpatient treatment do not predict weight 1 year post-referral.

PubMed

Seitz, Jochen; Bühren, Katharina; Biemann, Ronald; Timmesfeld, Nina; Dempfle, Astrid; Winter, Sibylle Maria; Egberts, Karin; Fleischhaker, Christian; Wewetzer, Christoph; Herpertz-Dahlmann, Beate; Hebebrand, Johannes; Föcker, Manuel

2016-09-01

Elevated serum leptin levels following rapid therapeutically induced weight gain in anorexia nervosa (AN) patients are discussed as a potential biomarker for renewed weight loss as a result of leptin-related suppression of appetite and increased energy expenditure. This study aims to analyze the predictive value of leptin levels at discharge as well as the average rate of weight gain during inpatient or day patient treatment for body weight at 1-year follow-up. 121 patients were recruited from the longitudinal Anorexia Nervosa Day patient versus Inpatient (ANDI) trial. Serum leptin levels were analyzed at referral and discharge. A multiple linear regression analysis to predict age-adjusted body mass index (BMI-SDS) at 1-year follow-up was performed. Leptin levels, the average rate of weight gain, premorbid BMI-SDS, BMI-SDS at referral, age and illness duration were included as independent variables. Neither leptin levels at discharge nor rate of weight gain significantly predicted BMI-SDS at 1-year follow-up explaining only 1.8 and 0.4 % of the variance, respectively. According to our results, leptin levels at discharge and average rate of weight gain did not exhibit any value in predicting weight at 1-year follow-up in our longitudinal observation study of adolescent patients with AN. Thus, research should focus on other potential factors to predict weight at follow-up. As elevated leptin levels and average rate of weight gain did not pose a risk for reduced weight, we found no evidence for the beneficial effect of slow refeeding in patients with acute AN.

Phenotypic plasticity in age at first reproduction of female northern sea otters (Enhydra lutris kenyoni)

USGS Publications Warehouse

Von Biela, V.R.; Gill, V.A.; Bodkin, James L.; Burns, Jennifer M.

2009-01-01

Life-history theory predicts that within a species, reproduction and survival rates will differ among populations that differ in resource availability or predation rates through phenotypic plasticity. When populations are near carrying capacity (K) or when they are declining due to reduced prey resources, the average age at 1st reproduction (average AFR) is predicted to be older than in populations below K. Differences between the trajectories of northern sea otter (Enhydra lutris kenyoni) populations in Alaska provides an opportunity to examine phenotypic plasticity. Using premolar teeth or reproductive tracts, we estimated average AFR from demographically distinct populations of sea otters in Alaska. We obtained samples from 2 populations near K, Prince William Sound (PWS) and the Aleutian Archipelago (archived samples), and from 2populations below K, the Kodiak Archipelago and Sitka. The average AFR was lower in populations below K (3.60 years ??0.16 SD)compared to those near K (4.21 ?? 0.13 years, P <0.001), and differed among all populations, with the Aleutian population possessing the oldest average AFR (4.29 ?? 0.09 years) followed by PWS (4.05 ?? 0.24 years), Sitka (3.80 ?? 0.21 years), and Kodiak (3.19 ?? 0.37 years). The difference in average AFR among populations supports life-history theory and provides evidence of phenotypic plasticity in sea otters. Our findings highlight the value of using average AFR as a tool for monitoring mammalian populations. ?? 2009 American Society of Mammalogists.

Developmental changes in perceptions of attractiveness: a role of experience?

PubMed

Cooper, Philip A; Geldart, Sybil S; Mondloch, Catherine J; Maurer, Daphne

2006-09-01

In three experiments, we traced the development of the adult pattern of judgments of attractiveness for faces that have been altered to have internal features in low, average, or high positions. Twelve-year-olds and adults demonstrated identical patterns of results: they rated faces with features in an average location as significantly more attractive than faces with either low or high features. Although both 4-year-olds and 9-year-olds rated faces with high features as least attractive, unlike adults and 12-year-olds, they rated faces with low and average features as equally attractive. Three-year-olds with high levels of peer interaction, but not those with low levels of peer interaction, chose faces with low features as significantly more attractive than those with high-placed features, possibly as a result of their increased experience with the proportions of the faces of peers. Overall, the pattern of results is consistent with the hypothesis that experience influences perceptions of attractiveness, with the proportions of the faces participants see in their everyday lives influencing their perceptions of attractiveness.

Vehicle emissions and consumer information in car advertisements.

PubMed

Wilson, Nick; Maher, Anthony; Thomson, George; Keall, Michael

2008-04-29

The advertising of vehicles has been studied from a safety perspective but not in terms of vehicle air pollutants. We aimed to examine the content and trends of greenhouse gas emissions and air pollution-related information, in light passenger vehicle advertisements. Content analysis of the two most popular current affairs magazines in New Zealand for the five year period 2001-2005 was undertaken (n = 514 advertisements). This was supplemented with vehicle data from official websites. The advertisements studied provided some information on fuel type (52%), and engine size (39%); but hardly any provided information on fuel efficiency (3%), or emissions (4%). Over the five-year period the reported engine size increased significantly, while fuel efficiency did not improve. For the vehicles advertised, for which relevant official website data could be obtained, the average "greenhouse rating" for carbon dioxide (CO2) emissions was 5.1, with a range from 0.5 to 8.5 (on a scale with 10 being the best and 0.5 being the most polluting). The average CO2 emissions were 50% higher than the average for cars made by European manufacturers. The average "air pollution" rating for the advertised vehicles was 5.4 (on the same 1-10 scale). The yearly averages for the "greenhouse" or "air pollution" ratings did not change significantly over the five-year period. One advertised hybrid vehicle had a fuel consumption that was under half the average (4.4 versus 9.9 L/100 km), as well as the best "greenhouse" and "air pollution" ratings. To enhance informed consumer choice and to control greenhouse gas and air pollution emissions, governments should introduce regulations on the content of vehicle advertisements and marketing (as started by the European Union). Similar regulations are already in place for the marketing of many other consumer products.

Respectful Alignment of Programs as a Possible Factor in Remedial Writers' Pass Rates

ERIC Educational Resources Information Center

McDonald, Mary

2017-01-01

For over four years, students enrolled in remedial writing classes who attended eight writing center tutorials directly linked to their assignments had an average pass rate of 95.6 percent, whereas students who did not attend any writing center tutorials had an average pass rate of 39.4 percent. These correlations are just that--correlations that…

Predicting Graduation Rates at 4-Year Broad Access Institutions Using a Bayesian Modeling Approach

ERIC Educational Resources Information Center

Crisp, Gloria; Doran, Erin; Salis Reyes, Nicole A.

2018-01-01

This study models graduation rates at 4-year broad access institutions (BAIs). We examine the student body, structural-demographic, and financial characteristics that best predict 6-year graduation rates across two time periods (2008-2009 and 2014-2015). A Bayesian model averaging approach is utilized to account for uncertainty in variable…

Epidemiological survey of X-linked bulbar and spinal muscular atrophy, or Kennedy disease, in the province of Reggio Emilia, Italy.

PubMed

Guidetti, D; Sabadini, R; Ferlini, A; Torrente, I

2001-01-01

Commencing with the work carried out during the epidemiological survey of amyotrophic lateral sclerosis in the period 1980-1992 and the pathology follow-up, we carried out a perspective incidence, prevalence and mortality survey of X-linked bulbar and spinal muscular atrophy (X-BSMA) in the province of Reggio Emilia in Northern Italy. Based on 11 patients (eight familial and three sporadic cases), the mean incidence per year for the period 1980 through 1997, as evaluated at the onset of symptoms, was 0.09 cases/100,000 for the total population and 0.19 cases/100,000 for the male population. On December 31, 1997, the prevalence rate was 1.6/100,000 for the total population and 3.3/100,000 for the male population. In the 18-year period of 1980-1997, the average yearly mortality rate was: 0.03 cases/100,000 per year for the total population and 0.06 cases/ 100,000 for the male population. The average age at onset was 44.8 +/- 10.1, and the average survival period was 27.3 +/- 2.3 years. The average age of the prevalence day was 58.9 +/- 14.9, and the average age at death was 71.3 +/- 4.7 years. Whereas the incidence rate of X-BSMA in the province of Reggio Emilia is 16 times lower that of amyotrophic lateral sclerosis (ALS), the incidence rate of progressive bulbar palsy in the male population is only slightly higher than X-BSMA; and the prevalence rate of ALS for males is two times the prevalence rate for X-BSMA, with overlapping of confidence intervals. X-BSMA is a rare disease, which is probably under-diagnosed, but due to the long survival period of this disease its frequency is not negligible. Because of the presence of sporadic cases or non-evident familial cases, it is appropriate to consider this diagnostic possibility in making a diagnosis of ALS in patients in whom lower motor neuron dysfunction or bulbar onset predominates.

26 CFR 1.25-2T - Amount of credit (Temporary).

Code of Federal Regulations, 2010 CFR

2010-04-01

... Changes in Rates During A Taxable Year § 1.25-2T Amount of credit (Temporary). (a) In general. Except as... average annual aggregate principal amount of mortgages executed during the immediately preceding 3... that the weighted average of the certificate credit rates in such mortgage credit certificate program...

38 CFR 36.4312 - Interest rates.

Code of Federal Regulations, 2011 CFR

2011-07-01

... actively traded one year Treasury bills in the over-the-counter market. The weekly average one year... Bulletin, published by the Department of the Treasury. (2) Frequency of interest rate changes. Interest... publication and availability; (iii) The frequency (i.e., annually) with which interest rate levels and monthly...

Injury rate as an indicator of business success.

PubMed

Holizki, Theresa; Nelson, Larry; McDonald, Rose

2006-01-01

Health and safety professionals and organizations have often suggested that promoting and improving health and safety in the workplace will improve business success. We conducted a study of all new small businesses that registered with the Workers' Compensation Board of British Columbia (WCB of BC) in the years 1993, 1995, 1996 and 1997, assessing their injury rate in the first 5 complete years of business. The data set represents 53,913 new businesses and 19,332 claims. Businesses were grouped by the number of years between registering for WCB coverage and termination of coverage. Injury rates were determined for each calendar year for each industry sector as injuries per 100 person-years, based on payroll information provided by the businesses. Across all industries, businesses that failed between 1 and 2 yr of start-up had an average injury rate of 9.71 while businesses that survived more than 5 yr had an average injury rate of only 3.89 in their first year of business (p<0.000001). The WCB of BC demonstrated a statistical correlation between health and safety in the workplace and the survival of a small business.

Disabling and fatal occupational claim rates, risks, and costs in the Oregon construction industry 1990-1997.

PubMed

Horwitz, Irwin B; McCall, Brian P

2004-10-01

This study estimated injury and illness rates, risk factors, and costs associated with construction work in Oregon from 1990-1997 using all accepted workers' compensation claims by Oregon construction employees (N = 20,680). Claim rates and risk estimates were estimated using a baseline calculated from Current Population Survey data of the Oregon workforce. The average annual rate of lost-time claims was 3.5 per 100 workers. More than 50% of claims were by workers under 35 years and with less than 1 year of tenure. The majority of claimants (96.1%) were male. There were 52 total fatalities reported over the period examined, representing an average annual death rate of 8.5 per 100,000 construction workers. Average claim cost was $10,084 and mean indemnity time was 57.3 days. Structural metal workers had the highest average days of indemnity of all workers (72. 1), highest average costs per claim ($16,472), and highest odds ratio of injury of all occupations examined. Sprains were the most frequently reported injury type, constituting 46.4% of all claims. The greatest accident risk occurred during the third hour of work. Training interventions should be extensively utilized for inexperienced workers, and prework exercises could potentially reduce injury frequency and severity.

7 CFR 1714.7 - Interest rate cap.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the same year. (2) Consumer income test.The borrower meets this test if either the average per capita income of the residents receiving electric service from the borrower is less than the average per capita..., RUS will compare, on a weighted average basis, the average per capita and median household income of...

Injury rates in Shotokan karate

PubMed Central

Critchley, G. R.; Mannion, S.; Meredith, C.

1999-01-01

OBJECTIVE: To document the injury rate in three British Shotokan karate championships in consecutive years. In these tournaments strict rules governed contact, with only "light" or "touch" contact allowed. Protective padding for the head, hands, or feet was prohibited. METHODS: Prospective recording of injuries resulting from 1770 bouts in three national competitions of 1996, 1997, and 1998. Details of ages and years of karate experience were also obtained. RESULTS: 160 injuries were sustained in 1770 bouts. The overall rate of injury was 0.09 per bout and 0.13 per competitor. 91 (57%) injuries were to the head. The average age of those injured was 22 years, with an average of nine years of experience in karate. CONCLUSIONS: The absence of protective padding does not result in higher injury rates than in most other series of Shotokan karate injuries. Strict refereeing is essential, however, to maintain control and minimise contact. 


 PMID:10378069

Lagoon Seepage Testing Report for Central Facilities Area (CFA) Sewage Lagoons at Idaho National Laboratory, Butte County, Idaho

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

Morrison, Bridger

J-U-B ENGINEERS, Inc. (J-U-B) performed seepage tests on the CFA Wastewater Lagoons 1, 2, and 3 between August 26th and September 22nd, 2014. The lagoons were tested to satisfy the Idaho Department of Environmental Quality (DEQ) Rules (IDAPA 58.01.16) that require all lagoons be tested at a frequency of every 10 years and the Compliance Activity CA-141-03 in the DEQ Wastewater Reuse Permit for the CFA Sewage Treatment Plant (LA-000141-03). The lagoons were tested to determine if the average seepage rates are less than 0.25 in/day, the maximum seepage rate allowed for lagoons built prior to April 15, 2007. Themore » average seepage rates were estimated for each lagoon and are given in Table-ES1. The average seepage rates for Lagoons 1 and 2 are less than the allowable seepage rate of 0.25 in/day. Lagoon 1 and 2 passed the seepage test and will not have to be tested again until the year 20241. However, the average seepage rate for Lagoon 3 appears to exceed the allowable seepage rate of 0.25 in/day which means the potential source for the excessive leakage should be investigated further.« less

Climatic irregular staircases: generalized acceleration of global warming

PubMed Central

De Saedeleer, Bernard

2016-01-01

Global warming rates mentioned in the literature are often restricted to a couple of arbitrary periods of time, or of isolated values of the starting year, lacking a global view. In this study, we perform on the contrary an exhaustive parametric analysis of the NASA GISS LOTI data, and also of the HadCRUT4 data. The starting year systematically varies between 1880 and 2002, and the averaging period from 5 to 30 yr — not only decades; the ending year also varies . In this way, we uncover a whole unexplored space of values for the global warming rate, and access the full picture. Additionally, stairstep averaging and linear least squares fitting to determine climatic trends have been sofar exclusive. We propose here an original hybrid method which combines both approaches in order to derive a new type of climatic trend. We find that there is an overall acceleration of the global warming whatever the value of the averaging period, and that 99.9% of the 3029 Earth’s climatic irregular staircases are rising. Graphical evidence is also given that choosing an El Niño year as starting year gives lower global warming rates — except if there is a volcanic cooling in parallel. Our rates agree and generalize several results mentioned in the literature. PMID:26813867

Climatic irregular staircases: generalized acceleration of global warming.

PubMed

De Saedeleer, Bernard

2016-01-27

Global warming rates mentioned in the literature are often restricted to a couple of arbitrary periods of time, or of isolated values of the starting year, lacking a global view. In this study, we perform on the contrary an exhaustive parametric analysis of the NASA GISS LOTI data, and also of the HadCRUT4 data. The starting year systematically varies between 1880 and 2002, and the averaging period from 5 to 30 yr - not only decades; the ending year also varies . In this way, we uncover a whole unexplored space of values for the global warming rate, and access the full picture. Additionally, stairstep averaging and linear least squares fitting to determine climatic trends have been sofar exclusive. We propose here an original hybrid method which combines both approaches in order to derive a new type of climatic trend. We find that there is an overall acceleration of the global warming whatever the value of the averaging period, and that 99.9% of the 3029 Earth's climatic irregular staircases are rising. Graphical evidence is also given that choosing an El Niño year as starting year gives lower global warming rates - except if there is a volcanic cooling in parallel. Our rates agree and generalize several results mentioned in the literature.

Average years of life lost due to breast and cervical cancer and the association with the marginalization index in Mexico in 2000 and 2010.

PubMed

Cervantes, Claudio Alberto Dávila; Botero, Marcela Agudelo

2014-05-01

The objective of this study was to calculate average years of life lost due to breast and cervical cancer in Mexico in 2000 and 2010. Data on mortality in women aged between 20 and 84 years was obtained from the National Institute for Statistics and Geography. Age-specific mortality rates and average years of life lost, which is an estimate of the number of years that a person would have lived if he or she had not died prematurely, were estimated for both diseases. Data was disaggregated into five-year age groups and socioeconomic status based on the 2010 marginalization index obtained from the National Population Council. A decrease in average years of life lost due to cervical cancer (37.4%) and an increase in average years of life lost due breast cancer (8.9%) was observed during the period studied. Average years of life lost due to cervical cancer was greater among women living in areas with a high marginalization index, while average years of life lost due to breast cancer was greater in women from areas with a low marginalization index.

Collegiate ACL Injury Rates Across 15 Sports: National Collegiate Athletic Association Injury Surveillance System Data Update (2004-2005 Through 2012-2013).

PubMed

Agel, Julie; Rockwood, Todd; Klossner, David

2016-11-01

To present data on the rate of anterior cruciate ligament (ACL) injury in 15 collegiate sports from 2004 to 2005 through 2012 to 2013 updating the 1988-1989 to 2003-2004 data. Prospectively designed descriptive epidemiology study. National Collegiate Athletic Association Schools. National Collegiate Athletic Association School athletes. Injury rate by year and sport. Most ACL injuries to women occurred by a noncontact mechanism (60%) versus a contact mechanism for men (59%). The highest average annual rate of ACL injury for men was found in football (0.17 per 1000 athlete-exposure [A-E]). The highest average annual rate of ACL injury for women was found in lacrosse (0.23 per 1000 A-E). There were statistically significant increases in average annual injury rate for men's (P = 0.04) and women's soccer (P = 0.01) and a statistically significant decrease in women's gymnastics over the 9 years (=0.009). Controlling for exposures, there were statistically significant increases in the average annual number of injuries for men's and women's basketball, ice hockey, field hockey, football, and volleyball and a decrease in the average annual number of injuries for baseball and women's gymnastics. Women continue to sustain ACL injuries at higher rates than men in the comparable sports of soccer, basketball, and lacrosse. Anterior cruciate ligament injury rates continue to rise in men's and women's soccer. Some sports have shown absolute increases in ACL rates, which persist even after exposure rates are taken into account. Despite extensive research and development of prevention programs before and during the time of this study, very few sports showed a reduction in ACL injury rates in this data set.

Firearms and suicide in the United States: is risk independent of underlying suicidal behavior?

PubMed

Miller, Matthew; Barber, Catherine; White, Richard A; Azrael, Deborah

2013-09-15

On an average day in the United States, more than 100 Americans die by suicide; half of these suicides involve the use of firearms. In this ecological study, we used linear regression techniques and recently available state-level measures of suicide attempt rates to assess whether, and if so, to what extent, the well-established relationship between household firearm ownership rates and suicide mortality persists after accounting for rates of underlying suicidal behavior. After controlling for state-level suicide attempt rates (2008-2009), higher rates of firearm ownership (assessed in 2004) were strongly associated with higher rates of overall suicide and firearm suicide, but not with nonfirearm suicide (2008-2009). Furthermore, suicide attempt rates were not significantly related to gun ownership levels. These findings suggest that firearm ownership rates, independent of underlying rates of suicidal behavior, largely determine variations in suicide mortality across the 50 states. Our results support the hypothesis that firearms in the home impose suicide risk above and beyond the baseline risk and help explain why, year after year, several thousand more Americans die by suicide in states with higher than average household firearm ownership compared with states with lower than average firearm ownership.

Dry deposition of gaseous oxidized mercury in Western Maryland.

PubMed

Castro, Mark S; Moore, Chris; Sherwell, John; Brooks, Steve B

2012-02-15

The purpose of this study was to directly measure the dry deposition of gaseous oxidized mercury (GOM) in western Maryland. Annual estimates were made using passive ion-exchange surrogate surfaces and a resistance model. Surrogate surfaces were deployed for seventeen weekly sampling periods between September 2009 and October 2010. Dry deposition rates from surrogate surfaces ranged from 80 to 1512 pgm(-2)h(-1). GOM dry deposition rates were strongly correlated (r(2)=0.75) with the weekly average atmospheric GOM concentrations, which ranged from 2.3 to 34.1 pgm(-3). Dry deposition of GOM could be predicted from the ambient air concentrations of GOM using this equation: GOM dry deposition (pgm(-2)h(-1))=43.2 × GOM concentration-80.3. Dry deposition velocities computed using GOM concentrations and surrogate surface GOM dry deposition rates, ranged from 0.2 to 1.7 cms(-1). Modeled dry deposition rates were highly correlated (r(2)=0.80) with surrogate surface dry deposition rates. Using the overall weekly average surrogate surface dry deposition rate (369 ± 340 pg m(-2)h(-1)), we estimated an annual GOM dry deposition rate of 3.2 μg m(-2)year(-1). Using the resistance model, we estimated an annual GOM dry deposition rate of 3.5 μg m(-2)year(-1). Our annual GOM dry deposition rates were similar to the dry deposition (3.3 μg m(-2)h(-1)) of gaseous elemental mercury (GEM) at our site. In addition, annual GOM dry deposition was approximately 1/2 of the average annual wet deposition of total mercury (7.7 ± 1.9 μg m(-2)year(-1)) at our site. Total annual mercury deposition from dry deposition of GOM and GEM and wet deposition was approximately 14.4 μg m(-2)year(-1), which was similar to the average annual litterfall deposition (15 ± 2.1 μg m(-2)year(-1)) of mercury, which was also measured at our site. Copyright © 2012 Elsevier B.V. All rights reserved.

A not so happy day after all: excess death rates on birthdays in the U.S.

PubMed

Peña, Pablo A

2015-02-01

This study estimates average excess death rates on and around birthdays, and explores differences between birthdays falling on weekends and birthdays falling on weekdays. Using records from the U.S. Social Security Administration for 25 million people who died during the period from 1998 to 2011, average excess death rates are estimated controlling for seasonality of births and deaths. The average excess death rate on birthdays is 6.7% (p < 0.0001). No evidence is found of dips in average excess death rates in a ±10 day neighborhood around birthdays that could offset the spikes on birthdays. Significant differences are found between age groups and between weekend and weekday birthdays. Younger people have greater average excess death rates on birthdays, reaching up to 25.4% (p < 0.0001) for ages 20-29. Younger people also show the largest differences between average excess death rates on weekend birthdays and weekday birthdays, reaching up to 64.5 percentage points (p = 0.0063) for ages 1-9. Over the 13-year period analyzed, the estimated excess deaths on birthdays are 4590. Copyright © 2014 Elsevier Ltd. All rights reserved.

Mass Balance of the Greenland Ice Sheet at High Elevations.

PubMed

Thomas; Akins; Csatho; Fahnestock; Gogineni; Kim; Sonntag

2000-07-21

Comparison of ice discharge from higher elevation areas of the entire Greenland Ice Sheet with total snow accumulation gives estimates of ice thickening rates over the past few decades. On average, the region has been in balance, but with thickening of 21 centimeters per year in the southwest and thinning of 30 centimeters per year in the southeast. The north of the ice sheet shows less variability, with average thickening of 2 centimeters per year in the northeast and thinning of about 5 centimeters per year in the northwest. These results agree well with those from repeated altimeter surveys, except in the extreme south, where we find substantially higher rates of both thickening and thinning.

Trends in southern forest harvesting equipment and logging costs

Treesearch

Frederick W. Cubbage; Bryce J. Stokes; James E. Granskog

1988-01-01

Southern timber harvesting equipment and on-road vehicle costs were obtained for the years from 1967 to 1984. Average cost trends for equipment and vehicles were determined for the period. Average logging contract rates and price trends were also estimated. Comparisons indicated that equipment costs increased more than the general inflation rate and less than the...

Failure factors in non-life insurance companies in United Kingdom

NASA Astrophysics Data System (ADS)

Samsudin, Humaida Banu

2013-04-01

Failure in insurance company is a condition of financial distress where a company has difficulty paying off its financial obligations to its creditors. This study continues the research from the study in identifying the determinants for run-off non-life insurance companies in United Kingdom. The analysis continues to identify other variables that could lead companies to financial distress that is macroeconomic factors (GDP rates, inflation rates and interest rates); total companies failed a year before and average size for failed companies'. The result from the analysis indicates that inflation rates, interest rates, total companies failed a year before and average sizes for failed companies are the best predictors. An early detection of failure can prevent companies from bankruptcy and allow management to take action to reduce the failure costs.

Acoustic neuromas in the elderly.

PubMed

Perry, B P; Gantz, B J; Rubinstein, J T

2001-05-01

To determine if an "observation" protocol with serial scanning is a safe and effective management paradigm for acoustic neuromas in the elderly. A retrospective case review was performed. This study was performed in an academic, tertiary care center. Forty-one patients over the age of 65 years were identified with the primary diagnosis of unilateral acoustic neuroma, without prior treatment or observation. The patients were followed with serial, gadolinium-enhanced magnetic resonance imaging (MRI) scans performed at 6 months and then yearly, if no significant growth occurred. The patients were monitored for tumor growth, cranial nerve deficits, and hydrocephalus. The patients were followed for an average of 3.5 years (range, 6 months to 9 years). The average tumor size at presentation was 1.14 cm, with a range of growth rates from 0 to 1.2 cm per year. Twenty-one patients demonstrated tumor growth at an average rate of 0.322 cm per year. Only five patients (12%) required further intervention. Three patients underwent translabyrinthine excision, and two patients were treated with radiation. No patients developed significant complications during the observation period. Acoustic neuromas in the older population can be managed safely using serial MRI scanning. No correlation could be made between initial tumor size and subsequent growth rate.

Primary Arthrodesis versus Open Reduction and Internal Fixation for Low-Energy Lisfranc Injuries in a Young Athletic Population.

PubMed

Cochran, Grant; Renninger, Christopher; Tompane, Trevor; Bellamy, Joseph; Kuhn, Kevin

2017-09-01

There are 2 Level I studies comparing open reduction and internal fixation (ORIF) and primary arthrodesis (PA) in high-energy Lisfranc injuries. There are no studies comparing ORIF and PA in young athletic patients with low-energy injuries. All operatively managed low-energy Lisfranc injuries sustained by active duty military personnel at a single institution were identified from 2010 to 2015. The injury pattern, method of treatment, and complications were reviewed. Implant removal rates, fitness test scores, return to military duty rates, and Foot and Ankle Ability Measure (FAAM) scores were compared. Thirty-two patients were identified with the average age of 28 years. PA was performed in 14 patients with ORIF in 18. The PA group returned to full duty at an average of 4.5 months whereas the ORIF group returned at an average of 6.7 months ( P = .0066). The PA group ran their fitness test an average of 9 seconds per mile slower than their preoperative average whereas the ORIF group ran it an average of 39 seconds slower per mile ( P = .032). There were no differences between the 2 groups in the FAAM scores at an average of 35 months. Implant removal was performed in 15 (83%) in the ORIF group and 2 (14%) in the PA group ( P = .005). Low-energy Lisfranc injuries treated with primary arthrodesis had a lower implant removal rate, an earlier return to full military activity, and better fitness test scores after 1 year, but there was no difference in FAAM scores after 3 years. Level III, comparative cohort study.

Vehicle emissions and consumer information in car advertisements

PubMed Central

Wilson, Nick; Maher, Anthony; Thomson, George; Keall, Michael

2008-01-01

Background The advertising of vehicles has been studied from a safety perspective but not in terms of vehicle air pollutants. We aimed to examine the content and trends of greenhouse gas emissions and air pollution-related information, in light passenger vehicle advertisements. Methods Content analysis of the two most popular current affairs magazines in New Zealand for the five year period 2001–2005 was undertaken (n = 514 advertisements). This was supplemented with vehicle data from official websites. Results The advertisements studied provided some information on fuel type (52%), and engine size (39%); but hardly any provided information on fuel efficiency (3%), or emissions (4%). Over the five-year period the reported engine size increased significantly, while fuel efficiency did not improve. For the vehicles advertised, for which relevant official website data could be obtained, the average "greenhouse rating" for carbon dioxide (CO2) emissions was 5.1, with a range from 0.5 to 8.5 (on a scale with 10 being the best and 0.5 being the most polluting). The average CO2 emissions were 50% higher than the average for cars made by European manufacturers. The average "air pollution" rating for the advertised vehicles was 5.4 (on the same 1–10 scale). The yearly averages for the "greenhouse" or "air pollution" ratings did not change significantly over the five-year period. One advertised hybrid vehicle had a fuel consumption that was under half the average (4.4 versus 9.9 L/100 km), as well as the best "greenhouse" and "air pollution" ratings. Conclusion To enhance informed consumer choice and to control greenhouse gas and air pollution emissions, governments should introduce regulations on the content of vehicle advertisements and marketing (as started by the European Union). Similar regulations are already in place for the marketing of many other consumer products. PMID:18445291

The Budget and Economic Outlook: Fiscal Years 2010 to 2020

DTIC Science & Technology

2010-01-01

Participation Rate 352-10. Average Weekly Hours Worked in the Nonfarm Business Sector 352-11. People Who Have Lost Jobs as a Percentage of All Unemployed...in the past they have not lasted more than a few quarters. Figure 2-10. Average Weekly Hours Worked in the Nonfarm Business Sector (Hours per week...in the nonfarm business sector , which accounts for about three-fourths of the economy, are projected to grow at an average annual rate of 0.5 per

Defense Attache Saigon: RNAVF Quarterly Assessment. 2nd Quarter FY74.

DTIC Science & Technology

1974-02-01

Military Assistance Command Vietnam MAP Military Assistance Program UNCLASSIFIED F IUNCLASSIFIES MASI Military Assistance Service Funded MATT Military Air...8217 operating the school. The average yearly budget is 2,~4oo,000 piasters, whiuh averages out to less than five cents per student per day. This is... average daily cargo handling rate of 959 M/T for the 2nd quarter FY711 shows continued improvement over the 773 M/T rate attained during the 1st quarter

Limit on slip rate and timing of recent seismic ground-ruptures on the Jinghong fault, SE of the eastern Himalayan syntaxis

NASA Astrophysics Data System (ADS)

Shi, Xuhua; Weldon, Ray; Liu-Zeng, Jing; Wang, Yu; Weldon, Elise; Sieh, Kerry; Li, Zhigang; Zhang, Jinyu; Yao, Wenqian; Li, Zhanfei

2018-06-01

Quantifying slip rates and earthquake occurrence of active faults on the Shan Plateau, southeast of the eastern Himalayan syntaxis, is critical to assessing the seismic hazard and understanding the kinematics and geodynamics of this region. Most previous estimates of slip rates are averaged over either many millions of years using offset geological markers or decades using GPS. Well-constrained millennial slip rates of these faults remain sparse and constraints on recurrence rates of damaging earthquakes exist only for a few faults. Here we investigate the millennial slip rate and timing of recent earthquakes on the Jinghong fault, one of the geomorphically most significant sinistral-slip faults on the central Shan Plateau. We map and reconstruct fault offset (18 ± 5 m) of alluvial fan features at Manpa on the central Jinghong fault, using a 0.1 m-resolution digital surface model obtained from an unmanned aerial vehicle survey. We establish a slip rate, ≤2.5 ± 0.7 mm/yr over the past 7000 years, using pit-exposed stratigraphy. This millennial slip rate is consistent with rates averaged over both decadal and million-year timescales. Excavations at three sites near the town of Gelanghe on the northeastern Jinghong fault demonstrate 1) that the last seismic ground-rupture occurred between 482 and 889 cal yr BP, most likely in the narrower window 824-767 cal yr BP, if the lack of large earthquakes in the historical earthquake record is reliable, and 2) that multiple fault ruptures have occurred since 3618 cal yr BP. Combining this finding with a lack of large earthquakes in the 800-year-long Chinese historic record in this region, we suggest an average recurrence interval of seismic ground-ruptures on the order of 1000 years. This recurrence interval is consistent with the slip rate of the Jinghong fault and the size and earthquake frequency on other sinistral faults on the Shan Plateau.

75 FR 46952 - Prescription Drug User Fee Rates for Fiscal Year 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-04

... average change in pay per FTE (4.53 percent) is the highest of the three factors, it becomes the inflation... pay change for the previous fiscal year for Federal employees stationed in the Washington, DC metropolitan area; or (3) the average annual change in cost, per full time equivalent (FTE) FDA position, of...

Long-Term Stability of One-Inch Condenser Microphones Calibrated at the National Institute of Standards and Technology

PubMed Central

Wagner, Randall P.; Guthrie, William F.

2015-01-01

The devices calibrated most frequently by the acoustical measurement services at the National Institute of Standards and Technology (NIST) over the 50-year period from 1963 to 20121 were one-inch condenser microphones of three specific standard types: LS1Pn, LS1Po, and WS1P. Due to its long history of providing calibrations of such microphones to customers, NIST is in a unique position to analyze data concerning the long-term stability of these devices. This long history has enabled NIST to acquire and aggregate a substantial amount of repeat calibration data for a large number of microphones that belong to various other standards and calibration laboratories. In addition to determining microphone sensitivities at the time of calibration, it is important to have confidence that the microphones do not typically undergo significant drift as compared to the calibration uncertainty during the periods between calibrations. For each of the three microphone types, an average drift rate and approximate 95 % confidence interval were computed by two different statistical methods, and the results from the two methods were found to differ insignificantly in each case. These results apply to typical microphones of these types that are used in a suitable environment and handled with care. The average drift rate for Type LS1Pn microphones was −0.004 dB/year to 0.003 dB/year. The average drift rate for Type LS1Po microphones was −0.016 dB/year to 0.008 dB/year. The average drift rate for Type WS1P microphones was −0.004 dB/year to 0.018 dB/year. For each of these microphone types, the average drift rate is not significantly different from zero. This result is consistent with the performance expected of condenser microphones designed for use as transfer standards. In addition, the values that bound the confidence intervals are well within the limits specified for long-term stability in international standards. Even though these results show very good long-term stability historically for these microphone types, it is expected that periodic calibrations will always be done to track the calibration history of individual microphones and check for anomalies indicative of shifts in sensitivity. PMID:26958445

Results of APL rain gauge network measurements in mid-Atlantic coast region and comparisons of distributions with CCIR models

NASA Technical Reports Server (NTRS)

Goldhirsh, Julius; Gebo, Norman; Rowland, John

1988-01-01

In this effort are described cumulative rain rate distributions for a network of nine tipping bucket rain gauge systems located in the mid-Atlantic coast region in the vicinity of the NASA Wallops Flight Facility, Wallops Island, Virginia. The rain gauges are situated within a gridded region of dimensions of 47 km east-west by 70 km north-south. Distributions are presented for the individual site measurements and the network average for the year period June 1, 1986 through May 31, 1987. A previous six year average distribution derived from measurements at one of the site locations is also presented. Comparisons are given of the network average, the CCIR (International Radio Consultative Committee) climatic zone, and the CCIR functional model distributions, the latter of which approximates a log normal at the lower rain rate and a gamma function at the higher rates.

Recent changes in Red Lake (Romania) sedimentation rate determined from depth profiles of 210Pb and 137Cs radioisotopes.

PubMed

Begy, R; Cosma, C; Timar, A

2009-08-01

This work presents a first estimation of the sedimentation rate for the Red Lake (Romania). The sediment accumulation rates were determined by two well-known methods for recent sediment dating: (210)Pb and (137)Cs methods. Both techniques implied used the gamma emission of the above-mentioned radionuclides. The (210)Pb and (137)Cs concentrations in the sediment were measured using a gamma spectrometer with a HpGe detector, Gamma-X type. Activities ranging from 41+/-7 to 135+/-34Bq/kg were found for (210)Pb and from 3+/-0.5 to 1054+/-150Bq/kg for (137)Cs. The sediment profile indicates acceleration in sedimentation rate in the last 18 years. Thus, the sedimentation process for the Red Lake can be divided in two periods, the last 18 years, and respectively, the period before that. Using the Constant Rate of (210)Pb Supply method values between 0.18+/-0.04 and 1.85+/-0.5g/cm(2) year (0.32+/-0.08 and 2.83+/-0.7cm/year) were obtained. Considering both periods, an average sedimentation rate of 0.87+/-0.17g/cm(2) year (1.17cm/year) was calculated. Considering an average depth of 5.41m for the lake and the sedimentation rate estimated for the last 18 years, it could be estimated that the lake will disappear in 195 years.

Increasing alcohol restrictions and rates of serious injury in four remote Australian Indigenous communities.

PubMed

Margolis, Stephen A; Ypinazar, Valmae A; Muller, Reinhold; Clough, Alan

2011-05-16

To document rates of serious injuries in relation to government alcohol restrictions in remote Australian Indigenous communities. An ecological study using Royal Flying Doctor Service injury retrieval data, before and after changes in legal access to alcohol in four remote Australian Indigenous communities, Queensland, 1 January 1996-31 July 2010. Changes in rates of aeromedical retrievals for serious injury, and proportion of retrievals for serious injury, before and after alcohol restrictions. After alcohol restrictions were introduced in 2002-2003, retrieval rates for serious injury dropped initially, and then increased in the 2 years before further restrictions in 2008 (average increase, 2.34 per 1000 per year). This trend reversed in the 2 years after the 2008 restrictions (average decrease, 7.97 per 1000 per year). There was a statistically significant decreasing time trend in serious-injury retrieval rates in each of the four communities for the period 2 years before the 2002-2003 restrictions, 2 years before the 2008 restrictions, and the final 2 years of observations (2009-2010) (P < 0.001 for all four communities combined). Overall, serious-injury retrieval rates dropped from 30 per 1000 in 2008 to 14 per 1000 in 2010, and the proportions of serious-injury retrievals decreased significantly for all four communities. The absolute and the proportional rates of serious-injury retrievals fell significantly as government restrictions on legal access to alcohol increased; they are now at their lowest recorded level in 15 years.

Changing trends of rainfall and sediment fluxes in the Kinta River catchment, Malaysia

NASA Astrophysics Data System (ADS)

Ismail, W. R.; Hashim, M.

2015-03-01

The Kinta River, draining an area of 2566 km2, originates in the Korbu Mountain in Perak, Malaysia, and flows through heterogeneous, mixed land uses ranging from extensive forests to mining, rubber and oil palm plantations, and urban development. A land use change analysis of the Kinta River catchment was carried out together with assessment of the long-term trend in rainfall and sediment fluxes. The Mann-Kendall test was used to examine and assess the long-term trends in rainfall and its relationship with the sediment discharge trend. The land use analysis shows that forests, water bodies and mining land declined whilst built and agricultural land use increased significantly. This has influenced the sediment flux of the catchment. However, most of the rainfall stations and river gauging stations are experiencing an increasing trends, except at Kinta river at Tg. Rambutan. Sediment flux shows a net erosion for the period from 1961 to 1969. The total annual sediment discharge in the Kinta River catchment was low with an average rate of 1,757 t/km2/year. From 1970 to 1985, the annual sediment yield rose to an average rate of 4062 t/km2/year. Afterwards, from 1986 to 1993, the total annual sediment discharge decreased to an average rate of 1,306 t/km2/year and increased back during the period 1994 to 2000 to 2109 t/km2/year. From 2001 to 2006 the average sediment flux rate declined to 865 t/km2/year. The decline was almost 80% from the 1970s. High sediment flux in the early 1970s is partly associated with reduced tin mining activities in the area. This decreasing trend in sediment delivery leaving the Kinta River catchment is expected to continue dropping in the future.

Epidemiology of Parkinson disease in the city of Kolkata, India

PubMed Central

Das, S.K.; Misra, A.K.; Ray, B.K.; Hazra, A.; Ghosal, M.K.; Chaudhuri, A.; Roy, T.; Banerjee, T.K.; Raut, D.K.

2010-01-01

Objective: No well-designed longitudinal study on Parkinson disease (PD) has been conducted in India. Therefore, we planned to determine the prevalence, incidence, and mortality rates of PD in the city of Kolkata, India, on a stratified random sample through a door-to-door survey. Method: This study was undertaken between 2003 to 2007 with a validated questionnaire by a team consisting of 4 trained field workers in 3 stages. Field workers screened the cases, later confirmed by a specialist doctor. In the third stage, a movement disorders specialist undertook home visits and reviewed all surviving cases after 1 year from last screening. Information on death was collected through verbal autopsy. A nested case-control study (1:3) was also undertaken to determine putative risk factors. The rates were age adjusted to the World Standard Population. Result: A total population of 100,802 was screened. The age-adjusted prevalence rate (PR) and average annual incidence rate were 52.85/100,000 and 5.71/100,000 per year, respectively. The slum population showed significantly decreased PR with age compared with the nonslum population. The adjusted average annual mortality rate was 2.89/100,000 per year. The relative risk of death was 8.98. The case-control study showed that tobacco chewing protected and hypertension increased PD occurrence. Conclusion: This study documented lower prevalence and incidence of PD as compared with Caucasian and a few Oriental populations. The mortality rates were comparable. The decreased age-specific PR among slum populations and higher relative risk of death need further probing. GLOSSARY AAIR = average annual incidence rate; AAMR = average annual mortality rate; CI = confidence interval; FSQ = family screening questionnaire; ICC = intraclass correlation coefficient; IR = incidence rate; MD = movement disorder; NSSO = National Sample Survey Organization; OR = odds ratio; PD = Parkinson disease; PPS = parkinsonism plus syndrome; PR = prevalence rate; PRM = Poisson regression modeling; RR = relative risk; SP = secondary parkinsonism; VA = verbal autopsy. PMID:20938028

Misery Loves Company? A Meta-Regression Examining Aggregate Unemployment Rates and the Unemployment-Mortality Association

PubMed Central

Roelfs, David J.; Shor, Eran; Blank, Aharon; Schwartz, Joseph E.

2015-01-01

PURPOSE Individual-level unemployment has been consistently linked to poor health and higher mortality, but some scholars have suggested that the negative effect of job loss may be lower during times and in places where aggregate unemployment rates are high. We review three logics associated with this moderation hypothesis: health selection, social isolation, and unemployment stigma. We then test whether aggregate unemployment rates moderate the individual-level association between unemployment and all-cause mortality. METHODS We use 6 meta-regression models (each utilizing a different measure of the aggregate unemployment rate) based on 62 relative all-cause mortality risk estimates from 36 studies (from 15 nations). RESULTS We find that the magnitude of the individual-level unemployment-mortality association is approximately the same during periods of high and low aggregate-level unemployment. Model coefficients (exponentiated) were 1.01 for the crude unemployment rate (p = 0.27), 0.94 for the change in unemployment rate from the previous year (p = 0.46), 1.01 for the deviation of the unemployment rate from the 5-year running average (p = 0.87), 1.01 for the deviation of the unemployment rate from the 10-year running average (p = 0.73), 1.01 for the deviation of the unemployment rate from the overall average (measured as a continuous variable; p = 0.61), and showed no variation across unemployment levels when the deviation of the unemployment rate from the overall average was measured categorically. Heterogeneity between studies was significant (p < .001), supporting the use of the random effects model. CONCLUSIONS We found no strong evidence to suggest that unemployment experiences change when macro-economic conditions change. Efforts to ameliorate the negative social and economic consequences of unemployment should continue to focus on the individual and should be maintained regardless of periodic changes in macro-economic conditions. PMID:25795225

Misery loves company? A meta-regression examining aggregate unemployment rates and the unemployment-mortality association.

PubMed

Roelfs, David J; Shor, Eran; Blank, Aharon; Schwartz, Joseph E

2015-05-01

Individual-level unemployment has been consistently linked to poor health and higher mortality, but some scholars have suggested that the negative effect of job loss may be lower during times and in places where aggregate unemployment rates are high. We review three logics associated with this moderation hypothesis: health selection, social isolation, and unemployment stigma. We then test whether aggregate unemployment rates moderate the individual-level association between unemployment and all-cause mortality. We use six meta-regression models (each using a different measure of the aggregate unemployment rate) based on 62 relative all-cause mortality risk estimates from 36 studies (from 15 nations). We find that the magnitude of the individual-level unemployment-mortality association is approximately the same during periods of high and low aggregate-level unemployment. Model coefficients (exponentiated) were 1.01 for the crude unemployment rate (P = .27), 0.94 for the change in unemployment rate from the previous year (P = .46), 1.01 for the deviation of the unemployment rate from the 5-year running average (P = .87), 1.01 for the deviation of the unemployment rate from the 10-year running average (P = .73), 1.01 for the deviation of the unemployment rate from the overall average (measured as a continuous variable; P = .61), and showed no variation across unemployment levels when the deviation of the unemployment rate from the overall average was measured categorically. Heterogeneity between studies was significant (P < .001), supporting the use of the random effects model. We found no strong evidence to suggest that unemployment experiences change when macroeconomic conditions change. Efforts to ameliorate the negative social and economic consequences of unemployment should continue to focus on the individual and should be maintained regardless of periodic changes in macroeconomic conditions. Copyright © 2015 Elsevier Inc. All rights reserved.

Wasatch fault zone, Utah - segmentation and history of Holocene earthquakes

USGS Publications Warehouse

Machette, Michael N.; Personius, Stephen F.; Nelson, Alan R.; Schwartz, David P.; Lund, William R.

1991-01-01

The Wasatch fault zone (WFZ) forms the eastern boundary of the Basin and Range province and is the longest continuous, active normal fault (343 km) in the United States. It underlies an urban corridor of 1.6 million people (80% of Utah's population) representing the largest earthquake risk in the interior of the western United States. The authors have used paleoseismological data to identify 10 discrete segments of the WFZ. Five are active, medial segments with Holocene slip rates of 1-2 mm a-1, recurrence intervals of 2000-4000 years and average lengths of about 50 km. Five are less active, distal segments with mostly pre-Holocene surface ruptures, late Quaternary slip rates of <0.5 mm a-1, recurrence intervals of ???10,000 years and average lengths of about 20 km. Surface-faulting events on each of the medial segments of the WFZ formed 2-4-m-high scarps repeatedly during the Holocene. Paleoseismological records for the past 6000 years indicate that a major surface-rupturing earthquake has occurred along one of the medial segments about every 395 ?? 60 years. However, between about 400 and 1500 years ago, the WFZ experienced six major surface-rupturing events, an average of one event every 220 years, or about twice as often as expected from the 6000-year record. Evidence has been found that surface-rupturing events occurred on the WFZ during the past 400 years, a time period which is twice the average intracluster recurrence interval and equal to the average Holocene recurrence interval.

Predictability of weather and climate in a coupled ocean-atmosphere model: A dynamical systems approach. Ph.D. Thesis

NASA Technical Reports Server (NTRS)

Nese, Jon M.

1989-01-01

A dynamical systems approach is used to quantify the instantaneous and time-averaged predictability of a low-order moist general circulation model. Specifically, the effects on predictability of incorporating an active ocean circulation, implementing annual solar forcing, and asynchronously coupling the ocean and atmosphere are evaluated. The predictability and structure of the model attractors is compared using the Lyapunov exponents, the local divergence rates, and the correlation, fractal, and Lyapunov dimensions. The Lyapunov exponents measure the average rate of growth of small perturbations on an attractor, while the local divergence rates quantify phase-spatial variations of predictability. These local rates are exploited to efficiently identify and distinguish subtle differences in predictability among attractors. In addition, the predictability of monthly averaged and yearly averaged states is investigated by using attractor reconstruction techniques.

Factors affecting local recurrence and distant metastases of invasive breast cancer after breast-conserving surgery in Chiang Mai University Hospital.

PubMed

Ditsatham, Chagkrit; Somwangprasert, Areewan; Watcharachan, Kirati; Wongmaneerung, Phanchaporn; Khorana, Jiraporn

2016-01-01

The purpose of this study was to collect data regarding breast cancer profiles and factors that affect local recurrence and distant metastasis after breast-conserving surgery (BCS) in Chiang Mai University Hospital. This study was a retrospective review in a single institution of newly diagnosed invasive breast cancer patients who were treated with BCS between April 9, 2001 and December 25, 2011. A total of 185 patients treated with BCS were included in this study, with an average age of 46.83 years. The average recurrence age was 41.1 years and the average nonrecurrence age was 47.48 years, with a recurrence rate of 10.27%. Premenopause was significant in recurrence (P=0.047), as well as non-estrogen-expression patients (P=0.001) and patients who did not receive antihormonal treatment (P=0.011). The recurrence rate in our institute was 10.27%. Factors affecting recurrence after BCS included young age, premenopausal status, nonexpression of the estrogen receptor, and patients who had not received antihormonal treatment. The recurrence rate was higher in the first 90 postoperative months.

Natural fertility in whooping cranes and Mississippi sandhill cranes at Patuxent Wildlife Research Center

USGS Publications Warehouse

Nicolich, Jane M.; Gee, G.F.; Ellis, D.H.; Hereford, Scott G.

2001-01-01

The first fertile whooping crane (Grus americana; WC) egg produced through natural breeding at Patuxent Wildlife Research Center (Patuxent) was laid in 1991. Prior to that time, all fertile whooping crane eggs were the result of artificial insemination. Since 1991, eight different whooping crane pairs at Patuxent have produced fertile eggs through natural breeding. Mean fertility averages over years for each pair range from 40% to 93%. Fertility rates for each pair also vary greatly between years, from 0% to 100% but the causes of the variance are unknown. Experiences with natural fertility in Mississippi sandhill cranes (G. canadensis pulla; MSC) have been similar. Annual natural fertility rates averaged from 21% to 89% and fertility averages for each of 7 pairs also varied greatly between years. Rearing methods have not determined success in natural breeding for either species. Both hand-reared and parent-reared pairs have been fertile. Wing condition, however, has been an important factor affecting natural fertility. Becausce artificial insemination (AI) generally results in higher fertility rates than natural breeding, Al should continue for some pairs.

Years of potential life lost amongst heroin users in the Australian Treatment Outcome Study cohort, 2001-2015.

PubMed

Darke, Shane; Marel, Christina; Mills, Katherine L; Ross, Joanne; Slade, Tim; Tessson, Maree

2016-05-01

Heroin use carries the highest burden of disease of any drug of dependence. The study aimed to determine mortality rates of the Australian Treatment Outcome Study cohort over the period 2001-2015, and the years of potential life lost (YPLL). The cohort consisted of 615 heroin users. Crude mortality rates per 1000 person years (PY) and Standardised Mortality Ratios (SMR) were calculated. YPLL were calculated using two criteria: years lost prior to age 65, and years lost prior to average life expectancy. The cohort was followed for 7,790.9 PY. At 2015, 72 (11.7%) of the cohort were deceased, with a crude mortality rate of 9.2 per 1000 PYs. Neither age nor gender associated with mortality. The SMR was 10.2 (males 7.3, females 17.2), matched for age, gender and year of death. The most common mortality cause was opioid overdose (52.8%). Using the<65 years criterion, there were 1988.3 YPLL, with a mean of 27.6 (males 27.6, females 27.7). Using the average life expectancy criterion, there were 3135.1 YPLL, with a mean of 43.5 (males 41.9, females 46.3). Accidental overdose (<65 yr 63.0%, average life expectancy 63.7%) and suicide (<65 yr 12.8%, average life expectancy 13.3%) accounted for three quarters of YPLL where cause of death was known. YPLL associated with heroin use was a quarter of a century, or close to half a century, depending on the criteria used. Given the prominent role of overdose and suicide, the majority of these fatalities, and the associated YPLL, appear preventable. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study.

PubMed

Ekstrand, Jan; Waldén, Markus; Hägglund, Martin

2016-06-01

There are limited data on hamstring injury rates over time in football. To analyse time trends in hamstring injury rates in male professional footballers over 13 consecutive seasons and to distinguish the relative contribution of training and match injuries. 36 clubs from 12 European countries were followed between 2001 and 2014. Team medical staff recorded individual player exposure and time-loss injuries. Injuries per 1000 h were compared as a rate ratio (RR) with 95% CI. Injury burden was the number of lay off days per 1000 h. Seasonal trend for injury was analysed using linear regression. A total of 1614 hamstring injuries were recorded; 22% of players sustained at least one hamstring injury during a season. The overall hamstring injury rate over the 13-year period was 1.20 injuries per 1000 h; the match injury rate (4.77) being 9 times higher than the training injury rate (0.51; RR 9.4; 95% CI 8.5 to 10.4). The time-trend analysis showed an annual average 2.3% year on year increase in the total hamstring injury rate over the 13-year period (R(2)=0.431, b=0.023, 95% CI 0.006 to 0.041, p=0.015). This increase over time was most pronounced for training injuries-these increased by 4.0% per year (R(2)=0.450, b=0.040, 95% CI 0.011 to 0.070, p=0.012). The average hamstring injury burden was 19.7 days per 1000 h (annual average increase 4.1%) (R(2)=0.437, b=0.041, 95% CI 0.010 to 0.072, p=0.014). Training-related hamstring injury rates have increased substantially since 2001 but match-related injury rates have remained stable. The challenge is for clubs to reduce training-related hamstring injury rates without impairing match performance. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

77 FR 45639 - Prescription Drug User Fee Rates for Fiscal Year 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-01

... compensation and benefits (PC&B) paid per full-time equivalent position (FTE) at FDA for the first 3 of the 4... preceding FY 2013. The 3 year average is 2.17 percent. Table 1--FDA Personnel Compensation and Benefits (PC... 108.25 122.3 The FY 2013 application fee is estimated by dividing the average number of full...

[Analysis of results of Assessment on National Parasitic Disease Control and Prevention Techniques in 2015].

PubMed

Yao, Ruan; Li-Ying, Wang; Ting-Jun, Zhu; Men-Bao, Qian; Chun-Li, Cao; Yu-Wan, Hao; Tian, Tian; Shi-Zhu, Li

2017-03-01

To assess the theoretical knowledge and practical skills of parasitic diseases among technicians from disease control and prevention institutions. The Assessment on National Parasitic Disease Control and Prevention Techniques was organized in September, 2015. Together, 124 subjects from disease control and prevention institutions at province, prefecture or county levels in 31 provinces joined the assessment. A database was built consisting of subjects' basic information and assessment scores. Statistical analysis was used to analyze the scores by gender, age, professional title, institutions and places of participants. The average total score of all the subjects was 123.3, with a passing rate of 57.3%. The average scores of male subjects (48 subjects) and female subjects (76 subjects) were 125.9 and 121.7 respectively; the average scores of the subjects aged under 30 years (57 subjects), between 30 and 40 years (61 subjects) and above 40 years (6 subjects) were 119.6, 128.1 and 111.2 respectively; the average scores of persons with junior (94 subjects), intermediate (28 subjects) and senior (2 subjects) professional titles were 119.2, 135.9 and 140.5 respectively. The average theoretical assessment score of all the subjects was 61.9, with a passing rate of 62.9%. The average practical skill assessment score of all the subjects was 61.4, with a passing rate of 58.1%. The theoretical assessment results range widely. The theoretical knowledge results of technicians from disease control and prevention institutions are low in general. Therefore, the specific training based on daily work needs to be enhanced.

Analysis of suicide deaths in a 15-year period in Eskisehir, western Anatolia, Turkey and the determination of risk factors.

PubMed

Karbeyaz, Kenan; Akkaya, Harun; Balci, Yasemin

2013-01-01

It is estimated that every year 1 million people die all around the world due to suicide. The average rate of suicide in the world is reported as 16/100,000. In this study, we aimed to evaluate and discuss the suicide cases in our city Eskisehir that is located in western Anatolia. This is a retrospective study covering the period 1997-2011. All deaths in Eskisehir caused due to the consumption of forensic medicines in a 15-year period between 1997 and 2011 were evaluated retrospectively. A total of 553 cases were determined to be suicidal following both forensic and criminal investigations, and were included in the study. Furthermore, death examination and autopsy reports were investigated, and judicial investigation records were also taken into account. In this period, the average rate of suicide in our city was determined as 5.1/100,000 of which 71.4% of the cases were male. It was determined that the suicides most commonly occurred between the ages of 19 and 29 (32.4%, n=179). The most commonly encountered suicide method was hanging (60.9%, n=337). It was ascertained that the suicide rate in our city was lower than the average rate in the world, but it was higher than the average rate in Turkey. Unemployment was determined as the most common risk factor in our study. A follow-up should be provided for people with a history of attempting to commit suicide or with a tendency to committing suicide due to a psychological disorder.

Warmer is healthier: effects on mortality rates of changes in average fine particulate matter (PM2.5) concentrations and temperatures in 100 U.S. cities.

PubMed

Cox, Louis A; Popken, Douglas A; Ricci, Paolo F

2013-08-01

Recent studies have indicated that reducing particulate pollution would substantially reduce average daily mortality rates, prolonging lives, especially among the elderly (age ≥ 75). These benefits are projected by statistical models of significant positive associations between levels of fine particulate matter (PM2.5) levels and daily mortality rates. We examine the empirical correspondence between changes in average PM2.5 levels and temperatures from 1999 to 2000, and corresponding changes in average daily mortality rates, in each of 100 U.S. cities in the National Mortality and Morbidity Air Pollution Study (NMMAPS) data base, which has extensive PM2.5, temperature, and mortality data for those 2 years. Increases in average daily temperatures appear to significantly reduce average daily mortality rates, as expected from previous research. Unexpectedly, reductions in PM2.5 do not appear to cause any reductions in mortality rates. PM2.5 and mortality rates are both elevated on cold winter days, creating a significant positive statistical relation between their levels, but we find no evidence that reductions in PM2.5 concentrations cause reductions in mortality rates. For all concerned, it is crucial to use causal relations, rather than statistical associations, to project the changes in human health risks due to interventions such as reductions in particulate air pollution. Copyright © 2013 Elsevier Inc. All rights reserved.

Clearcut harvesting costs and production rates for young-growth mixed-conifer stands

Treesearch

William A. Atkinson; Dale O. Hall

1966-01-01

In clearcutting 90-year-old stands at the Challenge Experimental Forest, all merchantable trees greater than 12 inches d.b.h. were removed. Felling costs averaged $3.86 and required 0.55 man-hours per M bd. ft. in cut volumes averaging 19,700 bd. ft. per acre. Yarding, at a rate of 0.54 hours per M bd. ft., cost $4.42.

Near-term acceleration in the rate of temperature change

NASA Astrophysics Data System (ADS)

Smith, Steven J.; Edmonds, James; Hartin, Corinne A.; Mundra, Anupriya; Calvin, Katherine

2015-04-01

Anthropogenically driven climate changes, which are expected to impact human and natural systems, are often expressed in terms of global-mean temperature. The rate of climate change over multi-decadal scales is also important, with faster rates of change resulting in less time for human and natural systems to adapt. We find that present trends in greenhouse-gas and aerosol emissions are now moving the Earth system into a regime in terms of multi-decadal rates of change that are unprecedented for at least the past 1,000 years. The rate of global-mean temperature increase in the CMIP5 (ref. ) archive over 40-year periods increases to 0.25 +/- 0.05 °C (1σ) per decade by 2020, an average greater than peak rates of change during the previous one to two millennia. Regional rates of change in Europe, North America and the Arctic are higher than the global average. Research on the impacts of such near-term rates of change is urgently needed.

Severe road traffic injuries and youth: a 4-year analysis for the city of Belgrade.

PubMed

Bumbasirevic, Marko; Lesic, Aleksandar; Bumbasirevic, Vesna; Zagorac, Slavisa; Milosevic, Ivan; Simic, Marko; Markovic-Denic, Ljiljana

2014-01-01

The objective of this study is to describe severe road traffic injuries (RTIs) in the population under 18 years in Belgrade, the capital of Serbia. We analysed both severe non-fatal and fatal RTIs in children and adolescents under 18 years old in the Belgrade area, during the period 2008-2011. Data sources were the official statistics of the Public Health Institute in Belgrade and forensic-medical records from two paediatric university hospitals and five university hospitals for adults. Using descriptive statistical methods, demographic characteristics, mechanism, type and time of injuries, surgical treatment procedures, injury severity scores (ISS), length of stay and outcome were evaluated. The admission and mortality rates were calculated. Among the total of 379 injured, 256 (67.5%) were male; the average age was 13.0 ± 4.7 (range: 0-18 years). The annual hospital admission rate of RTIs for both sexes decreased in average by 12.6% (95% CI = 9.3%-15.9%). The mean percentage of annual changes of mortality rates was 2.0 %; 95% CI = 1.3%-5.3% (5.7 per 100,000 in 2008, 5.6 in 2009, 4.7 in 2010 and 5.9 in 2011). The highest admission rates and mortality rates were for pedestrians, followed by passengers and cyclists. Accidents occurred most commonly on Monday (18.7%). Among children hospitalised for traffic injuries, 57.8% had head and neck trauma, 30.6% extremity fractures, 5% abdominal injuries, 4.2% chest and 2.4% multiple injuries. The average ISS was 22.4 (SD = 20.4), ranging from 1 to 75. Alcohol in blood was confirmed in 7.4% males and 3.3% females (p > 0.05). The average time of hospital stay was 8.8 days (SD = 16.7), ranging from 1 to 14. The increased rates require implementation of a well-defined national strategy in our country.

Navigating the Road to Reintegration: Status and Continuing Support of the U.S. Air Force’s Wounded Warriors

DTIC Science & Technology

2015-01-01

favorably to other response rates (see, e.g., Baruch, 1999, who reported declines in average response rates over the years such that the average in 1995 was...whether they had used marijuana ; other illicit drugs such as cocaine, opium, amphetamines, or Ecstasy (MDMA, or 3,4-methylenedioxy-N...reported use of marijuana or prescription medication other than as prescribed. The reported rates of marijuana use, again, are slightly higher than age

Repaying in Kind: Examination of the Reciprocity Effect in Faculty and Resident Evaluations.

PubMed

Gardner, Aimee K; Scott, Daniel J

Although the reciprocity hypothesis (that trainees have a tendency to modify evaluations based on the grades they receive from instructors) has been documented in other fields, very little work has examined this phenomenon in the surgical residency environment. The purpose of this study was to investigate the extent to which lenient-grading faculty receive higher evaluations from surgery residents. Evaluation data from 2 consecutive academic years were collected retrospectively at a large university-based General Surgery residency program. Monthly faculty evaluations of residents (15 items) and resident evaluations of faculty (8 items; 1 = never demonstrates, 10 = always demonstrates) were included. Correlation and regression analyses were conducted with SPSS version 22 (IBM; Chicago, IL). A total of 2274 faculty assessments and 1480 resident assessments were included in this study, representing 2 years of evaluations for 32 core faculty members responsible for completing all resident evaluations and 68 PGY1-5 general surgery residents. Faculty (63% men, 13.5 ± 9.8 years out of training) represented 5 different divisions (general surgery, surgical oncology, transplant, trauma critical care, and vascular) within the general surgery department. Faculty received an average of 71.1 ± 33.9 evaluations from residents over the course of 2 years. The average rating of faculty teaching by residents was 9.5 ± 0.4. Residents received an average of 21.8 ± 0.5 evaluations with average ratings of 4.2 ± 0.4. Correlation analyses indicated a positive relationship between the average rating received from residents and the number of years since faculty completed training (r = 0.44, p = 0.01). Additionally, a significant relationship emerged between ratings received from residents and ratings given to residents (r = 0.40, p = 0.04). Regression analyses indicated that when both variables (years since training, ratings given to residents) were included in the model, only ratings given to residents remained a significant predictor of evaluation ratings received from residents (F (1,32) = 4.40, p = 0.04), with an R 2 of 0.16. Sex or division affiliation did not account for any unique variance. These findings suggest that a reciprocity effect exists between surgery faculty and resident evaluations. This effect warrants further exploration, such that efforts to mitigate the risks of providing inaccurate assessments may be developed. Providing trainees with accurate assessments is particularly important given the high-stakes use of these data for milestones, promotion, and graduation purposes, which currently do not account for this reciprocity effect. Results suggest that there is a reciprocity effect in the faculty and resident evaluation process. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

[Perforated duodenal ulcer: benefits and risks of laparoscopic repair].

PubMed

Lunevicius, Raimundas; Morkevicius, Matas

2004-01-01

Laparoscopic perforated duodenal ulcer repair is a minimally invasive technique. Just like any other type of surgery, the laparoscopic approach carries operative risks in itself. The primary goal of this article is to describe the possible risk factors in laparoscopic duodenal ulcer repair. The secondary goal is to clarify benefits of the laparoscopic surgery. The Medline/Pubmed database was used; 73 articles were analyzed and evaluated. Six retrospective and nine prospective studies are summarized. The retrospective studies' results are as follows: total complication rate is 7-28% (average--16%); conversion rate is 6-30% (average--18%); postoperative mortality rate is 0-20% (average--6%); and average hospital stay is 6-17 days (average--8 days). The results of the prospective studies are the following: total complication rate is lower--5-25% (average--11%); conversion rate is lower - 0-27% (average--14%); postoperative mortality is lower 0-10% (average--3%); and average hospital stay is shorter--4-10 days (average--6 days). The difference is not significant but the results are better than in prospective studies. The risk factors were identical. Shock, delayed presentation (>24 hours), confounding medical condition, age >70 years, American Society of Anesthesiology III-IV degrees and Boey score--all above should be considered as preoperative laparoscopic repair risk factors. Inadequate ulcer localization, large perforation size (>6 mm diameter according to ones, >10 mm according to others) and ulcers with friable edges are also considered as laparoscopic repair risk factors: each of the factors independently is an indication for an open repair.

A Systems Modeling Approach to Forecast Corn Economic Optimum Nitrogen Rate.

PubMed

Puntel, Laila A; Sawyer, John E; Barker, Daniel W; Thorburn, Peter J; Castellano, Michael J; Moore, Kenneth J; VanLoocke, Andrew; Heaton, Emily A; Archontoulis, Sotirios V

2018-01-01

Historically crop models have been used to evaluate crop yield responses to nitrogen (N) rates after harvest when it is too late for the farmers to make in-season adjustments. We hypothesize that the use of a crop model as an in-season forecast tool will improve current N decision-making. To explore this, we used the Agricultural Production Systems sIMulator (APSIM) calibrated with long-term experimental data for central Iowa, USA (16-years in continuous corn and 15-years in soybean-corn rotation) combined with actual weather data up to a specific crop stage and historical weather data thereafter. The objectives were to: (1) evaluate the accuracy and uncertainty of corn yield and economic optimum N rate (EONR) predictions at four forecast times (planting time, 6th and 12th leaf, and silking phenological stages); (2) determine whether the use of analogous historical weather years based on precipitation and temperature patterns as opposed to using a 35-year dataset could improve the accuracy of the forecast; and (3) quantify the value added by the crop model in predicting annual EONR and yields using the site-mean EONR and the yield at the EONR to benchmark predicted values. Results indicated that the mean corn yield predictions at planting time ( R 2 = 0.77) using 35-years of historical weather was close to the observed and predicted yield at maturity ( R 2 = 0.81). Across all forecasting times, the EONR predictions were more accurate in corn-corn than soybean-corn rotation (relative root mean square error, RRMSE, of 25 vs. 45%, respectively). At planting time, the APSIM model predicted the direction of optimum N rates (above, below or at average site-mean EONR) in 62% of the cases examined ( n = 31) with an average error range of ±38 kg N ha -1 (22% of the average N rate). Across all forecast times, prediction error of EONR was about three times higher than yield predictions. The use of the 35-year weather record was better than using selected historical weather years to forecast (RRMSE was on average 3% lower). Overall, the proposed approach of using the crop model as a forecasting tool could improve year-to-year predictability of corn yields and optimum N rates. Further improvements in modeling and set-up protocols are needed toward more accurate forecast, especially for extreme weather years with the most significant economic and environmental cost.

A Systems Modeling Approach to Forecast Corn Economic Optimum Nitrogen Rate

PubMed Central

Puntel, Laila A.; Sawyer, John E.; Barker, Daniel W.; Thorburn, Peter J.; Castellano, Michael J.; Moore, Kenneth J.; VanLoocke, Andrew; Heaton, Emily A.; Archontoulis, Sotirios V.

2018-01-01

Historically crop models have been used to evaluate crop yield responses to nitrogen (N) rates after harvest when it is too late for the farmers to make in-season adjustments. We hypothesize that the use of a crop model as an in-season forecast tool will improve current N decision-making. To explore this, we used the Agricultural Production Systems sIMulator (APSIM) calibrated with long-term experimental data for central Iowa, USA (16-years in continuous corn and 15-years in soybean-corn rotation) combined with actual weather data up to a specific crop stage and historical weather data thereafter. The objectives were to: (1) evaluate the accuracy and uncertainty of corn yield and economic optimum N rate (EONR) predictions at four forecast times (planting time, 6th and 12th leaf, and silking phenological stages); (2) determine whether the use of analogous historical weather years based on precipitation and temperature patterns as opposed to using a 35-year dataset could improve the accuracy of the forecast; and (3) quantify the value added by the crop model in predicting annual EONR and yields using the site-mean EONR and the yield at the EONR to benchmark predicted values. Results indicated that the mean corn yield predictions at planting time (R2 = 0.77) using 35-years of historical weather was close to the observed and predicted yield at maturity (R2 = 0.81). Across all forecasting times, the EONR predictions were more accurate in corn-corn than soybean-corn rotation (relative root mean square error, RRMSE, of 25 vs. 45%, respectively). At planting time, the APSIM model predicted the direction of optimum N rates (above, below or at average site-mean EONR) in 62% of the cases examined (n = 31) with an average error range of ±38 kg N ha−1 (22% of the average N rate). Across all forecast times, prediction error of EONR was about three times higher than yield predictions. The use of the 35-year weather record was better than using selected historical weather years to forecast (RRMSE was on average 3% lower). Overall, the proposed approach of using the crop model as a forecasting tool could improve year-to-year predictability of corn yields and optimum N rates. Further improvements in modeling and set-up protocols are needed toward more accurate forecast, especially for extreme weather years with the most significant economic and environmental cost. PMID:29706974

Trends in Kindergarten Rates of Vaccine Exemption and State-Level Policy, 2011–2016

PubMed Central

Porter, Rachael M; Allen, Kristen; Salmon, Daniel A; Bednarczyk, Robert A

2018-01-01

Abstract Background Kindergarten-entry vaccination requirements have played an important role in controlling vaccine-preventable diseases in the United States. Forty-eight states and the District of Colombia offer nonmedical exemptions to vaccines, ranging in stringency. Methods We analyzed state-level exemption data from 2011 to 2012 through 2015 to 2016 school years. States were categorized by exemption ease and type of exemption allowed. We calculated nonmedical exemption rates for each year in the sample and stratified by exemption ease, type, and 2 trend categories: 2011–12 through 2012–13 and 2013–14 through 2015–16 school years. Using generalized estimating equations, we created regression models estimating (1) the average annual change in nonmedical exemption rates and (2) relative differences in rates by state classification. Results The nonmedical exemption rate was higher during the 2013–2014 through 2015–2016 period (2.25%) compared to 2011–2012 through 2012–2013 (1.75%); more importantly, the average annual change in the latter period plateaued. The nonmedical exemption rate in states allowing philosophical and religious exemptions was 2.41 times as high as in states allowing only religious exemptions (incidence rate ratio = 2.41; 95% confidence interval, 1.71–3.41). Conclusions There was an increase in nonmedical exemption rates through the 2012–2013 school year; however, rates stabilized through the 2015–2016 school year, showing an important shift in trend. PMID:29423420

How the 2008 stock market crash and seasons affect total and cardiac deaths in Los Angeles County.

PubMed

Schwartz, Bryan Glen; Pezzullo, John Christopher; McDonald, Scott Andrew; Poole, William Kenneth; Kloner, Robert Alan

2012-05-15

Various stressors trigger cardiac death. The objective was to investigate a possible relation between a stock market crash and cardiac death in a large population within the United States. We obtained daily stock market data (Dow Jones Industrial Average Index), death certificate data for daily deaths in Los Angeles County (LA), and annual LA population estimates for 2005 through 2008. The 4 years death rate curves (2005 through 2008) were averaged into a single curve to illustrate annual trends. Data were "deseasonalized" by subtracting from the daily observed value the average value for that day of year. There was marked seasonal variation in total and cardiac death rates. Even in the mild LA climate, death rates were higher in winter versus summer including total death (+17%), circulatory death (+24%), coronary heart disease death (+28%), and myocardial infarction death (+38%) rates (p <0.0001 for each). Absolute coronary heart disease death rates have decreased since 1985. After accounting for seasonal variation, the large stock market crash in October 2008 did not affect death rates in LA. Death rates remained at or below seasonal averages during the stock market crash. In conclusion, after correcting for seasonal variation, the stock market crash in October 2008 was not associated with an increase in total or cardiac death in LA. Annual coronary heart disease death rates continue to decrease. However, seasonal variation (specifically winter) remains a trigger for death and coronary heart disease death even in LA where winters are mild. Copyright © 2012 Elsevier Inc. All rights reserved.

