Challenge theme 1: Understanding and preserving ecological resources: Chapter 3 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

USGS Publications Warehouse

Moring, J. Bruce; Papoulias, Diana M.; van Riper, Charles

2013-01-01

Texas Plains; and Western Gulf Coastal Plain. The unique geology and many of the distinctive geographic features and climatic conditions that have given rise to the diverse populations of plants and animals found in the Borderlands also attract human populations. The number of people living in the Borderlands has increased dramatically over recent years, from about 7 million in 1980 to almost 12 million in 2003; the population is estimated to be more than 18 million by 2020 (Peach and Williams, 2003). The human population increase and associated change in land use have contributed to habitat fragmentation and habitat loss for native species, thus threatening their survival. Some ways in which humans negatively affect plants and animals in the Borderlands include dewatering of aquatic ecosystems, water pollution, introduction and spread of invasive species, outdoor lighting, military and border enforcement activity, and energy development and transmission.

Provider-owned health plans: El Dorado or Armageddon?

PubMed

McCarthy, E J

1999-11-01

The development of provider-owned health plans continues to be an important strategy of integrated delivery systems (IDSs). While HMO enrollment growth has continued, reaching almost 70 million people, average health plan profit margins have declined from 8 percent in 1994 to less than 1 percent in 1997. About 56 percent of HMOs lost money in 1998. The ability to successfully develop and operate a provider-owned HMO is affected by conditions inherent to the managed care industry, the level of cooperation among IDS business, units, and local market conditions.

Perinatal asphyxia: a review from a metabolomics perspective.

PubMed

Fattuoni, Claudia; Palmas, Francesco; Noto, Antonio; Fanos, Vassilios; Barberini, Luigi

2015-04-17

Perinatal asphyxia is defined as an oxygen deprivation that occurs around the time of birth, and may be caused by several perinatal events. This medical condition affects some four million neonates worldwide per year, causing the death of one million subjects. In most cases, infants successfully recover from hypoxia episodes; however, some patients may develop HIE, leading to permanent neurological conditions or impairment of different organs and systems. Given its multifactor dependency, the timing, severity and outcome of this disease, mainly assessed through Sarnat staging, are of difficult evaluation. Moreover, although the latest newborn resuscitation guideline suggests the use of a 21% oxygen concentration or room air, such an approach is still under debate. Therefore, the pathological mechanism is still not clear and a golden standard treatment has yet to be defined. In this context, metabolomics, a new discipline that has described important perinatal issues over the last years, proved to be a useful tool for the monitoring, the assessment, and the identification of potential biomarkers associated with asphyxia events. This review covers metabolomics research on perinatal asphyxia condition, examining in detail the studies reported both on animal and human models.

Genetics Home Reference: Jacobsen syndrome

MedlinePlus

... varies among affected individuals, with most affected people missing 5 million to 16 million DNA building blocks ( ... translocation can have a chromosomal rearrangement with some missing genetic material and some extra genetic material. Individuals ...

Ongoing Coverage for Ongoing Care: Access, Utilization, and Out-of-Pocket Spending Among Uninsured Working-Aged Adults with Chronic Health Care Needs

PubMed Central

Rasch, Elizabeth K.; Chan, Leighton

2011-01-01

Objectives. We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. Methods. We conducted multivariate analyses of the 2002–2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden among key groups of persons with chronic conditions and disabilities. The results are generalizable to the US community-dwelling population aged 18 to 64 years. Results. Among 92 million adults with chronic conditions, 21% experienced at least 1 month uninsured during the average year (2002–2004). Among the 25 million persons reporting both chronic conditions and disabilities, 23% were uninsured during the average year. These gaps in coverage were associated with significantly higher levels of access problems, lower rates of ambulatory visits and prescription drug use, and higher levels of out-of-pocket spending. Conclusions. Implementation of health care reform must focus not only on the prevention of chronic conditions and the expansion of insurance coverage but also on the long-term stability of the coverage to be offered. PMID:21164090

Bermuda Triangle for the liver: alcohol, obesity, and viral hepatitis.

PubMed

Zakhari, Samir

2013-08-01

Despite major progress in understanding and managing liver disease in the past 30 years, it is now among the top 10 most common causes of death globally. Several risk factors, such as genetics, diabetes, obesity, excessive alcohol consumption, viral infection, gender, immune dysfunction, and medications, acting individually or in concert, are known to precipitate liver damage. Viral hepatitis, excessive alcohol consumption, and obesity are the major factors causing liver injury. Estimated numbers of hepatitis B virus (HBV) and hepatitis C virus (HCV)-infected subjects worldwide are staggering (370 and 175 million, respectively), and of the 40 million known human immunodeficiency virus positive subjects, 4 and 5 million are coinfected with HBV and HCV, respectively. Alcohol and HCV are the leading causes of end-stage liver disease worldwide and the most common indication for liver transplantation in the United States and Europe. In addition, the global obesity epidemic that affects up to 40 million Americans, and 396 million worldwide, is accompanied by an alarming incidence of end-stage liver disease, a condition exacerbated by alcohol. This article focuses on the interactions between alcohol, viral hepatitis, and obesity (euphemistically described here as the Bermuda Triangle of liver disease), and discusses common mechanisms and synergy. © 2013 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

Current interventions in the management of knee osteoarthritis

PubMed Central

Bhatia, Dinesh; Bejarano, Tatiana; Novo, Mario

2013-01-01

Osteoarthritis (OA) is progressive joint disease characterized by joint inflammation and a reparative bone response and is one of the top five most disabling conditions that affects more than one-third of persons > 65 years of age, with an average estimation of about 30 million Americans currently affected by this disease. Global estimates reveal more than 100 million people are affected by OA. The financial expenditures for the care of persons with OA are estimated at a total annual national cost estimate of $15.5-$28.6 billion per year. As the number of people >65 years increases, so does the prevalence of OA and the need for cost-effective treatment and care. Developing a treatment strategy which encompasses the underlying physiology of degenerative joint disease is crucial, but it should be considerate to the different age ranges and different population needs. This paper focuses on different exercise and treatment protocols (pharmacological and non-pharmacological), the outcomes of a rehabilitation center, clinician-directed program versus an at home directed individual program to view what parameters are best at reducing pain, increasing functional independence, and reducing cost for persons diagnosed with knee OA. PMID:23559821

Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations From 2015 to 2050.

PubMed

Varma, Rohit; Vajaranant, Thasarat S; Burkemper, Bruce; Wu, Shuang; Torres, Mina; Hsu, Chunyi; Choudhury, Farzana; McKean-Cowdin, Roberta

2016-07-01

The number of individuals with visual impairment (VI) and blindness is increasing in the United States and around the globe as a result of shifting demographics and aging populations. Tracking the number and characteristics of individuals with VI and blindness is especially important given the negative effect of these conditions on physical and mental health. To determine the demographic and geographic variations in VI and blindness in adults in the US population in 2015 and to estimate the projected prevalence through 2050. In this population-based, cross-sectional study, data were pooled from adults 40 years and older from 6 major population-based studies on VI and blindness in the United States. Prevalence of VI and blindness were reported by age, sex, race/ethnicity, and per capita prevalence by state using the US Census projections (January 1, 2015, through December 31, 2050). Prevalence of VI and blindness. In 2015, a total of 1.02 million people were blind, and approximately 3.22 million people in the United States had VI (best-corrected visual acuity in the better-seeing eye), whereas up to 8.2 million people had VI due to uncorrected refractive error. By 2050, the numbers of these conditions are projected to double to approximately 2.01 million people with blindness, 6.95 million people with VI, and 16.4 million with VI due to uncorrected refractive error. The highest numbers of these conditions in 2015 were among non-Hispanic white individuals (2.28 million), women (1.84 million), and older adults (1.61 million), and these groups will remain the most affected through 2050. However, African American individuals experience the highest prevalence of visual impairment and blindness. By 2050, the highest prevalence of VI among minorities will shift from African American individuals (15.2% in 2015 to 16.3% in 2050) to Hispanic individuals (9.9% in 2015 to 20.3% in 2050). From 2015 to 2050, the states projected to have the highest per capita prevalence of VI are Florida (2.56% in 2015 to 3.98% in 2050) and Hawaii (2.35% in 2015 and 3.93% in 2050), and the states projected to have the highest projected per capita prevalence of blindness are Mississippi (0.83% in 2015 to 1.25% in 2050) and Louisiana (0.79% in 2015 to 1.20% in 2050). These data suggest that vision screening for refractive error and early eye disease may reduce or prevent a high proportion of individuals from experiencing unnecessary vision loss and blindness, decrease associated costs to the US economy for medical services and lost productivity, and contribute to better quality of life. Targeted education and screening programs for non-Hispanic white women and minorities should become increasingly important because of the projected growth of these populations and their relative contribution to the overall numbers of these conditions.

Spondylitis Association of America

MedlinePlus

... Spondyloarthritis affects more people than Multiple Sclerosis (MS), Rheumatoid Arthritis, and Autism, yet it remains relatively unknown. MS (400,000) Rheumatoid Arthritis (1.3million) Autism (1.5million) Spondyloarthritis (2.7million) ...

The financial impact of unrepaired cleft lip and palate in the Philippines.

PubMed

Muntz, Harlan R; Meier, Jeremy D

2013-12-01

There are over 96 million people in the Philippines. Close to 77 thousand persons in this country have orofacial clefting. We estimate nearly 64 thousand are unrepaired. Unemployment and underemployment because of the communication disorders associated with unrepaired clefts will affect family income and hence tax revenues. The purpose of this study is to understand the financial impact of unrepaired cleft lip and/or palate on families and identify how that would translate to the Philippine government in tax revenues. The incidence of orofacial cleft in the Philippines was estimated to be at least 1 in 750 people, with only 16% anticipated to be repaired under current conditions. Assuming a 21% unemployment rate in subjects with untreated clefts, and a tax rate of 6-12.4%, projected lost personal income and federal tax revenue was calculated. In 2012 alone the financial impact on the families may be as much as $US 73-88 million in lost revenue from unemployment and underemployment. This would cost the government between $8.0 and $9.8 million dollars in lost tax revenue. Over a 20 year period at least $US 1.7 billion dollars in family income would be affected costing the government at least $US 194 million in taxes. By appropriately caring for the cleft population tax revenues should increase substantially. The development of the infrastructure for surgical care of this problem would be costly but could be more than offset by revenues. Inattention to surgically correctable causes of communication disorders is not affordable. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Erectile dysfunction in chronic kidney disease: From pathophysiology to management

PubMed Central

Papadopoulou, Eirini; Varouktsi, Anna; Lazaridis, Antonios; Boutari, Chrysoula; Doumas, Michael

2015-01-01

Chronic kidney disease (CKD) is encountered in millions of people worldwide, with continuously rising incidence during the past decades, affecting their quality of life despite the increase of life expectancy in these patients. Disturbance of sexual function is common among men with CKD, as both conditions share common pathophysiological causes, such as vascular or hormonal abnormalities and are both affected by similar coexisting comorbid conditions such as cardiovascular disease, hypertension and diabetes mellitus. The estimated prevalence of erectile dysfunction reaches 70% in end stage renal disease patients. Nevertheless, sexual dysfunction remains under-recognized and under-treated in a high proportion of these patients, a fact which should raise awareness among clinicians. A multifactorial approach in management and treatment is undoubtedly required in order to improve patients’ quality of life and cardiovascular outcomes. PMID:26167462

Hydrogeology, distribution, and volume of saline groundwater in the southern midcontinent and adjacent areas of the United States

USGS Publications Warehouse

Osborn, Noël I.; Smith, S. Jerrod; Seger, Christian H.

2013-01-01

The hydrogeology, distribution, and volume of saline water in 22 aquifers in the southern midcontinent of the United States were evaluated to provide information about saline groundwater resources that may be used to reduce dependency on freshwater resources. Those aquifers underlie six States in the southern midcontinent—Arkansas, Kansas, Louisiana, Missouri, Oklahoma, and Texas—and adjacent areas including all or parts of Alabama, Colorado, Florida, Illinois, Kentucky, Mississippi, Nebraska, New Mexico, South Dakota, Tennessee, and Wyoming and some offshore areas of the Gulf of Mexico. Saline waters of the aquifers were evaluated by defining salinity zones; digitizing data, primarily from the Regional Aquifer-System Analysis Program of the U.S. Geological Survey; and computing the volume of saline water in storage. The distribution of saline groundwater in the southern midcontinent is substantially affected by the hydrogeology and groundwater-flow systems of the aquifers. Many of the aquifers in the southern midcontinent are underlain by one or more aquifers, resulting in vertically stacked aquifers containing groundwaters of varying salinity. Saline groundwater is affected by past and present hydrogeologic conditions. Spatial variation of groundwater salinity in the southern midcontinent is controlled primarily by locations of recharge and discharge areas, groundwater-flow paths and residence time, mixing of freshwater and saline water, and interactions with aquifer rocks and sediments. The volume calculations made for the evaluated aquifers in the southern midcontinent indicate that about 39,900 million acre-feet (acre-ft) of saline water is in storage. About 21,600 million acre-ft of the water in storage is slightly to moderately saline (1,000–10,000 milligrams per liter [mg/L] dissolved solids), and about 18,300 million acre-ft is very saline (10,000–35,000 mg/L dissolved solids). The largest volumes of saline water are in the coastal lowlands (about 16,300 million acre-ft), Mississippi embayment and Texas coastal uplands (about 12,000 million acre-ft), and Great Plains (about 8,170 million acre-ft) aquifer systems. Of the 22 aquifers evaluated in this report, the Maha aquifer in the Great Plains aquifer system contains both the largest total volume of saline water (about 6,280 million acre-ft) and the largest volume of slightly to moderately saline water (about 5,150 million acre-ft).

Effects of Cationic Polyacrylamide Characteristics on Sewage Sludge Dewatering and Moisture Evaporation

PubMed Central

Pan, Chengyi

2014-01-01

The effects of the molecular weight (MW) and charge density (CD) of cationic polyacrylamide (CPAM) on sludge dewatering and moisture evaporation were investigated in this study. Results indicated that in sludge conditioning, the optimum dosages were 10, 6, 6, 4, and 4 mg g−1 CPAM with 5 million MW and 20% CD, 5 million MW and 40% CD, 3 million MW and 40% CD, 8 million MW and 40% CD, and 5 million MW and 60% CD, respectively. The optimum dosage of CPAM was negatively correlated with its CD or MW if the CD or MW of CPAM was above 20% or 5 million. In the centrifugal dewatering of sludge, the moisture content in the conditioned sludge gradually decreased with the extension of centrifugation time, and the economical centrifugal force was 400×g. The moisture evaporation rates of the conditioned sludge were closely related to sludge dewaterability, which was in turn significantly correlated either positively with the solid content of sludge particles that were >2 mm in size or negatively with that of particles measuring 1 mm to 2 mm in diameter. During treatment, sludge moisture content was reduced from 80% to 20% by evaporation, and the moisture evaporation rates were 1.35, 1.49, 1.62, and 2.24 times faster in the sludge conditioned using 4 mg g−1 CPAM with 5 million MW and 60% CD than in the sludge conditioned using 4 mg g−1 CPAM with 8 million MW and 40% CD, 6 mg g−1 CPAM with 5 million MW and 40% CD, 6 mg g−1 CPAM with 3 million MW and 40% CD, and 10 mg g−1 CPAM with 5 million MW and 20% CD, respectively. Hence, the CPAM with 5 million MW and 60% CD was ideal for sludge dewatering. PMID:24878582

Effects of cationic polyacrylamide characteristics on sewage sludge dewatering and moisture evaporation.

PubMed

Zhou, Jun; Liu, Fenwu; Pan, Chengyi

2014-01-01

The effects of the molecular weight (MW) and charge density (CD) of cationic polyacrylamide (CPAM) on sludge dewatering and moisture evaporation were investigated in this study. Results indicated that in sludge conditioning, the optimum dosages were 10, 6, 6, 4, and 4 mg g(-1) CPAM with 5 million MW and 20% CD, 5 million MW and 40% CD, 3 million MW and 40% CD, 8 million MW and 40% CD, and 5 million MW and 60% CD, respectively. The optimum dosage of CPAM was negatively correlated with its CD or MW if the CD or MW of CPAM was above 20% or 5 million. In the centrifugal dewatering of sludge, the moisture content in the conditioned sludge gradually decreased with the extension of centrifugation time, and the economical centrifugal force was 400×g. The moisture evaporation rates of the conditioned sludge were closely related to sludge dewaterability, which was in turn significantly correlated either positively with the solid content of sludge particles that were >2 mm in size or negatively with that of particles measuring 1 mm to 2 mm in diameter. During treatment, sludge moisture content was reduced from 80% to 20% by evaporation, and the moisture evaporation rates were 1.35, 1.49, 1.62, and 2.24 times faster in the sludge conditioned using 4 mg g(-1) CPAM with 5 million MW and 60% CD than in the sludge conditioned using 4 mg g(-1) CPAM with 8 million MW and 40% CD, 6 mg g(-1) CPAM with 5 million MW and 40% CD, 6 mg g(-1) CPAM with 3 million MW and 40% CD, and 10 mg g(-1) CPAM with 5 million MW and 20% CD, respectively. Hence, the CPAM with 5 million MW and 60% CD was ideal for sludge dewatering.

New strategies for the management of diverticular disease: insights for the clinician

PubMed Central

Floch, Martin

2013-01-01

Diverticulosis is one of the most common gastrointestinal conditions affecting the general population in the Western world. It is estimated that over 2.5 million people are affected by diverticular disease in the United States. The spectrum of clinical manifestations of diverticulosis ranges from asymptomatic diverticulosis to complicated diverticulitis. Treatment for symptomatic diverticular disease is largely based on symptoms. Traditional therapy includes fiber, bowel rest, antibiotics, pain control and surgery for selected cases. This review discusses recent advances in the medical treatment of diverticular disease such as the use of mesalamine, rifaximin and probiotics as our understanding of the disease evolves. PMID:23634185

Epidemiology and social costs of hip fracture.

PubMed

Veronese, Nicola; Maggi, Stefania

2018-04-20

Hip fracture is an important and debilitating condition in older people, particularly in women. The epidemiological data varies between countries, but it is globally estimated that hip fractures will affect around 18% of women and 6% of men. Although the age-standardised incidence is gradually falling in many countries, this is far outweighed by the ageing of the population. Thus, the global number of hip fractures is expected to increase from 1.26 million in 1990 to 4.5 million by the year 2050. The direct costs associated with this condition are enormous since it requires a long period of hospitalisation and subsequent rehabilitation. Furthermore, hip fracture is associated with the development of other negative consequences, such as disability, depression, and cardiovascular diseases, with additional costs for society. In this review, we show the most recent epidemiological data regarding hip fracture, indicating the well-known risk factors and conditions that seem relevant for determining this condition. A specific part is dedicated to the social costs due to hip fracture. Although the costs of hip fracture are probably comparable to other common diseases with a high hospitalisation rate (e.g. cardiovascular disease), the other social costs (due to onset of new co-morbidities, sarcopenia, poor quality of life, disability and mortality) are probably greater. Copyright © 2018 Elsevier Ltd. All rights reserved.

Immunomodulation and safety of topical calcineurin inhibitors for the treatment of atopic dermatitis.

PubMed

Hultsch, Thomas; Kapp, Alexander; Spergel, Jonathan

2005-01-01

Atopic dermatitis (AD) is a chronic or chronically relapsing inflammatory skin condition that primarily affects children. Topical corticosteroids have been the mainstay of treatment since the late 1950s. While providing excellent short-term efficacy, topical corticosteroid usage is limited by potential adverse effects, including impairment of the function and viability of Langerhans cells/dendritic cells. The recently introduced topical calcineurin inhibitors pimecrolimus cream 1% (Elidel) and tacrolimus ointment 0.03 and 0.1% (Protopic) exhibit a more selective mechanism of action and do not affect Langerhans cells/dendritic cells. For the immune system of young children 'learning' to mount a balanced Th1/Th2 response, this selective effect has particular benefits. In clinical experience, topical calcineurin inhibitors have been shown to be a safe and effective alternative to topical corticosteroids in almost 7 million patients (>5 million on pimecrolimus; >1.7 million on tacrolimus). Topical pimecrolimus is primarily used in children with mild and moderate AD, whereas tacrolimus is used preferentially in more severe cases. None of the topical calcineurin inhibitors have been associated with systemic immunosuppression-related malignancies known to occur following long-term sustained systemic immunosuppression with oral immunosuppressants (e.g., tacrolimus, cyclosporine A, and corticosteroids) in transplant patients. Preclinical and clinical data suggest a greater skin selectivity and larger safety margin for topical pimecrolimus. (c) 2005 S. Karger AG, Basel

Prevalence and effects of multiple chemical sensitivities in Australia.

PubMed

Steinemann, Anne

2018-06-01

Multiple chemical sensitivities (MCS) is a medical condition associated with exposure to common chemical pollutants. The aims of this study are to assess the prevalence of MCS, its overlaps with asthma and fragrance sensitivity, and its health and societal effects in Australia. Data were collected in June 2016 using an on-line survey with a representative national sample (N = 1098) of adults (ages 18-65) in Australia. Results found that, across the country, 6.5% report medically diagnosed MCS, 18.9% report chemical sensitivity (being unusually sensitive to everyday chemicals and chemically formulated products), and 19.9% either or both. Among people with MCS, 74.6% also have diagnosed asthma or an asthma-like condition, and 91.5% have fragrance sensitivity, reporting health problems (such as migraine headaches) when exposed to fragranced consumer products (such as air fresheners and cleaning supplies). In addition, among people with MCS, 77.5% are prevented from access to places because of fragranced products, 52.1% lost workdays or a job in the past year due to fragranced product exposure in the workplace, and 55.4% report health effects considered potentially disabling. Results indicate that MCS is a widespread disease, affecting an estimated 1 million adult Australians, with chemical sensitivity affecting another 2 million. Reducing chemical exposure to problematic sources, such as fragranced consumer products, is critical to reduce adverse effects.