Late Holocene slip rate and ages of prehistoric earthquakes along the Maacama Fault near Willits, Mendocino County, northern California

USGS Publications Warehouse

Prentice, Carol S.; Larsen, Martin C.; Kelsey, Harvey M.; Zachariasen, Judith

2014-01-01

The Maacama fault is the northward continuation of the Hayward–Rodgers Creek fault system and creeps at a rate of 5.7±0.1  mm/yr (averaged over the last 20 years) in Willits, California. Our paleoseismic studies at Haehl Creek suggest that the Maacama fault has produced infrequent large earthquakes in addition to creep. Fault terminations observed in several excavations provide evidence that a prehistoric surface‐rupturing earthquake occurred between 1060 and 1180 calibrated years (cal) B.P. at the Haehl Creek site. A folding event, which we attribute to a more recent large earthquake, occurred between 790 and 1060 cal B.P. In the last 560–690 years, a buried channel deposit has been offset 4.6±0.2  m, giving an average slip rate of 6.4–8.6  mm/yr, which is higher than the creep rate over the last 20 years. The difference between this slip rate and the creep rate suggests that coseismic slip up to 1.7 m could have occurred after the formation of the channel deposit and could be due to a paleoearthquake known from paleoseismic studies in the Ukiah Valley, about 25 km to the southeast. Therefore, we infer that at least two, and possibly three, large earthquakes have occurred at the Haehl Creek site since 1180 cal B.P. (770 C.E.), consistent with earlier studies suggesting infrequent, large earthquakes on the Maacama fault. The short‐term geodetic slip rate across the Maacama fault zone is approximately twice the slip rate that we have documented at the Haehl Creek site, which is averaged over the last approximately 600 years. If the geodetic rate represents the long‐term slip accumulation across the fault zone, then we infer that, in the last ∼1200 years, additional earthquakes may have occurred either on the Haehl Creek segment of the Maacama fault or on other active faults within the Maacama fault zone at this latitude.

Bacterial diversity in a glacier foreland of the high Arctic.

PubMed

Schütte, Ursel M E; Abdo, Zaid; Foster, James; Ravel, Jacques; Bunge, John; Solheim, Bjørn; Forney, Larry J

2010-03-01

Over the past 100 years, Arctic temperatures have increased at almost twice the global average rate. One consequence is the acceleration of glacier retreat, exposing new habitats that are colonized by microorganisms whose diversity and function are unknown. Here, we characterized bacterial diversity along two approximately parallel chronosequences in an Arctic glacier forefield that span six time points following glacier retreat. We assessed changes in phylotype richness, evenness and turnover rate through the analysis of 16S rRNA gene sequences recovered from 52 samples taken from surface layers along the chronosequences. An average of 4500 sequences was obtained from each sample by 454 pyrosequencing. Using parametric methods, it was estimated that bacterial phylotype richness was high, and that it increased significantly from an average of 4000 (at a threshold of 97% sequence similarity) at locations exposed for 5 years to an average of 7050 phylotypes per 0.5 g of soil at sites that had been exposed for 150 years. Phylotype evenness also increased over time, with an evenness of 0.74 for 150 years since glacier retreat reflecting large proportions of rare phylotypes. The bacterial species turnover rate was especially high between sites exposed for 5 and 19 years. The level of bacterial diversity present in this High Arctic glacier foreland was comparable with that found in temperate and tropical soils, raising the question whether global patterns of bacterial species diversity parallel that of plants and animals, which have been found to form a latitudinal gradient and be lower in polar regions compared with the tropics.

Analysis of traffic accident data in Kentucky (1994-1998)

DOT National Transportation Integrated Search

1999-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 1994 through 1998. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Analysis of traffic crash data in Kentucky : 2002-2006.

DOT National Transportation Integrated Search

2007-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2002 through 2006. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Analysis of traffic crash data in Kentucky : 2003-2007.

DOT National Transportation Integrated Search

2008-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2003 through 2007. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Northwest Forest Plan—the first 10 years (1994–2003): status and trends of northern spotted owl populations and habitat.

Treesearch

Joseph Lint

2005-01-01

This report presents results from monitoring spotted owl (Strix occidentalis caurina) populations and habitat during the first 10 years of implementation of the Northwest Forest Plan (the Plan). Estimated population decline ranged from 0 to 10 percent across study areas (weighted average of 3.4 percent) annually. The average annual rate of decline...

[Mortality rate of acute heart attack in Zalaegerszeg micro-region. Results of the first Hungarian 24-hour acute ST-elevation myocardial infarction intervention care unit].

PubMed

Lupkovics, Géza; Motyovszki, Akos; Németh, Zoltán; Takács, István; Kenéz, András; Burkali, Bernadett; Menyhárt, Ildikó

2010-04-04

Morbidity and mortality rates of acute heart attack emphasize the significance of this patient group worldwide. The prompt and exact diagnosis and the timing of adequate therapy is crucial for this patients. Modern supply of acute heart attack includes invasive cardiology intervention, primer percutaneous coronary intervention. In year 1999, American and European recommendations suggested primer percutaneous coronary intervention only as an alternative possibility instead of thrombolysis, or in case of cardiogenic shock. 24 hour intervention unit for patients with acute heart attack was first organized in Hungary in Zala County Hospital's Cardiology Department, in year 1998. Our present study confirms, that since the intervention treatment has been introduced, average mortality rate has been reduced considerably in our area comparing to the national average. Mortality rates in West Transdanubian region and in Zalaegerszeg's micro-region were studied and compared for the period between 1997-2004, according to the data of National Public Health and Medical Officer Service. These data were then compared with the national average mortality data of Hungarian Central Statistical Office. With the help of our own computerized database we examined this period and compared the number of the completed invasive interventions to the mortality statistics. In the first full year, in 1998, we completed 82 primer and 283 elective PCIs; these number increased to 318 and 1265 by year 2005. At the same time, significant decrease of acute infarction related mortality was detectable among men of the Zalaegerszeg micro-region, comparing to the national average (p<0.001). The first Hungarian 24 hour acute heart attack intervention care improved the area's mortality statistics significantly, comparing to the national average. The skilled work of the experienced team means an important advantage to the patients in Zalaegerszeg micro-region.

Post-silking Factor Consequences for N Efficiency Changes Over 38 Years of Commercial Maize Hybrids.

PubMed

Chen, Keru; Vyn, Tony J

2017-01-01

Hybrid selection in maize ( Zea mays L.) over the decades has increased post-silking dry matter (PostDM) and nitrogen (PostN) accumulation, often with an accompanying increase in one or more N use efficiency (NUE) metrics such as partial factor productivity (PFP), N conversion efficiency (NCE), and N internal efficiency (NIE). More certainty on the underlying mechanisms of how PostDM and PostN changes over time have contributed to NUE gains or losses in modern-era hybrids can only be realized by directly comparing hybrids of different eras in the context of production-system-relevant management systems. A two-year and two-location field study was conducted in Indiana with two N rates (55 and 220 kg N ha -1 ), three plant densities (54,000, 79,000, and 104,000 plants ha -1 ) and eight commercial hybrids that were released by a single seed company from 1967 to 2005. The main treatment effects of N rate, density, and hybrid dominated the PostDM and PostN responses, and there were no significant two-way or three-way interactions. Total dry matter at maturity gains averaged 80 kg ha -1 year -1 of hybrid release when averaged over locations, plant densities and N rates. Total N contents at maturity increased 0.68 kg ha -1 year -1 , primarily due to annual increases in grain N content (0.8 kg ha -1 year -1 ). Post-silking N uptake rate increased 0.44 kg ha -1 year -1 for these era hybrids in more favorable production site-years. Slopes of grain N concentration increases per unit PostN gain were similar for all hybrids. Gains in average PFP over time were considerably higher at the low N rate (0.9 kg ha -1 year -1 ) than at the high N rate (0.3 kg kg -1 year -1 ). Hybrid gains in NIE were evident from 1967 to 1994, but not thereafter. The low N rate and higher plant densities also increased relative NIE and NCE values, but without hybrid interactions. There was no consistent trend of NIE or NCE gains in these hybrids primarily because grain and whole-plant N concentrations didn't decline over the decades at either N rate, and because NIE and NCE were often plant-density dependent.

Public Health Profile of Road Traffic Accidents in Kosovo 2010-2015.

PubMed

Ramadani, Naser; Zhjeqi, Valbona; Berisha, Merita; Hoxha, Rina; Begolli, Ilir; Salihu, Drita; Krasniqi, Pranvera

2017-12-15

To determine the characteristics of the Socio-medical profile of road traffic accidents in Kosovo, between 2010 and 2015 year. Retrospective study. A descriptive method based on the database of road traffic accidents from the National Police of Kosovo. In Kosovo for the period 2010-2015, on average, the yearly number of road traffic accidents is 18437 with mortality rate 7.4 per 100000 and lethality of 1.5%. The highest number of fatal cases are drivers and above 19 years old with more than 80%. Among injured significantly highest percentage is among passengers for all years and above 19 years old. Road traffic accident with a vehicle occurs most frequently, with approximately over 70%, mostly on dry road 72.9% and clear weather 71.1%. The driver is the contributing factors of road traffic accidents on average 99.3% whereas climatic conditions only 0.5%, with over 50% of crashes occurring in urban road 56.2%, mostly during Monday 16.0% and in the afternoon rush hours between 14.00-18.00 with 31.0%. There is a slight decrease in the mortality rate of 0.1‰ and lethality rate of 0.1% each year, whereas there is an increase of 21.5‰ for traumatism rate for each year.

Public Health Profile of Road Traffic Accidents in Kosovo 2010-2015

PubMed Central

Ramadani, Naser; Zhjeqi, Valbona; Berisha, Merita; Hoxha, Rina; Begolli, Ilir; Salihu, Drita; Krasniqi, Pranvera

2017-01-01

AIM: To determine the characteristics of the Socio-medical profile of road traffic accidents in Kosovo, between 2010 and 2015 year. STUDY DESIGN: Retrospective study. METHODS: A descriptive method based on the database of road traffic accidents from the National Police of Kosovo. RESULTS: In Kosovo for the period 2010-2015, on average, the yearly number of road traffic accidents is 18437 with mortality rate 7.4 per 100000 and lethality of 1.5%. The highest number of fatal cases are drivers and above 19 years old with more than 80%. Among injured significantly highest percentage is among passengers for all years and above 19 years old. Road traffic accident with a vehicle occurs most frequently, with approximately over 70%, mostly on dry road 72.9% and clear weather 71.1%. The driver is the contributing factors of road traffic accidents on average 99.3% whereas climatic conditions only 0.5%, with over 50% of crashes occurring in urban road 56.2%, mostly during Monday 16.0% and in the afternoon rush hours between 14.00-18.00 with 31.0%. CONCLUSIONS: There is a slight decrease in the mortality rate of 0.1‰ and lethality rate of 0.1% each year, whereas there is an increase of 21.5‰ for traumatism rate for each year. PMID:29362641

Seasonal ammonia losses from spray-irrigation with secondary-treated recycled water.

PubMed

Saez, Jose A; Harmon, Thomas C; Doshi, Sarika; Guerrero, Francisco

2012-01-01

This work examines ammonia volatilization associated with agricultural irrigation employing recycled water. Effluent from a secondary wastewater treatment plant was applied using a center pivot irrigation system on a 12 ha agricultural site in Palmdale, California. Irrigation water was captured in shallow pans and ammonia concentrations were quantified in four seasonal events. The average ammonia loss ranged from 15 to 35% (averaging 22%) over 2-h periods. Temporal mass losses were well-fit using a first-order model. The resulting rate constants correlated primarily with temperature and secondarily with wind speed. The observed application rates and timing were projected over an entire irrigation season using meteorological time series data from the site, which yielded volatilization estimates of 0.03 to 0.09 metric tons NH(3)-N/ha per year. These rates are consistent with average rates (0.04 to 0.08 MT NH(3)-N/ha per year) based on 10 to 20 mg NH(3)-N/L effluent concentrations and a 22% average removal. As less than 10% of the treated effluent in California is currently reused, there is potential for this source to increase, but the increase may be offset by a corresponding reduction in synthetic fertilizers usage. This point is a factor for consideration with respect to nutrient management using recycled water.

[Sociodemographic indicators of the Andean Pact countries].

PubMed

1991-12-01

The Andean Pact, also known as the Cartagena Accord, was signed on May 26, 1969, with the goal of promoting the socioeconomic integration of the countries of the subregion (Venezuela, Colombia, Ecuador, Peru, and Bolivia). 1992 marked a new stage in the Andean Pact by the consolidation of the integration process with the establishment of the Andean Free Trade Zone, allowing the uninhibited flow of goods. The subregion's population was 91.8 million in 1990, the most populous being Colombia with 32.9 million people. 71.5% of the total population (65 million people) live in cities with a high level of urban growth. During the period of 1990-95 the average rate of population growth was the highest in Bolivia with 2.8% and the lowest in Colombia with 1.95%. By comparison, the rate of growth was 0.2% in western Europe and 0.7% in the US. According to projections of the UN, approximately 113 million people will be living in the subregion in the year 2000. The indices of life expectancy and infant mortality have improved in recent decades; however, they are still poor compared to those of developed countries. The highest rate of infant mortality was registered in Bolivia with 93/1000 live births, followed by Peru with 76/1000, Ecuador with 53/1000, Colombia with 37/1000, and Venezuela with 33/1000 live births. The average rate of European countries is 7/1000 live births. Life expectancy increased from an average of 50 years in 1950 to 65.4 years in 1990. In 1990, average life expectancy was 76 years in the US, indicating that there are significant differences in medical care and social security between the countries of the region and developed countries.

Forecasting the progress towards the target of Millennium Development Goal 1C in children under 5 years of age in Bangladesh.

PubMed

Hasan, Md Tanvir; Soares Magalhaes, Ricardo J; Williams, Gail M; Mamun, Abdullah A

2015-07-01

To estimate the average annual rates of reduction of stunting, underweight and wasting for the period 1996 to 2011, and to evaluate whether Bangladesh will be expected to achieve the target of Millennium Development Goal 1C of reducing the prevalence of underweight by half by 2015. We used five nationwide, cross-sectional, Demographic and Health Survey data sets to estimate prevalence of undernutrition defined by stunting, underweight and wasting among children under 5 years of age using the WHO child growth standards. We then computed the average annual rates of reduction of prevalence of undernutrition using the formula derived by UNICEF. Finally, we projected the prevalence of undernutrition for the year 2015 using the estimated average annual rates of reduction. Nationwide covering Bangladesh. Children under 5 years of age (n 28,941). The prevalence of stunting decreased by 18.8% (from 60.0% to 41.2%), underweight by 16.0% (from 52.2% to 36.2%) and wasting by 5.1% (from 20.6% to 15.5%) during 1996 to 2011. The overall average annual rates of reduction were 2.84%, 2.69 % and 2.47%, respectively, for stunting, underweight and wasting. We forecast that in 2015, the prevalence of stunting, underweight and wasting will be 36.7%, 32.5% and 14.0%, respectively, at the national level. The prevalence of undernutrition is likely to remain high in rural areas, in the Sylhet division and in the poorest wealth quintile. Bangladesh is likely to achieve the Millennium Development Goal 1C target of reducing the prevalence of underweight by half by 2015. However, it is falling behind in reducing stunting and further investment is needed to reduce individual, household and environmental determinants of stunting in Bangladesh.

Influence of age and selected environmental factors on reproductive performance of canvasbacks

USGS Publications Warehouse

Serie, Jerome R.; Trauger, David L.; Austin, Jane E.

1992-01-01

Age, productivity, and other factors affecting breeding performance of canvasbacks (Aythya valisineria) are poorly understood. Consequently, we tested whether reproductive performance of female canvasbacks varied with age and selected environmental factors in southwestern Manitoba from 1974 to 1980. Neither clutch size, nest parasitism, nest success, nor the number of ducklings/brood varied with age. Return rates, nest initiation dates, renesting, and hen success were age-related. Return rates averaged 21% for second-year (SY) and 69% for after-second-year (ASY) females (58% for third-year and 79% for after-third-year females). Additionally, water conditions and spring temperatures influenced chronology of arrival, timing of nesting, and reproductive success. Nest initiation by birds of all ages was affected by minimum April temperatures. Clutch size was higher in nests initiated earlier. Interspecific nest parasitism did not affect clutch size, nest success, hen success, or hatching success. Nest success was lower in dry years (17%) than in moderately wet (54%) or wet (60%) years. Nests per female were highest during wet years. No nests of SY females were found in dry years. In years of moderate to good wetland conditions, females of all ages nested. Predation was the primary factor influencing nest success. Hen success averaged 58% over all years. The number of ducklings surviving 20 days averaged 4.7/brood. Because SY females have lower return rates and hen success than ASY females, especially during drier years, management to increase canvasback populations might best be directed to increasing first year recruitment (no. of females returning to breed) and to increasing overall breeding success by reducing predation and enhancing local habitat conditions during nesting.

Honduras.

PubMed

1985-08-01

This discussion of Honduras covers the following: the history of the country's demographic situation; the government's overall approach to population problems; population data systems and development planning; institutional arrangements for the integration of population within development planning; the goverment's view of the importance of population policy in realizing development objectives; population size, growth, and natural increase; morbidity and mortality; fertility; international migration; and spatial distribution. Between the censuses of 1910-40, Honduras grew at an average annual rate of more than 1.5% per annum. The rate of population growth reached 2% per annum after 1940 and 3% after about 1955. By 1970-75 the rate of natural increase was estimated to be about 3.5% per annum, due to the net effect of a crude birthrate of 49/1000 and a crude death rate of about 14/1000. The rate of natural increase has remained around 3.5% in recent years, although the crude death rate has declined to 44/1000 and the crude death rate to about 10/1000. The government wants to substantially reduce the rate of population growth, primarily by means of modifying fertility and averting large-scale immigration of refugees in the future. It desires to reduce the country's high levels of mortality and to adjust patterns of spatial distribution, primarily to improve agricultural productivity and promote national economic intergration. The government also seeks to decrease the emigration of qualified personnel. In the past several years, the government of Honduras has increased its commitment to formulating and implementing explicit population policies as a means of attaining overall development objcetives. With a population of around 4.1 million inhabitants as of 1983, Honduras has been growing at an average annual rate of 3.4% in recent years. According to UN projections, the population is expected to grow to about 7 million by 2000. The average life expectancy at birth for both sexes was 55.3 years in 1974 and around 60 years as of 1982. The crude death rate was estimated to be 10/1000 during 1980-85; infant mortality declined from 117/1000 live births in 1971-72 to 86/1000 in 1978. Diarrheal disease is the single most important cause of death in Honduras, and mortality from other water-related diseases remains high in comparison with other Central American countries. Malnutrition also is serious. The government considers levels and trends of mortality to be unacceptable and is particularly concerned about the continuing high level of infant mortality. In recent years the crude birthrate averaged around 44/1000; the 1981 Contraceptive Prevalence Survey found the total fertility rate to be about 6.5 births/woman, which represents a 13% decline in the level of fertility between 1971-72 and 1981.

Study on the Coastline Change of Jiaozhou Bay Based on High Resolution Remote Sensing Image

NASA Astrophysics Data System (ADS)

Zhu, H.; Xing, B.; Ni, S.; Wei, P.

2018-05-01

In recent years, with the rapid development of the Jiaozhou Bay area of Qingdao, the influence of human activities on the coastline of Jiaozhou Bay is becoming more and more serious. Based on the high resolution remote sensing image data of 10 periods from 2001 to 2017 in the Jiaozhou Bay area, and combined with the data of on-the-spot survey and expert knowledge, this paper have completed the interpretation and extraction of coastline data of each year, and analyzed the distribution, size, rate of change, and trend of the increase and decrease of the coastal area of Jiaozhou Bay in different time periods, combined with the economic construction and the marine hydrodynamic environment of the region to analyze the reasons for the change of the coastline of Jiaozhou Bay. The results show that the increase and reduction of the coastal area of Jiaozhou Bay was mainly affected by human activities such as sea reclamation and marine aquaculture, resulting in a gradual change in the rate of increase and decrease with human development. For coastal advance part,2001-2013, the average increase rate on the coastal area of Jiaozhou Bay was 2.30 km2/a, showing a trend of rapid growth, 2013-2017 the average increase rate of 0.53 km2/a, and the growth rate slowed down. For coastal retreat part, 2001-2013, the average decrease rate was 2.58 × 10-3 km2/a. 2013-2014, the decrease rate reached a peak value of 1.11 km2/a. 2014-2017, the average decrease rate was 0.14 km2/a. The decrease rate shows a trend of increasing first and then slowing down.

Adult survival of Black-legged Kittiwakes Rissa tridactyla in a Pacific colony

USGS Publications Warehouse

Hatch, Scott A.; Roberts, Bay D.; Fadely, Brian S.

1993-01-01

Breeding Black-legged Kittiwakes Rissa tridactyla survived at a mean annual rate of 0.926 in four years at a colony in Alaska. Survival rates observed in sexed males (0.930) and females (0.937) did not differ significantly. The rate of return among nonbreeding Kittiwakes (0.839) was lower than that of known breeders, presumably because more nonbreeders moved away from the study plots where they were marked. Individual nonbreeders frequented sites up to 5 km apart on the same island, while a few established breeders moved up to 2.5 km between years. Mate retention in breeding Kittiwakes averaged 69% in three years. Among pairs that split, the cause of changing mates was about equally divided between death (46%) and divorce (54%). Average adult life expectancy was estimated at 13.0 years. Combined with annual productivity averaging 0.17 chick per nest, the observed survival was insufficient for maintaining population size. Rather, an irregular decline observed in the study colony since 1981 is consistent with the model of a closed population with little or no recruitment. Compared to their Atlantic counterparts, Pacific Kittiwakes have low productivity and high survival. The question arises whether differences reflect phenotypic plasticity or genetically determined variation in population parameters.

Outcomes of Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis in Children: Associations With Age and Time Since Injury.

PubMed

Smith, Marshall E; Houtz, Daniel R

2016-05-01

Outcomes of laryngeal reinnervation with ansa-cervicalis for unilateral vocal fold paralysis (UVFP) may be influenced by age of the patient and time interval between laryngeal nerve injury and reinnervation, suggesting less favorable outcomes in older patients and greater than 2-year time interval after injury. This study examines these issues in the pediatric population. Review of prospectively collected data set of 35 children and adolescents (1-21 years) that underwent ansa-recurrent laryngeal nerve (RLN) laryngeal reinnervation for UVFP. The time from RLN injury to reinnervation averaged 5.0 years (range, 0.8-15.2 years). No correlation was found between age at reinnervation (r = 0.15) and patient- or parent-reported global percentage voice outcome or perceptual ratings. There was slight negative correlation in duration between RLN injury and reinnervation and voice outcomes (r = -0.31). Postoperative voice self/surrogate global percentage rating average was 80.5% (range, 50%-100%), and perceptual rating GRBAS sum score average was 2.9 (range, 0-7). In pediatric ansa-RLN reinnervation for UVFP, no correlation between age at surgery and postoperative outcome was found. Denervation duration showed slight negative correlation, similar to what has been reported in adults, though voice improvement was seen in all patients. © The Author(s) 2015.

Rain rate and modeled fade distributions at 20 GHz and 30 GHz derived from five years of network rain gauge measurements

NASA Technical Reports Server (NTRS)

Goldhirsh, Julius; Krichevsky, Vladimir; Gebo, Norman

1992-01-01

Five years of rain rate and modeled slant path attenuation distributions at 20 GHz and 30 GHz derived from a network of 10 tipping bucket rain gages was examined. The rain gage network is located within a grid 70 km north-south and 47 km east-west in the Mid-Atlantic coast of the United States in the vicinity of Wallops Island, Virginia. Distributions were derived from the variable integration time data and from one minute averages. It was demonstrated that for realistic fade margins, the variable integration time results are adequate to estimate slant path attenuations at frequencies above 20 GHz using models which require one minute averages. An accurate empirical formula was developed to convert the variable integration time rain rates to one minute averages. Fade distributions at 20 GHz and 30 GHz were derived employing Crane's Global model because it was demonstrated to exhibit excellent accuracy with measured COMSTAR fades at 28.56 GHz.

Analysis of traffic crash data in Kentucky : 1997-2001.

DOT National Transportation Integrated Search

2002-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic crash data in Kentucky (1997-2001)

DOT National Transportation Integrated Search

2002-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic accident data in Kentucky (1986-1990)

DOT National Transportation Integrated Search

1991-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 1986-1990. A primary objectve of this study was to determine average statistics for kentucky highways. Average and critical number and rates of accidents were calc...

Analysis of traffic crash data in Kentucky (1996-2000)

DOT National Transportation Integrated Search

2001-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic crash data in Kentucky : 1996-2000.

DOT National Transportation Integrated Search

2001-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic crash data in Kentucky : 2000-2004.

DOT National Transportation Integrated Search

2005-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2000 through 2004. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cra...

Analysis of traffic crash data in Kentucky : 1998-2002.

DOT National Transportation Integrated Search

2003-09-01

This report documents an analysis of traffic accident data in Kentucky for the years of 1998 through 2002. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cr...

Analysis of traffic crash data in Kentucky : 2001-2005.

DOT National Transportation Integrated Search

2006-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2001 through 2005. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical rates of crashes were ca...

Analysis of traffic crash data in Kentucky : 2005-2009.

DOT National Transportation Integrated Search

2010-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 2005 through 2009. A primary objectives of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cras...

Analysis of traffic crash data in Kentucky : 2004-2008.

DOT National Transportation Integrated Search

2009-09-01

The report documents an analysis of traffic crash data in Kentucky for the years of 2004 through 2008. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crashe...

Increasing hip fracture rates among older adults in Ecuador: analysis of the National Hospital Discharge System, 1999-2016.

PubMed

Orces, Carlos H; Gavilanez, Enrique Lopez

2017-12-07

The Ecuadorian hospital discharge system examined trends in hip fracture hospitalization rates among older adults. A significant upward trend in hip fracture rates occurred in both genders over the study period. Previous research has reported increasing hip fracture rates in Ecuador. Thus, this study aimed to extend previous findings by examining the nationwide incidence of hip fractures among adults aged 65 years and older between 1999 and 2016. A secondary objective was to compare hip fracture trends among older Ecuadorians with their counterparts in the United States (U.S.). The National Hospital Discharge System and the Healthcare Cost and Utilization Project net were assessed to identify older adults hospitalized with a principal diagnosis of hip fractures in Ecuador and the U.S., respectively. The Joinpoint regression analysis software was used to examine the average annual percent change in hip fracture rates. A total of 20,091 adults with a mean age of 82.3 (SD 8.1) years were hospitalized with a principal diagnosis of hip fractures during the study period. After an adjustment for age, hip fracture rates increased annually on average by 4.6% (95% CI 3.8%, 5.4%) from 96.4/100,000 in 1999 to 173.1/100,000 persons in 2016. Between 1999 and 2014, hip fracture age-adjusted rates decreased on average by - 2.5% (95% CI - 2.7%, - 2.3%) among older adults in the U.S. while hip fracture rates steadily increased by 4.6% (95% CI, 3.6%, 5.7%) per year in their Ecuadorian counterparts. Hip fracture rates markedly increased among older adults in Ecuador. The present findings should alert public health authorities to implement policies of osteoporosis awareness and prevention in Ecuador.

Estimation of evapotranspiration in the Rainbow Springs and Silver Springs basins in North-Central Florida

USGS Publications Warehouse

Knowles, Leel

1996-01-01

Estimates of evapotranspiration (ET) for the Rainbow and Silver Springs ground-water basins in north-central Florida were determined using a regional water-~budget approach and compared to estimates computed using a modified Priestley-Taylor (PT) model calibrated with eddy-correlation data. Eddy-correlation measurements of latent 0~E) and sensible (H) heat flux were made monthly for a few days at a time, and the PT model was used to estimate 3,E between times of measurement during the 1994 water year. A water-budget analysis for the two-basin area indicated that over a 30-year period (196594) annual rainfall was 51.7 inches. Of the annual rainfall, ET accounted for about 37.9 inches; springflow accounted for 13.1 inches; and the remaining 0.7 inch was accounted for by stream-flow, by ground-water withdrawals from the Floridan aquifer system, and by net change in storage. For the same 30-year period, the annual estimate of ET for the Silver Springs basin was 37.6 inches and was 38.5 inches for the Rainbow Springs basin. Wet- and dry-season estimates of ET for each basin averaged between nearly 19 inches and 20 inches, indicating that like rainfall, ET rates during the 4-month wet season were about twice the ET rates during the 8-month dry season. Wet-season estimates of ET for the Rainbow Springs and Silver Springs basins decreased 2.7 inches, and 3.4 inches, respectively, over the 30-year period; whereas, dry-season estimates for the basins decreased about 0.4 inch and1.0 inch, respectively, over the 30-year period. This decrease probably is related to the general decrease in annual rainfall and reduction in net radiation over the basins during the 30-year period. ET rates computed using the modified PT model were compared to rates computed from the water budget for the 1994 water year. Annual ET, computed using the PT model, was 32.0 inches, nearly equal to the ET water-budget estimate of 31.7 inches computed for the Rainbow Springs and Silver Springs basins. Modeled ET rates for 1994 ranged from 14.4 inches per year in January to 51.6 inches per year in May. Water-budget ET rates for 1994 ranged from 12.0 inches per year in March to 61.2 inches per year in July. Potential evapotranspiration rates for 1994 averaged 46.8 inches per year and ranged from 21.6 inches per year in January to 74.4 inches per year in May. Lake evaporation rates averaged 47.1 inches per year and ranged from 18.0 inches per year in January to 72.0 inches per year in May 1994.

Population-Based Surveillance of Amyotrophic Lateral Sclerosis in New Jersey, 2009–2011

PubMed Central

Jordan, Heather; Fagliano, Jerald; Rechtman, Lindsay; Lefkowitz, Daniel; Kaye, Wendy

2015-01-01

Background Limited epidemiological data exist about amyotrophic lateral sclerosis (ALS) in the United States (US). The Agency for Toxic Substances and Disease Registry maintains the National ALS Registry and funded state and metropolitan surveillance projects to obtain reliable, timely information about ALS in defined geographic areas. Methods Neurologists submitted case reports for ALS patients under their care between January 1, 2009 and December 31, 2011 who were New Jersey residents. A medical record verification form and electromyogram (EMG) report were requested for a sample of case reports. Incidence rates were standardized to the 2000 US Standard Population. Results The average crude annual incidence rate was 1.87 per 100,000 person-years, the average age-adjusted annual incidence rate was 1.67 per 100,000 person-years, and the point prevalence rate on December 31, 2011 was 4.40 per 100,000 persons. Average annual incidence rates and point prevalence rates were statistically higher for men compared with women; Whites compared with Blacks/African Americans and Asians; and non-Hispanics compared with Hispanics. Conclusions The project findings contribute new, population-based, state-specific information to epidemiological data regarding ALS. The findings are generally consistent with previously published surveillance studies conducted in the US and abroad. PMID:25323440

Personality Predicts Cognitive Function Over Seven Years in Older Persons

PubMed Central

Chapman, Benjamin; Duberstein, Paul; Tindle, Hilary A; Sink, Kaycee M; Robbins, John; Tancredi, Daniel J.; Franks, Peter

2011-01-01

Objectives To determine whether Neuroticism, as well as the less-studied dimensions the Five Factor Model of personality (Extraversion, Openness to Experience, Agreeableness, and Conscientiousness) were associated with 7-year trajectories of cognitive functioning in older persons. Design Primary analysis of existing clinical trial data. Participants 602 persons of average age 79 at baseline. Measurements The NEO-Five Factor Inventory of personality, completed at baseline, and the modified Mini Mental Status Exam (3MSE) measured every 6 months for 7 years. Results Controlling for demographics, baseline morbidities including depression, health behaviors, Apolipoprotein E4 genotype, and self-rated health, higher Neuroticism was associated with worse average cognitive functioning and a steeper rate of decline over follow-up. Higher Extraversion and lower Openness were both associated with worse average cognitive functioning prospectively, while persons higher in Conscientiousness showed a slower rate of cognitive decline. Conclusions In addition to Neuroticism, other dispositional tendencies appear prognostically relevant for cognitive functioning in older persons. More work is needed to understand the mechanisms by which traits operate, as well as whether mitigation of certain dispositional tendencies can facilitate a better course of cognitive function. PMID:22735597

[Descriptive epidemiology of children with acute myeloid leukemia residing in Mexico City: a report from the Mexican Inter-Institutional Group for Identifying Childhood Leukemia Causes].

PubMed

Mejía-Aranguré, Juan Manuel; Núñez-Enríquez, Juan Carlos; Fajardo-Gutiérrez, Arturo; Rodríguez-Zepeda, María Del Carmen; Martín-Trejo, Jorge Alfonso; Duarte-Rodríguez, David Aldebarán; Medina-Sansón, Aurora; Flores-Lujano, Janet; Jiménez-Hernández, Elva; Núñez-Villegas, Nora Nancy; Pérez-Saldívar, María Luisa; Paredes-Aguilera, Rogelio; Cárdenas-Cardós, Rocío; Flores-Chapa, José de Diego; Reyes-Zepeda, Nancy Carolina; Flores-Villegas, Luz Victoria; Amador-Sánchez, Raquel; Torres-Nava, José Refugio; Bolea-Murga, Victoria; Espinosa-Elizondo, Rosa Martha; Peñaloza-González, José Gabriel; Velázquez-Aviña, Martha Margarita; González-Bonilla, César; Békker-Méndez, Vilma Carolina; Jiménez-Morales, Silvia; Martínez-Morales, Gabriela Bibiana; Vargas, Haydeé Rosas; Rangel-López, Angélica

2016-10-01

Acute myeloid leukemias represent the second most common childhood leukemia subtype. In Mexico, there are few studies on descriptive epidemiology for this disease. To report acute myeloid leukemia incidence for children less than 15 years of age in the Metropolitan Area of the Valley of Mexico for a period of five years (2010-2014) and to analyze whether there are differences in the incidence of acute myeloid leukemia by regions. A descriptive study was conducted in nine public hospitals in Mexico City. The crude annual average incidence rate and adjusted average annual incidence rate were calculated. A total of 190 patients with diagnosis of de novo acute myeloid leukemia were analyzed. Male sex (57.2%) and acute myeloid leukemia-M3 subtype (25.3%) were more frequent. The adjusted average annual incidence rates for Mexico City and for the Metropolitan Area of the Valley of Mexico were 8.18 and 7.74 per million children under 15 years old, respectively. It seems that childhood acute myeloid leukemia incidence is increasing in Mexico City, which makes the identification of associated risk factors imperative.

Alaska birch crafts and gifts: marketing practices and demographics.

Treesearch

Rosemarie Braden; David Nicholls

2004-01-01

Craft and gift producers in Alaska who use birch as a primary species were surveyed via mail, telephone calls, and site visits. Forty-two usable mail surveys were obtained for a response rate of 38.5 percent. Firms were in business an average of 13 years and utilized an average of 4,778 board feet of birch per year to produce a variety of craft items, including turned...

Major floods, poor land use delay return of sedimentation to normal rates

Treesearch

Henry W. Anderson

1972-01-01

Recovery from flood-accelerated sedimentation affects both estimates of long-term average deposition and short-term monitoring of changes. "Years to return to normal" for 10 watersheds in northern California after a major flood accelerated sediment concentrations were analyzed. Returns to normalcy took from 0 to 9 years; rate of decline was related to both...

Newly planted street tree growth and mortality

Treesearch

David J. Nowak; Joe R. McBride; Russell A. Beatty

1990-01-01

Two-year growth and mortality rates were analyzed for 254 black locust, 199 southern magnolia and 27 London plane trees planted along a major boulevard extending from southern Berkeley through western inner-city Oakland, California. After the first two years, 34% of these newly planted trees were either dead or removed. The average annual mortality rate was 19% with no...

Development of Mandarin spoken language after pediatric cochlear implantation.

PubMed

Li, Bei; Soli, Sigfrid D; Zheng, Yun; Li, Gang; Meng, Zhaoli

2014-07-01

The purpose of this study was to evaluate early spoken language development in young Mandarin-speaking children during the first 24 months after cochlear implantation, as measured by receptive and expressive vocabulary growth rates. Growth rates were compared with those of normally hearing children and with growth rates for English-speaking children with cochlear implants. Receptive and expressive vocabularies were measured with the simplified short form (SSF) version of the Mandarin Communicative Development Inventory (MCDI) in a sample of 112 pediatric implant recipients at baseline, 3, 6, 12, and 24 months after implantation. Implant ages ranged from 1 to 5 years. Scores were expressed in terms of normal equivalent ages, allowing normalized vocabulary growth rates to be determined. Scores for English-speaking children were re-expressed in these terms, allowing direct comparisons of Mandarin and English early spoken language development. Vocabulary growth rates during the first 12 months after implantation were similar to those for normally hearing children less than 16 months of age. Comparisons with growth rates for normally hearing children 16-30 months of age showed that the youngest implant age group (1-2 years) had an average growth rate of 0.68 that of normally hearing children; while the middle implant age group (2-3 years) had an average growth rate of 0.65; and the oldest implant age group (>3 years) had an average growth rate of 0.56, significantly less than the other two rates. Growth rates for English-speaking children with cochlear implants were 0.68 in the youngest group, 0.54 in the middle group, and 0.57 in the oldest group. Growth rates in the middle implant age groups for the two languages differed significantly. The SSF version of the MCDI is suitable for assessment of Mandarin language development during the first 24 months after cochlear implantation. Effects of implant age and duration of implantation can be compared directly across languages using normalized vocabulary growth rates. These comparisons for Mandarin and English reveal comparable results, despite the diversity of these languages, underscoring the universal role of plasticity in the developing auditory system. Copyright © 2014. Published by Elsevier Ireland Ltd.

Examining Play Counts and Measurements of Injury Incidence in Youth Football.

PubMed

Kerr, Zachary Y; Yeargin, Susan W; Djoko, Aristarque; Dalton, Sara L; Baker, Melissa M; Dompier, Thomas P

2017-10-01

  Whereas researchers have provided estimates for the number of head impacts sustained within a youth football season, less is known about the number of plays across which such impact exposure occurs.   To estimate the number of plays in which youth football players participated during the 2013 season and to estimate injury incidence through play-based injury rates.   Descriptive epidemiology study.   Youth football.   Youth football players (N = 2098; age range, 5-15 years) from 105 teams in 12 recreational leagues across 6 states.   We calculated the average number of athlete-plays per season and per game using independent-samples t tests to compare age groups (5-10 years old versus 11-15 years old) and squad sizes (<20 versus ≥20 players); game injury rates per 1000 athlete-exposures (AEs) and per 10 000 athlete-plays; and injury rate ratios (IRRs) with 95% confidence intervals (CIs) to compare age groups.   On average, youth football players participated in 333.9 ± 178.5 plays per season and 43.9 ± 24.0 plays per game. Age groups (5- to 10-year-olds versus 11- to 15-year-olds) did not differ in the average number of plays per season (335.8 versus 332.3, respectively; t 2086.4 = 0.45, P = .65) or per game (44.1 versus 43.7, respectively; t 2092.3 = 0.38, P = .71). However, players from smaller teams participated in more plays per season (373.7 versus 308.0; t 1611.4 = 8.15, P < .001) and per game (47.7 versus 41.4; t 1523.5 = 5.67, P < .001). Older players had a greater game injury rate than younger players when injury rates were calculated per 1000 AEs (23.03 versus 17.86/1000 AEs; IRR = 1.29; 95% CI = 1.04, 1.60) or per 10 000 athlete-plays (5.30 versus 4.18/10 000 athlete-plays; IRR = 1.27; 95% CI = 1.02, 1.57).   A larger squad size was associated with a lower average number of plays per season and per game. Increasing youth football squad sizes may help reduce head-impact exposure for individual players. The AE-based injury rates yielded effect estimates similar to those of play-based injury rates.

Delayed increase in male suicide rates in tsunami disaster-stricken areas following the great east japan earthquake: a three-year follow-up study in Miyagi Prefecture.

PubMed

Orui, Masatsugu; Sato, Yasuhiro; Tazaki, Kanako; Kawamura, Ikuko; Harada, Shuichiro; Hayashi, Mizuho

2015-03-01

Devastating natural disasters and their aftermath are known to cause psychological distress. However, little information is available regarding suicide rates following tsunami disasters that destroy regional social services and networks. The aim of the present study was to determine whether the tsunami disaster following the Great East Japan Earthquake in March 2011 has influenced suicide rates. The study period was from March 2009 to February 2014. Tsunami disaster-stricken areas were defined as the 16 municipalities facing the Pacific Ocean in Miyagi Prefecture. Inland areas were defined as other municipalities in Miyagi that were damaged by the earthquake. Suicide rates in the tsunami disaster-stricken areas were compared to national averages, using a time-series analysis and the Poisson distribution test. In tsunami disaster-stricken areas, male suicide rates were significantly lower than the national average during the initial post-disaster period and began to increase after two years. Likewise, male suicide rates in the inland areas decreased for seven months, and then increased to exceed the national average. In contrast, female post-disaster suicide rates did not change in both areas compared to the national average. Importantly, the male suicide rates in the inland areas started to increase earlier compared to the tsunami-stricken areas, which may reflect the relative deficiency of mental healthcare services in the inland areas. Considering the present status that many survivors from the tsunami disaster still live in temporary housing and face various challenges to rebuild their lives, we should continue intensive, long-term mental healthcare services in the tsunami-stricken areas.

Rates of surficial rock creep on hillslopes in Western Colorado

USGS Publications Warehouse

Schumm, S.A.

1967-01-01

The average rate of downshope movement of rock fragments on shale hillslopes is directly proportional to the sine of the slope angle or that component of the gravitational force which acts parallel to the hillslope. The rates of surficial rock creep range from a few millimeters per year on a 3degree slope to almost 70 millimeters per year on a 40-degree slope, but these rates vary with natural variations in soil characteristics and microclimate, as well as with accidental disturbances.

Epidemiology of burns undergoing hospitalization to the National Burns Unit in the Sultanate of Oman: a 25-year review.

PubMed

Al-Shaqsi, Sultan; Al-Kashmiri, Ammar; Al-Bulushi, Taimoor

2013-12-01

The aim of this study was to describe the epidemiology of burns admitted to the National Burns Unit (NBU) in the Sultanate of Oman between 1987 and 2011. This is a retrospective review of burn patients admitted to Oman's National Burns Unit (NBU) between 1987 and 2011. The data extracted from the national burn registry. The study describes the admission rate by gender and age groups, occupation, causes of burns, time-to-admission, length of stay and in-hospital mortality of burns between 1987 and 2011. During a 25-year from 1987 to 2011, there were 3531 burn patients admitted to the National Burns Unit in Oman. The average admission rate to NBU is 7.02 per 100,000 persons per year. On average, males were more likely to be admitted to the NBU than females during the study period (P value < 0.04). Patients aged 1-10 years old constituted 46.6% of caseload during the study period. Flames and scalds caused 88.4% of burns. About half of all patients admitted to the NBU have burns to more than 11% of total body surface area (TBSA). The average stay in hospital was estimated to be 15.3 days per patient. The average in-hospital mortality rate was estimated to be 8.2% per year (range 1.9-22%). Burns are significant public health issue in the Sultanate of Oman. Children are disproportionately over-represented in this study. Prevention programmes are urgently needed to address this "silent and costly epidemic." Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

The Airline Quality Rating 2003

NASA Technical Reports Server (NTRS)

Bowen, Brent D.; Headley, Dean E.

2003-01-01

The Airline Quality Rating (AQR) was developed and first announced in early 1991 as an objective method of comparing airline quality on combined multiple performance criteria. This current report, the Airline Quality Rating 2003, reflects monthly Airline Quality Rating scores for 2002. AQR scores for the calendar year 2002 are based on 15 elements that focus on airline performance areas important to air travel consumers. The Airline Quality Rating 2003 is a summary of month-by-month quality ratings for the 10 largest U.S. airlines operating during 2002. Using the Airline Quality Rating system of weighted averages and monthly performance data in the areas of ontime arrivals, involuntary denied boardings, mishandled baggage, and a combination of 12 customer complaint categories, airlines comparative performance for the calendar year of 2002 is reported. This research monograph contains a brief summary of the AQR methodology, detailed data and charts that track comparative quality for domestic airline operations for the 12-month period of 2002, and industry average results. Also, comparative Airline Quality Rating data for 2001 are included for each airline to provide historical perspective regarding performance quality in the industry.

The Airline Quality Rating 2002

NASA Technical Reports Server (NTRS)

Bowen, Brent D.; Headley, Dean E.

2002-01-01

The Airline Quality Rating (AQR) was developed and first announced in early 1991 as an objective method of comparing airline quality on combined multiple performance criteria. This current report, Airline Quality Rating 2002, reflects monthly Airline Quality Rating scores for 2001. AQR scores for the calendar year 2001 are based on 15 elements that focus on airline performance areas important to air travel consumers. The Airline Quality Rating 2002 is a summary of month-by-month quality ratings for the 11 largest U.S. airlines operating during 2001. Using the Airline Quality Rating system of weighted averages and monthly performance data in the areas of on-time arrivals, involuntary denied boardings, mishandled baggage, and a combination of 12 customer complaint categories, airlines comparative performance for the calendar year of 2001 is reported. This research monograph contains a brief summary of the AQR methodology, detailed data and charts that track comparative quality for domestic airline operations for the 12-month period of 2001, and industry average results. Also, comparative Airline Quality Rating data for 2000 are included for each airline to provide historical perspective regarding performance quality in the industry.

The Airline Quality Rating 1999

NASA Technical Reports Server (NTRS)

Bowen, Brent D.; Headley, Dean E.

1999-01-01

The Airline Quality Rating (AQR) was developed and first announced in early 1991 as an objective method of comparing airline performance on combined multiple criteria. This current report, Airline Quality Rating 1999, reflects an updated approach to calculating monthly Airline Quality Rating scores for 1998. AQR scores for the calendar year 1998 are based on 15 elements that focus on airline performance areas important to air travel consumers. The Airline Quality Rating is a summary of month-by-month quality ratings for the ten major U.S. airlines operating during 1998. Using the Airline Quality Rating system of weighted averages and monthly performance data in the areas of on-time arrivals, involuntary denied boardings, mishandled baggage, and a combination of 12 customer complaint categories, major airlines comparative performance for the calendar year 1998 is reported. This research monograph contains a brief summary of the AQR methodology, detailed data and charts that track comparative quality for major airlines domestic operations for the 12 month period of 1998, and industry average results. Also, comparative Airline Quality Rating data for 1997, using the updated criteria, are included to provide a reference point regarding quality in the industry.

The Airline Quality Rating 2001

NASA Technical Reports Server (NTRS)

Bowen, Brent D.; Headley, Dean E.

2001-01-01

The Airline Quality Rating (AQR) was developed and first announced in early 1991 as an objective method of comparing airline quality on combined multiple performance criteria. This current report, Airline Quality Rating 2001, reflects monthly Airline Quality Rating scores for 2000. AQR scores for the calendar year 2000 are based on 15 elements that focus on airline performance areas important to air travel consumers. The Airline Quality Rating 2001 is a summary of month-by-month quality ratings for the ten major U.S. airlines operating during 2000. Using the Airline Quality Rating system of weighted averages and monthly performance data in the areas of on-time arrivals, involuntary denied boardings, mishandled baggage, and a combination of 12 customer complaint categories, major airlines comparative performance for the calendar year of 2000 is reported. This research monograph contains a brief summary of the AQR methodology, detailed data and charts that track comparative quality for major airlines domestic operations for the 12 month period of 2000, and industry average results. Also, comparative Airline Quality Rating data for 1999 are included for each airline to provide historical perspective regarding performance quality in the industry.

Working life tables for females in Canada, 1971.

PubMed

Krishnan, P; Penning, M; Kurian, L

1981-01-01

This paper attempts to construct some working life tables (WLTs) for females in Canada, 1971. Attention is directed to methodological problems in female WLT construction, a suggested methodology, and loss due to mortality. The working life expectancy (WLE), which refers to the average number of years that a person is likely to spend in the labor force during his/her lifetime, reveals the extent of his/her contribution to the national economy. Although working life tables have been prepared for Canadian males, no attempt has been made previously to develop a WLT for the Canadian females. In some countries, such as Canada, the long census questionnaire collects additional pieces of information on labor force participation (LFP), even though the coverage is only on a part (but sizable) of the population. It is suggested that the information on "weeks worked" (Canadian Census wording) can be used to smooth out the bimodality problem in the female LFP. If a working woman works for an entire year, i.e., 52 weeks inclusive of paid holidays and vacation, she is said to contribute 1 woman year of working (or economically active) life to the economy. On the basis of this concept of a woman year of working life, all females who are working full time, part time, and not working can be considered in regard to their respective contributions of working lives to the national economy. An age limit is not indicated in the definition. The number of hours worked per day cumulated for the year and scaled down to the base of 1 woman year of working life would make the analysis more realistic. If the census data on weeks worked are tabulated by single years of age, or age groups for the female population, the average number of weeks worked specific for the various age categories can be computed. Those who are unemployed are taken as contributing zero weeks worked in the computation of the mean. Then the age specific participation rate is obtained as the percent of the average number of weeks worked by females in a given age group to the total number of weeks in a year. From these age specific rates, the probabilities of LFP at an age interval is worked out by averaging 2 consecutive age specific rates. Employing the notion of woman years of working life and utilizing the average number of weeks worked from the 1971 Census of Canada PUST data, a set of age specific participation rates for the Canadian females was developed. With these participation rates, the WLT for the Canadian females is constructed. The WLE for a female in Canada in 1971 attains a maximum of 38.7 years at age 15 and declines with increases in age. A comparison with the males showed that the female WLE was higher in the latter and lower in the early years of life.

Reduction in nevus biopsies in patients monitored by total body photography.

PubMed

Truong, Amanda; Strazzulla, Lauren; March, Jordon; Boucher, Kenneth M; Nelson, Kelly C; Kim, Caroline C; Grossman, Douglas

2016-07-01

Total body photography (TBP) can facilitate identification of new and changing lesions. By confirming that particular nevi are stable, TBP may reduce nevus biopsies. We sought to determine the number and rate of nevus biopsies before and after TBP, and the factors associated with increased biopsy rate during monitoring by TBP. We reviewed records of all patients in 2 pigmented lesion clinics (PLCs) who received TBP and had 2 or more follow-up visits over a period of 2 years or longer. Before PLCs and TBP, the mean number of nevus biopsies per patient was 5.92 (589 patients) at a mean rate of 1.62 per year (160 patients). After TBP in PLCs, the same patients averaged 1.56 biopsies at a mean rate of 0.34 per year (P < 2 × 10(-16)). The entire cohort (926 patients) averaged similarly low post-TBP biopsy rates of less than 0.2 per year and per visit. Biopsy rates after TBP were positively correlated with decreased age, male gender, and family history of melanoma, but not nevus number. Some information was not available for some patients. Patients at risk for melanoma experienced a 3.8-fold reduction in nevus biopsies after TBP. Younger male patients with family history of melanoma had higher biopsy rates after TBP. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

[Epidemiological analysis of suicide in Brazil from 1980 to 2006].

PubMed

Lovisi, Giovanni Marcos; Santos, Simone Agadir; Legay, Letícia; Abelha, Lucia; Valencia, Elie

2009-10-01

The objective of this study was to carry out an epidemiological analysis of the suicide rates found in Brazilian regions and state capitals between 1980 and 2006. Data on mortality rates due to suicide were collected from the Departamento de Informática do Sistema Unico de Saúde (Information Technology Department of the Brazilian Public Health System--DATASUS). A total of 158,952 suicide cases were registered between 1980 and 2006, excluding those cases in which the individual was less than 10 years old (n = 68). In the period under study, the total suicide rate in Brazil increased from 4.4 to 5.7 deaths per 100,000 inhabitants (29.5%). Higher average rates were found in the South (9.3) and Central-West (6.1) regions. Men were more likely to commit suicide. The highest suicide rates were found in the 70-years or above age range while the highest increases were found in the 20 to 59 year age bracket. The most dominant social-demographic characteristics of the persons who committed suicide in the period under study were low educational level and singlehood. The most common methods of suicide were hanging, fire arms and poisoning. Although in Brazil the rate increased 29.5% in 26 years, the national rate is still considered to be low when compared to worldwide suicide rates (average of 4.9 per 100,000 inhabitants). Suicide rates in Brazilian regions vary broadly, ranging from 2.7 to 9.3.

Groundwater depletion in the United States (1900−2008)

USGS Publications Warehouse

Konikow, Leonard F.

2013-01-01

A natural consequence of groundwater withdrawals is the removal of water from subsurface storage, but the overall rates and magnitude of groundwater depletion in the United States are not well characterized. This study evaluates long-term cumulative depletion volumes in 40 separate aquifers or areas and one land use category in the United States, bringing together information from the literature and from new analyses. Depletion is directly calculated using calibrated groundwater models, analytical approaches, or volumetric budget analyses for multiple aquifer systems. Estimated groundwater depletion in the United States during 1900–2008 totals approximately 1,000 cubic kilometers (km3). Furthermore, the rate of groundwater depletion has increased markedly since about 1950, with maximum rates occurring during the most recent period (2000–2008) when the depletion rate averaged almost 25 km3 per year (compared to 9.2 km3 per year averaged over the 1900–2008 timeframe).

Sports- and Work-Related Outcomes After Shoulder Hemiarthroplasty.

PubMed

Garcia, Grant H; Mahony, Gregory T; Fabricant, Peter D; Wu, Hao-Hua; Dines, David M; Warren, Russell F; Craig, Edward V; Gulotta, Lawrence V

2016-02-01

With an active aging population, more patients expect to return to previous activities and work after surgery. To determine the rate and timing to return of sports and employment after shoulder hemiarthroplasty. Case series; Level of evidence, 4. This was a retrospective review of consecutive patients who underwent shoulder hemiarthroplasty from 2007 to 2013. Follow-up consisted of a patient-reported questionnaire regarding physical fitness, sporting activities, and work status. From 105 patients screened, 79 were available for follow-up. The average follow-up time was 63.1 months, and the average age at follow-up was 69 years. Scores on the visual analog scale for pain improved from 6.2 to 2.1 (P < .001) postoperatively, and those on the American Shoulder and Elbow Surgeons (ASES) shoulder assessment improved from 34.6 to 71.3 (P < .001). Patients older than 65 years had significantly lower absolute postoperative ASES scores (P = .041) but experienced similar improvement from their preoperative baseline (P = .158) compared with patients younger than 65 years. There were 58 patients who played sports preoperatively, and 67.2% of these restarted at least 1 of their previous sports postoperatively. The average time to return to full sports was 6.5 months for those who returned. Direct rates of return were as follows: fitness sports (69%), swimming (65%), running (64%), cycling (63%), and doubles tennis (57%). Younger age was associated with highest demand level achieved (P = .023). Forty-nine patients worked preoperatively, with 69.4% returning to previous employment after surgery; the average time to return to work was 1.4 months. In comparative analysis, patients who did not return to work had a higher mean body mass index (32 ± 7 vs 27 ± 5 kg/m(2); P < .008). In this hemiarthroplasty cohort, there was a 67.2% rate of return to 1 or more sports at an average of 6.5 months postoperatively. Patients older than 65 years experienced similar improvements in ASES scores compared with patients younger than 65 years, although absolute scores were lower on average. Those who returned to higher demand sports were younger on average. Of patients working preoperatively, 69.4% returned to their previous employment at an average of 1.4 months. Patients who did not return to employment had significantly higher body mass index on average. These findings will help surgeons manage expectations of shoulder hemiarthroplasty candidates preoperatively. © 2015 The Author(s).

Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties - United States.

PubMed

Henley, S Jane; Anderson, Robert N; Thomas, Cheryll C; Massetti, Greta M; Peaker, Brandy; Richardson, Lisa C

2017-07-07

Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. 2004-2015. Cancer incidence data from CDC's National Program of Cancer Registries and the National Cancer Institute's Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009-2013 and trends in annual age-adjusted incidence rates for 2004-2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011-2015 and trends in annual age-adjusted death rates for 2006-2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006-2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004-2013 both in nonmetropolitan and metropolitan counties. This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity.

[Ribeiro-Technique in Gigantomastia - Review of 294 Reduction Mammaplasties in 8 Years].

PubMed

Wolter, Andreas; Pluto, Naja; Scholz, Till; Diedrichson, Jens; Arens-Landwehr, Andreas; Liebau, Jutta

2017-12-01

Reduction mammaplasty in patients with gigantomastia is challenging even to very experienced plastic surgeons. Extremely elongated pedicles impair the vascular supply of the nipple-areola complex. Breast shaping and effective reduction are difficult due to the severely stretched skin envelope. The Ribeiro technique is the standard technique for reduction mammaplasty in our clinic. The aim of this study is to review our approach in patients with gigantomastia in comparison to the current literature. From 01/2009 to 12/2016, we performed 1247 reduction mammaplasties in 760 patients. In 294 reduction mammoplasties (23.6 %), resection weight was more than 1000 g per breast corresponding to the definition of gigantomastia. The Ribeiro technique with a superomedial pedicle and inferior dermoglandular flap for autologous augmentation of the upper pole was implemented as standard procedure. In cases with a sternal notch-nipple distance > 40 cm, free nipple grafting was performed. The outcome parameters complication rate, patient satisfaction with the aesthetic result, nipple sensitivity and surgical revision rate were obtained and retrospectively analysed. In 174 patients, 294 reduction mammaplasties were performed with a resection weight of more than 1000 g per breast. Average resection weight was 1389.6 g (range, 1000-4580 g). Average age was 43.5 years (range, 18-76 years), average body mass index (BMI) was 29.2 kg/m 2 (range, 19-40 kg/m 2 ), average sternal notch-nipple distance was 34.8 cm (range, 27-52 cm), average operation time was 117 minutes (range, 72-213 minutes). A free nipple graft was necessary in 30 breasts. Overall complication rate was 7.8 %; secondary surgical revision rate was 16 %. 93 % of the patients were "very satisfied" and "satisfied" with the aesthetic result. Nipple sensitivity was rated "very good" and "good" in 88 %. The Ribeiro technique is a well established, versatile standard technique for reduction mammaplasty, which helps to create high-quality reproducible results with longterm formstable shape. In gigantomastia, this procedure is also very effective to achieve volume reduction and aesthetically pleasing results with a low complication rate. Georg Thieme Verlag KG Stuttgart · New York.

Air-surface exchange of nonmethane organic compounds at a grassland site: Seasonal variations and stressed emissions

NASA Astrophysics Data System (ADS)

Fukui, Yoshiko; Doskey, Paul V.

1998-06-01

Emissions of nonmethane organic compounds (NMOCs) were measured by a static enclosure technique at a grassland site in the midwestern United States during the growing seasons over a 2-year period. A mixture of nonmethane hydrocarbons (NMHCs) and oxygenated hydrocarbons (OxHCs) was emitted from the surface at rates exhibiting large seasonal and year-to-year variations. The average emission rate (and standard error) of the total NMOCs around noontime on sunny days during the growing seasons for the 2-year period was 1,300±170 μg m-2 h-1 (mass of the total NMOCs per area of enclosed soil surface per hour) or 5.5±0.9 μg g-1 h-1 (mass of the total NMOCs per mass of dry plant biomass in an enclosure per hour), with about 10% and 70% of the emissions being composed of tentatively identified NMHCs and OxHCs, respectively. Methanol was apparently derived from both the soil and vegetation and exhibited an average emission rate of 460±73 μg m-2 h-1 (1.4±0.2 μg g-1 h-1), which was the largest emission among the NMOCs. The year-to-year variation in the precipitation pattern greatly affected the NMOC emission rates. Emission rates normalized to biomass density exhibited a linear decrease as the growing season progressed. The emission rates of some NMOCs, particularly the OxHCs, from vegetation subjected to hypoxia, frost, and physical stresses were significantly greater than the average values observed at the site. Emissions of monoterpenes (α- and β-pinene, limonene, and myrcene) and cis-3-hexen-l-ol were accelerated during the flowering of the plants and were much greater than those predicted by algorithms that correlated emission rates with temperature. Herbaceous vegetation is estimated to contribute about 40% and 50% of the total NMOC and monoterpene emissions, respectively, in grasslands; the remaining contributions are from woody species within grasslands. Contributions of isoprene emissions from herbaceous vegetation in grasslands are negligible. Grasslands are estimated to contribute about 10% of the total biogenic NMOC emissions in the United States.

Dosimetric Consistency of Co-60 Teletherapy Unit- a ten years Study.

PubMed

Baba, Misba H; Mohib-Ul-Haq, M; Khan, Aijaz A

2013-01-01

The goal of the Radiation standards and Dosimetry is to ensure that the output of the Teletherapy Unit is within ±2% of the stated one and the output of the treatment dose calculation methods are within ±5%. In the present paper, we studied the dosimetry of Cobalt-60 (Co-60) Teletherapy unit at Sher-I-Kashmir Institute of Medical Sciences (SKIMS) for last 10 years. Radioactivity is the phenomenon of disintegration of unstable nuclides called radionuclides. Among these radionuclides, Cobalt-60, incorporated in Telecobalt Unit, is commonly used in therapeutic treatment of cancer. Cobalt-60 being unstable decays continuously into Ni-60 with half life of 5.27 years thereby resulting in the decrease in its activity, hence dose rate (output). It is, therefore, mandatory to measure the dose rate of the Cobalt-60 source regularly so that the patient receives the same dose every time as prescribed by the radiation oncologist. The under dosage may lead to unsatisfactory treatment of cancer and over dosage may cause radiation hazards. Our study emphasizes the consistency between actual output and output obtained using decay method. The methodology involved in the present study is the calculations of actual dose rate of Co-60 Teletherapy Unit by two techniques i.e. Source to Surface Distance (SSD) and Source to Axis Distance (SAD), used for the External Beam Radiotherapy, of various cancers, using the standard methods. Thereby, a year wise comparison has been made between average actual dosimetric output (dose rate) and the average expected output values (obtained by using decay method for Co-60.). The present study shows that there is a consistency in the average output (dose rate) obtained by the actual dosimetry values and the expected output values obtained using decay method. The values obtained by actual dosimetry are within ±2% of the expected values. The results thus obtained in a year wise comparison of average output by actual dosimetry done regularly as a part of Quality Assurance of the Telecobalt Radiotherapy Unit and its deviation from the expected output data is within the permissible limits. Thus our study shows a trend towards uniformity and a better dose delivery.

Baseline fatty acids, food groups, a diet score and 50-year all-cause mortality rates. An ecological analysis of the Seven Countries Study.

PubMed

Menotti, Alessandro; Kromhout, Daan; Puddu, Paolo Emilio; Alberti-Fidanza, Adalberta; Hollman, Peter; Kafatos, Anthony; Tolonen, Hanna; Adachi, Hisashi; Jacobs, David R

2017-12-01

This analysis deals with the ecologic relationships of dietary fatty acids, food groups and the Mediterranean Adequacy Index (MAI, derived from 15 food groups) with 50-year all-cause mortality rates in 16 cohorts of the Seven Countries Study. A dietary survey was conducted at baseline in cohorts subsamples including chemical analysis of food samples representing average consumptions. Ecologic correlations of dietary variables were computed across cohorts with 50-year all-cause mortality rates, where 97% of men had died. There was a 12-year average age at death population difference between extreme cohorts. In the 1960s the average population intake of saturated (S) and trans (T) fatty acids and hard fats was high in the northern European cohorts while monounsaturated (M), polyunsaturated (P) fatty acids and vegetable oils were high in the Mediterranean areas and total fat was low in Japan. The 50-year all-cause mortality rates correlated (r= -0.51 to -0.64) ecologically inversely with the ratios M/S, (M + P)/(S + T) and vegetable foods and the ratio hard fats/vegetable oils. Adjustment for high socio-economic status strengthened (r= -0.62 to -0.77) these associations including MAI diet score. The protective fatty acids and vegetable oils are indicators of the low risk traditional Mediterranean style diets. KEY MESSAGES We aimed at studying the ecologic relationships of dietary fatty acids, food groups and the Mediterranean Adequacy Index (MAI, derived from 15 food groups) with 50-year all-cause mortality rates in the Seven Countries Study. The 50-year all-cause mortality rates correlated (r = -0.51 to -0.64) ecologically inversely with the ratios M/S [monounsaturated (M) + polyunsaturated (P)]/[saturated (S) + trans (T)] fatty acids and vegetable foods and the ratio hard fats/vegetable oils. After adjustment for high socio-economic status, associations with the ratios strengthened (r = -0.62 to -0.77) including also the MAI diet score. The protective fatty acids and vegetable oils are indicators of the low risk traditional Mediterranean style diets.

The 6 "biggies".

PubMed

Myers, N

1993-01-01

The 6 developing nations with the largest populations in mid-1993 were China with 1.18 billion people, India 897 million, Indonesia 188 million, Brazil 152 million, Pakistan 122 million, and Bangladesh 114 million. Successful expansion of population planning programs in these nations could help defuse the population bomb. China's fertility rate has hardly declined for several years, and the year 2000 projection had to be revised from 1.2 billion to 1.29 billion people. India's family planning efforts have also stalled, and even if it attains the two-child family by the year 2015, population growth will not level out before the total reaches 1.9 billion. In India, Kerala State's population density matches that of Bangladesh, and per-capita income is among the lowest in the country. Yet, life expectancy is one quarter above the national average, infant mortality less than half, and literacy almost twice. And the fertility rate is down to 2.3, contrasting strongly with India's average of 3.9. Indonesia's population growth rate has plunged from 2.3% per year in the mid-1960s to 1.97% in the mid-1980s and to 1.7% today. Women now have an average of only three children. Brazil has achieved an annual population growth rate of only 1.5% and a fertility rate of 2.6, but fewer than 3 married women in 5 use modern contraception. There are an estimated 2 million illegal abortions a year. Part of the problem is the gulf between poverty and affluence. As a result of this gulf, child mortality remains the fourth highest in Latin America. Pakistan's population is projected to grow to 275 million people by the year 2025. The current growth rate is 3.1% per year. Family size is 6.7 children, the desired size is 4 children, and only 9% of married women use modern contraception. In Bangladesh, in 1975, the family size was 7 children. In 1993, it was fewer than 5. The spread of family-planning facilities boosted contraceptive use from 3% in 1971 to 40% in 1991.

Dynamic phenotypic restructuring of the CD4 and CD8 T-cell subsets with age in healthy humans: a compartmental model analysis.

PubMed

Jackola, D R; Hallgren, H M

1998-11-16

In healthy humans, phenotypic restructuring occurs with age within the CD3+ T-lymphocyte complement. This is characterized by a non-linear decrease of the percentage of 'naive' (CD45RA+) cells and a corresponding non-linear increase of the percentage of 'memory' (CD45R0+) cells among both the CD4+ and CD8+ T-cell subsets. We devised a simple compartmental model to study the age-dependent kinetics of phenotypic restructuring. We also derived differential equations whose parameters determined yearly gains minus losses of the percentage and absolute numbers of circulating naive cells, yearly gains minus losses of the percentage and absolute numbers of circulating memory cells, and the yearly rate of conversion of naive to memory cells. Solutions of these evaluative differential equations demonstrate the following: (1) the memory cell complement 'resides' within its compartment for a longer time than the naive cell complement within its compartment for both CD4 and CD8 cells; (2) the average, annual 'turnover rate' is the same for CD4 and CD8 naive cells. In contrast, the average, annual 'turnover rate' for memory CD8 cells is 1.5 times that of memory CD4 cells; (3) the average, annual conversion rate of CD4 naive cells to memory cells is twice that of the CD8 conversion rate; (4) a transition in dynamic restructuring occurs during the third decade of life that is due to these differences in turnover and conversion rates, between and from naive to memory cells.

Effects of the crustal magnetic fields on the Martian atmospheric ion escape rate

NASA Astrophysics Data System (ADS)

Ramstad, R.; Barbash, S.; Futaana, Y.; Nilsson, H.; Holmstrom, M.

2015-12-01

Eight years (2007-2015) of ion flux measurements from Mars Express are used to empirically investigate the influence of the Martian crustal magnetic fields on the atmospheric ion escape rate. We combine ASPERA-3/IMA (Analyzer of Space Plasmas and Energetic Atoms/Ion Mass Analyzer) measurements taken during nominal upstream solar wind and solar Extreme Ultraviolet (EUV) conditions to compute global average ion distribution functions for varying solar zenith angles (SZA) of the strongest crustal field. Escape rates are subsequently calculated from each of the average distribution functions. A statistically significant increase in escape rate is found for high dayside SZA, compared to low SZA.

42 CFR 412.331 - Determining hospital-specific rates in cases of hospital merger, consolidation, or dissolution.

Code of Federal Regulations, 2010 CFR

2010-10-01

... each hospital's base period data, the intermediary determines a combined average discharge-weighted... payment determination: (1) Revised hospital-specific rate. Using each hospital's base period data, the... hospital-specific rates are determined as follows: (1) Hospital-specific rate—(i) Adequate base year data...

12 CFR Appendix A to Subpart A of... - Appendix A to Subpart A of Part 327

Code of Federal Regulations, 2011 CFR

2011-01-01

... one year; • Minimum and maximum downgrade probability cutoff values, based on data from June 30, 2008... rate factor (Ai,T) is calculated by subtracting 0.4 from the four-year cumulative gross asset growth... weighted average of five component ratings excluding the “S” component. Delinquency and non-accrual data on...

Methane and carbon dioxide emissions from Shan-Chu-Ku landfill site in northern Taiwan.

PubMed

Hegde, Ullas; Chang, Tsan-Chang; Yang, Shang-Shyng

2003-09-01

To investigate the methane and carbon dioxide emissions from landfill, samples were taken of material up to 5 years old from Shan-Chu-Ku landfill located in the northern part of Taiwan. Atmospheric concentrations of carbon dioxide, methane and nitrous oxide ranged from 310 to 530, 2.64 to 20.16 and 0.358 to 1.516 ppmv with the measurement of gas-type open-path Fourier transform infra-red (FTIR) spectroscopy during February 1998 to March 2000, respectively. Average methane emission rate was 13.17, 65.27 and 0.99 mgm(-2)h(-1) measured by the gas chromatography chamber method in 1-2, 2-3 and 5 year-old landfill, respectively. Similarly, average carbon dioxide emission rate was 93.70, 314.60 and 48.46 mgm(-2)h(-1), respectively. About 2-3 year-old landfill had the highest methane and carbon dioxide emission rates among the tested areas, while 5 year-old landfill was the least. Methane emission rate at night in most tested locations was higher than that in the daytime. Total amount of methane and carbon dioxide emission from this landfill was around 171 and 828 ton in 1999, respectively.

[Reproductive biology and artificial propagation of Acipenser sinensis below Gezhouba Dam].

PubMed

Liu, Jian-yi; Wei, Qi-wei; Chen, Xi-hua; Yang, De-guo; Du, Hao; Zhu, Yong-jiu

2007-06-01

A total of 36 females and 21 males of Chinese sturgeon Acipenser sinensis were caught in 1998-2004 excluding 2002 to study the characteristics of their reproductive biology and the effect of their artificial propagation. The results showed that the body length (BL), body mass (BM) and age of the females were 240-320 cm, 140-432 kg, and 15-30 years, and those of the males were 153-284 cm, 70-244 kg and 12-26 years, respectively. The inducing rate was 93.1% for females and 100% for males, and the ova had 7 different colors. The absolute fecundity was 200,000-590,000 eggs, with an average of 358,000 eggs, and the relative fecundity to BM was 820-3,020 eggs per kg, with an average of 1,590 eggs per kg. The sperm had 4 different colors. The absolute sperm quantity obtained from one male was 1,000-5,952 ml, with an average of 2,597.8 ml, and the relative sperm quantity to BM was 1.25-31.24 ml . kg(-1), with an average of 13.3 ml . kg(-1). During the study period, the average fertilization rate in artificial propagation was 63.7%, and the hatching rate was 48.1%, with 4,762,000 fry obtained. Compared with the data in 1976, the natural reproductive capacity of the Chinese sturgeon broodstocks declined greatly.

Mumps in the US Army 1980-86: should recruits be immunized?

PubMed Central

Arday, D R; Kanjarpane, D D; Kelley, P W

1989-01-01

The US Army's experience with mumps hospitalizations was examined for the years 1980 through 1986. One hundred fifty-two cases among active duty Army soldiers were identified. Mumps rates declined from 3.85 per 100,000 active duty soldiers per year in 1980 to 1.28 in 1985, but an outbreak during 1986 caused rates to jump to 6.65. Attack rates were found to decline dramatically with increasing age or length of military service, with 74 per cent of cases occurring in soldiers with three years or less of service. Rates for Blacks and Whites were similar, but were higher for other minorities. Complications reported were mild. A cost-benefit analysis, assuming all recruits were to be vaccinated, estimated average annual vaccination program costs of $286,789; this figure exceeds average annual reported hospitalized mumps disease costs of $61,525 by a factor of 4.7. Mumps attack rates would have to reach at least 15.0 per 100,000 per year before savings would equal recruit vaccination costs. Failure to show that a vaccine program would be cost-saving may be due to limitations in identifying cases or to the requirement that all recruits be immunized regardless of prior immune status. It is likely that a program to immunize susceptible individuals alone would show benefit. PMID:2494895

Decline in tuberculosis among Mexico-born persons in the United States, 2000-2010.

PubMed

Baker, Brian J; Jeffries, Carla D; Moonan, Patrick K

2014-05-01

In 2010, Mexico was the most common (22.9%) country of origin for foreign-born persons with tuberculosis in the United States, and overall trends in tuberculosis morbidity are substantially influenced by the Mexico-born population. To determine the risk of tuberculosis disease among Mexico-born persons living in the United States. Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined tuberculosis case counts and case rates stratified by years since entry into the United States and geographic proximity to the United States-Mexico border. We calculated trends in case rates over time measured by average annual percent change. The total tuberculosis case count (-14.5%) and annual tuberculosis case rate (average annual percent change -5.1%) declined among Mexico-born persons. Among those diagnosed with tuberculosis less than 1 year since entry into the United States (newly arrived persons), there was a decrease in tuberculosis cases (-60.4%), no change in tuberculosis case rate (average annual percent change of 0.0%), and a decrease in population (-60.7%). Among those living in the United States for more than 5 years (non-recently arrived persons), there was an increase in tuberculosis cases (+3.4%), a decrease in tuberculosis case rate (average annual percent change of -4.9%), and an increase in population (+62.7%). In 2010, 66.7% of Mexico-born cases were among non-recently arrived persons, compared with 51.1% in 2000. Although border states reported the highest proportions (>15%) of tuberculosis cases that were Mexico-born, the highest Mexico-born-specific tuberculosis case rates (>20/100,000 population) were in states in the eastern and southeastern regions of the United States. The decline in tuberculosis morbidity among Mexico-born persons may be attributed to fewer newly arrived persons from Mexico and lower tuberculosis case rates among non-recently arrived Mexico-born persons. The extent of the decline was dampened by an unchanged tuberculosis case rate among newly arrived persons from Mexico and a large increase in the non-recently arrived Mexico-born population. If current trends continue, tuberculosis morbidity among Mexico-born persons will be increasingly driven by those who have been living in the United States for more than 5 years.

Decline in Tuberculosis among Mexico-Born Persons in the United States, 2000–2010

PubMed Central

Baker, Brian J.; Jeffries, Carla D.; Moonan, Patrick K.

2016-01-01

Background In 2010, Mexico was the most common (22.9%) country of origin for foreign-born persons with tuberculosis in the United States, and overall trends in tuberculosis morbidity are substantially influenced by the Mexico-born population. Objectives To determine the risk of tuberculosis disease among Mexico-born persons living in the United States. Methods Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined tuberculosis case counts and case rates stratified by years since entry into the United States and geographic proximity to the United States–Mexico border. We calculated trends in case rates over time measured by average annual percent change. Results The total tuberculosis case count (−14.5%) and annual tuberculosis case rate (average annual percent change −5.1%) declined among Mexico-born persons. Among those diagnosed with tuberculosis less than 1 year since entry into the United States (newly arrived persons), there was a decrease in tuberculosis cases (−60.4%), no change in tuberculosis case rate (average annual percent change of 0.0%), and a decrease in population (−60.7%). Among those living in the United States for more than 5 years (non-recently arrived persons), there was an increase in tuberculosis cases (+3.4%), a decrease in tuberculosis case rate (average annual percent change of −4.9%), and an increase in population (+62.7%). In 2010, 66.7% of Mexico-born cases were among non–recently arrived persons, compared with 51.1% in 2000. Although border states reported the highest proportions (>15%) of tuberculosis cases that were Mexico-born, the highest Mexico-born–specific tuberculosis case rates (>20/100,000 population) were in states in the eastern and southeastern regions of the United States. Conclusions The decline in tuberculosis morbidity among Mexico-born persons may be attributed to fewer newly arrived persons from Mexico and lower tuberculosis case rates among non–recently arrived Mexico-born persons. The extent of the decline was dampened by an unchanged tuberculosis case rate among newly arrived persons from Mexico and a large increase in the non–recently arrived Mexico-born population. If current trends continue, tuberculosis morbidity among Mexico-born persons will be increasingly driven by those who have been living in the United States for more than 5 years. PMID:24708206

Life history variation among four lake trout morphs at Isle Royale, Lake Superior

USGS Publications Warehouse

Hansen, Michael J.; Nate, Nancy A.; Muir, Andrew M.; Bronte, Charles R.; Zimmerman, Mara S.; Krueger, Charles C.

2016-01-01

Life history traits were compared among four morphs of lake trout at Isle Royale, Lake Superior. Of 738 lake trout caught at Isle Royale, 701 were assigned to a morph (119 humpers, 160 leans, 85 redfins, and 337 siscowets) using a combination of statistical analysis of head and body shape and visual assignment. On average, redfins were longer (544 mm), heavier (1,481 g), heavier at length (Wr = 94), more buoyant, and older (22 years) than siscowets (519 mm; 1,221 g; 90; 19 years), leans (479 mm; 854 g; 82; 13 years), and humpers (443 mm; 697 g; 87; 17 years). On average, leans grew from a younger age at length = 0 and shorter length at age = 0, at a faster early growth rate to a longer asymptotic length than the other three morphs, while redfins grew at a slower instantaneous rate and humpers grew to a shorter asymptotic length than other morphs. On average, leans were longer (562 mm) and older (15 years) at 50% maturity than redfins (427 mm, 12 years), siscowets (401 mm, 11 years), or humpers (394 mm, 13 years). Life history parameters did not differ between males and females within each morph. We conclude that differences in life history attributes of lean, humper, redfin, and siscowet morphs of lake trout are consistent with differential habitat use in waters around Isle Royale, Lake Superior.

Geohydrology of the French Creek basin and simulated effects of droughtand ground-water withdrawals, Chester County, Pennsylvania

USGS Publications Warehouse

Sloto, Ronald A.

2004-01-01

This report describes the results of a study by the U.S. Geological Survey, in cooperation with the Delaware River Basin Commission, to develop a regional ground-water-flow model of the French Creek Basin in Chester County, Pa. The model was used to assist water-resource managers by illustrating the interconnection between ground-water and surface-water systems. The 70.7-mi2 (square mile) French Creek Basin is in the Piedmont Physiographic Province and is underlain by crystalline and sedimentary fractured-rock aquifers. Annual water budgets were calculated for 1969-2001 for the French Creek Basin upstream of streamflow measurement station French Creek near Phoenixville (01472157). Average annual precipitation was 46.28 in. (inches), average annual streamflow was 20.29 in., average annual base flow determined by hydrograph separation was 12.42 in., and estimated average annual ET (evapotranspiration) was 26.10 in. Estimated average annual recharge was 14.32 in. and is equal to 31 percent of the average annual precipitation. Base flow made up an average of 61 percent of streamflow. Ground-water flow in the French Creek Basin was simulated using the finite-difference MODFLOW-96 computer program. The model structure is based on a simplified two-dimensional conceptualization of the ground-water-flow system. The modeled area was extended outside the French Creek Basin to natural hydrologic boundaries; the modeled area includes 40 mi2 of adjacent areas outside the basin. The hydraulic conductivity for each geologic unit was calculated from reported specific-capacity data determined from aquifer tests and was adjusted during model calibration. The model was calibrated for aboveaverage conditions by simulating base-flow and water-level measurements made on May 1, 2001, using a recharge rate of 20 in/yr (inches per year). The model was calibrated for below-average conditions by simulating base-flow and water-level measurements made on September 11 and 17, 2001, using a recharge rate of 6.2 in/yr. Average conditions were simulated by adjusting the recharge rate until simulated streamflow at streamflow-measurement station 01472157 matched the long-term (1968-2001) average base flow of 54.1 cubic feet per second. The recharge rate used for average conditions was 15.7 in/yr. The effect of drought in the French Creek Basin was simulated using a drought year recharge rate of 8 in/yr for 3 months. After 3 months of drought, the simulated streamflow of French Creek at streamflow-measurement station 01472157 decreased 34 percent. The simulations show that after 6 months of average recharge (15.7 in/yr) following drought, streamflow and water levels recovered almost to pre-drought conditions. The effect of increased ground-water withdrawals on stream base flow in the South Branch French Creek Subbasin was simulated under average and drought conditions with pumping rates equal to 50, 75, and 100 percent of the Delaware River Basin Commission Ground Water Protected Area (GWPA) withdrawal limit (1,393 million gallons per year) with all pumped water removed from the basin. For average recharge conditions, the simulated streamflow of South Branch French Creek at the mouth decreased 18, 28, and 37 percent at a withdrawal rate equal to 50, 75, and 100 percent of the GWPA limit, respectively. After 3 months of drought recharge conditions, the simulated streamflow of South Branch French Creek at the mouth decreased 27, 40, and 52 percent at a withdrawal rate equal to 50, 75, and 100 percent of the GWPA limit, respectively. The effect of well location on base flow, water levels, and the sources of water to the well was simulated by locating a hypothetical well pumping 200 gallons per minute in different places in the Beaver Run Subbasin with all pumped water removed from the basin. The smallest reduction in the base flow of Beaver Run was from a well on the drainage divide

Years of life lost to incarceration: inequities between Aboriginal and non-Aboriginal Canadians.

PubMed

Owusu-Bempah, Akwasi; Kanters, Steve; Druyts, Eric; Toor, Kabirraaj; Muldoon, Katherine A; Farquhar, John W; Mills, Edward J

2014-06-11

Aboriginal representation in Canadian correctional institutions has increased rapidly over the past decade. We calculated "years of life lost to incarceration" for Aboriginal and non-Aboriginal Canadians. Incarceration data from provincial databases were used conjointly with demographic data to estimate rates of incarceration and years of life lost to provincial incarceration in (BC) and federal incarceration, by Aboriginal status. We used the Sullivan method to estimate the years of life lost to incarceration. Aboriginal males can expect to spend approximately 3.6 months in federal prison and within BC spend an average of 3.2 months in custody in the provincial penal system. Aboriginal Canadians on average spend more time in custody than their non-Aboriginal counterparts. The ratio of the Aboriginal incarceration rate to the non-Aboriginal incarceration rate ranged from a low of 4.28 in Newfoundland and Labrador to a high of 25.93 in Saskatchewan. Rates of incarceration at the provincial level were highest among Aboriginals in Manitoba with an estimated rate of 1377.6 individuals in prison per 100,000 population (95% confidence interval [CI]: 1311.8-1443.4). The results indicate substantial differences in life years lost to incarceration for Aboriginal versus non-Aboriginal Canadians. In light of on-going prison expansion in Canada, future research and policy attention should be paid to the public health consequences of incarceration, particularly among Aboriginal Canadians.

Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014.

PubMed

Khan, Md Nuruzzaman; Islam, M Mofizul; Shariff, Asma Ahmad; Alam, Md Mahmudul; Rahman, Md Mostafizur

2017-01-01

Globally the rates of caesarean section (CS) have steadily increased in recent decades. This rise is not fully accounted for by increases in clinical factors which indicate the need for CS. We investigated the socio-demographic predictors of CS and the average annual rates of CS in Bangladesh between 2004 and 2014. Data were derived from four waves of nationally representative Bangladesh Demographic and Health Survey (BDHS) conducted between 2004 and 2014. Rate of change analysis was used to calculate the average annual rate of increase in CS from 2004 to 2014, by socio-demographic categories. Multi-level logistic regression was used to identify the socio-demographic predictors of CS in a cross-sectional analysis of the 2014 BDHS data. CS rates increased from 3.5% in 2004 to 23% in 2014. The average annual rate of increase in CS was higher among women of advanced maternal age (≥35 years), urban areas, and relatively high socio-economic status; with higher education, and who regularly accessed antenatal services. The multi-level logistic regression model indicated that lower (≤19) and advanced maternal age (≥35), urban location, relatively high socio-economic status, higher education, birth of few children (≤2), antenatal healthcare visits, overweight or obese were the key factors associated with increased utilization of CS. Underweight was a protective factor for CS. The use of CS has increased considerably in Bangladesh over the survey years. This rising trend and the risk of having CS vary significantly across regions and socio-economic status. Very high use of CS among women of relatively high socio-economic status and substantial urban-rural difference call for public awareness and practice guideline enforcement aimed at optimizing the use of CS.

Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014

PubMed Central

Khan, Md. Nuruzzaman; Islam, M. Mofizul; Shariff, Asma Ahmad; Alam, Md. Mahmudul; Rahman, Md. Mostafizur

2017-01-01

Background Globally the rates of caesarean section (CS) have steadily increased in recent decades. This rise is not fully accounted for by increases in clinical factors which indicate the need for CS. We investigated the socio-demographic predictors of CS and the average annual rates of CS in Bangladesh between 2004 and 2014. Methods Data were derived from four waves of nationally representative Bangladesh Demographic and Health Survey (BDHS) conducted between 2004 and 2014. Rate of change analysis was used to calculate the average annual rate of increase in CS from 2004 to 2014, by socio-demographic categories. Multi-level logistic regression was used to identify the socio-demographic predictors of CS in a cross-sectional analysis of the 2014 BDHS data. Result CS rates increased from 3.5% in 2004 to 23% in 2014. The average annual rate of increase in CS was higher among women of advanced maternal age (≥35 years), urban areas, and relatively high socio-economic status; with higher education, and who regularly accessed antenatal services. The multi-level logistic regression model indicated that lower (≤19) and advanced maternal age (≥35), urban location, relatively high socio-economic status, higher education, birth of few children (≤2), antenatal healthcare visits, overweight or obese were the key factors associated with increased utilization of CS. Underweight was a protective factor for CS. Conclusion The use of CS has increased considerably in Bangladesh over the survey years. This rising trend and the risk of having CS vary significantly across regions and socio-economic status. Very high use of CS among women of relatively high socio-economic status and substantial urban-rural difference call for public awareness and practice guideline enforcement aimed at optimizing the use of CS. PMID:28493956

Non-linear growth in tree ferns, Dicksonia antarctica and Cyathea australis

PubMed Central

Blair, David P.; Blanchard, Wade; Banks, Sam C.; Lindenmayer, David B.

2017-01-01

Tree ferns are an important structural component of forests in many countries. However, because their regeneration is often unrelated to major disturbances, their age is often difficult to determine. In addition, rates of growth may not be uniform, which further complicates attempts to determine their age. In this study, we measured 5 years of growth of Cyathea australis and Dicksonia antarctica after a large wildfire in 2009 in south-eastern Australia. We found growth rates of these two species were unaffected by aspect and elevation but slope had a minor effect with D. antarctica growing 0.3mm faster for each additional degree of slope. Geographic location influenced growth in both species by up to 12 – 14mm/yr. The most consistent factor influencing growth rate, however, was initial height at the time of the 2009 fire; a finding consistent in both species and all geographic locations. For both tree fern species, individuals that were taller at the commencement of the study had greater overall growth for the duration of the study. This effect did not decrease even among the tallest tree ferns in our study (up to 6 metres tall). Overall, Cyathea australis averaged 73 (± 22)mm/year of growth (± 1SD), with the rate increasing 5mm/yr per metre of additional height. Dicksonia antarctica averaged 33 (± 13)mm/year, increasing by 6mm/yr/m. Growth rates dependent on initial height were unexpected and we discuss possible reasons for this finding. Variable growth rates also suggest that common age estimation methods of dividing height by average growth rate are likely to underestimate the age of short tree ferns, while overestimating the age of tall tree ferns, particularly if they have been subject to a fire. PMID:28493884

Non-linear growth in tree ferns, Dicksonia antarctica and Cyathea australis.

PubMed

Blair, David P; Blanchard, Wade; Banks, Sam C; Lindenmayer, David B

2017-01-01

Tree ferns are an important structural component of forests in many countries. However, because their regeneration is often unrelated to major disturbances, their age is often difficult to determine. In addition, rates of growth may not be uniform, which further complicates attempts to determine their age. In this study, we measured 5 years of growth of Cyathea australis and Dicksonia antarctica after a large wildfire in 2009 in south-eastern Australia. We found growth rates of these two species were unaffected by aspect and elevation but slope had a minor effect with D. antarctica growing 0.3mm faster for each additional degree of slope. Geographic location influenced growth in both species by up to 12 - 14mm/yr. The most consistent factor influencing growth rate, however, was initial height at the time of the 2009 fire; a finding consistent in both species and all geographic locations. For both tree fern species, individuals that were taller at the commencement of the study had greater overall growth for the duration of the study. This effect did not decrease even among the tallest tree ferns in our study (up to 6 metres tall). Overall, Cyathea australis averaged 73 (± 22)mm/year of growth (± 1SD), with the rate increasing 5mm/yr per metre of additional height. Dicksonia antarctica averaged 33 (± 13)mm/year, increasing by 6mm/yr/m. Growth rates dependent on initial height were unexpected and we discuss possible reasons for this finding. Variable growth rates also suggest that common age estimation methods of dividing height by average growth rate are likely to underestimate the age of short tree ferns, while overestimating the age of tall tree ferns, particularly if they have been subject to a fire.

Grad Rate at Highest since 1970

ERIC Educational Resources Information Center

Adams, Caralee J.; Sparks, Sarah D.

2013-01-01

America's high school graduation rate has notably improved, according to figures released last week by the National Center for Education Statistics. The "averaged freshman graduation rate" rose to 78.2 percent of public school students receiving a diploma in 2010, up from 75.5 percent the year before. In 2006, the rate was 73.4 percent, and in…

Comparing Response Rates in E-Mail and Paper Surveys: A Meta-Analysis

ERIC Educational Resources Information Center

Shih, Tse-Hua; Fan, Xitao

2009-01-01

This meta-analysis examined 35 study results within last 10 years that directly compared the response rates of e-mail versus mail surveys. Individual studies reported inconsistent findings concerning the response rate difference between e-mail and mail surveys, but e-mail surveys generally have lower response rate (about 20% lower on the average)…

How often does open reduction and internal fixation of geriatric acetabular fractures lead to hip arthroplasty?

PubMed

O'Toole, Robert V; Hui, Emily; Chandra, Amit; Nascone, Jason W

2014-03-01

We hypothesized that open reduction and internal fixation (ORIF) of displaced acetabular fractures in geriatric patients result in a low rate of conversion to hip arthroplasty and satisfactory hip-specific validated outcome scores at medium-term follow-up. Retrospective review. Level I trauma center. One hundred forty-seven consecutive patients who were 60 years or older who had acetabular fractures were treated at our center from 2001 through 2006. During this time period, fractures meeting operative criteria were treated with ORIF unless medical conditions warranted nonoperative treatment. Twenty-nine patients were lost to follow-up, 46 were deceased, and 11 declined to participate, leaving 61 potential patients for inclusion, 46 of whom were treated with ORIF (average follow-up, 4.4 years; range, 1.1-8.0 years). Standardized telephone interviews included hip-specific questions and validated outcome measures. Rates of conversion to hip arthroplasty and hip-specific validated outcome scores. Among 46 patients treated with ORIF (15 others were treated nonoperatively or with percutaneous screw fixation), 28% underwent hip arthroplasty an average 2.5 years after injury (range, 0.4-5.5 years) and had an average Western Ontario and McMaster Universities Index of Osteoarthritis score of 17 (range, 0-56; n = 38). This score is similar to or better than the typical scores after elective arthroplasty for arthritis and much better than the scores for patients with established arthritis (P < 0.05). The average SF-8 Health Survey physical component score was 46.1 (range, 31-62), similar to US population norms for the geriatric age group (P > 0.20). Few data exist regarding the treatment outcomes for geriatric acetabular fractures. It is difficult for clinicians to decide among ORIF, percutaneous fixation, acute arthroplasty, and nonoperative treatment. Our protocol of mostly ORIF showed a high 1-year mortality rate of 25% and a rate of conversion to arthroplasty after ORIF of 28%. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Palaeoflood records of the last three centuries from the Pyeongchang and Dong rivers, South Korea

NASA Astrophysics Data System (ADS)

Kim, Song-Hyun; Tanaka, Yukiya

2017-08-01

Slackwater deposits are paleostage indicators in paleoflood hydrology that have commonly been used in numerous studies to estimate the magnitude and frequency of flood events and to reconstruct paleoenvironments and paleohydrology. In this study, individual flood events along the Pyeongchang (PC) and Dong (D) rivers of South Korea were differentiated on the basis of changes in deposit color, grain size, organic content, and the existence of laminations. Based on 137Cs and 14C chronological data, 19 flood events have occurred at site PC since 1720, while 17 flood events have occurred at site D since 1815. At the PC study site, the average time interval between the flood events is 15.4 years and the average sediment accumulation rate is 9.7 mm/y. At study site D, the average time interval is 15 years and the average sediment accumulation rate is 11.6 mm/y. These high sediment accumulation rates are consistent with those in humid areas (e.g., Japan) and explain how slackwater deposits can be preserved despite erosion, bioturbation, and pedogenic processes. Based on the results, the study area was divided into three periods: (1) a relatively wet period (1720-1810 CE), (2) a dry period (1810-1960 CE), and (3) a wet period (1960 CE-present). The flood time intervals and average sediment accumulation rates of the eighteenth century were shorter and higher than those of the nineteenth century. This suggests that on the Korean Peninsula, the paleoclimate of the Little Ice Age (LIA) was wetter than that from the nineteenth century to the early twentieth century.

Daily Variations in Objective Nighttime Sleep and Subjective Morning Pain in Older Adults with Insomnia: Evidence of Covariation Over Time

PubMed Central

Dzierzewski, Joseph M.; Williams, Jacob M.; Roditi, Daniela; Marsiske, Michael; McCoy, Karin; McNamara, Joseph; Dautovich, Natalie; Robinson, Michael E.; McCrae, Christina S.

2010-01-01

Objectives To examine the relationship between objectively measured nocturnal sleep and subjective report of morning pain in older adults with insomnia. The goal of the paper was to not only examine the sleep-pain association between-persons (mean-level over 14 days), but also to investigate the within-person, day-to-day association. Design Cross-sectional. Setting North-Central Florida. Participants Fifty community-dwelling older adults (Mage = 69.10 years, SDage = 7.02 years, range = 60 – 90 years) with insomnia participated in the study. Measurements This study employed daily home-based assessment utilizing nightly actigraphic measurement of sleep and daily self-report of pain. Measures were completed over fourteen consecutive days. Results Between persons, average sleep over 14 days was not associated with average levels of rated pain. However, following a night in which an older adult with insomnia experienced above-average total sleep time s/he subsequently reported below-average pain ratings. The model explained approximately 24% of the within-person and 8% of the between-person variance in pain ratings. Conclusions Sleep and pain show day-to-day associations (i.e., covary over time) in older adults with insomnia. Such associations may suggest that common physiological systems underlie both the experience of insomnia and pain. Future research should examine the crossover effects of sleep treatment on pain and of pain treatment on sleep. PMID:20406316

Syn-pandemic Fire Suppression in the Tropical Americas During European Conquest

NASA Astrophysics Data System (ADS)

Nevle, R. J.; Bird, D. K.

2006-12-01

A new reconstruction of the biomass burning history of the tropical Americas during the past 5 millennia documents the expansion of fire use by Mesoamerican and Amazonian agriculturalists and a subsequent period of fire suppression beginning ~500 years BP. Fire suppression is synchronous with the collapse of the American indigenous population during European conquest. The present work synthesizes microscopic charcoal accumulation records preserved in lake, bog, and basin sediments from 14 sites in Central America and equatorial South America to reconstruct regional variation in charcoal accumulation rates, averaged over 200-year increments, relative to the mean rate of regional charcoal accumulation during the past 5 millennia. This study builds upon prior fire history reconstructions by synthesizing a substantially greater number of stratigraphic charcoal accumulation sequences to resolve features of the Late Holocene biomass burning record in the tropical Americas. We find that between ~5000 and ~4000 years BP, charcoal accumulation generally persisted at rates >1 standard deviation (s.d.) below the 5-millennium mean. Subsequently charcoal accumulation rates fluctuated until ~3000 years BP and then increased, maintaining an average level >0.5 s.d. above the 5-millenium mean until ~500 years BP. After ~500 years BP, charcoal accumulation rates dropped to values below the 5000-year mean and remained suppressed for the next several centuries. The variation in charcoal accumulation rates over the past 5000 years reflects both climatic and anthropogenic factors affecting the regional fire history of the tropical Americas. The transition to above-average charcoal accumulation rates after 3000 years BP is synchronous with a trend toward a drier climate in the circum-Caribbean region and expanding forest clearance and cultivation by Mesoamerican and Amazonian societies. The subsequent, prolonged period of enhanced biomass burning between ~3000 and ~500 years BP is punctuated by three intervals of low charcoal accumulation, reflecting intermittent episodes of fire-suppression lasting <200 years. The latest and most pronounced of these low-fire intervals occurs at ~1100 years BP and corresponds to the Classic Maya collapse. The persistence of low charcoal accumulation rates for several centuries after ~500 years BP is parsimoniously explained by a reduction of agriculture-related biomass burning due to syn-pandemic population collapse. During European conquest, pandemics killed ~90% of the indigenous American population, estimated to represent ~20% of the 16^{th} century global population. The suppression of biomass burning after ~500 years BP is a unique feature of the fire history of Central and equatorial South America relative to other regions of the globe, where rates of charcoal accumulation are typically >0.2 s.d. above their Holocene mean values. Syn-pandemic fire suppression in the tropical Americas is associated with massive regional reforestation and sequestration of carbon into the terrestrial biosphere, which contributed to the ~2% global reduction in atmospheric CO2 levels and the 0.1 per mil increase in δ13C of atmospheric CO2 from 1500 to 1700 A.D.

20 Years of sea-levels, accretion, and vegetation on two Long ...

EPA Pesticide Factsheets

The long-term 1939-2013 rate of RSLR (Relative Sea-Level Rise) at the New London, CT tide gauge is ~2.6 mm/yr, near the maximum rate of salt marsh accretion reported in eastern Long Island Sound salt marshes. Consistent with recent literature RSLR at New London has accelerated since the 1980s; inter-annual variability can be high, but over the last three decades rates have averaged ~4.5 mm/yr, more than double the first 40 years of the New London record. Marsh surface elevation has been followed for 10 years with a SET array at the Barn Island system on Little Narragansett Bay and 20 years using an accretion pin array at Mamacoke Marsh on the Thames River. From 2003 – 2013 accretion averaged 2.3 mm/yr on the Barn Island marshes while RSLR increased 5.4 mm/yr. The increased hydroperiod is driving vegetation change at Barn Island, particularly in areas that started with lower “elevation capital”. Over two decades Mamacoke accretion closely matched RSLR: 4.7 vs 4.9 mm/yr, with no significant shifts in vegetation. For the 1st 12 years at Mamacoke, accretion was slower than RSLR: 3.2 vs 8.1 mm/yr. From 2006 to 2014, however elevation increase averaged 7.0 mm/yr while sea level rose just 7 mm. By 2014 accretion rates across the marsh ranged from 1.3 to 16.1 mm /yr. Preliminary core analysis confirms highly organic peat, but reveals sand concentrations at 2–4 cm in some areas, suggesting that Hurricanes Irene (2011) and Sandy (2012) may have contributed to Mama

75 FR 2142 - Agency Information Collection Activities; Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-14

... 1,360 new businesses a year [(33,600 businesses in 2005 - 26,800 businesses in 2000) / 5 years].\\6\\ Assuming this growth rate continues, the average number of established businesses during the three-year... it does not factor in the possibility that established businesses from an earlier year's comparison...

Flooded area and plant zonation in isolated wetlands in well fields in the Northern Tampa Bay Region, Florida, following reductions in groundwater-withdrawal rates

USGS Publications Warehouse

Haag, Kim H.; Pfeiffer, William R.

2012-01-01

WAP scores and weighted average scores for wetland vegetation were generally consistent with the results of the flooded area analysis. The WAP scores and weighted average scores were higher overall and did not decline with time at four wetlands in well fields (W-33, W-56, Starkey N, and Starkey 108) during the years following reductions in groundwater-withdrawal rates. These four wetlands also had increases in the extent and duration of the flooded area during the post-reduction period. Scores for trees were more consistent than scores for shrubs and groundcover. WAP scores remained relatively low or generally declined at five well-field wetlands (Q-1, W-17, W-41, Starkey D, and Starkey E) during the years following reductions in groundwater-withdrawal rates, and weighted average scores either declined over time or remained low. These five wetlands either did not have an increase in the extent and duration of the flooded area, or if there was an increase, it was small.

Role of self-caught fish in total fish consumption rates for recreational fishermen: Average consumption for some species exceeds allowable intake.

PubMed

Burger, Joanna

2013-01-01

Studies of fish consumption focus on recreational or subsistence fishing, on awareness and adherence to advisories, consumption patterns, and contaminants in fish. Yet the general public obtains their fish from commercial sources. In this paper I examine fish consumption patterns of recreational fishermen in New Jersey to determine: 1) consumption rates for self-caught fish and for other fish, 2) meals consumed per year, 3) average meal size, and average daily intake of mercury, and 4) variations in these parameters for commonly-consumed fish, and different methods of computing intake. Over 300 people were interviewed at fishing sites and fishing clubs along the New Jersey shore. Consumption patterns of anglers varied by species of fish. From 2 to 90 % of the anglers ate the different fish species, and between 9 and 75 % gave fish away to family or friends. Self-caught fish made up 7 to 92 % of fish diets. On average, self-caught fish were eaten for only 2 to 6 months of the year, whereas other fish (commercial or restaurant) were eaten up to 10 months a year. Anglers consumed from 5 to 36 meals of different fish a year, which resulted in intake of mercury ranging from 0.01 to 0.22 ug/kg/day. Average intake of Mako shark, swordfish, and tuna (sushi, canned tuna, self-caught tuna) exceeded the U.S. Environmental Protection Agency's oral, chronic reference dose for mercury of 0.1 ug/kg/day. However, computing intake using consumption for the highest month results in average mercury intake exceeding the reference dose for striped bass and bluefish as well. These data, and the variability in consumption patterns, have implications for risk assessors, risk managers, and health professionals.

Role of self-caught fish in total fish consumption rates for recreational fishermen: Average consumption for some species exceeds allowable intake

PubMed Central

Burger, Joanna

2013-01-01

Studies of fish consumption focus on recreational or subsistence fishing, on awareness and adherence to advisories, consumption patterns, and contaminants in fish. Yet the general public obtains their fish from commercial sources. In this paper I examine fish consumption patterns of recreational fishermen in New Jersey to determine: 1) consumption rates for self-caught fish and for other fish, 2) meals consumed per year, 3) average meal size, and average daily intake of mercury, and 4) variations in these parameters for commonly-consumed fish, and different methods of computing intake. Over 300 people were interviewed at fishing sites and fishing clubs along the New Jersey shore. Consumption patterns of anglers varied by species of fish. From 2 to 90 % of the anglers ate the different fish species, and between 9 and 75 % gave fish away to family or friends. Self-caught fish made up 7 to 92 % of fish diets. On average, self-caught fish were eaten for only 2 to 6 months of the year, whereas other fish (commercial or restaurant) were eaten up to 10 months a year. Anglers consumed from 5 to 36 meals of different fish a year, which resulted in intake of mercury ranging from 0.01 to 0.22 ug/kg/day. Average intake of Mako shark, swordfish, and tuna (sushi, canned tuna, self-caught tuna) exceeded the U.S. Environmental Protection Agency’s oral, chronic reference dose for mercury of 0.1 ug/kg/day. However, computing intake using consumption for the highest month results in average mercury intake exceeding the reference dose for striped bass and bluefish as well. These data, and the variability in consumption patterns, have implications for risk assessors, risk managers, and health professionals. PMID:23914136

Linear compared to circular stapler anastomosis in laparoscopic Roux-en-Y gastric bypass leads to comparable weight loss with fewer complications: a matched pair study.

PubMed

Schneider, Romano; Gass, Jörn-Markus; Kern, Beatrice; Peters, Thomas; Slawik, Marc; Gebhart, Martina; Peterli, Ralph

2016-05-01

In the course of laparoscopic Roux-en-Y gastric bypass (LRYGB), a tight gastroenterostomy (GE) may lead to higher weight loss but possibly to an increase of local complications such as strictures and ulcers. Different operative techniques for Roux-en-Y reconstruction may also influence the rate of internal hernias, a typical late complication of LRYGB. The objective of this study was to compare weight loss, rates of strictures, internal hernias, and ulcerations of linear versus circular stapler anastomosis. Retrospective analysis of prospectively collected data in a 3:1-matched pair study. A total of 228 patients with a minimal follow-up of 2 years were matched according to BMI at baseline, age, and gender. The follow-up rate was 100 % at 1 and 2 years postoperatively; the mean follow-up time was 3.8 ± 1.63 years. In group C (circular), 57 patients were operated with a 25-mm circular stapler technique (average BMI 44.7 ± 5.18 kg/m(2), age 44.1 ± 10.8 years, 80.7 % female). In group L (linear), 171 patients were operated using a linear stapler (approximately 30 mm, average BMI 43.8 ± 5.24 kg/m(2), age 43.7 ± 12.5 years, 70.8 % female). A propensity score matching and a logrank test were used for statistical analysis. The average excessive BMI loss (EBMIL) after 1 year was not statistically different (70.6 ± 20.2 % in group C vs 72.5 ± 20.4 % in group L) as well as after 2 years (71.6 ± 22.5 % in group C vs 74.6 ± 19.6 % in group L). The average operation time was 155 ± 53 min in group C and 109 ± 57 min in group L (p = 0.0001). In group L, patients had significantly lower overall stricture rates at the GE compared to group C (0 [0 %] vs. 4 [7 %], p = 0.0004), a lower rate and severity of internal hernias (10 [5.8 %] vs. 7 [12.3 %] p = 0.466), and equal local ulcerations rates (3 [1.8 %] vs. 1 [1.8 %] p = 0.912). Linear stapler anastomosis in LRYGB compared to circular anastomosis leads to equal weight loss and less strictures. The lower rate of internal hernias in linear stapler anastomosis was not significantly different.

Estimation of recharge rates to the sand and gravel aquifer using environmental tritium, Nantucket Island, Massachusetts

USGS Publications Warehouse

Knott, Jayne Fifield; Olimpio, Julio C.

1986-01-01

Estimation of the average annual rate of ground-water recharge to sand and gravel aquifers using elevated tritium concentrations in ground water is an alternative to traditional steady-state and water-balance recharge-rate methods. The concept of the tritium tracer method is that the average annual rate of ground-water recharge over a period of time can be calculated from the depth of the peak tritium concentration in the aquifer. Assuming that ground-water flow is vertically downward and that aquifer properties are reasonably homogeneous, and knowing the date of maximum tritium concentration in precipitation and the current depth to the tritium peak from the water table, the average recharge rate can be calculated. The method, which is a direct-measurement technique, was applied at two sites on Nantucket Island, Massachusetts. At site 1, the average annual recharge rate between 1964 and 1983 was 26.1 inches per year, or 68 percent of the average annual precipitation, and the estimated uncertainty is ?15 percent. At site 2, the multilevel water samplers were not constructed deep enough to determine the peak concentration of tritium in ground water. The tritium profile at site 2 resembles the upper part of the tritium profile at site 1 and indicates that the average recharge rate was at least 16 .7 inches per year, or at least 44 percent of the average annual precipitation. The Nantucket tritium recharge rates clearly are higher than rates determined elsewhere in southeastern Massachusetts using the tritium, water-table-fluctuation, and water-balance (Thornthwaite) methods, regardless of the method or the area. Because the recharge potential on Nantucket is so high (runoff is only 2 percent of the total water balance), the tritium recharge rates probably represent the effective upper limit for ground-water recharge in this region. The recharge-rate values used by Guswa and LeBlanc (1985) and LeBlanc (1984) in their ground-water-flow computer models of Cape Cod are 20 to 30 percent lower than this upper limit. The accuracy of the tritium method is dependent on two key factors: the accuracy of the effective-porosity data, and the sampling interval used at the site. For some sites, the need for recharge-rate data may require a determination as statistically accurate as that which can be provided by the tritium method. However, the tritium method is more costly and more time consuming than the other methods because numerous wells must be drilled and installed and because many water samples must be analyzed for tritium, to a very small level of analytical detection. For many sites, a less accurate, less expensive, and faster method of recharge-rate determination might be more satisfactory . The factor that most seriously limits the usefulness of the tritium tracer method is the current depth of the tritium peak. Water with peak concentrations of tritium entered the ground more than 20 years ago, and, according to the Nantucket data, that water now is more than 100 feet below the land surface. This suggests that the tracer method will work only in sand and gravel aquifers that are exceedingly thick by New England standards. Conversely, the results suggest that the method may work in areas where saturated thicknesses are less than 100 feet and the rate of vertical ground-water movement is relatively slow, such as in till and in silt- and clay-rich sand and gravel deposits.

Cost associated with stroke: outpatient rehabilitative services and medication.

PubMed

Godwin, Kyler M; Wasserman, Joan; Ostwald, Sharon K

2011-10-01

This study aimed to capture direct costs of outpatient rehabilitative stroke care and medications for a 1-year period after discharge from inpatient rehabilitation. Outpatient rehabilitative services and medication costs for 1 year, during the time period of 2001 to 2005, were calculated for 54 first-time stroke survivors. Costs for services were based on Medicare reimbursement rates. Medicaid reimbursement rates and average wholesale price were used to estimate medication costs. Of the 54 stroke survivors, 40 (74.1%) were categorized as independent, 12 (22.2%) had modified dependence, and 2 (3.7%) were dependent at the time of discharge from inpatient rehabilitation. Average cost for outpatient stroke rehabilitation services and medications the first year post inpatient rehabilitation discharge was $17,081. The corresponding average yearly cost of medication was $5,392, while the average cost of yearly rehabilitation service utilization was $11,689. Cost attributed to medication remained relatively constant throughout the groups. Outpatient rehabilitation service utilization constituted a large portion of cost within each group: 69.7% (dependent), 72.5% (modified dependence), and 66.7% (independent). Stroke survivors continue to incur significant costs associated with their stroke for the first 12 months following discharge from an inpatient rehabilitation setting. Changing public policies affect the cost and availability of care. This study provides a snapshot of outpatient medication and therapy costs prior to the enactment of major changes in federal legislation and serves as a baseline for future studies.

Long-term therapeutic efficacy of photo-selective vaporization of prostate

NASA Astrophysics Data System (ADS)

Arum, Carl-Jørgen; Muller, Camilla; Romundstad, Pal; Stokkan, Inger; Mjønes, Jan

2010-02-01

OBJECTIVES: We evaluated the long term therapeutic efficacy of 80 watt photo-selective vaporization of the prostate (PVP) in patients suffering from lower urinary tract symptoms (LUTS) secondary to prostatic obstruction. MATERIAL & METHODS: 150 unselected patients at the average age 73 (range 51-92) and a mean American Society of Anesthesiologists score of 2.4 (median 2.0), of whom 33% were medicated with acetylsalicylic acid and 5% were anticoagulated with warfarin. Inclusion/exclusion criteria were the same as for TUR-P at our institution. First patient was operated March 2004 and yearly follow-up of all patients has been attempted for 5 years. Follow-up variables have included yearly creatinine, PSA, IPSS, ØOL, post-void residual urin and maximum/average urine flow rate. RESULTS: At 12 and 24 months postoperatively, the following parameters were significantly (p<0.001) improved: trans-rectal ultrasound, international prostate symptom score, quality of life score, post-void residual urine volume, flow max/average, opening pressure, pressure @ flow-max, and micturition resistance. At 48 and 60 months creatinine, PSA, IPSS, ØOL, post-void residual urin and maximum/average urine flow rates were still significantly (p<0.001) improved compared to pre-operative values. CONCLUSION: Up to 5 year follow-up reveals that 80 watt PVP provides significant and stable symptom relief as well as objective improvement in residual urine and flowmetric outcomes.

Trends in childhood type 1 diabetes mellitus incidence in Beijing from 1995 to 2010: a retrospective multicenter study based on hospitalization data.

PubMed

Gong, Chunxiu; Meng, Xi; Jiang, Yuwu; Wang, Xinli; Cui, Hong; Chen, Xiaobo

2015-03-01

The incidence of type 1 diabetes mellitus (T1DM) is increasing rapidly worldwide for children of every age group. A retrospective analysis of hospital registration data from five tertiary hospitals in Beijing, China, identified 485 patients (210 boys, 275 girls) younger than 15 years of age with newly diagnosed T1DM between 1995 and 2010. From 1995 to 2010, the incidence of T1DM in patients <15 years of age ranged from 0.935-3.26 per 100,000 per year. During this period, the average age-standardized incidence rate was 1.7 per 100,000 per year, and the average annual increase in T1DM incidence was 4.36%. The highest rate increases occurred in boys and in patients <5 years of age. For both genders and all age groups, T1DM incidence increased at an accelerated rate after 2006. By 2020, the incidence of T1DM among children in Beijing is projected to increase by a factor of 1.69. The incidence of T1DM among patients younger than 15 years of age in Beijing increased from 1995 to 2010, with rates growing at an accelerated pace since 2006. Based on recent trends, we project continued rapid growth in the number of new childhood T1DM cases in Beijing.

Report of the River Master of the Delaware River for the period December 1, 1985, to November 30, 1986

USGS Publications Warehouse

Sauer, S.P.; Harkness, W.E.; Krejmas, B.E.; Vogel, K.L.

1987-01-01

A Decree of the Supreme Court of the United States in 1954 established the position of Delaware River Master. The Decree authorizes diversions of water from the Delaware River Basin (Figure 1) and requires compensating releases from certain reservoirs of the City of New York to be made under the supervision and direction of the River Master. Reports to the Court, not less frequently than annually, were stipulated. During the 1986 report year, December 1, 1985, to November 30, 1986, precipitation and runoff varied from below average to above average in the Delaware River Basin. For the year as a whole, precipitation was 4.3 inches above average. Runoff was near average. Operations were under a status of drought at the beginning of the report year. The drought emergency was terminated on December 18, 1985, by the Delaware River Basin Commission, and operations were returned to normal as prescribed by the Decree for the remainder of the report yr. Storage in the reservoirs increased to capacity during the winter months and all New York City Delaware River Basin reservoirs spilled throughout the year. Diversions from Delaware River Basin by New York City and New Jersey did not exceed those authorized by the terms of the Amended Decree. Releases were made as directed by the River Master at rates designed to meet the Montague flow objective on 69 days during the June to November period. Releases were made at conservation rates or at rates designed to relieve thermal stress in the streams downstream from the reservoirs at other times. The excess release quantity as defined by the Decree was not expended by end of the report year. New York City complied fully with the terms of the Decree and with the directives of the River Master during the year. (See also W89-04133) (USGS)

Report of the River Master of the Delaware River for the period December 1, 1984 - November 30, 1985

USGS Publications Warehouse

Schaefer, F.T.; Harkness, W.E.; Cecil, L.D.

1986-01-01

A Decree of the Supreme Court of the United States in 1954 established the position of Delaware River Master. The Decree authorizes diversions of water from the Delaware River basin and requires compensating releases from certain reservoirs of the City of New York to be made under the supervision and direction of the River Master. Reports to the Court, not less frequently than annually, were stipulated. During the 1985 report year, December 1, 1984, to November 30, 1985, precipitation and runoff varied from below average to above average in the Delaware River basin. For the year as a whole, precipitation was near average. Runoff was below average. Operations were under a status of drought warning or drought from January 23, 1984, through the end of the report year. Below-normal precipitation the first half of the year resulted in decreased storage in the reservoirs to record low levels by March 1, 1985. Storage remained at record low levels from March through September. Above-normal precipitation in September and November served to break the drought and increase storage into the normal zone of the operating curves for the reservoirs. Diversions from the Delaware River basin by New York City did not exceed those authorized by the terms of the Amended Decree or those invoked by the several emergency conservation measures throughout the year. There were no diversions from the Delaware River basin by New Jersey during the year. Releases were made as directed by the River Master at rates designed to meet the Montague flow objective on 82 days between June 14 and September 28. Releases were made at conservation rates or at rates designed to relieve thermal stress in the streams downstream from the reservoirs at other times. (See also W89-04133) (USGS)

The relationship between socioeconomic development and malnutrition in children younger than 5 years in China during the period 1990 to 2010.

PubMed

Wu, Lifang; Yang, Zhenyu; Yin, Shi-an; Zhu, Mei; Gao, Huiyu

2015-01-01

BACKGROUND AND OBJECTIVES：More than 30 years of socioeconomic development in China has improved living conditions which contributed to a steep decline in malnutrition prevalence of children under 5 years. To elucidate the role of socioeconomic development in improving nutritional status and to identify appropriate policy priorities for intervention in nutrition improvement for younger children. We collected data on socioeconomic development, education, cultural and recreational services, food consumption, average family size and malnutrition prevalence from national surveys. From 1990 to 2010, Gross Domestic Product (GDP) per capita increased from 1644 Chinese Yuan (CNY) to 30,015 CNY; average disposable income and food expenditure per capita significantly increased in urban and rural areas; per capita consumption for education increased from 112 CNY to 1628 CNY and from 15.3 CNY to 367 CNY for other cultural services; illiteracy rate decreased from 15.9% to 4.1%; average family size from 3.97 to 3.10; and prevalence of stunting and underweight decreased from 33.1% to 9.9% and 13.7% to 3.6%, respectively. However, anaemia prevalence did not obviously decline between 1992 and 2000. After adjusting confounding effects of variables, negative relationships were observed between GDP per capita, average family size and stunting or underweight prevalence. However, no association was observed between illiteracy rate and prevalence of stunting and underweight, and there was no correlation between GDP per capita, illiteracy rate, average family size and anaemia prevalence. Our results indicated that economic development cannot solve all nutritional problems and comprehensive national developmental strategies should be considered to combat malnutrition.

Epidemiology of drowning deaths in the Philippines, 1980 to 2011.

PubMed

Martinez, Rammell Eric; Go, John Juliard; Guevarra, Jonathan

2016-01-01

Drowning kills 372 000 people yearly worldwide and is a serious public health issue in the Philippines. This study aims to determine if the drowning death rates in the Philippine Health Statistics (PHS) reports from 1980 to 2011 were underestimated. A retrospective descriptive study was conducted to describe the trend of deaths caused by drowning in the Philippines from official and unofficial sources in the period 1980 to 2011. Information about deaths related to cataclysmic causes, particularly victims of storms and floods, and maritime accidents in the Philippines during the study period were reviewed and compared with the PHS drowning death data. An average of 2496 deaths per year caused by drowning were recorded in the PHS reports from 1980 to 2011 (range 671-3656). The average death rate was 3.5/100 000 population (range 1.3-4.7). An average of 4196 drowning deaths were recorded from 1980 to 2011 (range 1220 to 8788) when catacylsmic events and maritime accidents were combined with PHS data. The average death rate was 6/100 000 population (range 2.5-14.2). Our results showed that on average there were 1700 more drowning deaths per year when deaths caused by cataclysms and maritime accidents were added to the PHS data. This illustrated that drowning deaths were underestimated in the official surveillance data. Passive surveillance and irregular data management are contributing to underestimation of drowning in the Philippines. Additionally, deaths due to flooding, storms and maritime accidents are not counted as drowning deaths, which further contributes to the underestimation. Surveillance of drowning data can be improved using more precise case definitions and a multisectoral approach.

Energy Intensity Trends in AEO2010 (released in AEO2010)

EIA Publications

2010-01-01

Energy intensity (energy consumption per dollar of real GDP) indicates how much energy a country uses to produce its goods and services. From the early 1950s to the early 1970s, U.S. total primary energy consumption and real GDP increased at nearly the same annual rate. During that period, real oil prices remained virtually flat. In contrast, from the mid-1970s to 2008, the relationship between energy consumption and real GDP growth changed, with primary energy consumption growing at less than one-third the previous average rate and real GDP growth continuing to grow at its historical rate. The decoupling of real GDP growth from energy consumption growth led to a decline in energy intensity that averaged 2.8% per year from 1973 to 2008. In the Annual Energy Outlook 2010 Reference case, energy intensity continues to decline, at an average annual rate of 1.9% from 2008 to 2035.

Weather explains high annual variation in butterfly dispersal

PubMed Central

Rytteri, Susu; Heikkinen, Risto K.; Heliölä, Janne; von Bagh, Peter

2016-01-01

Weather conditions fundamentally affect the activity of short-lived insects. Annual variation in weather is therefore likely to be an important determinant of their between-year variation in dispersal, but conclusive empirical studies are lacking. We studied whether the annual variation of dispersal can be explained by the flight season's weather conditions in a Clouded Apollo (Parnassius mnemosyne) metapopulation. This metapopulation was monitored using the mark–release–recapture method for 12 years. Dispersal was quantified for each monitoring year using three complementary measures: emigration rate (fraction of individuals moving between habitat patches), average residence time in the natal patch, and average distance moved. There was much variation both in dispersal and average weather conditions among the years. Weather variables significantly affected the three measures of dispersal and together with adjusting variables explained 79–91% of the variation observed in dispersal. Different weather variables became selected in the models explaining variation in three dispersal measures apparently because of the notable intercorrelations. In general, dispersal rate increased with increasing temperature, solar radiation, proportion of especially warm days, and butterfly density, and decreased with increasing cloudiness, rainfall, and wind speed. These results help to understand and model annually varying dispersal dynamics of species affected by global warming. PMID:27440662

Sleep, serotonin, and suicide in Japan.

PubMed

Kohyama, Jun

2011-01-01

This article reviews evidence supporting the hypothesis that suicide rates in Japan could be reduced by elevating serotonin levels via increasing the average duration of sleep. Seven major relevant findings were apparent in the literature: 1) Sleep loss is associated with suicide, but the direction of causality is equivocal. 2) Decreased serotonergic activity may be involved in suicidal behavior. 3) Sleep debt may decrease serotonergic activity. 4) The suicide rate in Japan has remained at a heightened level for the past 12 years. 5) The average sleep duration in Japan has decreased over the past 40 years. 6) The average sleep duration in Japan is among the lowest in the world. 7) The average sleep duration in Japan plateaued in 1995 and has been relatively stable since. From the research reviewed, two major problematic issues were apparent: 1) Most people in Japan receive inadequate sleep. 2) Individuals whose sleep is inadequate are unlikely to be sufficiently physically active to stimulate serotonergic systems to a desirable level. I propose that public health initiatives encouraging a longer duration of sleep may provide a relatively simple way of addressing the disturbing current trend in Japan. The combination of actigraph and brain serotonin level measurement could allow large population-based cohort studies to be designed, to elucidate the causal links between sleep duration, serotonin levels, and suicide rates.

Flood-plain and channel aggradation of selected bridge sites in the Iowa and Skunk River basins, Iowa

USGS Publications Warehouse

Eash, D.A.

1996-01-01

Flood-plain and channel-aggradation rates were estimated at 10 bridge sites on the Iowa River upstream of Coralville Lake and at two bridge sites in the central part of the Skunk River Basin. Four measurement methods were used to quantify aggradation rates: (1) a dendrogeomorphic method that used tree-age data and sediment-deposition depths, (2) a bridge-opening cross-section method that compared historic and recent cross sections of bridge openings, (3) a stage-discharge rating-curve method that compared historic and recent stages for the 5-year flood discharge and the average discharge, and (4) nine sediment pads that were installed on the Iowa River flood plain at three bridge sites in the vicinity of Marshalltown. The sediment pads were installed prior to overbank flooding in 1993. Sediments deposited on the pads as a result of the 1993 flood ranged in depth from 0.004 to 2.95 feet. Measurement periods used to estimate average aggradation rates ranged from 1 to 98 years and varied among methods and sites. The highest aggradation rates calculated for the Iowa River Basin using the dendrogeomorphic and rating- curve measurement methods were for the State Highway 14 crossing at Marshalltown, where these highest rates were 0.045 and 0.124 feet per year, respectively. The highest aggradation rates calculated for the Skunk River Basin were for the U.S. Highway 63 crossing of the South Skunk River near Oskaloosa, where these highest rates were 0.051 and 0.298 feet per year, respectively.

Female Suicide Rates in Ghizer, Pakistan

ERIC Educational Resources Information Center

Khan, Murad M.; Ahmed, Aziz; Khan, Sultan R.

2009-01-01

Suicide is an understudied subject in Pakistan. There are many social, legal, and religious sanctions against it. National rates of suicides are not known. We calculated suicide rates of women in the Ghizer District of the remote Northern Areas of Pakistan. During years 2000 to 2004, 49 women committed suicide. Taking average mean population for…

Student Discipline in New Hampshire Schools

ERIC Educational Resources Information Center

Wauchope, Barbara

2009-01-01

A new analysis of student discipline in New Hampshire schools in the 2007-2008 school year shows that out-of-school suspension rates are higher and statewide expulsion rates are lower than the national average. Schools reporting the highest rates of suspensions and expulsions are the smallest in the state and have the highest percentage of…

High School Completion Longitudinal Study

ERIC Educational Resources Information Center

Alberta Education, 2009

2009-01-01

While Alberta enjoys proven high, world-class results in student achievement, raising high school completion rates is one of the top priorities in improving the provincial education system. The 2011-12 targeted high school completion rate is 82% five years after entering Grade 10--a 2.5% increase from the current average rate of 79.5%. The purpose…

The Rising Incidence of Intentional Ingestion of Ethanol-Containing Hand Sanitizers

PubMed Central

Gormley, Nicole J.; Bronstein, Alvin C.; Rasimas, Joseph J.; Pao, Maryland; T.Wratney, Angela; Sun, Junfeng; Austin, Howard A.; Suffredini, Anthony F.

2012-01-01

Objective To describe a case of intentional ingestion of hand sanitizer in our hospital and to review published cases and those reported to the American Association of Poison Control Centers’ National Poison Data System (NPDS). Design A case report, a literature review of published cases, and a query of the National Poison Data System (NPDS). Measurements Incidence and outcome of reported cases of unintentional and intentional ethanol containing-hand sanitizer ingestion in the United States from 2005 through 2009. Main Results A literature search found 14 detailed case-reports of intentional alcohol-based hand sanitizer ingestions with one death. From 2005 to 2009, NPDS received reports of 68,712 exposures to 96 ethanol-based hand sanitizers. The number of new cases increased by an average of 1894 (95% CI: 1266, 2521) cases per year (p = 0.002). In 2005, the rate of exposures, per year, per million U.S residents was 33.7 (95% CI: 28.4, 39.1); from 2005 to 2009, this rate increased on average by 5.87 per year (95%CI: 3.70, 8.04; p=0.003). In 2005, the rate of intentional exposures, per year, per million U.S residents, was 0.68 (95%CI: 0.17-1.20); from 2005 to 2009, this rate increased on average by 0.32 per year (95%CI: 0.11,0.53; p=0.02). Conclusions The number of new cases per year of intentional hand sanitizer ingestion significantly increased during this five - year period. While the majority of cases of hand sanitizer ingestion have a favorable outcome, 288 moderate and 12 major medical complications were reported in this NPDS cohort. Increased awareness of the risks associated with intentional ingestion is warranted, particularly among healthcare providers caring for persons with a history of substance abuse, risk-taking behavior or suicidal ideation. PMID:21926580

Intractable seizures after a lengthy remission in childhood-onset epilepsy.

PubMed

Camfield, Peter R; Camfield, Carol S

2017-12-01

To establish the risk of subsequent intractable epilepsy after ≥2, ≥5, and ≥10 years of remission in childhood-onset epilepsy. From the Nova Scotia childhood-onset epilepsy population-based cohort patients with all types of epilepsy were selected with ≥20 years follow-up from seizure onset (incidence cases). Children with childhood absence epilepsy were excluded. The rate of subsequent intractable epilepsy was then studied for patients with ≥5 years remission on or off AED treatment and compared with the rate for those with ≥2 and ≥10 years of remission. Three hundred eighty-eight eligible patients had ≥20 years follow-up (average 27.7 ± (standard deviation) 4 years) until they were an average of 34 ± 6.5 years of age. Overall, 297 (77%) had a period of ≥5 years of seizure freedom (average 21.2 ± 8 years), with 90% of these remissions continuing to the end of follow-up. Seizures recurred in 31 (10%) and were intractable in 7 (2%). For the 332 with a remission of ≥2 years seizure-free, 6.9% subsequently developed intractable epilepsy (p = 0.001). For the 260 with ≥10 years remission, 0.78% subsequently developed intractable epilepsy (p = 0.25 compared with ≥5 years remission). Even after ≥5 or ≥10 years of seizure freedom, childhood-onset epilepsy may reappear and be intractable. The risk is fortunately small, but for most patients it is not possible to guarantee a permanent remission. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

Mercury - Its occurrence and economic trends

USGS Publications Warehouse

Bailey, Edgar H.; Smith, Roscoe M.

1964-01-01

price will be a predictable increase in production. If the price averages $300 a flask for 1 year or more, annual production may increase to a rate of 30,000-35,000 flasks in 1966 or 1967. If the price averages $400 a flask, production may increase to 45,000-50,000 flasks a year after a timelag of two or three years. New ore bodies would have to be found however, to attain these rates of production, and the mining of lower grade ores would be needed to sustain them for more than a few years. By 1966 the U.S. economy will require at least 67 000 flasks, and the domestic demand for mercury thereafter will continue to increase. The probability that domestic mines will continue to supply a fourth or more of the domestic consumption is dependent upon the price of mercury for the next few years. The outlook for the long-term supply is reassuring, but it is dependent, not only upon price, but upon continued progress in new techniques of discovery.

The Value of a Well-Being Improvement Strategy

PubMed Central

Guo, Xiaobo; Coberley, Carter; Pope, James E.; Wells, Aaron

2015-01-01

Objective: The objective of this study is to evaluate effectiveness of a firm's 5-year strategy toward improving well-being while lowering health care costs amidst adoption of a Consumer-Driven Health Plan. Methods: Repeated measures statistical models were employed to test and quantify association between key demographic factors, employment type, year, individual well-being, and outcomes of health care costs, obesity, smoking, absence, and performance. Results: Average individual well-being trended upward by 13.5% over 5 years, monthly allowed amount health care costs declined 5.2% on average per person per year, and obesity and smoking rates declined by 4.8 and 9.7%, respectively, on average each year. The results show that individual well-being was significantly associated with each outcome and in the expected direction. Conclusions: The firm's strategy was successful in driving statistically significant, longitudinal well-being, biometric and productivity improvements, and health care cost reduction. PMID:26461860

Reoperation for suboptimal outcomes after deep brain stimulation surgery.

PubMed

Ellis, Tina-Marie; Foote, Kelly D; Fernandez, Hubert H; Sudhyadhom, Atchar; Rodriguez, Ramon L; Zeilman, Pamela; Jacobson, Charles E; Okun, Michael S

2008-10-01

To examine a case series of reoperations for deep brain stimulation (DBS) leads in which clinical scenarios revealed suboptimal outcome from a previous operation. Suboptimally placed DBS leads are one potential reason for unsatisfactory results after surgery for Parkinson's disease (PD), essential tremor (ET), or dystonia. In a previous study of patients who experienced suboptimal results, 19 of 41 patients had misplaced leads. Similarly, another report commented that lead placement beyond a 2- to 3-mm window resulted in inadequate clinical benefit, and, in 1 patient, revision improved outcome. The goal of the current study was to perform an unblinded retrospective chart review of DBS patients with unsatisfactory outcomes who presented for reoperation. Patients who had DBS lead replacements after reoperation were assessed with the use of a retrospective review of an institutional review board-approved movement disorders database. Cases of reoperation for suboptimal clinical benefit were included, and cases of replacement of DBS leads caused by infection or hardware malfunction were excluded. Data points studied included age, disease duration, diagnosis, motor outcomes (the Unified Parkinson Disease Rating Scale III in PD, the Tremor Rating Scale in ET, and the Unified Dystonia Rating Scale in dystonia), quality of life (Parkinson's Disease Questionnaire-39 in PD), and the Clinician Global Impression scale. The data from before and after reoperation were examined to determine the estimated impact of repeat surgery. There were 11 patients with PD, 7 with ET, and 4 with dystonia. The average age of the PD group was 52 years, the disease duration was 10 years, and the average vector distance of the location of the active DBS contact was adjusted 5.5 mm. Six patients (54%) with PD had preoperative off medication on DBS Unified Parkinson Disease Rating Scale scores that could be compared with postoperative off medication on DBS scores. The average improvement across this group of patients was 24.4%. The Parkinson's Disease Questionnaire-39 improved in the areas of mobility (28.18), activities of daily living (14.77), emotion (14.72), stigma (17.61), and discomfort (17.42). The average age of the ET group was 66 years, the disease duration was 29 years, and the average adjusted distance was 6.1 mm. Five ET patients (83.3%) in the cohort had a prereplacement on DBS Tremor Rating Scale and a postreplacement on DBS Tremor Rating Scale with the average improvement of 60.4%. The average age of the dystonia group was 39 years, the average disease duration was 7 years, and the average adjusted lead distance was 6.7 mm. Three patients (75%) with dystonia had prereplacement on DBS Unified Dystonia Rating Scale and postreplacement on DBS Unified Dystonia Rating Scale scores. Across these 3 dystonia patients, the improvement was 12.8%. Clinician Global Impression scale scores (1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; 7, very much worse) after replacement revealed the following results in patients with PD: 1, 7 patients; 2, 3 patients; 3, 1 patient); with ET (1, 4 patients; 2, 3 patients); and with dystonia (1, 1 patient; 2, 2 patients; 3, 1 patient). The latency from original lead placement to reoperation (repositioning/revision) overall was 28.9 months (range, 2-104 mo); however, in leads referred from outside institutions (n = 11 patients), this latency was 48 months (range, 12-104 mo) compared with leads implanted by surgeons from the University of Florida (n = 11 patients), which was 9.7 months (range, 2-19 mo). The most common clinical history was failure to achieve a perceived outcome; however, history of an asymmetric benefit was present in 4 (18.2%) of 22 patients, and lead migration was present in 3 (13.6%) of 22 patients. There are many potential causes of suboptimal benefit after DBS. Timely identification of suboptimal lead placements followed by reoperation and repositioning/replacement in a subset of patients may improve outcomes.

Prospective evaluation of respiratory exacerbations in children with cystic fibrosis from newborn screening to 5 years of age.

PubMed

Byrnes, Catherine Ann; Vidmar, Suzanna; Cheney, Joyce L; Carlin, John B; Armstrong, David S; Cooper, Peter J; Grimwood, Keith; Moodie, Marj; Robertson, Colin F; Rosenfeld, Margaret; Tiddens, Harm A; Wainwright, Claire E

2013-07-01

Newborn screening allows novel treatments for cystic fibrosis (CF) to be trialled in early childhood before irreversible lung injury occurs. As respiratory exacerbations are a potential trial outcome variable, we determined their rate, duration and clinical features in preschool children with CF; and whether they were associated with growth, lung structure and function at age 5 years. Respiratory exacerbations were recorded prospectively in Australasian CF Bronchoalveolar Lavage trial subjects from enrolment after newborn screening to age 5 years, when all participants underwent clinical assessment, chest CT scans and spirometry. 168 children (88 boys) experienced 2080 exacerbations, at an average rate of 3.66 exacerbations per person-year; 80.1% were community managed and 19.9% required hospital admission. There was an average increase in exacerbation rate of 9% (95% CI 4% to 14%; p<0.001) per year of age. Exacerbation rate differed by site (p<0.001) and was 26% lower (95% CI 12% to 38%) in children receiving 12 months of prophylactic antibiotics. The rate of exacerbations in the first 2 years was associated with reduced forced expiratory volume in 1 s z scores. Ever having a hospital-managed exacerbation was associated with bronchiectasis (OR 2.67, 95% CI 1.13 to 6.31) in chest CT scans, and lower weight z scores at 5 years of age (coefficient -0.39, 95% CI -0.74 to -0.05). Respiratory exacerbations in young children are markers for progressive CF lung disease and are potential trial outcome measures for novel treatments in this age group.

Dietary salt restriction is beneficial to the management of autosomal dominant polycystic kidney disease.

PubMed

Torres, Vicente E; Abebe, Kaleab Z; Schrier, Robert W; Perrone, Ronald D; Chapman, Arlene B; Yu, Alan S; Braun, William E; Steinman, Theodore I; Brosnahan, Godela; Hogan, Marie C; Rahbari, Frederic F; Grantham, Jared J; Bae, Kyongtae T; Moore, Charity G; Flessner, Michael F

2017-02-01

The CRISP study of polycystic kidney disease (PKD) found that urinary sodium excretion associated with the rate of total kidney volume increase. Whether sodium restriction slows the progression of Autosomal Dominant PKD (ADPKD) is not known. To evaluate this we conducted a post hoc analysis of the HALT-PKD clinical trials of renin-angiotensin blockade in patients with ADPKD. Linear mixed models examined whether dietary sodium affected rates of total kidney volume or change in estimated glomerular filtration rate (eGFR) in patients with an eGFR over 60 ml/min/1.73 m 2 (Study A) or the risk for a composite endpoint of 50% reduction in eGFR, end-stage renal disease or death, or the rate of eGFR decline in patients with an eGFR 25-60 ml/min/1.73 m 2 (Study B) all in patients initiated on an under100 mEq sodium diet. During the trial urinary sodium excretion significantly declined by an average of 0.25 and 0.41 mEq/24 hour per month in studies A and B, respectively. In Study A, averaged and time varying urinary sodium excretions were significantly associated with kidney growth (0.43%/year and 0.09%/year, respectively, for each 18 mEq urinary sodium excretion). Averaged urinary sodium excretion was not significantly associated with faster eGFR decline (-0.07 ml/min/1.73m 2 /year for each 18 mEq urinary sodium excretion). In Study B, the averaged but not time-varying urinary sodium excretion significantly associated with increased risk for the composite endpoint (hazard ratio 1.08 for each 18 mEq urinary sodium excretion) and a significantly faster eGFR decline (-0.09 ml/min/1.73m 2 /year for each mEq 18 mEq urinary sodium excretion). Thus, sodium restriction is beneficial in the management of ADPKD. Copyright © 2016 International Society of Nephrology. All rights reserved.

"Inclusive Working Life" in Norway--experience from "Models of Good Practice" enterprises.

PubMed

Lie, Arve

2008-08-01

To determine whether enterprises belonging to the Bank of Models of Good Practice were more successful than average Norwegian enterprises in the reduction of sickness absence, promotion of early return to work, and prevention of early retirement. In 2004 we selected 86 enterprises with a total of approximately 90000 employees from the Inclusive Working Life (IWL) Bank of Models of Good Practice. One representative of workers and one of management from each enterprise received a questionnaire on the aims, organization, and the results of the IWL program by mail. Data on sickness absence, use of early retirement, and disability retirement in the 2000-2004 period were collected from the National Insurance Registry. Data on comparable enterprises were obtained from the National Bureau of Statistics. The response rate was 65%. Although the IWL campaign was directed at reducing sickness absence, preventing early retirement, and promoting employment of the functionally impaired, most attention was paid to reducing sickness absence. Sickness absence rate in Models of Good Practice enterprises (8.2%) was higher than in comparable enterprises that were not part of the Models of Good Practice (6.9%). Implementation of many IWL activities, empowerment and involvement of employees, and good cooperation with the occupational health service were associated with a lower rate of sickness absence. On average, 0.7% new employees per year received disability pension, which is a significantly lower percentage than expected on the basis of the rate of 1.3% per year in comparable enterprises. Frequent use of disability pensioning was associated with high rate of sickness absence and having many employees older than 50 years. On average, 0.4% employees per year received early retirement compensation, which was expected on the basis of national estimates. Frequent use of early retirement was associated with having many employees older than 50 years. Models of Good Practice enterprises had a higher than expected sickness absence rate. This indicates that it is difficult to identify Models of Good Practice enterprises and that they cannot be treated as role model enterprises. Good cooperation with the occupational health service and the empowerment and involvement of the employees is associated with a low sickness absence rate.

Developmental Changes in Perceptions of Attractiveness: A Role of Experience?

ERIC Educational Resources Information Center

Cooper, Philip A.; Geldart, Sybil S.; Mondloch, Catherine J.; Maurer, Daphne

2006-01-01

In three experiments, we traced the development of the adult pattern of judgments of attractiveness for faces that have been altered to have internal features in low, average, or high positions. Twelve-year-olds and adults demonstrated identical patterns of results: they rated faces with features in an average location as significantly more…

Planted Hardwood Development on Clay Soil Without Weed Control Through 16 Years

Treesearch

Roger M. Krinard; Harvey E. Kennedy

1987-01-01

Average survival at age 16 was determined for five hardwood species that received no weed control after planting at 10- by 10-foot spacing on cleared Sharkey clay soil. The average survival rates, in percent, were: sweetgum (Liquidambar styraciflua L.), 35; cottonwood (fopulus delfoides Bartr. ex Marsh.), 45; Nuttall oak (Quercus...

[Comparative analysis of TACE alone or plus RFA in the treatment of 167 cases of intermediate and advanced staged primary hepatocellular carcinoma].

PubMed

Zhao, Ming; Wang, Jian-peng; Wu, Pei-hong; Zhang, Fu-jun; Huang, Zi-lin; Li, Wang; Zhang, Liang; Pan, Chang-chuan; Li, Chuan-xing; Jiang, Yong

2010-11-09

To evaluate the clinical efficacy and survival rate of transarterial chemoembolization (TACE) alone or plus radiofrequency ablation (RFA) in patients with intermediate or advanced stage primary hepatocellular carcinoma (HCC). In this retrospective study, 467 cases received RFA or TACE plus RFA. Among them, 167 cases with strict clinical procedure (TACE alone or plus RFA) and complete follow-up data were included. Eighty-seven cases received TACE and 80 cases had TACE plus RFA between January 2000 and December 2006. Hierarchical analyses were performed using log-rank tests and survival curve was estimated by Kaplan-Meier method. A total of 167 patients received TACE alone or plus RFA for a follow-up period of 1 to 89 months. In the TACE alone group, the time-to-progression (TTP) was an average of 3.6 months. The median survival was 13 months, one-year survival rate 52.9%, three-year survival rate 11.5% and five-year survival rate 4.6%. In the TACE plus RFA group, the TTP time was an average of 10.8 months. The median survival time was 30 months, one-year survival rate 85.0%, three-year survival rate 45.0% and five-year survival rate 11.3%. In the TACE alone group, the median survival of intermediate stage HCC was 14 months, one-year survival rate 62.2%, three-year survival rate 13.3% and five-year survival rate 4.4%; In the TACE plus RFA group, the median survival of intermediate stage HCC was 14 months, one-year survival rate 90.1%, three-year survival rate 52.9% and five-year survival rate 13.7%. All differences of two groups has statistical significance (P < 0.05). In intermediate stage HCC, the median survival of TACE alone group was 14 months, one-year survival rate 62.2%, three-year survival rate 13.3%, five-year survival rate 4.4% versus 32 months, 90.1%, 52.9%, 13.7% in the TACE plus RFA group respectively. For the advanced stage HCC, the median survival time was 12 months, one-year survival rate 35%, three-year survival rate 7.1% and five-year survival rate 0 in the TACE alone group versus 28 months, 62.1%, 24.1% and 6.9% in the TACE plus RFA group (P = 0.00). There was significantly statistic difference between both groups in intermediate and advanced staging HCC. Among them, 60/485 (12.4%) patients required a therapy of post-TACE hepatic dysfunctions versus 13/168 (7.7%) in the TACE plus RFA group (P = 0.004, ANOVA method). The regimen of TACE plus RFA has the advantages of tumor control, liver function protection and survival extending in the treatment of HCC than TACE alone in intermediate or advanced stage HCC.

Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population.