Estimates of HIV burden in emergencies

PubMed Central

Lowicki-Zucca, M; Spiegel, P B; Kelly, S; Dehne, K-L; Walker, N; Ghys, P D

2008-01-01

Objective: To quantify the proportion of people living with HIV who are being affected by emergencies. Methods: Emergencies were defined as conflict, natural disaster and/or displacement. Country-specific estimates of populations affected by emergencies were developed based on eight publicly available databases and sources. These estimates were calculated as proportions and then combined with updated country-level HIV estimates for the years 2003, 2005 and 2006 to obtain estimates of the number of men, women and children living with HIV who were also affected by emergencies. Results: In 2006, 1.8 (range 1.3–2.5) million people living with HIV (PLHIV) were also affected by conflict, disaster or displacement, representing 5.4% (range 4.0–7.6%) of the global number of PLHIV. In the same year, an estimated 930 000 (range 660 000–1.3 million) women and 150 000 (range 110 000–230 000) children under 15 years living with HIV were affected by emergencies. In emergency settings, the estimated numbers of PLHIV in 2003 and 2005 were 2.6 million (range 2.0–3.4 million) and 1.7 million (range 1.4–2.1 million), respectively, representing 7.9% and 5.1% of the global number of PLHIV). Conclusions: These estimates provide a rationale to ensure that HIV interventions are integrated into rapid assessment of all emergency and preparedness and response plans to prevent HIV infections and address excess suffering, morbidity and mortality among these often overlooked vulnerable groups. PMID:18647865

The effectiveness of health care cost management strategies: a review of the evidence.

PubMed

Fronstin, P

1994-10-01

This Issue Brief discusses the evolution of the health care delivery and financing systems and its effects on health care cost management and describes the changes in the health care delivery system as they pertain to managed care. It presents empirical evidence on the effectiveness of managed care and concludes with an analysis of the potential of future health care reform to influence the evolution of the health care delivery system and affect health care costs. Between 1987 and 1993, total enrollment in health maintenance organizations (HMOs) increased from 28.6 million to 39.8 million, representing an additional 11.2 million individuals, or 4 percent of the U.S. population. At the same time, new forms of managed care organizations emerged. Enrollment in preferred provider organizations increased from 12.2 million individuals in 1987 to 58 million in 1992, and enrollment in point-of-service plans increased from virtually none in 1987 to 2.3 million individuals in 1992. In addition, the percentage of traditional fee-for-service plans with some form of utilization review increased to 95 percent in 1990 from 41 percent in 1987. Measuring the effects of the changing delivery system on the costs and quality of health care services has been a difficult task, resulting in considerable disagreement as to whether or not costs have been affected. In a recent report, the Congressional Budget Office recognizes two new major findings. First, managed care can provide cost-effective health care at a level of quality comparable with the care typically provided by a fee-for-service plan. Second, independent practice associations can be as effective as group- or staff-model HMOs under certain conditions. In the future, we are likely to see a continued movement of Americans into managed care arrangements, an increase in the number of physicians forming networks, a reduction in the number of insurers, an increase in the number of employers joining coalitions to purchase health care services for their employees, and a health care system that is generally more concentrated and vertically integrated.

Global drought and severe drought-affected populations in 1.5 and 2 °C warmer worlds

NASA Astrophysics Data System (ADS)

Liu, Wenbin; Sun, Fubao; Lim, Wee Ho; Zhang, Jie; Wang, Hong; Shiogama, Hideo; Zhang, Yuqing

2018-03-01

The 2015 Paris Agreement proposed a more ambitious climate change mitigation target on limiting global warming to 1.5 °C instead of 2 °C above preindustrial levels. Scientific investigations on environmental risks associated with these warming targets are necessary to inform climate policymaking. Based on the Coupled Model Intercomparison Project phase 5 (CMIP5) climate models, we present the first risk-based assessment of changes in global drought and the impact of severe drought on populations from additional 1.5 and 2 °C warming conditions. Our results highlight the risk of drought on a global scale and in several hotspot regions such as the Amazon, northeastern Brazil, southern Africa and Central Europe at both 1.5 and 2 °C global warming relative to the historical period, showing increases in drought durations from 2.9 to 3.2 months. Correspondingly, more total and urban populations would be exposed to severe droughts globally (+132.5 ± 216.2 million and +194.5 ± 276.5 million total population and +350.2 ± 158.8 million and +410.7 ± 213.5 million urban populations in 1.5 and 2 °C warmer worlds) and regionally (e.g., East Africa, West Africa and South Asia). Less rural populations (-217.7 ± 79.2 million and -216.2 ± 82.4 million rural populations in 1.5 and 2 °C warmer worlds) would be exposed to severe drought globally under climate warming, population growth and especially the urbanization-induced population migration. By keeping global warming at 1.5 °C above the preindustrial levels instead of 2 °C, there is a decrease in drought risks (i.e., less drought duration, less drought intensity and severity but relatively more frequent drought) and the affected total, urban and rural populations would decrease globally and in most regions. While challenging for both East Africa and South Asia, the benefits of limiting warming to below 1.5 °C in terms of global drought risk and impact reduction are significant.

Russia's population sink.

PubMed

Nelson, T

1996-01-01

Russia's public health problems, which are a result in part of uncontrolled development, are a lesson for developing countries. Trends in births and deaths in Russia indicate that as socioeconomic conditions declined in recent years, the death rate increased. During 1992-93 the death rate increased from 12.1 per 1000 population to 14.5, with 75% of the increase due to cardiovascular disease, accidents, murder, suicide, and alcohol poisoning. Quality of health care was given as one reason for the high cardiovascular disease rate that included deaths due to even mild heart attacks. 20-30% of deaths are attributed to pollution. 75% of rivers and lakes in the former Soviet Union are considered unfit for drinking, and 50% of tap water is unsanitary. An estimated 15% of Russia's land area is considered to be an ecological disaster zone. Births declined from a peak of 2.5 million in 1987 to 1.4 million in 1994. During this same period deaths increased from 1.5 million to 2.3 million. In 1994 deaths exceeded births by 880,000. Life expectancy declined from 65 to 57 years for men and from 75 years to 71 years for women. Infant mortality is rising. 11% of newborns had birth defects, and 60% showed evidence of allergies or vitamin D deficiencies. The death rate during pregnancy was 50 per 1000 births, and 75% of Russian women experienced complications during pregnancy. Women's health in the reproductive years was compromised by gynecological infections. A survey in 1992 revealed that 75% of Russian women gave insufficient income as a reason for reduced childbearing. The social conditions in Russia and the former Soviet republics reflect a lack of confidence in the future. Demographic trends are affected by a complex set of factors including economic collapse, economic change and uncertainty, inadequate health care, and poor environmental conditions. These changes occurred during the mid-1980s and before the collapse of the Soviet Union in 1991.

Preparing the Pipeline: The U.S. Cyber Workforce for the Future

DTIC Science & Technology

2012-08-01

duty and Reserve military personnel. As a result, VA spent $7 million to notify affected per- sonnel of the data breach , $100 million to offer 1 year...of free credit reporting to affected individuals, and also faced a class-action lawsuit from five veterans’ groups.16 The data breach occurred

Global Health Neurology: HIV/AIDS.

PubMed

Patel, Payal B; Spudich, Serena S

2018-04-01

With the advent of combination antiretroviral therapies, the mortality rate from HIV has declined, while the prevalence of long-term HIV-related neurologic complications continues to rise. Thirty-six million individuals are living with HIV around the world, many of whom reside in resource-limited settings. The majority of studies have focused on individuals residing in the developed world, while the impact of HIV disproportionately affects people living in developing countries. This review focuses on recent domestic and international studies regarding neurologic complications related to HIV, including opportunistic infections, peripheral neuropathy, cerebrovascular disease, and HIV-associated neurocognitive disorders, in light of the growing population affected by these conditions. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mycelial actinobacteria in salt-affected soils of arid territories of Ukraine and Russia

NASA Astrophysics Data System (ADS)

Grishko, V. N.; Syshchikova, O. V.; Zenova, G. M.; Kozhevin, P. A.; Dubrova, M. S.; Lubsanova, D. A.; Chernov, I. Yu.

2015-01-01

A high population density (up to hundreds of thousands or millions CFU/g soil) of mycelial bacteria (actinomycetes) is determined in salt-affected soils of arid territories of Ukraine, Russia, and Turkmenistan. Of all the studied soils, the lowest amounts of actinomycetes (thousands and tens of thousands CFU/g soil) are isolated from sor (playa) and soda solonchaks developed on the bottoms of drying salt lakes in Buryatia and in the Amu Darya Delta. Actinomycetes of the Streptomyces, Micromonospora, and Nocardiopsis genera were recorded in the studied soils. It is found that conditions of preincubation greatly affect the activity of substrate consumption by the cultures of actinomycetes. This could be attributed to changes in the metabolism of actinomycetes as a mechanism of their adaptation to the increased osmotic pressure of the medium. The alkali tolerance of halotolerant actinomycetes isolated from the salt-affected soils is experimentally proved.

Some Population Trends Affecting Extension Education and Other Community Programs.

ERIC Educational Resources Information Center

Niederfrank, E. J.

Population trends affecting extension education and other community programs reveal that there will be large increases in numbers of young adult and young middleaged households, beginning in the next five years. The number of households in the United States will rise to 84.4 million by July 1985, representing an increase of 26.3 million over the…

Preparing the Pipeline: The U.S. Cyber Workforce for the Future (Defense Horizons, Number 72)

DTIC Science & Technology

2012-08-01

duty and Reserve military personnel. As a result, VA spent $7 million to notify affected per- sonnel of the data breach , $100 million to offer 1 year...of free credit reporting to affected individuals, and also faced a class-action lawsuit from five veterans’ groups.16 The data breach occurred

African trypanosomiasis with special reference to Egyptian Trypanosoma evansi: is it a neglected zoonosis?

PubMed

El-Bahnasawy, Mamdouh M M; Khater, Mai Kh A; Morsy, Tosson A

2014-12-01

Trypanosomes (including humans) are blood and sometimes tissue parasites of the order Kinetoplastida, family Trypanosomatidae, genus Trypanosoma, principally transmitted by biting insects where most of them undergo a biological cycle. They are divided into Stercoraria with the posterior station inoculation, including T. cruzi, both an extra- and intracellular parasite that causes Chagas disease, a major human disease affecting 15 million people and threatening 100 million people in Latin America, and the Salivaria with the anterior station inoculation, mainly African livestock pathogenic trypanosomes, including the agents of sleeping sickness, a major human disease affecting around half a million people and threatening 60 million people in Africa. Now, T. evansi was reported in man is it required to investigate its zoonotic potential?

77 FR 42441 - Small Business Size Standards: Utilities

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-19

... Sector 22 that have receipt based size standards, namely--NAICS 221310, Water Supply and Irrigation...) ($ million) ($ million) 221310, Water supply and irrigation $2.2 $110.7 $7.5 46.5 $886.6 0.854 -15.0% systems... $19 million; and NAICS 221330, Steam and Air-conditioning Supply, from $12.5 million to $14 million...

Fate of over 480 million inhabitants living in arsenic and fluoride endemic Indian districts: Magnitude, health, socio-economic effects and mitigation approaches.

PubMed

Chakraborti, Dipankar; Rahman, Mohammad Mahmudur; Chatterjee, Amit; Das, Dipankar; Das, Bhaskar; Nayak, Biswajit; Pal, Arup; Chowdhury, Uttam Kumar; Ahmed, Sad; Biswas, Bhajan Kumar; Sengupta, Mrinal Kumar; Lodh, Dilip; Samanta, Gautam; Chakraborty, Sanjana; Roy, M M; Dutta, Rathindra Nath; Saha, Khitish Chandra; Mukherjee, Subhas Chandra; Pati, Shyamapada; Kar, Probir Bijoy

2016-12-01

During our last 27 years of field survey in India, we have studied the magnitude of groundwater arsenic and fluoride contamination and its resulting health effects from numerous states. India is the worst groundwater fluoride and arsenic affected country in the world. Fluoride results the most prevalent groundwater related diseases in India. Out of a total 29 states in India, groundwater of 20 states is fluoride affected. Total population of fluoride endemic 201 districts of India is 411 million (40% of Indian population) and more than 66 million people are estimated to be suffering from fluorosis including 6 million children below 14 years of age. Fluoride may cause a crippling disease. In 6 states of the Ganga-Brahmaputra Plain (GB-Plain), 70.4 million people are potentially at risk from groundwater arsenic toxicity. Three additional states in the non GB-Plain are mildly arsenic affected. For arsenic with substantial cumulative exposure can aggravate the risk of cancers along with various other diseases. Clinical effects of fluoride includes abnormal tooth enamel in children; adults had joint pain and deformity of the limbs, spine etc. The affected population chronically exposed to arsenic and fluoride from groundwater is in danger and there is no available medicine for those suffering from the toxicity. Arsenic and fluoride safe water and nutritious food are suggested to prevent further aggravation of toxicity. The World Health Organization (WHO) points out that social problems arising from arsenic and fluoride toxicity eventually create pressure on the economy of the affected areas. In arsenic and fluoride affected areas in India, crisis is not always having too little safe water to satisfy our need, it is the crisis of managing the water. Copyright © 2016 Elsevier GmbH. All rights reserved.

Commercial fertilizers: Total US fertilizer consumption 44.9 million tons in 1989

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

Hargett, N.L.; Berry, J.T.; McKinney, S.L.

1989-12-31

US fertilizer consumption for the 1988--1989 year was 44.9 million tons of material-an increase of less than one percent from the previous year. The average plant nutrient content of all fertilizers decreased slightly as total plant nutrient consumption declined from 19.61 million to 19.59 million tons of N, P{sub 2}O{sub 5}, and K{sub 2}O. Total nitrogen consumption increased one percent to 10.63 million tons, while P{sub 2}O{sub 5} use decreased by less than one percent to 4.12 million tons. Potash consumption declined from 4.97 million tons to 4.83 million tons K{sub 2}O-a 2.8 percent decrease. Consumption patterns varied widely frommore » state to state as weather conditions adversely affected fertilizer application even with significant increases in total planted crop acreage. Illinois, Indiana, Iowa, Minnesota, and Ohio reported a decline in total plant nutrient application while several of the southeastern states registered an increase in consumption. Nutrient levels in mixed fertilizers remained unchanged as slight gains in the nitrogen and P{sub 2}O{sub 5} content were offset by a decline in K{sub 2}O. Consumption of ammonium polyphosphate solution (10-34-0) and monoammonium phosphates increased 9.2 percent and 12.8 percent respectively, while diammonium phosphate (18-46-0) use was 2.4 percent below last year. A general increase in the use of nitrogen materials was reported with the exception of nitrogen solutions which declined 2.1 percent from 1987--1988. Urea consumption rose almost 2 percent. ammonium nitrate was up 8.1 percent, and ammonium sulfate recorded a 9.5 percent gain in consumption. Anhydrous ammonia use was only 35,000 tons above last year. This document contains a state by state listing of individual fertilizer consumption rates, numerical data only.« less

Commercial fertilizers: Total US fertilizer consumption 44. 9 million tons in 1989

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

Hargett, N.L.; Berry, J.T.; McKinney, S.L.

1989-01-01

US fertilizer consumption for the 1988--1989 year was 44.9 million tons of material-an increase of less than one percent from the previous year. The average plant nutrient content of all fertilizers decreased slightly as total plant nutrient consumption declined from 19.61 million to 19.59 million tons of N, P[sub 2]O[sub 5], and K[sub 2]O. Total nitrogen consumption increased one percent to 10.63 million tons, while P[sub 2]O[sub 5] use decreased by less than one percent to 4.12 million tons. Potash consumption declined from 4.97 million tons to 4.83 million tons K[sub 2]O-a 2.8 percent decrease. Consumption patterns varied widely frommore » state to state as weather conditions adversely affected fertilizer application even with significant increases in total planted crop acreage. Illinois, Indiana, Iowa, Minnesota, and Ohio reported a decline in total plant nutrient application while several of the southeastern states registered an increase in consumption. Nutrient levels in mixed fertilizers remained unchanged as slight gains in the nitrogen and P[sub 2]O[sub 5] content were offset by a decline in K[sub 2]O. Consumption of ammonium polyphosphate solution (10-34-0) and monoammonium phosphates increased 9.2 percent and 12.8 percent respectively, while diammonium phosphate (18-46-0) use was 2.4 percent below last year. A general increase in the use of nitrogen materials was reported with the exception of nitrogen solutions which declined 2.1 percent from 1987--1988. Urea consumption rose almost 2 percent. ammonium nitrate was up 8.1 percent, and ammonium sulfate recorded a 9.5 percent gain in consumption. Anhydrous ammonia use was only 35,000 tons above last year. This document contains a state by state listing of individual fertilizer consumption rates, numerical data only.« less

Effect of poverty on eye health and implications for nursing practice.

PubMed

Williamson, Swapna; Seewoodhary, Ramesh; Dampies, Lavona

2016-08-10

Poverty is a global issue that affects the health and quality of life of millions of people. It predisposes people to many health conditions, including sight loss or blindness as a result of the immune system becoming compromised. Blindness is common in areas of the world where there is extreme poverty. In the UK, poverty has become a major social issue, contributing to many health problems, including eye conditions. These eye conditions can result in sight loss if they are not managed effectively. Psychosocial care is an essential aspect of patient care, because poverty and sight loss are interrelated. Healthcare practitioners have a significant role in the management and prevention of blindness. Blindness caused by poverty is largely preventable, and health promotion is an important strategy in care management.

Blind haste: As light decreases, speeding increases.

PubMed

de Bellis, Emanuel; Schulte-Mecklenbeck, Michael; Brucks, Wernher; Herrmann, Andreas; Hertwig, Ralph

2018-01-01

Worldwide, more than one million people die on the roads each year. A third of these fatal accidents are attributed to speeding, with properties of the individual driver and the environment regarded as key contributing factors. We examine real-world speeding behavior and its interaction with illuminance, an environmental property defined as the luminous flux incident on a surface. Drawing on an analysis of 1.2 million vehicle movements, we show that reduced illuminance levels are associated with increased speeding. This relationship persists when we control for factors known to influence speeding (e.g., fluctuations in traffic volume) and consider proxies of illuminance (e.g., sight distance). Our findings add to a long-standing debate about how the quality of visual conditions affects drivers' speed perception and driving speed. Policy makers can intervene by educating drivers about the inverse illuminance‒speeding relationship and by testing how improved vehicle headlights and smart road lighting can attenuate speeding.

A westward extension of the tropical Pacific warm pool leads to March through June drying in Kenya and Ethiopia

USGS Publications Warehouse

Williams, A. Park; Funk, Christopher C.

2010-01-01

An estimated 14.3 million people are currently (July 2010) food insecure in Kenya and Ethiopia, and the U.S. government has spent more than $972 million on food aid in these two countries since 2009 (USAID, 2010). This insecurity stems from recent drought and rapid population growth that has outpaced agricultural development (Funk and others, 2008; Funk and Brown, 2009). Previous work by Funk and others (2005, 2008) and Verdin and others (2005) has linked drought conditions in Kenya and Ethiopia with warm sea surface temperatures (SSTs) in the Indian Ocean. Recent work has shown that Indian Ocean SSTs substantially affect rainfall in this region from March through June (Funk and others, 2008; Funk and Verdin, 2009). This season is known as the 'long rains' in Kenya and the 'Belg' rains in Ethiopia.

Draught animals and welfare.

PubMed

Ramaswamy, N S

1994-03-01

In fifty developing countries, which contain half of the total human population of the world, there is a heavy dependence on draught animals as an energy source. These animals are used for agriculture operations in 52% of cultivated areas of the world, as well as for hauling 25 million carts. This situation is likely to continue for at least another fifty years. The work performed annually by these draught animals would require 20 million tons of petroleum, valued at US$6 billion, if it were performed by motorized vehicles. The poor working conditions of these animals often adversely affect their productivity. The application of improved technology and better management (i.e. through better feed and health services, and improved design of agricultural implements and carts) could considerably improve the welfare of these animals. Improved systems would generate sufficient benefits for the economy to justify the required investment. High priority should therefore be given to draught animal power in the economic development agenda.

29 CFR 779.267 - Fluctuations in annual gross volume affecting enterprise coverage and establishment exemptions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Act on the basis of previous sales analyses may fall below $1 million when the annual gross volume is... basis of previous sales analyses, may increase its annual gross volume to $1 million or more when... 29 Labor 3 2010-07-01 2010-07-01 false Fluctuations in annual gross volume affecting enterprise...

Dissolved Solids in Streams of the Conterminous United States

NASA Astrophysics Data System (ADS)

Anning, D. W.; Flynn, M.

2014-12-01

Studies have shown that excessive dissolved-solids concentrations in water can have adverse effects on the environment and on agricultural, municipal, and industrial water users. Such effects motivated the U.S. Geological Survey's National Water-Quality Assessment Program to develop a SPAtially-Referenced Regression on Watershed Attributes (SPARROW) model to improve the understanding of dissolved solids in streams of the United States. Using the SPARROW model, annual dissolved-solids loads from 2,560 water-quality monitoring stations were statistically related to several spatial datasets serving as surrogates for dissolved-solids sources and transport processes. Sources investigated in the model included geologic materials, road de-icers, urban lands, cultivated lands, and pasture lands. Factors affecting transport from these sources to streams in the model included climate, soil, vegetation, terrain, population, irrigation, and artificial-drainage characteristics. The SPARROW model was used to predict long-term mean annual conditions for dissolved-solids sources, loads, yields, and concentrations in about 66,000 stream reaches and corresponding incremental catchments nationwide. The estimated total amount of dissolved solids delivered to the Nation's streams is 272 million metric tons (Mt) annually, of which 194 million Mt (71%) are from geologic sources, 38 million Mt (14%) are from road de-icers, 18 million Mt (7%) are from pasture lands, 14 million Mt (5 %) are from urban lands, and 8 million Mt (3%) are from cultivated lands. The median incremental-catchment yield delivered to local streams is 26 metric tons per year per square kilometer [(Mt/yr)/km2]. Ten percent of the incremental catchments yield less than 4 (Mt/yr)/km2, and 10 percent yield more than 90 (Mt/yr)/km2. In 13% of the reaches, predicted flow-weighted concentrations exceed 500 mg/L—the U.S. Environmental Protection Agency secondary non-enforceable drinking-water standard.