PubMed

Foote, Eric M; Singleton, Rosalyn J; Holman, Robert C; Seeman, Sara M; Steiner, Claudia A; Bartholomew, Michael; Hennessy, Thomas W

2015-01-01

The lower respiratory tract infection (LRTI)-associated hospitalization rate in American Indian and Alaska Native (AI/AN) children aged <5 years declined during 1998-2008, yet remained 1.6 times higher than the general US child population in 2006-2008. Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009-2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998-1999 rates prior to pneumococcal conjugate vaccine introduction. The average annual LRTI-associated hospitalization rate declined from 1998-1999 to 2009-2011 in AI/AN (35%, p<0.01) and the general US child population (19%, SE: 4.5%, p<0.01). The 2009-2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6-14.8). The Alaska (38.9) and Southwest regions (27.3) had the highest rates. The disparity was greatest for infant (<1 year) pneumonia-associated and 2009-2010 H1N1 influenza-associated hospitalizations. Although the LRTI-associated hospitalization rate declined, the 2009-2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

High rates of growth recorded for hawksbill sea turtles in Anegada, British Virgin Islands.

PubMed

Hawkes, Lucy A; McGowan, Andrew; Broderick, Annette C; Gore, Shannon; Wheatley, Damon; White, Jim; Witt, Matthew J; Godley, Brendan J

2014-04-01

Management of species of conservation concern requires knowledge of demographic parameters, such as rates of recruitment, survival, and growth. In the Caribbean, hawksbill turtles (Eretmochelys imbricata) have been historically exploited in huge numbers to satisfy trade in their shells and meat. In the present study, we estimated growth rate of juvenile hawksbill turtles around Anegada, British Virgin Islands, using capture-mark-recapture of 59 turtles over periods of up to 649 days. Turtles were recaptured up to six times, having moved up to 5.9 km from the release location. Across all sizes, turtles grew at an average rate of 9.3 cm year(-1) (range 2.3-20.3 cm year(-1)), and gained mass at an average of 3.9 kg year(-1) (range 850 g-16.1 kg year(-1)). Carapace length was a significant predictor of growth rate and mass gain, but there was no relationship between either variable and sea surface temperature. These are among the fastest rates of growth reported for this species, with seven turtles growing at a rate that would increase their body size by more than half per year (51-69% increase in body length). This study also demonstrates the importance of shallow water reef systems for the developmental habitat for juvenile hawksbill turtles. Although growth rates for posthatching turtles in the pelagic, and turtles larger than 61 cm, are not known for this population, the implications of this study are that Caribbean hawksbill turtles in some areas may reach body sizes suggesting sexual maturity in less time than previously considered.

Rating disease progression of Friedreich’s ataxia by the International Cooperative Ataxia Rating Scale: analysis of a 603-patient database

PubMed Central

Coppard, Nicholas; Cooper, Jonathon M.; Delatycki, Martin B.; Dürr, Alexandra; Di Prospero, Nicholas A.; Giunti, Paola; Lynch, David R.; Schulz, J. B.; Rummey, Christian; Meier, Thomas

2013-01-01

The aim of this cross-sectional study was to analyse disease progression in Friedreich’s ataxia as measured by the International Cooperative Ataxia Rating Scale. Single ratings from 603 patients with Friedreich’s ataxia were analysed as a function of disease duration, age of onset and GAA repeat lengths. The relative contribution of items and subscales to the total score was studied as a function of disease progression. In addition, the scaling properties were assessed using standard statistical measures. Average total scale progression per year depends on the age of disease onset, the time since diagnosis and the GAA repeat length. The age of onset inversely correlates with increased GAA repeat length. For patients with an age of onset ≤14 years associated with a longer repeat length, the average yearly rate of decline was 2.5 ± 0.18 points in the total International Cooperative Ataxia Rating Scale for the first 20 years of disease duration, whereas patients with a later onset progress more slowly (1.8 ± 0.27 points/year). Ceiling effects in posture, gait and lower limb scale items lead to a reduced sensitivity of the scale in the severely affected population with a total score of >60 points. Psychometric scaling analysis shows generally favourable properties for the total scale, but the subscale grouping could be improved. This cross-sectional study provides a detailed characterization of the International Cooperative Ataxia Rating Scale. The analysis further provides rates of change separated for patients with early and late disease onset, which is driven by the GAA repeat length. Differences in the subscale dynamics merit consideration in the design of future clinical trials applying this scale as a neurological assessment instrument in Friedreich’s ataxia. PMID:23365101

Temporal trends in the epidemiology of cervical cancer in South Africa (1994-2012).

PubMed

Olorunfemi, Gbenga; Ndlovu, Ntombizodwa; Masukume, Gwinyai; Chikandiwa, Admire; Pisa, Pedro T; Singh, Elvira

2018-05-22

Cervical cancer (CC) is the leading cause of cancer death among female South Africans (SA). Improved access to reproductive health services following multi-ethnic democracy in 1994, HIV epidemic, and the initiation of CC population-based screening in early 2000's have influenced the epidemiology of CC in SA. We therefore evaluated the trends in CC age-standardized incidence (ASIR) (1994 - 2009) and mortality rates (ASMR) (2004 - 2012) using data from the South African National Cancer Registry and the Statistics South Africa, respectively. Five-year relative survival rates and average percent change (AAPC) stratified by ethnicity and age-groups was determined. The average annual CC cases and mortalities were 4,694 (75,099 cases/16years) and 2,789 (25,101 deaths/9years) respectively. The ASIR was 22.1/100,000 in 1994 and 23.3/100,000 in 2009, with an average annual decline in incidence of 0.9% per annum (AAPC = -0.9%, P-value<0.001). The ASMR decreased slightly by 0.6% per annum from 13.9/100,000 in 2004 to 13.1/100,000 in 2012 (AAPC = -0.6%, P-value < 0.001). In 2012, ASMR was 5.8-fold higher in Blacks than in Whites. The 5-year survival rates were higher in Whites and Indians/Asians (60-80%) than in Blacks and Coloureds (40-50%). The incidence rate increased (AAPC range: 1.1% to 3.1%, P-value<0.001) among young women (25-34 years) from 2000 to 2009. Despite interventions, there were minimal changes in overall epidemiology of CC in SA but there were increased CC rates among young women and ethnic disparities in CC burden. A review of the CC national policy and directed CC prevention and treatment are required to positively impact the burden of CC in SA. This article is protected by copyright. All rights reserved. © 2018 UICC.

External cause-specific summaries of occupational fatal injuries. Part II: an analysis of years of potential life lost.

PubMed

Bailer, A John; Bena, James F; Stayner, Leslie T; Halperin, William E; Park, Robert M

2003-03-01

Fatal injury surveillance data provide an opportunity to assess the impact of occupational injuries and may indicate which industries or occupations are appreciably more hazardous than others, and thus should be given priority in public health intervention. Fatalities from the National Traumatic Occupational Fatality surveillance system served as the basis for examining external cause (E-code) specific impact summaries. Years of potential life lost (YPLL) were calculated for fatal injuries in the years 1983-1994. Industries and occupations were compared with respect to frequency of fatal injuries. In addition, injuries in categories of external causes are examined across all industries and occupations. Machinery, electric current, homicide, falls, and transportation-related are the external cause groups highlighted by high frequency/rate of occurrence. Electric current event groups are also characterized by high average YPLL. Poisoning, conflagration, and lightning were also identified in several occupations as having high associated average YPLL. The external-cause-specific analysis of average YPLL identified industries and occupations where, on average, younger workers were dying in fatal injuries. Noteworthy in this assessment were homicides and falls. The YPLL measure coupled with more commonly employed indices (e.g., rates) may provide a fuller description of the impact of occupational fatal injuries.

Developmental pathways of change in fitness and motor competence are related to overweight and obesity status at the end of primary school.

PubMed

Rodrigues, Luis P; Stodden, David F; Lopes, Vítor P

2016-01-01

To test how different developmental pathways of health-related physical fitness and motor competence tests relate to weight status (overweight and obesity) at the end of primary school. Longitudinal study on growth, health-related physical fitness, and motor competence of 472 primary school children assessed yearly throughout 1st to 4th grade, with an average age of 6.3±0.7 years of age at 1st grade. Children's pathways of change on each of the fitness and motor competence tests were determined along the four years of the study. Participants were divided into three groups according to their rate of change in each test over time: Low Rate of Change, Average Rate of Change, and High Rate of Change. A logistic regression was used to predict the odds ratio of becoming overweight or obese, depending on the developmental pathway of change in fitness and motor competence across childhood. Children with a low or average rate of change in their developmental pathways of fitness and motor competence were several times more prone to become overweight or obese at the end of primary school (OR 2.0 to 6.3), independent of sex and body mass index at baseline. Specifically, a negative developmental pathway (Low Rate of Change) in cardiorespiratory fitness demonstrated over a six-fold elevated risk of being overweight or obese, compared to peers with a positive pathway. Not all children improve their motor competence and fitness levels over time and many actually regress over time. Developing positive fitness and motor competence pathways during childhood protects from obesity and overweight. Copyright © 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Change in brain and lesion volumes after CEE therapies: the WHIMS-MRI studies.

PubMed

Coker, Laura H; Espeland, Mark A; Hogan, Patricia E; Resnick, Susan M; Bryan, R Nick; Robinson, Jennifer G; Goveas, Joseph S; Davatzikos, Christos; Kuller, Lewis H; Williamson, Jeff D; Bushnell, Cheryl D; Shumaker, Sally A

2014-02-04

To determine whether smaller brain volumes in older women who had completed Women's Health Initiative (WHI)-assigned conjugated equine estrogen-based hormone therapy (HT), reported by WHI Memory Study (WHIMS)-MRI, correspond to a continuing increased rate of atrophy an average of 6.1 to 7.7 years later in WHIMS-MRI2. A total of 1,230 WHI participants were contacted: 797 (64.8%) consented, and 729 (59%) were rescanned an average of 4.7 years after the initial MRI scan. Mean annual rates of change in total brain volume, the primary outcome, and rates of change in ischemic lesion volumes, the secondary outcome, were compared between treatment groups using mixed-effect models with adjustment for trial, clinical site, age, intracranial volumes, and time between MRI measures. Total brain volume decreased an average of 3.22 cm(3)/y in the active arm and 3.07 cm(3)/y in the placebo arm (p = 0.53). Total ischemic lesion volumes increased in both arms at a rate of 0.12 cm(3)/y (p = 0.88). Conjugated equine estrogen-based postmenopausal HT, previously assigned at WHI baseline, did not affect rates of decline in brain volumes or increases in brain lesion volumes during the 4.7 years between the initial and follow-up WHIMS-MRI studies. Smaller frontal lobe volumes were observed as persistent group differences among women assigned to active HT compared with placebo. Women with a history of cardiovascular disease treated with active HT, compared with placebo, had higher rates of accumulation in white matter lesion volume and total brain lesion volume. Further study may elucidate mechanisms that explain these findings.

Change in brain and lesion volumes after CEE therapies

PubMed Central

Espeland, Mark A.; Hogan, Patricia E.; Resnick, Susan M.; Bryan, R. Nick; Robinson, Jennifer G.; Goveas, Joseph S.; Davatzikos, Christos; Kuller, Lewis H.; Williamson, Jeff D.; Bushnell, Cheryl D.; Shumaker, Sally A.

2014-01-01

Objectives: To determine whether smaller brain volumes in older women who had completed Women's Health Initiative (WHI)-assigned conjugated equine estrogen–based hormone therapy (HT), reported by WHI Memory Study (WHIMS)-MRI, correspond to a continuing increased rate of atrophy an average of 6.1 to 7.7 years later in WHIMS-MRI2. Methods: A total of 1,230 WHI participants were contacted: 797 (64.8%) consented, and 729 (59%) were rescanned an average of 4.7 years after the initial MRI scan. Mean annual rates of change in total brain volume, the primary outcome, and rates of change in ischemic lesion volumes, the secondary outcome, were compared between treatment groups using mixed-effect models with adjustment for trial, clinical site, age, intracranial volumes, and time between MRI measures. Results: Total brain volume decreased an average of 3.22 cm3/y in the active arm and 3.07 cm3/y in the placebo arm (p = 0.53). Total ischemic lesion volumes increased in both arms at a rate of 0.12 cm3/y (p = 0.88). Conclusions: Conjugated equine estrogen–based postmenopausal HT, previously assigned at WHI baseline, did not affect rates of decline in brain volumes or increases in brain lesion volumes during the 4.7 years between the initial and follow-up WHIMS-MRI studies. Smaller frontal lobe volumes were observed as persistent group differences among women assigned to active HT compared with placebo. Women with a history of cardiovascular disease treated with active HT, compared with placebo, had higher rates of accumulation in white matter lesion volume and total brain lesion volume. Further study may elucidate mechanisms that explain these findings. PMID:24384646

China witnesses a changing concept on marriage.

PubMed

She, W

1998-08-01

This article discusses changing marriage, divorce, and remarriage patterns in China. The State Statistical Bureau reports that changing life style patterns will impact on the education of children and difficulties of housing and employment of single women, with or without children. Economic development has resulted in the elimination of poverty among over 20 million persons. Early marriage among males aged 15-21 years and females aged 15-19 years declined during 1990-96. The average age at first marriage increased by 2.0 years for males and 0.7 years for females during 1990-96. Average age at first marriage varies with level of economic development and location. Chinese families for centuries maintained arranged marriages. Marriage patterns have been influenced by customs from outside China. Couples use divorce as a means of settling disputes and focus on the quality of married life. Western culture has contributed to more frequent extramarital love affairs and the disintegration of many families. The basic foundation of marriage has weakened. The divorce rate rose during 1990-96. The highest rate of divorce by age was among persons aged 30-39 years in 1996, and among persons aged 50-59 years in 1990. The highest divorce rates by educational status were among illiterates and semiliterates in 1990, and among high school educated in 1996. Urban population had a higher divorce rate than rural population. Remarriage is gaining in popularity. Remarriages rose from 500,000 to 862,000 during 1985-95. The percentage of remarriages rose, especially among persons aged over 50 years.

Short- and Long-Term Outcomes of Deep Brain Stimulation in Patients 70 Years and Older with Parkinson Disease.

PubMed

Mathkour, Mansour; Garces, Juanita; Scullen, Tyler; Hanna, Joshua; Valle-Giler, Edison; Kahn, Lora; Arrington, Teresa; Houghton, David; Lea, Georgia; Biro, Erin; Bui, Cuong J; Sulaiman, Olawale A R; Smith, Roger D

2017-01-01

Parkinson disease (PD) is a common neurodegenerative disease in elderly patients that may be treated with deep brain stimulation (DBS). DBS is an accepted surgical treatment in PD patients <70 years that demonstrates marked improvement in disease symptomology. Patients ≥70 years historically have been excluded from DBS therapy. Our objective is to evaluate the short- and long-term outcomes in patients with PD ≥70 years who underwent DBS at our center. In our single-center study, we retrospectively assessed a prospective registry of patients with PD treated with DBS who were ≥70 years old at the time of their procedure. Univariate analyses and 1-sample paired t test were used to evaluate data. Motor scores were evaluated with the Unified Parkinson's Disease Rating Scale III, and the effects on medication requirements were evaluated with levodopa equivalence daily doses (LEDD). Thirty-seven patients were followed for an average of 42.2 months post-DBS. The average ages at diagnosis and at the time of DBS surgery were 63.05 years and 72.45 years, respectively. Significant reductions in the average Unified Parkinson's Disease Rating Scale III score were observed (preoperative 31.8; postoperative 15.6; P < 0.0001). Significant reductions in the average LEDD (preoperative 891.94 mg; postoperative 559.6 mg; P = 0.0008) and medication doses per day (preoperative 11.54; postoperative 7.97; P = 0.0112) also were present. DBS is effective in treating elderly patients with PD. Patients experienced improvement in motor function, LEDD, and medication doses per day after DBS. Our results suggest that DBS is an effective treatment modality in elderly patients with PD. Copyright © 2016 Elsevier Inc. All rights reserved.

Comprehensive investigation into historical pipeline construction costs and engineering economic analysis of Alaska in-state gas pipeline

NASA Astrophysics Data System (ADS)

Rui, Zhenhua

This study analyzes historical cost data of 412 pipelines and 220 compressor stations. On the basis of this analysis, the study also evaluates the feasibility of an Alaska in-state gas pipeline using Monte Carlo simulation techniques. Analysis of pipeline construction costs shows that component costs, shares of cost components, and learning rates for material and labor costs vary by diameter, length, volume, year, and location. Overall average learning rates for pipeline material and labor costs are 6.1% and 12.4%, respectively. Overall average cost shares for pipeline material, labor, miscellaneous, and right of way (ROW) are 31%, 40%, 23%, and 7%, respectively. Regression models are developed to estimate pipeline component costs for different lengths, cross-sectional areas, and locations. An analysis of inaccuracy in pipeline cost estimation demonstrates that the cost estimation of pipeline cost components is biased except for in the case of total costs. Overall overrun rates for pipeline material, labor, miscellaneous, ROW, and total costs are 4.9%, 22.4%, -0.9%, 9.1%, and 6.5%, respectively, and project size, capacity, diameter, location, and year of completion have different degrees of impacts on cost overruns of pipeline cost components. Analysis of compressor station costs shows that component costs, shares of cost components, and learning rates for material and labor costs vary in terms of capacity, year, and location. Average learning rates for compressor station material and labor costs are 12.1% and 7.48%, respectively. Overall average cost shares of material, labor, miscellaneous, and ROW are 50.6%, 27.2%, 21.5%, and 0.8%, respectively. Regression models are developed to estimate compressor station component costs in different capacities and locations. An investigation into inaccuracies in compressor station cost estimation demonstrates that the cost estimation for compressor stations is biased except for in the case of material costs. Overall average overrun rates for compressor station material, labor, miscellaneous, land, and total costs are 3%, 60%, 2%, -14%, and 11%, respectively, and cost overruns for cost components are influenced by location and year of completion to different degrees. Monte Carlo models are developed and simulated to evaluate the feasibility of an Alaska in-state gas pipeline by assigning triangular distribution of the values of economic parameters. Simulated results show that the construction of an Alaska in-state natural gas pipeline is feasible at three scenarios: 500 million cubic feet per day (mmcfd), 750 mmcfd, and 1000 mmcfd.

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Lander University. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Winthrop University. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. The Citadel. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

Demography of the Pryor Mountain wild horses, 1993-2007

USGS Publications Warehouse

Roelle, James E.; Singer, Francis J.; Zeigenfuss, Linda C.; Ransom, Jason I.; Coates-Markle, Linda; Schoenecker, Kathryn A.

2010-01-01

Wild horses (Equus caballus) at Pryor Mountain were studied by direct observation from 1993 through 2007. All horses present were individually identifiable on the basis of coat coloration, head and leg markings, gender, and band associations. Of the 609 horses either present prior to foaling in 1993 or born since, ages were precisely known for 491 (observed as a foal). Ages for 52 horses were estimated through tooth eruption and wear patterns, and for the remaining 66 horses through body size, morphology, and anecdotal evidence concerning when they were present on the range. At varying intensities, never less than 30 days per year, all horses were inventoried and their band associations noted. Foals were paired with dams based on observations of attachment during the early days and weeks of life. Year of death was determined by identification of the carcass where possible. In the absence of finding a carcass, an animal that was not observed for 2 years was considered to have died in the year that it went missing. Animals that were removed from the herd and mares that were part of a contraception study were excluded from calculations of survival and foaling rates, respectively, as appropriate. The average prefoaling population over the 15 years of the study was 148.8 animals (range = 120-187), and the annual foal crop averaged 32.1 (range = 23-40). Large removals (19-60 animals) in four years helped maintain the herd at this level; apparent growth rate (calculated as though removals had not occurred) was 9.6 percent annually (? = 1.096, range = 0.977-1.220). This annual growth rate is relatively low compared to that for many western horse herds, at least in part because of a decline in foal survival. Sex ratio of the foal crop varied widely among years, but pooled across years did not differ from 50:50. Sex ratio in the herd changed mostly as a result of removals. The average age of both males and females in the herd increased during the course of the study. Annual survival of males did not differ from that of females, nor did gender affect annual survival of foals. Pooled across years, ages, and sexes, the annual survival rate was 0.899. Annual foal survival rate was 0.697 and declined through time, with a tendency toward recovery in 2005-2007. Foal survival was higher in larger bands, but did not differ between foals born to primiparous and multiparous mares. A few 2-year-old mares produced foals; foaling rate (excluding contracepted mares and foals they produced) increased through age 10, remained high through age 15, and declined thereafter. Overall foaling rate for mares =3 years of age was 0.576 foals per mare, with no apparent trend during the period of our study. Foaling rate in years following gathers was somewhat lower than in other years. There was a positive relation between foaling rate and band size. Primiparous mares were somewhat less likely to foal in the following year than were multiparous mares. Most stallions that acquired a harem did so at age 5 or 6, and the average age of harem stallions increased during our study. Most harems had 1-3 mares =2 years of age, but harem size varied with age of the stallion, increasing through about age 11 and declining thereafter. About 6 percent of bands had a satellite stallion (=5 years of age), but the mean number of mares did not differ between single- and multistallion bands. Most stallions left their natal band at age 2 or 3, but 17 percent remained with their natal band until age 4 or 5. Foal survival rate was positively related to precipitation, suggesting a possible link to forage production and availability mediated through mare fitness. There also was evidence for density-dependent population regulation, as both population growth rate and survival rate were negatively correlated with population size from the previous year. These and other factors were not sufficient to stabilize the population during our period of study, however, as evidenced by the necess

Vision-related quality of life and self-rated satisfaction outcomes of rhegmatogenous retinal detachment surgery: three-year prospective study.

PubMed

Zou, Haidong; Zhang, Xi; Xu, Xun; Liu, Haiyun; Bai, Lin; Xu, Xian

2011-01-01

Subjective functional outcomes measurements, such as vision health-related quality of life (VRQoL) and self-rated satisfaction measures can provide helpful multidimensional vision health information that is more comprehensive than traditional objective measures, such as best corrected visual acuity (BCVA). The purpose of this study is to demonstrate 3-year longitudinal postoperative VRQoL and self-rated satisfaction changes after rhegmatogenous retinal detachment (RRD) surgery. A prospective case series report was conducted in 92 RRD patients who underwent surgery during January 2004 through December 2006. Preoperative, 3-month, 1-year and 3-year postoperative patient VRQoL and self-rated satisfaction were assessed by face-to-face interviews. The importance of objective variables for predicting three dependent variables: CLVQOL composite scores change, 3-year postoperative CVLQOL composite score and self-rated satisfaction degree scores were calculated by stepwise multivariate linear or logistic regression analysis methods. The total CLVQOL composite scores change ranged between -48 and 90 (mean±standard deviation: 19.48±31.34), including positive changes in 62 patients. The self-rated satisfaction degree scores ultimately improved in 86 patients as compared with preoperative degrees. Statistically significant increases occurred only in the composite scores of subscale mobility and self-rated satisfaction degrees in the first 3 months, while the composite scores of the remaining subscales, and the total CLVQOL, BCVA in the RRD eye and weighted average BCVA, increased steadily throughout the first postoperative year. A better 3-year postoperative weighted average BCVA was associated with all of the 3 dependent outcome variables. VRQoL of RRD patients improved substantially after surgery and they were satisfied with their postoperative vision. The BCVA, VRQoL and self-rated satisfactory degree scores recovered in different patterns, and supplemented each other in the RRD surgery outcomes evaluated. Surgeons are advised to pay closer attention to binocular vision in RRD patients, and make efforts to explain the results of surgery.

Rural versus urban academic hospital mortality following stroke in Canada.

PubMed

Fleet, Richard; Bussières, Sylvain; Tounkara, Fatoumata Korika; Turcotte, Stéphane; Légaré, France; Plant, Jeff; Poitras, Julien; Archambault, Patrick M; Dupuis, Gilles

2018-01-01

Stroke is one of the leading causes of death in Canada. While stroke care has improved dramatically over the last decade, outcomes following stroke among patients treated in rural hospitals have not yet been reported in Canada. To describe variation in 30-day post-stroke in-hospital mortality rates between rural and urban academic hospitals in Canada. We also examined 24/7 in-hospital access to CT scanners and selected services in rural hospitals. We included Canadian Institute for Health Information (CIHI) data on adjusted 30-day in-hospital mortality following stroke from 2007 to 2011 for all acute care hospitals in Canada excluding Quebec and the Territories. We categorized rural hospitals as those located in rural small towns providing 24/7 emergency physician coverage with inpatient beds. Urban hospitals were academic centres designated as Level 1 or 2 trauma centres. We computed descriptive data on local access to a CT scanner and other services and compared mean 30-day adjusted post-stroke mortality rates for rural and urban hospitals to the overall Canadian rate. A total of 286 rural hospitals (3.4 million emergency department (ED) visits/year) and 24 urban hospitals (1.5 million ED visits/year) met inclusion criteria. From 2007 to 2011, 30-day in-hospital mortality rates following stroke were significantly higher in rural than in urban hospitals and higher than the Canadian average for every year except 2008 (rural average range = 18.26 to 21.04 and urban average range = 14.11 to 16.78). Only 11% of rural hospitals had a CT-scanner, 1% had MRI, 21% had in-hospital ICU, 94% had laboratory and 92% had basic x-ray facilities. Rural hospitals in Canada had higher 30-day in-hospital mortality rates following stroke than urban academic hospitals and the Canadian average. Rural hospitals also have very limited local access to CT scanners and ICUs. These rural/urban discrepancies are cause for concern in the context of Canada's universal health care system.

Cost-effectiveness analysis of atypical long-acting antipsychotics for treating chronic schizophrenia in Finland.

PubMed

Einarson, Thomas R; Pudas, Hanna; Zilbershtein, Roman; Jensen, Rasmus; Vicente, Colin; Piwko, Charles; Hemels, Michiel E H

2013-09-01

In Finland, regional rates of schizophrenia exceed those in most countries, impacting the healthcare burden. This study determined the cost-effectiveness of long-acting antipsychotic (LAI) drugs paliperidone palmitate (PP-LAI), olanzapine pamoate (OLZ-LAI), and risperidone (RIS-LAI) for chronic schizophrenia. This study adapted a decision tree analysis from Norway for the Finnish National Health Service. Country-specific data were sought from the literature and public documents, guided by clinical experts. Costs of health services and products were retrieved from literature sources and current price lists. This simulation study estimated average 1-year costs for treating patients with each LAI, average remission days, rates of hospitalization and emergency room visits and quality-adjusted life-years (QALY). PP-LAI was dominant. Its estimated annual average cost was €10,380/patient and was associated with 0.817 QALY; OLZ-LAI cost €12,145 with 0.810 QALY; RIS-LAI cost €12,074 with 0.809 QALY. PP-LAI had the lowest rates of hospitalization, emergency room visits, and relapse days. This analysis was robust against most variations in input values except adherence rates. PP-LAI was dominant over OLZ-LAI and RIS-LAI in 77.8% and 85.9% of simulations, respectively. Limitations include the 1-year time horizon (as opposed to lifetime costs), omission of the costs of adverse events, and the assumption of universal accessibility. In Finland, PP-LAI dominated the other LAIs as it was associated with a lower cost and better clinical outcomes.

Rib fracture fixation in the 65 years and older population: A paradigm shift in management strategy at a Level I trauma center.

PubMed

Fitzgerald, Michael T; Ashley, Dennis W; Abukhdeir, Hesham; Christie, D Benjamin

2017-03-01

Rib fractures after chest wall trauma are a common injury; however, they carry a significant morbidity and mortality risk. The impact of rib fractures in the 65-year and older patient population has been well documented as have the mortality and pneumonia rates. We hypothesize that patients 65 years and older receiving rib plating (RP) have decreased mortality, complication rates, and an accelerated return to normal functional states when compared with controls. With institutional review board approval, a retrospective review analyzed patients 65 years and older with rib fractures admitted from 2009 to 2015 receiving RP (RP group) (n = 23) compared to nonoperative, injury-matched controls admitted from 2003 to 2008 (NO group) (n = 50). Patients were followed prospectively with regard to lifestyle and functional satisfaction. Independent variables analyzed included Injury Severity Score (ISS), number of rib fractures, mortalities, hospital days, intensive care unit days, pneumonia development, respiratory complications, readmission rates, need for and length of rehabilitation stay time. Comparisons were by χ tests/Fisher's exact tests, Student's t tests and Wilcoxon rank sum tests. From 2003 to 2008, 50 NO patients were admitted with ages ranging 65 to 97 years, average ISS of 18.47 (14.28-22.66) versus ages ranging from 63 to 89 years, average ISS of 20.71 (15.7-25.73) for the RP group (n = 23). Average hospital days were 16.76 (10.35-23.18) and 18.36 (13.61-23.11) in the NO and RP groups, respectively. Average intensive care unit days were 11.65 (6.45-16.85) and 8.29 (5.31-11.26) days in the NO and RP groups, respectively. Four respiratory readmissions, two deaths, seven pneumonias, seven pleural-effusions, and 19 recurrent pneumothoraces were encountered in the NO group versus 0 in the RP group (p < 0.001). An equal percentage of patients in both groups entered rehabilitation facilities with average stay time of 18.5 and 28.53 days for the RP and NO groups, respectively. RP in the 65-year and older trauma population demonstrates a measurable decrease in mortality and respiratory complications, improves respiratory mechanics, and permits an accelerated return to functioning state. Therapeutic/care management study, level IV.

Pilot study of telephone tutoring in reading skills.

PubMed

Strayhorn, Joseph M

2005-10-01

This study tested the feasibility of tutoring children in reading via telephone sessions. 19 children received tutoring from any of 6 tutors for an average of 7.6 hr. per month. Initially, these children were an average of 10.4 yr. old, in average Grade 4.8, and averaged 2.9 grade levels behind their grade expectations on the Slosson Oral Reading Test. Before tutoring the children had progressed on the Slosson at an average of 0.44 grade levels per year (95% CI = 0.30 to 0.57). The children participated in telephone tutoring for an average of 1.5 yr. During tutoring the students progressed at an average of 2.0 grade levels per year (95% CI = 1.2 to 2.8). The rate of progress during tutoring was significantly greater than that before tutoring (p<.001). The relations between tutors and students appeared to be positive and pleasant. Telephone tutoring seems to be a practical and feasible service delivery method which should be tested further.

Recreational travel impacts : review of recreational travel and recreational vehicle data

DOT National Transportation Integrated Search

1977-04-01

Recreational travel has grown markedly over the past several decades with a growth rate averaging over 5 percent per year. Although the growth rate slowed somewhat during the 1973 to 1975 period of energy and economic concerns, it has since recovered...

The financial cost of hamstring strain injuries in the Australian Football League.

PubMed

Hickey, Jack; Shield, Anthony J; Williams, Morgan D; Opar, David A

2014-04-01

Hamstring strain injuries (HSIs) have remained the most prevalent injury in the Australian Football League (AFL) over the past 21 regular seasons. The effect of HSIs in sports is often expressed as regular season games missed due to injury. However, the financial cost of athletes missing games due to injury has not been investigated. The aim of this report is to estimate the financial cost of games missed due to HSIs in the AFL. Data were collected using publicly available information from the AFL's injury report and the official AFL annual report for the past 10 competitive AFL seasons. Average athlete salary and injury epidemiology data were used to determine the average yearly financial cost of HSIs for AFL clubs and the average financial cost of a single HSI over this time period. Across the observed period, average yearly financial cost of HSIs per club increased by 71% compared with a 43% increase in average yearly athlete salary. Over the same time period the average financial cost of a single HSI increased by 56% from $A25,603 in 2003 to $A40,021 in 2012, despite little change in the HSI rates during the period. The observed increased financial cost of HSIs was ultimately explained by the failure of teams to decrease HSI rates, but coupled with increases in athlete salaries over the past 10 season. The information presented in this report highlights the financial cost of HSIs and other sporting injuries, raising greater awareness and the need for further funding for research into injury prevention strategies to maximise economical return for investment in athletes.

The Unrecognized Burden of Influenza in Young Kenyan Children, 2008-2012.

PubMed

McMorrow, Meredith L; Emukule, Gideon O; Njuguna, Henry N; Bigogo, Godfrey; Montgomery, Joel M; Nyawanda, Bryan; Audi, Allan; Breiman, Robert F; Katz, Mark A; Cosmas, Leonard; Waiboci, Lilian W; Duque, Jazmin; Widdowson, Marc-Alain; Mott, Joshua A

2015-01-01

Influenza-associated disease burden among children in tropical sub-Saharan Africa is not well established, particularly outside of the 2009 pandemic period. We estimated the burden of influenza in children aged 0-4 years through population-based surveillance for influenza-like illness (ILI) and acute lower respiratory tract illness (ALRI). Household members meeting ILI or ALRI case definitions were referred to health facilities for evaluation and collection of nasopharyngeal and oropharyngeal swabs for influenza testing by real-time reverse transcription polymerase chain reaction. Estimates were adjusted for health-seeking behavior and those with ILI and ALRI who were not tested. During 2008-2012, there were 9,652 person-years of surveillance among children aged 0-4 years. The average adjusted rate of influenza-associated hospitalization was 4.3 (95% CI 3.0-6.0) per 1,000 person-years in children aged 0-4 years. Hospitalization rates were highest in the 0-5 month and 6-23 month age groups, at 7.6 (95% CI 3.2-18.2) and 8.4 (95% CI 5.4-13.0) per 1,000 person-years, respectively. The average adjusted rate of influenza-associated medically attended (inpatient or outpatient) ALRI in children aged 0-4 years was 17.4 (95% CI 14.2-19.7) per 1,000 person-years. Few children who had severe laboratory-confirmed influenza were clinically diagnosed with influenza by the treating clinician in the inpatient (0/33, 0%) or outpatient (1/109, 0.9%) settings. Influenza-associated hospitalization rates from 2008-2012 were 5-10 times higher than contemporaneous U.S. estimates. Many children with danger signs were not hospitalized; thus, influenza-associated severe disease rates in Kenyan children are likely higher than hospital-based estimates suggest.

Global positioning system surveying to monitor land subsidence in Sacramento Valley, California, USA

USGS Publications Warehouse

Ikehara, M.E.

1994-01-01

A subsidence research program began in 1985 to document the extent and magnitude of land subsidence in Sacramento Valley, California, an area of about 15 600 km2m, using Global Positioning System (GPS) surveying. In addition to periodic conventional spirit levelling, an examination was made of the changes in GPS-derived ellipsoidal height differences (summary differences) between pairs of adjacent bench marks in central Sacramento Valley from 1986 to 1989. The average rates of land subsidence in the southern Sacramento Valley for the past several decades were determined by comparing GPS-derived orthometric heights with historic published elevations. A maximum average rate of 0.053 m year-1 (0.90 m in 17 years) of subsidence has been measured. -Author

Demographics of an experimentally released population of elk in Great Smoky Mountains National Park

USGS Publications Warehouse

Murrow, Jennifer L.; Clark, Joseph D.; Delozier, E. Kim

2009-01-01

We assessed the potential for reestablishing elk (Cervus elaphus) in Great Smoky Mountains National Park (GSMNP), USA, by estimating vital rates of experimentally released animals from 2001 to 2006. Annual survival rates for calves ranged from 0.333 to 1.0 and averaged 0.592. Annual survival for subadult and adult elk (i.e., ≥1 yr of age) ranged from 0.690 to 0.933, depending on age and sex. We used those and other vital rates to model projected population growth and viability using a stochastic individual-based model. The annual growth rate (λ) of the modeled population over a 25-year period averaged 0.996 and declined from 1.059 the first year to 0.990 at year 25. The modeled population failed to attain a positive 25-year mean growth rate in 46.0% of the projections. Poor calf recruitment was an important determinant of low population growth. Predation by black bears (Ursus americanus) was the dominant calf mortality factor. Most of the variance of growth projections was due to demographic variation resulting from the small population size (n  =  61). Management actions such as predator control may help increase calf recruitment, but our projections suggest that the GSMNP elk population may be at risk for some time because of high demographic variation.

Public School Graduates and Dropouts from the Common Core of Data: School Year 2006-07. First Look. NCES 2010-313

ERIC Educational Resources Information Center

Stillwell, Robert

2009-01-01

This report presents the number of high school graduates, the Averaged Freshman Graduation Rate (AFGR), and dropout data for grades 9 through 12 for public schools in school year 2006-07. The counts of graduates, dropouts, and enrollments by grade (which serve as the denominators for the graduation and dropout rates) are from the National Center…

Associations between self-rated health and personality.

PubMed

Aiken-Morgan, Adrienne T; Bichsel, Jacqueline; Savla, Jyoti; Edwards, Christopher L; Whitfield, Keith E

2014-01-01

The goal of our study was to examine how Big Five personality factors predict variability in self-rated health in a sample of older African Americans from the Baltimore Study of Black Aging. Personality was measured by the NEO Personality Inventory-Revised, and self-rated health was assessed by the Health Problems Checklist. The study sample had 202 women and 87 men. Ages ranged from 49 to 90 years (M = 67.2 years, SD = 8.55), and average years of formal education was 10.8 (SD = 3.3). Multiple linear regressions showed that neuroticism and extraversion were significant regression predictors of self-rated health, after controlling for demographic factors. These findings suggest individual personality traits may influence health ratings, behaviors, and decision-making among older African Americans.

Estimation of Rainfall Sampling Uncertainty: A Comparison of Two Diverse Approaches

NASA Technical Reports Server (NTRS)

Steiner, Matthias; Zhang, Yu; Baeck, Mary Lynn; Wood, Eric F.; Smith, James A.; Bell, Thomas L.; Lau, William K. M. (Technical Monitor)

2002-01-01

The spatial and temporal intermittence of rainfall causes the averages of satellite observations of rain rate to differ from the "true" average rain rate over any given area and time period, even if the satellite observations are perfectly accurate. The difference of satellite averages based on occasional observation by satellite systems and the continuous-time average of rain rate is referred to as sampling error. In this study, rms sampling error estimates are obtained for average rain rates over boxes 100 km, 200 km, and 500 km on a side, for averaging periods of 1 day, 5 days, and 30 days. The study uses a multi-year, merged radar data product provided by Weather Services International Corp. at a resolution of 2 km in space and 15 min in time, over an area of the central U.S. extending from 35N to 45N in latitude and 100W to 80W in longitude. The intervals between satellite observations are assumed to be equal, and similar In size to what present and future satellite systems are able to provide (from 1 h to 12 h). The sampling error estimates are obtained using a resampling method called "resampling by shifts," and are compared to sampling error estimates proposed by Bell based on earlier work by Laughlin. The resampling estimates are found to scale with areal size and time period as the theory predicts. The dependence on average rain rate and time interval between observations is also similar to what the simple theory suggests.

Estimation of dioxin and furan elimination rates with a pharmacokinetic model.

PubMed

Van der Molen, G W; Kooijman, B A; Wittsiepe, J; Schrey, P; Flesch-Janys, D; Slob, W

2000-01-01

Quantitative description of the pharmacokinetics of dioxins and furans in humans can be of great help for the assessment of health risks posed by these compounds. To that the elimination rates of sixteen 2,3,7,8-chlorinated dibenzodioxins and dibenzofurans are estimated from both a longitudinal and a cross-sectional data set using the model of Van der Molen et al. [Van der Molen G.W., Kooijman S.A.L.M., and Slob W. A generic toxicokinetic model for persistent lipophilic compounds in humans: an application to TCDD. Fundam Appl Toxicol 1996: 31: 83-94]. In this model the elimination rate is given by the (constant) specific elimination rate multiplied with the ratio between the lipid weight of the liver and total body lipid weight. Body composition, body weight and intake are assumed to depend on age. The elimination rate is, therefore, not constant. For 49-year-old males, the elimination rate estimates range between 0.03 per year for 1,2,3,6,7,8-hexaCDF to 1.0 per year for octaCDF. The elimination rates of the most toxic congeners, 2,3,7,8-tetraCDD, 1,2,3,7,8-pentaCDD, and 2,3,4,7,8-pentaCDF, were estimated at 0.09, 0.06, and 0.07, respectively, based on the cross-sectional data, and 0.11, 0.09, and 0.09 based on the longitudinal data. The elimination rates of dioxins decrease with age between 0.0011 per year for 1,2,3,6,7,8-hexaCDD and 0.0035 per year for 1,2,3,4,6,7,8-heptaCDD. For furans the average decrease is 0.0033 per year. The elimination rates were estimated both from a longitudinal and a cross-sectional data set, and agreed quite well with each other, after taking account of historical changes in average intake levels.

Racial and ethnic differences among amyotrophic lateral sclerosis cases in the United States.

PubMed

Rechtman, Lindsay; Jordan, Heather; Wagner, Laurie; Horton, D Kevin; Kaye, Wendy

2015-03-01

Our objective was to describe racial and ethnic differences of amyotrophic lateral sclerosis (ALS) in distinct geographic locations around the United States (U.S.). ALS cases for the period 2009-2011 were identified using active case surveillance in three states and eight metropolitan areas. Of the 5883 unique ALS cases identified, 74.8% were white, 9.3% were African-American/black, 3.6% were Asian, 12.0% were an unknown race, and 0.3% were marked as some other race. For ethnicity, 77.5% were defined as non-Hispanic, 10.8% Hispanic, and 11.7% were of unknown ethnicity. The overall crude average annual incidence rate was 1.52 per 100,000 person-years and the rate differed by race and ethnicity. The overall age-adjusted average annual incidence rate was 1.44 per 100,000 person-years and the age-adjusted average incidence rates also differed by race and ethnicity. Racial differences were also found in payer type, time from symptom onset to diagnosis, reported El Escorial criteria, and age at diagnosis. In conclusion, calculated incidence rates demonstrate that ALS occurs less frequently in African-American/blacks and Asians compared to whites, and less frequently in Hispanics compared to non-Hispanics in the U.S. A more precise understanding of racial and ethnic variations in ALS may help to reveal candidates for further studies of disease etiology and disease progression.

Spatial patterns of erosion in a bedrock gorge

NASA Astrophysics Data System (ADS)

Beer, Alexander. R.; Turowski, Jens M.; Kirchner, James W.

2017-01-01

Understanding the physical processes driving bedrock channel formation is essential for interpreting and predicting the evolution of mountain landscapes. Here we analyze bedrock erosion patterns measured at unprecedented spatial resolution (mm) over 2 years in a natural bedrock gorge. These spatial patterns show that local bedrock erosion rates depend on position in the channel cross section, height above the streambed, and orientation relative to the main streamflow and sediment path. These observations are consistent with the expected spatial distribution of impacting particles (the tools effect) and shielding by sediment on the bed (the cover effect). Vertical incision by bedrock abrasion averaged 1.5 mm/a, lateral abrasion averaged 0.4 mm/a, and downstream directed abrasion of flow obstacles averaged 2.6 mm/a. However, a single plucking event locally exceeded these rates by orders of magnitude (˜100 mm/a), and accounted for one third of the eroded volume in the studied gorge section over the 2 year study period. Hence, if plucking is spatially more frequent than we observed in this study period, it may contribute substantially to long-term erosion rates, even in the relatively massive bedrock at our study site. Our observations demonstrate the importance of bedrock channel morphology and the spatial distribution of moving and static sediment in determining local erosion rates.

A Pedagogical Note on the Superiority of Price-Cap Regulation to Rate-of-Return Regulation

ERIC Educational Resources Information Center

Currier, Kevin M.; Jackson, Brian K.

2008-01-01

The two forms of natural monopoly regulation that are typically discussed in intermediate microeconomics textbooks are marginal cost pricing and average cost pricing (rate-of-return regulation). However, within the last 20 years, price-cap regulation has largely replaced rate-of-return regulation because of the former's potential to generate more…

Relative efficiency and productivity: a preliminary exploration of public hospitals in Beijing, China.

PubMed

Li, Hao; Dong, Siping; Liu, Tingfang

2014-04-06

Third-grade hospitals in Beijing have been rapidly developing in capacity and scale for many years. These hospitals receive a large number of patients, and ensuring their efficient operation is crucial in meeting people's healthcare needs. In this context, a study of their relative efficiency and productivity would be helpful to identify the driving factors and further improve their performance. After a review of literature, the current numbers of open beds and employees were selected as input variables. The number of outpatient and emergency visits and the number of discharged patients were selected as output variables. A total of 12 third-grade Class A general public hospitals in Beijing were selected for a preliminary study. The panel data from 2006-2009 were collected by the National Institute of Hospital Administration, Ministry of Health of P.R. China. Descriptive analysis and data envelopment analysis were used to analyze the data using Stata 10.0 and DEAP(V2.1) software. In the 2006-2009 period, descriptive results show that sample hospitals continuously expanded their capacity and scale, with growth rate of total revenue being the highest among all variables. The DEA results show that the average annual growth rate of productivity was 26.7%, and the rates were 47.3%, 21.3% and 13.8% respectively for two consecutive years. The average annual growth rate of technological change was 28.3%, and the rates were 49.4%, 21.5% and 16.4% respectively for two consecutive years. The average annual growth rate of technical efficiency change was -1.3%, and the rates were -1.4%, -0.02% and -2.2% respectively for two consecutive years. The sample hospitals in Beijing experienced substantial productivity growth, but annual growth rates were declining. Substantial technological change was the main contributor to the growth. Although some hospitals exhibited improvements in technical efficiency, there was a slight decline in general. To improve overall efficiency and productivity, both government and hospitals need to further drive positive technological change, technical change, and allocative efficiency of public hospitals. More empirical studies are needed to include more hospitals of all three grades at a larger scale.

The inner state differences of preterm birth rates in Brazil: a time series study.

PubMed

de Oliveira, Rosana Rosseto; Melo, Emiliana Cristina; Fujimori, Elizabeth; Mathias, Thais Aidar de Freitas

2016-05-17

Preterm birth is a serious public health problem, as it is linked to high rates of neonatal and child morbidity and mortality. The prevalence of premature births has increased worldwide, with regional differences. The objective of this study was to analyze the trend of preterm births in the state of Paraná, Brazil, according to Macro-regional and Regional Health Offices (RHOs). This is an ecological time series study using preterm births records from the national live birth registry system of Brazil's National Health Service - Live Birth Information System (Sinasc), for residents of the state of Paraná, Brazil, between 2000 and 2013. The preterm birth rates was calculated on a yearly basis and grouped into three-year periods (2000-2002, 2003-2005, 2006-2008, 2009-2011) and one two-year period (2012-2013), according to gestational age and mother's Regional Health Office of residence. The polynomial regression model was used for trend analysis. The predominance of preterm birth rate increased from 6.8 % in 2000 to 10.5 % in 2013, with an average increase of 0.20 % per year (r(2) = 0.89), and a greater share of moderate preterm births (32 to <37 weeks), which increased from 5.8 % to 9 %. The same pattern was observed for all Macro-regional Health Offices, with highlight to the Northern Macro-Regional Office, which showed the highest average rate of prematurity and average annual growth during that period (7.55 % and 0.35 %, respectively). The trend analysis of preterm birth rates according to RHO showed a growing trend for almost all RHOs - except for the 7(th) RHO where a declining trend was observed (-0.95 a year); and in the 20(th), 21(st) and 22(nd) RHOs which remained unchanged. In the last three-year of the study period (2011-2013), no RHO showed preterm birth rates below 7.3 % or prevalence of moderate preterm birth below 9.4 %. The results show an increase in preterm births with differences among Macro-regional and RHOs, which indicate the need to improve actions during the prenatal period according to the specificities of each region.

The rising incidence of intentional ingestion of ethanol-containing hand sanitizers.

PubMed

Gormley, Nicole J; Bronstein, Alvin C; Rasimas, Joseph J; Pao, Maryland; Wratney, Angela T; Sun, Junfeng; Austin, Howard A; Suffredini, Anthony F

2012-01-01

To describe a case of intentional ingestion of hand sanitizer in our hospital and to review published cases and those reported to the American Association of Poison Control Centers' National Poison Data System. A case report, a literature review of published cases, and a query of the National Poison Data System. Medical intensive care unit. Seventeen-yr-old male 37-kg with an intentional ingestion of a hand sanitizer product into his gastrostomy tube. Intubation, ventilation, and hemodialysis. Incidence and outcome of reported cases of unintentional and intentional ethanol containing-hand sanitizer ingestion in the United States from 2005 through 2009. A literature search found 14 detailed case reports of intentional alcohol-based hand sanitizer ingestions with one death. From 2005 to 2009, the National Poison Data System received reports of 68,712 exposures to 96 ethanol-based hand sanitizers. The number of new cases increased by an average of 1,894 (95% confidence interval [CI] 1266-2521) cases per year (p =.002). In 2005, the rate of exposures, per year, per million U.S. residents was 33.7 (95% CI 28.4-39.1); from 2005 to 2009, this rate increased on average by 5.87 per year (95% CI 3.70-8.04; p = .003). In 2005, the rate of intentional exposures, per year, per million U.S. residents, was 0.68 (95% CI 0.17-1.20); from 2005 to 2009, this rate increased on average by 0.32 per year (95% CI 0.11-0.53; p = .02). The number of new cases per year of intentional hand sanitizer ingestion significantly increased during this 5-yr period. Although the majority of cases of hand sanitizer ingestion have a favorable outcome, 288 moderate and 12 major medical outcomes were reported in this National Poison Data System cohort. Increased awareness of the risks associated with intentional ingestion is warranted, particularly among healthcare providers caring for persons with a history of substance abuse, risk-taking behavior, or suicidal ideation.

The effect of vitamin D supplementation on knee osteoarthritis, the VIDEO study: a randomised controlled trial.

PubMed

Arden, N K; Cro, S; Sheard, S; Doré, C J; Bara, A; Tebbs, S A; Hunter, D J; James, S; Cooper, C; O'Neill, T W; Macgregor, A; Birrell, F; Keen, R

2016-11-01

Epidemiological data suggest low serum 25-hydroxyvitamin D 3 (25-OH-D 3 ) levels are associated with radiological progression of knee osteoarthritis (OA). This study aimed to assess whether vitamin D supplementation can slow the rate of progression. A 3-year, double-blind, randomised, placebo-controlled trial of 474 patients aged over 50 with radiographically evident knee OA comparing 800 IU cholecalciferol daily with placebo. Primary outcome was difference in rate of medial joint space narrowing (JSN). Secondary outcomes included lateral JSN, Kellgren & Lawrence grade, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain, function, stiffness and the Get up and Go test. Vitamin D supplementation increased 25-OH-D 3 from an average of 20.7 (standard deviation (SD) 8.9) μg/L to 30.4 (SD 7.7) μg/L, compared to 20.7 (SD 8.1) μg/L and 20.3 (SD 8.1) μg/L in the placebo group. There was no significant difference in the rate of JSN over 3 years in the medial compartment of the index knee between the treatment group (average -0.01 mm/year) and placebo group (-0.08 mm/year), average difference 0.08 mm/year (95% confidence interval (CI) [-0.14-0.29], P = 0.49). No significant interaction was found between baseline vitamin D levels and treatment effect. There were no significant differences for any of the secondary outcome measures. Vitamin D supplementation did not slow the rate of JSN or lead to reduced pain, stiffness or functional loss over a 3-year period. On the basis of these findings we consider that vitamin D supplementation has no role in the management of knee OA. Copyright © 2016 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Area characteristics and admission rates of people with schizophrenia and affective disorders in a German rural catchment area.

PubMed

Losert, C; Schmauß, M; Becker, T; Kilian, R

2012-12-01

Studies in urban areas identified environmental risk factors for mental illness, but little research on this topic has been performed in rural areas. Hospital admission rates were computed for 174 rural municipalities in the catchment area of the state psychiatric hospital in Günzburg in years 2006 to 2009 and combined with structural and socio-economic data. Relationships of overall and diagnosis-specific admission rates with municipality characteristics were analysed by means of negative binomial regression models. Admission rates of patients with a diagnosis of schizophrenia and affective disorder combined decrease with increasing population growth, population density, average income and green areas, while admission rates are positively correlated with commuter balance, income inequality, unemployment rates and traffic areas. Admission rates for schizophrenia are negatively related to population growth, average income and agricultural areas, but positively related to mobility index, income inequality and unemployment rate. Admission rates for affective disorders are negatively related to population growth, population density, average income and green areas, while higher admission rates are correlated with commuter balance, high income inequality, unemployment rate and traffic-related areas. Effects of wealth, economic inequality, population density and structural area characteristics influence psychiatric admission rates also in rural areas.

Eye movements during visual search in patients with glaucoma

PubMed Central

2012-01-01

Background Glaucoma has been shown to lead to disability in many daily tasks including visual search. This study aims to determine whether the saccadic eye movements of people with glaucoma differ from those of people with normal vision, and to investigate the association between eye movements and impaired visual search. Methods Forty patients (mean age: 67 [SD: 9] years) with a range of glaucomatous visual field (VF) defects in both eyes (mean best eye mean deviation [MD]: –5.9 (SD: 5.4) dB) and 40 age-related people with normal vision (mean age: 66 [SD: 10] years) were timed as they searched for a series of target objects in computer displayed photographs of real world scenes. Eye movements were simultaneously recorded using an eye tracker. Average number of saccades per second, average saccade amplitude and average search duration across trials were recorded. These response variables were compared with measurements of VF and contrast sensitivity. Results The average rate of saccades made by the patient group was significantly smaller than the number made by controls during the visual search task (P = 0.02; mean reduction of 5.6% (95% CI: 0.1 to 10.4%). There was no difference in average saccade amplitude between the patients and the controls (P = 0.09). Average number of saccades was weakly correlated with aspects of visual function, with patients with worse contrast sensitivity (PR logCS; Spearman’s rho: 0.42; P = 0.006) and more severe VF defects (best eye MD; Spearman’s rho: 0.34; P = 0.037) tending to make less eye movements during the task. Average detection time in the search task was associated with the average rate of saccades in the patient group (Spearman’s rho = −0.65; P < 0.001) but this was not apparent in the controls. Conclusions The average rate of saccades made during visual search by this group of patients was fewer than those made by people with normal vision of a similar average age. There was wide variability in saccade rate in the patients but there was an association between an increase in this measure and better performance in the search task. Assessment of eye movements in individuals with glaucoma might provide insight into the functional deficits of the disease. PMID:22937814

Dosimetric Consistency of Co-60 Teletherapy Unit- a ten years Study

PubMed Central

Baba, Misba H; Mohib-ul-Haq, M.; Khan, Aijaz A.

2013-01-01

Objective The goal of the Radiation standards and Dosimetry is to ensure that the output of the Teletherapy Unit is within ±2% of the stated one and the output of the treatment dose calculation methods are within ±5%. In the present paper, we studied the dosimetry of Cobalt-60 (Co-60) Teletherapy unit at Sher-I-Kashmir Institute of Medical Sciences (SKIMS) for last 10 years. Radioactivity is the phenomenon of disintegration of unstable nuclides called radionuclides. Among these radionuclides, Cobalt-60, incorporated in Telecobalt Unit, is commonly used in therapeutic treatment of cancer. Cobalt-60 being unstable decays continuously into Ni-60 with half life of 5.27 years thereby resulting in the decrease in its activity, hence dose rate (output). It is, therefore, mandatory to measure the dose rate of the Cobalt-60 source regularly so that the patient receives the same dose every time as prescribed by the radiation oncologist. The under dosage may lead to unsatisfactory treatment of cancer and over dosage may cause radiation hazards. Our study emphasizes the consistency between actual output and output obtained using decay method. Methodology The methodology involved in the present study is the calculations of actual dose rate of Co-60 Teletherapy Unit by two techniques i.e. Source to Surface Distance (SSD) and Source to Axis Distance (SAD), used for the External Beam Radiotherapy, of various cancers, using the standard methods. Thereby, a year wise comparison has been made between average actual dosimetric output (dose rate) and the average expected output values (obtained by using decay method for Co-60.) Results The present study shows that there is a consistency in the average output (dose rate) obtained by the actual dosimetry values and the expected output values obtained using decay method. The values obtained by actual dosimetry are within ±2% of the expected values. Conclusion The results thus obtained in a year wise comparison of average output by actual dosimetry done regularly as a part of Quality Assurance of the Telecobalt Radiotherapy Unit and its deviation from the expected output data is within the permissible limits. Thus our study shows a trend towards uniformity and a better dose delivery. PMID:23559901

Predicting Academic Success in First-Year Mathematics Courses Using ACT Mathematics Scores and High School Grade Point Average

ERIC Educational Resources Information Center

Mayo, Sandra Sims

2012-01-01

Improving college performance and retention is a daunting task for colleges and universities. Many institutions are taking action to increase retention rates by exploring their academic programs. Regression analysis was used to compare the effectiveness of ACT mathematics scores, high school grade point averages (HSGPA), and demographic factors…

Rate of de novo mutations and the importance of father's age to disease risk.

PubMed

Kong, Augustine; Frigge, Michael L; Masson, Gisli; Besenbacher, Soren; Sulem, Patrick; Magnusson, Gisli; Gudjonsson, Sigurjon A; Sigurdsson, Asgeir; Jonasdottir, Aslaug; Jonasdottir, Adalbjorg; Wong, Wendy S W; Sigurdsson, Gunnar; Walters, G Bragi; Steinberg, Stacy; Helgason, Hannes; Thorleifsson, Gudmar; Gudbjartsson, Daniel F; Helgason, Agnar; Magnusson, Olafur Th; Thorsteinsdottir, Unnur; Stefansson, Kari

2012-08-23

Mutations generate sequence diversity and provide a substrate for selection. The rate of de novo mutations is therefore of major importance to evolution. Here we conduct a study of genome-wide mutation rates by sequencing the entire genomes of 78 Icelandic parent-offspring trios at high coverage. We show that in our samples, with an average father's age of 29.7, the average de novo mutation rate is 1.20 × 10(-8) per nucleotide per generation. Most notably, the diversity in mutation rate of single nucleotide polymorphisms is dominated by the age of the father at conception of the child. The effect is an increase of about two mutations per year. An exponential model estimates paternal mutations doubling every 16.5 years. After accounting for random Poisson variation, father's age is estimated to explain nearly all of the remaining variation in the de novo mutation counts. These observations shed light on the importance of the father's age on the risk of diseases such as schizophrenia and autism.

Comparative ecologic relationships of saturated fat, sucrose, food groups, and a Mediterranean food pattern score to 50-year coronary heart disease mortality rates among 16 cohorts of the Seven Countries Study.

PubMed

Kromhout, Daan; Menotti, Alessandro; Alberti-Fidanza, Adalberta; Puddu, Paolo Emilio; Hollman, Peter; Kafatos, Anthony; Tolonen, Hanna; Adachi, Hisashi; Jacobs, David R

2018-05-17

We studied the ecologic relationships of food groups, macronutrients, eating patterns, and an a priori food pattern score (Mediterranean Adequacy Index: MAI) with long-term CHD mortality rates in the Seven Countries Study. Sixteen cohorts (12,763 men aged 40-59 years) were enrolled in the 1960s in seven countries (US, Finland, The Netherlands, Italy, Greece, former Yugoslavia: Croatia/Serbia, Japan). Dietary surveys were carried out at baseline and only in a subsample of each cohort. The average food consumption of each cohort was chemically analyzed for individual fatty acids and carbohydrates. Ecologic correlations of diet were computed across cohorts for 50-year CHD mortality rates; 97% of men had died in cohorts with 50-year follow-up. CHD death rates ranged 6.7-fold among cohorts. At baseline, hard fat was greatest in northern Europe, olive oil in Greece, meat in the US, sweet products in northern Europe and the US, and fish in Japan. The MAI was high in Mediterranean and Japanese cohorts. The 50-year CHD mortality rates of the cohorts were closely positively ecologically correlated (r = 0.68-0.92) with average consumption of hard fat, sweet products, animal foods, saturated fat, and sucrose, but not with naturally occurring sugars. Vegetable foods, starch, and the a priori pattern MAI were inversely correlated (r = -0.59 to -0.91) with CHD mortality rates. Long-term CHD mortality rates had statistically significant ecologic correlations with several aspects of diet consumed in the 1960s, the traditional Mediterranean and Japanese patterns being rich in vegetable foods, and low in sweet products and animal foods.

[Estimation of the excess death associated with influenza pandemics and epidemics in Japan after world war II: relation with pandemics and the vaccination system].

PubMed

Ohmi, Kenichi; Marui, Eiji

2011-10-01

To estimate the excess death associated with influenza pandemics and epidemics in Japan after World War II, and to reexamine the relationship between the excess death and the vaccination system in Japan. Using the Japanese national vital statistics data for 1952-2009, we specified months with influenza epidemics, monthly mortality rates and the seasonal index for 1952-74 and for 1975-2009. Then we calculated excess deaths of each month from the observed number of deaths and the 95% range of expected deaths. Lastly we calculated age-adjusted excess death rates using the 1985 model population of Japan. The total number of excess deaths for 1952-2009 was 687,279 (95% range, 384,149-970,468), 12,058 (95% range, 6,739-17,026) per year. The total number of excess deaths in 6 pandemic years of 1957-58, 58-59, 1968-69, 69-70, 77-78 and 78-79, was 95,904, while that in 51 'non-pandemic' years was 591,376, 6.17 fold larger than pandemic years. The average number of excess deaths for pandemic years was 23,976, nearly equal to that for 'non-pandemic' years, 23,655. At the beginning of pandemics, 1957-58, 1968-69, 1969-70, the proportion of those aged <65 years in excess deaths rose compared with 'non-pandemic' years. In the 1970s and 1980s, when the vaccination program for schoolchildren was mandatory in Japan on the basis of the "Fukumi thesis", age-adjusted average excess mortality rates were relatively low, with an average of 6.17 per hundred thousand. In the 1990s, when group vaccination was discontinued, age-adjusted excess mortality rose up to 9.42, only to drop again to 2.04 when influenza vaccination was made available to the elderly in the 2000s, suggesting that the vaccination of Japanese children prevented excess deaths from influenza pandemics and epidemics. Moreover, in the age group under 65, average excess mortality rates were low in the 1970s and 1980s rather than in the 2000s, which shows that the "Social Defensive" schoolchildren vaccination program in the 1970s and 1980s was more effective than the "Individual Defensive" vaccination program in the 2000s. Excess deaths were observed continually, and not limited to pandemic years. We must not slight public health interventions for 'non-pandemic' influenza as well as pandemic influenza. We should also re-examine the importance of "Social Defenses", including preventative vaccination, for public health policy.

A modification in the technique of computing average lengths from the scales of fishes

USGS Publications Warehouse

Van Oosten, John

1953-01-01

In virtually all the studies that employ scales, otollths, or bony structures to obtain the growth history of fishes, it has been the custom to compute lengths for each individual fish and from these data obtain the average growth rates for any particular group. This method involves a considerable amount of mathematical manipulation, time, and effort. Theoretically it should be possible to obtain the same information simply by averaging the scale measurements for each year of life and the length of the fish employed and computing the average lengths from these data. This method would eliminate all calculations for individual fish. Although Van Oosten (1929: 338) pointed out many years ago the validity of this method of computation, his statements apparently have been overlooked by subsequent investigators.

You and Foreign Money.

ERIC Educational Resources Information Center

Tucker, James F.

Foreign currency units, exchange rates, the international payments process, and spending money abroad are discussed briefly in this booklet to help teachers explain the international economy. Thirty-two countries are listed with their respective currency units, some of which are illustrated. A chart shows the average yearly exchange rates between…

A Prospective Cohort Study of Cigarette Prices and Smoking Cessation in Older Smokers.

PubMed

Stevens, Victoria L; Diver, W Ryan; Stoklosa, Michal; Flanders, W Dana; Westmaas, J Lee; Jemal, Ahmedin; Drope, Jeffrey M; Gapstur, Susan M; Jacobs, Eric J

2017-07-01

Background: Cigarette price increases effectively prevent smoking initiation and reduce cigarette consumption among young smokers. However, the impact of cigarette prices on smoking cessation among older smokers is less clear, particularly for those aged 65 years and older, a group that is at highest risk of smoking-related disease and will almost double in the United States between 2012 and 2050. Methods: Biennial questionnaires administered between 1997 and 2013 assessed smoking status for 9,446 Cancer Prevention Study-II Nutrition Cohort participants who were ≥50 years old and lived in Washington, DC, and 48 states. For each interval between biennial questionnaires, change in price per pack and average price level per pack were calculated. The separate associations between these price variables and smoking cessation during the same time interval were determined. Results: In multivariable-adjusted models, each $1.00 price increase was associated with a 9% higher rate of quitting [rate ratio (RR) = 1.09; 95% confidence interval (CI), 1.04-1.14). Each $1.00 increase in average price was associated with a 6% higher rate of quitting (RR = 1.06; 95% CI, 1.02-1.10). The association with average price was strongest among smokers aged 65 years and older (RR = 1.07; 95% CI, 1.04-1.11) and, for price change, for smokers with no major prevalent disease (RR = 1.13; 95% CI, 1.07-1.19). Conclusions: These results suggest that increasing cigarette prices will promote quitting even among smokers aged 65 years and older. Impact: Increasing cigarette prices through higher taxes could reduce smoking rates among older adults and decrease risk of smoking-related cancers and diseases in this high-risk group. Cancer Epidemiol Biomarkers Prev; 26(7); 1071-7. ©2017 AACR . ©2017 American Association for Cancer Research.

Hysterectomy trends in Australia, 2000-2001 to 2013-2014: joinpoint regression analysis.

PubMed

Wilson, Louise F; Pandeya, Nirmala; Mishra, Gita D

2017-10-01

Hysterectomy is a common gynecological procedure, particularly in middle and high income countries. The aim of this paper was to describe and examine hysterectomy trends in Australia from 2000-2001 to 2013-2014. For women aged 25 years and over, data on the number of hysterectomies performed in Australia annually were sourced from the National Hospital and Morbidity Database. Age-specific and age-standardized hysterectomy rates per 10 000 women were estimated with adjustment for hysterectomy prevalence in the population. Using joinpoint regression analysis, we estimated the average annual percentage change over the whole study period (2000-2014) and the annual percentage change for each identified trend line segment. A total of 431 162 hysterectomy procedures were performed between 2000-2001 and 2013-2014; an annual average of 30 797 procedures (for women aged 25+ years). The age-standardized hysterectomy rate, adjusted for underlying hysterectomy prevalence, decreased significantly over the whole study period [average annual percentage change -2.8%; 95% confidence interval (CI) -3.5%, -2.2%]. The trend was not linear with one joinpoint detected in 2008-2009. Between 2000-2001 and 2008-2009 there was a significant decrease in incidence (annual percentage change -4.4%; 95% CI -5.2%, -3.7%); from 2008-2009 to 2013-2014 the decrease was minimal and not significantly different from zero (annual percentage change -0.1%; 95% CI -1.7%, 1.5%). A similar change in trend was seen in all age groups. Hysterectomy rates in Australian women aged 25 years and over have declined in the first decade of the 21st century. However, in the last 5 years, rates appear to have stabilized. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

Effects of the crustal magnetic fields on the Martian atmospheric ion escape rate

NASA Astrophysics Data System (ADS)

Ramstad, Robin; Barabash, Stas; Futaana, Yoshifumi; Nilsson, Hans; Holmström, Mats

2016-10-01

Eight years (2007-2015) of ion flux measurements from Mars Express are used to statistically investigate the influence of the Martian magnetic crustal fields on the atmospheric ion escape rate. We combine all Analyzer of Space Plasmas and Energetic Atoms/Ion Mass Analyzer (ASPERA-3/IMA) measurements taken during nominal upstream solar wind and solar extreme ultraviolet conditions to compute global average ion distribution functions, individually for the north/south hemispheres and for varying solar zenith angles (SZAs) of the strongest crustal magnetic field. Escape rates are subsequently calculated from each of the average distribution functions. The maximum escape rate (4.2 ± 1.2) × 1024s-1 is found for SZA = 60°-80°, while the minimum escape rate (1.7 ± 0.6) × 1024s-1 is found for SZA = 28°-60°, showing that the dayside orientation of the crustal fields significantly affects the global escape rate (p = 97%). However, averaged over time, independent of SZA, we find no statistically significant difference in the escape rates from the two hemispheres (escape from southern hemisphere 46% ± 18% of global rate).

Stress Testing After Percutaneous Coronary Intervention in the Veterans Affairs HealthCare System: Insights from the Veterans Affairs Clinical Assessment, Reporting, and Tracking Program.

PubMed

Bradley, Steven M; Hess, Edward; Winchester, David E; Sussman, Jeremy B; Aggarwal, Vikas; Maddox, Thomas M; Barón, Anna E; Rumsfeld, John S; Ho, P Michael

2015-09-01

Stress testing after percutaneous coronary intervention (PCI) in fee-for-service settings is common and rates vary by hospital. Rates of stress testing after PCI within integrated healthcare systems, such as the Veterans Affairs (VA) are unknown. We evaluated all VA patients who underwent PCI from October 2007 through June 2010. To avoid the influence of Medicare eligibility on rates of stress testing use in the VA, we excluded Medicare eligible patients during the follow-up period. Hospital-level variation in risk-standardized rates of stress testing and the association with 1-year mortality and myocardial infarction was determined from Markov chain Monte Carlo methods. Among 10 293 patients undergoing PCI at 55 VA hospitals, 2239 (21.8%) had a stress test performed within 1 year of PCI and 3902 (37.9%) within 2 years. Most stress tests after PCI were performed with nuclear imaging (79.8%). The hospital-level risk-standardized rate of stress testing differed significantly from the average at 14 hospitals, with 8 (14.5%) hospitals significantly below and 6 (10.9%) hospitals significantly above the average stress testing rate. Hospital-level risk-standardized stress testing rates were not significantly correlated with risk-standardized mortality (Spearman ρ=-0.24; P=0.08) or myocardial infarction rates (Spearman ρ=0.20; P=0.14). In the VA, nearly 40% of patients underwent stress testing in the 2 years after PCI, which is a third less than published studies from other healthcare systems. However, stress testing rates varied across VA hospitals, suggesting opportunities to optimize the use of stress testing are still present in integrated healthcare systems. © 2015 American Heart Association, Inc.

Map showing coastal cliff retreat rates along the Big Sur coast, Monterey and San Luis Obispo Counties, California

USGS Publications Warehouse

Hapke, Cheryl J.; Green, Krystal R.

2004-01-01

The average coastal cliff retreat rate along the Big Sur coast is 18 ? 6 cm/yr as measured over a 52-year time period. The erosion reference features measured as the cliff edge include the well-defined cliff edges common to marine terraces, slight breaks in the slope defining the upper edge of the active lower slope, and the road grade. Cliff erosion and retreat are focused in isolated erosion hotspots that account for most of the calculated average retreat.

The Satellite Passive-Microwave Record of Sea Ice in the Ross Sea Since Late 1978

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.

2009-01-01

Satellites have provided us with a remarkable ability to monitor many aspects of the globe day-in and day-out and sea ice is one of numerous variables that by now have quite substantial satellite records. Passive-microwave data have been particularly valuable in sea ice monitoring, with a record that extends back to August 1987 on daily basis (for most of the period), to November 1970 on a less complete basis (again for most of the period), and to December 1972 on a less complete basis. For the period since November 1970, Ross Sea sea ice imagery is available at spatial resolution of approximately 25 km. This allows good depictions of the seasonal advance and retreat of the ice cover each year, along with its marked interannual variability. The Ross Sea ice extent typically reaches a minimum of approximately 0.7 x 10(exp 6) square kilometers in February, rising to a maximum of approximately 4.0 x 10(exp 6) square kilometers in September, with much variability among years for both those numbers. The Ross Sea images show clearly the day-by-day activity greatly from year to year. Animations of the data help to highlight the dynamic nature of the Ross Sea ice cover. The satellite data also allow calculation of trends in the ice cover over the period of the satellite record. Using linear least-squares fits, the Ross Sea ice extent increased at an average rate of 12,600 plus or minus 1,800 square kilometers per year between November 1978 and December 2007, with every month exhibiting increased ice extent and the rates of increase ranging from a low of 7,500 plus or minus 5,000 square kilometers per year for the February ice extents to a high of 20,300 plus or minus 6,100 kilometers per year for the October ice extents. On a yearly average basis, for 1979-2007 the Ross Sea ice extent increased at a rate of 4.8 plus or minus 1.6 % per decade. Placing the Ross Sea in the context of the Southern Ocean as a whole, over the November 1978-December 2007 period the Ross Sea had the highest rate of increase in sea ice coverage of any of five standard divisions of the Southern Ocean, although the Weddell Sea, Indian Ocean, and Western Pacific Ocean all also had sea ice increases, while only the Bellingshausen/Smundsen Seas experienced overall sea ice decreases. Overall, the Southern Ocean sea ice cover increased at an average rate of 10,800 plus or minus 2,500 square kilometers per year between November 1978 and December 2007, with every month showing positive values although with some of these values not being statistically significant. The sea ice increase since November 1978 was preceded by a sharp decrease in Southern Ocean ice coverage in the 1970's and is in marked contrast to the decrease in Arctic sea ice coverage that has occurred both in the period since November 1978 and since earlier in the 1970's. On a yearly average bases, for 1979-2007 the Southern Ocean sea ice extent increased at a rate of 1.0 plus or minus 0.4% per decade, whereas the Arctic ice extent decreased at the much greater rate of 4.0 plus or minus 0.4 percent per decade (closer to the % per decade rate of increase in the Ross Sea). Considerable research is ongoing to explain the differences.

Reducing dissolved inorganic nitrogen in surface runoff water from sugarcane production systems.

PubMed

Webster, A J; Bartley, R; Armour, J D; Brodie, J E; Thorburn, P J

2012-01-01

Nitrogen (N) lost from farms, especially as the highly bioavailable dissolved inorganic form, may be damaging Australia's Great Barrier Reef (GBR). As sugarcane is the dominant cropping system in GBR catchments, its N management practises are coming under increasing scrutiny. This study measured dissolved inorganic N lost in surface runoff water and sugarcane productivity over 3 years. The experiment compared the conventional fertiliser N application rate to sugarcane (average 180kg N/ha/year) and a rate based on replacing N exported in the previous crop (average 94kg N/ha/year). Dissolved inorganic N losses in surface water were 72%, 48% and 66% lower in the three monitored years in the reduced N fertiliser treatment. There was no significant difference in sugarcane yield between the two fertiliser N treatments, nor any treatment difference in soil mineral N - both of these results are indicators of the sustainability of the lower fertiliser N applications. Copyright © 2012 Elsevier Ltd. All rights reserved.

Snowpack and variation in reproductive ecology of a montane ground-nesting passerine, Junco hyemalis

USGS Publications Warehouse

Smith, Kimberly G.; Andersen, Douglas C.

1985-01-01

Effects of snow depth and rate of snowmelt on reproduction of a montane ground-nesting passerine were examined in a 5-year study of Dark-eyed Juncos Junco hyemalis in northern Utah, USA. Distribution of clucth sizes differed significantly among years. Although most clutches contained four eggs, 3-egg clutches, due primarily to second nestings, were more common during a year of early snowmelt and 5-egg clutches were most common during two years of late snowmelt. Average clutch size was lowest in an early snowmelt year and average clutch size and date at which meadows became snow-free were significantly positively correlated. Average hatching date of 4-egg clutches was also significantly positively correlated with date at which meadows became snow-free demonstrating that most birds tracked the pattern of snowmelt. Early snowmelt may allow more pairs to attempt second nesting, but late-lying snow causes breeding to be delayed, allowing time for only one nesting attempt. During this delay, female juncos continue to feed and some may gain enough reserves to produce larger clutches, accounting for the increase in average clutch size in years of late snowmelt. Three female juncos examined in June 1982, a period of late snowmelt, had significantly more lipid reserves than did six males collected at the same time, suggesting that females are not physiologically stressed while awaiting snowmelt. By tracking snowmelt patterns, juncos synchronize production of young with peak summer insect abundance and potentially decrease risk of predation. Snow depth and rate of snowmelt are thus proximate environmental factors that may influence the reproductive ecology of ground-nesting passerines.

Prospective evaluation of respiratory exacerbations in children with cystic fibrosis from newborn screening to 5 years of age

PubMed Central

Byrnes, Catherine Ann; Vidmar, Suzanna; Cheney, Joyce L; Carlin, John B; Armstrong, David S; Cooper, Peter J; Grimwood, Keith; Moodie, Marj; Robertson, Colin F; Rosenfeld, Margaret; Tiddens, Harm A; Wainwright, Claire E

2013-01-01

Background Newborn screening allows novel treatments for cystic fibrosis (CF) to be trialled in early childhood before irreversible lung injury occurs. As respiratory exacerbations are a potential trial outcome variable, we determined their rate, duration and clinical features in preschool children with CF; and whether they were associated with growth, lung structure and function at age 5 years. Methods Respiratory exacerbations were recorded prospectively in Australasian CF Bronchoalveolar Lavage trial subjects from enrolment after newborn screening to age 5 years, when all participants underwent clinical assessment, chest CT scans and spirometry. Results 168 children (88 boys) experienced 2080 exacerbations, at an average rate of 3.66 exacerbations per person-year; 80.1% were community managed and 19.9% required hospital admission. There was an average increase in exacerbation rate of 9% (95% CI 4% to 14%; p<0.001) per year of age. Exacerbation rate differed by site (p<0.001) and was 26% lower (95% CI 12% to 38%) in children receiving 12 months of prophylactic antibiotics. The rate of exacerbations in the first 2 years was associated with reduced forced expiratory volume in 1 s z scores. Ever having a hospital-managed exacerbation was associated with bronchiectasis (OR 2.67, 95% CI 1.13 to 6.31) in chest CT scans, and lower weight z scores at 5 years of age (coefficient −0.39, 95% CI −0.74 to −0.05). Conclusions Respiratory exacerbations in young children are markers for progressive CF lung disease and are potential trial outcome measures for novel treatments in this age group. PMID:23345574

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. South Carolina State University. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. College of Charleston. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. University of South Carolina Aiken. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. University of South Carolina Upstate. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Coastal Carolina University. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. University of South Carolina Beaufort. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Francis Marion University. Sector: Four-Year Colleges and Universities

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

Using Persistent Scatterers Interferometry to create a subsidence map of the Nile Delta in Egypt

NASA Astrophysics Data System (ADS)

Bouali, E. Y.; Sultan, M.; Becker, R.; Cherif, O.

2013-12-01

Inhabitants of the Nile Delta in Egypt, especially those who live around the coast, are threatened by two perpetual hazards: (1) sea level rise and encroachment from the Mediterranean Sea and (2) land subsidence that is inherent in deltaic environments. With cities like Alexandria and Port Said currently only one meter above sea level, it is important to understand the nature of the sea level rise and land subsidence, both spatially and temporally, and to be able to quantify these hazards. The magnitude of sea level rise has been actively monitored in stations across the Mediterranean Sea; the subsidence of the Nile Delta, as a whole system however, has not been adequately quantified. We have employed the Differential Synthetic Aperture Radar Interferometry (DInSAR) technique known as Persistent Scatterers Interferometry (PSI) across the entire northern parts of the Nile Delta. A dataset of 106 ENVISAT single look complex (SLC) scenes (four descending tracks: 164, 207, 436, and 479) acquired throughout the time period 2003 to 2010 were obtained from the European Space Agency and utilized for radar interferometric purposes. Multiple combinations of these scenes - used for output optimization and validation - were processed. Due to the nature of the PSI technique, subsidence rates calculated using this technique are values measured from cities and urban areas - where PSI works well. The methodology of choice is to calculate the subsidence rates on a city-by-city basis by: (1) choosing an urban area and cutting the SLC scene stack down to a small area (25 - 200 km2); (2) processing this area multiple times using difference scene and parameter combinations in order to best optimize persistent scatterer (PS) abundance and ground displacement measurements; (3) calibrating the relative ground motion measured by PSI to known locations of minimal subsidence rates. The final result is a spatial representation of the subsidence rates across the Nile Delta in Egypt. Measured subsidence rates vary widely across the Nile Delta, with the highest rates occurring in cities near the mouth of the Damietta branch of the Nile River and around the Mansala Lagoon, such as Ras El Bar (up to 15 mm/year), Damietta (up to 10 mm/year), and Port Said (up to 7 mm/year). The complexity of these subsidence rates is spatially evident: many cities display a wide range of subsidence rates - for example Port Said, where a majority of the city is undergoing minimal to no subsidence (< 1 mm/year) there are two regions - near the Mediterranean coast and near the Mansala Lagoon - where subsidence rates are quite high (5-7 mm/year). There are also a few overall trends observed across the delta: (1) subsidence rates are greatest in the northeast region of the delta (average: > 5 mm/year) than anywhere else (e.g., average western subsidence: 1-4 mm/year) and (2) cities generally more proximal to the Mediterranean coast exhibit greater subsidence rates (average subsidence rates: Ras El Bar: 8 mm/year, Port Said: 5 mm/year, and Damietta: 6 mm/year)than cities in the middle (e.g., Mansoura and Al Mahallah: 4 mm/year) or south regions (e.g., Tanta: <4 mm/year) of the delta.

The development of postinstitutionalized versus parent-reared Russian children as a function of age at placement and family type.

PubMed

McCall, Robert B; Muhamedrahimov, Rifkat J; Groark, Christina J; Palmov, Oleg I; Nikiforova, Natalia V; Salaway, Jennifer; Julian, Megan M

2016-02-01

A total of 149 children, who spent an average of 13.8 months in Russian institutions, were transferred to Russian families of relatives and nonrelatives at an average age of 24.7 months. After residing in these families for at least 1 year (average = 43.2 months), parents reported on their attachment, indiscriminately friendly behavior, social-emotional competencies, problem behaviors, and effortful control when they were 1.5-10.7 years of age. They were compared to a sample of 83 Russian parents of noninstitutionalized children, whom they had reared from birth. Generally, institutionalized children were rated similarly to parent-reared children on most measures, consistent with substantial catch-up growth typically displayed by children after transitioning to families. However, institutionalized children were rated more poorly than parent-reared children on certain competencies in early childhood and some attentional skills. There were relatively few systematic differences associated with age at family placement or whether the families were relatives or nonrelatives. Russian parent-reared children were rated as having more problem behaviors than the US standardization sample, which raises cautions about using standards cross-culturally.

Correlation by Rb-Sr geochronology of garnet growth histories from different structural levels within the Tauern Window, Eastern Alps

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

Christensen, John N.; Selverstone, Jane; Rosenfeld, John L.

1993-06-01

In order to evaluate rates of tectonometamorphic processes, growth rates of garnets from metamorphic rocks of the Tauern Window, Eastern Alps were measured using Rb-Sr isotopes. The garnet growth rates were determined from Rb-Sr isotopic zonation of single garnet crystals and the Rb-Sr isotopic compositions of their associated rock matrices. Garnets were analyzed from the Upper Schieferhulle (USH) and Lower Schieferhulle (LSH) within the Tauern Window. Two garnets from the USH grew at rates of 0.67(-0.13)+0.19 mm/million years and 0.88(-0.19)+0.34 mm/million years, respectively, indicating an average growth duration of 5.4 +- 1.7 million years. The duration of growth coupled withmore » the amount of rotation recorded by inclusion trails in the USH garnets yields an average shear-strain rate during garnet growth of 2.7(-0.7)+1.2 x 10(-14) s-1 . Garnet growth in the sample from the USH occurred between 35.4 +- 0.6 and 30 +- 0.8 Ma. The garnet from the LSH grew at a rate of 0.23 +- 0.015 mm/mil lion years, between 62 +- 1.5 Ma and 30.2 +- 1.5 Ma. Contemporaneous cessation of garnet growth in both units at approximately 30 Ma is in accord with previous dating of the thermal peak of metamorphism in the Tauern Window. Correlation with previously published pressure-temperature paths for garnets from the USH and LSH yields approximate rates of burial, exhumation and heating during garnet growth. Assuming that these P - T paths are applicable to the garnets in this study, the contemporaneous exhumation rates recorded by garnet in the USH and LSH were approximately 4(-2)+3 mm/year and 2 +- 1 mm/year, respectively. [References: 34]« less

Epidemiologic Measures for Quantifying the Incidence of Concussion in National Collegiate Athletic Association Sports.

PubMed

Kerr, Zachary Y; Roos, Karen G; Djoko, Aristarque; Dalton, Sara L; Broglio, Steven P; Marshall, Stephen W; Dompier, Thomas P

2017-03-01

Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion. To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011-2012 through 2014-2015 academic years.  Descriptive epidemiology study. Aggregate injury and exposure data collected from the National Collegiate Athletic Association Injury Surveillance Program in 13 sports (men's baseball, basketball, football, ice hockey, lacrosse, soccer, and wrestling and women's basketball, ice hockey, lacrosse, soccer, softball, and volleyball). Collegiate student-athletes. Sport-related concussion data from the National Collegiate Athletic Association Injury Surveillance Program during the 2011-2012 through 2014-2015 academic years were analyzed. We calculated concussion rates per 1000 athlete-exposures (AEs), concussion risk, average number of concussions per team, and percentage of teams with at least 1 concussion. During the 2011-2012 through 2014-2015 academic years, 1485 concussions were sustained by 1410 student-athletes across 13 sports. Concussion rates ranged from 0.09/1000 AEs in men's baseball to 0.89/1000 AEs in men's wrestling. Concussion risk ranged from 0.74% in men's baseball to 7.92% in men's wrestling. The average ± SD number of concussions per team ranged from 0.25 ± 0.43 in men's baseball to 5.63 ± 5.36 in men's football. The percentage of teams with a concussion ranged from 24.5% in men's baseball to 80.6% in men's football.   Although men's wrestling had a higher concussion rate and risk, men's football had the largest average number of concussions per team and the largest percentage of teams with at least 1 concussion. The risk of concussion, average number of concussions per team, and percentage of teams with concussions may be more intuitive measures of incidence for decision makers. Calculating these additional measures is feasible within existing injury surveillance programs, and this method can be applied to other injury types.

Epidemiologic Measures for Quantifying the Incidence of Concussion in National Collegiate Athletic Association Sports

PubMed Central

Kerr, Zachary Y.; Roos, Karen G.; Djoko, Aristarque; Dalton, Sara L.; Broglio, Steven P.; Marshall, Stephen W.; Dompier, Thomas P.

2017-01-01

Context: Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion. Objective: To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011–2012 through 2014–2015 academic years. Design: Descriptive epidemiology study. Setting: Aggregate injury and exposure data collected from the National Collegiate Athletic Association Injury Surveillance Program in 13 sports (men's baseball, basketball, football, ice hockey, lacrosse, soccer, and wrestling and women's basketball, ice hockey, lacrosse, soccer, softball, and volleyball). Patients or Other Participants: Collegiate student-athletes. Main Outcome Measure(s): Sport-related concussion data from the National Collegiate Athletic Association Injury Surveillance Program during the 2011–2012 through 2014–2015 academic years were analyzed. We calculated concussion rates per 1000 athlete-exposures (AEs), concussion risk, average number of concussions per team, and percentage of teams with at least 1 concussion. Results: During the 2011–2012 through 2014–2015 academic years, 1485 concussions were sustained by 1410 student-athletes across 13 sports. Concussion rates ranged from 0.09/1000 AEs in men's baseball to 0.89/1000 AEs in men's wrestling. Concussion risk ranged from 0.74% in men's baseball to 7.92% in men's wrestling. The average ± SD number of concussions per team ranged from 0.25 ± 0.43 in men's baseball to 5.63 ± 5.36 in men's football. The percentage of teams with a concussion ranged from 24.5% in men's baseball to 80.6% in men's football. Conclusions: Although men's wrestling had a higher concussion rate and risk, men's football had the largest average number of concussions per team and the largest percentage of teams with at least 1 concussion. The risk of concussion, average number of concussions per team, and percentage of teams with concussions may be more intuitive measures of incidence for decision makers. Calculating these additional measures is feasible within existing injury surveillance programs, and this method can be applied to other injury types. PMID:27331336

Workplace smoking related absenteeism and productivity costs in Taiwan

PubMed Central

Tsai, S; Wen, C; Hu, S; Cheng, T; Huang, S

2005-01-01

Objective: To estimate productivity losses and financial costs to employers caused by cigarette smoking in the Taiwan workplace. Methods: The human capital approach was used to calculate lost productivity. Assuming the value of lost productivity was equal to the wage/salary rate and basing the calculations on smoking rate in the workforce, average days of absenteeism, average wage/salary rate, and increased risk and absenteeism among smokers obtained from earlier research, costs due to smoker absenteeism were estimated. Financial losses caused by passive smoking, smoking breaks, and occupational injuries were calculated. Results: Using a conservative estimate of excess absenteeism from work, male smokers took off an average of 4.36 sick days and male non-smokers took off an average of 3.30 sick days. Female smokers took off an average of 4.96 sick days and non-smoking females took off an average of 3.75 sick days. Excess absenteeism caused by employee smoking was estimated to cost US$178 million per annum for males and US$6 million for females at a total cost of US$184 million per annum. The time men and women spent taking smoking breaks amounted to nine days per year and six days per year, respectively, resulting in reduced output productivity losses of US$733 million. Increased sick leave costs due to passive smoking were approximately US$81 million. Potential costs incurred from occupational injuries among smoking employees were estimated to be US$34 million. Conclusions: Financial costs caused by increased absenteeism and reduced productivity from employees who smoke are significant in Taiwan. Based on conservative estimates, total costs attributed to smoking in the workforce were approximately US$1032 million. PMID:15923446

Workplace smoking related absenteeism and productivity costs in Taiwan.

PubMed

Tsai, S P; Wen, C P; Hu, S C; Cheng, T Y; Huang, S J

2005-06-01

To estimate productivity losses and financial costs to employers caused by cigarette smoking in the Taiwan workplace. The human capital approach was used to calculate lost productivity. Assuming the value of lost productivity was equal to the wage/salary rate and basing the calculations on smoking rate in the workforce, average days of absenteeism, average wage/salary rate, and increased risk and absenteeism among smokers obtained from earlier research, costs due to smoker absenteeism were estimated. Financial losses caused by passive smoking, smoking breaks, and occupational injuries were calculated. Using a conservative estimate of excess absenteeism from work, male smokers took off an average of 4.36 sick days and male non-smokers took off an average of 3.30 sick days. Female smokers took off an average of 4.96 sick days and non-smoking females took off an average of 3.75 sick days. Excess absenteeism caused by employee smoking was estimated to cost USD 178 million per annum for males and USD 6 million for females at a total cost of USD 184 million per annum. The time men and women spent taking smoking breaks amounted to nine days per year and six days per year, respectively, resulting in reduced output productivity losses of USD 733 million. Increased sick leave costs due to passive smoking were approximately USD 81 million. Potential costs incurred from occupational injuries among smoking employees were estimated to be USD 34 million. Financial costs caused by increased absenteeism and reduced productivity from employees who smoke are significant in Taiwan. Based on conservative estimates, total costs attributed to smoking in the workforce were approximately USD 1032 million.

Invasive Cancer Incidence, 2004–2013, and Deaths, 2006–2015, in Nonmetropolitan and Metropolitan Counties — United States

PubMed Central

Anderson, Robert N.; Thomas, Cheryll C.; Massetti, Greta M.; Peaker, Brandy; Richardson, Lisa C.

2017-01-01

Problem/Condition Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. Reporting Period 2004–2015. Description of System Cancer incidence data from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009–2013 and trends in annual age-adjusted incidence rates for 2004–2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011–2015 and trends in annual age-adjusted death rates for 2006–2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. Results During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006–2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004–2013 both in nonmetropolitan and metropolitan counties. Interpretation This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Public Health Action Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity. PMID:28683054

Weather explains high annual variation in butterfly dispersal.

PubMed

Kuussaari, Mikko; Rytteri, Susu; Heikkinen, Risto K; Heliölä, Janne; von Bagh, Peter

2016-07-27

Weather conditions fundamentally affect the activity of short-lived insects. Annual variation in weather is therefore likely to be an important determinant of their between-year variation in dispersal, but conclusive empirical studies are lacking. We studied whether the annual variation of dispersal can be explained by the flight season's weather conditions in a Clouded Apollo (Parnassius mnemosyne) metapopulation. This metapopulation was monitored using the mark-release-recapture method for 12 years. Dispersal was quantified for each monitoring year using three complementary measures: emigration rate (fraction of individuals moving between habitat patches), average residence time in the natal patch, and average distance moved. There was much variation both in dispersal and average weather conditions among the years. Weather variables significantly affected the three measures of dispersal and together with adjusting variables explained 79-91% of the variation observed in dispersal. Different weather variables became selected in the models explaining variation in three dispersal measures apparently because of the notable intercorrelations. In general, dispersal rate increased with increasing temperature, solar radiation, proportion of especially warm days, and butterfly density, and decreased with increasing cloudiness, rainfall, and wind speed. These results help to understand and model annually varying dispersal dynamics of species affected by global warming. © 2016 The Author(s).

Hospital admissions of adults with community-acquired pneumonia in Portugal between 2000 and 2009.

PubMed

Froes, Filipe; Diniz, António; Mesquita, Margarida; Serrado, Margarida; Nunes, Baltazar

2013-05-01

Recent studies in the USA and northern Europe have shown an increase in community-acquired pneumonia (CAP). In southern Europe, this increase has not yet been documented. We carried out a retrospective analysis from encoded information from the Portuguese database for hospital admissions that included all individuals aged ≥18 years, with a primary diagnosis of pneumonia, who were discharged between 2000 and 2009. We excluded patients infected with HIV, individuals immunocompromised as a result of anti-cancer or immunosuppressive treatment, and transplant recipients. Of the 294 027 admissions for CAP, 56% were male. The mean age was 73.1 years and the median age 77 years. Between 2000 and 2009, there was a 5% increase in the average age of patients admitted with CAP. Admissions for CAP represented 3.7% of total admissions of adult patients. The average annual rate of hospital admissions for adults with CAP was 3.61 per 1000 total population, rising to 13.4 for those aged ≥65 years. Between 2000-2004 and 2005-2009 the average annual rate of hospital admission for CAP per 1000 population increased by 28.2%. Hospital admissions for CAP in Portugal increased between 2000 and 2009. It has grown consistently over time, varying according to age with males over-represented.

Trends in fall-related injuries among older adults treated in emergency departments in the USA.

PubMed

Orces, Carlos H; Alamgir, Hasanat

2014-12-01

To examine national trends in fall-related injuries among older adults treated in emergency departments (ED) and project these injuries until the year 2030. The Web-based Injury Statistics Query and Reporting System was used to generate data on fall-related injuries treated in ED. Joinpoint regression analysis was used to examine the average annual change in injury rates over time. Fall-related injury and hospitalisation rates increased on average by 2% (95% CI 1.5% to 2.7%) and by 4% (95% CI 2.9% to 5.0%) per year, respectively. Assuming the increase in fall-related injury rates remains unchanged, the number of fall-related injuries may increase to 5.7 million by the year 2030. Fall-related injuries among older adults treated in ED increased in the USA during the study period. Moreover, a marked increase in the number of these injuries may occur over the next decades. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The prognosis for very low birth weight babies in the Highlands of Scotland.

PubMed

Galloway, C A; Robertson, G

1981-10-01

One hundred and two admissions of VLBW babies to the Baby Unit at Raigmore Hospital were studied over a six-year period. The neonatal death rate was 53 per cent. Twenty three survivors weighing 1.36 kg. or less were examined at an average age of 3 years 11 months and 22 of these underwent cognitive assessment. All but one had normal or superior I.Q. assessments. Two were regarded as having significant or profound handicap. Possible reasons for the relatively low survival rate, but acceptable handicap rate are discussed.

[The effectiveness of smoking cessation program in a workplace with high risk].

PubMed

Coşkun Beyan, Ayşe; Varol, Yelda

2016-06-01

Initiatives for smoking cessation (SC) at workplace have become more prominent due to both health and safety risks associated with smoking. We aimed to determine 6-month successful SC rates of a group of employees who participated in a SC program as they worked in a workplace that exhibited high risk of fire and explosion. Having delivered a compulsory smoking training to the paint manufacturing department with 276 employees, we invited 147 smoker employees to participate in a SC initiative (SCI) program. The SCI program was implemented by the occupational health and safety (OHS) staff. Employees were administered a self-reported questionnaire including the age at starting smoking, number of cigarettes smoked (pack years), family members' attitudes towards smoking, reasons for smoking and harms of smoking. Nicotine addiction levels were assessed with Fagerström Nicotine Dependence Test (FNDT). 276 employees (270 male and 6 female) had an average age of 36.8 ± 8.4 years. 144 active smokers presented an average age of 38.4 ± 6.9 and smoked on average 18.5 ± 12.8 pack/year. Active smokers started smoking at the age of 19.8 ± 4.9 on average. Their average score in FNDT was 6.6 ± 1.9 points. Fifty-one (35.4%) employees participated in the SCIs. The participants in the SCP training exhibited statistically significant differences with respect to the following parameters: chronic disease (p= 0.03), pack/year (p< 0.001), age at starting smoking (p= 0.001), attempted methods to SC (p= 0.002), average score in self-reported harms of smoking (p< 0.001), average FNDT score (p< 0.001), average score of self-reported smoking addiction (p= 0.001), and whether the smoker considers smoking a means of socialization (p≤ 0.001). After six months, we observed that 12 (23%) of the participants, and 4 (4%) of the non-participants employees quitted smoking (p< 0.001). In our study, participants in the SCI exhibited higher SC rates compared to the non-participants. Further studies are required to standardize such initiatives, which improve occupational health.

Fertilization increases diameter growth of birch-beech-maple trees in New Hampshire

Treesearch

L. O. Safford

1973-01-01

In a 60-year-old northern hardwood stand treated with lime plus NPK fertilizer, the following increases in average basal area growth rate over untreated trees were observed: sugar maple 128 percent, paper birch 69 percent, yellow birch 51 percent, and beech 20 percent. Magnitude of response was inversely related to relative growth rate of the species. Growth rate...

Rate of value change in Pennsylvania timber stands

Treesearch

Owen W. Herrick

1984-01-01

Data from remeasured Pennsylvania forest inventory plots revealed that during a 13-year period the compound rate of value change in uncut hardwood forest stands averaged 4.7 percent, and ranged from -5.5 to 18.8 percent. No well-defined means for predicting a stand's rate of value change could be identified, However, some measures of initial stand condition can be...

In-use activity, fuel use, and emissions of heavy-duty diesel roll-off refuse trucks.

PubMed

Sandhu, Gurdas S; Frey, H Christopher; Bartelt-Hunt, Shannon; Jones, Elizabeth

2015-03-01

The objectives of this study were to quantify real-world activity, fuel use, and emissions for heavy duty diesel roll-off refuse trucks; evaluate the contribution of duty cycles and emissions controls to variability in cycle average fuel use and emission rates; quantify the effect of vehicle weight on fuel use and emission rates; and compare empirical cycle average emission rates with the U.S. Environmental Protection Agency's MOVES emission factor model predictions. Measurements were made at 1 Hz on six trucks of model years 2005 to 2012, using onboard systems. The trucks traveled 870 miles, had an average speed of 16 mph, and collected 165 tons of trash. The average fuel economy was 4.4 mpg, which is approximately twice previously reported values for residential trash collection trucks. On average, 50% of time is spent idling and about 58% of emissions occur in urban areas. Newer trucks with selective catalytic reduction and diesel particulate filter had NOx and PM cycle average emission rates that were 80% lower and 95% lower, respectively, compared to older trucks without. On average, the combined can and trash weight was about 55% of chassis weight. The marginal effect of vehicle weight on fuel use and emissions is highest at low loads and decreases as load increases. Among 36 cycle average rates (6 trucks×6 cycles), MOVES-predicted values and estimates based on real-world data have similar relative trends. MOVES-predicted CO2 emissions are similar to those of the real world, while NOx and PM emissions are, on average, 43% lower and 300% higher, respectively. The real-world data presented here can be used to estimate benefits of replacing old trucks with new trucks. Further, the data can be used to improve emission inventories and model predictions. In-use measurements of the real-world activity, fuel use, and emissions of heavy-duty diesel roll-off refuse trucks can be used to improve the accuracy of predictive models, such as MOVES, and emissions inventories. Further, the activity data from this study can be used to generate more representative duty cycles for more accurate chassis dynamometer testing. Comparisons of old and new model year diesel trucks are useful in analyzing the effect of fleet turnover. The analysis of effect of haul weight on fuel use can be used by fleet managers to optimize operations to reduce fuel cost.

19 CFR 351.505 - Loans.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of which were established during, or immediately before, the year in which the terms of the... normally will use an annual average of the interest rates on comparable commercial loans during the year in... the actual experience of the firm in question in obtaining comparable commercial loans for both short...

Best performing definition of accelerated knee osteoarthritis: data from the Osteoarthritis Initiative

PubMed Central

Driban, Jeffrey B.; Stout, Alina C.; Lo, Grace H.; Eaton, Charles B.; Price, Lori Lyn; Lu, Bing; Barbe, Mary F.; McAlindon, Timothy E.

2016-01-01

Background: We evaluated agreement among several definitions of accelerated knee osteoarthritis (AKOA) and construct validity by comparing their individual associations with injury, age, obesity, and knee pain. Methods: We selected knees from the Osteoarthritis Initiative that had no radiographic knee osteoarthritis [Kellgren–Lawrence (KL) 0 or 1] at baseline and had high-quality quantitative medial joint space width (JSW) measures on two or more consecutive visits (n = 1655 knees, 1143 participants). Quantitative medial JSW was based on a semi-automated method and was location specific (x = 0.25). We compared six definitions of AKOA: stringent JSW (averaged): average JSW loss greater than 1.05 mm/year over 4 years; stringent JSW (consistent): JSW loss greater than 1.05 mm/year for at least 2 years; lenient JSW (averaged): average JSW loss greater than 0.25 mm/year over 4 years; lenient JSW (consistent): JSW loss greater than 0.25 mm/year for at least 2 years; comprehensive KL based: progression from no radiographic osteoarthritis to advance-stage osteoarthritis (KL 3 or 4; development of definite osteophyte and joint space narrowing) within 4 years; and lenient KL based: an increase of at least two KL grades within 4 years. Results: Over 4 years the incidence rate of AKOA was 0.4%, 0.8%, 15.5%, 22.1%, 12.4%, and 7.2% based on the stringent JSW (averaged and consistent), lenient JSW (averaged and consistent), lenient KL-based definition, and comprehensive KL-based definition. All but one knee that met the stringent JSW definition also met the comprehensive KL-based definition. There was fair substantial agreement between the lenient JSW (averaged), lenient KL-based, and comprehensive KL-based definitions. A comprehensive KL-based definition led to larger effect sizes for injury, age, body mass index, and average pain over 4 years. Conclusions: A comprehensive KL-based definition of AKOA may be ideal because it represents a broader definition of joint deterioration compared with those focused on just joint space or osteophytes alone. PMID:27721902

Is USMLE Step 1 score a valid predictor of success in surgical residency?

PubMed

Sutton, Erica; Richardson, James David; Ziegler, Craig; Bond, Jordan; Burke-Poole, Molly; McMasters, Kelly M

2014-12-01

Many programs rely extensively on United States Medical Licensing Examination (USMLE) scores for interviews/selection of surgical residents. However, their predictive ability remains controversial. We examined the association between USMLE scores and success in surgical residency. We compared USMLE scores for 123 general surgical residents who trained in the past 20 years and their performance evaluation. Scores were normalized to the mean for the testing year and expressed as a ratio (1 = mean). Performances were evaluated by (1) rotation evaluations; (2) "dropouts;" (3) overall American Board of Surgery pass rate; (4) first-time American Board of Surgery pass rate; and (5) a retrospective comprehensive faculty evaluation. For the latter, 16 surgeons (average faculty tenure 22 years) rated residents on a 1 to 4 score (1 = fair; 4 = excellent). Rotation evaluations by faculty and "drop out" rates were not associated with USMLE score differences (dropouts had average above the mean). One hundred percent of general surgery practitioners achieved board certification regardless of USMLE score but trainees with an average above the mean had a higher first-time pass rate (P = .04). Data from the comprehensive faculty evaluations were conflicting: there was a moderate degree of correlation between board scores and faculty evaluations (r = .287, P = .001). However, a score above the mean was associated with a faculty ranking of 3 to 4 in only 51.7% of trainees. Higher USMLE scores were associated with higher faculty evaluations and first-time board pass rates. However, their positive predictive value was only 50% for higher faculty evaluations and a high overall board pass rate can be achieved regardless of USMLE scores. USMLE Step 1 score is a valid tool for selecting residents but caution might be indicated in using it as a single selection factor. Copyright © 2014 Elsevier Inc. All rights reserved.

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Clemson University. Sector: Research Institutions

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. University of South Carolina Columbia. Sector: Research Institutions

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

2004-05 Performance Year Ratings Impacting Fiscal Year 2005-06. Medical University of South Carolina. Sector: Research Institutions

ERIC Educational Resources Information Center

South Carolina Commission on Higher Education, 2005

2005-01-01

This series of documents contains performance scoring information for 2004-2005 for individual institutions of higher education in South Carolina. This information is used in establishing 2005-2006 fiscal year allocations. Data includes: (1) Degrees Awarded; (2) Enrollment; (3) Average SAT score; (4) Faculty; (5) Tuition; and (6) Financial…

Estimating spatially and temporally varying recharge and runoff from precipitation and urban irrigation in the Los Angeles Basin, California

USGS Publications Warehouse

Hevesi, Joseph A.; Johnson, Tyler D.

2016-10-17

A daily precipitation-runoff model, referred to as the Los Angeles Basin watershed model (LABWM), was used to estimate recharge and runoff for a 5,047 square kilometer study area that included the greater Los Angeles area and all surface-water drainages potentially contributing recharge to a 1,450 square kilometer groundwater-study area underlying the greater Los Angeles area, referred to as the Los Angeles groundwater-study area. The recharge estimates for the Los Angeles groundwater-study area included spatially distributed recharge in response to the infiltration of precipitation, runoff, and urban irrigation, as well as mountain-front recharge from surface-water drainages bordering the groundwater-study area. The recharge and runoff estimates incorporated a new method for estimating urban irrigation, consisting of residential and commercial landscape watering, based on land use and the percentage of pervious land area.The LABWM used a 201.17-meter gridded discretization of the study area to represent spatially distributed climate and watershed characteristics affecting the surface and shallow sub-surface hydrology for the Los Angeles groundwater study area. Climate data from a local network of 201 monitoring sites and published maps of 30-year-average monthly precipitation and maximum and minimum air temperature were used to develop the climate inputs for the LABWM. Published maps of land use, land cover, soils, vegetation, and surficial geology were used to represent the physical characteristics of the LABWM area. The LABWM was calibrated to available streamflow records at six streamflow-gaging stations.Model results for a 100-year target-simulation period, from water years 1915 through 2014, were used to quantify and evaluate the spatial and temporal variability of water-budget components, including evapotranspiration (ET), recharge, and runoff. The largest outflow of water from the LABWM was ET; the 100-year average ET rate of 362 millimeters per year (mm/yr) accounted for 66 percent of the combined water inflow of 551 mm/yr, including 488 mm/yr from precipitation and 63 mm/yr from urban irrigation. The simulated ET rate varied from a minimum of 0 mm/yr for impervious areas to high values of more than 1,000 mm/yr for many areas, including the south-facing slopes of the San Gabriel Mountains, stream channels underlain by permeable soils and thick root zones, and pervious locations receiving inflows both from urban irrigation and surface water. Runoff was the next largest outflow, averaging 145 mm/yr for the 100-year period, or 26 percent of the combined precipitation and urban-irrigation inflow. Recharge averaged 45 mm/yr, or about 8 percent of the combined inflow from precipitation and urban irrigation.Simulation results indicated that recharge in response to urban irrigation was an important component of spatially distributed recharge, contributing an average of 56 percent of the total recharge to the eight LABWM subdomains containing the Los Angeles groundwater study area. The 100‑year average recharge rate for the eight subdomains was 41 mm/yr, or 8,473 hectare-meters per year (ha-m/yr), with urban irrigation included in the simulation compared to a recharge rate of 18 mm/yr, or 3,741 ha-m/yr, with urban irrigation excluded. In contrast to recharge, the effect of urban irrigation on runoff was slight; runoff was 72,667 ha-m/yr with urban irrigation included compared to 72,618 ha-m/yr with urban irrigation excluded, an increase of only 48 ha-m/yr (about 0.1 percent).Simulation results also indicated that potential recharge from hilly drainages outside of, but bordering and tributary to, the lower-lying area of the Los Angeles groundwater study area, in this study referred to as mountain-front recharge, could provide an important contribution to the total recharge for the groundwater basins. The time-averaged recharge rate was similar to the combined direct and mountain-front recharge components estimated in a previous study and used as input for a calibrated groundwater model. The annual (water year) recharge estimates simulated in this study, however, indicated much greater year-to-year variability, which was dependent on year-to-year variability in the magnitude and distribution of daily precipitation, compared to the previous estimates.

Growth, chamber building rate and reproduction time of Palaeonummulites venosus under natural conditions.

NASA Astrophysics Data System (ADS)

Kinoshita, Shunichi; Eder, Wolfgang; Wöger, Julia; Hohenegger, Johann; Briguglio, Antonino

2017-04-01

Investigations on Palaeonummulites venosus using the natural laboratory approach for determining chamber building rate, test diameter increase rate, reproduction time and longevity is based on the decomposition of monthly obtained frequency distributions based on chamber number and test diameter into normal-distributed components. The shift of the component parameters 'mean' and 'standard deviation' during the investigation period of 15 months was used to calculate Michaelis-Menten functions applied to estimate the averaged chamber building rate and diameter increase rate under natural conditions. The individual dates of birth were estimated using the inverse averaged chamber building rate and the inverse diameter increase rate fitted by the individual chamber number or the individual test diameter at the sampling date. Distributions of frequencies and densities (i.e. frequency divided by sediment weight) based on chamber building rate and diameter increase rate resulted both in a continuous reproduction through the year with two peaks, the stronger in May /June determined as the beginning of the summer generation (generation1) and the weaker in November determined as the beginning of the winter generation (generation 2). This reproduction scheme explains the existence of small and large specimens in the same sample. Longevity, calculated as the maximum difference in days between the individual's birth date and the sampling date seems to be round about one year, obtained by both estimations based on the chamber building rate and the diameter increase rate.

The nursing workforce in Kuwait to the year 2020.

PubMed

Al-Jarallah, K F; Moussa, M A A; Hakeem, S K; Al-Khanfar, F K

2009-03-01

The study addresses the supply and demand for nurses in Kuwait in the light of emerging variables such as increasing population, economic growth, changes in healthcare strategies and expansion of healthcare facilities. To project the future demand for nurses in Kuwait for the years 2007-2020 based on the period 1994-2006. Population projections were derived using the average annual natural increase rate of the 1994-2006 populations. The future demand for nurses was projected using the average nurse to population ratios for the years 1994-2006. The number of Kuwaiti indigenous nurses is declining at an average decrement rate of 3.3% per annum. There is a gap between the numbers of native and migrant nurses, which will be wider with time. In 2006, native nurses constituted only 6.6% of the nursing workforce; this affects the quality of provided health care owing to language, religions and socio-cultural barriers between foreign nurses and patients. The supply of indigenous nurses in Kuwait should be increased in order to deliver effective nursing care with shared culture and language in the modern healthcare system of Kuwait. This can be achieved through an improvement in recruitment and retention of indigenous nurses and nursing students.

Local Bond Elections in California: Some Vital Statistics. EdSource Factsheet.

ERIC Educational Resources Information Center

EdSource, Inc., Palo Alto, CA.

This report examines the fate of general obligation (G.O.) bond measures in California from 1986 to 1999. For the entire 13-year period, the passage rate for local G.O. bonds averaged 54 percent. However, this average masks some dramatic variations depending on when the election was held, the district holding the election, and the area of…

Bull Market Helped Endowments Earn Average of 17.2% in 1996.

ERIC Educational Resources Information Center

Nicklin, Julie L.

1997-01-01

The National Association of College and University Business Officers' annual survey of 1996 college endowment performance found the rate of return up 15.5% from the previous year, the best since 1986. The average institution had 51.6% of endowment in domestic stocks, 25.5% in domestic fixed-income investments, 9.5% in foreign stock, 5.4% in cash…

The Value of a Well-Being Improvement Strategy: Longitudinal Success across Subjective and Objective Measures Observed in a Firm Adopting a Consumer-Driven Health Plan.

PubMed

Guo, Xiaobo; Coberley, Carter; Pope, James E; Wells, Aaron

2015-10-01

The objective of this study is to evaluate effectiveness of a firm's 5-year strategy toward improving well-being while lowering health care costs amidst adoption of a Consumer-Driven Health Plan. Repeated measures statistical models were employed to test and quantify association between key demographic factors, employment type, year, individual well-being, and outcomes of health care costs, obesity, smoking, absence, and performance. Average individual well-being trended upward by 13.5% over 5 years, monthly allowed amount health care costs declined 5.2% on average per person per year, and obesity and smoking rates declined by 4.8 and 9.7%, respectively, on average each year. The results show that individual well-being was significantly associated with each outcome and in the expected direction. The firm's strategy was successful in driving statistically significant, longitudinal well-being, biometric and productivity improvements, and health care cost reduction.

Development trends for new cancer therapeutics and vaccines.

PubMed

Reichert, Janice M; Wenger, Julia B

2008-01-01

Global commercial development of cancer treatments has dramatically increased over the past 15 years. To assess trends in the process, we analyzed data for 1111 candidates that entered clinical study during 1990-2006. Our results show that although the average number of therapeutic candidates entering clinical study per year more than doubled, the US approval success rate was low (8%) during the period. The therapeutics took seven years on average to go through the clinical and US approval phases, but cancer vaccines have yet to gain any US approvals. These results indicate that improvement in the efficiency of the development process for innovative cancer treatments is needed.

Knee arthrodesis using an intramedullary nail.

PubMed

Crockarell, John R; Mihalko, Marc J

2005-09-01

Fifteen knee arthrodeses using an intramedullary nail were performed in 15 patients. Indications included 11 failed total knee arthroplasties (10 of 11 septic). A retrospective review revealed 100% fusion rate. Complications included 4 cases of painful hardware, 1 trochanteric bursitis, and 1 deep infection. Ten patients were available for assessment at 7 years follow-up. Average leg length discrepancy was 3.7 cm. Anatomic axis averaged 1.3 degrees valgus. Flexion angle averaged 3.5 degrees . Compared with age-matched controls, our patients fared significantly worse in physical functioning, physical role, bodily pain, vitality, and social functioning. Arthrodesis of the knee with an intramedullary nail provides a reliable means of fusion with reasonable alignment. These patients have high rates of pain and diminished functional status.

Outcomes of an antimicrobial control program in a teaching hospital.

PubMed

Gentry, C A; Greenfield, R A; Slater, L N; Wack, M; Huycke, M M

2000-02-01

The clinical outcomes and cost-effectiveness of an antimicrobial control program (ACP) were studied. The impact of an ACP in a teaching hospital was analyzed by comparing clinical outcomes and intravenous antimicrobial costs over two two-year periods, the two years before the program and the first two years after the program's inception. Admission baseline data, length of stay, mortality, and readmission rates were gathered for each patient. Patients were identified by using the International Classification of Diseases. Multivariate logistic regression models were constructed for mortality and for lengths of stay of 12 or more days. The acquisition costs of intravenous antimicrobial agents for the second baseline year and the entire program period were tabulated and compared. The average daily inpatient census was determined. The ACP was associated with a 2.4-day decrease in length of stay and a reduction in mortality from 8.28% to 6.61%. Rates of readmission for infection within 30 days of discharge remained about the same. Inpatient pharmacy costs other than intravenous antimicrobials decreased an average of only 5.7% over the two program years, but the acquisition cost of intravenous antimicrobials for both program years yielded a total cost saving of $291,885, a reduction of 30.8%. The institution's average daily census fell 19% between the second baseline year and the second program year. An ACP directed by a clinical pharmacist trained in infectious diseases was associated with improvements in inpatient length of stay and mortality. The ACP decreased intravenous antimicrobial costs and facilitated the approval process for restricted and nonformulary antimicrobial agents.

The growth and population dynamics of seagrass Thalassia hemprichii in Suli Waters, Ambon Island

NASA Astrophysics Data System (ADS)

Tupan, C. I.; Uneputty, Pr A.

2017-10-01

The objectives of the research were to determined growth of rhizome, age structure, recruitment rate, and mortality rate of Thalassia hemprichii. Data were collected by using reconstruction technique which the measurements were based on past growth history. The age of seagrass was based on plastochrone interval. The recruitment rate was estimated by age structure of living shoots while mortality rate was estimated by age structure of dead shoots. The research was conducted on coastal waters of Suli where divided into two stations with different substrates, namely mixed substrates of sand and mud (S1) and mixed substrates of sand and coral fragment (S2). The growth rate of horizontal rhizome ranged from 4.15-8.68 cm.year-1 whereas the growth rate of vertical rhizome was 1.11-1.16 cm.year-1. The average age of T. hemprichii varied between 3.22-4.15 years. The youngest shoots were found at age 0.38 years and the oldest shoots were 7.82 years. Distribution of age was polymodal which reflecting cohort. The recruitment rate ranged from 0.23-0.54 year-1. Otherwise, the mortality rate ranged from 0.21-0.26 year-1.Seagrass population of T. hemprichii in Suli Waters indicated an increasing condition which shown by higher recruitment rate than mortality rate.

Temporal Trends and Future Prediction of Breast Cancer Incidence Across Age Groups in Trivandrum, South India.

PubMed

Mathew, Aleyamma; George, Preethi Sara; Arjunan, Asha; Augustine, Paul; Kalavathy, Mc; Padmakumari, G; Mathew, Beela Sarah

2016-01-01

Increasing breast cancer (BC) incidence rates have been reported from India; causal factors for this increased incidence are not understood and diagnosis is mostly in advanced stages. Trivandrum exhibits the highest BC incidence rates in India. This study aimed to estimate trends in incidence by age from 2005- 2014, to predict rates through 2020 and to assess the stage at diagnosis of BC in Trivandrum. BC cases were obtained from the Population Based Cancer Registry, Trivandrum. Distribution of stage at diagnosis and incidence rates of BC [Age-specific (ASpR), crude (CR) and age-standardized (ASR)] are described and employed with a joinpoint regression model to estimate average annual percent changes (AAPC) and a Bayesian model to estimate predictive rates. BC accounts for 31% (2681/8737) of all female cancers in Trivandrum. Thirty-five percent (944/2681) are <50 years of age and only 9% present with stage I disease. Average age increased from 53 to 56.4 years (p=0.0001), CR (per 105 women) increased from 39 (ASR: 35.2) to 55.4 (ASR: 43.4), AAPC for CR was 5.0 (p=0.001) and ASR was 3.1 (p=0.001). Rates increased from 50 years. Predicted ASpR is 174 in 50-59 years, 231 in > 60 years and overall CR is 80 (ASR: 57) for 2019- 20. BC, mostly diagnosed in advanced stages, is rising rapidly in South India with large increases likely in the future; particularly among post-menopausal women. This increase might be due to aging and/or changes in lifestyle factors. Reasons for the increased incidence and late stage diagnosis need to be studied.

Remote sensing monitoring study of ecological environment change in Qingtu Lake

NASA Astrophysics Data System (ADS)

Han, Tao; Wang, Dawei; Jiang, Youyan; Qian, Li; Chen, Lei; Hao, Xiaocui

2018-03-01

Based on the Environmental Mitigation Satellite (HJ-1) data, this paper has carried on the remote sensing monitoring to change of the surrounding vegetation and water area of the Qingtu Lake since 2009. The result shows that the average area of water has increased by 3.59 square kilometres annually since the reappearance of the waters with the Qingtu Lake in 2010. The area of Qingtu Lake and surrounding vegetation cover has presented an average increase of 1.09 square kilometres per year. Since 2010, the precipitation of the Qingtu Lake and its surrounding area in Minqin county have a significant increase in the trend, the average increase rate of 6.0 mm/year. Compared to 2010 years ago, the average precipitation increased 36.4 mm. And it shows that the change of the Qingtu Lake underlying surface has a positive feedback effect to local heavy rainfall according to the comparative analysis of the precipitation observation in the surrounding weather station.

12 CFR 25.12 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., Federal Deposit Insurance Corporation, and OCC, based on— (A) Rates of poverty, unemployment, and...-year change in the average of the Consumer Price Index for Urban Wage Earners and Clerical Workers, not...

An 11-Year Surveillance of HIV Type 1 Subtypes in Nagoya, Japan.

PubMed

Fujisaki, Seiichiro; Ibe, Shiro; Hattori, Junko; Shigemi, Urara; Fujisaki, Saeko; Shimizu, Kayoko; Nakamura, Kazuyo; Yokomaku, Yoshiyuki; Mamiya, Naoto; Utsumi, Makoto; Hamaguchi, Motohiro; Kaneda, Tsuguhiro

2009-01-01

Abstract To monitor active HIV-1 transmission in Nagoya, Japan, we have been determining the subtypes of HIV-1 infecting therapy-naive individuals who have newly visited the Nagoya Medical Center since 1997. The subtypes were determined by phylogenetic analyses using the base sequences in three regions of the HIV-1 genes including gag p17, pol protease (PR) and reverse transcriptase (RT), and env C2V3. Almost all HIV-1 subtypes from 1997 to 2007 and 93% of all HIV-1 isolates in 2007 were subtype B. HIV-1 subtypes A, C, D, and F have been detected sporadically since 1997, almost all in Africans and South Americans. The first detected circulating recombinant form (CRF ) was CRF01_AE (11-year average annual detection rate, 7.7%). Only two cases of CRF02_AG were detected in 2006. A unique recombinant form (URF ) was first detected in 1998 and the total number of URFs reached 25 by year 2007 (average annual detection rate, 4.7%). Eleven of these 25 were detected from 2000 to 2005 and had subtypes AE/B/AE as determined by base sequencing of the gag p17, pol PR and RT, and env C2V3 genes (average annual detection rate, 3.7%). Unique subtype B has been detected in six cases since 2006. All 17 of these patients were Japanese. Other recombinant HIV-1s have been detected intermittently in eight cases since 1998. During the 11-year surveillance, most HIV-1s in Nagoya, Japan were of subtype B. We expect that subtype B HIV-1 will continue to predominate for the next several years. Active recombination between subtype B and CRF01_AE HIV-1 and its transmission were also shown.

Associations between quality indicators of internal medicine residency training programs

PubMed Central

2011-01-01

Background Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and 17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p < 0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p < 0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification. PMID:21651768

Books average previous decade of economic misery.

PubMed

Bentley, R Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

2014-01-01

For the 20(th) century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

Dental Treatment and Expenditures Under General Anesthesia Among Medicaid-Enrolled Children in North Carolina.

PubMed

Meyer, Beau D; Lee, Jessica Y; Casey, Mark W

2017-11-01

Many studies reporting dental utilization under general anesthesia (GA) are dated. The purpose of this study was to provide contemporaneous data about children receiving dental GA by: (1) determining trends in utilization and associated expenditures; and (2) examining the effects of provider distribution. This time series cross-sectional study of Medicaid-eligible children ages zero to eight years old in North Carolina used aggregate Medicaid claims from State Fiscal Years (SFY) 2011 to 2015 to collect demographic and dental treatment information. Descriptive statistics were stratified by age and year to examine trends over time. Panel analysis techniques were used to explore regional effects of provider distribution on dental GA utilization. For SFY 2011 to 2015, the overall dental utilization rate was 517.1 per 1,000 (total enrolled equals 632,941 children/year), and the dental GA utilization rate was 15.8 per 1,000. Total dental expenditures averaged $113 million per year, and dental GA averaged $16.7 million per year. The dental GA proportion of expenditures increased over time (P<.001). Provider distribution did not affect dental GA utilization rate (P=.178) but did increase the number of children receiving dental GA (P<.001). Utilization and expenditures associated with dental treatment under general anesthesia continue to increase. While this reflects increased access to care, interventions should be examined to provide preventive care earlier in a child's life.

Collagen turnover in normal and degenerate human intervertebral discs as determined by the racemization of aspartic acid.

PubMed

Sivan, Sarit-Sara; Wachtel, Ellen; Tsitron, Eve; Sakkee, Nico; van der Ham, Frits; Degroot, Jeroen; Roberts, Sally; Maroudas, Alice

2008-04-04

Knowledge of rates of protein turnover is important for a quantitative understanding of tissue synthesis and catabolism. In this work, we have used the racemization of aspartic acid as a marker for the turnover of collagen obtained from healthy and pathological human intervertebral disc matrices. We measured the ratio of the d- and l-isomers in collagen extracted from these tissues as a function of age between 16 and 77 years. For collagen taken from healthy discs, the fractional increase of d-Asp was found to be 6.74 x 10(-4)/year; for degenerate discs, the corresponding rate was 5.18 x 10(-4)/year. Using the racemization rate found previously for the stable population of collagen molecules in dentin, we found that the rate of collagen turnover (k(T)) in discs is not constant but rather a decreasing function of age. The average turnover rate in normal disc between the ages of 20 and 40 is 0.00728 +/- 0.00275/year, and that between the ages of 50 and 80 is 0.00323 +/- 0.000947/year, which correspond to average half-lives of 95 and 215 years, respectively. Turnover of collagen from degenerate discs may be more rapid than that found for normal discs; however, statistical analysis leaves this point uncertain. The finding of a similar correlation between the accumulation of d-Asp and that of pentosidine for three normal collagenous tissues further supports the idea that the accumulation of pentosidine in a particular tissue can, along with the racemization of aspartic acid, be used as a reliable measure of protein turnover.

36 CFR 9.9 - Plan of operations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... describing the quantity, quality, and any previous production of the deposit; (6) A mining reclamation plan... disturbed, proof, including production records for the years 1973, 1974, and 1975, that new disturbance is necessary to maintain an average annual rate of production not to exceed that of the years 1973, 1974, and...

Tax Wealth in Fifty States.

ERIC Educational Resources Information Center

Halstead, D. Kent

This study presents a scheme for yearly, comparative, computation of state and local government tax capacity and effort. Figures for all states for fiscal year 1975 are presented in extensive tables. The system used is a simplified version of the Representative Tax System, which identifies tax bases, determines national average tax rates for those…

The U.S. health production function: evidence from 2001 to 2009.

PubMed

Tseng, Hui-Kuan; Olsen, Reed

2016-03-01

This study estimates the impact of the 2007 financial crisis upon U.S. health as measured by age adjusted death rates. OLS regression results suggest that the average death rate was lower in the post-crisis period than the pre-crisis period. The majority of the average decline in the death rate was a result of the time period and not a result of changes in the values of the underlying explanatory variables. We continue to find this result even adding state fixed effects. Contrary to other research, we find that the unemployment rate has no statistically significant impact on death rates either for the U.S. as a whole or for any states individually. Rather, the impact of the financial crisis is felt via year fixed effects that increased over time during the post-crisis period.

Outcomes of arthroscopic anterior shoulder instability in the beach chair versus lateral decubitus position: a systematic review and meta-regression analysis.

PubMed

Frank, Rachel M; Saccomanno, Maristella F; McDonald, Lucas S; Moric, Mario; Romeo, Anthony A; Provencher, Matthew T

2014-10-01

This study aimed to systematically review the clinical outcomes and recurrence rates after arthroscopic anterior shoulder stabilization in the beach chair (BC) and lateral decubitus (LD) positions. The authors performed a systematic review of multiple medical databases using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All English-language literature from 1990 to 2013 reporting clinical outcomes after arthroscopic anterior shoulder stabilization with suture anchors or tacks with a minimum 2-year follow-up period were reviewed by 2 independent reviewers. Data on recurrent instability rate, return to activity/sport, range of motion, and subjective outcome measures were collected. Study methodological quality was evaluated with the Modified Coleman Methodology Score (MCMS) and the Quality Appraisal Tool (QAT). To quantify the structured review of observational data, meta-analytic statistical methods were used. Sixty-four studies (38 BC position, 26 LD position) met inclusion criteria. A total of 3,668 shoulders were included, with 2,211 of patients in the BC position (average age, 26.7 ± 3.8 years; 84.5% male sex) and 1,457 patients in the LD position (average age, 26.0 ± 3.0 years; 82.7% male sex). The average follow-up was 49.8 ± 29.5 months in the BC group compared with 38.7 ± 23.3 months in the LD group. Average overall recurrent instability rates were 14.65 ± 8.4% in the BC group (range, 0% to 38%) compared with 8.5% ± 7.1% in the LD group (range, 0% to 30%; P = .002). The average postoperative loss in external rotation motion (in abduction) was reported in 19 studies in the BC group and in13 studies in the LD group, with an average loss of 2.4° ± 1.0° and 3.6° ± 2.6° in each group, respectively (P > .05). Excellent clinical outcomes with low recurrence rates can be obtained after arthroscopic anterior shoulder stabilization in either the BC or the LD position; however, lower recurrence rates are noted in the LD position. Additional long-term randomized clinical trials comparing these positions are needed to better understand the potential advantages and disadvantages of each position. Level IV, systematic review of studies with Level I through Level IV evidence. Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Report of the River Master of the Delaware River for the period December 1, 1983 - November 30, 1984

USGS Publications Warehouse

Schaefer, F.T.; Harkness, W.E.; Baebenroth, R.W.; Speight, D.W.

1985-01-01

A Decree of the U.S. Supreme Court in 1954 established the position of Delaware River Master. The Decree authorizes diversions of water from the Delaware River basin and requires compensating releases from certain reservoirs of the City of New York to be made under the supervision and direction of the River Master. Reports to the Court, not less frequently than annually were stipulated. During the 1984 report year, December 1, 1983 to November 30, 1984, precipitation and runoff varied from above average to below average in the Delaware River basin. For the year as a whole, precipitation and runoff were near average. Operations were under a status of drought warning December 1, 1983; however, the above normal precipitation the first half of the year increased storage in the reservoirs to record levels by June 1, 1984. Below normal precipitation from August to November coupled with large releases to maintain the Montague flow objective and customary diversions for water supply reduced storage in the reservoirs to the drought-warning level by November 27. Diversions from the Delaware River basin by New York City and New Jersey conformed to the terms of the Amended Decree throughout the year. Releases were made as directed by the River Master at rates designed to meet the Montague flow objective on 127 days between June 23 and November 30. Releases were made at conservation rates or at rates designed to relieve thermal stress in the streams downstream from the reservoirs at other times. (USGS)

Radiation measurements and doses at SST altitudes

NASA Technical Reports Server (NTRS)

Foelsche, T.

1972-01-01

Radiation components and dose equivalents due to galactic and solar cosmic rays in the high atmosphere, especially at SST altitudes, are presented. The dose equivalent rate for the flight personnel flying 500 hours per year in cruise altitudes of 60,000-65,000 feet (18-19.5 km) in high magnetic latitudes is about 0.75-1.0 rem per year averaged over the solar cycle, or about 15-20 percent of the maximum permissible dose rate.

[Preliminary clinical experience of single incision laparoscopic colorectal surgery].

PubMed

Wu, S D; Han, J Y

2016-06-01

Objective: To discuss the preliminary experience of single incision laparoscopic colorectal surgery. Methods: The clinical data and surgical outcomes of 104 selected patients who underwent single incision laparoscopic colorectal surgery in the 2 nd Department of General Surgery, Shengjing Hospital of China Medical University from January 2010 to September 2015 were retrospectively analyzed. There were 62 male and 42 female patients, aging from 21 to 87 years with a mean of (61±12) years. Eighty-five patients were diagnosed with malignancy while the rest 19 cases were benign diseases. All the procedures were performed by the same surgeon using the rigid laparoscopic instruments. Surgical and oncological outcomes were analyzed in 4 kinds of procedures which are over 5 cases respectively, including low anterior resection, abdominoperineal resection, radical right colon resection and radical sigmoidectomy. Results: Single incision laparoscopic colorectal surgery was performed in 104 selected patients and was successfully managed in 99 cases with a total conversion rate of 4.8%. Radical procedures for malignancy in cases with the number of patients more than 5 were performed for 74 cases. For low anterior resection, 35 cases with an average surgical time of (191±57) minutes, average estimated blood loss of (117±72) ml and average number of harvested lymph nodes of 14.6±1.1. For abdominoperineal resection, 9 cases with an average surgical time of (226±54) minutes, average estimated blood loss of (194±95) ml and average number of harvested lymph nodes of 14.1±1.5. For radical right colon resection, 16 cases with an average surgical time of (222±62) minutes, average estimated blood loss of (142±68) ml and average number of harvested lymph nodes of 15.4±2.4. For radical sigmoidectomy, 14 cases with an average surgical time of (159±32) minutes, average estimated blood loss of (94±33) ml and average number of harvested lymph nodes of 13.9±1.5. The overall intraoperative complication rate was 2.7% (2 cases) and postoperative complication rate was 8.1% (6 cases) in these 74 cases. Conclusion: Single incision laparoscopic colorectal surgery is safe and feasible with acceptable surgical outcomes and cosmetic benefits in the hands of skilled laparoscopic surgeon in well-selected patients.

Human response to high-background radiation environments on Earth and in space

NASA Astrophysics Data System (ADS)

Durante, M.; Manti, L.

The main long-term goal of the space exploration program is the colonization of the planets of the Solar System The high cosmic radiation equivalent dose rate represents a major problem for a stable and safe colonization of the planets The dose rate on Mars ranges between 60 and 150 mSv year depending on the Solar cycle and altitude and can reach values as high as 360 mSv year on the Moon The average dose rate on the Earth is about 3 mSv year reduced to about 1 mSv year excluding the internal exposure to Rn daughters However some areas of the Earth have anomalously high levels of background radiation Values 200-400 times higher than the world average are found in regions where monazite sand deposits are abundant Population in Tibet experience a high cosmic radiation background Epidemiological studies did not detect any adverse health effects in the populations living in those high-background radiation areas on Earth Chromosomal aberrations in the peripheral blood lymphocytes from the population living in the high-background radiation areas have been measured in several studies because the chromosomal damage represents an early biomarker of cancer risk Similar cytogenetic studies have been recently performed in cohort of astronauts involved in single or repeated space flights over many years A comparison of the cytogenetic findings in populations exposed at high dose rate on Earth or in space will be described

State-level minimum wage and heart disease death rates in the United States, 1980-2015: A novel application of marginal structural modeling.

PubMed

Van Dyke, Miriam E; Komro, Kelli A; Shah, Monica P; Livingston, Melvin D; Kramer, Michael R

2018-07-01

Despite substantial declines since the 1960's, heart disease remains the leading cause of death in the United States (US) and geographic disparities in heart disease mortality have grown. State-level socioeconomic factors might be important contributors to geographic differences in heart disease mortality. This study examined the association between state-level minimum wage increases above the federal minimum wage and heart disease death rates from 1980 to 2015 among 'working age' individuals aged 35-64 years in the US. Annual, inflation-adjusted state and federal minimum wage data were extracted from legal databases and annual state-level heart disease death rates were obtained from CDC Wonder. Although most minimum wage and health studies to date use conventional regression models, we employed marginal structural models to account for possible time-varying confounding. Quasi-experimental, marginal structural models accounting for state, year, and state × year fixed effects estimated the association between increases in the state-level minimum wage above the federal minimum wage and heart disease death rates. In models of 'working age' adults (35-64 years old), a $1 increase in the state-level minimum wage above the federal minimum wage was on average associated with ~6 fewer heart disease deaths per 100,000 (95% CI: -10.4, -1.99), or a state-level heart disease death rate that was 3.5% lower per year. In contrast, for older adults (65+ years old) a $1 increase was on average associated with a 1.1% lower state-level heart disease death rate per year (b = -28.9 per 100,000, 95% CI: -71.1, 13.3). State-level economic policies are important targets for population health research. Copyright © 2018 Elsevier Inc. All rights reserved.

Physician and Pharmacist Collaboration: The University of Hawai‘i at Hilo College of Pharmacy - JABSOM Experience

PubMed Central

Holuby, R Scott; Bucci, Lucy L

2010-01-01

The purpose of this article is to describe the experiential program created at the newly formed University of Hawai‘i at Hilo College of Pharmacy (UHH CoP). The Introductory Pharmacy Practice Experience (IPPE) rotations were developed to prepare student pharmacists for their final year of Advanced Pharmacy Practice Experience (APPE) rotations by improving clinical skills and patient interactions. In partnership with the John A. Burns School of Medicine (JABSOM) Department of Family Practice, physician and pharmacist teams collaborate to deliver patient care for chronic diseases and elevate educational opportunities provided by UHH CoP. Another goal of the experiential program is to determine whether the investment of pharmacist faculty and adjunct physician/nurse preceptors prepares students for the final year of APPE rotations. A survey was administered to non-faculty pharmacist preceptors who taught the third IPPE rotation during the summer of 2009. Twenty-nine surveys were received from six facilities on O‘ahu and the Big Island. Initial survey results revealed an overall rating average of 3.72 (Likert scale: 1-lowest to 5-highest), an average of 4.14 for professionalism, an average of 3.41 for overall clinical skills, and an average of 3.45 for overall readiness for experiential rotations. Average ratings when compared with fourth-year students from several mainland colleges ranged from 1.7 to 2.2 (1-worse than, 2-same, 3-better). This data demonstrates that UHH CoP is investing faculty and preceptor resources wisely to enhance the preparation of students for APPE rotations. PMID:20540001

Physician and pharmacist collaboration: the University of Hawaii at Hilo College of Pharmacy--JABSOM experience.

PubMed

Ma, Carolyn S J; Holuby, R Scott; Bucci, Lucy L

2010-06-01

The purpose of this article is to describe the experiential program created at the newly formed University of Hawaii at Hilo College of Pharmacy (UHH CoP). The Introductory Pharmacy Practice Experience (IPPE) rotations were developed to prepare student pharmacists for their final year of Advanced Pharmacy Practice Experience (APPE) rotations by improving clinical skills and patient interactions. In partnership with the John A. Burns School of Medicine (JABSOM) Department of Family Practice, physician and pharmacist teams collaborate to deliver patient care for chronic diseases and elevate educational opportunities provided by UHH CoP. Another goal of the experiential program is to determine whether the investment of pharmacist faculty and adjunct physician/nurse preceptors prepares students for the final year of APPE rotations. A survey was administered to non-faculty pharmacist preceptors who taught the third IPPE rotation during the summer of 2009. Twenty-nine surveys were received from six facilities on Oahu and the Big Island. Initial survey results revealed an overall rating average of 3.72 (Likert scale: 1--lowest to 5--highest), an average of 4.14 for professionalism, an average of 3.41 for overall clinical skills, and an average of 3.45 for overall readiness for experiential rotations. Average ratings when compared with fourth-year students from several mainland colleges ranged from 1.7 to 2.2 (1--worse than, 2--same, 3--better). This data demonstrates that UHH CoP is investing faculty and preceptor resources wisely to enhance the preparation of students for APPE rotations. Hawaii Medical Journal Copyright 2010.

Intensive glycemic control is not associated with fractures or falls in the ACCORD randomized trial.

PubMed

Schwartz, Ann V; Margolis, Karen L; Sellmeyer, Deborah E; Vittinghoff, Eric; Ambrosius, Walter T; Bonds, Denise E; Josse, Robert G; Schnall, Adrian M; Simmons, Debra L; Hue, Trisha F; Palermo, Lisa; Hamilton, Bruce P; Green, Jennifer B; Atkinson, Hal H; O'Connor, Patrick J; Force, Rex W; Bauer, Douglas C

2012-07-01

Older adults with type 2 diabetes are at high risk of fractures and falls, but the effect of glycemic control on these outcomes is unknown. To determine the effect of intensive versus standard glycemic control, we assessed fractures and falls as outcomes in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) randomized trial. ACCORD participants were randomized to intensive or standard glycemia strategies, with an achieved median A1C of 6.4 and 7.5%, respectively. In the ACCORD BONE ancillary study, fractures were assessed at 54 of the 77 ACCORD clinical sites that included 7,287 of the 10,251 ACCORD participants. At annual visits, 6,782 participants were asked about falls in the previous year. During an average follow-up of 3.8 (SD 1.3) years, 198 of 3,655 participants in the intensive glycemia and 189 of 3,632 participants in the standard glycemia group experienced at least one nonspine fracture. The average rate of first nonspine fracture was 13.9 and 13.3 per 1,000 person-years in the intensive and standard groups, respectively (hazard ratio 1.04 [95% CI 0.86-1.27]). During an average follow-up of 2.0 years, 1,122 of 3,364 intensive- and 1,133 of 3,418 standard-therapy participants reported at least one fall. The average rate of falls was 60.8 and 55.3 per 100 person-years in the intensive and standard glycemia groups, respectively (1.10 [0.84-1.43]). Compared with standard glycemia, intensive glycemia did not increase or decrease fracture or fall risk in ACCORD.

18 CFR 2.15 - Specified reasonable rate of return.

Code of Federal Regulations, 2011 CFR

2011-04-01

... average cost of long-term debt and preferred stock for the year, and the cost of common equity shall be... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Specified reasonable rate of return. 2.15 Section 2.15 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY...

Estimating Perturbation and Meta-Stability in the Daily Attendance Rates of Six Small High Schools

NASA Astrophysics Data System (ADS)

Koopmans, Matthijs

This paper discusses the daily attendance rates in six small high schools over a ten-year period and evaluates how stable those rates are. “Stability” is approached from two vantage points: pulse models are fitted to estimate the impact of sudden perturbations and their reverberation through the series, and Autoregressive Fractionally Integrated Moving Average (ARFIMA) techniques are used to detect dependencies over the long range of the series. The analyses are meant to (1) exemplify the utility of time series approaches in educational research, which lacks a time series tradition, (2) discuss some time series features that seem to be particular to daily attendance rate trajectories such as the distinct downward pull coming from extreme observations, and (3) present an analytical approach to handle the important yet distinct patterns of variability that can be found in these data. The analysis also illustrates why the assumption of stability that underlies the habitual reporting of weekly, monthly and yearly averages in the educational literature is questionable, as it reveals dynamical processes (perturbation, meta-stability) that remain hidden in such summaries.

What could family income be if health insurance were more affordable?

PubMed

Young, Richard A; Devoe, Jennifer E

2012-10-01

Adjusted for inflation, household income has been relatively flat since the mid-1990s, but the inflation rate of employer-sponsored health insurance has been greater than both household income growth and general inflation for 50 years. We estimated the effect on average family income if health insurance inflation matched the general inflation rate since 1996, and those savings were given to employees as income. We used data from the Medical Expenditure Panel Survey, the Milliman Medical Index, and other federal sources to model the relationship between private health insurance costs and household income over the last 15 years. If the cost of family health care costs had kept pace with the Consumer Price Index (CPI) rate since 1996, the average family income could have been $8,410 higher in 2010 ($68,805 versus $60,395), 13.9% more than actual earnings. If health care costs had not exceeded the CPI rate since 1996 and if all the excess costs were converted into employee wages, median family income could be substantially higher today.

Robotic-assisted coronary artery bypass surgery: an 18-year single-centre experience.

PubMed

Giambruno, Vincenzo; Chu, Michael W; Fox, Stephanie; Swinamer, Stuart A; Rayman, Reiza; Markova, Zarina; Barnfield, Rebecca; Cooper, Mitchell; Boyd, Douglas W; Menkis, Alan; Kiaii, Bob

2018-06-01

Minimally invasive robot-assisted direct coronary artery bypass (RADCAB) has emerged as a feasible minimally invasive surgical technique for revascularization that might offer several potential advantages over conventional approaches. We present our 18-year experience in RADCAB. Between February 1998 and February 2016, 605 patients underwent RADCAB. Patients underwent post-procedural selective graft patency assessment using cardiac catheterization. The mortality rate was 0.3%. The rate of conversion to sternotomy for any cause was reduced from 16.0% of the first 200 cases to 6.9% of the last 405 patients. The patency rate of the LITA-to-LAD anastomosis was 97.4%. Surgical re-exploration for bleeding occurred in 1.8% of patients, and the transfusion rate was 9.2%. Average ICU stay was 1.2 ± 1.4 days, and average hospital stay was 4.8 ± 2.9 days. Robot-assisted coronary artery bypass grafting is safe, feasible and it seems to represent an effective alternative to traditional coronary artery bypass grafting in selected patients. Copyright © 2018 John Wiley & Sons, Ltd.

Comparisons of life-history parameters between free-ranging and captive killer whale (Orcinus orca) populations for application toward species management

PubMed Central

Robeck, Todd R.; Willis, Kevin; Scarpuzzi, Michael R.; O’Brien, Justine K.

2015-01-01

Data collected on life-history parameters of known-age animals from the northern (NR) and southern resident (SR) killer whales (Orcinus orca) of the eastern North Pacific were compared with life-history traits of killer whales located at SeaWorld (SEA) facilities. For captive-born SEA animals, mean age and body length at 1st estrus was 7.5 years and 483.7cm, respectively. Estimated mean age at 1st conception was different (P < 0.001) for the combined data from both northern and southern resident (NSR) free-ranging populations (12.1 years) compared to SEA (9.8 years), as was the estimated mean age at 1st observed calf (SEA: 11.1 years, NSR: 14.2 years, P < 0.001). Average calf survival rate to 2 years of age for SEA animals (0.966) was significantly greater (P = 0.04) than that for SR (0.799). Annual survival rate (ASR) for SEA increased over approximately 15-year increments with rates in the most recent period (2000–2015 ASR: 0.976) improved (P < 0.05) over the first 2 periods of captivity (1965–1985: 0.906; 1985–2000: 0.941). The SR (0.966) and NR ASR (0.977) were higher (P ≤ 0.05) than that of SEA until 2000, after which there were no inter-population differences. Based on ASR, median and average life expectancy were 28.8 and 41.6 years (SEA: 2000–2015), 20.1 and 29.0 years (SR), and 29.3 and 42.3 years (NR), respectively. The ASR for animals born at SEA (0.979) was higher (P = 0.02) than that of wild-caught SEA animals (0.944) with a median and average life expectancy of 33.1 and 47.7 years, respectively. These data present evidence for similar life-history parameters of free-ranging and captive killer whale populations and the reproductive potential and survivorship patterns established herein have application for use in future research concerning the overall health of both populations. PMID:26937049

Comparisons of life-history parameters between free-ranging and captive killer whale (Orcinus orca) populations for application toward species management.