Effects of simultaneously elevated temperature and CO2 levels on Nicotiana benthamiana and its infection by different positive-sense RNA viruses are cumulative and virus type-specific.

PubMed

Del Toro, Francisco J; Rakhshandehroo, Farshad; Larruy, Beatriz; Aguilar, Emmanuel; Tenllado, Francisco; Canto, Tomás

2017-11-01

We have studied how simultaneously elevated temperature and CO 2 levels [climate change-related conditions (CCC) of 30°C, 970 parts-per-million (ppm) of CO 2 vs. standard conditions (SC) of 25°C, ~ 405ppm CO 2 ] affect physiochemical properties of Nicotiana benthamiana leaves, and also its infection by several positive-sense RNA viruses. In previous works we had studied effects of elevated temperature, CO 2 levels separately. Under CCC, leaves of healthy plants almost doubled their area relative to SC but contained less protein/unit-of-area, similarly to what we had found under conditions of elevated CO 2 alone. CCC also affected the sizes/numbers of different foliar cell types differently. Under CCC, infection outcomes in titers and symptoms were virus type-specific, broadly similar to those observed under elevated temperature alone. Under either condition, infections did not significantly alter the protein content of leaf discs. Therefore, effects of elevated temperature and CO 2 combined on properties of the pathosystems studied were overall cumulative. Copyright © 2017 Elsevier Inc. All rights reserved.

Herbal medicines for osteoarthritis.

PubMed

2012-01-01

Osteoarthritis is one of the leading causes of pain and disability. In the UK, up to 8.5 million people are affected by joint pain that may be attributed to the condition. Non-surgical treatment options include lifestyle measures (e.g. exercise); local therapy involving heat or cold; manual therapy; transcutaneous electrical nerve stimulation (TENS); topical capsaicin; simple analgesics; NSAIDs; opioids; and intra-articular corticosteroid injections. Studies have reported widespread use of complementary and alternative therapies such as herbal medicines by patients with arthritis. Here we review the efficacy and safety of herbal medicines for symptoms of osteoarthritis.

Progress in understanding bark beetle effects on fire behavior using physics-based models

Treesearch

Chad M. Hoffman; Carolyn H. Sieg; Penelope Morgan; William Ruddy Mell; Rodman Linn; Camille Stevens-Rumann; Joel McMillin; Russell Parsons; Helen Maffei

2013-01-01

Bark beetle outbreaks are a major disturbance of forests throughout western North America affecting ecological processes and social and economic values (Amman 1977, Bond and Keeley 2005). Since the 1990s, bark beetle outbreaks have affected between 1.1 and 13.5 million acres in the western United States and an additional 13.5 million acres in British Columbia (Meddens...

The visually impaired patient.

PubMed

Rosenberg, Eric A; Sperazza, Laura C

2008-05-15

Blindness or low vision affects more than 3 million Americans 40 years and older, and this number is projected to reach 5.5 million by 2020. In addition to treating a patient's vision loss and comorbid medical issues, physicians must be aware of the physical limitations and social issues associated with vision loss to optimize health and independent living for the visually impaired patient. In the United States, the four most prevalent etiologies of vision loss in persons 40 years and older are age-related macular degeneration, cataracts, glaucoma, and diabetic retinopathy. Exudative macular degeneration is treated with laser therapy, and progression of nonexudative macular degeneration in its advanced stages may be slowed with high-dose antioxidant and zinc regimens. The value of screening for glaucoma is uncertain; management of this condition relies on topical ocular medications. Cataract symptoms include decreased visual acuity, decreased color perception, decreased contrast sensitivity, and glare disability. Lifestyle and environmental interventions can improve function in patients with cataracts, but surgery is commonly performed if the condition worsens. Diabetic retinopathy responds to tight glucose control, and severe cases marked by macular edema are treated with laser photocoagulation. Vision-enhancing devices can help magnify objects, and nonoptical interventions include special filters and enhanced lighting.

[Imported mycosis: a review of paracoccidioidomycosis].

PubMed

Bousquet, A; Dussart, C; Drouillard, I; Charbel, E C; Boiron, P

2007-12-01

Population migration is increasing the number of systemic mycosis cases, a condition little or not present in Metropolitan France, thus often weakly documented for medical teams. Paracoccidioidomycosis is a systemic mycosis geographically confined to Latin America. The causative agent is Paracoccidioides brasiliensis, a dimorphic fungus present at ground level. Discovering that the armadillo was a new host allowed documenting the ideal conditions for this fungus development. The mortality rate is currently 1.45 for one million people and the disease affects mainly farmers. The mode of infection is respiratory and all organs and mucous membranes can be affected by lymphatic dissemination. The chronic form with pulmonary, cutaneous and oral lesions is the most important. The diagnosis can be carried out by direct examination of samples revealing the presence of budding yeasts, as well as culture at 25 and 37 degrees C. Antifungals like the sulfamethoxazole-trimethoprime combination, amphotericin B, but especially azole derivatives are use in the therapeutic management of patients. Detection and gp 43 antigen assay is useful for the patient's follow-up.

Arsenic contamination of ground water and its health impact on population of district of nadia, west bengal, India.

PubMed

Mazumder, Debendra Nath Guha; Ghosh, Aloke; Majumdar, Kunal Kanti; Ghosh, Nilima; Saha, Chandan; Mazumder, Rathindra Nath Guha

2010-04-01

The global health impact and disease burden due to chronic arsenic toxicity has not been well studied in West Bengal. To ascertain these, a scientific epidemiological study was carried out in a district of the state. Epidemiological study was carried out by house-to-house survey of arsenic affected villages in the district of Nadia. A stratified multi-stage design has been adopted for this survey for the selection of the participants. A total number of 2297 households of 37 arsenic affected villages in all the 17 blocks were surveyed in the district. Out of 10469 participants examined, prevalence rate of arsenicosis was found to be 15.43%. Out of 0.84 million people suspected to be exposed to arsenic, 0.14 million people are estimated to be suffering from arsenicosis in the district. Highest level of arsenic in drinking water sources was found to be 1362 μg/l, and in 23% cases it was above 100 μg/l. Majority of the population living in the arsenic affected villages were of low socio-economic condition, inadequate education and were farmers or doing physical labour. Chronic lung disease was found in 207 (12.81%) subjects among cases and 69 (0.78%) in controls. Peripheral neuropathy was found in 257 (15.9%) cases and 136 (1.5%) controls. Large number of people in the district of Nadia are showing arsenical skin lesion. However, insufficient education, poverty, lack of awareness and ineffective health care support are major factors causing immense plight to severely arsenic affected people.

Proteolytic Regulation of the Intestinal Epithelial Barrier: Mechanisms and Interventions

DTIC Science & Technology

2013-09-01

gastrointestinal tract. The two main forms of inflammatory bowel diseases, Crohn’s disease and Ulcerative Colitis , currently affect over 1 million Americans...gastrointestinal tract. The two main forms of IBD, Crohn’s disease and Ulcerative Colitis , currently affect over 1 million Americans including military personnel...apoptosis and barrier disruption. IL-13 production and claudin-2 expression are both increased in human ulcerative colitis and Crohn’s disease (14; 15

Operating a sustainable disease management program for chronic obstructive pulmonary disease.

PubMed

Endicott, Linda; Corsello, Phillip; Prinzi, Michele; Tinkelman, David G; Schwartz, Abby

2003-01-01

Chronic obstructive pulmonary disease (COPD) is one of our nation's most rapidly growing chronic health conditions. It is estimated that over 16 million individuals are diagnosed with COPD (Friedman & Hilleman, 2001). In addition, another 16 million are misdiagnosed as asthma or not diagnosed at all. COPD is a condition that affects the working-age as well as the elderly. Despite the high mortality rate, COPD is a treatable and modifiable condition. Disease management programs (DMPs) for asthma are a common initiative within many health insurance plans and integrated delivery networks. Similar initiatives are not as common for COPD. This article will highlight the National Jewish Medical and Research Center's COPD DMP interventions and outcomes. To outline interventions and operational strategies critical in developing and operating a sustainable and effective disease management program for COPD. Disease Management is an effective model for managing individuals with COPD. Applying a case management model that includes (1) risk-identification and stratification; (2) education and empowerment regarding self-monitoring and management; (3) lifestyle modification; (4) communication and collaboration amongst patients, healthcare providers, and case managers to enhance the treatment plan; (5) providing after-hours support; and (6) monitoring care outcomes is crucial. Applying these interventions in a credible manner will improve the quality of life and quality of care delivered to individuals with mild, moderate, severe, and very severe COPD. Additionally, these interventions can significantly reduce utilization events.

Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation.

PubMed

Lee, Eugenia E; Stewart, Barclay; Zha, Yuanting A; Groen, Thomas A; Burkle, Frederick M; Kushner, Adam L

2016-08-10

Climate extremes will increase the frequency and severity of natural disasters worldwide.  Climate-related natural disasters were anticipated to affect 375 million people in 2015, more than 50% greater than the yearly average in the previous decade. To inform surgical assistance preparedness, we estimated the number of surgical procedures needed.   The numbers of people affected by climate-related disasters from 2004 to 2014 were obtained from the Centre for Research of the Epidemiology of Disasters database. Using 5,000 procedures per 100,000 persons as the minimum, baseline estimates were calculated. A linear regression of the number of surgical procedures performed annually and the estimated number of surgical procedures required for climate-related natural disasters was performed. Approximately 140 million people were affected by climate-related natural disasters annually requiring 7.0 million surgical procedures. The greatest need for surgical care was in the People's Republic of China, India, and the Philippines. Linear regression demonstrated a poor relationship between national surgical capacity and estimated need for surgical care resulting from natural disaster, but countries with the least surgical capacity will have the greatest need for surgical care for persons affected by climate-related natural disasters. As climate extremes increase the frequency and severity of natural disasters, millions will need surgical care beyond baseline needs. Countries with insufficient surgical capacity will have the most need for surgical care for persons affected by climate-related natural disasters. Estimates of surgical are particularly important for countries least equipped to meet surgical care demands given critical human and physical resource deficiencies.

Trauma-related symptoms in Sri Lankan adult survivors after the tsunami: pretraumatic and peritraumatic factors.

PubMed

Gunaratne, Charini D; Kremer, Peter J; Clarke, Valerie; Lewis, Andrew J

2014-07-01

Limited research has addressed factors associated with psychological distress following disasters among non-Western populations. The 2004 tsunami affected 1.7 million people across South Asia and Africa, with considerable variations in trauma-related outcomes. Pretraumatic and peritraumatic conditions associated with trauma-related symptoms in 305 Sri Lankan adult survivors (28% male, aged 18-83 years; mean = 39.9 years; standard deviation = 15.3), clinically assessed 1 month posttsunami, were evaluated retrospectively. Outcome measures were total scores on 11 trauma-related symptoms. Multivariate linear regression analyses tested for associations between pretraumatic and peritraumatic conditions and symptom scores, with peritraumatic conditions adjusted for pretraumatic variables. Pretraumatic conditions of female gender, employment, prior health and social issues, and substance use and peritraumatic conditions of loss of family, witnessing the tsunami, or suffering an injury were associated with trauma-related symptoms. The findings facilitate understanding cultural contexts that define risk factors associated with trauma-related symptoms in Sri Lankans, which are critical for developing culturally appropriate interventions. © 2013 APJPH.

Orphans and at-risk children in Haiti: vulnerabilities and human rights issues postearthquake.

PubMed

Nicholas, Patrice K; George, Erin K; Raymond, Nadia; Lewis-OʼConnor, Annie; Victoria, Stephanie; Lucien, Sergeline; Peters-Lewis, Angelleen; Hickey, Nancy; Corless, Inge B; Tyer-Viola, Lynda; Davis, Sheila M; Barry, Donna; Marcelin, Naomie; Valcourt, Roodeline

2012-01-01

The vulnerability of children in Haiti has increased dramatically since the earthquake in January 2010. Prior to the earthquake, the prevalence of orphans and at-risk children was high but since the earthquake, more than 1 million people-with more than 380,000 children remaining displaced and living in over 1200 displacement sites. These existing conditions leave orphans and at-risk children vulnerable to exploitation, abuse, and increased risk of HIV/AIDS. This article will focus on the complex issues affecting orphans and at-risk children and the intersection with HIV/AIDS and human rights. Specific recommendations by United Nations Children's Fund are discussed. Nursing in Haiti must address the policy-related and population-specific approaches for the care of children living with or affected by HIV/AIDS.

Identifying hospitals that may be at most financial risk from Medicaid disproportionate-share hospital payment cuts.

PubMed

Cole, Evan S; Walker, Daniel; Mora, Arthur; Diana, Mark L

2014-11-01

Medicaid disproportionate-share hospital (DSH) payments are expected to decline by $35.1 billion between fiscal years 2017 and 2024, a reduction brought about by the Affordable Care Act (ACA) and recent congressional action. DSH payments have long been a feature of the Medicaid program, intended to partially offset uncompensated care costs incurred by hospitals that treat uninsured and Medicaid populations. The DSH payment cuts were predicated on the expectation that the ACA's expansion of health insurance to millions of Americans would bring about a decline in many hospitals' uncompensated care costs. However, the decision of twenty-five states not to expand their Medicaid programs, combined with residual coverage gaps, may leave as many as thirty million people uninsured, and hospitals will bear the burden of their uncompensated care costs. We sought to identify the hospitals that may be the most financially vulnerable to reductions in Medicaid DSH payments. We found that of the 529 acute care hospitals that will be particularly affected by the cuts, 225 (42.5 percent) are in weak financial condition. Policy makers should recognize that decreases in revenue may affect these hospitals' ability to give vulnerable populations access to care. Project HOPE—The People-to-People Health Foundation, Inc.

Electronic Monitoring Systems to Assess Urinary Incontinence: A Health Technology Assessment

PubMed Central

Nevis, Immaculate; Kabali, Conrad; Anh Tu, Hong; Ekanayake, Samanthika; Mistry, Jigna; Wells, David; Ali, Arshia; Walter, Melissa; Higgins, Caroline

2018-01-01

Background Urinary incontinence is involuntary leakage of urine and can affect people of all ages. Incidence rises as people age, often because of reduced mobility or conditions affecting the nervous system, such as dementia and stroke. Urinary incontinence can be a distressing condition and can harm a person's physical, financial, social, and emotional well-being. People with urinary incontinence are susceptible to skin irritation, pressure sores, and urinary tract infections. Urinary incontinence is also associated with an increased risk of falls in older adults. This health technology assessment examined the effectiveness of, budget impact of, and patient values and preferences about electronic monitoring systems to assess urinary incontinence for residents of long-term care homes or geriatric hospital inpatients with complex conditions. Methods A clinical evidence review of the published clinical literature was conducted to June 9, 2017. Critical appraisal of the clinical evidence included assessment of risk of bias and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria to reflect the certainty of the evidence. We calculated the funding required for an electronic urinary incontinence monitoring system in the first year of implementation (when facilities would buy the systems) and in subsequent years. We interviewed six people with urinary incontinence and two caregivers, who described ways urinary incontinence affected daily life. Results We included one observational study in the clinical review. Most of the 31 participants in the observational study were female (78%) and required high levels of care, primarily because of cognitive impairment. The quality of evidence for all outcomes was very low owing to potential risk of bias and indirectness. We are consequently uncertain about how electronic monitoring systems affect management of urinary incontinence. For patients living in long-term care homes who are eligible for the technology, we estimated that an electronic monitoring system to assess urinary incontinence would cost $6.4 million in the first year of implementation and $1.6 million in subsequent years. Patients said urinary incontinence reduced their independence and social life and adversely affected their quality of life. Incontinence made them embarrassed and reduced their self-esteem. Several respondents mentioned how expensive supplies to manage incontinence were. Conclusions The effectiveness of using the electronic monitoring system to assess urinary incontinence is uncertain because of the very low quality of the evidence. Introducing electronic monitoring systems would result in incremental costs, and there would be savings only if the systems substantially reduced incontinence. PMID:29844845

Electronic Monitoring Systems to Assess Urinary Incontinence: A Health Technology Assessment.

PubMed

2018-01-01

Urinary incontinence is involuntary leakage of urine and can affect people of all ages. Incidence rises as people age, often because of reduced mobility or conditions affecting the nervous system, such as dementia and stroke. Urinary incontinence can be a distressing condition and can harm a person's physical, financial, social, and emotional well-being. People with urinary incontinence are susceptible to skin irritation, pressure sores, and urinary tract infections. Urinary incontinence is also associated with an increased risk of falls in older adults.This health technology assessment examined the effectiveness of, budget impact of, and patient values and preferences about electronic monitoring systems to assess urinary incontinence for residents of long-term care homes or geriatric hospital inpatients with complex conditions. A clinical evidence review of the published clinical literature was conducted to June 9, 2017. Critical appraisal of the clinical evidence included assessment of risk of bias and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria to reflect the certainty of the evidence.We calculated the funding required for an electronic urinary incontinence monitoring system in the first year of implementation (when facilities would buy the systems) and in subsequent years.We interviewed six people with urinary incontinence and two caregivers, who described ways urinary incontinence affected daily life. We included one observational study in the clinical review. Most of the 31 participants in the observational study were female (78%) and required high levels of care, primarily because of cognitive impairment. The quality of evidence for all outcomes was very low owing to potential risk of bias and indirectness. We are consequently uncertain about how electronic monitoring systems affect management of urinary incontinence.For patients living in long-term care homes who are eligible for the technology, we estimated that an electronic monitoring system to assess urinary incontinence would cost $6.4 million in the first year of implementation and $1.6 million in subsequent years.Patients said urinary incontinence reduced their independence and social life and adversely affected their quality of life. Incontinence made them embarrassed and reduced their self-esteem. Several respondents mentioned how expensive supplies to manage incontinence were. The effectiveness of using the electronic monitoring system to assess urinary incontinence is uncertain because of the very low quality of the evidence. Introducing electronic monitoring systems would result in incremental costs, and there would be savings only if the systems substantially reduced incontinence.

Informal Caregivers: Communication and Decision Making

ERIC Educational Resources Information Center

Whitlatch, Carol

2008-01-01

It is estimated that 13 million to 15 million adults in the United States have chronic conditions that impair cognitive function, such as Alzheimer's disease, stroke, Parkinson's disease, and traumatic brain injury. The growing number of people with chronic conditions that include cognitive impairment and the family members who assist them face…

Climate Change and Vector Borne Diseases: Getting A Grip on Control

NASA Astrophysics Data System (ADS)

Glass, G. E.; Ellis, H.

2011-12-01

Pathogens that are transmitted by arthropods to humans kill millions of people a year and have long been identified as systems likely affected by climate change. Despite this, there has been a long controversy of how to evaluate the responses of these infectious disease systems to climatic conditions so that meaningful programmatic dcisions can be made. We briefly review the rationale for overall expectations, using them to identify both the temporal and spatial resolution needed for decision making and then discuss progress to date, using the world global malaria eradication program as an example.

Treatment of melasma with low fluence, large spot size, 1064-nm Q-switched neodymium-doped yttrium aluminum garnet (Nd:YAG) laser for the treatment of melasma in Fitzpatrick skin types II-IV.

PubMed

Brown, Alia S; Hussain, Mussarat; Goldberg, David J

2011-12-01

Melasma is a common condition affecting over six million American women. Treatment of dermal or combined melasma is difficult and does not respond well to conventional topical therapies. Various light sources have been used recently in the treatment of melasma including fractionated ablative and non-ablative lasers as well as intense pulse light. We report the use of low fluence, large spot size Q-switched, Nd:Yag laser for the treatment of melasma in skin types II-IV.

Paediatric HIV infection.

PubMed

Scarlatti, G

1996-09-28

By the year 2000 there will be six million pregnant women and five to ten million children infected with HIV-1. Intervention strategies have been planned and in some instances already started. A timely and cost-effective strategy needs to take into account that most HIV-1 infected individuals reside in developing countries. Further studies are needed on immunological and virological factors affecting HIV-1 transmission from mother to child, on differential disease progression in affected children, and on transient infection.

Improving Support for America's Hidden Heroes

PubMed Central

Terri, Tanielian; Kathryn E., Bouskill; Rajeev, Ramchand; Esther M., Friedman; Thomas E., Trail; Angela, Clague

2018-01-01

Abstract The United States is home to more than 21 million veterans, many of whom deployed to support combat operations around the globe during their military service and sustained service-related conditions or disabilities. Supporting these wounded, ill, and injured warriors once home are millions of informal caregivers—individuals who provide unpaid support with activities that enable the service member or veteran to live in a noninstitutionalized setting. In this study, researchers describe elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers. To construct this blueprint, researchers inventoried currently available research on caregiving for disabled adults and children and gathered stakeholder input by conducting a survey and facilitating an online panel. The study highlights the need for more studies that examine how military and veteran caregiver needs evolve over time, how programs are working, and how caregiving affects specific subgroups. The resulting blueprint should serve as a guide for the caregiver support community to use in prioritizing and facilitating future research. PMID:29416949

Improving Support for America's Hidden Heroes: A Research Blueprint.

PubMed

Terri, Tanielian; Kathryn E, Bouskill; Rajeev, Ramchand; Esther M, Friedman; Thomas E, Trail; Angela, Clague

2018-01-01

The United States is home to more than 21 million veterans, many of whom deployed to support combat operations around the globe during their military service and sustained service-related conditions or disabilities. Supporting these wounded, ill, and injured warriors once home are millions of informal caregivers-individuals who provide unpaid support with activities that enable the service member or veteran to live in a noninstitutionalized setting. In this study, researchers describe elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers. To construct this blueprint, researchers inventoried currently available research on caregiving for disabled adults and children and gathered stakeholder input by conducting a survey and facilitating an online panel. The study highlights the need for more studies that examine how military and veteran caregiver needs evolve over time, how programs are working, and how caregiving affects specific subgroups. The resulting blueprint should serve as a guide for the caregiver support community to use in prioritizing and facilitating future research.

Positive selection of Caenorhabditis elegans mutants with increased stress resistance and longevity.

PubMed Central

Muñoz, Manuel J; Riddle, Donald L

2003-01-01

We developed selective conditions for long-lived mutants of the nematode Caenorhabditis elegans by subjecting the first larval stage (L1) to thermal stress at 30 degrees for 7 days. The surviving larvae developed to fertile adults after the temperature was shifted to 15 degrees. A total of one million F(2) progeny and a half million F(3) progeny of ethyl-methanesulfonate-mutagenized animals were treated in three separate experiments. Among the 81 putative mutants that recovered and matured to the reproductive adult, 63 retested as thermotolerant and 49 (80%) exhibited a >15% increase in mean life span. All the known classes of dauer formation (Daf) mutant that affect longevity were found, including six new alleles of daf-2, and a unique temperature-sensitive, dauer-constitutive allele of age-1. Alleles of dyf-2 and unc-13 were isolated, and mutants of unc-18, a gene that interacts with unc-13, were also found to be long lived. Thirteen additional mutations define at least four new genes. PMID:12586705

Transportation difficulties keep over half a million disabled at home

DOT National Transportation Integrated Search

2003-04-01

How people get around affects every aspect of their lives. A new Bureau of Transportation Statistics survey found that: Nationally, almost 15 million people in this country have difficulties getting the transportation they need. Of these, about 6 mil...

Case Study: OpenSSL 2012 Validation

DTIC Science & Technology

2013-08-01

there are probably millions of users who are impacted directly, and hundreds of millions who are indirectly affected. Cryptographic libraries are...UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESSES 8. PERFORMING ORGANIZATION REPORT NUMBER D-4991 H13 -001174 Institute for Defense

Advances in percutaneous interventional therapies: the tricuspid valve.

PubMed

Jabbour, Richard J; Giannini, Francesco; Tanaka, Akihito; Mangieri, Antonio; Mikhail, Ghada W; Latib, Azeem; Colombo, Antonio

2017-05-01

Tricuspid regurgitation (TR) is a prevalent valve condition, with an estimated 1.6 million people in the USA living with moderate or greater severity. Functional TR, which predominantly develops due to left-sided heart disease, is the predominant condition affecting the tricuspid valve in the Western world and severe TR is associated with substantial morbidity and mortality. In part, due to a prolonged latency period with insidious symptoms, patients are often referred for surgery at advanced stages, with associated increased or prohibitive surgical risk. In addition, surgical treatment can result in high rates of recurrence. Therefore, there is an unmet need for percutaneous therapies that may provide a relatively low-risk treatment option. There are several devices with early human feasibility data available that will be reviewed in this article.

Factors affecting the fertility of ewes after intrauterine insemination with frozen-thawed semen during the non-breeding season.

PubMed

Fukui, Yutaka; Kohno, Hirohide; Okabe, Kentaro; Katsuki, Sara; Yoshizawa, Masahiro; Togari, Tetsuro; Watanabe, Hiroyuki

2010-08-01

In this study, two successive field trials were conducted during the non-breeding season to investigate various factors affecting on fertility of Suffolk ewes after intrauterine insemination with frozen-thawed semen. In the first year (Experiment 1), three sperm numbers per insemination dose (0.25, 0.5 and 1 million sperm) and five sheep farms were used, and in the second year (Experiment 2), parity, age, body weight, body condition score (BCS) and postpartum days were investigated to compare pregnancy and lambing rates. High pregnancy and lambing rates (70.6 and 70.6%, respectively) were obtained with 0.25 million sperm per dose. There were no significant differences in the pregnancy and lambing rates among the five farms, but there was a tendency for one farm to have higher pregnancy (75.8%, P=0.065) and lambing (72.7%, P=0.077) rates than those (46.7-53.3% and 45.2-53.3% for the pregnancy and lambing rates, respectively) of the other farms. In Experiment 2, ewe age significantly affected both the pregnancy and lambing rates. Nulliparous ewes had a higher lambing rate (72.0%) than that (44.2%) of multiparous ewes, but a significant difference was not revealed. Regardless of body weight, BCS tended to be an important factor influencing on fertility of ewes. Body weight and the postpartum days did not affect the fertility of ewes. It was concluded from these results that the fertility of Suffolk ewes after intrauterine insemination with frozen semen was significantly influenced by sperm number per dose and ewe age. Nulliparous ewes at less than three years of age and with a BCS of more than 3.0 are expected to have higher fertility than other ewes.

Inpatient charges and mental illness: Findings from the Nationwide Inpatient Sample 1999-2007.

PubMed

Banta, Jim E; Belk, Ivorie; Newton, Kedon; Sherzai, Abdullah

2010-01-01

Inpatient costs related to mental illness are substantial, though declining as a percentage of overall mental health treatment costs. The public sector has become increasingly involved in funding and providing mental health services. Nationwide Inpatient Sample data for the years 1999-2007 were used to: 1) examine Medicare, Medicaid, and private insurance charges related to mental illness hospitalizations, including trends over time; and 2) examine trends in mental comorbidity with physical illness and its effect on charges. There were an estimated 12.4 million mental illness discharges during the 9-year period, with Medicare being the primary payer for 4.3 million discharges, Medicaid for 3.3 million, private insurance for 3.2 million, and 1.6 million for all other payers. Mean inflation-adjusted charges per hospitalization were US$17,528, US$15,651, US$10,539, and US$11,663, respectively. Charges to public sources increased for schizophrenia and dementia-related discharges, with little private/public change noted for mood disorders. Comorbid mood disorders increased dramatically from 1.5 million discharges in 1999 to 3.4 million discharges in 2007. Comorbid illness was noted in 14.0% of the 342 million inpatient discharges during the study period and was associated with increased charges for some medical conditions and decreased charges for other medical conditions.

Treating malnutrition in the community.

PubMed

Dera, Merceline; Woodham, Diane

2016-11-02

Malnutrition is a clinical and public health problem. It has adverse effects on the physical and psycho-social wellbeing of individuals by predisposing to disease, negatively affecting its outcome and reducing the likelihood of independence. An estimated 3 million people in the UK are affected by malnutrition, most of whom live in the community ( BAPEN, 2011 ). Despite the scale of this problem, it remains under-detected, under-treated, underresourced and often overlooked by those involved in the care of at risks individuals such as the elderly. In most cases malnutrition is a treatable condition that can be managed by optimising food intake and using oral nutritional supplements (ONS) where necessary. The main focus of this article is on the dangers of malnutrition for older people in the community and the use of ONS in the treatment and management of malnutrition.

The macroeconomics of vitreoretinal diseases.

PubMed

Ko, George J; Brown, Melissa M; Brown, Gary C

2005-06-01

The purpose of this review is to examine the macroeconomics of vitreoretinal diseases. Approximately 6% of the Medicare Part B expenditure was spent on ocular diseases and 0.3% on vitreoretinal interventions. Among the 17,674 practicing ophthalmologists, 1849 (10.5%) designated themselves as specializing in the treatment of vitreoretinal diseases. Ophthalmologists receive 38% of their payments from Medicare; 13% of their total income were capitated. Age-related macular degeneration and diabetic retinopathy, two conditions commonly treated by vitreoretinal specialists, are projected to affect more than 10 million people in 2020. Vitreoretinal interventions account for only a small portion of the total health care expenditure. The rising demand from the aging population and health care costs will continue to put pressure on all physicians and society. The changes in the sources of payment and managed care will directly affect the economics of a physician's practice.

Retinal prosthesis system: a revolutionary advancement for the severely visually impaired

NASA Astrophysics Data System (ADS)

2018-04-01

Despite all the advancements in modern ophthalmology, disease can affect vision, resulting in blindness. Worldwide, there are 200 000 people who have retinitis pigmentosa, 2 million with age-related macular degeneration (AMD) and 6 million have other forms of sight loss.

Corneal blindness: a global perspective.

PubMed Central

Whitcher, J. P.; Srinivasan, M.; Upadhyay, M. P.

2001-01-01

Diseases affecting the cornea are a major cause of blindness worldwide, second only to cataract in overall importance. The epidemiology of corneal blindness is complicated and encompasses a wide variety of infectious and inflammatory eye diseses that cause corneal scarring, which ultimately leads to functional blindness. In addition, the prevalence of corneal disease varies from country to country and even from one population to another. While cataract is responsible for nearly 20 million of the 45 million blind people in the world, the next major cause is trachoma which blinds 4.9 million individuals, mainly as a result of corneal scarring and vascularization. Ocular trauma and corneal ulceration are significant causes of corneal blindness that are often underreported but may be responsible for 1.5-2.0 million new cases of monocular blindness every year. Causes of childhood blindness (about 1.5 million worldwide with 5 million visually disabled) include xerophthalmia (350,000 cases annually), ophthalmia neonatorum, and less frequently seen ocular diseases such as herpes simplex virus infections and vernal keratoconjunctivitis. Even though the control of onchocerciasis and leprosy are public health success stories, these diseases are still significant causes of blindness--affecting a quarter of a million individuals each. Traditional eye medicines have also been implicated as a major risk factor in the current epidemic of corneal ulceration in developing countries. Because of the difficulty of treating corneal blindness once it has occurred, public health prevention programmes are the most cost-effective means of decreasing the global burden of corneal blindness. PMID:11285665

AUTOMATION AND UNEMPLOYMENT.

ERIC Educational Resources Information Center

SCHMIDT, EMERSON P.; STEWART, CHARLES T.

HIGH UNEMPLOYMENT RESULTS IN ECONOMIC LOSSES TO THE ECONOMY AND IMPOSES SUFFERING ON MILLIONS OF INDIVIDUALS AND FAMILIES. OF THE MANY TYPES, LONG-TERM STRUCTURAL UNEMPLOYMENT AFFECTS MORE THAN ONE MILLION WORKERS AND IS MOST INTRACTABLE TO TREATMENT AND DISTURBING IN TERMS OF HUMAN HARDSHIP. MOST OF THE WORKERS CLASSIFIED AS STRUCTURALLY…

Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System

PubMed Central

Zulman, Donna M; Pal Chee, Christine; Wagner, Todd H; Yoon, Jean; Cohen, Danielle M; Holmes, Tyson H; Ritchie, Christine; Asch, Steven M

2015-01-01

Objectives To investigate the relationship between multimorbidity and healthcare utilisation patterns among the highest cost patients in a large, integrated healthcare system. Design In this retrospective cross-sectional study of all patients in the U.S. Veterans Affairs (VA) Health Care System, we aggregated costs of individuals’ outpatient and inpatient care, pharmacy services and VA-sponsored contract care received in 2010. We assessed chronic condition prevalence, multimorbidity as measured by comorbidity count, and multisystem multimorbidity (number of body systems affected by chronic conditions) among the 5% highest cost patients. Using multivariate regression, we examined the association between multimorbidity and healthcare utilisation and costs, adjusting for age, sex, race/ethnicity, marital status, homelessness and health insurance status. Setting USA VA Health Care System. Participants 5.2 million VA patients. Measures Annual total costs; absolute and share of costs generated through outpatient, inpatient, pharmacy and VA-sponsored contract care; number of visits to primary, specialty and mental healthcare; number of emergency department visits and hospitalisations. Results The 5% highest cost patients (n=261 699) accounted for 47% of total VA costs. Approximately two-thirds of these patients had chronic conditions affecting ≥3 body systems. Patients with cancer and schizophrenia were less likely to have documented comorbid conditions than other high-cost patients. Multimorbidity was generally associated with greater outpatient and inpatient utilisation. However, increased multisystem multimorbidity was associated with a higher outpatient share of total costs (1.6 percentage points per affected body system, p<0.01) but a lower inpatient share of total costs (−0.6 percentage points per affected body system, p<0.01). Conclusions Multisystem multimorbidity is common among high-cost VA patients. While some patients might benefit from disease-specific programmes, for most patients with multimorbidity there is a need for interventions that coordinate and maximise efficiency of outpatient services across multiple conditions. PMID:25882486

PEEK-OPTIMA™ as an alternative to cobalt chrome in the femoral component of total knee replacement: A preliminary study

PubMed Central

Cowie, Raelene M; Briscoe, Adam; Fisher, John; Jennings, Louise M

2016-01-01

PEEK-OPTIMA™ (Invibio Ltd, UK) has been considered as an alternative joint arthroplasty bearing material due to its favourable mechanical properties and the biocompatibility of its wear debris. In this study, the potential to use injection moulded PEEK-OPTIMA™ as an alternative to cobalt chrome in the femoral component of a total knee replacement was investigated in terms of its wear performance. Experimental wear simulation of three cobalt chrome and three PEEK-OPTIMA™ femoral components articulating against all-polyethylene tibial components was carried out under two kinematic conditions: 3 million cycles under intermediate kinematics (maximum anterior-posterior displacement of 5 mm) followed by 3 million cycles under high kinematic conditions (anterior-posterior displacement 10 mm). The wear of the GUR1020 ultra-high-molecular-weight polyethylene tibial components was assessed by gravimetric analysis; for both material combinations under each kinematic condition, the mean wear rates were low, that is, below 5 mm3/million cycles. Specifically, under intermediate kinematic conditions, the wear rate of the ultra-high-molecular-weight polyethylene tibial components was 0.96 ± 2.26 mm3/million cycles and 2.44 ± 0.78 mm3/million cycle against cobalt chrome and PEEK-OPTIMA™ implants, respectively (p = 0.06); under high kinematic conditions, the wear rates were 2.23 ± 1.85 mm3/million cycles and 4.44 ± 2.35 mm3/million cycles, respectively (p = 0.03). Following wear simulation, scratches were apparent on the surface of the PEEK-OPTIMA™ femoral components. The surface topography of the femoral components was assessed using contacting profilometry and showed a statistically significant increase in measured surface roughness of the PEEK-OPTIMA™ femoral components compared to the cobalt chrome implants. However, this did not appear to influence the wear rate, which remained linear over the duration of the study. These preliminary findings showed that PEEK-OPTIMA™ gives promise as an alternative bearing material to cobalt chrome alloy in the femoral component of a total knee replacement with respect to wear performance. PMID:27637723

Global effects of local human population density and distance to markets on the condition of coral reef fisheries.

PubMed

Cinner, Joshua E; Graham, Nicholas A J; Huchery, Cindy; Macneil, M Aaron

2013-06-01

Coral reef fisheries support the livelihoods of millions of people but have been severely and negatively affected by anthropogenic activities. We conducted a systematic review of published data on the biomass of coral reef fishes to explore how the condition of reef fisheries is related to the density of local human populations, proximity of the reef to markets, and key environmental variables (including broad geomorphologic reef type, reef area, and net productivity). When only population density and environmental covariates were considered, high variability in fisheries conditions at low human population densities resulted in relatively weak explanatory models. The presence or absence of human settlements, habitat type, and distance to fish markets provided a much stronger explanatory model for the condition of reef fisheries. Fish biomass remained relatively low within 14 km of markets, then biomass increased exponentially as distance from reefs to markets increased. Our results suggest the need for an increased science and policy focus on markets as both a key driver of the condition of reef fisheries and a potential source of solutions. © 2012 Society for Conservation Biology.

Update Study of the Financial Condition of Independent Higher Education in the Commonwealth of Pennsylvania.

ERIC Educational Resources Information Center

Commission for Independent Colleges and Universities, Harrisburg, PA.

A study completed in Winter 1971 report on the financial condition of institutions affiliated with the Commission for Independent Colleges and Universities (CICU). Its analysis showed a steady deterioration of financial operating results from a positive $10 million to a negative $1 million. The purpose of the present study was to: (1) measure the…

The Effects of American Sign Language on General Self-Efficacy and Anxiety among Mothers in a Residential Rehabilitation Facility for Drug Addiction and Substance Abuse

ERIC Educational Resources Information Center

Kissel, Bonnie J.

2010-01-01

Globally, approximately 208 million people aged 15 and older used illicit drugs at least once in the last 12 months; 2 billion consumed alcohol and tobacco consumption affected 25% (World Drug Report, 2008). In the United States, 20.1 million (8.0%) people aged 12 and older were illicit drug users, 129 million (51.6%) abused alcohol and 70.9…

Massive Submandibular Sialolith: Complete Radiographic Registration and Biochemical Analysis through X-Ray Diffraction

PubMed Central

de Carvalho Mattos, Mayara Jessica; Ferrari, Francine; dos Reis Neto, José Manoel; Carta Gambus, Luiz Carlos; Couto Souza, Paulo Henrique; Berti-Couto, Soraya de Azambuja

2014-01-01

Sialolithiasis is a pathologic condition that affects 60 million people per year, which is caused by the presence of calcified structures, named sialoliths, inside the salivary glands and their salivary ducts. Despite the large incidence of sialolithiasis, its etiology is still unknown. In the present case report, a 47-year-old female patient, presenting with local pain and hampered mouth opening, underwent a surgical approach for the removal of a 20 mm sialolith, which was further analyzed through X-ray diffraction. In parallel, a radiographic registration of 8 years, covering all the period for sialolith formation, is presented along the case report. PMID:25258693

Massive Submandibular Sialolith: Complete Radiographic Registration and Biochemical Analysis through X-Ray Diffraction.

PubMed

Franco, Ademir; de Carvalho Mattos, Mayara Jessica; Ferrari, Francine; Dos Reis Neto, José Manoel; Carta Gambus, Luiz Carlos; Couto Souza, Paulo Henrique; Berti-Couto, Soraya de Azambuja

2014-01-01

Sialolithiasis is a pathologic condition that affects 60 million people per year, which is caused by the presence of calcified structures, named sialoliths, inside the salivary glands and their salivary ducts. Despite the large incidence of sialolithiasis, its etiology is still unknown. In the present case report, a 47-year-old female patient, presenting with local pain and hampered mouth opening, underwent a surgical approach for the removal of a 20 mm sialolith, which was further analyzed through X-ray diffraction. In parallel, a radiographic registration of 8 years, covering all the period for sialolith formation, is presented along the case report.

Family Breadwinners: Their Special Training Needs.

ERIC Educational Resources Information Center

Feldman, Lloyd; Peevey, Michael R.

Family breadwinners are individuals primarily responsible for the support of family members. This report provides an economic profile of the breadwinners and outlines their special training needs. The unemployment of more than 1.7 million of the 39 million family breadwinners in the labor force in March 1962 affected the welfare of approximately…

Forest Service Resource Inventories: An Overview

Treesearch

USDA Forest Service

1992-01-01

Forest and related resource inventories are conducted by the US. Forest Service to provide the quantitative base necessary for making sound management, conservation, and stewardship decisions affecting these valuable resources. Inventory information has guided the management of 191 million acres (77.3 million ha) of publicly-owned National Forest land. Forest...

Where the Road Ends, Yaws Begins? The Cost-effectiveness of Eradication versus More Roads

PubMed Central

Fitzpatrick, Christopher; Asiedu, Kingsley; Jannin, Jean

2014-01-01

Introduction A disabling and disfiguring disease that “begins where the road ends”, yaws is targeted by WHO for eradication by the year 2020. The global campaign is not yet financed. To evaluate yaws eradication within the context of the post-2015 development agenda, we perform a somewhat allegorical cost-effectiveness analysis of eradication, comparing it to a counterfactual in which we simply wait for more roads (the end of poverty). Methods We use evidence from four yaws eradication pilot sites and other mass treatment campaigns to set benchmarks for the cost of eradication in 12 known endemic countries. We construct a compartmental model of long-term health effects to 2050. Conservatively, we attribute zero cost to the counterfactual and allow for gradual exit of the susceptible (at risk) population by road (poverty reduction). We report mean, 5th and 95th centile estimates to reflect uncertainty about costs and effects. Results Our benchmark for the economic cost of yaws eradication is uncertain but not high –US$ 362 (75–1073) million in 12 countries. Eradication would cost US$ 26 (4.2–78) for each year of life lived without disability or disfigurement due to yaws, or US$ 324 (47–936) per disability-adjusted life year (DALY). Excluding drugs, existing staff and assets, the financial cost benchmark is US$ 213 (74–522) million. The real cost of waiting for more roads (poverty reduction) would be 13 (7.3–20) million years of life affected by early-stage yaws and 2.3 (1.1–4.2) million years of life affected by late-stage yaws. Discussion Endemic countries need financing to begin implementing and adapting global strategy to local conditions. Donations of drugs and diagnostics could reduce cost to the public sector and catalyze financing. Resources may be harnessed from the extractive industries. Yaws eradication should be seen as complementary to universal health coverage and shared prosperity on the post-2015 development agenda. PMID:25255131

Scabies

PubMed Central

Banerji, Anna

2015-01-01

Scabies is a contagious skin infestation caused by a mite. It causes significant global morbidity, with an estimated 300 million cases annually. Although it can affect individuals at any socioeconomic level, individuals who live in poverty or in overcrowded conditions are at much higher risk for scabies. Lack of local expertise can result in failure to recognize scabies, leading to delayed diagnosis and inadequate treatment of cases and contacts. Scabies disproportionately affects many Indigenous (First Nations, Inuit, Métis) communities where risk factors are present. Scabies risk is also higher in young children, the elderly and immunocompromised individuals. Institutional outbreaks of scabies have also been reported. Apart from a very itchy rash, scabies can lead to secondary bacterial infections and related complications, as well as to stigmatization, depression, insomnia and significant financial costs. Topical antiscabies lotions are still the mainstay of treatment, but oral ivermectin has also proven effective under certain circumstances. Asymptomatic and symptomatic household members should all be treated at the same time. In Canada and globally, the presence of scabies is usually a symptom of poor living conditions and a sign that basic necessities need improvement. Clinicians who work with Indigenous communities can improve their ability to diagnose and treat scabies, and should advocate for better living conditions where scabies is prevalent. PMID:26527041

Obesity and Asthma: A Missing Link.