PubMed

Robeck, Todd R; Willis, Kevin; Scarpuzzi, Michael R; O'Brien, Justine K

2015-09-29

Data collected on life-history parameters of known-age animals from the northern (NR) and southern resident (SR) killer whales ( Orcinus orca ) of the eastern North Pacific were compared with life-history traits of killer whales located at SeaWorld (SEA) facilities. For captive-born SEA animals, mean age and body length at 1st estrus was 7.5 years and 483.7cm, respectively. Estimated mean age at 1st conception was different ( P < 0.001) for the combined data from both northern and southern resident (NSR) free-ranging populations (12.1 years) compared to SEA (9.8 years), as was the estimated mean age at 1st observed calf (SEA: 11.1 years, NSR: 14.2 years, P < 0.001). Average calf survival rate to 2 years of age for SEA animals (0.966) was significantly greater ( P = 0.04) than that for SR (0.799). Annual survival rate (ASR) for SEA increased over approximately 15-year increments with rates in the most recent period (2000-2015 ASR: 0.976) improved ( P < 0.05) over the first 2 periods of captivity (1965-1985: 0.906; 1985-2000: 0.941). The SR (0.966) and NR ASR (0.977) were higher ( P ≤ 0.05) than that of SEA until 2000, after which there were no inter-population differences. Based on ASR, median and average life expectancy were 28.8 and 41.6 years (SEA: 2000-2015), 20.1 and 29.0 years (SR), and 29.3 and 42.3 years (NR), respectively. The ASR for animals born at SEA (0.979) was higher ( P = 0.02) than that of wild-caught SEA animals (0.944) with a median and average life expectancy of 33.1 and 47.7 years, respectively. These data present evidence for similar life-history parameters of free-ranging and captive killer whale populations and the reproductive potential and survivorship patterns established herein have application for use in future research concerning the overall health of both populations.

Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population

PubMed Central

Foote, Eric M.; Singleton, Rosalyn J.; Holman, Robert C.; Seeman, Sara M.; Steiner, Claudia A.; Bartholomew, Michael; Hennessy, Thomas W.

2015-01-01

Background The lower respiratory tract infection (LRTI)-associated hospitalization rate in American Indian and Alaska Native (AI/AN) children aged <5 years declined during 1998–2008, yet remained 1.6 times higher than the general US child population in 2006–2008. Purpose Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009–2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998–1999 rates prior to pneumococcal conjugate vaccine introduction. Results The average annual LRTI-associated hospitalization rate declined from 1998–1999 to 2009–2011 in AI/AN (35%, p<0.01) and the general US child population (19%, SE: 4.5%, p<0.01). The 2009–2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6–14.8). The Alaska (38.9) and Southwest regions (27.3) had the highest rates. The disparity was greatest for infant (<1 year) pneumonia-associated and 2009–2010 H1N1 influenza-associated hospitalizations. Conclusions Although the LRTI-associated hospitalization rate declined, the 2009–2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children. PMID:26547082

Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population.

PubMed

Foote, Eric M; Singleton, Rosalyn J; Holman, Robert C; Seeman, Sara M; Steiner, Claudia A; Bartholomew, Michael; Hennessy, Thomas W

2015-01-01

Background The lower respiratory tract infection (LRTI)-associated hospitalization rate in American Indian and Alaska Native (AI/AN) children aged <5 years declined during 1998-2008, yet remained 1.6 times higher than the general US child population in 2006-2008. Purpose Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009-2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998-1999 rates prior to pneumococcal conjugate vaccine introduction. Results The average annual LRTI-associated hospitalization rate declined from 1998-1999 to 2009-2011 in AI/AN (35%, p<0.01) and the general US child population (19%, SE: 4.5%, p<0.01). The 2009-2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6-14.8). The Alaska (38.9) and Southwest regions (27.3) had the highest rates. The disparity was greatest for infant (<1 year) pneumonia-associated and 2009-2010 H1N1 influenza-associated hospitalizations. Conclusions Although the LRTI-associated hospitalization rate declined, the 2009-2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

Trends of premature mortality in Swietokrzyskie Province (Poland), years 2002-2010.

PubMed

Gózdz, Stanislaw; Krzyzak, Michalina; Maślach, Dominik; Wróbel, Monika; Bielska-Lasota, Magdalena

2013-01-01

Premature mortality in younger age groups influences the society as far as social and economic aspects are concerned. Therefore, it is important to come up with a tool which will allow to assess them, and will enable to implement only these health care measures that bring tangible benefits. That is the reason for introducing PYLL rate (PYLL - potential years of life lost), which is an addition to the analysis of premature mortality as it includes the number of deaths due to a particular cause and the age at death. The purpose of this study was to analyse the level and trends of PYLL rate according to death causes in years 2002 -2010 in Swietokrzyskie Province. The material for the analysis was the information from the Central Statistical Office on the number of deaths due to all causes registered among the inhabitants of Swiytokrzyskie Province in years 2002-2010. Causes of death were coded according to the 10th revision of the International Classification of Diseases. The analysis of premature mortality was carried out with the use of PYLL rate. PYLL rate was calculated according to the method proposed by Romeder, according to which the premature mortality was defined as death before the age of 70. The analysis of time trends of PYLL rate and the APC (annual percent change) of the PYLL rate were calculated using jointpoint model as well as the Jointpoint Regression Program (Version 4.0.1 - January 2013). In men, in years 2002 - 2007 PYLL rate increased by 1.5% per year (p<0.05). From year 2007 the trend went downward and PYLL rate decreased on average by 3.1% per year till year 2010. External causes of death, cardiovascular diseases and cancers in years 2002 - 2010 were the reason for almost 74.0% PYLL in men. In year 2010 PYLL rate due to all death causes amounted to 8913.8/105 and was three times higher than in women (2975.5/10(5)). In women, however, during the analysed period PYLL rate did not change significantly, and was dominated by cancers, cardiovascular diseases and external death causes. Similarly to men, those three groups of death causes were responsible for an average 76.0% PYLL. The analysis of the causes of premature mortality in Swietokrzyskie Province shows that in the majority of cases it is due to preventable deaths, which calls for the necessity of more intensive measures in primary and secondary prevention as well as the improvement in treatment standards, mainly of cardiovascular diseases, cancers, injuries and accidents.

National Assessment of Shoreline Change; historical shoreline change along the New England and Mid-Atlantic coasts

USGS Publications Warehouse

Hapke, Cheryl J.; Himmelstoss, Emily A.; Kratzmann, Meredith G.; List, Jeffrey H.; Thieler, E. Robert

2011-01-01

Beach erosion is a chronic problem along many open-ocean shores of the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding past and present trends and rates of shoreline movement. There is also a need for a comprehensive analysis of shoreline movement that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey (USGS) is conducting an analysis of historical shoreline changes along open-ocean sandy shores of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of this work is to develop standard, repeatable methods for mapping and analyzing shoreline movement so that periodic, systematic, internally consistent updates regarding coastal erosion and land loss can be made nationally. In the case of this study, the shoreline is the interpreted boundary between the ocean water surface and the sandy beach. This report on the New England and Mid-Atlantic coasts is the fifth in a series of reports on historical shoreline change. Previous investigations include analyses and descriptive reports of the Gulf of Mexico, the Southeast Atlantic, and, for California, the sandy shoreline and the coastal cliffs. The rates of change presented in this report represent conditions up to the date of the most recent shoreline data and therefore are not intended for predicting future shoreline positions or rates of change. Because of the geomorphology of the New England and Mid-Atlantic (rocky coastlines, large embayments and beaches) as well as data gaps in some areas, this report presents beach erosion rates for 78 percent of the 1,360 kilometers of the New England and Mid-Atlantic coasts. The New England and Mid-Atlantic shores were subdivided into a total of 10 analysis regions for the purpose of reporting regional trends in shoreline change rates. The average rate of long-term shoreline change for the New England and Mid-Atlantic coasts was -0.5 meters per year with an uncertainty in the long-term trend of plus or minus 0.09 meters per year. The rate is based on shoreline change rates averaged from 21,184 individual transects, of which 68 percent were eroding. In both the long and short term, the average rates of shoreline change for New England and the Mid-Atlantic were erosional. Long-term erosion rates were generally lower in New England than in the Mid-Atlantic. This is a function of the dominant coastal geomorphology; New England has a greater percentage of shore types that tend to erode more slowly (rocky coasts, pocket beaches, and mainland beaches), whereas the Mid-Atlantic is dominated by more vulnerable barrier islands and dynamic spit/inlet environments. However, the percentage of coastline eroding was higher in New England than in the Mid-Atlantic, highlighting that although rates of shoreline erosion may not be extreme, coastal erosion is still widespread along this region of the U.S. coastline. The average rate of short-term shoreline change for the New England and Mid-Atlantic coasts was also erosional but the rate of erosion decreased in comparison to long-term rates. The net short-term rate as averaged along 17,045 transects was -0.3 meters per year. Uncertainties for these rates range from 0.06 to 0.1 meters per year depending on the data sources used in the rate calculations. Of transects used to measure short-term change, 60 percent were erosional, as compared to 65 percent of coast eroding in the long term. The slight decrease (5 percent) in the amount of coastline eroding may be related to an increase in the frequency and extent of nourishment programs and (or) the effects of hardened structures during the more recent time period. The most stable (lower rates of erosion) beaches were more commonly found in New England. Despite an overall lowering of the average rates of erosion from long-term to short-term, the amount

Estimates of annual survival, growth, and recruitment of a white-tailed ptarmigan population in Colorado over 43 years

USGS Publications Warehouse

Wann, Greg; Aldridge, Cameron L.; Braun, Clait E.

2014-01-01

Long-term datasets for high-elevation species are rare, and considerable uncertainty exists in understanding how high-elevation populations have responded to recent climate warming. We present estimates of demographic vital rates from a 43-year population study of white-tailed ptarmigan (Lagopus leucura), a species endemic to alpine habitats in western North America. We used capture-recapture models to estimate annual rates of apparent survival, population growth, and recruitment for breeding-age ptarmigan, and we fit winter weather covariates to models in an attempt to explain annual variation. There were no trends in survival over the study period but there was strong support for age and sex effects. The average rate of annual growth suggests a relatively stable breeding-age population ( λ ¯ = 1.036), but there was considerable variation between years for both population growth and recruitment rates. Winter weather covariates only explained a small amount of variation in female survival and were not an important predictor of male survival. Cumulative winter precipitation was found to have a quadratic effect on female survival, with survival being highest during years of average precipitation. Cumulative winter precipitation was positively correlated with population growth and recruitment rates, although this covariate only explained a small amount of annual variation in these rates and there was considerable uncertainty among the models tested. Our results provide evidence for an alpine-endemic population that has not experienced extirpation or drastic declines. However, more information is needed to understand risks and vulnerabilities of warming effects on juveniles as our analysis was confined to determination of vital rates for breeding-age birds.

Reduction in the burden of hospital admissions due to cervical disease from 2003–2014 in Spain

PubMed Central

López, Noelia; Gil-de-Miguel, Ángel; Pascual-García, Raquel; Gil-Prieto, Ruth

2018-01-01

ABSTRACT Background: Cervix uteri cancer is the 4th most common cancer among women worldwide and the second most frequent cancer in women under 45 years old in Spain. We aimed to describe the burden of hospital admissions by malignant neoplasia (MN) and in situ carcinoma (ISC) of the cervix in Spain from 2003 to 2014, a 12-year period that included the first years after introduction of an HPV vaccination program. Methods: This epidemiological study reviewed data from the Ministry of Health National Surveillance System, which includes more than 98% of Spanish hospitals. Hospitalization rate, mortality rate, and case fatality rates were calculated per year and age group. Results: We found 74,933 hospitalizations due to MN and ISC of the cervix. The average age at hospitalization increased significantly during the study period. The average length of hospital stay decreased significantly (p<0.001), while hospitalization costs increased. The mean hospitalization rate was 27.532 cases per 100,000 women (95% CI: 27.335-27.729). This rate decreased significantly during the study period. The mean mortality rate was 1.418 deaths per 100,000 women (95% CI: 1.373-1.463) and the mean case-fatality rate was 5.150% (95% CI: 4.992-5.308). Conclusion: Our study showed a substantial decrease in the hospitalization burden due to cervical disease. This decrease could be attributable to different causes including cervical cancer prevention measures, and changes in disease management. Further research is needed to confirm the cause. This information could contribute to further evaluations of the impact and cost effectiveness analysis of HPV vaccination in Spain. PMID:29206085

Do doctors accurately assess coronary risk in their patients? Preliminary results of the coronary health assessment study.

PubMed Central

Grover, S. A.; Lowensteyn, I.; Esrey, K. L.; Steinert, Y.; Joseph, L.; Abrahamowicz, M.

1995-01-01

OBJECTIVE--To evaluate the ability of doctors in primary care to assess risk patients' risk of coronary heart disease. DESIGN--Questionnaire survey. SETTING--Continuing medical education meetings, Ontario and Quebec, Canada. SUBJECTS--Community based doctors who agreed to enroll in the coronary health assessment study. MAIN OUTCOME MEASURE--Ratings of coronary risk factors and estimates by doctors of relative and absolute coronary risk of two hypothetical patients and the "average" 40 year old Canadian man and 70 year old Canadian woman. RESULTS--253 doctors answered the questionnaire. For 30 year olds the doctors rated cigarette smoking as the most important risk factor and raised serum triglyceride concentrations as the least important; for 70 year old patients they rated diabetes as the most important risk factor and raised serum triglyceride concentrations as the least important. They rated each individual risk factor as significantly less important for 70 year olds than for 30 year olds (all risk factors, P < 0.001). They showed a strong understanding of the relative importance of specific risk factors, and most were confident in their ability to estimate coronary risk. While doctors accurately estimated the relative risk of a specific patient (compared with the average adult) they systematically overestimated the absolute baseline risk of developing coronary disease and the risk reductions associated with specific interventions. CONCLUSIONS--Despite guidelines on targeting patients at high risk of coronary disease accurate assessment of coronary risk remains difficult for many doctors. Additional strategies must be developed to help doctors to assess better their patients' coronary risk. PMID:7728035

Television-related injuries to children in the United States, 1990-2011.

PubMed

De Roo, Ana C; Chounthirath, Thiphalak; Smith, Gary A

2013-08-01

To investigate the epidemiology of television (TV)-related injuries to children in the United States. Using data from the National Electronic Injury Surveillance System, children aged <18 years treated in United States hospital emergency departments for an injury associated with a TV from 1990 through 2011 were investigated. An estimated 380,885 patients aged <18 years were treated in emergency departments for a TV-related injury during the 22-year study period, which equals an annual average of 17,313 children. The median age of patients was 3 years; children <5 years represented 64.3% of patients, and boys comprised 60.8%. The average annual injury rate was 2.43 (95% confidence interval [CI]: 2.07-2.80) injuries per 10,000 children aged <18 years, with a range of 2.15 (95% CI: 1.64-2.66) to 2.90 (95% CI: 2.31-3.49). Although the overall injury rate was steady, the number and rate of injuries associated with falling TVs increased significantly by 125.5% and 95.3%, respectively, during the study period. In addition, there was a significant 344.1% increase in the number of injuries associated with a TV falling from a dresser/bureau/chest of drawers/armoire during 1995-2011. The rate of pediatric injuries caused by falling TVs is increasing, which underscores the need for increased prevention efforts. Prevention strategies include public education, provision of TV anchoring devices at the point of sale of TVs, TV anchoring device distribution programs, strengthening of standards for TV stability, and redesign of TVs to improve stability.

[Greenhouse gardeners and sickness absence. A questionnaire study among greenhouse gardeners in Aarhus region].

PubMed

Pallesen, Ellen; Nielsen, Claus Vinther; Drews, Birgit Mammen

2007-02-26

The aim of the study was to examine sickness absence and risk factors for sickness absence in a population of greenhouse gardeners in the county of Arhus. The study was cross sectional and based on data from questionnaires sent to all employees and greenhouse gardens in the county. Greenhouse gardeners had an average of four days of sickness absence a year. Self-rated health was poorer than average of the Danish population in general. Female gender, age below 40 years, troublesome relationships to family and friends, "poor" physical working environment and job insecurity were all predictors for increased risk of sickness absence lasting more than two weeks a year. Sickness absence was low compared to the average of the Danish labour market. Considering poorer self-rated health and frequent occurrence of some of the above-mentioned predictors for increased risk of sickness absence--female gender, age below 40 years and for women, high exposure to "poor" physical working environment--an average sickness absence of only four days was a puzzle. The data from the study were not sufficient to explain this paradox. It might be due to compensating factors at work or at a personal level. It might be due to information bias, as sickness absence could be underestimated, but agreement between reported sickness absence from employees and greenhouse gardens diminished that probability. It might have been a consequence of selection bias, the "healthy workers'" effect. Employees with considerable sickness absence might have been dismissed for long-term absence or might have quit the job because they were not able to cope with it.

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study.

PubMed

Bayen, Eléonore; Jourdan, Claire; Ghout, Idir; Darnoux, Emmanuelle; Azerad, Sylvie; Vallat-Azouvi, Claire; Weiss, Jean-Jacques; Aegerter, Philippe; Pradat-Diehl, Pascale; Joël, Marie-Eve; Azouvi, Philippe

2016-01-01

Prospective assessment of informal caregiver (IC) burden 4 years after the traumatic brain injury of a relative. Longitudinal cohort study (metropolitan Paris, France). Home dwelling adults (N = 98) with initially severe traumatic brain injury and their primary ICs. Informal caregiver objective burden (Resource Utilization in Dementia measuring Informal Care Time [ICT]), subjective burden (Zarit Burden Inventory), monetary self-valuation of ICT (Willingness-to-pay, Willingness-to-accept). Informal caregivers were women (81%) assisting men (80%) of mean age of 37 years. Fifty-five ICs reported no objective burden (ICT = 0) and no/low subjective burden (average Zarit Burden Inventory = 12.1). Forty-three ICs reported a major objective burden (average ICT = 5.6 h/d) and a moderate/severe subjective burden (average Zarit Burden Inventory = 30.3). In multivariate analyses, higher objective burden was associated with poorer Glasgow Outcome Scale-Extended scores, with more severe cognitive disorders (Neurobehavioral Rating Scale-revised) and with no coresidency status; higher subjective burden was associated with poorer Glasgow Outcome Scale-Extended scores, more Neurobehavioral Rating Scale-revised disorders, drug-alcohol abuse, and involvement in litigation. Economic valuation showed that on average, ICs did not value their ICT as free and preferred to pay a mean Willingness-to-pay = &OV0556;17 per hour to be replaced instead of being paid for providing care themselves (Willingness-to-accept = &OV0556;12). Four years after a severe traumatic brain injury, 44% of ICs experienced a heavy multidimensional burden.

1954 midsummer fuel moistures in Oregon and Washington national forests compared with other years.

Treesearch

Owen P. Cramer

1955-01-01

For the third successive year mid-fire-season fuel moistures on national forests of Oregon and Washington averaged higher than in the preceding year, and forest flammability was correspondingly lower. Generally high fuel-moisture conditions during 1954 are reflected in fire occurrence, which approached an all-time low. Fuel-moisture ratings are based on the 25 lowest...

Estimating potential Engelmann spruce seed production on the Fraser Experimental Forest, Colorado

Treesearch

Robert R. Alexander; Carleton B. Edminster; Ross K. Watkins

1986-01-01

Two good, three heavy, and two bumper spruce seed crops were produced during a 15-year period. There was considerable variability in seed crops, however. Not all locations produced good to bumper seed crops when overall yearly ratings averaged good or better; conversely, some locations produced bumper seed crops in 3 or more years. Mathematical relationships,...

An Examination of the Movement of Educators within Wisconsin. Stated Briefly. REL 2017-195

ERIC Educational Resources Information Center

Podgursky, Michael; Ehlert, Mark; Lindsay, Jim; Wan, Yinmei

2016-01-01

This brief examines the mobility of public school teachers and principals (including assistant principals) in Wisconsin and presents annual and five-year mobility rates between 2006/07 and 2010/11. An average of 8.0 percent of teachers changed schools between consecutive years, and 19.4 percent changed schools within a five-year span. Teachers…

An Examination of the Movement of Educators within Iowa. Stated Briefly. REL 2017-194

ERIC Educational Resources Information Center

Podgursky, Michael; Ehlert, Mark; Lindsay, Jim; Wan, Yinmei

2016-01-01

This brief examines the mobility of public school teachers and principals (including assistant principals) in Iowa and presents annual and five-year mobility rates between 2006/07 and 2010/11. An average of 6.7 percent of teachers changed schools between consecutive years, and 18.9 percent changed schools within a five-year span. Teachers were…

An Examination of the Movement of Educators within Minnesota. Stated Briefly. REL 2017-196

ERIC Educational Resources Information Center

Podgursky, Michael; Ehlert, Mark; Lindsay, Jim; Wan, Yinmei

2016-01-01

This brief examines the mobility of public school teachers and principals (including assistant principals) in Minnesota and presents annual and five-year mobility rates between 2006/07 and 2010/11. An average of 9.5 percent of teachers changed schools between consecutive years, and 20.8 percent changed schools within a five-year span. Teachers…

Economic Downturn Brings Prosperity and Opportunities to For-Profit Colleges

ERIC Educational Resources Information Center

Blumenstyk, Goldie

2008-01-01

For-profit colleges, unlike the rest of higher education, are enjoying a financial boon that is likely to improve in the next couple of years. Enrollments this fall at nine major publicly traded college companies grew at a pace faster than the average annual rate of growth for the past three years, while profit margins for this year are projected…

Assessing the Effectiveness of a College Freshman Seminar Using Propensity Score Adjustments

ERIC Educational Resources Information Center

Clark, M. H.; Cundiff, Nicole L.

2011-01-01

Researchers investigated the impact that a first-year college experience course had on students' first-year grade point averages (GPAs) and retention rates. A sample of 109 first-year students enrolled in the course was compared to a sample of 326 students from the same university who had not taken the course. The goals of the experience course…

12 CFR 345.12 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Comptroller of the Currency, based on— (A) Rates of poverty, unemployment, and population loss; or (B...-year change in the average of the Consumer Price Index for Urban Wage Earners and Clerical Workers, not...

Dendrogeochronologic and Anatomic Analysis of Excavated Plains Cottonwoods Determine Overbank Sedimentation Rates and Historical Channel Positions Along the Interior of a Migrating Meander Bend, Powder River, Montana

NASA Astrophysics Data System (ADS)

Metzger, T. L.; Pizzuto, J. E.; Schook, D. M.; Hasse, T. R.; Affinito, R. A.

2017-12-01

Dendrochronological dating of buried trees precisely determines the germination year and identifies the stratigraphic context of germination for the trees. This recently developed application of dendrochronology provides accurate time-averaged sedimentation rates of overbank deposition along floodplains and can be used to identify burial events. Previous studies have demonstrated that tamarisk (Tamarix ramosissima) and sandbar willow (Salix exigua) develop anatomical changes within the tree rings (increased vessel size and decreased ring widths) on burial, but observations of plains cottonwood (Populus deltoides ssp. monilifera) are lacking. In September 2016 and June 2017, five buried plains cottonwoods were excavated along a single transect of the interior of a meander bend of the Powder River, Montana. Sediment samples were obtained near each tree for 210Pb and 137Cs dating, which will allow for comparison between dendrochronological and isotopic dating methods. The plains cottonwood samples collected exhibit anatomical changes associated with burial events that are observed in other species. All trees germinated at the boundary between thinly bedded fine sand and mud and coarse sand underlain by sand and gravel, indicating plains cottonwoods germinate on top of point bars prior to overbank deposition. The precise germination age and depth provide elevations and minimum age constraints for the point bar deposits and maximum ages for the overlying sediment, helping constrain past channel positions and overbank deposition rates. Germination years of the excavated trees, estimated from cores taken 1.5 m above ground level, range from 2014 to 1862. Accurate establishment years determined by cross-dating the buried section of the tree can add an additional 10 years to the cored age. The sedimentation rate and accumulation thickness varied with tree age. The germination year, total sediment accumulation, and average sedimentation rate at the five sampled trees is: 2011, 35 cm, 7.0 cm/year; 1973, 77 cm, 1.8 cm/year; 1962, 140 cm, 2.6 cm/year; 1960, 123 cm, 2.2 cm/year; and 1862, 112 cm, 0.7 cm/year. These sedimentation rates indicate that the cumulative sedimentation decreases as a power law with increasing tree age.

High School Leaders' Perceptions of Practices That Increase Graduation Rates of African American Males

ERIC Educational Resources Information Center

Jones, Linda D.

2015-01-01

Research indicates there are significant differences in the academic performance of minorities and whites, particularly at the high school level. On average, Latino and African American high school students read and perform math on the same level as 13-year-old white students and trail their white peers by an average of 20 test points on math and…

Use of a constrained tripolar acetabular liner to treat intraoperative instability and postoperative dislocation after total hip arthroplasty: a review of our experience.

PubMed

Callaghan, John J; O'Rourke, Michael R; Goetz, Devon D; Lewallen, David G; Johnston, Richard C; Capello, William N

2004-12-01

Constrained acetabular components have been used to treat certain cases of intraoperative instability and postoperative dislocation after total hip arthroplasty. We report our experience with a tripolar constrained component used in these situations since 1988. The outcomes of the cases where this component was used were analyzed for component failure, component loosening, and osteolysis. At average 10-year followup, for cases treated for intraoperative instability (2 cases) or postoperative dislocation (4 cases), the component failure rate was 6% (6 of 101 hips in 5 patients). For cases where the constrained liner was cemented into a fixed cementless acetabular shell, the failure rate was 7% (2 of 31 hips in 2 patients) at 3.9-year average followup. Use of a constrained liner was not associated with an increased osteolysis or aseptic loosening rate. This tripolar constrained acetabular liner provided total hip arthroplasty construct stability in most cases in which it was used for intraoperative instability or postoperative dislocation.

Soil ingestion rates for children under 3 years old in Taiwan.

PubMed

Chien, Ling-Chu; Tsou, Ming-Chien; Hsi, Hsing-Cheng; Beamer, Paloma; Bradham, Karen; Hseu, Zeng-Yei; Jien, Shih-Hao; Jiang, Chuen-Bin; Dang, Winston; Özkaynak, Halûk

2017-01-01

Soil and dust ingestion rates by children are among the most critical exposure factors in determining risks to children from exposures to environmental contaminants in soil and dust. We believe this is the first published soil ingestion study for children in Taiwan using tracer element methodology. In this study, 66 children under 3 years of age were enrolled from Taiwan. Three days of fecal samples and a 24-h duplicate food sample were collected. The soil and household dust samples were also collected from children's homes. Soil ingestion rates were estimated based on silicon (Si) and titanium (Ti). The average soil ingestion rates were 9.6±19.2 mg/day based on Si as a tracer. The estimated soil ingestion rates based on Si did not have statistically significant differences by children's age and gender, although the average soil ingestion rates clearly increased as a function of children's age category. The estimated soil ingestion rates based on Si was significantly and positively correlated with the sum of indoor and outdoor hand-to-mouth frequency rates. The average soil ingestion rates based on Si were generally lower than the results from previous studies for the US children. Ti may not be a suitable tracer for estimating soil ingestion rates in Taiwan because the Ti dioxide is a common additive in food. To the best of our knowledge, this is the first study that investigated the correlations between soil ingestion rates and mouthing behaviors in Taiwan or other parts of Asia. It is also the first study that could compare available soil ingestion data from different countries and/or different cultures. The hand-to-mouth frequency and health habits are important to estimate the soil ingestion exposure for children. The results in this study are particularly important when assessing children's exposure and potential health risk from nearby contaminated soils in Taiwan.

Effect of daily noise exposure monitoring on annual rates of hearing loss in industrial workers

PubMed Central

Rabinowitz, Peter M; Galusha, Deron; Kirsche, Sharon R; Cullen, Mark R; Slade, Martin D; Dixon-Ernst, Christine

2013-01-01

Objectives Occupational noise-induced hearing loss (NIHL) is prevalent, yet evidence on the effectiveness of preventive interventions is lacking. The effectiveness of a new technology allowing workers to monitor daily at-ear noise exposure was analysed. Methods Workers in the hearing conservation program of an aluminium smelter were recruited because of accelerated rates of hearing loss. The intervention consisted of daily monitoring of at-ear noise exposure and regular feedback on exposures from supervisors. The annual rate of change in high frequency hearing average at 2, 3 and 4 KHz before intervention (2000–2004) and 4 years after intervention (2006–2009) was determined. Annual rates of loss were compared between 78 intervention subjects and 234 controls in other company smelters matched for age, gender and high frequency hearing threshold level in 2005. Results Individuals monitoring daily noise exposure experienced on average no further worsening of high frequency hearing (average rate of hearing change at 2, 3 and 4 KHz=–0.5 dB/year). Matched controls also showed decelerating hearing loss, the difference in rates between the two groups being significant (p<0.0001). Analysis of a subset of intervention subjects matched to controls for initial rate of hearing loss showed a similar trend but the difference was not statistically significant (p=0.06). Conclusion Monitoring daily occupational noise exposure inside hearing protection with ongoing administrative feedback apparently reduces the risk of occupational NIHL in industrial workers. Longer follow-up of these workers will help determine the significance of the intervention effect. Intervention studies for the prevention of NIHL need to include appropriate control groups. PMID:21193566

Slow but not low: genomic comparisons reveal slower evolutionary rate and higher dN/dS in conifers compared to angiosperms.

PubMed

Buschiazzo, Emmanuel; Ritland, Carol; Bohlmann, Jörg; Ritland, Kermit

2012-01-20

Comparative genomics can inform us about the processes of mutation and selection across diverse taxa. Among seed plants, gymnosperms have been lacking in genomic comparisons. Recent EST and full-length cDNA collections for two conifers, Sitka spruce (Picea sitchensis) and loblolly pine (Pinus taeda), together with full genome sequences for two angiosperms, Arabidopsis thaliana and poplar (Populus trichocarpa), offer an opportunity to infer the evolutionary processes underlying thousands of orthologous protein-coding genes in gymnosperms compared with an angiosperm orthologue set. Based upon pairwise comparisons of 3,723 spruce and pine orthologues, we found an average synonymous genetic distance (dS) of 0.191, and an average dN/dS ratio of 0.314. Using a fossil-established divergence time of 140 million years between spruce and pine, we extrapolated a nucleotide substitution rate of 0.68 × 10(-9) synonymous substitutions per site per year. When compared to angiosperms, this indicates a dramatically slower rate of nucleotide substitution rates in conifers: on average 15-fold. Coincidentally, we found a three-fold higher dN/dS for the spruce-pine lineage compared to the poplar-Arabidopsis lineage. This joint occurrence of a slower evolutionary rate in conifers with higher dN/dS, and possibly positive selection, showcases the uniqueness of conifer genome evolution. Our results are in line with documented reduced nucleotide diversity, conservative genome evolution and low rates of diversification in conifers on the one hand and numerous examples of local adaptation in conifers on the other hand. We propose that reduced levels of nucleotide mutation in large and long-lived conifer trees, coupled with large effective population size, were the main factors leading to slow substitution rates but retention of beneficial mutations.

Time trends and epidemiological patterns of perinatal lamb mortality in Norway.

PubMed

Holmøy, Ingrid Hunter; Waage, Steinar

2015-09-30

Perinatal mortality is a major cause of loss in the sheep industry. Our aim was to explore time trends in crude population stillbirth and neonatal mortality rates in Norway. We used data on 6,435,715 lambs from flocks enrolled in the Norwegian Sheep Recording System (NSRS) from 2000 through 2010 for descriptive analysis of trends. Longitudinal patterns of mortality rates were compared for lambs within different levels of variables suspected to be associated with perinatal loss. There was an approximately linear increase in the annual proportion of stillborn lambs during the study period, from 3.3 % in 2000 to 4.7 % in 2010. In the same time period, average litter size of ewes in NSRS flocks increased from 2.00 to 2.19. However, a steady rise in stillbirth rate was observed within each litter size group, suggesting a gradually increasing impact on stillbirth risk of other, yet unidentified, factors. Average flock size increased during the study period. The highest stillbirth rates were found in the largest and smallest flocks. Early neonatal mortality rates (0-5 days of life) varied from year to year (minimum 2.2 %, maximum 3.2 %) and were invariably higher among triplets and quadruplets than among singletons and twins. Annual fluctuations were parallel within the various litter sizes. A significant overall decreasing trend was present within all litter sizes with the exception of singletons. Weather data for the prime lambing months (April and May) 2000-2010 indicated a relationship between low temperatures and high neonatal mortality rates. At the flock level, there was a significant positive correlation between stillbirths and early neonatal mortality rates (r = 0.13), between stillbirth rates in two consecutive years (r = 0.43) and between early neonatal mortality rates in two consecutive years (r = 0.40). The substantial increase in ovine stillbirth rate in recent years in Norway was to some extent related to a corresponding increase in the proportion of lambs in triplet or larger litters; however, other factors apparently have contributed. Early neonatal mortality rate exhibited year-to-year variations, partly following temperature fluctuations, which is somewhat unexpected, considering that lambing mainly occurs indoors in Norway.

Dynamics of slow-moving landslides from permanent scatterer analysis.

PubMed

Hilley, George E; Bürgmann, Roland; Ferretti, Alessandro; Novali, Fabrizio; Rocca, Fabio

2004-06-25

High-resolution interferometric synthetic aperture radar (InSAR) permanent scatterer data allow us to resolve the rates and variations in the rates of slow-moving landslides. Satellite-to-ground distances (range changes) on landslides increase at rates of 5 to 7 millimeters per year, indicating average downslope sliding velocities from 27 to 38 millimeters per year. Time-series analysis shows that displacement occurs mainly during the high-precipitation season; during the 1997-1998 El Niño event, rates of range change increased to as much as 11 millimeters per year. The observed nonlinear relationship of creep and precipitation rates suggests that increased pore fluid pressures within the shallow subsurface may initiate and accelerate these features. Changes in the slope of a hill resulting from increases in the pore pressure and lithostatic stress gradients may then lead to landslides.

GIS development to monitor climate change and its geohydrological consequences on non-monsoon crop pattern in Himalaya

NASA Astrophysics Data System (ADS)

Rawat, Pradeep K.

2014-09-01

The main objective of the study was to assess climate change and its geohydrological impacts on non-monsoon crop pattern at watershed level through GIS development on climate informatics, land use informatics, hydro-informatics and agro-informatics. The Dabka watershed constitutes a part of the Kosi Basin in densely populated Lesser Himalaya, India in district Nainital has been selected for the case illustration. This reconnaissance study analyzed the climatic database for last three decades (1982-2012) and estimates that the average temperature and evaporation loss have been rising with the rate of 0.07 °C/yr and 4.03 mm/yr respectively whereas the average rainfall has been decreasing with the rate of 0.60 mm/yr. These rates of climate change increasing with mounting elevations. Consequently the existing microclimatic zones (sub-tropical, temperate and moist temperate) shifting towards higher altitudes and affecting the favorable conditions of the land use pattern and decreased the eco-friendly forest and vegetation cover. The land use degradation and high rate of deforestation (0.22 km2 or 1.5%/yr) leads to accelerate several hydrological problems during non-monsoon period (i.e. decreasing infiltration capacity of land surface, declining underground water level, drying up natural perennial springs and streams, decreasing irrigation water availability etc.). In order to that the non-monsoon crops yield has been decreasing with the rate of 0.60% each year as the results suggest that the average crop yield is just about 58 q/ha whereas twenty five to thirty year back it was recorded about 66 q/ha which is about 12% higher (8 q/ha) than existing yield. On the other hand the population increasing with the growth rate of 2% each year. Therefore, decreasing crop yield and increasing population raised food deficiency problem and the people adopting other occupations which ultimately affecting rural livelihood of the Himalaya.

Rural versus urban academic hospital mortality following stroke in Canada

PubMed Central

Turcotte, Stéphane; Légaré, France; Plant, Jeff; Poitras, Julien; Archambault, Patrick M.; Dupuis, Gilles

2018-01-01

Introduction Stroke is one of the leading causes of death in Canada. While stroke care has improved dramatically over the last decade, outcomes following stroke among patients treated in rural hospitals have not yet been reported in Canada. Objectives To describe variation in 30-day post-stroke in-hospital mortality rates between rural and urban academic hospitals in Canada. We also examined 24/7 in-hospital access to CT scanners and selected services in rural hospitals. Materials and methods We included Canadian Institute for Health Information (CIHI) data on adjusted 30-day in-hospital mortality following stroke from 2007 to 2011 for all acute care hospitals in Canada excluding Quebec and the Territories. We categorized rural hospitals as those located in rural small towns providing 24/7 emergency physician coverage with inpatient beds. Urban hospitals were academic centres designated as Level 1 or 2 trauma centres. We computed descriptive data on local access to a CT scanner and other services and compared mean 30-day adjusted post-stroke mortality rates for rural and urban hospitals to the overall Canadian rate. Results A total of 286 rural hospitals (3.4 million emergency department (ED) visits/year) and 24 urban hospitals (1.5 million ED visits/year) met inclusion criteria. From 2007 to 2011, 30-day in-hospital mortality rates following stroke were significantly higher in rural than in urban hospitals and higher than the Canadian average for every year except 2008 (rural average range = 18.26 to 21.04 and urban average range = 14.11 to 16.78). Only 11% of rural hospitals had a CT-scanner, 1% had MRI, 21% had in-hospital ICU, 94% had laboratory and 92% had basic x-ray facilities. Conclusion Rural hospitals in Canada had higher 30-day in-hospital mortality rates following stroke than urban academic hospitals and the Canadian average. Rural hospitals also have very limited local access to CT scanners and ICUs. These rural/urban discrepancies are cause for concern in the context of Canada’s universal health care system. PMID:29385173

Suicide rates in children aged 10-14 years worldwide: changes in the past two decades.

PubMed

Kõlves, Kairi; De Leo, Diego

2014-10-01

Limited research is focused on suicides in children aged below 15 years. To analyse worldwide suicide rates in children aged 10-14 years in two decades: 1990-1999 and 2000-2009. Suicide data for 81 countries or territories were retrieved from the World Health Organization Mortality Database, and population data from the World Bank data-set. In the past two decades the suicide rate per 100 000 in boys aged 10-14 years in 81 countries has shown a minor decline (from 1.61 to 1.52) whereas in girls it has shown a slight increase (from 0.85 to 0.94). Although the average rate has not changed significantly, rates have decreased in Europe and increased in South America. The suicide rates remain critical for boys in some former USSR republics. The changes may be related to economic recession and its impact on children from diverse cultural backgrounds, but may also be due to improvements in mortality registration in South America. Royal College of Psychiatrists.

Modeling 13C discrimination in Tree Rings

NASA Astrophysics Data System (ADS)

Berninger, Frank; Sonninen, Eloni; Aalto, Tuula; Lloyd, Jon

2000-03-01

Annual variations from 1877 to 1995 in tree-ring α-cellulose 13C/12C isotopic ratios for four subarctic Pinus sylvestris trees were determined, and, in conjunction with a recent record of atmospheric 13CO2/12CO2 ratios, the historical pattern of photosynthetic isotope discrimination, Δ13C, was evaluated. Year-to-year variability in Δ13C has been as much as 1.5‰ with the period 1900-1920 showing an extended period of unusually high photosynthetic discriminations. The summers during these years were, on average, unusually cold. Since 1920 a long term trend of increasing Δ13C of ˜0.016‰yr-1 is inferred. We compared measured Δ13C with those predicted on the basis of the theoretical relationship between Δ13C and the ratio of substomatal to ambient CO2 concentration, Ci/Ca using mechanistic equations for chloroplast biochemistry coupled with a stomatal conductance model. Two variations of a nonlinear optimal-regulation stomatal conductance model were compared. Although both models were based on the assumption that stomata serve to minimize the average transpiration rate for a given average rate of CO2 assimilation, one version of the model incorporated reductions in stomatal conductance in response to recent increases in atmospheric CO2 concentrations and the other did not. The CO2 sensitive stomatal model failed to describe the long-term increase in 13C discrimination, especially after 1950. The insensitive model gave good agreement, suggesting that an observed increase in subarctic Pinus sylvestris Δ13C since 1920 is attributable to recent increases in atmospheric CO2 concentrations with subsequent increases in the ratio of substomatal to ambient CO2 concentrations. The model was also capable of accounting for high frequency (year-to-year) variations in Δ13C, these differences being attributable to year-to-year fluctuations in the average leaf-to-air vapor pressure difference affecting stomatal conductance and hence Ci/Ca.

Impact of a Regional Pharmacy Call Center on Telephone Access Metrics Within the Veterans Health Administration.

PubMed

White, Christina A; Jones, Marshall R; Kuester, Melanie K; Myers, Kelly L; Schnarr, Barbara A

2015-05-01

To establish a cost-effective centralized pharmacy call center to serve the patients of Veterans Integrated Service Network (VISN) 11 that would meet established performance metrics. A pilot project began in August 2011 with the Indianapolis VA Medical Center (VAMC) and the Health Resource Center (HRC) in Topeka, Kansas. The Indianapolis VAMC used a first-call resolution business model consisting of pharmacy technicians receiving tier 1 phone calls that could be escalated to a tier 2 line that consisted of lead technicians and pharmacists, while the HRC utilized general telephone agents that would transfer unresolved calls to the primary facility. Pre- and post-VISN 11 Pharmacy Call Center performance metrics were compared for each of the 7 facilities in the network with the goals being monthly average abandoned call rate less than 5% and average speed to answer less than 30 seconds. Cost per call was also compared. The average abandoned call rate for the network during the year prior to VISN 11 Pharmacy Call Center implementation (August 2010-July 2011) was 15.66% and decreased to 3% in July 2014. The average abandoned call rate decreased for each individual facility. In fiscal year 2014, the VISN 11 Pharmacy Call Center was operating at a cost of $4.35 per call while providing more services than the HRC, resulting in less workload being transferred back to the individual facilities. A centralized VISN pharmacy call center is a reasonable alternative to individual facility call centers or the HRC.

Lateral unicompartmental knee arthroplasty through a lateral parapatellar approach has high early survivorship.

PubMed

Berend, Keith R; Kolczun, Michael C; George, Joseph W; Lombardi, Adolph V

2012-01-01

The literature suggests lateral unicompartmental knee arthroplasties are associated with low revision rates. However, there are fewer reports describing techniques for lateral unicompartmental arthroplasty and whether technique influences ROM and function compared to reports for medial unicompartmental arthroplasty. We report our indications for lateral unicompartmental arthroplasty, how we perform this procedure, and the subsequent Knee Society scores, ROM, and revision and reoperation rates. From a retrospective review of electronic records from 2004 through 2008, we identified 93 patients who had 100 lateral unicompartmental arthroplasties. Indications were complete lateral bone-on-bone arthrosis with a correctible deformity and maintenance of the medial joint space on varus stress radiographs or isolated lateral disease by diagnostic arthroscopy. Average age was 68 years. Seventy percent of patients were women. At followup, we obtained Knee Society scores and ROM. Minimum followup was 24 months (average, 39 months; range, 24-81 months). At followup, Knee Society scores averaged 46 for pain, 94 for clinical, and 89 for function, and ROM averaged 124°. Three patients had reoperations: one an open reduction and internal fixation for fracture at 2 years postoperatively, one an arthroscopy for a medial meniscal tear, and one a revision for pain. Based on our observations, we believe complete cartilage loss laterally and correctible deformity with maintenance of the medial joint on varus stress radiographs are reasonable indications for lateral unicompartmental arthroplasty. We recommend a lateral parapatellar approach can be utilized. The early reoperation and revision rates were low.

Upper Mississippi River System - Environmental Management Program Definite Project Report (R-4) with Integrated Environmental Assessment. Andalusia Refuge Rehabilitation and Enhancement. Pool 16, Upper Mississippi River, Rock Island County, Illinois. Technical Appendices

DTIC Science & Technology

1988-11-01

surface about 5 feet. A-2 * SEDIMENT CONDITIONS Historical records of past sedimentation rates are essentially nonexistent. A paper by J. Roger McHenry...dated March 1981 entitled "Recent Sedimentation Rates in Two Backwater Channel Lakes, Pool 14, Mississippi River" indicates widely varying deposition... rates , with an average of about 0.1 foot per year. Diversion of the upland drainage from the refuge area and the proposed levee with 2-year flood

Provocative Opinion: Elephantiasis of the Textbook.

ERIC Educational Resources Information Center

Kerber, Robert C.

1988-01-01

Addresses the growing size of college organic chemistry textbooks. Notes that at the current rate of growth, average textbooks will be 1544 pages long in year 2000. Suggests methods to reduce textbook size. (ML)

Your Child's Weight

MedlinePlus

... spurts in height and weight gain in both boys and girls. These changes continue for several years. The average ... with age. Different BMI charts are used for boys and girls because growth rate and the amount of body ...

[Health services utilization by the immigrant and native-born populations in the autonomous region of Murcia (Spain)].

PubMed

López Nicolás, Angel; Ramos Parreño, José María

2009-12-01

To analyze the patterns of utilisation for three types of public health services (outpatient specialist visits, emergency visits and hospitalisations) in the Comunidad Autónoma de la Región de Murcia. We examine the differences between the average rates of utilization of these services among natives and non-Spanish immigrants, and whether these differences are due to differences in demographic structure, or to different behaviour between these groups. We use econometric models for utilisation to exploit administrative records on health care utilisation and the well established Oaxaca decomposition method. This splits average rates of utilisation and/or average health expenditure into two components: the first one stands for the part of the difference that can be attributed to differential patterns of behaviour among the two groups; the second one represents the part of the difference in average expenditure that can be attributed to the fact that average demographic characteristics among both groups differ. The rates of use of outpatient specialist visits, emergencies and hospital nights by the native population are greater than the corresponding rates for the immigrant population. For individuals aged between 20 to 40 years old, the utilisation rates of African and Latin-American females are higher than those for native females. The average health expenditure of native males is greater than that of immigrants. The difference is mainly due to different demographic features among the native and immigrant populations, except for the group, whose individuals show a different behaviour. In fact, among the 20 to 40 age group, the average health expenditure of native females equals that of Latin-American women, which is in turn below that of African females. In this paper we show that the remarkable differences in the age-gender balance among different (in terms of nationality) groups of insured residents in Murcia has a considerable effect on consumption of health services and therefore on the average health care expenditure attributable to these groups.

An examination of the effectiveness of Handwriting Without Tears instruction.

PubMed

Roberts, Gwenyth I; Derkach-Ferguson, Alanna F; Siever, Jodi E; Rose, M Sarah

2014-04-01

Handwriting is an important childhood occupation, and implications of poor handwriting may have significant long-term effects. The purpose of this study was to determine the effectiveness of Handwriting Without Tears (HWT) on Grade I students' handwriting and perception of skills. A cross-over design was used. Repeated measures, at three points, included the Minnesota Handwriting Assessment (MHA) and performance rating scales. Eighty-three boys and 66 girls with an average age of 6.2 years participated in the study. Students receiving HWT achieved significantly higher improvements compared to students with teacher-designed instruction in MHA Total Test Score and in MHA components of form, size, space, and alignment (all p < .05). Students had higher average performance ratings when receiving HWT in the first half of the school year. Instruction using HWT improves students' perception and skill in handwriting performance.

Relative efficiency and productivity: a preliminary exploration of public hospitals in Beijing, China

PubMed Central

2014-01-01

Background Third-grade hospitals in Beijing have been rapidly developing in capacity and scale for many years. These hospitals receive a large number of patients, and ensuring their efficient operation is crucial in meeting people’s healthcare needs. In this context, a study of their relative efficiency and productivity would be helpful to identify the driving factors and further improve their performance. Methods After a review of literature, the current numbers of open beds and employees were selected as input variables. The number of outpatient and emergency visits and the number of discharged patients were selected as output variables. A total of 12 third-grade Class A general public hospitals in Beijing were selected for a preliminary study. The panel data from 2006–2009 were collected by the National Institute of Hospital Administration, Ministry of Health of P.R. China. Descriptive analysis and data envelopment analysis were used to analyze the data using Stata 10.0 and DEAP(V2.1) software. Results In the 2006–2009 period, descriptive results show that sample hospitals continuously expanded their capacity and scale, with growth rate of total revenue being the highest among all variables. The DEA results show that the average annual growth rate of productivity was 26.7%, and the rates were 47.3%, 21.3% and 13.8% respectively for two consecutive years. The average annual growth rate of technological change was 28.3%, and the rates were 49.4%, 21.5% and 16.4% respectively for two consecutive years. The average annual growth rate of technical efficiency change was -1.3%, and the rates were -1.4%, -0.02% and -2.2% respectively for two consecutive years. Conclusions The sample hospitals in Beijing experienced substantial productivity growth, but annual growth rates were declining. Substantial technological change was the main contributor to the growth. Although some hospitals exhibited improvements in technical efficiency, there was a slight decline in general. To improve overall efficiency and productivity, both government and hospitals need to further drive positive technological change, technical change, and allocative efficiency of public hospitals. More empirical studies are needed to include more hospitals of all three grades at a larger scale. PMID:24708701

The Unrecognized Burden of Influenza in Young Kenyan Children, 2008-2012

PubMed Central

McMorrow, Meredith L.; Emukule, Gideon O.; Njuguna, Henry N.; Bigogo, Godfrey; Montgomery, Joel M.; Nyawanda, Bryan; Audi, Allan; Breiman, Robert F.; Katz, Mark A.; Cosmas, Leonard; Waiboci, Lilian W.; Duque, Jazmin; Widdowson, Marc-Alain; Mott, Joshua A.

2015-01-01

Influenza-associated disease burden among children in tropical sub-Saharan Africa is not well established, particularly outside of the 2009 pandemic period. We estimated the burden of influenza in children aged 0–4 years through population-based surveillance for influenza-like illness (ILI) and acute lower respiratory tract illness (ALRI). Household members meeting ILI or ALRI case definitions were referred to health facilities for evaluation and collection of nasopharyngeal and oropharyngeal swabs for influenza testing by real-time reverse transcription polymerase chain reaction. Estimates were adjusted for health-seeking behavior and those with ILI and ALRI who were not tested. During 2008–2012, there were 9,652 person-years of surveillance among children aged 0–4 years. The average adjusted rate of influenza-associated hospitalization was 4.3 (95% CI 3.0–6.0) per 1,000 person-years in children aged 0–4 years. Hospitalization rates were highest in the 0–5 month and 6–23 month age groups, at 7.6 (95% CI 3.2–18.2) and 8.4 (95% CI 5.4–13.0) per 1,000 person-years, respectively. The average adjusted rate of influenza-associated medically attended (inpatient or outpatient) ALRI in children aged 0–4 years was 17.4 (95% CI 14.2–19.7) per 1,000 person-years. Few children who had severe laboratory-confirmed influenza were clinically diagnosed with influenza by the treating clinician in the inpatient (0/33, 0%) or outpatient (1/109, 0.9%) settings. Influenza-associated hospitalization rates from 2008–2012 were 5–10 times higher than contemporaneous U.S. estimates. Many children with danger signs were not hospitalized; thus, influenza-associated severe disease rates in Kenyan children are likely higher than hospital-based estimates suggest. PMID:26379030

Prospective long-term follow-up of the cementless bicontact hip stem with plasmapore coating.

PubMed

Ochs, U; Eingartner, C; Volkmann, R; Ochs, B G; Huber, C; Weller, S; Weise, K

2007-01-01

A prospective long-term study of the first 250 cementless Bicontact stems implanted in the BG Trauma Centre, Tuebingen, Germany. All of the patients in this series (treatment period June 1987 to April 1990) who were still contactable were invited for clinical and radiological follow-up. The radiographs were analysed for signs of loosening in the form of Gruen lysis zones, stress shielding, subsidence behaviour, heterotopic ossification and spot welds. The average follow-up period was 17.8 (16.7 - 19.5) years. The overall rate of follow-up was 65 % (162 of 250) and 91 % of patients who were still alive (162 of 179). The average patient age was 56.2 years at the time of operation and 74.0 years at follow-up. The average HHS was 81.6 points. In the course of the first 10 years (up to 03/1998), a total of 8 stem revisions had to be performed. In the period from 03/1998 to 01/2007, 2 cases of loosening requiring revision occurred in the patients still alive at the time of follow-up. The survival rate calculated was thus 95.6 %. These outstanding results provide enduring support for the philosophy of the cementless and bone-preserving fixation principles underlying the Bicontact hip stem with proximal intertrochanteric transmission of forces and high primary rotational stability.

National Hospital Input Price Index

PubMed Central

Freeland, Mark S.; Anderson, Gerard; Schendler, Carol Ellen

1979-01-01

The national community hospital input price index presented here isolates the effects of prices of goods and services required to produce hospital care and measures the average percent change in prices for a fixed market basket of hospital inputs. Using the methodology described in this article, weights for various expenditure categories were estimated and proxy price variables associated with each were selected. The index is calculated for the historical period 1970 through 1978 and forecast for 1979 through 1981. During the historical period, the input price index increased an average of 8.0 percent a year, compared with an average rate of increase of 6.6 percent for overall consumer prices. For the period 1979 through 1981, the average annual increase is forecast at between 8.5 and 9.0 percent. Using the index to deflate growth in expenses, the level of real growth in expenditures per inpatient day (net service intensity growth) averaged 4.5 percent per year with considerable annual variation related to government and hospital industry policies. PMID:10309052

National hospital input price index.

PubMed

Freeland, M S; Anderson, G; Schendler, C E

1979-01-01

The national community hospital input price index presented here isolates the effects of prices of goods and services required to produce hospital care and measures the average percent change in prices for a fixed market basket of hospital inputs. Using the methodology described in this article, weights for various expenditure categories were estimated and proxy price variables associated with each were selected. The index is calculated for the historical period 1970 through 1978 and forecast for 1979 through 1981. During the historical period, the input price index increased an average of 8.0 percent a year, compared with an average rate of increase of 6.6 percent for overall consumer prices. For the period 1979 through 1981, the average annual increase is forecast at between 8.5 and 9.0 per cent. Using the index to deflate growth in expenses, the level of real growth in expenditures per inpatient day (net service intensity growth) averaged 4.5 percent per year with considerable annual variation related to government and hospital industry policies.

Faster poleward range shifts in moths with more variable colour patterns

PubMed Central

Forsman, Anders; Betzholtz, Per-Eric; Franzén, Markus

2016-01-01

Range shifts have been documented in many organisms, and climate change has been implicated as a contributing driver of latitudinal and altitudinal range modifications. However, little is known about what species trait(s) allow for faster environmental tracking and improved capacity for distribution expansions. We used data for 416 species of moths, and show that range limits in Sweden have shifted to the north by on average 52.4 km per decade between 1973 and 2014. When also including non-expanding species, average expansion rate was 23.2 km per decade. The rate of boundary shifts increased with increasing levels of inter-individual variation in colour patterns and decreased with increasing latitude. The association with colour patterns indicate that variation in this functionally important trait enables species to cope with novel and changing conditions. Northern range limits also increased with average abundance and decreased with increasing year-to-year abundance fluctuations, implicating production of dispersers as a driver of range dynamics. Studies of terrestrial animals show that rates of poleward shifts differ between taxonomic groups, increase over time, and depend on study duration and latitude. Knowledge of how distribution shifts change with time, location, and species characteristics may improve projections of responses to climate change and aid the protection of biodiversity. PMID:27808116

Faster poleward range shifts in moths with more variable colour patterns

NASA Astrophysics Data System (ADS)

Forsman, Anders; Betzholtz, Per-Eric; Franzén, Markus

2016-11-01

Range shifts have been documented in many organisms, and climate change has been implicated as a contributing driver of latitudinal and altitudinal range modifications. However, little is known about what species trait(s) allow for faster environmental tracking and improved capacity for distribution expansions. We used data for 416 species of moths, and show that range limits in Sweden have shifted to the north by on average 52.4 km per decade between 1973 and 2014. When also including non-expanding species, average expansion rate was 23.2 km per decade. The rate of boundary shifts increased with increasing levels of inter-individual variation in colour patterns and decreased with increasing latitude. The association with colour patterns indicate that variation in this functionally important trait enables species to cope with novel and changing conditions. Northern range limits also increased with average abundance and decreased with increasing year-to-year abundance fluctuations, implicating production of dispersers as a driver of range dynamics. Studies of terrestrial animals show that rates of poleward shifts differ between taxonomic groups, increase over time, and depend on study duration and latitude. Knowledge of how distribution shifts change with time, location, and species characteristics may improve projections of responses to climate change and aid the protection of biodiversity.

Progression of scoliosis in patients with spastic quadriplegia after the insertion of an intrathecal baclofen pump.

PubMed

Ginsburg, Glen M; Lauder, Anthony J

2007-11-15

Medical and radiographic review of 19 consecutive patients with spastic quadriplegia before and after intrathecal baclofen pump insertion with special attention paid to progression of scoliosis. Many orthopedic surgeons who treat spastic quadriplegic patients have noticed a trend of marked scoliosis progression after the administration of intrathecal baclofen (ITB) via subcutaneous pump and catheter. The purpose of this study is to quantify scoliosis progression in this patient population before and after baclofen administration and compare this to published natural history data. The authors had noted rapid progression of scoliosis in spastic quadriplegic patients after intrathecal baclofen pump insertion. This had been noted at other centers, but no significant statistical analysis had been done comparing prepump to postpump scoliosis progression in these patients. To document the magnitude and rate of scoliosis progressions after the placement of an ITB pump, the charts and radiographs of 19 consecutive nonambulatory patients with spastic quadriplegia and an ITB pump were reviewed. To document the rate of scoliosis progression, each patient had at least 2 pre and 2 postpump insertion spinal radiographs made. All radiographs were made with the patients in the supine position without orthoses. A board-certified orthopedic surgeon reviewed these radiographs. Skeletal maturity was assessed using Risser grading. Catheter tip location and rate of baclofen administration were recorded. For 19 patients with complete radiographic data, average Cobb angles were 10.2 degrees before pump insertion and 25 degrees at an average of 20.9 months after pump insertion (P < 0.0001). These 19 patients had a mean rate of change in their Cobb angles of 1.825%/year before pump insertion and 10.95 degrees /year at an average of 23.9 months after pump insertion (P = 0.024). These results represent a 6-fold increase in the curve progression rate after pump insertion. There was no association between catheter tip location or rate of Baclofen infusion on curve progression. In published data, the rate of progression of scoliosis in skeletally immature nonambulatory patients with cerebral palsy was 4.5 degrees /year. In this study, the average rate of progression of the scoliosis for the immature was 9.02 degrees /year. For the skeletally mature bed-ridden patients, the worst-case natural history progression was 4.4 degrees /year. The comparable rate of change in skeletally mature (Risser 5) nonambulatory patients (n = 6) in this study was 28.4 degrees /year. This study demonstrates a significant increase in the rate of scoliotic curve progression after ITB pump placement when compared with published natural history data. The evidence of the beneficial effects of ITB on spasticity has been confirmed, and as larger, prospective randomized studies are conducted, the authors think that support for continued use of this treatment will increase. However, early bracing and spinal fusion may be warranted to prevent significant increases in spinal deformity if scoliosis is anticipated to progress more than 10 degrees /yr for patients with spastic quadriplegia and ITB pump. The authors are now performing spinal fusions for curves that exceed 40 degrees to 50 degrees in the presence of an ITB pump as recommended by previous reviews of scoliosis and accompanying quadriplegia.

Books Average Previous Decade of Economic Misery

PubMed Central

Bentley, R. Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

2014-01-01

For the 20th century since the Depression, we find a strong correlation between a ‘literary misery index’ derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade. PMID:24416159

Atmospheric emissions and trends of nitrous oxide deduced from 10 years of ALE-GAGE data

NASA Technical Reports Server (NTRS)

Prinn, R.; Cunnold, D.; Alyea, F.; Rasmussen, R.; Simmonds, P.

1990-01-01

Long-term measurements of nitrous oxide (N2O) obtained during the Atmospheric Lifetime Experiment (ALE) and the Global Atmospheric Gases Experiment (GAGE) for a period from 1978 to 1988 are presented and interpreted. It is observed that the average concentration in the Northern Hemisphere is 0.75 +/- 0.16 ppbv higher than in the Southern Hemisphere and that the global average linear trend in N2O lies in the range from 0.25 to 0.31 percent/year. The measured trends and latitudinal distributions are shown to be consistent with the hypothesis that stratospheric photodissociation is the major atmospheric sink for N2O, while the cause of the N2O trend is suggested to be a combination of a growing tropical source and a growing Northern mid-latitude source. A 10-year average global N2O emission rate of (20.5 +/- 2.4) x 10 to the 12th g N2O/year is deduced from the ALE/GAGE data.

The Seasonal and Interannual Variability of the Budgets of N2O and CCl3F

NASA Technical Reports Server (NTRS)

Wong, Sun; Prather, Michael J.; Rind, David H.

1999-01-01

The 6-year wind archives from the Goddard Institute for Space Studies/Global Climate-Middle Atmosphere Model (GISS/GCMAM) were in- put to the GISS/Harvard/Irvine Chemical Transport Model (G/H/I CTM) to study the seasonal and interannual variability of the budgets and distributions of nitrous oxide (N2O) and trichlorofluoromethane (CCl3F), with the corresponding chemical loss frequencies recycled and boundary conditions kept unchanged from year to year. The effects of ozone feedback and quasi-biennial oscillation (QBO) were not included. However, the role of circulation variation in driving the lifetime variability is investigated. It was found that the global loss rates of these tracers are related to the extratropical planetary wave activity, which drives the tropical upward mass flux. For N2O, a semiannual signal in the loss rate variation is associated with the interhemispheric asymmetry in the upper stratospheric wave activity. For CCl3F, the semiannual signal is weaker, associated with the comparatively uniform wave episodes in the lower stratosphere. The loss rates lag behind the wave activity by about 1-2 months. The interannual variation of the GCM generated winds drives the interannual variation of the annually averaged lifetime. The year-to-year variations of the annually averaged lifetimes can be about 3% for N2O and 4% for CCl3F.

Six-year follow-up on work force and finances of the United States anesthesiology training programs: 2000 to 2006.

PubMed

Kheterpal, Sachin; Tremper, Kevin K; Shanks, Amy; Morris, Michelle

2009-01-01

In the mid 1990s, interest in the field of anesthesiology decreased significantly among medical students, resulting in a decreasing resident class size and, subsequently, fewer anesthesiologists entering the United States workforce. This apparent practitioner shortage was associated with increased salary demands, which placed anesthesiology training departments in financial jeopardy. Starting in 1999, a survey was sent to the department chairs of the United States anesthesiology training programs to assess the status of faculty and finances of their departments. Follow-up surveys have been conducted each year thereafter. We present the results of the 2006 survey and 7 yr trend data. Surveys were distributed by e-mail in September 2006 to anesthesiology department chairs of the United States training programs. The responses were received by e-mail. Descriptive statistics were performed on responder data. In addition, a linear regression model to predict institutional support was developed. One-hundred-eighteen departments were surveyed with a response rate of 61%. There were an average of 4 open faculty positions in the 71% of the departments reporting open faculty positions. This would imply an overall 5% open position rate, down from 10% in 2000. Of the 96% of departments who employ certified registered nurse anesthetists, 70% had an average of 4 open positions, or approximately 11% shortage. The average department received $5,500,000 in total institutional support annually ($120,000/faculty). When the portion of this support provided for certified registered nurse anesthetists was removed, the average amount received was $4,600,000 or $100,000/faculty. This is a 10% increase over the previous year and an approximate 300% increase over the year 2000. Faculty academic time averaged 18% (where 20% is 1 day per week). The departments billed an average of 12,200 U/faculty/year. The average anesthesia unit value collected was $31/unit, while departments would require $46/unit to meet expenses. In a linear regression model, clinical revenue per unit billed minus expenses per unit billed predicted faculty support per full-time equivalent. This current survey reveals a continuing need for institutional support to keep anesthesiology training departments financially solvent. The amount of support is associated with the reimbursement for anesthesia work. There is also a continuing, but decreasing, number of open faculty anesthesiologist positions nationwide.

Anatomically Contoured Anterior Plating for Isolated Tibiotalar Arthrodesis: A Systematic Review.

PubMed

Kusnezov, Nicholas; Dunn, John C; Koehler, Logan R; Orr, Justin D

2017-08-01

We performed a systematic review of the published literature to characterize patient demographic, surgical techniques, and functional outcomes to elucidate the complication and revision rates following isolated tibiotalar arthrodesis with anatomically contoured anterior plating. A comprehensive literature search was performed. Inclusion criteria were peer-reviewed studies in English, after 1990, at least 10 patients, and reporting clinical outcomes following contoured anterior plating and with follow-up of at least 80% and 1 year. Primary outcomes were fusion rate, time to fusion, return to activities, satisfaction, and functional outcome scores. Complication rates, reoperation, and revision were also extracted. Eight primary studies with 164 patients met the inclusion criteria. The average sample size was 21 ± 10.0 patients and average age was 49.2 years with 61.6% male. Posttraumatic arthritis (49.4%) was the most common operative indication, followed by primary osteoarthrosis (18.9%). The average follow-up was 21.1 months. At this time, 97.6% of patients went on to uneventful union at a weighted average time of 18.7 weeks postoperatively. AOFAS scores improved significantly ( P < .05). 25% complication rate was reported with wound complication (7.9%) and hardware irritation (6.7%) most common. Overall, 21.3% of patients underwent reoperation; 4 for revision arthrodesis following nonunion. Isolated tibiotalar arthrodesis utilizing anatomically contoured anterior plating demonstrates excellent clinical and functional outcomes at short-term follow-up. Overall, 97.6% of patients went on to fusion and functional outcomes consistently improved following surgery. Furthermore, while one-quarter of patients experienced complications, wound complications were relatively uncommon and less than one-quarter of these required surgical intervention. Level IV: Systematic Review.

Satellite Investigation of Atmospheric Metal Deposition During Meteor Showers

NASA Astrophysics Data System (ADS)

Correira, J.; Aikin, A. C.; Grebowsky, J. M.

2008-12-01

Using the nadir-viewing Global Ozone Measuring Experiment (GOME) UV/VIS spectrometer on the ERS-2 satellite, we investigate short term variations in the magnesium column densities and any connection to possible enhanced mass deposition during a meteor shower. We derive a time dependent mass flux rate due to meteor showers using published estimates of mass density and activity profiles of meteor showers. An average daily mass flux rate is also calculated and used as a baseline against which calculated shower mass flux rates are compared. These theoretical mass flux rates are then compared with GOME derived metal column densities from the years 1996 - 2001.There appears to be little correlation between theoretical mass flux rates and changes in the Mg and Mg+ metal column densities. A possible explanation for the lack of a shower related increase in metal concentrations may be differences in the mass regimes dominating the average background mass flux and shower mass flux.

West Asia - a demographic profile.

PubMed

1980-01-01

The average rate of population growth in the Arab region is about 3% per year, and fertility rates are high. The population aged 15 years or under accounts for 48% of the total population in most countries. The rate of economically active population is very low, ranging from 22% to 32% of the total. Infant mortality rates range from 60/1000 to 200/1000. Illiteracy rates average around 47% of the total number of males aged 15 and above, and exceeded 70% among women. Special attention is being given girls' education. The proportion of girls aged 6-24 enrolled at various educational levels rose from about 14.3% in 1960 to about 25% in 1975. Female illiteracy rates in Arab countries are among the highest in the world. Negative attitudes toward working women continue to be the major obstacle and contributes to high fertility. Demographic profiles are given for Kuwait, Qatar, Yemen, and United Arab Emirates. In the United Arab Emirates the most prominent feature of the age-sex structure is the relatively large number of males between the ages of 20 and 40. The total fertility rate and the gross reproduction rate for the entire population in 1975 were estimated to be about 5.9 and 2.9 respectively. Between 1968 and 1975 the population of the United Arab Emirates grew from 180,226 to 557,887, yielding an annual growth of 14.6%.

[Short-term curative effects of Tantalum rod treatment in early avascular necrosis].

PubMed

Ye, Fu-Sheng; Ni, Zhe-Ji; Chu, Xiao-Bing; He, Bang-Jian; Li, Ju; Tong, Pei-Jian

2013-08-01

To explore the recent clinical curative effect of Tantalum rod in treating the early avascular necrosis. From January 2008 to November 2008, the 25 patients (39 hips) with early avascular necrosis accepted tantalum rod placement and included 9 males (11 hips) and 16 females (28 hips) with an average age of 37 years old ranging from 18 to 74 years old. Four patients (6 hips) caused by Alcoholic, 6 patients (8 hips) by hormone, 2 cases (2 hips) by traumatic, 13 cases (23 hips) by idiopathic. Steinberg preoperative stage involved 7 hips in period I, 24 hips in period II, 8 hips in period III. Curative effect analysis included preoperative and postoperative Harris score, radiographic changes and hip replacement for follow-up to accept the end of the femoral head survival rate. All patients were followed up for 6 to 47 months (averaged 37.4 months). All 12 hips imaging appeard progress,including tantalum rod exit in 1 hip, hip hemiarthroplasty collapse in 3 hips, the area increased to avascular necrosis in 8 hips. Six hips accepted total hip replacement, including imaging progress in 5 hips (41.7%, 5/12), no imaging progress in 1 hip (3.7%,1/27). All hips' Kaplan-Meier survival curves showed 6-month survival rate was (97.4 +/- 2.5)% after tantalum stick insertion, 1-year survival rate was (94.7 +/- 3.6), and 2-year survival rate was (88.6 +/- 5.4)%, 3-year survival rate was (72.5 +/- 11.2). It is effective for treatment of avascular necrosis of femoral head in Steinberg I and II by Tantalum rod, and it can effectively relieve femoral head replacement time.

[Efficacy and costs of ovarian cancer therapy in Poland--regional approach].

PubMed

Kozierkiewicz, Adam; Jach, Robert; Basta, Tomasz; Śliwczyński, Andrzej; Tomczyk, Rita; Jędrzejczyk, Tadeusz

2015-08-01

Ovarian cancer (OC) affects over 3 000 women in Poland annually The efficacy of the therapy remains relatively low due to challenges of systematic improvement in the early detection OC rates. International comparisons indicate a positive correlation between health expenditures and 5-year survival rates of cancer patients. To the best of our knowledge, our study has been the first to present a correlation between the 5-year survival rates (SRs) and the cost of ovarian cancer therapy in particular regions of Poland. The study was based on the National Health Fund (NHF) data, available in the Disease Treatment Registry The analysis included approximately 13,000 OC patients who started their treatment between 2005 and 2008 to allow for the evaluation of long-term therapy results. The 5-year survival rates were analyzed in relation to average NHF expenditures in various regions of Poland, distinguishing the population of patients aged 45-64 years. The 5-year survival rate in the cohorts diagnosed in 2005 and 2008 changed marginally from 42% to 43%, maintaining relatively large differences between the regions (from 35% to 53% in patients diagnosed in 2008). The NHF expenditures in particular regions differed significantly: mean cost for the entire treatment cycle ranged from 31.600 PLN do 58.000 PLNperperson among patients diagnosed in 2008. No significant correlation between the survival and the cost was found. SRs of OC patients in particular regions of Poland are not correlated with average treatment cost. Thus, the differences in SRs between various regions of Poland have their source in other factors, e.g., clinical stage at diagnosis, or prevailing treatment patterns in the given region. Further studies may decrease regional discrepancies in patient care and SRs in OC subjects.

Contribution of population growth to per capita income and sectoral output growth in Japan, 1880-1970.

PubMed

Yamaguchi, M; Kennedy, G

1984-09-01

The authors measured the positive and negative contributions of population and labor force growth to the growth of per capita income and sectoral output in Japan in the 1880-1970 period. A 2-sector growth accounting model that treats population and labor growth as separate variables was used. 3 alternative methods were used: the Residual method, the Verdoorn method, and the factor augmenting rate method. The total contribution of population cum labor growth to per capita income growth tended to be negative in the 1880-1930 period and positive in the 1930-40 and 1950-70. Over the 1880-1970 period as a whole, population cum labor growth made a positive contribution to per capita income growth under the Residual method (0.35%/year), the factor augmenting rate method (0.29%/year), and the Verdoorn method (0.01%/year). In addition, population cum labor growth contributed positively to sectoral output growth. The average contribution to agricultural output growth ranged from 1.03% (Verdoorn) - 1.46%/year (factor augmenting rate), while the average contribution to nonagricultural output growth ranged from 1.22% (Verdoorn) - 1.60%/year (Residual). Although these results are dependent on the model used, the fact that all 3 methods yielded consistent results suggests that population cum labor growth did make a positive contribution to per capita income and sectoral output growth in Japan. These findings imply that in economies where the rate of technical change in agricultural and nonagricultural sectors exceeds population growth, policies that reduce agricultural elasticities may be preferable; on the other hand, policies that reduce agricultural elasticities are to be avoided in economies with low rates of technical change. Moreover, in the early stages of economic development, policies that increase agricultural income and price elasticities should be considered.

Nationwide cohort study on the epidemiology and survival outcomes of thyroid cancer

PubMed Central

Liu, Fu-Chao; Lin, Huan-Tang; Lin, Shu-Fu; Kuo, Chang-Fu; Chung, Ting-Ting; Yu, Huang-Ping

2017-01-01

In the past three decades, the thyroid cancer incidence has surged globally. Herein, the Taiwan National Health Insurance database was used to identify thyroid cancer patients and to estimate the prevalence and incidence of thyroid cancer during 1997-2012. The Taiwan Cancer Registry and the National Death Registry databases were crosslinked to obtain information on the histological subtypes and survival rates. Joinpoint regression analysis was used for estimating the average annual percentage changes (APCs) in prevalence, incidence, and survival. The age-standardized incidence of thyroid cancer increased from 5.66 per 100,000 person-years in 1997 to 12.30 per 100,000 person-years in 2012, with an average APC of 5.1 (6.9 in males, 4.6 in females). Thyroid cancer was more prevalent in patients with high socioeconomic status and in urban areas. Papillary carcinoma was the most abundant subtype, with a 2.9-fold increase of incident cases noted during 1998-2012 (from 80.6% to 89.8% of all cases). Among the different treatments, partial thyroidectomy increased the most (average APC, 17.3). The overall survival rates by sex and subtype remained stable over time, with 5-year survival rates of 90.2% in 1997 and 92.4% in 2010. In conclusion, 2.2- and 4.2-fold increases in the incidence and prevalence of thyroid cancer, respectively, were observed during 1997-2012 in Taiwan. The surging incidence of thyroid cancer but stable survival rates, and mainly increased in the papillary subtype, altogether imply enhanced detection of subclinical lesions. A true increase due to environmental carcinogens might also be responsible, but warrant further investigations. PMID:29108240

Incidence Rates of Clinical Mastitis among Canadian Holsteins Classified as High, Average, or Low Immune Responders

PubMed Central

Miglior, Filippo; Mallard, Bonnie A.

2013-01-01

The objective of this study was to compare the incidence rate of clinical mastitis (IRCM) between cows classified as high, average, or low for antibody-mediated immune responses (AMIR) and cell-mediated immune responses (CMIR). In collaboration with the Canadian Bovine Mastitis Research Network, 458 lactating Holsteins from 41 herds were immunized with a type 1 and a type 2 test antigen to stimulate adaptive immune responses. A delayed-type hypersensitivity test to the type 1 test antigen was used as an indicator of CMIR, and serum antibody of the IgG1 isotype to the type 2 test antigen was used for AMIR determination. By using estimated breeding values for these traits, cows were classified as high, average, or low responders. The IRCM was calculated as the number of cases of mastitis experienced over the total time at risk throughout the 2-year study period. High-AMIR cows had an IRCM of 17.1 cases per 100 cow-years, which was significantly lower than average and low responders, with 27.9 and 30.7 cases per 100 cow-years, respectively. Low-AMIR cows tended to have the most severe mastitis. No differences in the IRCM were noted when cows were classified based on CMIR, likely due to the extracellular nature of mastitis-causing pathogens. The results of this study demonstrate the desirability of breeding dairy cattle for enhanced immune responses to decrease the incidence and severity of mastitis in the Canadian dairy industry. PMID:23175290

Incidence rates of clinical mastitis among Canadian Holsteins classified as high, average, or low immune responders.

PubMed

Thompson-Crispi, Kathleen A; Miglior, Filippo; Mallard, Bonnie A

2013-01-01

The objective of this study was to compare the incidence rate of clinical mastitis (IRCM) between cows classified as high, average, or low for antibody-mediated immune responses (AMIR) and cell-mediated immune responses (CMIR). In collaboration with the Canadian Bovine Mastitis Research Network, 458 lactating Holsteins from 41 herds were immunized with a type 1 and a type 2 test antigen to stimulate adaptive immune responses. A delayed-type hypersensitivity test to the type 1 test antigen was used as an indicator of CMIR, and serum antibody of the IgG1 isotype to the type 2 test antigen was used for AMIR determination. By using estimated breeding values for these traits, cows were classified as high, average, or low responders. The IRCM was calculated as the number of cases of mastitis experienced over the total time at risk throughout the 2-year study period. High-AMIR cows had an IRCM of 17.1 cases per 100 cow-years, which was significantly lower than average and low responders, with 27.9 and 30.7 cases per 100 cow-years, respectively. Low-AMIR cows tended to have the most severe mastitis. No differences in the IRCM were noted when cows were classified based on CMIR, likely due to the extracellular nature of mastitis-causing pathogens. The results of this study demonstrate the desirability of breeding dairy cattle for enhanced immune responses to decrease the incidence and severity of mastitis in the Canadian dairy industry.

Otolith analysis of pre-restoration habitat use by Chinook salmon in the delta-flats and nearshore regions of the Nisqually River Estuary

USGS Publications Warehouse

Lind-Null, Angie; Larsen, Kim

2010-01-01

The Nisqually Fall Chinook population is one of 27 salmon stocks in the Puget Sound (Washington) evolutionarily significant unit listed as threatened under the federal Endangered Species Act (ESA). Extensive restoration of the Nisqually River delta ecosystem is currently taking place to assist in recovery of the stock as juvenile Fall Chinook salmon are dependent on the estuary. A pre-restoration baseline that includes the characterization of life history strategies, estuary residence times, growth rates, and habitat use is needed to evaluate the potential response of hatchery and natural origin Chinook salmon to restoration efforts and to determine restoration success. Otolith analysis was selected as a tool to examine Chinook salmon life history, growth, and residence in the Nisqually River estuary. Previously funded work on samples collected in 2004 (marked and unmarked) and 2005 (unmarked only) partially established a juvenile baseline on growth rates and length of residence associated with various habitats (freshwater, forested riverine tidal, emergent forested transition, estuarine emergent marsh, delta-flats and nearshore). However, residence times and growth rates for the delta-flats (DF) and nearshore (NS) habitats have been minimally documented due to small sample sizes. The purpose of the current study is to incorporate otolith microstructural analysis using otoliths from fish collected within the DF and NS habitats during sampling years 2004-08 to increase sample size and further evaluate between-year variation in otolith microstructure. Our results from this analysis indicated the delta-flats check (DFCK) on unmarked and marked Chinook samples in 2005-08 varied slightly in appearance from that seen on samples previously analyzed only from 2004. A fry migrant life history was observed on otoliths of unmarked Chinook collected in 2005, 2007, and 2008. Generally, freshwater mean increment width of unmarked fish, on average, was smaller compared to marked Chinook followed by tidal delta and DF/NS portions respectively. On average, the complete tidal delta growth rate was higher for marked Chinook compared to unmarked Chinook. The DF/NS growth rate was highest for unmarked and marked Chinook during 2008 compared to all other sampling years. The average DF/NS growth rate on unmarked Chinook was consistently lower than marked Chinook during all years; however, sample sizes were small during some years. Unmarked Chinook, on average, spent longer in the tidal delta compared to marked Chinook. Our results from this report suggest that otolith microstructural analysis can be a valuable tool in establishing baseline information on the utilization of Nisqually River estuary habitats by juvenile Chinook salmon prior to the newly funded restoration efforts.

Effects of water-management alternatives on streamflow in the Ipswich River basin, Massachusetts

USGS Publications Warehouse

Zarriello, Philip J.

2001-01-01

Management alternatives that could help mitigate the effects of water withdrawals on streamflow in the Ipswich River Basin were evaluated by simulation with a calibrated Hydrologic Simulation Program--Fortran (HSPF) model. The effects of management alternatives on streamflow were simulated for a 35-year period (196195). Most alternatives examined increased low flows compared to the base simulation of average 1989-93 withdrawals. Only the simulation of no septic-effluent inflow, and the simulation of a 20-percent increase in withdrawals, further lowered flows or caused the river to stop flowing for longer periods of time than the simulation of average 198993 withdrawals. Simulations of reduced seasonal withdrawals by 20 percent, and by 50 percent, resulted in a modest increase in low flow in a critical habitat reach (model reach 8 near the Reading town well field); log-Pearson Type III analysis of simulated daily-mean flow indicated that under these reduced withdrawals, model reach 8 would stop flowing for a period of seven consecutive days about every other year, whereas under average 198993 withdrawals this reach would stop flowing for a seven consecutive day period almost every year. Simulations of no seasonal withdrawals, and simulations that stopped streamflow depletion when flow in model reach 19 was below 22 cubic feet per second, indicated flow would be maintained in model reach 8 at all times. Simulations indicated wastewater-return flows would augment low flow in proportion to the rate of return flow. Simulations of a 1.5 million gallons per day return flow rate indicated model reach 8 would stop flowing for a period of seven consecutive days about once every 5 years; simulated return flow rates of 1.1 million gallons per day indicated that model reach 8 would stop flowing for a period of seven consecutive days about every other year. Simulation of reduced seasonal withdrawals, combined with no septic effluent return flow, indicated only a slight increase in low flow compared to low flows simulated under average 198993 withdrawals. Simulation of reduced seasonal withdrawal, combined with 2.6 million gallons per day wastewater-return flows, provided more flow in model reach 8 than that simulated under no withdrawals.

Non-fatal work-related traumatic brain injuries treated in US hospital emergency departments, 1998–2007

PubMed Central

Konda, Srinivas; Reichard, Audrey; Tiesman, Hope M; Hendricks, Scott

2015-01-01

Purpose Little is known about work-related traumatic brain injuries (WRTBI). This study describes non-fatal WRTBIs treated in US emergency departments (ED) from 1998 through 2007. Methods Non-fatal WRTBIs were identified from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) using the diagnoses of concussion, internal organ injury to the head and skull fracture. WRTBI rates and rate ratios were calculated, and the trend in rates was assessed. Results An estimated 586 600 (95% CI=±150 000) WRTBIs were reported during the 10-year period at a rate of 4.3 (CI=±1.1) per 10 000 full-time equivalent (FTE) workers (1 FTE=2000 h per year). From 1998 through 2007, the rate of WRTBIs increased at an average of 0.21 per 10 000 FTE per year (p<0.0001) and the rate of fall-related WRTBIs increased at an average of 0.10 per 10 000 FTE (p<0.0001). During the same period, the annual rate of WRTBIs resulting in hospitalisation increased 0.04 per 10 000 FTE (p<0.0001). Ten percent of WRTBIs were hospitalised, compared with hospitalisation of 2% all NEISS-Work injuries. Also, workers with highest fall-related TBI rates per 10 000 FTE were the youngest (2.4; CI=±1.4) and oldest (55 and older) workers (1.9; CI=±0.8). Conclusions Non-fatal WRTBIs are one of the most serious workplace injuries among ED-treated work-related injuries. Non-fatal WRTBIs are much more likely to result in hospitalisation compared with other types of injuries. The upward trend of WRTBI rates from 1998 through 2007 underscore the need for more directed effective prevention methods to reduce WRTBI injuries. PMID:25216672

78 FR 46980 - Prescription Drug User Fee Rates for Fiscal Year 2014

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-02

... 116.333 The FY 2014 application fee is estimated by dividing the average number of full applications... dividing the adjusted total fee revenue to be derived from establishments ($252,342,667) by the estimated... use this number for its FY 2014 estimate. The FY 2014 product fee rate is determined by dividing the...

Financial Forces and the Future of American Higher Education

ERIC Educational Resources Information Center

Ehrenberg, Ronald G.; Rizzo, Michael J.

2004-01-01

Each year over the past quarter century, undergraduate tuition and fees in the United States have increased by an average of 2.5 to 3.5 percentage points above the inflation rate. This continuous rise recently led one congressman to propose that the government penalize institutions that raise their tuition by more than twice the rate of inflation…

Forest statistics for North Georgia, 1989

Treesearch

Mark J. Brown; Michael T. Thompson

1989-01-01

Since 1983, area of timberland in North Georgia has decreased by 5 percent and now totals almost 3.0 million acres. Nonindustrial private owners account for two-thirds of the region's timberland. The annual rate of planting experienced a fourfold increase over the previous rate and averaged 22,000 acreas each year. Volume of softwood growing stock fell by 6...

Population dynamics of Amur tigers (Panthera tigris altaica) in Sikhote-Alin Biosphere Zapovednik: 1966-2012.

PubMed

Miquelle, Dale G; Smirnov, Evgeny N; Zaumyslova, Olga Yu; Soutyrina, Svetlana V; Johnson, Douglas H

2015-07-01

In 2010, the world's tiger (Panthera tigris) range countries agreed to the goal of doubling tiger numbers over 12 years, but whether such an increase is biologically feasible has not been assessed. Long-term monitoring of tigers in Sikhote-Alin Biosphere Zapovednik (SABZ), Russia provided an opportunity to determine growth rates of a recovering population. A 41-year growth phase was followed by a rapid decline in tiger numbers. Annual growth rates during the growth phase averaged 4.6%, beginning near 10% in the earliest years but quickly dropping below 5%. Sex ratio (females per male) mirrored growth rates, declining as population size increased. The rapid decline from 2009 to 2012 appeared to be tied to multiple factors, including poaching, severe winters and disease. Reproductive indicators of this population are similar to those of Bengal tiger populations, suggesting that growth rates may be similar. These results suggest that, first, tiger populations likely in general grow slowly: 3-5% yearly increases are realistic and larger growth rates are likely only when populations are highly depressed, mortality rates are low and prey populations are high relative to numbers of adult females. Second, while more research is needed, it should not be assumed that tiger populations with high prey densities will necessarily grow more quickly than populations with low prey densities. Third, while growth is slow, decline can be rapid. Fourth, because declines can happen so quickly, there is a constant need to monitor populations and be ready to respond with appropriate and timely conservation interventions if tiger populations are to remain secure. Finally, an average annual growth rate across all tiger populations of 6%, required to reach the Global Tiger Initiative's goal of doubling tiger numbers in 12 years, is a noble but unlikely scenario. © 2015 International Society of Zoological Sciences, Institute of Zoology/Chinese Academy of Sciences and Wiley Publishing Asia Pty Ltd.

Short Stature and Access to Lung Transplantation in the United States. A Cohort Study

PubMed Central

Sell, Jessica L.; Bacchetta, Matthew; Goldfarb, Samuel B.; Park, Hanyoung; Heffernan, Priscilla V.; Robbins, Hilary A.; Shah, Lori; Raza, Kashif; D’Ovidio, Frank; Sonett, Joshua R.; Arcasoy, Selim M.

2016-01-01

Rationale: Anecdotally, short lung transplant candidates suffer from long waiting times and higher rates of death on the waiting list compared with taller candidates. Objectives: To examine the relationship between lung transplant candidate height and waiting list outcomes. Methods: We conducted a retrospective cohort study of 13,346 adults placed on the lung transplant waiting list in the United States between 2005 and 2011. Multivariable-adjusted competing risk survival models were used to examine associations between candidate height and outcomes of interest. The primary outcome was the time until lung transplantation censored at 1 year. Measurements and Main Results: The unadjusted rate of lung transplantation was 94.5 per 100 person-years among candidates of short stature (<162 cm) and 202.0 per 100 person-years among candidates of average stature (170–176.5 cm). After controlling for potential confounders, short stature was associated with a 34% (95% confidence interval [CI], 29–39%) lower rate of transplantation compared with average stature. Short stature was also associated with a 62% (95% CI, 24–96%) higher rate of death or removal because of clinical deterioration and a 42% (95% CI, 10–85%) higher rate of respiratory failure while awaiting lung transplantation. Conclusions: Short stature is associated with a lower rate of lung transplantation and higher rates of death and respiratory failure while awaiting transplantation. Efforts to ameliorate this disparity could include earlier referral and listing of shorter candidates, surgical downsizing of substantially oversized allografts for shorter candidates, and/or changes to allocation policy that account for candidate height. PMID:26554631

A comparison of average wages with age-specific wages for assessing indirect productivity losses: analytic simplicity versus analytic precision.

PubMed

Connolly, Mark P; Tashjian, Cole; Kotsopoulos, Nikolaos; Bhatt, Aomesh; Postma, Maarten J

2017-07-01

Numerous approaches are used to estimate indirect productivity losses using various wage estimates applied to poor health in working aged adults. Considering the different wage estimation approaches observed in the published literature, we sought to assess variation in productivity loss estimates when using average wages compared with age-specific wages. Published estimates for average and age-specific wages for combined male/female wages were obtained from the UK Office of National Statistics. A polynomial interpolation was used to convert 5-year age-banded wage data into annual age-specific wages estimates. To compare indirect cost estimates, average wages and age-specific wages were used to project productivity losses at various stages of life based on the human capital approach. Discount rates of 0, 3, and 6 % were applied to projected age-specific and average wage losses. Using average wages was found to overestimate lifetime wages in conditions afflicting those aged 1-27 and 57-67, while underestimating lifetime wages in those aged 27-57. The difference was most significant for children where average wage overestimated wages by 15 % and for 40-year-olds where it underestimated wages by 14 %. Large differences in projecting productivity losses exist when using the average wage applied over a lifetime. Specifically, use of average wages overestimates productivity losses between 8 and 15 % for childhood illnesses. Furthermore, during prime working years, use of average wages will underestimate productivity losses by 14 %. We suggest that to achieve more precise estimates of productivity losses, age-specific wages should become the standard analytic approach.

A Comparison of Recidivism Rates for Operation Outward Reach (OOR) Participants and Control Groups of Non-Participants for the Years 1990 through 1994.

ERIC Educational Resources Information Center

Ryan, Thomas P.; Desuta, Joesph F.

2000-01-01

A 5-year study of Operation Outward Reach, a nonprofit program providing community-based vocational training in carpentry and masonry for Pennsylvania inmates, compared completers and control groups. Results showed average differences in recidivism between the groups of 16% per year. Fiscal and social cost savings were also identified. (JOW)

75 FR 45636 - Animal Generic Drug User Fee Rates and Payment Procedures for Fiscal Year 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-03

... . (The Pay.gov payment option is available to you after you submit a cover sheet. Click the ``Pay Now... that the number of applications that will pay fees in FY 2011 will equal 30 percent less than the... average receipts of 14.4 per year over the latest 5 years, including our FY 2010 estimate. Applying a 30...

High yields from young-growth ponderosa pine.

Treesearch

Edwin L. Mowat

1947-01-01

A ponderosa pine stand growing at a net rate of 618 board feet per acre per year may be rather amazing to foresters accustomed to the proverbial slow growth of this species in the virgin forest. Yet that is the average increment for the last 6 years of a 102-year-old even-aged stand on Lookout Mountain in the Pringle Falls Experimental Forest in central Oregon. During...

Recent trend in family households in Beijing.

PubMed

Guo, Z; Guo, L

1997-01-01

This study examined trends in household size and age structure in Beijing, China, in 1995. Data were reliably obtained from the 1% sample survey of China. Findings indicate that the average size of a family household was 3.15 persons, that is, 0.050 persons fewer than the 3.20 from the 1990 Census. Children aged 0-14 years in each household averaged 0.04 fewer children during 1990-95. 80% of the decline in household size was due to decreases in the number of children. The percentage of single-family and single-person households declined. Three-person households were the only size group that increased (23.2-40.7%). The household headship (HH) rate for males increased dramatically between the ages of 20 and 30 years and stabilized after 35 years. The HH rate for women grew slowly and continuously until age 50 years and then stabilized. The gender gap in HH appeared at an early age and remained thereafter. The HH rate declined at older ages. The HH rate in Beijing, compared to the national rate, suggests relative gender equity in Beijing. As a child ages, the percentage of three-generation households declines and the percentage of two-generation households rises. As a child becomes an adult, the percentages of single-person households and single-couple households increase. Single-couple households decreased among the middle-aged. 67.4% of the elderly lived in two- or three-generation households. 31.4% of elderly lived in single-person/couple households. The percentage of elderly living with their children declined by 2 points during 1990-95.

Minimally invasive functional approach for cholesteatoma surgery.

PubMed

Hanna, Bassem M; Kivekäs, Ilkka; Wu, Yi-Hsuan; Guo, Lee J; Lin, Huang; Guidi, Jessica; Poe, Dennis

2014-10-01

Report the efficacy of a functional minimally invasive approach for cholesteatoma surgery. Retrospective review of surgical cases performed between 1996 and 2008. One hundred sixty-nine patient charts were reviewed in which ears with primary cholesteatomas that extended beyond the mesotympanum were operated on with a plan for canal wall up (CWU) mastoidectomy. The surgical approach consisted of progressive exposure from transcanal to postauricular tympanoplasty to CWU mastoidectomy, as needed, to identify and lyse the fibrous attachments that bind the capsule to the surrounding mucosa. Endoscopic guidance was employed as appropriate to minimize exposure needs. Any planned second-stage operations were attempted with a transcanal approach if appropriate and with endoscopic assistance. One hundred eighty-four ears of 169 patients were included. The median age was 32 years (range, 1-79 years). The mean follow-up was 3.2 years (range, 1-11 years). Eighty-three (45%) were planned for a second-look operation, and three (2%) required unplanned second operations. The overall recurrence rate was 24/184 (13%), and the unexpected residual rate was 5/184 (3%). The residual rate with endoscopy (5/119, 4%,) or without endoscopy (1/65, 2%), were not significantly different. Hearing results in 156 ears improved significantly, from a preoperative pure-tone average (PTA) of 41 dB to a postoperative PTA average of 29 dB (P < .0001). A functional minimally invasive approach to cholesteatoma surgery provided equivalent residual rates but higher recurrence rates compared to published canal wall down mastoidectomy. Endoscopic techniques were helpful in providing adequate views while minimizing exposure. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Minimum Alcohol Prices and Outlet Densities in British Columbia, Canada: Estimated Impacts on Alcohol-Attributable Hospital Admissions

PubMed Central

Zhao, Jinhui; Martin, Gina; Macdonald, Scott; Vallance, Kate; Treno, Andrew; Ponicki, William; Tu, Andrew; Buxton, Jane

2013-01-01

Objectives. We investigated whether periodic increases in minimum alcohol prices were associated with reduced alcohol-attributable hospital admissions in British Columbia. Methods. The longitudinal panel study (2002–2009) incorporated minimum alcohol prices, density of alcohol outlets, and age- and gender-standardized rates of acute, chronic, and 100% alcohol-attributable admissions. We applied mixed-method regression models to data from 89 geographic areas of British Columbia across 32 time periods, adjusting for spatial and temporal autocorrelation, moving average effects, season, and a range of economic and social variables. Results. A 10% increase in the average minimum price of all alcoholic beverages was associated with an 8.95% decrease in acute alcohol-attributable admissions and a 9.22% reduction in chronic alcohol-attributable admissions 2 years later. A Can$ 0.10 increase in average minimum price would prevent 166 acute admissions in the 1st year and 275 chronic admissions 2 years later. We also estimated significant, though smaller, adverse impacts of increased private liquor store density on hospital admission rates for all types of alcohol-attributable admissions. Conclusions. Significant health benefits were observed when minimum alcohol prices in British Columbia were increased. By contrast, adverse health outcomes were associated with an expansion of private liquor stores. PMID:23597383

Clinical outcomes of the Cadenat procedure in the treatment of acromioclavicular joint dislocations.

PubMed

Moriyama, Hiroaki; Gotoh, Masafumi; Mitsui, Yasuhiro; Yoshikawa, Eiichirou; Uryu, Takuya; Okawa, Takahiro; Higuchi, Fujio; Shirahama, Masahiro; Shiba, Naoto

2014-01-01

We report our clinical experience using the modified Cadenat method to treat acromioclavicular joint dislocation, and discuss the usefulness of this method. This study examined 6 shoulders in 6 patients (5 males, 1 female) who were diagnosed with acromioclavicular joint dislocation and treated with the modified Cadenat method at our hospital. Average age at onset was 49.3 years (26-78 years), average time interval from injury until surgery was 263.8 days (10 to 1100 days), and the average follow-up period was 21.7 months (12 to 42 months). Post-operative assessment was performed using plain radiographs to determine shoulder joint dislocation rate and Japanese Orthopaedic Association (JOA) score. The average post-operative JOA score was 94.1 points (91 to 100 points). The acromioclavicular joint dislocation rate improved from 148.7% (72 to 236%) before surgery to 28.6% (0 to 60%) after surgery. Conservative treatment has been reported to achieve good outcomes in acromioclavicular joint dislocations. However, many patients also experience chronic pain or a sensation of fatigue upon putting the extremity in an elevated posture, and therefore ensuring the stability of the acromioclavicular joint is crucial for highly active patients. In this study, we treated acromioclavicular joint dislocations by the modified Cadenat method, and were able to achieve favorable outcomes.

The Great Basin Canada goose in southcentral Washington: A 40-year nesting history

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

Fitzner, R.E.; Rickard, W.H.; Eberhardt, L.E.

1991-04-01

Overall, the nesting population of Great Basin Canada geese (Branta canadensis moffitti) on the Hanford Site in southcentral Washington State is doing well and appears to be increasing. The average annual total nests for the period 1981 through 1990 was 215 nests, which is slightly above the average reported for the period 1950 through 1970. The nesting population has shifted its nucleus from upriver islands (1--10) to the lower river islands (11--20) with over 70% of the present-day nesting occurring on Islands 17, 18, 19, 20. The annual percent-successful nests from 1981 through 1990 was 80%. This is above themore » 71% reported for 1950 to 1970, but is below the 82% reported for 1971 to 1980. Average annual clutch size for 1981 to 1990 was 6.05, which is above the 1971-to-1980 average of 5.6 and the 1950-to-70 average of 5.5. Next desertions for 1981 to 1990 averaged 8%. This rate is well below the 14% reported for 1950 to 1970. Predators were responsible for an annual predation rate of 9% from 1981 to 1990. This is below the 1950-to-1970 annual average predation rate of 14%. Flooding losses to nests were low during the 1980s, except for 1989 and 1990 when 6% and 9% of the total nests, respectively, were destroyed by flooding. 9 refs., 4 figs., 1 tab.« less

The devil is in the details: maximizing revenue for daily trauma care.

PubMed

Barnes, Stephen L; Robinson, Bryce R H; Richards, J Taliesin; Zimmerman, Cindy E; Pritts, Tim A; Tsuei, Betty J; Butler, Karyn L; Muskat, Peter C; Davis, Kenneth; Johannigman, Jay A

2008-10-01

Falling reimbursement rates for trauma care demand a concerted effort of charge capture for the fiscal survival of trauma surgeons. We compared current procedure terminology code distribution and billing patterns for Subsequent Hospital Care (SHC) before and after the institution of standardized documentation. Standardized SHC progress notes were created. The note was formulated with an emphasis on efficiency and accuracy. Documentation was completed by residents in conjunction with attendings following standard guidelines of linkage. Year-to-year patient volume, length of stay (LOS), injury severity, bills submitted, coding of service, work relative value units (wRVUs), revenue stream, and collection rate were compared with and without standardized documentation. A 394% average revenue increase was observed with the standardization of SHC documentation. Submitted charges more than doubled in the first year despite a 14% reduction in admissions and no change in length of stay. Significant increases in level II and level III billing and billing volume (P < .05) were sustainable year to year and resulted in an average per patient admission SHC income increase from $91.85 to $362.31. Use of a standardized daily progress note dramatically increases the accuracy of coding and associated billing of subsequent hospital care for trauma services.

Rate of Decline in Serum PFOA Concentrations after Granular Activated Carbon Filtration at Two Public Water Systems in Ohio and West Virginia

PubMed Central

Bartell, Scott M.; Calafat, Antonia M.; Lyu, Christopher; Kato, Kayoko; Ryan, P. Barry; Steenland, Kyle

2010-01-01

Background Drinking water in multiple water districts in the Mid-Ohio Valley has been contaminated with perfluorooctanoic acid (PFOA), which was released by a nearby DuPont chemical plant. Two highly contaminated water districts began granular activated carbon filtration in 2007. Objectives To determine the rate of decline in serum PFOA, and its corresponding half-life, during the first year after filtration. Methods Up to six blood samples were collected from each of 200 participants from May 2007 until August 2008. The primary source of drinking water varied over time for some participants; our analyses were grouped according to water source at baseline in May–June 2007. Results For Lubeck Public Service District customers, the average decrease in serum PFOA concentrations between May–June 2007 and May–August 2008 was 32 ng/mL (26%) for those primarily consuming public water at home (n = 130), and 16 ng/mL (28%) for those primarily consuming bottled water at home (n = 17). For Little Hocking Water Association customers, the average decrease in serum PFOA concentrations between November–December 2007 and May–June 2008 was 39 ng/mL (11%) for consumers of public water (n = 39) and 28 ng/mL (20%) for consumers of bottled water (n = 11). The covariate-adjusted average rate of decrease in serum PFOA concentration after water filtration was 26% per year (95% confidence interval, 25–28% per year). Conclusions The observed data are consistent with first-order elimination and a median serum PFOA half-life of 2.3 years. Ongoing follow-up will lead to improved half-life estimation. PMID:20123620

[Without Net and Double Floor: Comparison of Umbilical Hernia Repair by Spitzy in Children and Adults].

PubMed

Kuck, Laura; Seitz, Florian; Wiegering, Armin; Dietz, Ulrich; Meyer, Thomas

2017-11-22

Summary Umbilical hernia occur in both adults and children. For over 100 years, umbilical hernia in children has been treated surgically by the Spitzy method. With adult patients, meshes are being increasingly used. The purpose of our study was to analyse Spitzy herniotomy with respect to the recurrence rate in children and adults. Material and Methods Over a period of 7 years, 383 children (age < 16 years) with umbilical hernia were treated surgically; after applying the exclusion criteria, 370 patients were evaluated. At the same time, 106 adult patients (age > 16 years) were operated for an umbilical hernia: 31 patients were treated with direct suture and thus are included in our study as comparison group. Results The young patients had an average age of 33.81 months and were 44% female and 56% male. After direct Spitzy suture, a low recurrence rate of 1.1% (n = 4) in infancy could be achieved. The average age of the adult patients was 54.55 years; 32% were female, 68% male. In comparison to the group of children, the recurrence rate in adult surgery was 12.9% (n = 4) after direct suture. Conclusion As confirmed in our study, umbilical herniotomy by direct suture in childhood has been the method of choice and gold standard for more than 100 years. Mesh implantation is still not necessary in childhood. Georg Thieme Verlag KG Stuttgart · New York.

Fertility of American women: June 1987.

PubMed

Bachu, A

1988-05-01

In 1957, at the peak of the Baby Boom, 4.3 million children were born, and the fertility rate reached 123 births/1000 women aged 15-44 years old. In 1987, 30 years later, there were 3.7 million births, resulting in a fertility rate of 71/1000 women 18-44 years old. Statistics on the childbearing and birth expectations of American women contained in this report are based on data collected in the June 1987 supplement to the Current Population Survey. Among women who had a child in the year preceding the June 1987 survey, 51% were in the labor force in June 1987 as compared with 31% in June 1976. Labor force participation rates for women with newborns were higher for women with 4 or more years of college (63%) than for women who completed less than 12 years of school (38%). The fertility rate for women 30-34 years old in 1987 was 74.1/1000 women, compared with the 1980 rate of 60/1000. 24% of women in their early 30s were childless, somewhat less than 26% in 1985, yet still higher than the 1980 rate of 20%. Hispanic women in 1987 had an estimated fertility rate of 95.8, significantly higher than the fertility rate for non-Hispanic women (68.8). Women 18-34 years old in 1987 expected to have an average of 2.1 children in their lifetime.

Patient-initiated switching between private and public inpatient hospitalisation in Western Australia 1980 – 2001: An analysis using linked data

PubMed Central

Moorin, Rachael E; Holman, C D'Arcy J

2005-01-01

Background The aim of the study was to identify any distinct behavioural patterns in switching between public and privately insured payment classifications between successive episodes of inpatient care within Western Australia between 1980 and 2001 using a novel 'couplet' method of analysing longitudinal data. Methods The WA Data Linkage System was used to extract all hospital morbidity records from 1980 to 2001. For each individual, episodes of hospitalisation were paired into couplets, which were classified according to the sequential combination of public and privately insured episodes. Behavioural patterns were analysed using the mean intra-couplet interval and proportion of discordant couplets in each year. Results Discordant couplets were consistently associated with the longest intra-couplet intervals (ratio to the average annual mean interval being 1.35), while the shortest intra-couplet intervals were associated with public concordant couplets (0.5). Overall, privately insured patients were more likely to switch payment classification at their next admission compared with public patients (the average rate of loss across all age groups being 0.55% and 2.16% respectively). The rate of loss from the privately insured payment classification was inversely associated with time between episodes (2.49% for intervals of 0 to 13 years and 0.83% for intervals of 14 to 21 years). In all age groups, the average rate of loss from the privately insured payment classification was greater between 1981 and 1990 compared with that between 1991 and 2001 (3.45% and 3.10% per year respectively). Conclusion A small but statistically significant reduction in rate of switching away from PHI over the latter period of observation indicated that health care policies encouraging uptake of PHI implemented in the 1990s by the federal government had some of their intended impact on behaviour. PMID:15978139

Severe bronchiolitis and respiratory syncytial virus among young children in Hawaii.

PubMed

Yorita, Krista L; Holman, Robert C; Steiner, Claudia A; Effler, Paul V; Miyamura, Jill; Forbes, Susan; Anderson, Larry J; Balaraman, Venkataraman

2007-12-01

Lower respiratory tract infections are a leading cause of hospitalization and mortality among children worldwide. Our objective was to describe the incidence and epidemiology of severe bronchiolitis, respiratory syncytial virus (RSV), and pneumonia among children in Hawaii. Retrospective analysis of the patient-linked hospital discharge data associated with bronchiolitis, RSV, and pneumonia among Hawaii residents younger than 5 years of age during 1997 through 2004 using the Hawaii State Inpatient Database. During 1997 through 2004, the average annual incidence rates for bronchiolitis, RSV, and pneumonia were 3.8, 2.7, and 6.8 per 1000 children younger than 5 years, respectively. The incidence of each condition was higher for infants younger than 1 year (15.1, 9.8, and 15.9 per 1000 infants, respectively) than the incidence for children 1-4 years of age, and higher for boys compared with girls. The incidence of each condition was highest among Native Hawaiian and other Pacific Islander children compared with children of other race groups living in Hawaii. Most hospitalizations occurred during the months of October through February. Estimated median hospital charges were $4806 (bronchiolitis), $5465 (RSV) and $5240 (pneumonia), with overall average annual charges of $11.5 million. The incidence and hospitalization rates for bronchiolitis, RSV, and pneumonia among children younger than 5 years of age in Hawaii were low; the corresponding hospitalization rates were lower than those for the general U.S. population. However, the hospitalization rates for each condition among Hawaiian and other Pacific Islander children were much higher than those for other race groups or for the U.S. population.

Long-Term Hearing Results After Ossiculoplasty.

PubMed

Cox, Matthew D; Trinidade, Aaron; Russell, James Shep; Dornhoffer, John L

2017-04-01

To determine if the OOPS index is predictive of long-term hearing results after ossiculoplasty. Case series with retrospective chart review. Tertiary care otology practice. Adult and pediatric patients (3-88 years of age). Ossiculoplasty with cartilage tympanoplasty, with or without mastoidectomy. Primary outcome measures included short-term hearing results (pure-tone average air-bone gap [PTA-ABG] measured between 60 days and 1 year after surgery), long-term hearing results (PTA-ABG measured ≥5 years after surgery), and the rate of successful ABG closure to ≤20 dB. Secondary measures included the need for revision surgery, delayed tympanic membrane graft failure, worsening conductive hearing loss (after an initially satisfactory hearing result), and recurrence of cholesteatoma. There was no significant difference between adults and children for short-term hearing results (average post-op PTA-ABG was 18.9 dB vs. 19.8 dB, respectively; p = 0.544), long-term hearing results (average final PTA-ABG was 19.3 dB vs. 19.4 dB, respectively; p = 0.922), or rate of ABG closure to less than 20 dB (63.1% vs. 58.0%, p = 0.282). Spearman's rank-order correlation (ρ) identified a strong positive correlation between OOPS index score and average post-operative PTA-ABG (ρ = 0.983; p < 0.001; 2-tailed), as well as average long-term PTA-ABG (ρ = 0.950, p < 0.001; 2-tailed). The OOPS index makes it possible to accurately prognosticate hearing outcomes in adult and pediatric patients undergoing ossiculoplasty in both the short term and the long term.

Association between earthquake events and cholera outbreaks: a cross-country 15-year longitudinal analysis.

PubMed

Sumner, Steven A; Turner, Elizabeth L; Thielman, Nathan M

2013-12-01

Large earthquakes can cause population displacement, critical sanitation infrastructure damage, and increased threats to water resources, potentially predisposing populations to waterborne disease epidemics such as cholera. Problem The risk of cholera outbreaks after earthquake disasters remains uncertain. A cross-country analysis of World Health Organization (WHO) cholera data that would contribute to this discussion has yet to be published. A cross-country longitudinal analysis was conducted among 63 low- and middle-income countries from 1995-2009. The association between earthquake disasters of various effect sizes and a relative spike in cholera rates for a given country was assessed utilizing fixed-effects logistic regression and adjusting for gross domestic product per capita, water and sanitation level, flooding events, percent urbanization, and under-five child mortality. Also, the association between large earthquakes and cholera rate increases of various degrees was assessed. Forty-eight of the 63 countries had at least one year with reported cholera infections during the 15-year study period. Thirty-six of these 48 countries had at least one earthquake disaster. In adjusted analyses, country-years with ≥10,000 persons affected by an earthquake had 2.26 times increased odds (95 CI, 0.89-5.72, P = .08) of having a greater than average cholera rate that year compared to country-years having <10,000 individuals affected by an earthquake. The association between large earthquake disasters and cholera infections appeared to weaken as higher levels of cholera rate increases were tested. A trend of increased risk of greater than average cholera rates when more people were affected by an earthquake in a country-year was noted. However these findings did not reach statistical significance at traditional levels and may be due to chance. Frequent large-scale cholera outbreaks after earthquake disasters appeared to be relatively uncommon.

Increasing rates of self-harm among children, adolescents and young adults: a 10-year national registry study 2007-2016.

PubMed

Griffin, Eve; McMahon, Elaine; McNicholas, Fiona; Corcoran, Paul; Perry, Ivan J; Arensman, Ella

2018-05-02

Rates of hospital-treated self-harm are highest among young people. The current study examined trends in rates of self-harm among young people in Ireland over a 10-year period, as well as trends in self-harm methods. Data from the National Self-Harm Registry Ireland on presentations to hospital emergency departments (EDs) following self-harm by those aged 10-24 years during the period 2007-2016 were included. We calculated annual self-harm rates per 100,000 by age, gender and method of self-harm. Poisson regression models were used to examine trends in rates of self-harm. The average person-based rate of self-harm among 10-24-year-olds was 318 per 100,000. Peak rates were observed among 15-19-year-old females (564 per 100,000) and 20-24-year-old males (448 per 100,000). Between 2007 and 2016, rates of self-harm increased by 22%, with increases most pronounced for females and those aged 10-14 years. There were marked increases in specific methods of self-harm, including those associated with high lethality. The findings indicate that the age of onset of self-harm is decreasing. Increasing rates of self-harm, along with increases in highly lethal methods, indicate that targeted interventions in key transition stages for young people are warranted.

The Wasatch fault zone, utah-segmentation and history of Holocene earthquakes

USGS Publications Warehouse

Machette, M.N.; Personius, S.F.; Nelson, A.R.; Schwartz, D.P.; Lund, W.R.

1991-01-01

The Wasatch fault zone (WFZ) forms the eastern boundary of the Basin and Range province and is the longest continuous, active normal fault (343 km) in the United States. It underlies an urban corridor of 1.6 million people (80% of Utah's population) representing the largest earthquake risk in the interior of the western United States. We have used paleoseismological data to identify 10 discrete segments of the WFZ. Five are active, medial segments with Holocene slip rates of 1-2 mm a-1, recurrence intervals of 2000-4000 years and average lengths of about 50 km. Five are less active, distal segments with mostly pre-Holocene surface ruptures, late Quaternary slip rates of 6.5 have occurred since 1860. Although the time scale of the clustering is different-130 years vs 1100 years-we consider the central Nevada-eastern California Seismic Belt to be a historic analog for movement on the WFZ during the past 1500 years. We have found no evidence that surface-rupturing events occurred on the WFZ during the past 400 years, a time period which is twice the average intracluster recurrence interval and equal to the average Holocene recurrence interval. In particular, the Brigham City segment (the northernmost medial segment) has not ruptured in the past 3600 years-a period that is about three times longer than this segment's average recurrence interval during the early and middle Holocene. Although the WFZ's seismological record is one of relative quiescence, a comparison with other historic surface-rupturing earthquakes in the region suggests that earthquakes having moment magnitudes of 7.1-7.4 (or surface-wave magnitudes of 7.5-7.7)-each associated with tens of kilometers of surface rupture and several meters of normal dip slip-have occurred about every four centuries during the Holocene and should be expected in the future. ?? 1991.

Insular and submarine ferromanganese mineralization of the Tonga-Lau region

USGS Publications Warehouse

Hein, J.R.; Schulz, M.S.; Jung-Keuk, Kang

1990-01-01

Ferromanganese oxides in the Tonga-Lau region are divided into crusts and stratabound deposits. Crusts were collected from the Tonga and Lau Ridges and have Fe/Mn ratios greater than 1, and an average Co content of 0.25%. The crusts average less than 10 mm thick with a maximum of 50 mm, and growth rates of tens of millimeters per million years. The thickest crust is probably less than a million years old. Crusts formed by both hydrogenetic and hydrothermal precipitation, with the hydrothermal input averaging 76%. Stratabound deposits are divided into three types. The source rocks through which the circulating fluids passed controlled the dominant minor element compositions of the stratabound deposits from each area: Valu Fa Ridge, Mo; Tonga Ridge Ti; Tonumea, Sr and Eua, V. -from Authors

Trends in the lake trout fishery of Lake Huron through 1946

USGS Publications Warehouse

Hile, Ralph

1949-01-01

The estimated abundance of lake trout in the United States waters of Lake Huron (all districts combined) had reached an extremely low level in 1946 (24 percent of the 1929–1943 average), and the complete collapse of the fishery in late years is a matter of record. The rate of decline in abundance, however, was much less rapid than the spectacular decreases in production might suggest. Although each year beginning with 1940 saw a new record low yield, the abundance was still 87 percent of average in 1942 and did not drop below 70 percent until 1944. This seeming paradox is explained by the fact that relative to average conditions, fishing intensity in 1941–1946 was lower and was decreasing much more rapidly than was abundance. PDF

Investigation and analysis of medical waste generation in Enshi area of Hubei Province, China

NASA Astrophysics Data System (ADS)

Dengchao, Jin; Hongjun, Teng; Zhenbo, Bao; Yang, Li

2017-03-01

Based on medical waste collecting data of Enshi medical waste disposal center. The generation of medical waste and its change trend in Enshi area were both studied. The influencing factors and changing rules of medical waste generation were also analyzed. It can be found that the amount of medical waste in Enshi area is increasing year by year, the average annual growth rate of about 6.14% between 2011-2014. It was also found that the output of medical wastes varied regularity by seasons. February was the lowest month for medical waste, March and July were the peak months. By statistical analysis, average annual medical waste production per 10000 people was 4.5 ton and per bed average annual production was 133.58 kg.

Trends of Occupational Fatalities Involving Machines, United States, 1992–2010

PubMed Central

Marsh, Suzanne M.; Fosbroke, David E.

2016-01-01

Background This paper describes trends of occupational machine-related fatalities from 1992–2010. We examine temporal patterns by worker demographics, machine types (e.g., stationary, mobile), and industries. Methods We analyzed fatalities from Census of Fatal Occupational Injuries data provided by the Bureau of Labor Statistics to the National Institute for Occupational Safety and Health. We used injury source to identify machine-related incidents and Poisson regression to assess trends over the 19-year period. Results There was an average annual decrease of 2.8% in overall machine-related fatality rates from 1992 through 2010. Mobile machine-related fatality rates decreased an average of 2.6% annually and stationary machine-related rates decreased an average of 3.5% annually. Groups that continued to be at high risk included older workers; self-employed; and workers in agriculture/forestry/fishing, construction, and mining. Conclusion Addressing dangers posed by tractors, excavators, and other mobile machines needs to continue. High-risk worker groups should receive targeted information on machine safety. PMID:26358658

Tracer-Based Determination of Vortex Descent in the 1999-2000 Arctic Winter

NASA Technical Reports Server (NTRS)

Greenblatt, Jeffery B.; Jost, Hans-Juerg; Loewenstein, Max; Podolske, James R.; Hurst, Dale F.; Elkins, James W.; Schauffler, Sue M.; Atlas, Elliot L.; Herman, Robert L.; Webster, Christopher R.

2001-01-01

A detailed analysis of available in situ and remotely sensed N2O and CH4 data measured in the 1999-2000 winter Arctic vortex has been performed in order to quantify the temporal evolution of vortex descent. Differences in potential temperature (theta) among balloon and aircraft vertical profiles (an average of 19-23 K on a given N2O or CH4 isopleth) indicated significant vortex inhomogeneity in late fall as compared with late winter profiles. A composite fall vortex profile was constructed for November 26, 1999, whose error bars encompassed the observed variability. High-latitude, extravortex profiles measured in different years and seasons revealed substantial variability in N2O and CH4 on theta surfaces, but all were clearly distinguishable from the first vortex profiles measured in late fall 1999. From these extravortex-vortex differences, we inferred descent prior to November 26: 397+/-15 K (1sigma) at 30 ppbv N2O and 640 ppbv CH4, and 28+/-13 K above 200 ppbv N2O and 1280 ppbv CH4. Changes in theta were determined on five N2O and CH4 isopleths from November 26 through March 12, and descent rates were calculated on each N2O isopleth for several time intervals. The maximum descent rates were seen between November 26 and January 27: 0.82+/-0.20 K/day averaged over 50-250 ppbv N2O. By late winter (February 26-March 12), the average rate had decreased to 0.10+/-0.25 K/day. Descent rates also decreased with increasing N2O; the winter average (November 26-March 5) descent rate varied from 0.75+/-0.10 K/day at 50 ppbv to 0.40+/-0.11 K/day at 250 ppbv. Comparison of these results with observations and models of descent in prior years showed very good overall agreement. Two models of the 1999-2000 vortex descent, SLIMCAT and REPROBUS, despite theta offsets with respect to observed profiles of up to 20 K on most tracer isopleths, produced descent rates that agreed very favorably with the inferred rates from observation.

Analysis of Biomass Feedstock Availability and Variability for the Peace River Region of Alberta, Canada

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

Stephen, Jamie; Sokhansanj, Shahabaddine; Bi, X.T.

2009-11-01

Biorefineries or other biomass-dependent facilities require a predictable, dependable feedstock supplied over many years to justify capital investments. Determining inter-year variability in biomass availability is essential to quantifying the feedstock supply risk. Using a geographic information system (GIS) and historic crop yield data, average production was estimated for 10 sites in the Peace River region of Alberta, Canada. Four high-yielding potential sites were investigated for variability over a 20 year time-frame (1980 2000). The range of availability was large, from double the average in maximum years to nothing in minimum years. Biomass availability is a function of grain yield, themore » biomass to grain ratio, the cropping frequency, and residue retention rate to ensure future crop productivity. Storage strategies must be implemented and alternate feedstock sources identified to supply biomass processing facilities in low-yield years.« less

[Necrotizing fasciitis: study of 17 cases presenting a low mortality rate].

PubMed

Kibadi, K; Forli, A; Martin Des Pallieres, T; Debus, G; Moutet, F; Corcella, D

2013-04-01

Necrotizing fasciitis is a hypodermis, muscular fascia then dermis necrotizing infection. The originality of this study is to present a series of necrotizing fasciitis treated and followed these last five years, and to compare the therapeutic results with those of the literature. We led a retrospective study on the patients treated for necrotizing fasciitis between 2005 and 2009 by bringing together the demographic and clinical data, the bacteriological examinations and the results of management. Follow-up data from these patients during period of study (five years) were notified. Seventeen patients were treated (11 men and six women). The average age of the patients was 52 years (ranging from 28 to 82 years). Risk factors of necrotizing fasciitis for our patients were: nonsteroidal anti-inflammatory drugs (82.2%), cutaneous wound (76.4%), obesity (29.4%), oto-rhino-laryngologic diseases (23.5%), alcoholic and drug addicts (23.5%), and diabetis (11.7%). The most isolated and responsible germ was Streptococcus pyogenes in 75.5% of cases. Culture of specimens collected before antibiotic treatment showed that the bacterium was sensible to the antibiotics being administered (clindamycin in 70.5% of cases). The surgical management was early done with an average delay of 2.7 days (ranging from 1 to 15 days). We observed a low mortality rate (11.7%). One patient died during the period of follow-up after one year (average follow-up of 2.0 years; 1-3 years). Contrary to the data from the literature, this study presents a decrease of the mortality in necrotizing fasciitis with an early treatment and an adequate management. The precocity and the quality of surgical procedures as well as the presence of an underlying disease are determining factors for successful management of necrotizing fasciitis. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Long-Term Reduction of Sacroiliac Joint Pain With Peripheral Nerve Stimulation.

PubMed

Guentchev, Marin; Preuss, Christian; Rink, Rainer; Peter, Levente; Sailer, Martin H M; Tuettenberg, Jochen

2017-10-01

We recently demonstrated that 86% of the patients treated with peripheral nerve stimulation (PNS) for therapy-refractory sacroiliac joint (SIJ) pain were satisfied with the result after 1 year of treatment. To investigate the long-term (up to 4 years) response rate of this novel treatment. Sixteen consecutive patients with therapy-refractory SIJ pain were treated with PNS and followed for 4 years in 3 patients, 3 years in 6 patients, and 2 years in 1 patient. Quality of life, pain, and patient satisfaction were assessed using the Oswestry Disability Index 2.0, Visual Analog Scale (VAS), and International Patient Satisfaction Index. Patients reported a pain reduction from 8.8 to 1.6 (VAS) at 1 year ( P < .001), and 13 of 14 patients (92.9%) rated the therapy as effective (International Patient Satisfaction Index score ≤ 2). At 2 years, average pain score was 1.9 ( P < .001), and 9 of 10 patients (90.0%) considered the treatment a success. At 3 years, 8 of 9 patients (88.9%) were satisfied with the treatment results, reporting an average VAS of 2.0 ( P < .005). At 4 years, 2 of 3 patients were satisfied with the treatment results. We have shown for the first time that PNS is a successful long-term therapy for SIJ pain. Copyright © 2017 by the Congress of Neurological Surgeons

Insertion of Balloon Retained Gastrostomy Buttons: A 5-Year Retrospective Review of 260 Patients

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

Power, Sarah, E-mail: sarahpower28@yahoo.co.uk; Kavanagh, Liam N.; Shields, Mary C.

Radiologically inserted gastrostomy (RIG) is an established way of maintaining enteral nutrition in patients who cannot maintain nutrition orally. The purpose of this study was to evaluate the safety and efficacy of primary placement of a wide bore button gastrostomy in a large, varied patient population through retrospective review. All patients who underwent gastrostomy placement from January 1, 2004 to January 1, 2009 were identified. 18-Fr gastrostomy buttons (MIC-Key G) were inserted in the majority. Follow-up ranged from 6 months to 4.5 years. A total of 260 patients (M:F 140:120, average age 59.2 years) underwent gastrostomy during the study period.more » Overall success rate for RIG placement was 99.6 %, with success rate of 95.3 % for primary button insertion. Indications included neurological disorders (70 %), esophageal/head and neck malignancy (21 %), and other indications (9 %). Major and minor complication rates were 1.2 and 12.8 %, respectively. Thirty-day mortality rate was 6.8 %. One third of patients underwent gastrostomy reinsertion during the study period, the main indication for which was inadvertent catheter removal. Patency rate was high at 99.5 %. The maximum number of procedures in any patient was 8 (n = 2), and the average tube dwell time was 125 days. Primary radiological insertion of a wide bore button gastrostomy is a safe technique, with high success rate, high patency rate, and low major complication rate. We believe that it is feasible to attempt button gastrostomy placement in all patients, once tract length is within limits of tube length. If difficulty is encountered, then a standard tube may simply be placed instead.« less

Spatial analysis of under-5 mortality and potential risk factors in the Basse Health and Demographic Surveillance System, the Gambia.

PubMed

Quattrochi, John; Jasseh, Momodou; Mackenzie, Grant; Castro, Marcia C

2015-07-01

To describe the spatial pattern in under-5 mortality rates in the Basse Health and Demographic Surveillance System (BHDSS) and to test for associations between under-5 deaths and biodemographic and socio-economic risk factors. Using data on child survival from 2007 to 2011 in the BHDSS, we mapped under-5 mortality by km(2) . We tested for spatial clustering of high or low death rates using Kulldorff's spatial scan statistic. Associations between child death and a variety of biodemographic and socio-economic factors were assessed with Cox proportional hazards models, and deviance residuals from the best-fitting model were tested for spatial clustering. The overall death rate among children under 5 was 0.0195 deaths per child-year. We found two spatial clusters of high death rates and one spatial cluster of low death rates; children in the two high clusters died at a rate of 0.0264 and 0.0292 deaths per child-year, while in the low cluster, the rate was 0.0144 deaths per child-year. We also found that children born to Fula mothers experienced, on average, a higher hazard of death, whereas children born in the households in the upper two quintiles of asset ownership experienced, on average, a lower hazard of death. After accounting for the spatial distribution of biodemographic and socio-economic characteristics, we found no residual spatial pattern in child mortality risk. This study demonstrates that significant inequality in under-5 death rates can occur within a relatively small area (1100 km(2) ). Risks of under-5 mortality were associated with mother's ethnicity and household wealth. If high mortality clusters persist, then equity concerns may require additional public health efforts in those areas. © 2015 John Wiley & Sons Ltd.

Arkansas' timber resources updated, 1975

Treesearch

Roy C. Beltz

1975-01-01

The January 1, 1975, inventory is estimated to be 16.2 billion cubic feet of growing stock; about 60 percent is hardwoods. Both softwood and hardwood volume increased at an average rate of 1 percent per year since 1969.

Implications For the Forest Products Industry

Treesearch

Richard A. Kluender

2001-01-01

Major changes have occurred in the Arkansas timber economy in the last 25 years.Global and domestic demand for forest products continues to expand,doubling every 42 years. Additionally,the U.S. per capita consumption rate of forest products is over three times the world average. Production continues to expand to meet rising global demand,but timber supplies have not...

Some Colleges Provide Success Coaches for Students

ERIC Educational Resources Information Center

Farrell, Elizabeth F.

2007-01-01

The road to a college degree is often littered with potholes of self-doubt, and sometimes those are deep enough to discourage even the most ambitious students. If the transition from high school to college were easy, the average six-year graduation rate at four-year institutions in the U.S. would probably be higher than 63%. To improve those…

Some Colleges Provide Success Coaches for Students

ERIC Educational Resources Information Center

Farrell, Elizabeth F.

2007-01-01

The road to a college degree is often littered with potholes of self-doubt, and sometimes those are deep enough to discourage even the most ambitious students. If the transition from high school to college were easy, the average six-year graduation rate at four-year institutions in the United States would probably be higher than 63 percent. To…

29 CFR 548.306 - Average earnings for year or quarter year preceding the current quarter.

Code of Federal Regulations, 2010 CFR

2010-07-01

... per week. Normally his established basic rate would be computed by dividing 2,318 hours into $4,244... hours of work, work assignments and duties, and the basis of remuneration for employment, were not... period. Significant differences in weekly hours of work, work assignments and duties, the basis of...

76 FR 30311 - Takes of Marine Mammals Incidental to Specified Activities; Seabird and Pinniped Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-25

... animals and the maximum population growth rate was 6.52 percent when pup counts from El Ni[ntilde]o years... intertidal areas year round, fluctuating from several hundred to several thousand animals. California sea...) and the island's average population ranges from 100 to 150 animals (M. Lowry, unpublished data...

The Association between Secondary Mathematics and First Year University Performance in Health Sciences

ERIC Educational Resources Information Center

Joyce, Christopher; Hine, Gregory; Anderton, Ryan

2017-01-01

In recent years, there has been a significant decline in the rate of participation in secondary school mathematics courses within Australia, particularly in advanced or higher level mathematics. The aim of this study was to investigate how grade point average (GPA) differed between five health science degrees at an Australian university. The…

Fall 2005 College and University Headcounts in Connecticut. Report

ERIC Educational Resources Information Center

Connecticut Department of Higher Education (NJ1), 2005

2005-01-01

Total headcount enrollment at Connecticut's colleges and universities reached 174,275 students in fall 2005, a fourth straight record year. The total is an increase of 1,535 students (or 0.9%) over fall 2004. While this is the eighth consecutive year of enrollment growth, the rate of increase is decelerating. The average annual growth in the three…

An Analysis of Academic Achievement in Public Elementary Open-Enrollment Charter and Traditional Public Schools

ERIC Educational Resources Information Center

Benson, Tammy

2012-01-01

The purpose of this study was to examine two types of school organizational structures: elementary open-enrollment charter schools and elementary traditional public schools. The study examined the degree to which attendance rates (based upon the prior school year's data), class size and average number of years of teaching experience were related…

Partial laryngectomy as salvage surgery after radiotherapy: oncological and functional outcomes and impact on quality of life. A retrospective study of 20 cases.

PubMed

Philippe, Y; Espitalier, F; Durand, N; Ferron, C; Bardet, E; Malard, O

2014-02-01

The gold standard for the management of laryngeal squamous cell carcinoma in a previously irradiated patient is "salvage" total laryngectomy, but surgical management by partial laryngectomy can sometimes be proposed in selected patients. This study was designed to review the functional and oncological outcomes of patients treated by open partial laryngectomy for recurrent squamous cell carcinoma after failure of radiotherapy or involving previously irradiated tissues and to define prognostic criteria for the selection of patients eligible for this treatment strategy. In this retrospective study, 20 patients underwent partial laryngectomy between 2000 and 2011 for recurrence or second primary stage I or II laryngeal squamous cell carcinoma in an irradiated territory (11 vertical partial laryngectomies; 9 horizontal partial laryngectomies). The 3-year overall survival rate in patients with negative resection margins was 66%, with higher survival rates for tumours confined to the glottis, and the 2-year local control rate was 67%. Positive resection margins requiring total laryngectomy were observed in 20% of cases. The 3-year overall survival rate was 56% in these patients. Exclusive oral feeding was restored in 75% of patients after an average of 32 days. The tracheotomy tube was removed after an average of 18 days in 90% of patients. The disease-free functional larynx preservation rate was 45%. Salvage partial laryngectomy in irradiated tissues is an alternative treatment option to total laryngectomy in selected patients. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

The sinking Mekong delta; modeling 25 years of groundwater extraction and subsidence

NASA Astrophysics Data System (ADS)

Minderhoud, P. S. J.; Erkens, G.; Pham, H. V.; Bui, V. T.; Erban, L. E.; Kooi, H.; Stouthamer, E.

2017-12-01

The Vietnamese Mekong delta, the third's largest delta in the world, is experiencing annual subsidence rates up to several centimeters. As a result, vulnerability to flooding and storm surges, salinization and, ultimately, permanent inundation increases. Extraction of groundwater from the soft deltaic subsurface can be a major driving mechanism of subsidence, however a quantification of temporal and spatial impact to subsidence in the Mekong delta was not done yet. We developed a delta-wide, 3D hydrogeological model coupled to a 1D geotechnical module to quantify the contribution of excessive groundwater exploitation to subsidence. The modelling period of 25 years captures the period in which the hydrogeological state of the delta transforming from almost undisturbed to a situation with increasing aquifer depletion. Our model provides a quantitative spatially-explicit assessment of groundwater extraction-induced subsidence for the entire Mekong delta since the start of widespread depletion of the groundwater reserves. Over the past decades subsidence related to groundwater extraction has accelerated towards the highest sinking rates at present. During the past 25 years, the delta sank on average 18 cm, with areas over 30 cm. Currently the delta experiences an average subsidence rate of 1.1 cm yr-1, some areas subside over 2.5 cm yr-1, due to groundwater exploitation. These rates outpace global sea level rise almost by an order of magnitude. Given the increasing trends in groundwater demand in the delta, the current rates are likely to increase in the near future.

Growth reductions in naturally regenerated southern pine stands in Alabama and Georgia

Treesearch

G.A. Ruark; C.E. Thomas; W.A. Bechtold; D.M. May

1991-01-01

Data from Forest Inventory and analysis (FIA) units of the USDA Forest Service were used to compare average annual stand-level basal area accretion onto survivor pines in naturally regenerated pine stands throughout Alabama and Georgia. Growth rates measured between 1972-82 were compared to growth rates during the previous 10-year survey cycle in each state. Separate...

The Effect of Rate of Presentation on Digit Serial Recall in Reading Retarded Children.

ERIC Educational Resources Information Center

Gan, Jennifer; Tymchuk, Alexander J.

This study examined the effect of presentation rate on accuracy of digit serial recall and on serial position curves of digit strings of different lengths with 18 boys classified as reading retarded and a comparison group of children (ages for both groups averaged 11 years) who read at grade level. The results indicated that normal children…

Teacher Retention: A Phenomenological Investigation into the Lived Experiences of Three Elementary Teacher Stayers

ERIC Educational Resources Information Center

Sell, Corey R.

2013-01-01

Teacher stayers have remained within a profession experiencing an average annual turnover rate of 14% (Liu, 2007) and its lowest levels of job satisfaction in 20 years (MetLife Survey of the American Teacher, 2011). Exploring the lived experiences of teacher stayers might hold significant potential in decreasing the turnover rate given they have…

English publication rate of 3,205 abstracts presented at the Annual Meeting of the Japanese Orthopaedic Association and the Annual Research Meeting of the Japanese Orthopaedic Association.

PubMed

Ohtori, Seiji; Kubota, Gou; Inage, Kazuhide; Yamauchi, Kazuyo; Orita, Sumihisa; Suzuki, Miyako; Sakuma, Yoshihiro; Oikawa, Yasuhiro; Sainoh, Takeshi; Sato, Jun; Ishikawa, Tetsuhiro; Miyagi, Masayuki; Kamoda, Hiroto; Aoki, Yasuchika; Nakamura, Junichi; Inoue, Gen; Takaso, Masashi; Toyone, Tomoaki; Takahashi, Kazuhisa

2013-11-01

Previous studies reported that the publication rate of abstracts presented at overseas meetings was around 50 %. The study objectives were to determine the rate of publication in English-language journals and the impact factor (IF) for all papers presented at the Annual Meeting of the Japanese Orthopaedic Association (JOA) and Annual Research Meeting of the Japanese Orthopaedic Association (JOAR), and to compare the publication rates and IFs from abstracts accepted for oral versus poster presentations. Titles and first authors were identified for 1,676 abstracts of free papers accepted for presentation to the JOA in 2006 and 2007, and 1,529 abstracts to the JOAR from 2006 to 2008. We identified the associated journal publications by searching PubMed, and IFs were determined using the journal citation reports. The publication rates and IFs for papers accepted for oral versus poster presentations were compared using statistical analysis. The overall publication rate was 25.5 % from the JOA and 50 % from the JOAR. There were no significant differences in yearly publication rates, or between oral and poster presentations for each year. The average IFs for all publications from the JOA was 2.45 and that from the JOAR was 3.5. There were no significant differences in yearly IFs, or between oral and poster presentations for each year (P > 0.05). The rate from JOAR was similar to publication rates for abstracts presented at overseas orthopedic meetings, however, the rate from JOA was half that of publication rates for abstracts presented at overseas orthopedic meetings, indicating that JOA may provide a below average contribution of new medical data to the international scientific community. No significant difference in publication rates between oral and poster presentations were found, and this suggests a need for improvement of the review system for the annual meeting and that review scores at the meetings did not predict the publication fate of abstracts.

Changes in America's Public School Facilities: From School Year 1998-99 to School Year 2012-13. Stats in Brief. NCES 2016-074

ERIC Educational Resources Information Center

Bahr, Steven; Sparks, Dinah

2016-01-01

This Statistics in Brief summarizes the changes from the 1998-99 to the 2012-13 school years in the average age of public schools, ratings of satisfaction of the environmental quality of school facilities, the cost to put school buildings in good overall condition, and short-range plans to improve school facilities. In addition to providing…

Management of foreign bodies obstructing the airway in children.

PubMed

Shah, Rahul K; Patel, Anju; Lander, Lina; Choi, Sukgi S

2010-04-01

To review national trends in the management of pediatric airway foreign bodies (A-FBs) and esophageal foreign bodies (E-FBs) that obstruct the airway. Retrospective review using a national pediatric data set (Kids' Inpatient Database). Pediatric patients admitted across the United States during 2003. The Kids' Inpatient Database 2003 samples 2 984 129 pediatric discharges from 3438 hospitals in 36 states. The Kids' Inpatient Database 2003 was analyzed for A-FBs and E-FBs (International Classification of Diseases, Ninth Revision, Clinical Modification codes E911 and E912) in patients 20 years or younger, and weighted data are presented to facilitate national estimates. A total of 2771 patients (59% male) were admitted for an A-FB or an E-FB that was obstructing the airway. The mean (SE) age of the patients was 3.5 (0.17) years; 55% were younger than 2 years. The foreign bodies were classified as food (42%; mean age, 2.5 years) or other (58%; mean age, 4.3 years). The average length of stay was 6.4 days (median [SE], 1.5 [0.6] days), and the average number of procedures was 2.4 (median [SE], 1.3 [0.1] procedures). Seventy-one percent of the patients were treated at teaching hospitals. The mean (SD) total charges were $34 652 ($3543), with regional variation (P < .001). Children's hospitals (28%) had higher mean total charges than nonchildren's hospitals (P = .03); 3.4% of admissions died in the hospital (mean [SE] age, 4.6 [0.9] years), with an average length of stay of 11.7 (SE, 2.7) days and an average of 6.2 (SE, 0.7) procedures. Bronchoscopy (52%), esophagoscopy (28%), and tracheotomy (1.7%) were the primary procedures performed. The rates of positive FB findings for bronchoscopy and esophagoscopy were 37% and 46%, respectively. Pediatric A-FBs and E-FBs that obstruct the airway occur infrequently. Most of the patients are referred to teaching institutions. Among patients who were admitted with a diagnosis of airway obstruction from an A-FB or an E-FB, the rates of positive findings at surgery were 37% and 46%, respectively. A surprisingly high mortality rate was noted. Alternative education measures should be considered to train physicians in the management of this infrequent, potentially lethal condition.

Getting the measure of extinction.

PubMed

Mace, G

1998-01-01

Like all species, plants, mammals, and birds have been subject to extinction as a fundamental part of evolution. Indeed, only about 2-4% of all the species that have ever lived during the 600 million years of the fossil record still survive today. Looking at the fossil record, it can be said that invertebrate species and mammals have had an average life span of 5-10 and 1-2 million years, respectively. More recent extinction records for birds and mammals lost over the last half of the century indicate that 1 out of 14,000 species becomes extinct each year, giving each species an average life span of 10,000 years--100 to 1000 times shorter than the lifetime of species in the fossil record. Drawing on the World's Conservation Union Red List of threatened animals (1996), species lifetimes of birds, mammals and reptiles are estimated at 300-500 years and 100-1000 years across broader groups. In general, these estimates show that extinction rates today are 1000 to 10,000 times higher than in the past, making current rates of species loss at least equivalent to the mass extinctions in the past. A major difference, however, is the fact that almost all extinctions that have transpired today are due to the impact of human activities.

Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster.

PubMed

Orui, Masatsugu; Suzuki, Yuriko; Maeda, Masaharu; Yasumura, Seiji

2018-04-05

Associations between nuclear disasters and suicide have been examined to a limited extent. To clarify the suicide rates in evacuation areas after the nuclear disaster in Fukushima, which occurred in March 2011. This descriptive study used monthly data from vital statistics between March 2009 and December 2015. Suicide rates in areas to which evacuation orders had been issued, requiring across-the-board, compulsory evacuation of residents from the entire or part of municipalities, were obtained and compared with the national average. Male suicide rates in evacuation areas increased significantly immediately after the disaster, and then began to increase again 4 years after the disaster. Female suicide rates declined slightly during the first year and then increased significantly over the subsequent 3-year period. Moreover, male rates in areas where evacuation orders were issued for the total area declined over the course of approximately 2 years, but then began to increase thereafter. Analysis by age revealed postdisaster male rates in evacuation areas decreased for those aged 50-69 years and increased for those aged ≤ 29 years and ≥ 70 years. The number of suicides among females and the female population in the evacuation area was small. Our findings suggest the need to keep in mind that, when providing post-disaster mental health services, suicide rates can eventually increase even if they initially decrease.

Heritability of Intraindividual Mean and Variability of Positive and Negative Affect.

PubMed

Zheng, Yao; Plomin, Robert; von Stumm, Sophie

2016-12-01

Positive affect (e.g., attentiveness) and negative affect (e.g., upset) fluctuate over time. We examined genetic influences on interindividual differences in the day-to-day variability of affect (i.e., ups and downs) and in average affect over the duration of a month. Once a day, 17-year-old twins in the United Kingdom ( N = 447) rated their positive and negative affect online. The mean and standard deviation of each individual's daily ratings across the month were used as the measures of that individual's average affect and variability of affect. Analyses revealed that the average of negative affect was significantly heritable (.53), but the average of positive affect was not; instead, the latter showed significant shared environmental influences (.42). Fluctuations across the month were significantly heritable for both negative affect (.54) and positive affect (.34). The findings support the two-factor theory of affect, which posits that positive affect is more situational and negative affect is more dispositional.

Heritability of Intraindividual Mean and Variability of Positive and Negative Affect

PubMed Central

Zheng, Yao; Plomin, Robert; von Stumm, Sophie

2016-01-01

Positive affect (e.g., attentiveness) and negative affect (e.g., upset) fluctuate over time. We examined genetic influences on interindividual differences in the day-to-day variability of affect (i.e., ups and downs) and in average affect over the duration of a month. Once a day, 17-year-old twins in the United Kingdom (N = 447) rated their positive and negative affect online. The mean and standard deviation of each individual’s daily ratings across the month were used as the measures of that individual’s average affect and variability of affect. Analyses revealed that the average of negative affect was significantly heritable (.53), but the average of positive affect was not; instead, the latter showed significant shared environmental influences (.42). Fluctuations across the month were significantly heritable for both negative affect (.54) and positive affect (.34). The findings support the two-factor theory of affect, which posits that positive affect is more situational and negative affect is more dispositional. PMID:27729566

Impact of a Regional Pharmacy Call Center on Telephone Access Metrics Within the Veterans Health Administration

PubMed Central

Jones, Marshall R.; Kuester, Melanie K.; Myers, Kelly L.; Schnarr, Barbara A.

2015-01-01

Purpose: To establish a cost-effective centralized pharmacy call center to serve the patients of Veterans Integrated Service Network (VISN) 11 that would meet established performance metrics. Methods: A pilot project began in August 2011 with the Indianapolis VA Medical Center (VAMC) and the Health Resource Center (HRC) in Topeka, Kansas. The Indianapolis VAMC used a first-call resolution business model consisting of pharmacy technicians receiving tier 1 phone calls that could be escalated to a tier 2 line that consisted of lead technicians and pharmacists, while the HRC utilized general telephone agents that would transfer unresolved calls to the primary facility. Pre- and post-VISN 11 Pharmacy Call Center performance metrics were compared for each of the 7 facilities in the network with the goals being monthly average abandoned call rate less than 5% and average speed to answer less than 30 seconds. Cost per call was also compared. Results: The average abandoned call rate for the network during the year prior to VISN 11 Pharmacy Call Center implementation (August 2010-July 2011) was 15.66% and decreased to 3% in July 2014. The average abandoned call rate decreased for each individual facility. In fiscal year 2014, the VISN 11 Pharmacy Call Center was operating at a cost of $4.35 per call while providing more services than the HRC, resulting in less workload being transferred back to the individual facilities. Conclusion: A centralized VISN pharmacy call center is a reasonable alternative to individual facility call centers or the HRC. PMID:26405322

Close encounters and collisions of comets with the earth

NASA Technical Reports Server (NTRS)

Sekanina, Z.; Yeomans, D. K.