PubMed

Gomez-Llorente, Mª Amelia; Romero, Raquel; Chueca, Natalia; Martinez-Cañavate, Ana; Gomez-Llorente, Carolina

2017-07-11

Obesity and asthma are two chronic conditions that affect millions of people. Genetic and lifestyle factors such as diet, physical activity, and early exposure to micro-organisms are important factors that may contribute to the escalating prevalence of both conditions. The prevalence of asthma is higher in obese individuals. Recently, two major phenotypes of asthma with obesity have been described: one phenotype of early-onset asthma that is aggravated by obesity, and a second phenotype of later-onset asthma that predominantly affects women. Systemic inflammation and mechanical effect, both due to the expansion of the adipose tissue, have been proposed as the main reasons for the association between obesity and asthma. However, the mechanisms involved are not yet fully understood. Moreover, it has also been suggested that insulin resistance syndrome can have a role in the association between these conditions. The intestinal microbiota is an important factor in the development of the immune system, and can be considered a link between obesity and asthma. In the obese state, higher lipopolysaccharide (LPS) serum levels as a consequence of a microbiota dysbiosis have been found. In addition, changes in microbiota composition result in a modification of carbohydrate fermentation capacity, therefore modifying short chain fatty acid (SCFA) levels. The main objective of this review is to summarize the principal findings that link obesity and asthma.

Obesity and Asthma: A Missing Link

PubMed Central

Gomez-Llorente, Mª Amelia; Romero, Raquel; Chueca, Natalia; Martinez-Cañavate, Ana

2017-01-01

Obesity and asthma are two chronic conditions that affect millions of people. Genetic and lifestyle factors such as diet, physical activity, and early exposure to micro-organisms are important factors that may contribute to the escalating prevalence of both conditions. The prevalence of asthma is higher in obese individuals. Recently, two major phenotypes of asthma with obesity have been described: one phenotype of early-onset asthma that is aggravated by obesity, and a second phenotype of later-onset asthma that predominantly affects women. Systemic inflammation and mechanical effect, both due to the expansion of the adipose tissue, have been proposed as the main reasons for the association between obesity and asthma. However, the mechanisms involved are not yet fully understood. Moreover, it has also been suggested that insulin resistance syndrome can have a role in the association between these conditions. The intestinal microbiota is an important factor in the development of the immune system, and can be considered a link between obesity and asthma. In the obese state, higher lipopolysaccharide (LPS) serum levels as a consequence of a microbiota dysbiosis have been found. In addition, changes in microbiota composition result in a modification of carbohydrate fermentation capacity, therefore modifying short chain fatty acid (SCFA) levels. The main objective of this review is to summarize the principal findings that link obesity and asthma. PMID:28696379

Socio-Economic Affects of Floods on Female Teachers in Jampur (Pakistan)

ERIC Educational Resources Information Center

Buzdar, Muhammad Ayub; Ali, Akhtar

2011-01-01

Women are major affected segment of society in any disaster in under developed countries. Floods of 2010, in Pakistan, affected more than 17 million people. Ultimately, it created several social, psychological and financial problems for affected females. The current paper aimed to study the socio-economic affects of floods on female teachers of…

How do operating conditions affect As(III) removal by iron electrocoagulation?

PubMed

Delaire, Caroline; Amrose, Susan; Zhang, Minghui; Hake, James; Gadgil, Ashok

2017-04-01

Iron electrocoagulation (Fe-EC) has been shown to effectively remove arsenic from contaminated groundwater at low cost and has the potential to improve access to safe drinking water for millions of people. Understanding how operating conditions, such as the Fe dosage rate and the O 2 recharge rate, affect arsenic removal at different pH values is crucial to maximize the performance of Fe-EC under economic constraints. In this work, we improved upon an existing computational model to investigate the combined effects of pH, Fe dosage rate, and O 2 recharge rate on arsenic removal in Fe-EC. We showed that the impact of the Fe dosage rate strongly depends on pH and on the O 2 recharge rate, which has important practical implications. We identified the process limiting arsenic removal (As(III) oxidation versus As(V) adsorption) at different pH values, which allowed us to interpret the effect of operating conditions on Fe-EC performance. Finally, we assessed the robustness of the trends predicted by the model, which assumes a constant pH, against lab experiments reproducing more realistic conditions where pH is allowed to drift during treatment as a result of equilibration with atmospheric CO 2 . Our results provide a nuanced understanding of how operating conditions impact arsenic removal by Fe-EC and can inform decisions regarding the operation of this technology in a range of groundwaters. Copyright © 2017 Elsevier Ltd. All rights reserved.

Pursuing the Bottom Line: How the Middle East Will be Affected by an Aging America

DTIC Science & Technology

2007-09-01

freedom of every person to worship God in his own way, the freedom from want, and the freedom from fear…anywhere in the world. These principles...highlighted above prove to be true, the Middle East could be a tinder box for years to come. The three sources of potential instability are...million persons each year.25 Europe is expected to see its population fall from its current 731 million to 715 million by 2025 and approximately

Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation - United States, 2013-2015.

PubMed

Barbour, Kamil E; Helmick, Charles G; Boring, Michael; Brady, Teresa J

2017-03-10

In the United States, doctor-diagnosed arthritis is a common and disabling chronic condition. Arthritis can lead to severe joint pain and poor physical function, and it can negatively affect quality of life. CDC analyzed 2013-2015 data from the National Health Interview Survey, an annual, nationally representative, in-person interview survey of the health status and behaviors of the noninstitutionalized civilian U.S. adult population, to update previous prevalence estimates of arthritis and arthritis-attributable activity limitations. On average, during 2013-2015, 54.4 million (22.7%) adults had doctor-diagnosed arthritis, and 23.7 million (43.5% of those with arthritis) had arthritis-attributable activity limitations (an age-adjusted increase of approximately 20% in the proportion of adults with arthritis reporting activity limitations since 2002 [p-trend <0.001]). Among adults with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.3%, 47.1%, and 30.6%, respectively; the prevalences of arthritis-attributable activity limitations among adults with these conditions and arthritis were 54.5% (heart disease), 54.0% (diabetes), and 49.0% (obesity). The prevalence of arthritis is high, particularly among adults with comorbid conditions, such as heart disease, diabetes, and obesity. Furthermore, the prevalence of arthritis-attributable activity limitations is high and increasing over time. Approximately half of adults with arthritis and heart disease, arthritis and diabetes, or arthritis and obesity are limited by their arthritis. Greater use of evidence-based physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and also for adults with other chronic conditions who might be limited by their arthritis.

Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation — United States, 2013–2015

PubMed Central

Helmick, Charles G.; Boring, Michael; Brady, Teresa J.

2017-01-01

Background In the United States, doctor-diagnosed arthritis is a common and disabling chronic condition. Arthritis can lead to severe joint pain and poor physical function, and it can negatively affect quality of life. Methods CDC analyzed 2013–2015 data from the National Health Interview Survey, an annual, nationally representative, in-person interview survey of the health status and behaviors of the noninstitutionalized civilian U.S. adult population, to update previous prevalence estimates of arthritis and arthritis-attributable activity limitations. Results On average, during 2013–2015, 54.4 million (22.7%) adults had doctor-diagnosed arthritis, and 23.7 million (43.5% of those with arthritis) had arthritis-attributable activity limitations (an age-adjusted increase of approximately 20% in the proportion of adults with arthritis reporting activity limitations since 2002 [p-trend <0.001]). Among adults with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.3%, 47.1%, and 30.6%, respectively; the prevalences of arthritis-attributable activity limitations among adults with these conditions and arthritis were 54.5% (heart disease), 54.0% (diabetes), and 49.0% (obesity). Conclusions and Comments The prevalence of arthritis is high, particularly among adults with comorbid conditions, such as heart disease, diabetes, and obesity. Furthermore, the prevalence of arthritis-attributable activity limitations is high and increasing over time. Approximately half of adults with arthritis and heart disease, arthritis and diabetes, or arthritis and obesity are limited by their arthritis. Greater use of evidence-based physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and also for adults with other chronic conditions who might be limited by their arthritis. PMID:28278145

Bio-oil production from fast pyrolysis of waste furniture sawdust in a fluidized bed.

PubMed

Heo, Hyeon Su; Park, Hyun Ju; Park, Young-Kwon; Ryu, Changkook; Suh, Dong Jin; Suh, Young-Woong; Yim, Jin-Heong; Kim, Seung-Soo

2010-01-01

The amount of waste furniture generated in Korea was over 2.4 million tons in the past 3 years, which can be used for renewable energy or fuel feedstock production. Fast pyrolysis is available for thermo-chemical conversion of the waste wood mostly into bio-oil. In this work, fast pyrolysis of waste furniture sawdust was investigated under various reaction conditions (pyrolysis temperature, particle size, feed rate and flow rate of fluidizing medium) in a fluidized-bed reactor. The optimal pyrolysis temperature for increased yields of bio-oil was 450 degrees C. Excessively smaller or larger feed size negatively affected the production of bio-oil. Higher flow and feeding rates were more effective for the production of bio-oil, but did not greatly affect the bio-oil yields within the tested ranges. The use of product gas as the fluidizing medium had a potential for increased bio-oil yields.

FORMATION OF NITRITE AND NITRATE BY ACTINOMYCETES AND FUNGI

PubMed Central

Hirsch, P.; Overrein, L.; Alexander, M.

1961-01-01

Hirsch, P. (Cornell University, Ithaca, New York), L. Overrein, and M. Alexander. Formation of nitrite and nitrate by actinomycetes and fungi. J. Bacteriol. 82:442–448. 1961.—Nitrite was produced by strains of Mycobacterium, Nocardia, Streptomyces, Micromonospora, and Streptosporangium in media containing ammonium phosphate as the sole nitrogen source. The quantity of nitrite formed was small, and the concentration was affected by pH and by the relative levels of carbon and nitrogen. Aspergillus flavus produced little nitrite from ammonium but formed in excess of 100 parts per million of nitrate-nitrogen. Peroxidase activity and heterotrophic nitrification were reduced in acid conditions, but mycelial development of the fungus was not markedly affected. The inability of A. flavus to form nitrate and nitrite at low pH appears to result from a selective effect of pH upon nitrification rather than being a consequence of the decomposition of nitrogenous intermediates. PMID:13714587

Impacts of tropical cyclones on Fiji and Samoa

NASA Astrophysics Data System (ADS)

Kuleshov, Yuriy; Prakash, Bipendra; Atalifo, Terry; Waqaicelua, Alipate; Seuseu, Sunny; Ausetalia Titimaea, Mulipola

2013-04-01

Weather and climate hazards have significant impacts on Pacific Island Countries. Costs of hazards such as tropical cyclones can be astronomical making enormous negative economic impacts on developing countries. We highlight examples of extreme weather events which have occurred in Fiji and Samoa in the last few decades and have caused major economic and social disruption in the countries. Destructive winds and torrential rain associated with tropical cyclones can bring the most damaging weather conditions to the region causing economic and social hardship, affecting agricultural productivity, infrastructure and economic development which can persist for many years after the initial impact. Analysing historical data, we describe the impacts of tropical cyclones Bebe and Kina on Fiji. Cyclone Bebe (October 1972) affected the whole Fiji especially the Yasawa Islands, Viti Levu and Kadavu where hurricane force winds have been recorded. Nineteen deaths were reported and damage costs caused by cyclone Bebe were estimated as exceeding F20 million (F 1972). Tropical cyclone Kina passed between Fiji's two main islands of Viti Levu and Vanua Levu, and directly over Levuka on the night of 2 January 1993 with hurricane force winds causing extensive damage. Twenty three deaths have been reported making Kina one of the deadliest hurricanes in Fiji's recent history. Severe flooding on Viti Levu, combined with high tide and heavy seas led to destruction of the Sigatoka and Ba bridges, as well as almost complete loss of crops in Sigatoka and Navua deltas. Overall, damage caused by cyclone Kina was estimated as F170 million. In Samoa, we describe devastation to the country caused by tropical cyclones Ofa (February 1990) and Val (December 1991) which were considered to be the worst cyclones to affect the Samoan islands since the 1889 Apia cyclone. In Samoa, seven people were killed due to cyclone Ofa, thousands of people were left homeless and entire villages were destroyed. Damage on Samoa totalled to US130 million. Cyclone Val caused damage and destruction to 95% of houses in Samoa and severe crop damage; total damage was estimated as US200 million. Recently, severe tropical cyclone Evan affected Samoa and Fiji (December 2012). Significant progress in operational tropical cyclone forecasting has been achieved over the past few decades which resulted in improving early warning system but death toll attributed to cyclones is still high - at least 14 deaths in Samoa are related to cyclone Evan (luckily, no death reports in Fiji). Cyclone-related economic losses also remain very high making significant negative impact on economies of the countries. Preliminary assessment of damage caused by cyclone Evan in Fiji indicates loses of about 75.29 million. By the end of this century projections suggest decreasing numbers of tropical cyclones but a possible shift towards more intense categories. In addition, geographic shifts in distribution of tropical cyclone occurrences caused by warming of the atmospheric and oceanic environment are possible. This should be taken in consideration by authorities of the Pacific Island Countries when developing adaptation strategies to increasing tropical cyclone risk due to climate change.

Managing Asthma in the Classroom

ERIC Educational Resources Information Center

Hamm, Ellen M.

2004-01-01

Asthma is the most common chronic disease of childhood, affecting nearly 5 million children under the age of 18. Children with asthma account for 3 million hospital visits and 200,000 hospitalizations yearly. This adds up to an estimated $2 billion annually in health care costs (American Academy of Pediatrics, 1999). A child with asthma has three…

American Youth: A Statistical Snapshot.

ERIC Educational Resources Information Center

Wetzel, James R.

This document presents a statistics snapshot of young people, aged 15 to 24 years. It provides a broad overview of trends documenting the direction of changes in social behavior and economic circumstances. The projected decline in the total number of youth from 43 million in 1980 to 35 million in 1995 will affect marriage and childbearing…

Meta-Analysis of Chemical and Non-Chemical Stressors Affecting Childhood Obesity

EPA Science Inventory

Childhood obesity is not a new notion but it is a growing epidemic around the world. There is approximately 42 million children under 5 around the world who are considered overweight or obese and here in the united states that is 12.7 million children between the ages of 2 and 19...

Children's Contact with Their Incarcerated Parents: Research Findings and Recommendations

ERIC Educational Resources Information Center

Poehlmann, Julie; Dallaire, Danielle; Loper, Ann Booker; Shear, Leslie D.

2010-01-01

Approximately 1.7 million children have parents who are incarcerated in prison in the United States, and possibly millions of additional children have a parent incarcerated in jail. Many affected children experience increased risk for developing behavior problems, academic failure, and substance abuse. For a growing number of children,…

The Million Dollar Difference and 21st Century Teaching Skills Project

ERIC Educational Resources Information Center

Moon, Debi; Moolenaar-Wirsiy, Pamela

2008-01-01

With a limited budget, but a critical need to develop 21st century marketplace skills, Georgia Perimeter College (GPC) developed the Million Dollar Difference Campaign. Focusing on how quality instruction affects retention and student outcomes, GPC re-energized a 1000-faculty workforce in one year through a series of innovative teaching…

Inpatient Growth and Resource Use in 28 Children’s Hospitals

PubMed Central

Berry, Jay G.; Hall, Matt; Hall, David E.; Kuo, Dennis Z.; Cohen, Eyal; Agrawal, Rishi; Mandl, Kenneth D.; Clifton, Holly; Neff, John

2013-01-01

Objective To compare inpatient resource use trends for healthy children and children with chronic health conditions of varying degrees of medical complexity. Design Retrospective cohort analysis. Setting Twenty-eight US children’s hospitals. Patients A total of 1 526 051 unique patients hospitalized from January 1, 2004, through December 31, 2009, who were assigned to 1 of 5 chronic condition groups using 3M’s Clinical Risk Group software. Intervention None. Main Outcome Measures Trends in the number of patients, hospitalizations, hospital days, and charges analyzed with linear regression. Results Between 2004 and 2009, hospitals experienced a greater increase in the number of children hospitalized with vs without a chronic condition (19.2% vs 13.7% cumulative increase, P < .001). The greatest cumulative increase (32.5%) was attributable to children with a significant chronic condition affecting 2 or more body systems, who accounted for 19.2% (n=63 203) of patients, 27.2% (n=111 685) of hospital discharges, 48.9% (n=1.1 million) of hospital days, and 53.2% ($9.2 billion) of hospital charges in 2009. These children had a higher percentage of Medicaid use (56.5% vs 49.7%; P<.001) compared with children without a chronic condition. Cerebral palsy (9179 [14.6%]) and asthma (13 708 [21.8%]) were the most common primary diagnosis and comorbidity, respectively, observed among these patients. Conclusions Patients with a chronic condition increasingly used more resources in a group of children’s hospitals than patients without a chronic condition. The greatest growth was observed in hospitalized children with chronic conditions affecting 2 or more body systems. Children’s hospitals must ensure that their inpatient care systems and payment structures are equipped to meet the protean needs of this important population of children. PMID:23266509

Legal issues affecting children with preexisting conditions during public health emergencies.

PubMed

Rutkow, Lainie; Vernick, Jon S; Wissow, Lawrence S; Tung, Gregory J; Marum, Felicity; Barnett, Daniel J

2013-06-01

Among the millions of children in the United States exposed to public health emergencies in recent years, those with preexisting health conditions face particular challenges. A public health emergency may, for example, disrupt treatment regimens or cause children to be separated from caregivers. Ongoing shortages of pediatricians and pediatric subspecialists may further exacerbate the risks that children with preexisting conditions face in disaster circumstances. The US Department of Homeland Security recently called for better integration of children's needs into all preparedness activities. To aid in this process, multiple legal concerns relevant to pediatricians and pediatric policymakers must be identified and addressed. Obtaining informed consent from children and parents may be particularly challenging during certain public health emergencies. States may need to invoke legal protections for children who are separated from caregivers during emergencies. Maintaining access to prescription medications may also require pediatricians to use specific legal mechanisms. In addition to practitioners, recommendations are given for policymakers to promote effective pediatric response to public health emergencies.

The impacts of climate on retailing in the UK with particular reference to the anomalously hot summer of 1995

NASA Astrophysics Data System (ADS)

Agnew, M. D.; Palutikof, J. P.

1999-11-01

The impacts on the UK retailing sector of the extreme climate of 1995 are analysed in the context of monthly climate conditions in the previous two decades. Over the period from November 1994 to October 1995, the mean monthly Central England temperature (CET) was 1.6°C above the 1961-1990 normal, the highest mean 12-month temperature since the CET records began in 1659. Retail activities are geared towards average conditions and are therefore affected in the short-term by any unexpected change in supply and demand. This study focuses on those areas of retailing where the responses to climate in terms of a change in consumer demand are most likely to be clear: first, clothing and footwear and, second, food and drink. Economic time series are extracted from official government publications (1972-1995). Stepwise multiple regressions are performed to assess the amount of variance in the retail series accounted for by monthly temperature, rainfall and sunshine indices.Statistically significant associations are found between retail and climate indices over the 1972-1995 study period, these are generally strongest in winter and spring, and weakest in summer. There is some indication of an increase in the climate-sensitivity of the retail series in unusually hot years. This may be a function of factors such as: just-in-time supply chains, refrigeration and changes in the trading environment. The anomalous climate of 1995 has the greatest economic impact on the clothing and footwear market, with extreme temperatures at the end of the summer associated with a decline in the market. An attempt is made to place a monetary value on the 1995 impacts. It is estimated that the clothing and footwear market sustained a loss of #383 million (1.7% of turnover). However, the extreme climate of 1995 brought gains to the beer and wine industries of #123 million (0.9% of turnover) and #11 million (0.2% of turnover), respectively, and a gain of approximately #25 million (1.8% of turnover) to the fruit and vegetable markets.

AIDS: new threat to the third world.

PubMed

Heise, L

1988-01-01

Acquired immuneodeficiency syndrome (AIDS) threatens to have a catastrophic historical impact on the 3rd world, undermining decades of progress toward improved health and sustained economic development. By 1986, the World Health Organization (WHO) estimate between 5 and 10 million people worldwide were carriers. By 1990, WHO projects 50 to 100 million may be infected, leaving 15 to 30 million dead by 1995. The extent of AIDS cases in LDCs is most likely underreported as these countries already have limited access to health care. The infection rate could be 100 times higher in African cities than in the US as a whole. With an estimated 2 million infected, Africa is the hardest hit region in the world; Asia is the least affected with Japan having the highest number of reported cases at 43. Overall rate of transmission is likely to remain higher in the 3rd world for numerous reasons including the prevalence of sexually transmitted diseases, lack of money to screen blood for transfusions, high number of sexual partners due to socio-economic conditions, chronic exposure to viral and parasitic infections, and unhygienic conditions. Unlike developed nations, LDCs do not have the health care budgets to care for the opportunistic infections of AIDS patients. Therefore they often are subject to triage, passed over in favor of patients with curable diseases. AIDS provides an even greater threat as a multiplier of existing but dormant diseases such as tuberculosis. AIDS will undermine the decades of progress in maternal and child health and may soon be significant factor in the mother/child survival quotient. Some African cities report that 8 to 14% of women attending prenatal clinics test positive. Since it strikes the most productive age group--those between 20 and 49-- AIDS threatens to undermine the economies of LDCs at a time when most LDCsa are already struggling. Meeting the global challenge of AIDS will requre unprecedented international cooperation. The fact that both 1st and 3rd world countries must face the problem could lead to the necessary efforts.

Potential for Zika virus introduction and transmission in resource-limited countries in Africa and the Asia-Pacific region: a modelling study.