1984-01-01

A computer search for earth-approaching comets among those listed in Marsden's (1983) updated orbit catalog has identified 36 cases at which minimum separation distance was less than 2500 earth radii. A strong representation of short period comets in the sample is noted, and the constant rate of the close approaching comets in the last 300 years is interpreted to suggest the lack of long-period comets intrinsically fainter than an absolute magnitude of about 11. A comet-earth collision rate derived from the statistics of these close encounters implies an average period of 33-64 million years between any two events. This rate is comparable with the frequency of geologically recent global catastrophes which appear to be associated with extraterrestrial object impacts, such as the Cretaceous-Tertiary extinction 65 million years ago and the late Eocene event 34 million years ago.

Analysis of Geothermal Reservoir and Well Operational Conditions using Monthly Production Reports from Nevada and California

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

Beckers, Koenraad J; Young, Katherine R; Johnston, Henry

When conducting techno-economic analysis of geothermal systems, assumptions are typically necessary for reservoir and wellbore parameters such as producer/injector well ratio, production temperature drawdown, and production/injection temperature, pressure and flow rate. To decrease uncertainty of several of these parameters, we analyzed field data reported by operators in monthly production reports. This paper presents results of a statistical analysis conducted on monthly production reports at 19 power plants in California and Nevada covering 196 production wells and 175 injection wells. The average production temperature was 304 degrees F (151 degrees C) for binary plants and 310 degrees F (154 degrees C)more » for flash plants. The average injection temperature was 169 degrees F (76 degrees C) for binary plants and 173 degrees F (78 degrees C) for flash plants. The average production temperature drawdown was 0.5% per year for binary plants and 0.8% per year for flash plants. The average production well flow rate was 112 L/s for binary plant wells and 62 L/s for flash plant wells. For all 19 plants combined, the median injectivity index value was 3.8 L/s/bar, and the average producer/injector well ratio was 1.6. As an additional example of analysis using data from monthly production reports, a coupled reservoir-wellbore model was developed to derive productivity curves at various pump horsepower settings. The workflow and model were applied to two example production wells.« less

Subsidence Rates in Southeast Texas as Determined by RTK GNSS Measurements of Preexisting Survey Markers

NASA Astrophysics Data System (ADS)

Kruger, J. M.

2013-12-01

This study determines the rates of subsidence or uplift in coastal areas of SE Texas by comparing recent GNSS measurements to the original orthometric heights of previously installed National Geodetic Survey (NGS) benchmarks. Understanding subsidence rates in coastal areas of SE Texas is critical when determining its vulnerability to local sea level rise and flooding, as well as for accurate survey control. The counties covered are Chambers, Galveston, Hardin, Jefferson, Liberty, Orange, and parts of Jasper and Newton counties. These counties lie between an earlier subsidence study conducted in Louisiana and an ongoing subsidence study of several counties around the Houston metropolitan area. The resurveying methods used in this RTK GNSS study allow a large area to be covered relatively quickly with enough detail to determine subsidence rates that are averaged over several decades. This information can be used to place more targeted GNSS observation stations in areas that appear to be rapidly subsiding. By continuously, or periodically, measuring the elevations at these targeted stations, current subsidence rates can be determined more accurately and at lower cost than by scattering a large number of GNSS stations over a wide area. This study was conducted using a Trimble R8 GNSS system on all NGS benchmarks that were found in the study area. Differential corrections were applied in real time using a VRS network of base stations. This system yields a nominal vertical accuracy of 1.5 to 2.0 cm for each 2 to 5 minute reading. Usually three of these readings were measured on each benchmark and averaged for the final result. A total of 367 benchmarks were resurveyed, most of which were suitable for vertical change rate calculations. Original NGS elevations were subtracted from the new elevations and divided by the time between the two elevation measurements to determine the average subsidence or uplift rate of the benchmark. Benchmarks used for determining the vertical change rates were monumented between1931 and 2006, thus yielding rates averaged for 5 to 80 years. Besides the errors inherent in RTK GNSS measurements, other sources of error for vertical change rates include inaccuracies in the original elevations published by the NGS and uncertainties about the year in which those original elevations were measured. Initial results show as much as -0.86 m of subsidence over a 58 year period on one benchmark in Jefferson County 30 km north of the coast, and up to +0.23 m of uplift over a 60 year period on one benchmark in Jasper County approximately 130 km north of the coast. Overall, preliminary results of the study show near zero vertical change rates to a maximum of -15.3 mm/yr subsidence in Chambers, Galveston, Liberty, and Jefferson counties, with the highest rates of subsidence in Jefferson and Chambers counties. Parts of Galveston, Orange, and Jasper counties show subsidence rates up to -9.1 mm/yr, but also show uplift rates up to +4.8 mm/yr. Potential causes of vertical change in the study area include expansion or contraction of near-surface clays due to changes in water content, compaction of near-surface to deeper sediments, growth faulting, groundwater, oil, or natural gas extraction or injection, and to a much smaller extent, tectonic effects.

River chloride trends in snow-affected urban watersheds: increasing concentrations outpace urban growth rate and are common among all seasons

USGS Publications Warehouse

Corsi, Steven R.; De Cicco, Laura A.; Lutz, Michelle A.; Hirsch, Robert M.

2014-01-01

Chloride concentrations in northern U.S. included in this study have increased substantially over time with average concentrations approximately doubling from 1990 to 2011, outpacing the rate of urbanization in the northern U.S. Historical data were examined for 30 monitoring sites on 19 streams that had chloride concentration and flow records of 18 to 49 years. Chloride concentrations in most studied streams increased in all seasons (13 of 19 in all seasons; 16 of 19 during winter); maximum concentrations occurred during winter. Increasing concentrations during non-deicing periods suggest that chloride was stored in hydrologic reservoirs, such as the shallow groundwater system, during the winter and slowly released in baseflow throughout the year. Streamflow dependency was also observed with chloride concentrations increasing as streamflow decreased, a result of dilution during rainfall- and snowmelt-induced high-flow periods. The influence of chloride on aquatic life increased with time; 29% of sites studied exceeded the concentration for the USEPA chronic water quality criteria of 230 mg/L by an average of more than 100 individual days per year during 2006–2011. The rapid rate of chloride concentration increase in these streams is likely due to a combination of possible increased road salt application rates, increased baseline concentrations, and greater snowfall in the Midwestern U.S. during the latter portion of the study period.

Development of Malaysian women fertility index: Evidence from Shannon's entropy

NASA Astrophysics Data System (ADS)

Jalil, Wan Aznie Fatihah Wan Abd; Sharif, Shamshuritawati

2017-11-01

A fertility rate is a measure of the average number of children a woman will have during her childbearing years. Malaysia is now facing a population crisis and the fertility rate continues to decline. This situation will have implications for the age structure of the population where percentages of senior citizens are higher than percentages of people aged below 5 years old. Malaysia is expected to reach aging population status by the year 2035. As the aging population has a very long average life expectancy, the government needs to spend a lot on medical costs for senior citizens and need to increase budgets for pensions. The government may be required to increase tax revenues to support the growing older population. The falling fertility rate requires proper control by relevant authorities, especially through planning and implementation of strategic and effective measures. Hence, this paper aims to develop a fertility index using Shannon's entropy method. The results show that Selangor, Johor, and Sarawak are among the states with the highest values of the fertility index. On the other end of the spectrum, Terengganu, W.P. Labuan, and Perlis are ranked in the last positions according to the fertility index. The information generated from the results in this study can be used as a primary source for the government to design appropriate policies to mitigate dwindling fertility rates among Malaysian women.

River chloride trends in snow-affected urban watersheds: increasing concentrations outpace urban growth rate and are common among all seasons.

PubMed

Corsi, Steven R; De Cicco, Laura A; Lutz, Michelle A; Hirsch, Robert M

2015-03-01

Chloride concentrations in northern U.S. included in this study have increased substantially over time with average concentrations approximately doubling from 1990 to 2011, outpacing the rate of urbanization in the northern U.S. Historical data were examined for 30 monitoring sites on 19 streams that had chloride concentration and flow records of 18 to 49 years. Chloride concentrations in most studied streams increased in all seasons (13 of 19 in all seasons; 16 of 19 during winter); maximum concentrations occurred during winter. Increasing concentrations during non-deicing periods suggest that chloride was stored in hydrologic reservoirs, such as the shallow groundwater system, during the winter and slowly released in baseflow throughout the year. Streamflow dependency was also observed with chloride concentrations increasing as streamflow decreased, a result of dilution during rainfall- and snowmelt-induced high-flow periods. The influence of chloride on aquatic life increased with time; 29% of sites studied exceeded the concentration for the USEPA chronic water quality criteria of 230 mg/L by an average of more than 100 individual days per year during 2006-2011. The rapid rate of chloride concentration increase in these streams is likely due to a combination of possible increased road salt application rates, increased baseline concentrations, and greater snowfall in the Midwestern U.S. during the latter portion of the study period. Published by Elsevier B.V.

47 CFR 64.1900 - Nondominant interexchange carrier certifications regarding geographic rate averaging and rate...

Code of Federal Regulations, 2012 CFR

2012-10-01

... certifications regarding geographic rate averaging and rate integration requirements. 64.1900 Section 64.1900... Rate Averaging and Rate Integration Requirements § 64.1900 Nondominant interexchange carrier certifications regarding geographic rate averaging and rate integration requirements. (a) A nondominant provider...

47 CFR 64.1900 - Nondominant interexchange carrier certifications regarding geographic rate averaging and rate...

Code of Federal Regulations, 2013 CFR

2013-10-01

... certifications regarding geographic rate averaging and rate integration requirements. 64.1900 Section 64.1900... Rate Averaging and Rate Integration Requirements § 64.1900 Nondominant interexchange carrier certifications regarding geographic rate averaging and rate integration requirements. (a) A nondominant provider...

47 CFR 64.1900 - Nondominant interexchange carrier certifications regarding geographic rate averaging and rate...

Code of Federal Regulations, 2014 CFR

2014-10-01

... certifications regarding geographic rate averaging and rate integration requirements. 64.1900 Section 64.1900... Rate Averaging and Rate Integration Requirements § 64.1900 Nondominant interexchange carrier certifications regarding geographic rate averaging and rate integration requirements. (a) A nondominant provider...

47 CFR 64.1900 - Nondominant interexchange carrier certifications regarding geographic rate averaging and rate...

Code of Federal Regulations, 2011 CFR

2011-10-01

... certifications regarding geographic rate averaging and rate integration requirements. 64.1900 Section 64.1900... Rate Averaging and Rate Integration Requirements § 64.1900 Nondominant interexchange carrier certifications regarding geographic rate averaging and rate integration requirements. (a) A nondominant provider...

47 CFR 64.1900 - Nondominant interexchange carrier certifications regarding geographic rate averaging and rate...

Code of Federal Regulations, 2010 CFR

2010-10-01

... certifications regarding geographic rate averaging and rate integration requirements. 64.1900 Section 64.1900... Rate Averaging and Rate Integration Requirements § 64.1900 Nondominant interexchange carrier certifications regarding geographic rate averaging and rate integration requirements. (a) A nondominant provider...

An intervention to improve the reliability of manuscript reviews for the Journal of the American Academy of Child and Adolescent Psychiatry.

PubMed

Strayhorn, J; McDermott, J F; Tanguay, P

1993-06-01

The effects of methods used to improve the interrater reliability of reviewers' ratings of manuscripts submitted to the Journal of the American Academy of Child and Adolescent Psychiatry were studied. Reviewers' ratings of consecutive manuscripts submitted over approximately 1 year were first analyzed; 296 pairs of ratings were studied. Intraclass correlations and confidence intervals for the correlations were computed for the two main ratings by which reviewers quantified the quality of the article: a 1-10 overall quality rating and a recommendation for acceptance or rejection with four possibilities along that continuum. Modifications were then introduced, including a multi-item rating scale and two training manuals to accompany it. Over the next year, 272 more articles were rated, and reliabilities were computed for the new scale and for the scales previously used. The intraclass correlation of the most reliable rating before the intervention was 0.27; the reliability of the new rating procedure was 0.43. The difference between these two was significant. The reliability for the new rating scale was in the fair to good range, and it became even better when the ratings of the two reviewers were averaged and the reliability stepped up by the Spearman-Brown formula. The new rating scale had excellent internal consistency and correlated highly with other quality ratings. The data confirm that the reliability of ratings of scientific articles may be improved by increasing the number of rating scale points, eliciting ratings of separate, concrete items rather than a global judgment, using training manuals, and averaging the scores of multiple reviewers.

Differential effects of enriched environment at work on cognitive decline in old age.

PubMed

Then, Francisca S; Luck, Tobias; Luppa, Melanie; König, Hans-Helmut; Angermeyer, Matthias C; Riedel-Heller, Steffi G

2015-05-26

The aim of the present study was to investigate how different mentally demanding work conditions during the professional life-i.e., enriched environments at work-might influence the rate of cognitive decline in old age. Individuals (n = 1,054) of the Leipzig Longitudinal Study of the Aged, a representative population-based cohort study of individuals aged 75 years and older, underwent cognitive testing via the Mini-Mental State Examination (MMSE) in up to 6 measurement waves. Type and level of mentally demanding work conditions in the participants' former professional life were classified based on the O*NET job descriptor database. In multivariate mixed-model analyses (controlling for sociodemographic and health-related factors), a high level of mentally demanding work tasks stimulating verbal intelligence was significantly associated with a better cognitive functioning at baseline (on average 5 MMSE points higher) as well as a lower rate of cognitive decline (on average 2 MMSE points less) over the 8-year follow-up period compared with a low level. The rate of cognitive decline in old age was also significantly lower (on average 3 MMSE points less) in individuals who had a high level of mentally demanding work tasks stimulating executive functions than those who had a low level. The results suggest that a professional life enriched with work tasks stimulating verbal intelligence and executive functions may help to sustain a good cognitive functioning in old age (75+ years). The findings thus emphasize that today's challenging work conditions may also promote positive health effects. © 2015 American Academy of Neurology.

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

Schreiber, Leslie A.; Hansen, Christopher P.; Rumble, Mark A.

Greater sage-grouse Centrocercus urophasianus populations across North America have been declining due to degradation and fragmentation of sagebrush habitat. As part of a study quantifying greater sage-grouse demographics prior to construction of a wind energy facility, we estimated apparent net nest productivity and survival rate of chicks associated with radio-equipped female sage-grouse in Carbon County, Wyoming, USA. We estimated apparent net nest productivity using a weighted mean of the average brood size and used a modified logistic-exposure method to estimate daily chick survival over a 70-day time period. Apparent nest productivity was 2.79 chicks per female (95% CI: 1.46–4.12) inmore » 2011, 2.00 chicks per female (95% CI: 1.00–3.00) in 2012, and 1.54 chick per female (95% CI: 0.62–2.46) in 2013. Chick survival to 70 days post-hatch was 19.10% (95% CI: 6.22–37.42%) in 2011, 4.20% (95% CI: 0.84–12.31%) in 2012, and 16.05% (95% CI: 7.67–27.22%) in 2013. These estimates were low, yet within the range of other published survival rates. Chick survival was primarily associated with year and chick age, with minor effects of average temperature between surveys and hatch date. The variability in chick survival rates across years of our study suggests annual weather patterns may have large impacts on chick survival. Thus, management actions that increase the availability of food and cover for chicks may be necessary, especially during years with drought and above-average spring temperatures.« less

Non-contact Real-time heart rate measurements based on high speed circuit technology research

NASA Astrophysics Data System (ADS)

Wu, Jizhe; Liu, Xiaohua; Kong, Lingqin; Shi, Cong; Liu, Ming; Hui, Mei; Dong, Liquan; Zhao, Yuejin

2015-08-01

In recent years, morbidity and mortality of the cardiovascular or cerebrovascular disease, which threaten human health greatly, increased year by year. Heart rate is an important index of these diseases. To address this status, the paper puts forward a kind of simple structure, easy operation, suitable for large populations of daily monitoring non-contact heart rate measurement. In the method we use imaging equipment video sensitive areas. The changes of light intensity reflected through the image grayscale average. The light change is caused by changes in blood volume. We video the people face which include the sensitive areas (ROI), and use high-speed processing circuit to save the video as AVI format into memory. After processing the whole video of a period of time, we draw curve of each color channel with frame number as horizontal axis. Then get heart rate from the curve. We use independent component analysis (ICA) to restrain noise of sports interference, realized the accurate extraction of heart rate signal under the motion state. We design an algorithm, based on high-speed processing circuit, for face recognition and tracking to automatically get face region. We do grayscale average processing to the recognized image, get RGB three grayscale curves, and extract a clearer pulse wave curves through independent component analysis, and then we get the heart rate under the motion state. At last, by means of compare our system with Fingertip Pulse Oximeter, result show the system can realize a more accurate measurement, the error is less than 3 pats per minute.

Epidemiological profile of suicide in the Santa Catarina Coal Mining Region from 1980 to 2007.

PubMed

Portella, Carolina H; Moretti, Gustavo P; Panatto, Ana P; Rosa, Maria I; Quevedo, João; Simões, Priscyla W T A

2013-01-01

Suicide is a public health problem worldwide. Estimates have indicated that over 1 million people commit suicide every year all over the world. Brazil has a moderate suicide death rate (4.1 per 100,000 inhabitants), but the fact that it is a large country leads to the coexistence of diverse characteristics and levels of development across the different Brazilian regions. In this sense, the South region has been shown to present suicide rates above the national average. To estimate the profile of suicide in municipalities comprising the Santa Catarina Coal Mining Region from 1980 to 2007. This ecological, time-series, descriptive study sought to characterize epidemiological aspects related to suicide method, marital status, sex, age, and occupation in the municipalities of the region in the years 1980 to 2007. A total of 474 suicides occurred in the period, yielding a mean death rate of 10.83 per 100,000 inhabitants. There was a predominance of males, at a 5:1 ratio, and a peak rate in the 55-64-year age group (11.31 per 100,000 inhabitants). The suicide method most commonly used was hanging (72%) and the most frequent occupation was hard labor work (11.60%); in relation to marital status, married subjects (48%) were the ones with the highest rates of suicide. The Santa Catarina Coal Mining Region has suicide mortality rates above the national average. This study highlights specific characteristics of suicide in the region and may contribute to the development of preventive measures.

Breastfeeding among the Ontario James Bay Cree: a retrospective study.

PubMed

Black, Ray; Godwin, Marshall; Ponka, David

2008-01-01

Although previous unpublished research has demonstrated low breastfeeding rates among the James Bay Cree of Northern Ontario, the reasons for this are not immediately clear. A retrospective medical chart review of women who had given birth at the Weeneebayko General Hospital in Moose Factory, Ontario in the seven-year period 1997 to 2003 was performed. A variety of demographic variables were documented and overall breastfeeding initiation rates and yearly variations were assessed. Univariate chi-square analysis of the data indicated that young maternal age (mean=23; p=0.001), maternal smoking (average rate=52.1%; p=0.03), living location (in a small coastal community; p=0.001); and low education status (not completing high school; p<0.001) were risk factors for a mother choosing not to breastfeed. Regression analysis revealed that only living in small coastal communities and not having post-secondary education were independently associated with not breastfeeding. Absence of a partner nearly reached statistical significance on regression analysis (p=0.056). The overall breastfeeding initiation rates (51.9%, 95% CI: 49.3-54.5) were confirmed to be lower than the national average (78%), and the rate has remained low over the seven years of the study. These results should help clarify why some mothers in the Moose Factory region are at risk of not breastfeeding. This information will be useful in directing future research on the differences in breastfeeding rates among different Aboriginal Peoples' communities, and assist in the development of program policies specific to women who have one or more of the identified risk factors.

Historical early stem development of northern white-cedar (Thuja occidentalis L.) in Maine

Treesearch

Philip V. Hofmeyer; Laura S. Kenefic; Robert S. Seymour

2010-01-01

We used stem analysis to quantify early height and diameter growth rates of 80 northern white-cedar trees (17.4-55.0 cm dbh) harvested in 2005 and 2006 in central and northern Maine. It took an average of 42 years (range, 9-86 years) for sampled trees to grow from stump height to sapling size, 96 years to grow to pole size (range, 28-171), 140 years to grow to...

Mortality with musculoskeletal disorders as underlying cause in Sweden 1997-2013: a time trend aggregate level study.

PubMed

Kiadaliri, Aliasghar A; Englund, Martin

2016-04-14

The aim was to assess time trend of mortality with musculoskeletal disorders (MSD) as underlying cause of death in Sweden from 1997 to 2013. We obtained data on MSD as underlying cause of death across age and sex groups from the National Board of Health and Welfare's Cause of Death Register. Age-standardized mortality rates per million population for all MSD, its six major subgroups, and all other ICD-10 (International Classification of Disease) chapters were calculated. We computed the average annual percent change (AAPC) in the mortality rates across age/sex groups using joinpoint regression analysis by fitting a regression line to the natural logarithm of the age-standardized mortality rates and calendar year as a predictor. There were a total of 7 976 deaths (0.5% of all causes deaths) with MSD as the underlying cause of death (32.5% of these deaths caused by rheumatoid arthritis [RA]). The overall age-standardized mortality rates (95% CI) were 16.0 (15.4 to 16.7) and 24.9 (24.1 to 25.7) per million among men and women, respectively (women/men rate ratio 1.55; 95%CI 1.47 to 1.63). On average, mortality rate declined by 2.3% per year and only circulatory system mortality had a more favourable decline than mortality with MSD as underlying cause. Among MSD the highest decline was observed in RA (3.7% per year) during study period. Across age groups, while there were generally stable or declining trends, spondylopathies and osteoporosis mortality among people ≥ 75 years increased by 2 and 1.5% per year, respectively. In overall, mortality with MSD as underlying cause has declined in Sweden over last two decades, with the highest decline for RA. However, there are variations across MSD subgroups which warrants further investigations.

Post-earthquake denudation and its impacts on ancient civilizations in the Chengdu Longmenshan region, China

NASA Astrophysics Data System (ADS)

Chen, Ningsheng; Li, Jun; Liu, Lihong; Yang, Chenglin; Liu, Mei

2018-05-01

This study characterizes significant changes in denudation and disasters in mountainous areas induced in the humid Chengdu Longmenshan region by the Wenchuan Earthquake in 2008. A study focusing on the Longxi-Baisha River Basin was conducted to investigate the amount of denudation triggered by specific flash flood and debris flow events in 2009-2014. The following results were obtained through a comparison of pre-seismic regional denudation rates and denudation characteristics of other seismically active mountain regions. (1) Regional denudation processes occurred in a wave-like process of initial increase then decline, with a peak exhibiting a hyperbolic attenuation trend. This trend indicates that the denudation rate in the Chengdu Longmenshan region is expected to return to the pre-seismic rate of 0.3 mm a-1 after 81 years. In 22 years after the earthquake (Year 2030), debris flow disasters are expected to be rare. (2) Disasters increased significantly in the Chengdu Longmenshan region after the Wenchuan earthquake, with an average of 29.5 people missing or dead per year (22 times greater than the pre-earthquake rate) and average economic losses of 192 million Yuan per year (1.6 times greater than the pre-earthquake rate). (3) The denudation process was jointly controlled by the quantities of loose solid material and precipitation after the Wenchuan earthquake. The amount of loose solid material influenced the extent of denudation, while vegetation coverage rates and soil consolidation determined the overall denudation trend in the region, and changes in precipitation led to denudation fluctuations. (4) The results can be used to analyze the relationship between the potential flash flood-debris flow disasters after earthquakes in the ancient Shu kingdom and changes in historical social settlements. The results can also be used to predict denudation processes and disaster risks from earthquakes in humid mountainous regions around the world, such as the southern slope of the Himalayas, Japan and the Taiwan mountains.

Radiologically Guided Placement of Mushroom-retained Gastrostomy Catheters: Long-term Outcomes of Use in 300 Patients at a Single Center.

PubMed

Ahmed, Osman; Jilani, Danial; Sheth, Sujay; Giger, Maryellen; Funaki, Brian

2015-08-01

To assess long-term outcomes including risk of complications and nutritional benefits of mushroom-retained (pull-type) gastrostomy catheters placed in patients by interventional radiologists. All patients who received pull-type gastrostomy tubes between 2010 and 2013 were retrospectively reviewed, including 142 men (average weight, 169.6 lb [76.32 kg]; mean age, 65.2 years; range, 22-92 years) and 158 women (average weight, 150.4 lb [67.68 kg]; mean age, 65.2 years; range, 18-98 years). Indications for placement were cerebrovascular accident (n = 80), failure to thrive (n = 71), other central nervous system disorder (n = 51), head and neck cancer (n = 47), and other malignancy (n = 51). Complications were recorded per Society of Interventional Radiology practice guidelines. Patient weight was documented at specific follow-up intervals. Statistical analysis was performed by using the Student t test and one-way analysis of variance for the effects of sex and indication for placement, respectively, on average weight change. The technical success rate was 98.4% (300 of 305 patients). Major and minor complications occurred at a rate of 3.7% (n = 11) and 13% (n = 39), respectively. Follow-up weight during the early (≤45 days), intermediate (≤180 days), and long-term (>180 days) periods was available for 71% (n = 214), 36% (n = 108), and 15% (n = 44) of the 300 patients, respectively. Weight gain occurred in 77% (160 of 214), 60% (65 of 108), and 73% (32 of 44) of the patients, respectively. Patients who gained weight gained 6.7, 10.6, and 16.3 lb (3.02, 4.77, and 7.34 kg) during each follow-up period, respectively. Average weight gain at follow-up in all patients was 4.2, 0.6, and 5.4 lb (1.89, 0.27, and 2.43 kg), respectively. No significant differences in average weight change were seen among groups when they were classified according to sex or indication for placement. Placement of mushroom-retained gastrostomy catheters is a viable long-term treatment option for enteral nutrition, with complication rates similar to those reported for other gastrostomy techniques. Improvement in nutrition status measured as weight gain was seen in most patients in both early and long-term periods. (©) RSNA, 2015.

Survival and recovery rates of American woodcock banded in Michigan

USGS Publications Warehouse

Krementz, David G.; Hines, James E.; Luukkonen, David R.

2003-01-01

American woodcock (Scolopax minor) population indices have declined since U.S. Fish and Wildlife Service (USFWS) monitoring began in 1968. Management to stop and/or reverse this population trend has been hampered by the lack of recent information on woodcock population parameters. Without recent information on survival rate trends, managers have had to assume that the recent declines in recruitment indices are the only parameter driving woodcock declines. Using program MARK, we estimated annual survival and recovery rates of adult and juvenile American woodcock, and estimated summer survival of local (young incapable of sustained flight) woodcock banded in Michigan between 1978 and 1998. We constructed a set of candidate models from a global model with age (local, juvenile, adult) and time (year)-dependent survival and recovery rates to no age or time-dependent survival and recovery rates. Five models were supported by the data, with all models suggesting that survival rates differed among age classes, and 4 models had survival rates that were constant over time. The fifth model suggested that juvenile and adult survival rates were linear on a logit scale over time. Survival rates averaged over likelihood-weighted model results were 0.8784 +/- 0.1048 (SE) for locals, 0.2646 +/- 0.0423 (SE) for juveniles, and 0.4898 +/- 0.0329 (SE) for adults. Weighted average recovery rates were 0.0326 +/- 0.0053 (SE) for juveniles and 0.0313 +/- 0.0047 (SE) for adults. Estimated differences between our survival estimates and those from prior years were small, and our confidence around those differences was variable and uncertain. juvenile survival rates were low.

Finite-size effect and the components of multifractality in transport economics volatility based on multifractal detrending moving average method

NASA Astrophysics Data System (ADS)

Chen, Feier; Tian, Kang; Ding, Xiaoxu; Miao, Yuqi; Lu, Chunxia

2016-11-01

Analysis of freight rate volatility characteristics attracts more attention after year 2008 due to the effect of credit crunch and slowdown in marine transportation. The multifractal detrended fluctuation analysis technique is employed to analyze the time series of Baltic Dry Bulk Freight Rate Index and the market trend of two bulk ship sizes, namely Capesize and Panamax for the period: March 1st 1999-February 26th 2015. In this paper, the degree of the multifractality with different fluctuation sizes is calculated. Besides, multifractal detrending moving average (MF-DMA) counting technique has been developed to quantify the components of multifractal spectrum with the finite-size effect taken into consideration. Numerical results show that both Capesize and Panamax freight rate index time series are of multifractal nature. The origin of multifractality for the bulk freight rate market series is found mostly due to nonlinear correlation.

Community-level phenological response to climate change

PubMed Central

Ovaskainen, Otso; Skorokhodova, Svetlana; Yakovleva, Marina; Sukhov, Alexander; Kutenkov, Anatoliy; Kutenkova, Nadezhda; Shcherbakov, Anatoliy; Meyke, Evegeniy; Delgado, Maria del Mar

2013-01-01

Climate change may disrupt interspecies phenological synchrony, with adverse consequences to ecosystem functioning. We present here a 40-y-long time series on 10,425 dates that were systematically collected in a single Russian locality for 97 plant, 78 bird, 10 herptile, 19 insect, and 9 fungal phenological events, as well as for 77 climatic events related to temperature, precipitation, snow, ice, and frost. We show that species are shifting their phenologies at dissimilar rates, partly because they respond to different climatic factors, which in turn are shifting at dissimilar rates. Plants have advanced their spring phenology even faster than average temperature has increased, whereas migratory birds have shown more divergent responses and shifted, on average, less than plants. Phenological events of birds and insects were mainly triggered by climate cues (variation in temperature and snow and ice cover) occurring over the course of short periods, whereas many plants, herptiles, and fungi were affected by long-term climatic averages. Year-to-year variation in plants, herptiles, and insects showed a high degree of synchrony, whereas the phenological timing of fungi did not correlate with any other taxonomic group. In many cases, species that are synchronous in their year-to-year dynamics have also shifted in congruence, suggesting that climate change may have disrupted phenological synchrony less than has been previously assumed. Our results illustrate how a multidimensional change in the physical environment has translated into a community-level change in phenology. PMID:23901098

FACTORS DETERMINING THE RESULTS OF THE EXAMINATION OF THE WEST AFRICAN COLLEGE OF SURGEONS IN GENERAL SURGERY.

PubMed

Ajao, O G; Ajao, O O; Ugwu, B T; Yawe, Kdt; Ezeome, E R

2014-01-01

The general surgery results of the West African College of Surgeons (WACS) post-graduate fellowship examination could not be regarded as satisfactory when compared with the results of similar post-graduate examinations in some developed countries. For example the pass rate of the West African College of Surgeons examination was usually under 40% whereas the pass rate in oral examination in a similar post-graduate examination, the American Board of Surgery was 84% in 2006, 73% in 2012. The first time pass rate in general surgery of final year general surgery residents at the American Board of Surgery qualifying and certifying examinations were 74% - 78% between 2000 and 2007. To identify the factors responsible for the high failure rate at the general surgery fellowship examinations of the West African College of Surgeons. Descriptive study .We studied and analyzed the West African College of Surgeons examination results for April 2012, October 2012, April 2013 and October 2013 with emphasis on the results, the conduct of the examination and the opinion from fellows about the examiners. Well structured questionnaires were sent to fellows who had passed all the various fellowship examinations of the West African College of Surgeons in general surgery to indicate their opinion about the examination, and the examiners. University College Hospital, Ibadan, and Jos University Teaching Hospital, Jos, Nigeria. The first part of the study dealt with an analysis of each section of the examination prospectively studied over a 2-year period. This consisted of four sets of examination results. The second part was a questionnaire-based study administered to Fellows who had passed the WACS final fellowship examination in general surgery. The questionnaire had three sections: primary, part 1 and part 2 and included basic demographics, date at attempts in each grade of the examinations and the outcome. It also included the views of the respondents on the conduct of the examination and outcome. The data were analyzed using Microsoft Excel. A total of 720 candidates with age range of 28 - 39 years and a mean of 33.2 years sat for the Part 1 Fellowship examinations in 2012 and 2013 with an average of 180 candidate per examination. At the Part 2 fellowship examination, 84 candidates with the age range of 31 - 42 year and a mean of 36.5 years sat the Part 2 Fellowship examination with an average of 21 candidates for each Part 2 examination in general surgery during the same period. The examinations held in April and October of each year. While an average of 28.8% of the candidates passed, an average of 71.2% of the candidates failed the Part 1 Fellowship examinations in 2012 and 2013. The aggregate clinical score was responsible for failure in 59.5% of the candidates. In the Part 2 Fellowship examination in general surgery during the same period, 31.5% of the candidates passed while an average of 68.5% of the candidates failed per examination. The aggregate clinical score was responsible for 53.3% of the candidates who failed the Part 2 examination. Furthermore, 60 - 69.7% of the candidates had a favourable opinion about the conduct of the examination, 54.5 - 63.6% rated the professionalism of the examiners high, even though the pass rate at the first attempts of the various grades of the examination by the respondents was about 50 percent. The clinical part of the examination is a major factor responsible for the high failure rate in the general surgery fellowship examinations of the West African College of Surgeons. In order to mitigate this, residents in training should be exposed to the clinical management of a wide range of cases in the discipline with majority of the operations performed by them under the direct supervision of their consultants.

Fall survival of American woodcock in the western Great Lakes Region

USGS Publications Warehouse

John G. Bruggink,; Eileen J. Oppelt,; Kevin Doherty,; Andersen, David E.; Jed Meunier,; R. Scott Lutz,

2013-01-01

We estimated fall (10 Sep–8 Nov) survival rates, cause-specific mortality rates, and determined the magnitude and sources of mortality of 1,035 radio-marked American woodcock (Scolopax minor) in Michigan, Minnesota, and Wisconsin during 2001–2004. In all 3 states, we radio-marked woodcock on paired study areas; 1 of which was open to hunting and expected to receive moderate to high hunter use and the other of which was either closed to hunting (Michigan and Minnesota) or was relatively inaccessible to hunters (Wisconsin). We used Program MARK to estimate fall survival rates, to evaluate a set of candidate models to examine the effects of hunting and several covariates (sex, age, year, state) on survival, and to examine the relationship between survival rates and kill rates due to hunting. Hunting accounted for 70% of the 86 woodcock deaths in the hunted areas, followed by predation (20%) and various other sources of mortality (10%). Woodcock deaths that occurred in the non-hunted and lightly hunted areas (n = 50) were caused by predators (46%), hunting (32%), and various other sources (22%). Based on small-sample corrected Akaike's Information Criterion values, variation in fall survival of woodcock was best explained by treatment (i.e., hunted vs. non-hunted), year, and period (pre-hunting season intervals vs. hunting season intervals). The average fall survival estimate from our best model for woodcock in the non-hunted areas (0.893, 95% CI = 0.864–0.923) was greater than the average for the hunted areas (0.820, 95% CI = 0.786–0.854 [this estimate includes data from the lightly hunted area in Wisconsin]), and the average treatment effect (i.e., greater survival rates in non-hunted areas) was 0.074 (95% CI = 0.018–0.129). The kill rate due to hunting was 0.120 (95% CI = 0.090–0.151) when data were pooled among states and years. We detected a negative relationship between hunting kill rates and survival in our hunted areas, which suggests that hunting mortality was at least partially additive during fall. Our results illustrate the influence of hunting relative to other sources of mortality in Michigan, Minnesota, and Wisconsin, and indicate that managers may be able to influence fall survival rates by manipulating hunting regulations or access on public land.

Autotransplantation of third molars with completely formed roots into surgically created sockets and fresh extraction sockets: a 10-year comparative study.

PubMed

Yu, H J; Jia, P; Lv, Z; Qiu, L X

2017-04-01

The aim of this study was to analyze and compare the long-term clinical outcomes of mature third molar autotransplantation in surgically created sockets and fresh extraction sockets with regard to survival and functional success rates. A total of 65 third molars with completely formed roots were autotransplanted in 60 patients (average age 33.1 years). Thirty-six of the teeth were autotransplanted into surgically created sockets with or without guided bone regeneration (GBR; delayed autotransplantation), while 29 were autotransplanted into fresh extraction sockets (immediate autotransplantation; control group). All patients underwent annual clinical and radiographic examinations (average follow-up 9.9 years, range 7-13 years). The survival rates for the control, GBR, and no GBR groups were 93.1%, 95.2%, and 80.0%, respectively, with no significant differences among the groups. There were no statistically significant differences among the groups with regard to the frequency of inflammatory root resorption or root ankylosis. Age did not influence the clinical outcomes. These results suggest that the autotransplantation of third molars with completely formed roots is effective in both surgically created and fresh extraction sockets and provides a high long-term success rate if cases are selected and treated appropriately. Copyright © 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

[Indicators of general, cerebral, and regional hemodynamics in myopic schoolchildren aged 13-15 years].

PubMed

Iastrebtseva, T A; Chuprov, A D; Plotnikova, Iu A

2002-01-01

110 schoolchildren aged 13-15 years were examined. 24 of them had pseudomyopia and 6 patients myopia of various forms. A control group consisted of 38 children. Central hemodynamics was estimated by average dynamic pressure, cerebral hemodynamics--by rheoencephalography, regional hemodynamics--by dopplerography of the internal carotid and suprapubic arteries. It was found that with myopia progression, the average dynamic pressure positively comes down with reduction of reographic waves amplitude in rheogram. The blood flow rate in internal carotid and suprapubic arteries has no substantial impact on myopia course. Predisposition to arterial hypotension is a risk factor for myopia development and progression.

Risk of death during and after opiate substitution treatment in primary care: prospective observational study in UK General Practice Research Database

PubMed Central

Cornish, Rosie; Macleod, John; Strang, John; Vickerman, Peter

2010-01-01

Objective To investigate the effect of opiate substitution treatment at the beginning and end of treatment and according to duration of treatment. Design Prospective cohort study. Setting UK General Practice Research Database Participants Primary care patients with a diagnosis of substance misuse prescribed methadone or buprenorphine during 1990-2005. 5577 patients with 267 003 prescriptions for opiate substitution treatment followed-up (17 732 years) until one year after the expiry of their last prescription, the date of death before this time had elapsed, or the date of transfer away from the practice. Main outcome measures Mortality rates and rate ratios comparing periods in and out of treatment adjusted for sex, age, calendar year, and comorbidity; standardised mortality ratios comparing opiate users’ mortality with general population mortality rates. Results Crude mortality rates were 0.7 per 100 person years on opiate substitution treatment and 1.3 per 100 person years off treatment; standardised mortality ratios were 5.3 (95% confidence interval 4.0 to 6.8) on treatment and 10.9 (9.0 to 13.1) off treatment. Men using opiates had approximately twice the risk of death of women (morality rate ratio 2.0, 1.4 to 2.9). In the first two weeks of opiate substitution treatment the crude mortality rate was 1.7 per 100 person years: 3.1 (1.5 to 6.6) times higher (after adjustment for sex, age group, calendar period, and comorbidity) than the rate during the rest of time on treatment. The crude mortality rate was 4.8 per 100 person years in weeks 1-2 after treatment stopped, 4.3 in weeks 3-4, and 0.95 during the rest of time off treatment: 9 (5.4 to 14.9), 8 (4.7 to 13.7), and 1.9 (1.3 to 2.8) times higher than the baseline risk of mortality during treatment. Opiate substitution treatment has a greater than 85% chance of reducing overall mortality among opiate users if the average duration approaches or exceeds 12 months. Conclusions Clinicians and patients should be aware of the increased mortality risk at the start of opiate substitution treatment and immediately after stopping treatment. Further research is needed to investigate the effect of average duration of opiate substitution treatment on drug related mortality. PMID:20978062

Mortality of People with Intellectual and Developmental Disabilities from Select US State Disability Service Systems and Medical Claims Data.

PubMed

Lauer, Emily; McCallion, Philip

2015-09-01

Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights into underlying health concerns and the need for and effectiveness of public health efforts. Data from both US state intellectual and developmental disabilities service system administrative data sets and de-identified state Medicaid claims were used to calculate average age at death and crude mortality rates. Average age at death for people in state intellectual and developmental disabilities systems was 50.4-58.7 years and 61.2-63.0 years in Medicaid data, with a crude adult mortality rate of 15.2 per thousand. Age at death remains lower and mortality rates higher for people with intellectual and developmental disabilities. Improved case finding (e.g. medical claims) could provide more complete mortality patterns for the population with intellectual and developmental disabilities to inform the range of access and receipt of supportive and health-related interventions and preventive care. © 2015 John Wiley & Sons Ltd.

The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein.

PubMed

Lanetzki, Camila Sanches; de Oliveira, Carlos Augusto Cardim; Bass, Lital Moro; Abramovici, Sulim; Troster, Eduardo Juan

2012-01-01

This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009. Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0. There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of patients between the ages of 1 to 4 years. The average occupancy rate was 69.3% per year, and there was a greater number of admissions during April, August, and October. The average length of stay at the hospital ranged from 9.7 to 19.1 days. Respiratory diseases were the main cause for admission to the Pediatric Intensive Care Center, and the mortality rate of the patients admitted was 1.85%. Respiratory diseases were the most common ailment among patients admitted to the Pediatric Intensive Care Center, and the highest mortality rates were associated with neoplastic diseases.

Shrinkage Estimators for a Composite Measure of Quality Conceptualized as a Formative Construct

PubMed Central

Shwartz, Michael; Peköz, Erol A; Christiansen, Cindy L; Burgess, James F; Berlowitz, Dan

2013-01-01

Objective To demonstrate the value of shrinkage estimators when calculating a composite quality measure as the weighted average of a set of individual quality indicators. Data Sources Rates of 28 quality indicators (QIs) calculated from the minimum dataset from residents of 112 Veterans Health Administration nursing homes in fiscal years 2005–2008. Study Design We compared composite scores calculated from the 28 QIs using both observed rates and shrunken rates derived from a Bayesian multivariate normal-binomial model. Principal Findings Shrunken-rate composite scores, because they take into account unreliability of estimates from small samples and the correlation among QIs, have more intuitive appeal than observed-rate composite scores. Facilities can be profiled based on more policy-relevant measures than point estimates of composite scores, and interval estimates can be calculated without assuming the QIs are independent. Usually, shrunken-rate composite scores in 1 year are better able to predict the observed total number of QI events or the observed-rate composite scores in the following year than the initial year observed-rate composite scores. Conclusion Shrinkage estimators can be useful when a composite measure is conceptualized as a formative construct. PMID:22716650

Analyses of Water-Level Differentials and Variations in Recharge between the Surficial and Upper Floridan Aquifers in East-Central and Northeast Florida

USGS Publications Warehouse

Murray, Louis C.

2007-01-01

Continuous (daily) water-level data collected at 29 monitoring-well cluster sites were analyzed to document variations in recharge between the surficial (SAS) and Floridan (FAS) aquifer systems in east-central and northeast Florida. According to Darcy's law, changes in the water-level differentials (differentials) between these systems are proportional to changes in the vertical flux of water between them. Variations in FAS recharge rates are of interest to water-resource managers because changes in these rates affect sensitive water resources subject to minimum flow and water-level restrictions, such as the amount of water discharged from springs and changes in lake and wetland water levels. Mean daily differentials between 2000-2004 ranged from less than 1 foot at a site in east-central Florida to more than 114 feet at a site in northeast Florida. Sites with greater mean differentials exhibited lower percentage-based ranges in fluctuations than did sites with lower mean differentials. When averaged for all sites, differentials (and thus Upper Floridan aquifer (UFA) recharge rates) decreased by about 18 percent per site between 2000-2004. This pattern can be associated with reductions in ground-water withdrawals from the UFA that occurred after 2000 as the peninsula emerged from a 3-year drought. Monthly differentials exhibited a well-defined seasonal pattern in which UFA recharge rates were greatest during the dry spring months (8 percent above the 5-year daily mean in May) and least during the wetter summer/early fall months (4 percent below the 5-year daily mean in October). In contrast, differentials exceeded the 5-year daily mean in all but 2 months of 2000, indicative of relatively high ground-water withdrawals throughout the year. On average, the UFA received about 6 percent more recharge at the project sites in 2000 than between 2000-2004. No statistically significant correlations were detected between monthly differentials and precipitation at 27 of the 29 sites between 2000-2004. For longer periods of record, double-mass plots of differentials and precipitation indicate the UFA recharge rate increased by about 34 percent at a site in west Orange County between the periods of 1974-1983 and 1983-2004. Given the absence of a trend in rainfall, the increase can likely be attributed to ground-water development. At a site in south Lake County, double-mass plots indicate that dredging of the Palatlakaha River and other nearby drainage improvements may have reduced recharge rates to the UFA by about 30 percent from the period between 1960-1965 to 1965-1970. Water-level differentials were positively correlated with land-surface altitude. The correlation was particularly strong for the 11 sites located in physiographically-defined ridge areas (coefficient of determination (R2) = 0.89). Weaker yet statistically significant negative correlations were detected between differentials and the model-calibrated leakance and thickness of the intermediate confining unit (ICU). Recharge to the UFA decreased by about 14 percent at the Charlotte Street monitoring-well site in Seminole County between 2000-2004. The decrease can be attributed to a reduction in nearby pumpage, from 57 to 49 million gallons per day over the 5-year period, with a subsequent recovery in UFA water levels that exceeded those in the SAS. Differentials at Charlotte were influenced by system memory of both precipitation and pumpage. While not statistically correlated with monthly precipitation, monthly differentials were well correlated with the 9-month moving average of precipitation. Similarly, differentials were best correlated with the 2-month moving average of pumpage. The polynomial function that quantifies the correlation between differentials and the 2-month moving average of pumpage indicates that, in terms of UFA recharge rates, the system was closer to a steady-state condition in 2000 when pumpage rates were high, than from 2001-2004 when p

Cine phase-contrast MRI evaluation of normal aqueductal cerebrospinal fluid flow according to sex and age.

PubMed

Unal, Ozkan; Kartum, Alp; Avcu, Serhat; Etlik, Omer; Arslan, Halil; Bora, Aydin

2009-12-01

The aim of this study was cerebrospinal flow quantification in the cerebral aqueduct using cine phase-contrast magnetic resonance imaging (MRI) technique in both sexes and five different age groups to provide normative data. Sixty subjects with no cerebral pathology were included in this study. Subjects were divided into five age groups: < or =14 years, 15-24 years, 25-34 years, 35-44 years, and > or =45 years. Phase, rephase, and magnitude images were acquired by 1.5 T MR unit at the level of cerebral aqueduct with spoiled gradient echo through-plane, which is a cine phase-contrast sequence. At this level, peak flow velocity (cm/s), average flow rate (cm/ s), average flow (L/min), volumes in cranial and caudal directions (mL), and net volumes (mL) were studied. There was a statistically significant difference in peak flow between the age group of < or =14 years and the older age groups. There were no statistically significant differences in average velocity, cranial and caudal volume, net volume, and average flow parameters among different age groups. Statistically significant differences were not detected in flow parameters between sexes. When using cine-phase contrast MRI in the cerebral aqueduct, only the peak velocity showed a statistically significant difference between age groups; it was higher in subjects aged < or =14 years than those in older age groups. When performing age-dependent clinical studies including adolescents, this should be taken into consideration.

401(k) plan asset allocation, account balances, and loan activity in 2008.

PubMed

VanDerhei, Jack; Holden, Sarah; Alonso, Luis

2009-10-01

Because 401(k) balances can fluctuate with market returns from year to year, meaningful analysis of 401(k) plans must examine how participants' accounts have performed over the long term. Looking at consistent participants in the EBRI/ICI 401(k) database over the five-year period from 2003 to 2008 (which included one of the worst bear markets for stocks since the Great Depression), the study found: After rising in 2003 and for the next four consecutive years, the average 401(k) retirement account fell 24.3 percent in 2008. The average 401(k) account balance moved up and down with stock market performance, but over the entire five-year time period increased at an average annual growth rate of 7.2 percent, attaining $86,513 at year-end 2008. The median (mid-point) 401(k) account balance increased at an average annual growth rate of 11.4 percent over the 2003-2008 period to $43,700 at year-end 2008. THE BULK OF 401(K) ASSETS CONTINUED TO BE INVESTED IN STOCKS. On average, at year-end 2008, 56 percent of 401(k) participants' assets were invested in equity securities through equity funds, the equity portion of balanced funds, and company stock. Forty-one percent was in fixed-income securities such as stable-value investments and bond and money market funds. THREE-QUARTERS OF 401(K) PLANS INCLUDED LIFECYCLE FUNDS IN THEIR INVESTMENT LINEUP AT YEAR-END 2008. At year-end 2008, nearly 7 percent of the assets in the EBRI/ICI 401(k) database were invested in lifecycle funds and 31 percent of 401(k) participants held lifecycle funds. Also known as "target-date" funds, they are designed to simplify investing and automate account rebalancing. NEW EMPLOYEES CONTINUED TO USE BALANCED FUNDS, INCLUDING LIFECYCLE FUNDS. Across all age groups, more new or recent hires invested their 401(k) assets in balanced funds, including lifecycle funds. At year-end 2008, 36 percent of the account balances of recently hired participants in their 20s were invested in balanced funds, compared with 28 percent in 2007, and about 7 percent in 1998. At year-end 2008, almost 23 percent of the account balances of recently hired participants in their 20s were invested in lifecycle funds, compared with almost 19 percent at year-end 2007. 401(K) PARTICIPANTS CONTINUED TO SEEK DIVERSIFICATION OF THEIR INVESTMENTS. The share of 401(k) accounts invested in company stock continued to shrink, falling by nearly 1 percentage point (to 9.7 percent) in 2008. That continued a steady decline that started in 1999. Recently hired 401(k) participants contributed to this trend: they were less likely to hold employer stock. PARTICIPANTS' 401(K) LOAN ACTIVITY WAS STABLE. In 2008, 18 percent of all 401(k) participants eligible for loans had a loan outstanding against their 401(k) account, the same percentage as at year-end 2007 and year-end 2006. Loans outstanding amounted to 16 percent of the remaining account balance, on average, at year-end 2008; this is similar to the year-end 2002 level.

Predictors of Failure in Infant Mandibular Distraction Osteogenesis.

PubMed

Hammoudeh, Jeffrey A; Fahradyan, Artur; Brady, Colin; Tsuha, Michaela; Azadgoli, Beina; Ward, Sally; Urata, Mark M

2018-03-15

Mandibular distraction osteogenesis (MDO) has been shown to be successful in treating upper airway obstruction caused by micrognathia in pediatric patients. The purpose of this study was to assess the success rate of MDO and possible predictors of failure. The records of all neonates and infants who underwent MDO from 2008 to 2015 were retrospectively reviewed. Procedural failure was defined as patient death or the need for tracheostomy postoperatively. Details of distraction, length of stay, and failures were captured and elucidated. Of the 82 patients, 47 (57.3%) were male; 46 (56.1%) had sporadic Pierre Robin sequence; 33 (40.3%) had syndromic Pierre Robin sequence; and 3 (3.7%) had micrognathia, not otherwise specified. The average distraction length was 27.5 mm (range, 15 to 30 mm; SD, 4.4 mm), the average age at operation was 63.3 days (range, 3 to 342 days; SD, 71.4 days), and the average length of post-MDO hospital stay was 43 days (range, 9 to 219 days; SD, 35 days) with an average follow-up period of 4.3 years (range, 1.1 to 9.6 years; SD, 2.6 years). There were 7 failures (8.5%) (5 tracheostomies and 2 deaths) resulting in a 91.5% success rate. Regression analysis showed that the predicted probability of the need for tracheostomy was 45% (P = .02) when the patient had a central nervous system (CNS) anomaly. The predicted probability of the need for tracheostomy and death combined was 99.6% when the patient had laryngomalacia and a CNS anomaly and was preoperatively intubated (P < .05). This review confirms that MDO is an effective method of treating the upper airway obstruction caused by micrognathia with a high success rate. In our sample the presence of CNS abnormalities, laryngomalacia, and preoperative intubation had a significant impact on the failure rate. Copyright © 2018 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Use of sediment rating curves and optical backscatter data to characterize sediment transport in the Upper Yuba River watershed, California, 2001-03

USGS Publications Warehouse

Curtis, Jennifer A.; Flint, Lorraine E.; Alpers, Charles N.; Wright, Scott A.; Snyder, Noah P.

2006-01-01

Sediment transport in the upper Yuba River watershed, California, was evaluated from October 2001 through September 2003. This report presents results of a three-year study by the U.S. Geological Survey, in cooperation with the California Ecosystem Restoration Program of the California Bay-Delta Authority and the California Resources Agency. Streamflow and suspended-sediment concentration (SSC) samples were collected at four gaging stations; however, this report focuses on sediment transport at the Middle Yuba River (11410000) and the South Yuba River (11417500) gaging stations. Seasonal suspended-sediment rating curves were developed using a group-average method and non-linear least-squares regression. Bed-load transport relations were used to develop bed-load rating curves, and bed-load measurements were collected to assess the accuracy of these curves. Annual suspended-sediment loads estimated using seasonal SSC rating curves were compared with previously published annual loads estimated using the Graphical Constituent Loading Analysis System (GCLAS). The percent difference ranged from -85 percent to +54 percent and averaged -7.5 percent. During water year 2003 optical backscatter sensors (OBS) were installed to assess event-based suspended-sediment transport. Event-based suspended-sediment loads calculated using seasonal SSC rating curves were compared with loads calculated using calibrated OBS output. The percent difference ranged from +50 percent to -369 percent and averaged -79 percent. The estimated average annual sediment yield at the Middle Yuba River (11410000) gage (5 tons/mi2) was significantly lower than that estimated at the South Yuba River (11417500) gage (14 tons/mi2). In both rivers, bed load represented 1 percent or less of the total annual load throughout the project period. Suspended sediment at the Middle Yuba River (11410000) and South Yuba River (11417500) gages was typically greater than 85 percent silt and clay during water year 2003, and sand concentrations at the South Yuba River (11417500) gage were typically higher than those at the Middle Yuba River (11410000) gage for a given streamflow throughout the three year project period. Factors contributing to differences in sediment loads and grain-size distributions at the Middle Yuba River (11410000) and South Yuba River (11417500) gages include contributing drainage area, flow diversions, and deposition of bed-material-sized sediment in reservoirs upstream of the Middle Yuba River (11410000) gage. Owing to its larger drainage area, higher flows, and absence of man-made structures that restrict sediment movement in the lower basin, the South Yuba River transports a greater and coarser sediment load.

CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors--United States, 2005-2013.

PubMed

Johnson, Nicole Blair; Hayes, Locola D; Brown, Kathryn; Hoo, Elizabeth C; Ethier, Kathleen A

2014-10-31

Although substantial progress has been made in improving the health of persons in the United States, serious problems remain to be solved. Life expectancy is increasing, and the rates of the leading causes of death are improving in many cases; however, numerous indicators (i.e., measures of observed or calculated data on the status of a condition) of the health and safety of the U.S. population remain poor. This report reviews population health in the United States and provides an assessment of recent progress in meeting high-priority health objectives. The health status indicators described in this report were selected because of their direct relation to the leading causes of death and other substantial sources of morbidity and mortality and should be the focus of prevention efforts. Data are reported starting in 2005 (or the earliest available year since 2005) through the current data year. Because data sources and specific indicators vary regarding when data are available, the most recent year for which data are available might range from 2010 to 2013. Data were obtained from 17 CDC surveys or surveillance systems and three non-CDC sources to provide a view of this particular point of time in the nation's health and trends in recent years. Data from the following CDC surveillance systems and surveys were used: Behavioral Risk Factor Surveillance System (BRFSS); Emerging Infections Program/Active Bacterial Core surveillance (EIP/ABCs); Foodborne Diseases Active Surveillance Network (FoodNet); Internet Panel Surveys: Influenza Vaccination Coverage Among Health-Care Personnel and Influenza Vaccination Coverage Among Pregnant Women; National Ambulatory Medical Care Survey (NAMCS); National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); National Healthcare Safety Network (NHSN); National HIV Surveillance System; National Hospital Discharge Survey (NHDS); National Immunization Survey (NIS); National Immunization Survey-Teen (NIS-Teen); National Notifiable Disease Surveillance System (NNDSS); Nationally Notifiable STD Surveillance; National Vital Statistics System (NVSS); and Youth Risk Behavior Surveillance System (YRBSS). Three non-CDC sources were used: the Alcohol and Tobacco Tax and Trade Bureau Monthly Statistical Releases; the National Highway Traffic Safety Administration Fatality Analysis Reporting System (FARS); and the Substance Abuse and Mental Health Services Administration's National Survey on Drug Use and Health (NSDUH). Since 2005, life expectancy at birth in the U.S. has increased by 1 year; however, the number of persons who died prematurely was relatively constant. The years of potential life lost declined for eight of the 10 leading causes of death. Age-adjusted rates declined among all leading causes except deaths attributable to Alzheimer's disease and suicide, although the numbers of deaths increased for most causes. Heart disease, stroke, and deaths attributed to motor-vehicle injuries demonstrated notable declines since 2005. Numbers and rates increased for both Alzheimer's disease and suicide. The number of deaths from drug poisoning increased by approximately 11,000, and the number of deaths among older adults caused by falls increased by approximately 7,000. Risk and protective factors for these leading causes of death also showed mixed progress. Current smoking among adults remained stable at approximately 25% while smoking among youths declined to a record low of 15.7%. Obesity rates remained level at approximately 35% for adults and approximately 17% for youths. Approximately 21% of adults met recommended levels of physical activity, consistent with results recorded in the 3 previous years. Control of blood pressure and cholesterol increased to 46.3% and 29.5%, respectively. During the 2012-13 influenza season, vaccination rates reached highs of 72.0% for health-care personnel, 56.6% for children aged <17 years, 50.5% for pregnant women, and 41.5% for persons aged >18 years. Other important measures of the health of the U.S. population also varied. Rates of foodborne illness varied from year to year, with average annual increases for Salmonella and Salmonella serotype Enteritidis. Listeria rates were stable in recent years at 0.26 cases per 100,000 population. Shiga toxin-producing E. coli (STEC) O157 increased during the past 3 years to a rate of 1.15 cases per 100,000 population, even though the annual change for the study period noted an average decline overall. Health-care-associated infections declined, on average, for central-line associated bloodstream infections (CLABSI), surgical site infections (SSI), and Methicillin-resistant Staphylococcus aureus (MRSA) infection. The percentage of persons living with HIV who know their serostatus increased to 84.2%, but trends fluctuated for the number of new HIV infections and the rate of HIV transmission among adolescents and adults. Chlamydia rates increased by an average of 3.3% per year for persons aged 15-19 years and by 4.9% per year for women aged 20-24 years. The number of new cases of hepatitis C and hepatitis C-associated deaths increased by an average of 6.4% and 6.0% per year. Indictors of maternal and child health all improved, including historically low rates of infant mortality (6.1 per 1,000 live births) and teen births (26.6 per 1,000 female population). The percentage of infants breastfed at 6 months increased to 49.4%. Among children aged 19-35 months, 70.4% received the set of universally recommended vaccines, an increase of 2.9% from the previous year. The findings in this report indicate that progress has been steady but slow for many of the priority health issues in the United States. The age-adjusted rates for most of the leading causes of death are declining, but in some cases, the number of deaths is increasing, in part reflecting the growing U.S. population. Several protective factors that have registered substantial average increases (e.g., physical activity among adults, high blood pressure control, and human papillomavirus vaccination among adolescent females) have stalled in recent years. Many protective factors, even those with impressive relative gains, still represent only a minority of the U.S. population (e.g., control of high cholesterol at 29.5%). More data are needed to properly interpret fluctuating trends, such as those observed with the number of HIV infections and HIV transmission rates. Finally, some indicators of disease that appear to be increasing, such as chlamydia and hepatitis C, reflect increased efforts to engage in targeted screening but also suggest that the actual burden of infection is much greater than the reported data alone indicate. Although not all-inclusive, this compilation highlights important health concerns, points to areas in which important success has been achieved, and highlights areas in which more effort is needed. By tracking progress, public health officials, program managers, and decision makers can better identify areas for improvement and institute policies and programs to improve health and the quality of life.

Major mishaps among mobile offshore drilling units, 1955-1981: time trends and fatalities.

PubMed

Clemmer, D I; Diem, J E

1985-03-01

Major mishaps among mobile offshore drilling units worldwide from 1955-1981 were identified from industry and government sources. Based on annual numbers of rigs in service and typical staffing patterns, annual mishap rates and fatality rates for rig types and mishap categories were computed. While the frequency of major mishaps has increased in recent years, the mishap rate per 100 rig-years of service has remained stable. The overall stability obscures the fact that jack-up rigs have had an increasing mishap rate while the rate for other rig types combined has gradually declined. Although the fatal mishap rate has also remained constant, the annual fatality rate per 100 000 full time equivalent (FTE) workers has risen sharply. This can be attributed to increasing numbers of lives lost in environmental mishaps while deaths from operational mishaps have declined. There were 344 fatalities during the 27-year period. Although an average of some 13 deaths per year worldwide appears minimal, the relatively small size of the workforce gives this number significance particularly when it is noted that 'occupational' fatalities, those occurring in the course of routine operations, are not included. The overall fatality rate secondary to major mishaps was 84.3 per 100 000 FTE worker-years.

[Trends in mortality by assault in women in selected countries of Latin America, 2001-2011].

PubMed

Molinatti, Florencia; Acosta, Laura Débora

2015-05-01

Describe the trend in deaths by assault in women in Argentina, Brazil, Chile, Colombia, and Mexico between 2001 and 2011. Descriptive study. Mortality from assaults and undetermined intentional acts was calculated, adjusted for age, using the direct method and the World Health Organization's standard population. Joinpoint regression models were used to identify statistically significant changes. The male:female mortality ratio was compared and trends in the rates were calculated and adjusted for each of the two causes of death and the specific rates of mortality by assault in women by age group. The highest rates of assault of women were reported in Brazil, followed by Colombia, Mexico, Argentina, and Chile. Between 2001 and 2011, decreases were reported from Argentina and Colombia; in Brazil and Mexico the rates increased; and in Chile they remained stable. The highest specific rates were found in young women (15-29 years) and adults (30-44 and 45-59 years). In Colombia the rates declined in all groups, while in Mexico they increased in women aged 15 to 59 years. Only Colombia showed a decrease in mortality from undetermined intentional acts; in Argentina and Mexico there was a decrease at the beginning of the period with a later increase; in Brazil no variations were observed. Mortality from assaults on women in Brazil, Colombia, and Mexico between 2001 and 2011 was higher than the world average and the Latin American average; rates were lower in Argentina and Chile, with minor differences between the sexes. Progress must be made in terms of understanding the power relationships that underlie femicide, which should be included in national criminal legislation.

Long-term effectiveness and cost-effectiveness of smoking cessation interventions in patients with COPD.

PubMed

Hoogendoorn, Martine; Feenstra, Talitha L; Hoogenveen, Rudolf T; Rutten-van Mölken, Maureen P M H

2010-08-01

The aim of this study was to estimate the long-term (cost-) effectiveness of smoking cessation interventions for patients with chronic obstructive pulmonary disease (COPD). A systematic review was performed of randomised controlled trials on smoking cessation interventions in patients with COPD reporting 12-month biochemical validated abstinence rates. The different interventions were grouped into four categories: usual care, minimal counselling, intensive counselling and intensive counselling + pharmacotherapy ('pharmacotherapy'). For each category the average 12-month continuous abstinence rate and intervention costs were estimated. A dynamic population model for COPD was used to project the long-term (cost-) effectiveness (25 years) of 1-year implementation of the interventions for 50% of the patients with COPD who smoked compared with usual care. Uncertainty and one-way sensitivity analyses were performed for variations in the calculation of the abstinence rates, the type of projection, intervention costs and discount rates. Nine studies were selected. The average 12-month continuous abstinence rates were estimated to be 1.4% for usual care, 2.6% for minimal counselling, 6.0% for intensive counselling and 12.3% for pharmacotherapy. Compared with usual care, the costs per quality-adjusted life year (QALY) gained for minimal counselling, intensive counselling and pharmacotherapy were euro 16 900, euro 8200 and euro 2400, respectively. The results were most sensitive to variations in the estimation of the abstinence rates and discount rates. Compared with usual care, intensive counselling and pharmacotherapy resulted in low costs per QALY gained with ratios comparable to results for smoking cessation in the general population. Compared with intensive counselling, pharmacotherapy was cost saving and dominated the other interventions.

XMM-Newton publication statistics

NASA Astrophysics Data System (ADS)

Ness, J.-U.; Parmar, A. N.; Valencic, L. A.; Smith, R.; Loiseau, N.; Salama, A.; Ehle, M.; Schartel, N.

2014-02-01

We assessed the scientific productivity of XMM-Newton by examining XMM-Newton publications and data usage statistics. We analyse 3272 refereed papers, published until the end of 2012, that directly use XMM-Newton data. The SAO/NASA Astrophysics Data System (ADS) was used to provide additional information on each paper including the number of citations. For each paper, the XMM-Newton observation identifiers and instruments used to provide the scientific results were determined. The identifiers were used to access the XMM-{Newton} Science Archive (XSA) to provide detailed information on the observations themselves and on the original proposals. The information obtained from these sources was then combined to allow the scientific productivity of the mission to be assessed. Since around three years after the launch of XMM-Newton there have been around 300 refereed papers per year that directly use XMM-Newton data. After more than 13 years in operation, this rate shows no evidence that it is decreasing. Since 2002, around 100 scientists per year become lead authors for the first time on a refereed paper which directly uses XMM-Newton data. Each refereed XMM-Newton paper receives around four citations per year in the first few years with a long-term citation rate of three citations per year, more than five years after publication. About half of the articles citing XMM-Newton articles are not primarily X-ray observational papers. The distribution of elapsed time between observations taken under the Guest Observer programme and first article peaks at 2 years with a possible second peak at 3.25 years. Observations taken under the Target of Opportunity programme are published significantly faster, after one year on average. The fraction of science time taken until the end of 2009 that has been used in at least one article is {˜ 90} %. Most observations were used more than once, yielding on average a factor of two in usage on available observing time per year. About 20 % of all slew observations have been used in publications. The scientific productivity of XMM-Newton measured by the publication rate, number of new authors and citation rate, remains extremely high with no evidence that it is decreasing after more than 13 years of operations.

Long-term safety and performance of the orbital atherectomy system for treating calcified coronary artery lesions: 5-Year follow-up in the ORBIT I trial.

PubMed

Bhatt, Parloop; Parikh, Parth; Patel, Apurva; Chag, Milan; Chandarana, Anish; Parikh, Roosha; Parikh, Keyur

2015-06-01

The ORBIT I trial, a first-in-man study, was conducted to evaluate the safety and performance of the orbital atherectomy system (OAS) in treating de novo calcified coronary lesions. Fifty patients were enrolled between May and July 2008 based on several criteria, and were treated with the OAS followed by stent placement. The safety and performance of the OAS were evaluated by procedural success, device success, and overall major adverse cardiovascular event (MACE) rates, including cardiac death, myocardial infarction (MI) and need for target lesion revascularization (TLR). Our institution enrolled and treated 33 of the 50 patients and continued follow-up for 5 years. Average age was 54 years and 91% were males. Mean lesion length was 15.9 mm. Device success was 100%, and average number of orbital atherectomy devices (OAD) used per patient was 1.3. Stents were placed directly after OAS in 31/32 patients (96.9%). All stents (average stent per lesion 1.1) were successfully deployed with 0.3% residual stenosis. The overall cumulative MACE rate was 6.1% in-hospital, 9.1% at 30 days, 12.1% at 6 months, 15.2% at 2 years, 18.2% at 3 years and 21.2% at 5 years (4 total cardiac deaths). None of the patients had Q-wave MIs. Angiographic complications were observed in 5 patients. No flow/slow flow due to distal embolization was observed. The ORBIT I trial suggests that OAS treatment continues to offer a safe and effective method to change compliance of calcified coronary lesions to facilitate optimal stent placement in these difficult-to-treat patients. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

Sedimentation survey of Lago Cerrillos, Ponce, Puerto Rico, April-May 2008

USGS Publications Warehouse

Soler-López, Luis R.

2011-01-01

Lago Cerrillos dam, located in the municipality of Ponce in southern Puerto Rico, was constructed in 1991 as part of the multipurpose Rio Portugues and Bucana Project. This project provides flood protection, water supply, and recreation facilities for the municipio of Ponce. The reservoir had an original storage capacity of 38.03 million cubic meters at maximum conservation pool elevation of 174.65 meters above mean sea level and a drainage area of 45.32 square kilometers. Sedimentation in Lago Cerrillos reservoir has reduced the storage capacity from 38.03 million cubic meters in 1991 to 37.26 million cubic meters in 2008, which represents a total storage loss of about 2 percent. During July 29 to August 23, 2002, 8,492 cubic meters of sediment were removed from the Rio Cerrillos mouth of the reservoir. Taking into account this removed material, the total water-storage loss as of 2008 is 778,492 cubic meters, and the long-term annual water-storage capacity loss rate is about 45,794 cubic meters per year or about 0.12 percent per year. The Lago Cerrillos net sediment-contributing drainage area has an average sediment yield of about 1,069 cubic meters per square kilometer per year. Sediment accumulation in Lago Cerrillos is not uniformly distributed and averages about 3 meters in thickness. This represents a sediment deposition rate of about 18 centimeters per year. On the basis of the 2008 reservoir storage capacity of 37.26 million cubic meters per year and a long-term sedimentation rate of 45,794 cubic meters per year, Lago Cerrillos is estimated to have a useful life of about 814 years or until the year 2822.

Admission characteristics and academic performance of podiatric and osteopathic medical students at Des Moines University.

PubMed

Yoho, Robert M; Vardaxis, Vassilios; Comstock, Kathryn

2010-01-01

Podiatric and osteopathic medical students at Des Moines University take the same basic science medical curriculum. The first course students complete is medical biochemistry. The final common course is the second-year medical pharmacology course. Attrition typically occurs between these academic offerings. We sought to compare admissions data, retention rates, and academic performance between these two groups of medical students for the classes of 2008 to 2011. Average admission scores, performance scores for the biochemistry and medical pharmacology courses, and retention rates for the 2008 to 2011 classes were obtained from the registrar and enrollment offices. One-way analysis of variance was used to compare the scores of the two cohorts. Linear regression was used to identify changes across time. The DO students showed significantly better performance than the DPM students in matriculating overall and science grade point averages, total Medical College Admissions Test scores, retention rates, and the medical biochemistry course (P < .01). There was no difference in the performance of the student groups in the medical pharmacology course. The DPM student scores across the four classes increased for both academic courses, whereas the DO student scores remained at the same level for medical biochemistry, at a rate of 0.74% per year (R(2) = 0.50), and pharmacology, at a rate of 0.90% per year (R(2) = 0.49). Admissions data and initial academic performance of osteopathic medical students were higher than those of podiatric medical students. Once attrition occurred in year 1, the difference in academic performance between these groups of students was no longer statistically significant, and students in both medical programs at that time in the curriculum are equally academically qualified.

Holocene Accumulation and Ice Flow near the West Antarctic Ice Sheet Divide Ice Core Site

NASA Technical Reports Server (NTRS)

Koutnik, Michelle R.; Fudge, T.J.; Conway, Howard; Waddington, Edwin D.; Neumann, Thomas A.; Cuffey, Kurt M.; Buizert, Christo; Taylor, Kendrick C.

2016-01-01

The West Antarctic Ice Sheet Divide Core (WDC) provided a high-resolution climate record from near the Ross-Amundsen Divide in Central West Antarctica. In addition, radar-detected internal layers in the vicinity of the WDC site have been dated directly from the ice core to provide spatial variations in the age structure of the region. Using these two data sets together, we first infer a high-resolution Holocene accumulation-rate history from 9.2 thousand years of the ice-core timescale and then confirm that this climate history is consistent with internal layers upstream of the core site. Even though the WDC was drilled only 24 kilometers from the modern ice divide, advection of ice from upstream must be taken into account. We evaluate histories of accumulation rate by using a flowband model to generate internal layers that we compare to observed layers. Results show that the centennially averaged accumulation rate was over 20 percent lower than modern at 9.2 thousand years before present (B.P.), increased by 40 percent from 9.2 to 2.3 thousand years B.P., and decreased by at least 10 percent over the past 2 thousand years B.P. to the modern values; these Holocene accumulation-rate changes in Central West Antarctica are larger than changes inferred from East Antarctic ice-core records. Despite significant changes in accumulation rate, throughout the Holocene the regional accumulation pattern has likely remained similar to today, and the ice-divide position has likely remained on average within 5 kilometers of its modern position. Continent-scale ice-sheet models used for reconstructions of West Antarctic ice volume should incorporate this accumulation history.