PubMed

Bogoch, Isaac I; Brady, Oliver J; Kraemer, Moritz U G; German, Matthew; Creatore, Maria I; Brent, Shannon; Watts, Alexander G; Hay, Simon I; Kulkarni, Manisha A; Brownstein, John S; Khan, Kamran

2016-11-01

As the epidemic of Zika virus expands in the Americas, countries across Africa and the Asia-Pacific region are becoming increasingly susceptible to the importation and possible local spread of the virus. To support public health readiness, we aim to identify regions and times where the potential health, economic, and social effects from Zika virus are greatest, focusing on resource-limited countries in Africa and the Asia-Pacific region. Our model combined transportation network analysis, ecological modelling of mosquito occurrences, and vector competence for flavivirus transmission, using data from the International Air Transport Association, entomological observations from Zika's primary vector species, and climate conditions using WorldClim. We overlaid monthly flows of airline travellers arriving to Africa and the Asia-Pacific region from areas of the Americas suitable for year-round transmission of Zika virus with monthly maps of climatic suitability for mosquito-borne transmission of Zika virus within Africa and the Asia-Pacific region. An estimated 2·6 billion people live in areas of Africa and the Asia-Pacific region where the presence of competent mosquito vectors and suitable climatic conditions could support local transmission of Zika virus. Countries with large volumes of travellers arriving from Zika virus-affected areas of the Americas and large populations at risk of mosquito-borne Zika virus infection include India (67 422 travellers arriving per year; 1·2 billion residents in potential Zika transmission areas), China (238 415 travellers; 242 million residents), Indonesia (13 865 travellers; 197 million residents), Philippines (35 635 travellers; 70 million residents), and Thailand (29 241 travellers; 59 million residents). Many countries across Africa and the Asia-Pacific region are vulnerable to Zika virus. Strategic use of available health and human resources is essential to prevent or mitigate the health, economic, and social consequences of Zika virus, especially in resource-limited countries. Canadian Institutes of Health Research and the US Centers for Disease Control and Prevention. Copyright © 2016 Elsevier Ltd. All rights reserved.

Potential for Zika virus introduction and transmission in resource limited countries in Africa and Asia-Pacific: A modeling study

PubMed Central

German, Matthew; Creatore, Maria I.; Brent, Shannon; Watts, Alexander G.; Hay, Simon I.; Kulkarni, Manisha A.; Brownstein, John S.; Khan, Kamran

2016-01-01

Summary Background As the epidemic of Zika virus expands in the Americas, countries across Africa and the Asia-Pacific region are becoming increasingly susceptible to the importation and possible local spread of the virus. To support public health readiness, we aim to identify regions and times where the potential health, economic, and social effects from Zika virus are greatest, focusing on resource-limited countries in Africa and the Asia-Pacific region. Methods Our model combined transportation network analysis, ecological modelling of mosquito occurrences, and vector competence for flavivirus transmission, using data from the International Air Transport Association, entomological observations from Zika’s primary vector species, and climate conditions using WorldClim. We overlaid monthly flows of airline travellers arriving to Africa and the Asia-Pacific region from areas of the Americas suitable for year-round transmission of Zika virus with monthly maps of climatic suitability for mosquito-borne transmission of Zika virus within Africa and the Asia-Pacific region. Findings An estimated 2·6 billion people live in areas of Africa and the Asia-Pacific region where the presence of competent mosquito vectors and suitable climatic conditions could support local transmission of Zika virus. Countries with large volumes of travellers arriving from Zika affected areas of the Americas and large populations at risk of mosquito-borne Zika virus infection include, India (67 422 travellers arriving per year; 1·2 billion residents in potential Zika transmission areas), China (238 415 travellers; 242 million residents), Indonesia (13 865 travellers; 197 million residents), Philippines (35 635 travellers; 70 million residents), and Thailand (29 241 travellers; 59 million residents). Interpretation Many countries across Africa and the Asia-Pacific region are vulnerable to Zika virus. Strategic use of available health and human resources is essential to prevent or mitigate the health, economic and social consequences of Zika virus, especially in resource-limited countries. Funding Source Canadian Institutes of Health Research and the US Centers for Disease Control and Prevention. PMID:27593584

Economic burden of cardiovascular events and fractures among patients with end-stage renal disease.

PubMed

Doan, Quan V; Gleeson, Michelle; Kim, John; Borker, Rohit; Griffiths, Robert; Dubois, Robert W

2007-07-01

To quantify direct medical costs of fractures and cardiovascular diseases among end-stage renal disease (ESRD) patients. Medicare claims data from year 2001 of the United States Renal Data System were used to quantify direct medical costs of acute episodic events (acute myocardial infarction (MI), stroke, heart valve repair, heart valve replacement, fractures) and chronic conditions (arrhythmia, peripheral vascular disease (PVD), heart valve disease (HVD), congestive heart failure (CHF), coronary heart disease, and non-acute stroke). Costs of hospitalized episodes of arrhythmia, PVD, CHF, and angina were also quantified. For acute events, costs were quantified using an episode-of-care approach. For chronic conditions, annualized costs were reported. Only costs specific to the events or conditions of interest were included and reported, in 2006 US dollars. Drug and dialysis-related costs were excluded. Diagnosis and procedure codes were used to identify these events and conditions. Among acute events analyzed as clinical episodes, PVD ($358 million) was associated with the greatest economic burden, followed by CHF, arrhythmia, angina, acute MI, heart valve replacement, hip fracture, acute stroke, heart valve repair, vertebral fracture, and pelvic fracture ($8.6 million). The cost per episode ranged from approximately $12,000 to 104,000. Among chronic conditions, CHF ($681 million) contributed the greatest economic burden; HVD ($100 million) contributed the least. The costs per patient-year ranged from $23,000 to 45,000 among chronic conditions. The costing methodology utilized could contribute to an underestimate of the economic impact of each condition; therefore these results are considered conservative. The economic burden of these selected conditions was substantial to health services payers who finance ESRD patient care. Episodic costs were high for most acute events.

40-years of fires in a touristic area from South of Spain.

NASA Astrophysics Data System (ADS)

Martínez-Murillo, Juan F.; Aranda-Gómez, Francisco; Damián Ruiz-Sinoga, José

2014-05-01

Costa del Sol in the Province of Malaga is one of the major touristic region in Spain. Its develop started in the 1960s of the XXth century at the same time as other regions in Mediterranean Europe. Since then, this area has become a holiday touristic centre for different countries and regions from Europe (United Kingdom, Escandinavia, Germany, Netherlands, Russia, etc.). Likewise, Costa del Sol has been characterised by a constant grow of the residence tourism rendering in an extreme increment of urban areas, especially in those municipalities located in the coast. This expansión of urban áreas was carried out against rural and natural vegetated areas. The region is characterised by very montanious topography, predominant impermeable rocks (shales, schists and peridotites) and abundant rainfalls from October to May, especially, in the western area (where a climatic gradient is observed from humid to dry conditions). All of these features, joined a very spread and intense occupation by urban, infrastructures and touristic land uses, renders in a very high vulnerability to fires and their consequences. As fire removes vegetation cover and accelerate water erosion, local relief and climatic conditions induce to extreme high risk of soil loss and floodings. During the last 40 years, in the study area, the number of fires increased as weell as the affected area, following the similar trend for the rest of Spain and other Mediterranean countries. This situation increases the exposition to fire risk for more than one-million of people, which become at least two-millions during the summer months when fire conditions are expected.

Heart Disease Affects Women of All Ages

MedlinePlus

Skip Navigation Bar Home Current Issue Past Issues Heart Disease Affects Women of All Ages Past Issues / Winter ... weeks of a heart attack. For Women with Heart Disease: About 6 million American women have coronary heart ...

Burning mouth syndrome

PubMed Central

Gurvits, Grigoriy E; Tan, Amy

2013-01-01

Burning mouth syndrome is a debilitating medical condition affecting nearly 1.3 million of Americans. Its common features include a burning painful sensation in the mouth, often associated with dysgeusia and xerostomia, despite normal salivation. Classically, symptoms are better in the morning, worsen during the day and typically subside at night. Its etiology is largely multifactorial, and associated medical conditions may include gastrointestinal, urogenital, psychiatric, neurologic and metabolic disorders, as well as drug reactions. BMS has clear predisposition to peri-/post menopausal females. Its pathophysiology has not been fully elucidated and involves peripheral and central neuropathic pathways. Clinical diagnosis relies on careful history taking, physical examination and laboratory analysis. Treatment is often tedious and is aimed at correction of underlying medical conditions, supportive therapy, and behavioral feedback. Drug therapy with alpha lipoic acid, clonazepam, capsaicin, and antidepressants may provide symptom relief. Psychotherapy may be helpful. Short term follow up data is promising, however, long term prognosis with treatment is lacking. BMS remains an important medical condition which often places a recognizable burden on the patient and health care system and requires appropriate recognition and treatment. PMID:23429751

Burning mouth syndrome.

PubMed

Gurvits, Grigoriy E; Tan, Amy

2013-02-07

Burning mouth syndrome is a debilitating medical condition affecting nearly 1.3 million of Americans. Its common features include a burning painful sensation in the mouth, often associated with dysgeusia and xerostomia, despite normal salivation. Classically, symptoms are better in the morning, worsen during the day and typically subside at night. Its etiology is largely multifactorial, and associated medical conditions may include gastrointestinal, urogenital, psychiatric, neurologic and metabolic disorders, as well as drug reactions. BMS has clear predisposition to peri-/post menopausal females. Its pathophysiology has not been fully elucidated and involves peripheral and central neuropathic pathways. Clinical diagnosis relies on careful history taking, physical examination and laboratory analysis. Treatment is often tedious and is aimed at correction of underlying medical conditions, supportive therapy, and behavioral feedback. Drug therapy with alpha lipoic acid, clonazepam, capsaicin, and antidepressants may provide symptom relief. Psychotherapy may be helpful. Short term follow up data is promising, however, long term prognosis with treatment is lacking. BMS remains an important medical condition which often places a recognizable burden on the patient and health care system and requires appropriate recognition and treatment.

Rare Disorders and Diseases

ERIC Educational Resources Information Center

Umlauf, Mary; Monaco, Jana; FitzZaland, Mary; FitzZaland, Richard; Novitsky, Scott

2008-01-01

According to the National Organization for Rare Disorders (NORD), a rare or "orphan" disease affects fewer than 200,000 people in the United States. There are more than 6,000 rare disorders that, taken together, affect approximately 25 million Americans. "Exceptional Parent" ("EP") recognizes that when a disorder affects a child or adult, it…

Breast cancer-related lymphedema: Symptoms, diagnosis, risk reduction, and management

PubMed Central

Fu, Mei R

2014-01-01

The global burden of breast cancer continues to increase largely because of the aging and growth of the world population. More than 1.38 million women worldwide were estimated to be diagnosed with breast cancer in 2008, accounting for 23% of all diagnosed cancers in women. Given that the 5-year survival rate for breast cancer is now 90%, experiencing breast cancer is ultimately about quality of life. Women treated for breast cancer are facing a life-time risk of developing lymphedema, a chronic condition that occurs in up to 40% of this population and negatively affects breast cancer survivors’ quality of life. This review offers an insightful understanding of the condition by providing clinically relevant and evidence based knowledge regarding lymphedema symptoms, diagnosis, risk reduction, and management with the intent to inform health care professionals so that they might be better equipped to care for patients. PMID:25114841

Perspectives on urban conditions and population health.

PubMed

Vlahov, David; Galea, Sandro; Gibble, Emily; Freudenberg, Nicholas

2005-01-01

The majority of the world's population will live in cities in the next few years and the pace of urbanization worldwide will continue to accelerate over the coming decades. While the number of megacities is projected to increase, the largest population growth is expected to be in cities of less than one million people. Such a dramatic demographic shift can be expected to have an impact on population health. Although there has been historic interest in how city living affects health, a cogent framework that enables systematic study of urban health across time and place has yet to emerge. Four alternate but complementary approaches to the study of urban health today are presented (urban health penalty, urban health advantage, urban sprawl, and an integrative urban conditions model) followed by three key questions that may help guide the study and practice of urban health in coming decades.

In too deep: understanding, detecting and managing DVT.

PubMed

Meetoo, Danny

Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a serious health and social care problem of the developed world, affecting 1 in 1000 adults every year, and with an annual financial overhead of approximately £640 million. The nature of DVT means that often the condition can go unrecognized until the thrombus becomes an embolus. The pathogenesis of DVT continues to be based on Virchow's triad, which attributes VTE to 'hypercoagulability', 'stasis' and 'intimal injury'. The diagnosis of DVT is often the result of a number of tests performed either sequentially or in combination before mechanical and/or chemical treatment is embarked on. Creating public awareness of DVT and PE is the best way to prevent this condition. Nurses are in an ideal position to discuss the importance of lifestyle changes and other related measures to prevent DVT.

Asthma and Environment Fact Sheet for Parents and Schools. Revised

ERIC Educational Resources Information Center

Healthy Schools Network, Inc., 2012

2012-01-01

Important facts about asthma and the environment include: (1) Asthma has reached epidemic proportions in the United States, affecting about 25 million people of all ages and races, including about 7 million children; (2) Nearly one in 10 school-aged children has asthma, and the percentage of children with asthma is rising more rapidly in…

40 CFR 63.7533 - Can I use efficiency credits earned from implementation of energy conservation measures to comply...

Code of Federal Regulations, 2014 CFR

2014-07-01

... the implementation plan for efficiency credits to the Administrator for review and approval no later... level adjusted by applying the efficiency credits earned, lb per million Btu steam output (or lb per MWh) for the affected boiler. Em = Emissions measured during the performance test, lb per million Btu steam...

40 CFR 63.7533 - Can I use efficiency credits earned from implementation of energy conservation measures to comply...

Code of Federal Regulations, 2013 CFR

2013-07-01

... the implementation plan for efficiency credits to the Administrator for review and approval no later... level adjusted by applying the efficiency credits earned, lb per million Btu steam output (or lb per MWh) for the affected boiler. Em = Emissions measured during the performance test, lb per million Btu steam...

Education Data in Conflict-Affected Countries: The Fifth Failure?

ERIC Educational Resources Information Center

Montjourides, Patrick

2013-01-01

Poor-quality, or completely absent, data deny millions of children the right to an education. This is often the case in conflict-ridden areas. The 2011 Education for All Global Monitoring Report (UNESCO 2011b) identified four failures that are holding back progress in education and damaging millions of children's lives: failures of protection,…

Increasing Access to Health Care Providers with Nurse Practitioner Competencies

ERIC Educational Resources Information Center

Grace, Del Marjorie

2014-01-01

Emergency department visits increased from 102.8 million to 136.1 million in 2009, resulting in crowding and increased wait times, affecting U.S. hospitals' ability to provide safe, timely patient care resulting in dangerous delays and serious health problems shown by research. The purpose of this project was to determine if competencies developed…

Isolation of dihydroatemisinic acid from the artemisia annua l. by-product by combining Ultrasound-assisted extraction with response surface methodology

USDA-ARS?s Scientific Manuscript database

Malaria is one of the world’s most important parasitic diseases, affecting 300-500 million people worldwide and killing more than one million per year. Artemisinin is currently the only raw material for the production of artemisinin combination therapies (ACT), the only medicine that cures drug-resi...

Choice of satellite imagery and attribution of changes to disturbance type strongly affects forest carbon balance estimates.

PubMed

Mascorro, Vanessa S; Coops, Nicholas C; Kurz, Werner A; Olguín, Marcela

2015-12-01

Remote sensing products can provide regular and consistent observations of the Earth´s surface to monitor and understand the condition and change of forest ecosystems and to inform estimates of terrestrial carbon dynamics. Yet, challenges remain to select the appropriate satellite data source for ecosystem carbon monitoring. In this study we examine the impacts of three attributes of four remote sensing products derived from Landsat, Landsat-SPOT, and MODIS satellite imagery on estimates of greenhouse gas emissions and removals: (1) the spatial resolution (30 vs. 250 m), (2) the temporal resolution (annual vs. multi-year observations), and (3) the attribution of forest cover changes to disturbance types using supplementary data. With a spatially-explicit version of the Carbon Budget Model of the Canadian Forest Sector (CBM-CFS3), we produced annual estimates of carbon fluxes from 2002 to 2010 over a 3.2 million ha forested region in the Yucatan Peninsula, Mexico. The cumulative carbon balance for the 9-year period differed by 30.7 million MgC (112.5 million Mg CO 2e ) among the four remote sensing products used. The cumulative difference between scenarios with and without attribution of disturbance types was over 5 million Mg C for a single Landsat scene. Uncertainty arising from activity data (rates of land-cover changes) can be reduced by, in order of priority, increasing spatial resolution from 250 to 30 m, obtaining annual observations of forest disturbances, and by attributing land-cover changes by disturbance type. Even missing a single year in the land-cover observations can lead to substantial errors in ecosystems with rapid forest regrowth, such as the Yucatan Peninsula.

Philanthropy at the intersection of health and the environment.

PubMed

Fortunato, Karla; Sessions, Kathryn

2011-05-01

Scores of foundations are supporting efforts to improve the environmental conditions that affect health outcomes. Environmental health philanthropy has grown from a few foundations in 1999 to more than 100 today, and to annual investments of at least $70 million. This dynamic area of philanthropy is assisting disaster-stricken communities in the Gulf Coast, supporting a national movement to reform chemicals policy, defending clean air and water standards, and underwriting environmental justice work in low-income communities and communities of color. We argue that these investments are yielding sizable returns, but more funding opportunities exist to deepen understanding of hazards, clean up communities, reform policies, and embed environmental health in new economic development.

The personal and national costs of mental health conditions: impacts on income, taxes, government support payments due to lost labour force participation

PubMed Central

2011-01-01

Background Mental health conditions have the ability to interrupt an individual's ability to participate in the labour force, and this can have considerable follow on impacts to both the individual and the state. Method Cross-sectional analysis of the base population of Health&WealthMOD, a microsimulation model built on data from the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers and STINMOD, an income and savings microsimulation model was used to quantify the personal cost of lost income and the cost to the state from lost income taxation, increased benefits payments and lost GDP as a result of early retirement due to mental health conditions in Australians aged 45-64 in 2009. Results Individuals aged 45 to 64 years who have retired early due to depression personally have 73% lower income then their full time employed counterparts and those retired early due to other mental health conditions have 78% lower incomes. The national aggregate cost to government due to early retirement from these conditions equated to $278 million (£152.9 million) in lost income taxation revenue, $407 million (£223.9 million) in additional transfer payments and around $1.7 billion in GDP in 2009 alone. Conclusions The costs of mental health conditions to the individuals and the state are considerable. While individuals has to bear the economic costs of lost income in addition to the burden of the conditions itself, the impact on the state is loss of productivity from reduced workforce participation, lost income taxation revenue, and increased government support payments - in addition to direct health care costs. PMID:21526993

Water demand for ski resort development in the Austrian Alps: an Overview

NASA Astrophysics Data System (ADS)

Breiling, M.; Sokratov, S.

2012-04-01

Austria has the highest national added value from winter tourism in Europe, as well as worldwide. 15.7 million arrivals were counted in Austrian accommodation establishments in the 2010/11 winter season. There were more than 62 million overnight stays and 51.2 million skier-days were consumed. 588 million transports were carried out by more than 3000 lifts (cable cars, chair lifts and T-bars). Including indirect and induced effects, this resulted in more than 10 billion euros in added value being generated. The lack of snow in many Austrian skiing areas during the 2006/2007 winter season demonstrated the extent to which meteorological conditions influence operations. Declines in the number of skiers transported and total skier days were the result. The cable-car operators also had to struggle with little snow in the 2010/2011 winter. The Austrian Cable Car Operators' Association stated that the opening of 70-80% of all skiing areas outside of the peak season could only be assured through the use of snowmaking equipment. The central criterion for winter sports enthusiasts to make a trip is the guarantee that they will find snow at their destination and Austria's cable-car operators invest more than 100 million euros in the erection and improvement of snowmaking complexes every year to satisfy this deand. In the 2010/2011 season, this provided for 17,800 jobs. Cable car operators set up snowmaking equipment to become independent from meteorological conditions and improve the capacity utilisation of their expensive investments in transport systems in the early winter. Austria has a skiing area of around 25,400 hectares - around 17,000 hectares at altitudes between 600m and 3200m are currently suitable for snowmaking. As much as 70% of the snow is produced immediately before the start of the season. This recent trend is responsible that the irrigation pattern of Austrian land use changed significantly in the last decade. Previously maize fields and low lands in summer were the most important irrigated land, now high altitude mountain areas and winter are the largest irrigated areas. We assume the production of 6000 cubic metres of artificial snow per hectare per season. This results in around 100 million cubic metres of artificial snow to cover a slope area of 17,000 hectares that would be produced using 57 million cubic metres of water (incluing losses). In winter, Austrian skiing areas use almost as much water as the capital city of Vienna during the same period. The water demand could again be reduced up to 30% by snow making with help of the dendrite generator, a recent innovation that has not entered the market yet. Water savings also affect the energy requirements where savings of up to 40% are predicted and leads to improved resoure use, greater ecological compatibility and an increase in profitability.

Effects of uncertainty, transmission type, driver age and gender on brake reaction and movement time.

PubMed

Warshawsky-Livne, Lora; Shinar, David

2002-01-01

Braking time (BT) is a critical component in safe driving, and various approaches have been applied to minimize it. This study analyzed the components of BT in order to assess the effects of age, gender, vehicle transmission type, and event uncertainty, on its two primary components, perception-reaction time and brake-movement time. Perception-reaction time and brake-movement time were measured at the onset of lights for 72 subjects in a simulator. The six experimental conditions were three levels of uncertainty conditions (none, some, and some + false alarms) and two types of transmission (manual and automatic). The 72 subjects, half male and half female, were further divided into three age groups (mean of 23, 30, and 62 years). Each subject had 10 trials in each of the three levels of uncertainty conditions. Transmission type did not significantly affect either perception-reaction time or brake-movement time. Perception-reaction time increased significantly from 0.32 to 0.42 s (P < .05) as uncertainty increased but brake-movement time did not change. Perception-reaction time increased (from 0.35 to 0.43 s) with age but brake-movement time did not change with age. Gender did not affect perception-reaction time but did affect brake-movement time (males 0.19 s vs. females 0.16 s). At 90 km/h, a car travels 0.25 m in 0.01 s. Consequently, even such small effects multiplied by millions of vehicle-kilometers can contribute to significant savings in lives and damages.

Association between the Prevalence of Indigestible Foreign Objects in the Gastrointestinal Tract of Slaughtered Cattle and Body Condition Score

PubMed Central

Nongcula, Vikhaya Vincent; Zhou, Leocadia

2017-01-01

Simple Summary The South African national cattle herd has increased from 6 million head since the 1970s to 14 million and more than two-thirds of the 14 million cattle in South Africa reside in the Eastern Cape Province (ECP), yet the Province has one of the highest poverty indexes. While this improvement is commendable, there are still many challenges to efficient livestock production notably infectious and non-infectious diseases. Many non-infectious diseases of the fore-stomach, such as rumenitis, rumen parakeratosis, traumatic reticuloperitonitis and poly bezoars, are rarely reported, but are known to obstruct the digestive functions of the fore-stomach, causing a marked reduction in animal weight, reproduction, feed absorption and productivity, and death. The pathogenesis of these diseases often begins with the consumption of indigestible foreign objects (IFOs). Animal husbandry in the ECP is mostly communal, with an extensive system of rearing animals as the most popular production system. This system of rearing animals exposes them to consumption of litter, especially when there is drought. This study provides knowledge on the prevalence, type and effect of the indigestible foreign object on the body condition score of animals slaughtered in the ECP. Abstract It is estimated that South Africa’s population will be above 65 million in 2050. Thus, food production needs to triple to alleviate poverty and food insecurity. However, infectious and non-infectious diseases affect livestock productivity, thereby hampering food supply. Non-infectious disease/conditions caused by the consumption of solid waste material are rarely reported. Hence, this study investigates the occurrence and type of indigestible foreign objects (IFOs) in the stomach of slaughtered cattle in two high-throughput abattoirs (n = 4424) in the Eastern Cape Province of South Africa. The study revealed that metallic and non-metallic indigestible objects had an overall prevalence of 63% in cattle slaughtered in Queenstown abattoir (QTA, (n = 1906)) and 64.8% at the East London abattoir (ELA, (n = 2518)). Most of the IFOs were found in the rumen (64.2% and 70.8%) and reticulum (28.5% and 20.6%) at QTA and ELA respectively. The leading IFOs in the stomach of cattle at QTA were plastics (27.7%), poly bezoars (10.7%) and ropes (10.7%), while poly bezoars (19.8%), ropes (17.6%) and stones (10.7%) were the main IFOs seen in cattle at ELA. The study showed a statistical significance (p < 0.05) between body condition score and the prevalence of indigestible objects in cattle. The study concluded that litter and waste containing IFOs could pose a threat to livestock health and productivity. The practice of good animal husbandry and efficient solid waste management will mitigate the problem of animals consuming IFOs. PMID:29084136

Effects of Changes in Irrigation Practices and Aquifer Development on Groundwater Discharge to the Jobos Bay National Estuarine Research Reserve near Salinas, Puerto Rico

USGS Publications Warehouse

Kuniansky, Eve L.; Rodriguez, Jose M.

2010-01-01

Since 1990, about 75 acres of black mangroves have died in the Jobos Bay National Estuarine Research Reserve near Salinas, Puerto Rico. Although many factors can contribute to the mortality of mangroves, changes in irrigation practices, rainfall, and water use resulted in as much as 25 feet of drawdown in the potentiometric surface of the aquifer in the vicinity of the reserve between 1986 and 2002. To clarify the issue, the U.S. Geological Survey, in cooperation with the Puerto Rico Department of Natural and Environmental Resources, conducted a study to ascertain how aquifer development and changes in irrigation practices have affected groundwater levels and groundwater flow to the Mar Negro area of the reserve. Changes in groundwater flow to the mangrove swamp and bay from 1986 to 2004 were estimated in this study by developing and calibrating a numerical groundwater flow model. The transient simulations indicate that prior to 1994, high irrigation return flows more than offset the effect of reduced groundwater withdrawals. In this case, the simulated discharge to the coast in the modeled area was 19 million gallons per day. From 1994 through 2004, furrow irrigation was completely replaced by micro-drip irrigation, thus eliminating return flows and the simulated average coastal discharge was 7 million gallons per day, a reduction of 63 percent. The simulated average groundwater discharge to the coastal mangrove swamps in the reserve from 1986 to 1993 was 2 million gallons per day, compared to an average simulated discharge of 0.2 million gallons per day from 1994 to 2004. The average annual rainfall for each of these periods was 38 inches. The groundwater discharge to the coastal mangrove swamps in the Jobos Bay National Estuarine Research Reserve was estimated at about 0.5 million gallons per day for 2003-2004 because of higher than average annual rainfall during these 2 years. The groundwater flow model was used to test five alternatives for increasing groundwater discharge to the coastal mangrove swamps to approximately 1.4 million gallons per day: (1) artificially recharging the aquifer with injection wells or (2) by increasing irrigation return flow by going back to furrow irrigation; (3) termination of groundwater withdrawals near the mangroves; (4) reduction of groundwater withdrawals at irrigation wells by 50 percent; and (5) a combination of alternatives 2 and 4 increasing irrigation return flows and decreasing irrigation withdrawals. Each alternative assumed average climatic conditions and groundwater withdrawals at 2004 rates. Alternative 1 required 1.5 million gallons per day of injected water. Alternative 2 required flooding 958 acres with a rate of 1.84 million gallons per day if no crops are grown. Alternative 3 required the termination of 2.44 million gallons per day of withdrawals to achieve 1.34 million gallons per day of discharge to the mangroves. Alternative 4 did not achieve the objective with only 0.80 million gallons per day simulated discharge to the mangroves, while requiring a 1.26 million gallon per day reduction in groundwater withdrawals. Alternative 5 required flooding fields with additional 1.13 million gallons of day and the same reduction in groundwater withdrawals, but did achieve the objective of about 1.4 million gallons per day discharge to the mangroves. Alternative 1, incorporating injection wells near the reserve required the least amount of water to raise groundwater levels and maintain discharge of 1.4 million gallons per day through the mangroves.

Simulated effects of projected ground-water withdrawals in the Floridan aquifer system, greater Orlando metropolitan area, east-central Florida

USGS Publications Warehouse

Murray, Louis C.; Halford, Keith J.

1999-01-01

Ground-water levels in the Floridan aquifer system within the greater Orlando metropolitan area are expected to decline because of a projected increase in the average pumpage rate from 410 million gallons per day in 1995 to 576 million gallons per day in 2020. The potential decline in ground-water levels and spring discharge within the area was investigated with a calibrated, steady-state, ground-water flow model. A wetter-than-average condition scenario and a drought-condition scenario were simulated to bracket the range of water-levels and springflow that may occur in 2020 under average rainfall conditions. Pumpage used to represent the drought-condition scenario totaled 865 million gallons per day, about 50 percent greater than the projected average pumpage rate in 2020. Relative to average 1995 steady-state conditions, drawdowns simulated in the Upper Floridan aquifer exceeded 10 and 25 feet for wet and dry conditions, respectively, in parts of central and southwest Orange County and in north Osceola County. In Seminole County, drawdowns of up to 20 feet were simulated for dry conditions, compared with 5 to 10 feet simulated for wet conditions. Computed springflow was reduced by 10 percent for wet conditions and by 38 percent for dry conditions, with the largest reductions (28 and 76 percent) occurring at the Sanlando Springs group. In the Lower Floridan aquifer, drawdowns simulated in southwest Orange County exceeded 20 and 40 feet for wet and dry conditions, respectively.

The SAFRR Tsunami Scenario

USGS Publications Warehouse

Porter, K.; Jones, Lucile M.; Ross, Stephanie L.; Borrero, J.; Bwarie, J.; Dykstra, D.; Geist, Eric L.; Johnson, L.; Kirby, Stephen H.; Long, K.; Lynett, P.; Miller, K.; Mortensen, Carl E.; Perry, S.; Plumlee, G.; Real, C.; Ritchie, L.; Scawthorn, C.; Thio, H.K.; Wein, Anne; Whitmore, P.; Wilson, R.; Wood, Nathan J.; Ostbo, Bruce I.; Oates, Don

2013-01-01

The U.S. Geological Survey and several partners operate a program called Science Application for Risk Reduction (SAFRR) that produces (among other things) emergency planning scenarios for natural disasters. The scenarios show how science can be used to enhance community resiliency. The SAFRR Tsunami Scenario describes potential impacts of a hypothetical, but realistic, tsunami affecting California (as well as the west coast of the United States, Alaska, and Hawaii) for the purpose of informing planning and mitigation decisions by a variety of stakeholders. The scenario begins with an Mw 9.1 earthquake off the Alaska Peninsula. With Pacific basin-wide modeling, we estimate up to 5m waves and 10 m/sec currents would strike California 5 hours later. In marinas and harbors, 13,000 small boats are damaged or sunk (1 in 3) at a cost of $350 million, causing navigation and environmental problems. Damage in the Ports of Los Angeles and Long Beach amount to $110 million, half of it water damage to vehicles and containerized cargo. Flooding of coastal communities affects 1800 city blocks, resulting in $640 million in damage. The tsunami damages 12 bridge abutments and 16 lane-miles of coastal roadway, costing $85 million to repair. Fire and business interruption losses will substantially add to direct losses. Flooding affects 170,000 residents and workers. A wide range of environmental impacts could occur. An extensive public education and outreach program is underway, as well as an evaluation of the overall effort.

Integrating the Revised Asthma Guidelines into School Nursing Scope and Standards of Practice

ERIC Educational Resources Information Center

Crowder, Sharron J.

2010-01-01

Asthma, a major health problem, is the most common chronic illness of school-aged children and adolescents, with an estimated 6.8 million students affected in the United States. Asthma is the leading cause of school absenteeism, with an estimated 14 million lost school days per year. In August 2007, the National Asthma Education and Prevention…

Forest management and the impact on water resources: A review of 13 countries

Treesearch

Pablo A. Garcia-Chevesich; Daniel G. Neary; David F. Scott; Teresa Reyna Benyon

2017-01-01

Trees have been around for more than 370 million years, and today there are about 80 thousand species of them, occupying 3.5 billion hectares worldwide, including 250 million ha of commercial plantations. While forests can provide tremendous environmental, social, and economic benefits to nations, they also affect the hydrologic cycle in different ways. As the demand...

Factors Affecting Adoption and Diffusion of Distance Education among Health Education Faculty

ERIC Educational Resources Information Center

Ball, James W.

2013-01-01

Background: In the past decade, distance education enrollment has become more common in colleges and universities, increasing from 1.6 million students in 1998 to an estimated 6.7 million in 2012. The purpose of this study was to identify which constructs in Rogers' (2003) diffusion of innovation theory are more likely to contribute to adoption…

Supporting Grieving Children in Early Childhood Programs

ERIC Educational Resources Information Center

Perkins, Kaarin D.; Mackey, Bonnie

2008-01-01

Approximately 2 million people die each year in the United States. If each individual death affects only five other people, there are close to 10 million people grieving a new death each year in this country. Children who have lost a loved one through death can be in very difficult situations. While they are attempting to cope with the shock and…

Women in the Military. More Military Jobs Can Be Opened under Current Statutes. Report to Congressional Requesters.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of National Security and International Affairs.

A study determined how service policies implementing the combat exclusion provisions affect the number and assignment of military women and whether service procedures unrelated to the combat exclusion limit job opportunities for women. Based on the combat exclusion and related program needs, about 1.1 million of 2.2 million military jobs were…

Hope and Healing: A Caregiver's Guide to Helping Young Children Affected by Trauma

ERIC Educational Resources Information Center

Rice, Kathleen Fitzgerald; Groves, Betsy McAlister

2005-01-01

The U.S. Department of Health and Human Services reports that close to 1 million children a year are identified as victims of maltreatment. The National Clearinghouse of Child Abuse and Neglect estimates that between 3 and 10 million children a year witness the abuse of a parent or caregiver. In recent years, therapists, educators, and…

76 FR 12564 - Subsistence Management Regulations for Public Lands in Alaska-2011-12 and 2012-13 Subsistence...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-08

... economy or adversely affect an economic sector, productivity, jobs, the environment, or other units of the... do not result in an additional dollar benefit to the economy. However, we estimate that two million... the economy of $100 million or more, will not cause a major increase in costs or prices for consumers...

Philanthro-metrics: Mining multi-million-dollar gifts

PubMed Central

2017-01-01

The Million Dollar List (MDL, online at http://www.milliondollarlist.org) is a compilation of publicly announced charitable donations of $1 million or more from across the United States since 2000; as of December 2016, the database contains close to 80,000 gifts made by U.S. individuals, corporations, foundations, and other grant-making nonprofit organizations. This paper discusses the unique value of the Million Dollar List and provides unique insights to key questions such as: How does distance affect giving? How do networks impact million-dollar-plus gifts? Understanding the geospatial and temporal dimensions of philanthropy can assist researchers and policymakers to better understand the role of private funding in innovation and discovery. Moreover, the results from the paper emphasize the importance of philanthropy for fueling research and development in science, the arts, environment, and health. The paper also includes the limitations of the presented analyses and promising future work. PMID:28552937

Philanthro-metrics: Mining multi-million-dollar gifts.

PubMed

Osili, Una O; Ackerman, Jacqueline; Kong, Chin Hua; Light, Robert P; Börner, Katy

2017-01-01

The Million Dollar List (MDL, online at http://www.milliondollarlist.org) is a compilation of publicly announced charitable donations of $1 million or more from across the United States since 2000; as of December 2016, the database contains close to 80,000 gifts made by U.S. individuals, corporations, foundations, and other grant-making nonprofit organizations. This paper discusses the unique value of the Million Dollar List and provides unique insights to key questions such as: How does distance affect giving? How do networks impact million-dollar-plus gifts? Understanding the geospatial and temporal dimensions of philanthropy can assist researchers and policymakers to better understand the role of private funding in innovation and discovery. Moreover, the results from the paper emphasize the importance of philanthropy for fueling research and development in science, the arts, environment, and health. The paper also includes the limitations of the presented analyses and promising future work.

Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System.

PubMed

Zulman, Donna M; Pal Chee, Christine; Wagner, Todd H; Yoon, Jean; Cohen, Danielle M; Holmes, Tyson H; Ritchie, Christine; Asch, Steven M

2015-04-16

To investigate the relationship between multimorbidity and healthcare utilisation patterns among the highest cost patients in a large, integrated healthcare system. In this retrospective cross-sectional study of all patients in the U.S. Veterans Affairs (VA) Health Care System, we aggregated costs of individuals' outpatient and inpatient care, pharmacy services and VA-sponsored contract care received in 2010. We assessed chronic condition prevalence, multimorbidity as measured by comorbidity count, and multisystem multimorbidity (number of body systems affected by chronic conditions) among the 5% highest cost patients. Using multivariate regression, we examined the association between multimorbidity and healthcare utilisation and costs, adjusting for age, sex, race/ethnicity, marital status, homelessness and health insurance status. USA VA Health Care System. 5.2 million VA patients. Annual total costs; absolute and share of costs generated through outpatient, inpatient, pharmacy and VA-sponsored contract care; number of visits to primary, specialty and mental healthcare; number of emergency department visits and hospitalisations. The 5% highest cost patients (n=261,699) accounted for 47% of total VA costs. Approximately two-thirds of these patients had chronic conditions affecting ≥3 body systems. Patients with cancer and schizophrenia were less likely to have documented comorbid conditions than other high-cost patients. Multimorbidity was generally associated with greater outpatient and inpatient utilisation. However, increased multisystem multimorbidity was associated with a higher outpatient share of total costs (1.6 percentage points per affected body system, p<0.01) but a lower inpatient share of total costs (-0.6 percentage points per affected body system, p<0.01). Multisystem multimorbidity is common among high-cost VA patients. While some patients might benefit from disease-specific programmes, for most patients with multimorbidity there is a need for interventions that coordinate and maximise efficiency of outpatient services across multiple conditions. 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.

Global prevalence of dementia: a Delphi consensus study

PubMed Central

Ferri, Cleusa P; Prince, Martin; Brayne, Carol; Brodaty, Henry; Fratiglioni, Laura; Ganguli, Mary; Hall, Kathleen; Hasegawa, Kazuo; Hendrie, Hugh; Huang, Yueqin; Jorm, Anthony; Mathers, Colin; Menezes, Paulo R; Rimmer, Elizabeth; Scazufca, Marcia

2010-01-01

Summary Background 100 years after the first description, Alzheimer's disease is one of the most disabling and burdensome health conditions worldwide. We used the Delphi consensus method to determine dementia prevalence for each world region. Methods 12 international experts were provided with a systematic review of published studies on dementia and were asked to provide prevalence estimates for every WHO world region, for men and women combined, in 5-year age bands from 60 to 84 years, and for those aged 85 years and older. UN population estimates and projections were used to estimate numbers of people with dementia in 2001, 2020, and 2040. We estimated incidence rates from prevalence, remission, and mortality. Findings Evidence from well-planned, representative epidemiological surveys is scarce in many regions. We estimate that 24·3 million people have dementia today, with 4·6 million new cases of dementia every year (one new case every 7 seconds). The number of people affected will double every 20 years to 81·1 million by 2040. Most people with dementia live in developing countries (60% in 2001, rising to 71% by 2040). Rates of increase are not uniform; numbers in developed countries are forecast to increase by 100% between 2001 and 2040, but by more than 300% in India, China, and their south Asian and western Pacific neighbours. Interpretation We believe that the detailed estimates in this paper constitute the best currently available basis for policymaking, planning, and allocation of health and welfare resources. PMID:16360788

[Tuberculosis pulmonum--"threaten us of epidemic"?].

PubMed

Chyczewska, Elzbieta

2008-01-01

Tuberculosis (TB) remains a deadly infectious disease affecting millions of people worldwide with 95% of cases and 98% of deaths occuring in developing countries (9 milion new cases, 1 million deaths annually) vs.WHO. Tuberculosis is on the increase in developed countries, because of AIDS, the use of immunosuppresive drugs which depress the host defence mechanism, decreased socioeconomic conditions, as well as increased immigration of persons from areas of high endemicity. The major reason for this increase was because of rapid rise in cases from sub-Saharan Africa (due to AIDS) nad Russia. Incidense of tuberculosis in Poland 2007--the number of notified cases was 8014. Pulmonary cases represented 92.7% of total all TB cases and 628 cases of extrapulmonary TB. Chidren TB cases represented 0.9% (74 cases) of all cases notified in Poland. The incidence of tuberculosis increases with age from 1.1 in children do 41.2 among 65 and older. The incidence of men (31.5) was two times higher than in women--14.5 per 100 000 respectivly. There were 716 deaths due to pulmonary TB and 23 from extrapulmonary TB. Multidrug resistance (MDR) of Mycobacterium tuberculosis is a major therapeutic problem, in the world, with a high mortality and occurs mainly in HIV-infected patients. The WHO estimates that around 50 million people are infected with MDR-TB! WHO suggest that a greater investment in the establishment treatment strategy of DOTS (Directly Observed Treatment Short-course) into all posible regions.

30,000 fewer heart attacks and strokes in North Carolina: a challenge to prioritize prevention.

PubMed

Bertoni, Alain G; Ensley, Don; Goff, David C

2012-01-01

Heart disease and stroke are leading causes of death in North Carolina and are also important contributors to poor health and excess health care expenditures. The risk factors for heart disease, stroke, and other forms of cardiovascular disease are well known, and include smoking, high blood pressure, elevated serum cholesterol levels, diabetes mellitus, and obesity. These risk factors persist as a result of suboptimal assessment, treatment, and control; adverse trends in health behaviors; and environmental and societal conditions negatively affecting the pursuit of optimal cardiovascular health. If North Carolina is to do its share in making it possible for the national Million Hearts initiative to meet its goals, then 30,000 heart attacks and strokes need to be prevented in the state over the next 5 years. Both the Million Hearts initiative and North Carolina's Justus-Warren Heart Disease and Stroke Prevention Task Force Plan include specific recommendations aimed at the primary and secondary prevention of heart disease and stroke. Million Hearts focuses on the ABCS: aspirin use when appropriate, blood pressure control, cholesterol control, and smoking cessation or abstention. The task force plan also addresses physical inactivity, poor nutrition, and the control of obesity and diabetes. The commentaries published in this issue of the NCMJ address the challenge of cardiovascular disease prevention among children and adults across the state and highlight efforts to enhance prevention via public policies and legislation, community coalitions, and quality improvement in the clinical arena.

Pseudobulbar affect: an under-recognized and under-treated neurological disorder.

PubMed

Work, Susan S; Colamonico, Jennifer A; Bradley, Walter G; Kaye, Randall E

2011-07-01

Pseudobulbar affect (PBA) is a neurologic syndrome of emotional affect disinhibition, characterized by uncontrollable, exaggerated, and often inappropriate emotional outbursts, which may cause severe distress, embarrassment, and social dysfunction. However, the US prevalence of PBA remains unknown. An online survey was conducted primarily to estimate the US prevalence of PBA in patients with the six most commonly associated conditions: Alzheimer's disease, amyotrophic lateral sclerosis, multiple sclerosis, Parkinson's disease, stroke, and traumatic brain injury. Invitations to participate were randomly sent online to adults (aged ≥ 18 years) registered in the Harris Poll Online Panel who were patients or belonged to a household with a patient diagnosed with one of the six conditions (identified through previous screening by Harris Interactive). Participants were screened for PBA using the Pathological Laughing and Crying Scale (PLACS) and the Center for Neurologic Study-Lability Scale (CNS-LS). PBA estimates were made using a cut-off score of ≥ 13 on the PLACS and two different cut-off thresholds on the CNS-LS, a lower one of ≥ 13 and a more rigorous one of ≥ 21. Existing US prevalence data for the six underlying conditions were used to estimate US prevalence of PBA. Of 38,000 individuals invited to participate, 8876 responded (23%) and 2318 (26%) completed the questionnaire. Mean prevalence of PBA across all six conditions was 10.1%, 9.4%, and 37.5% with the PLACS ≥ 13, CNS-LS ≥ 21, and CNS-LS ≥ 13 thresholds, respectively. Using disease population estimates from government agencies and professional organizations, the estimated US population with PBA ranged from 1.8 to 7.1 million. Among patients who discussed their laughing and/or crying episodes with a physician, 41% were diagnosed, and about half received a medication for their episodes. The overall prevalence of PBA was estimated to be about 10% across these commonly associated underlying neurological conditions and appears to be under-recognized.

Defining Multiple Chronic Conditions for Quality Measurement.

PubMed

Drye, Elizabeth E; Altaf, Faseeha K; Lipska, Kasia J; Spatz, Erica S; Montague, Julia A; Bao, Haikun; Parzynski, Craig S; Ross, Joseph S; Bernheim, Susannah M; Krumholz, Harlan M; Lin, Zhenqiu

2018-02-01

Patients with multiple chronic conditions (MCCs) are a critical but undefined group for quality measurement. We present a generally applicable systematic approach to defining an MCC cohort of Medicare fee-for-service beneficiaries that we developed for a national quality measure, risk-standardized rates of unplanned admissions for Accountable Care Organizations. To define the MCC cohort we: (1) identified potential chronic conditions; (2) set criteria for cohort conditions based on MCC framework and measure concept; (3) applied the criteria informed by empirical analysis, experts, and the public; (4) described "broader" and "narrower" cohorts; and (5) selected final cohort with stakeholder input. Subjects were patients with chronic conditions. Participants included 21.8 million Medicare fee-for-service beneficiaries in 2012 aged 65 years and above with ≥1 of 27 Medicare Chronic Condition Warehouse condition(s). In total, 10 chronic conditions were identified based on our criteria; 8 of these 10 were associated with notably increased admission risk when co-occurring. A broader cohort (2+ of the 8 conditions) included 4.9 million beneficiaries (23% of total cohort) with an admission rate of 70 per 100 person-years. It captured 53% of total admissions. The narrower cohort (3+ conditions) had 2.2 million beneficiaries (10%) with 100 admissions per 100 person-years and captured 32% of admissions. Most stakeholders viewed the broader cohort as best aligned with the measure concept. By systematically narrowing chronic conditions to those most relevant to the outcome and incorporating stakeholder input, we defined an MCC admission measure cohort supported by stakeholders. This approach can be used as a model for other MCC outcome measures.

BLM forest lands report -- 2006 status and condition

Treesearch

Tim Bottomley; Jim Menlove

2006-01-01

The Bureau of Land Management (BLM), an agency within the U.S. Department of the Interior (DOI), administers over 261 million surface acres of public land in the western United States, including Alaska. Approximately 69 million acres, or 26 percent, are classified as forested.

Use of an air-assisted fuel nozzle to reduce idle emissions of a jt8d engine combustor

NASA Technical Reports Server (NTRS)

Papathakos, L. C.; Jones, R. E.

1973-01-01

Tests were performed at typical engine idle conditions on a single-can JT8D combustor installed in a 24 centimeter (9.45 in.) housing to evaluate the effect of an air-assist nozzle on reducing exhaust emissions. By injecting high-pressure air through the secondary-flow passage of a standard duplex fuel nozzle, it was possible to reduce hydrocarbon emissions from 840 parts per million to 95 parts per million and carbon monoxide emissions from 873 parts per million to 258 parts per million. NOX emissions increased slightly from 18 parts per million to 22 parts per million. An air-assist differential pressure of only 20.1 newtons per square centimeter (29.1 psi) and an airflow rate of only 0.22 percent of the total combustor airflow was required.

Environmental and Sanitary Conditions of Guanabara Bay, Rio de Janeiro

PubMed Central

Fistarol, Giovana O.; Coutinho, Felipe H.; Moreira, Ana Paula B.; Venas, Tainá; Cánovas, Alba; de Paula, Sérgio E. M.; Coutinho, Ricardo; de Moura, Rodrigo L.; Valentin, Jean Louis; Tenenbaum, Denise R.; Paranhos, Rodolfo; do Valle, Rogério de A. B.; Vicente, Ana Carolina P.; Amado Filho, Gilberto M.; Pereira, Renato Crespo; Kruger, Ricardo; Rezende, Carlos E.; Thompson, Cristiane C.; Salomon, Paulo S.; Thompson, Fabiano L.

2015-01-01

Guanabara Bay is the second largest bay in the coast of Brazil, with an area of 384 km2. In its surroundings live circa 16 million inhabitants, out of which 6 million live in Rio de Janeiro city, one of the largest cities of the country, and the host of the 2016 Olympic Games. Anthropogenic interference in Guanabara Bay area started early in the XVI century, but environmental impacts escalated from 1930, when this region underwent an industrialization process. Herein we present an overview of the current environmental and sanitary conditions of Guanabara Bay, a consequence of all these decades of impacts. We will focus on microbial communities, how they may affect higher trophic levels of the aquatic community and also human health. The anthropogenic impacts in the bay are flagged by heavy eutrophication and by the emergence of pathogenic microorganisms that are either carried by domestic and/or hospital waste (e.g., virus, KPC-producing bacteria, and fecal coliforms), or that proliferate in such conditions (e.g., vibrios). Antibiotic resistance genes are commonly found in metagenomes of Guanabara Bay planktonic microorganisms. Furthermore, eutrophication results in recurrent algal blooms, with signs of a shift toward flagellated, mixotrophic groups, including several potentially harmful species. A recent large-scale fish kill episode, and a long trend decrease in fish stocks also reflects the bay’s degraded water quality. Although pollution of Guanabara Bay is not a recent problem, the hosting of the 2016 Olympic Games propelled the government to launch a series of plans to restore the bay’s water quality. If all plans are fully implemented, the restoration of Guanabara Bay and its shores may be one of the best legacies of the Olympic Games in Rio de Janeiro. PMID:26635734

An investigation of surface and crown fire dynamics in shrub fuels

Treesearch

Jesse Sandoval Lozano

2011-01-01

Fires burn large areas in California and around the world annually. California experiences numerous wildland fires that affect the lives of thousands of citizens every year. In 2000 the U.S. census bureau reported that 33.8 million people resided in California. The last census in 2010 showed California population had grown to 37.3 million people. As a consequence of...

Arsenic geochemistry of alluvial sediments and pore waters affected by mine tailings along the Belle Fourche and Cheyenne River floodplains

USGS Publications Warehouse

Pfeifle, Bryce D.; Stamm, John F.; Stone, James J.

2018-01-01

Gold mining operations in the northern Black Hills of South Dakota resulted in the discharge of arsenopyrite-bearing mine tailings into Whitewood Creek from 1876 to 1977. Those tailings were transported further downstream along the Belle Fourche River, the Cheyenne River, and the Missouri River. An estimated 110 million metric tons of tailings remain stored in alluvial deposits of the Belle Fourche and Cheyenne Rivers. Pore-water dialysis samplers were deployed in the channel and backwaters of the Belle Fourche and Cheyenne Rivers to determine temporal and seasonal changes in the geochemistry of groundwater in alluvial sediments. Alluvial sediment adjacent to the dialysis samplers were cored for geochemical analysis. In comparison to US Environmental Protection Agency drinking water standards and reference concentrations of alluvial sediment not containing mine tailings, the Belle Fourche River sites had elevated concentrations of arsenic in pore water (2570 μg/L compared to 10 μg/L) and sediment (1010 ppm compared to < 34 ppm), respectively. Pore water arsenic concentration was affected by dissolution of iron oxyhydroxides under reducing conditions. Sequential extraction of iron and arsenic from sediment cores indicates that substantial quantities of soluble metals were present. Dissolution of arsenic sorbed to alluvial sediment particles appears to be affected by changing groundwater levels that cause shifts in redox conditions. Bioreductive processes did not appear to be a substantial transport pathway but could affect speciation of arsenic, especially at the Cheyenne River sampling sites where microbial activity was determined to be greater than at Belle Fourche sampling sites.

Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis.

PubMed

Flaxman, Seth R; Bourne, Rupert R A; Resnikoff, Serge; Ackland, Peter; Braithwaite, Tasanee; Cicinelli, Maria V; Das, Aditi; Jonas, Jost B; Keeffe, Jill; Kempen, John H; Leasher, Janet; Limburg, Hans; Naidoo, Kovin; Pesudovs, Konrad; Silvester, Alex; Stevens, Gretchen A; Tahhan, Nina; Wong, Tien Y; Taylor, Hugh R

2017-12-01

Contemporary data for causes of vision impairment and blindness form an important basis of recommendations in public health policies. Refreshment of the Global Vision Database with recently published data sources permitted modelling of cause of vision loss data from 1990 to 2015, further disaggregation by cause, and forecasts to 2020. In this systematic review and meta-analysis, we analysed published and unpublished population-based data for the causes of vision impairment and blindness from 1980 to 2014. We identified population-based studies published before July 8, 2014, by searching online databases with no language restrictions (MEDLINE from Jan 1, 1946, and Embase from Jan 1, 1974, and the WHO Library Database). We fitted a series of regression models to estimate the proportion of moderate or severe vision impairment (defined as presenting visual acuity of <6/18 but ≥3/60 in the better eye) and blindness (presenting visual acuity of <3/60 in the better eye) by cause, age, region, and year. We identified 288 studies of 3 983 541 participants contributing data from 98 countries. Among the global population with moderate or severe vision impairment in 2015 (216·6 million [80% uncertainty interval 98·5 million to 359·1 million]), the leading causes were uncorrected refractive error (116·3 million [49·4 million to 202·1 million]), cataract (52·6 million [18·2 million to 109·6 million]), age-related macular degeneration (8·4 million [0·9 million to 29·5 million]), glaucoma (4·0 million [0·6 million to 13·3 million]), and diabetic retinopathy (2·6 million [0·2 million to 9·9 million]). Among the global population who were blind in 2015 (36·0 million [12·9 million to 65·4 million]), the leading causes were cataract (12·6 million [3·4 million to 28·7 million]), uncorrected refractive error (7·4 million [2·4 million to 14·8 million]), and glaucoma (2·9 million [0·4 million to 9·9 million]). By 2020, among the global population with moderate or severe vision impairment (237·1 million [101·5 million to 399·0 million]), the number of people affected by uncorrected refractive error is anticipated to rise to 127·7 million (51·0 million to 225·3 million), by cataract to 57·1 million (17·9 million to 124·1 million), by age-related macular degeneration to 8·8 million (0·8 million to 32·1 million), by glaucoma to 4·5 million (0·5 million to 15·4 million), and by diabetic retinopathy to 3·2 million (0·2 million to 12·9 million). By 2020, among the global population who are blind (38·5 million [13·2 million to 70·9 million]), the number of patients blind because of cataract is anticipated to rise to 13·4 million (3·3 million to 31·6 million), because of uncorrected refractive error to 8·0 million (2·5 million to 16·3 million), and because of glaucoma to 3·2 million (0·4 million to 11·0 million). Cataract and uncorrected refractive error combined contributed to 55% of blindness and 77% of vision impairment in adults aged 50 years and older in 2015. World regions varied markedly in the causes of blindness and vision impairment in this age group, with a low prevalence of cataract (<22% for blindness and 14·1-15·9% for vision impairment) and a high prevalence of age-related macular degeneration (>14% of blindness) as causes in the high-income subregions. Blindness and vision impairment at all ages in 2015 due to diabetic retinopathy (odds ratio 2·52 [1·48-3·73]) and cataract (1·21 [1·17-1·25]) were more common among women than among men, whereas blindness and vision impairment due to glaucoma (0·71 [0·57-0·86]) and corneal opacity (0·54 [0·43-0·66]) were more common among men than among women, with no sex difference related to age-related macular degeneration (0·91 [0·70-1·14]). The number of people affected by the common causes of vision loss has increased substantially as the population increases and ages. Preventable vision loss due to cataract (reversible with surgery) and refractive error (reversible with spectacle correction) continue to cause most cases of blindness and moderate or severe vision impairment in adults aged 50 years and older. A large scale-up of eye care provision to cope with the increasing numbers is needed to address avoidable vision loss. Brien Holden Vision Institute. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

77 FR 45285 - Definition of Troubled Condition

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

... with assets between $250 million and $500 million that have experienced some degree of financial stress... examinations has doubled, not the number of FISCUs experiencing difficulties. Statistics indicate that in...., a ``5'' instead of a ``4''). These statistics show that disagreement between an SSA and NCUA on a...

A natural experiment of social network formation and dynamics.

PubMed

Phan, Tuan Q; Airoldi, Edoardo M

2015-05-26

Social networks affect many aspects of life, including the spread of diseases, the diffusion of information, the workers' productivity, and consumers' behavior. Little is known, however, about how these networks form and change. Estimating causal effects and mechanisms that drive social network formation and dynamics is challenging because of the complexity of engineering social relations in a controlled environment, endogeneity between network structure and individual characteristics, and the lack of time-resolved data about individuals' behavior. We leverage data from a sample of 1.5 million college students on Facebook, who wrote more than 630 million messages and 590 million posts over 4 years, to design a long-term natural experiment of friendship formation and social dynamics in the aftermath of a natural disaster. The analysis shows that affected individuals are more likely to strengthen interactions, while maintaining the same number of friends as unaffected individuals. Our findings suggest that the formation of social relationships may serve as a coping mechanism to deal with high-stress situations and build resilience in communities.

A natural experiment of social network formation and dynamics

PubMed Central

Phan, Tuan Q.; Airoldi, Edoardo M.

2015-01-01

Social networks affect many aspects of life, including the spread of diseases, the diffusion of information, the workers' productivity, and consumers' behavior. Little is known, however, about how these networks form and change. Estimating causal effects and mechanisms that drive social network formation and dynamics is challenging because of the complexity of engineering social relations in a controlled environment, endogeneity between network structure and individual characteristics, and the lack of time-resolved data about individuals' behavior. We leverage data from a sample of 1.5 million college students on Facebook, who wrote more than 630 million messages and 590 million posts over 4 years, to design a long-term natural experiment of friendship formation and social dynamics in the aftermath of a natural disaster. The analysis shows that affected individuals are more likely to strengthen interactions, while maintaining the same number of friends as unaffected individuals. Our findings suggest that the formation of social relationships may serve as a coping mechanism to deal with high-stress situations and build resilience in communities. PMID:25964337

Heat transfer tests of the McDonnell-Douglas delta wing orbiter mated with -17A booster at Mach number 8

NASA Technical Reports Server (NTRS)

Matthews, R. K.; Martindale, W. R.; Warmbrod, J. D.

1972-01-01

A wind tunnel test program to determine aerodynamic heat transfer distributions on the McDonnell-Douglas configurations is reported. The tests were conducted at the Arnold Engineering Development Center (AEDC) in Tunnel B of the von Karman Gas Dynamics Facility (VKF). Heat-transfer rates were determined by the phase-change paint technique on 0.011-scale Stycast models using Tempilaq as the surface temperature indicator. The nominal test conditions were; Mach 8, freestream unit Reynolds numbers of 0.8 x one million, 2.5 x one million, and 3.7 x one million, and angles of attack of -5 deg, 0 deg, +5deg. Model details, test conditions, phase-change paint photographs and reduced heat-transfer coefficients are presented.

Vitamin D supplementation for osteoporosis in older adults: can we make it help better?

PubMed

Dong, C-H; Gao, Q-M; Wang, Z-M; Wang, A-M; Zhen, P

2016-11-01

With the increase of the average age of our population, the incidence of diseases specific for older adults has been increasing. One of such diseases is osteoporosis. The true incidence of osteoporosis is unknown. But the estimates indicate that this disease affects wide proportions of the population, ranging in millions or even ten millions in large countries like the United States. As this poses a significant burden on the health care system, interventions that could prevent or treat this condition are in the focus of clinical research. Vitamin D, the determinant of bone health, has been tested in clinical studies as the agent to treat osteoporosis. Despite the progress, there is still some controversy about the targeted blood levels of vitamin D, most efficient way to supplement this vitamin, and clinical efficacy of this supplementation in the elderly.In the present review, we will highlight the metabolism of vitamin D and the aforementioned unresolved issues, as well as review the recent interventional studies on vitamin D supplementation. In the present review, we will highlight the metabolism of vitamin D and the aforementioned unresolved issues, as well as review the recent interventional studies on vitamin D supplementation.

Teaching dementia care to physical therapy doctoral students: A multimodal experiential learning approach.

PubMed

Lorio, Anne K; Gore, Jane B; Warthen, Lindsey; Housley, Stephen N; Burgess, Elisabeth O

2017-01-01

As the population aged 65 and older grows, it becomes imperative for health care providers to expand their knowledge regarding geriatric conditions and concerns. Dementia is a devastating degenerative disease process that is affecting millions of individuals in the United States, with significant economic and emotional burden on family and caregivers. The need for further dementia education in physical therapy school is essential to improve attitudes and treatment that affect patient outcomes and quality of care. This physical therapy program implemented a 12-hour multimodal experiential learning module designed to educate their students on the challenges associated with dementia to increase knowledge and confidence when treating these patients. The results of this study showed statistically significant improvements in overall confidence and knowledge of treating patients with dementia. The study finds the addition of experiential learning to traditional didactic coursework improves students' reported confidence in working with patients with dementia and understanding the challenges associated with treating patients with dementia.

Understanding nocturnal enuresis and its treatments.

PubMed

Potter, D C; Wogoman, H A; Nietch, P

1999-09-01

Nocturnal enuresis is a condition that touches the lives of many children around the world. Affected children and their parents may experience feelings of guilt, frustration, and anxiety because of their lack of control over the situation. Nurses can play an important role in providing education to families in regards to the causes and treatment of enuresis. It is important for nurses to understand the problem of bedwetting thoroughly so they can assist the family in making an informed decision about the various options currently available. Nocturnal enuresis (bedwetting) is a common disorder that frequently results in frustration and stress on not only the children that experience it, but their parents as well. Scharf, Pravda, Jennings, Kauffman, and Ringel (1987) note that an estimated five to seven million children in America experience enuresis. Enuresis has family and psychosocial aspects, along with financial concerns. Therefore, it is important for nurses to be aware of the causes of enuresis, how it affects the family, and the current treatments that are available.

Child Maltreatment and Adolescent Development

ERIC Educational Resources Information Center

Trickett, Penelope K.; Negriff, Sonya; Ji, Juye; Peckins, Melissa

2011-01-01

Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research…

Effects of Chaos in Peristaltic Flows: Towards Biological Applications

NASA Astrophysics Data System (ADS)

Wakeley, Paul W.; Blake, John R.; Smith, David J.; Gaffney, Eamonn A.

2006-11-01

One in seven couples in the Western World will have problems conceiving naturally and with the cost of state provided fertility treatment in the United Kingdom being over USD 3Million per annum and a round of treatment paid for privately costing around USD 6000, the desire to understand the mechanisms of infertility is leading to a renewed interest in collaborations between mathematicians and reproductive biologists. Hydrosalpinx is a condition in which the oviduct becomes blocked, fluid filled and dilated. Many women with this condition are infertile and the primary method of treatment is in vitro fertilisation, however, it is found that despite the embryo being implanted into the uterus, the hydrosalpinx adversely affects the implantation rate. We shall consider a mathematical model for peristaltic flow with an emphasis towards modelling the fluid flow in the oviducts and the uterus of humans. We shall consider the effects of chaotic behavior on the system and demonstrate that under certain initial conditions trapping regions can be formed and discuss our results with a view towards understanding the effects of hydrosalpinx.

Urban ecosystem services: tree diversity and stability of tropospheric ozone removal.

PubMed

Manes, Fausto; Incerti, Guido; Salvatori, Elisabetta; Vitale, Marcello; Ricotta, Carlo; Costanza, Robert

2012-01-01

Urban forests provide important ecosystem services, such as urban air quality improvement by removing pollutants. While robust evidence exists that plant physiology, abundance, and distribution within cities are basic parameters affecting the magnitude and efficiency of air pollution removal, little is known about effects of plant diversity on the stability of this ecosystem service. Here, by means of a spatial analysis integrating system dynamic modeling and geostatistics, we assessed the effects of tree diversity on the removal of tropospheric ozone (O3) in Rome, Italy, in two years (2003 and 2004) that were very different for climatic conditions and ozone levels. Different tree functional groups showed complementary uptake patterns, related to tree physiology and phenology, maintaining a stable community function across different climatic conditions. Our results, although depending on the city-specific conditions of the studied area, suggest a higher function stability at increasing diversity levels in urban ecosystems. In Rome, such ecosystem services, based on published unitary costs of externalities and of mortality associated with O3, can be prudently valued to roughly US$2 and $3 million/year, respectively.

Workplace violence: impact, causes, and prevention.

PubMed

Dillon, Bobbie L

2012-01-01

Using a variety of sources, the author explores the complex reasons for aggression and violence in workplace settings, as well as suggesting means of prevention and intervention. Literature Review. Studies indicate workplace violence affects more than half of U.S. organizations, yet nearly 70 percent have no programs or policies to deal with this problem. Research indicates that aggressive behavior of a psychological nature often precedes physical violence in the workforce, yet employers regularly ignore warning signs even when reported by employees. Costs to U.S. employers are estimated in the millions due to employee absences, medical costs, theft, and costs related to litigation. Organizations with cultures which support fair working conditions and zero-tolerance for workplace aggression have been shown to help mitigate workplace violence.

Autophagy and oxidative stress in non-communicable diseases: A matter of the inflammatory state?

PubMed

Peña-Oyarzun, Daniel; Bravo-Sagua, Roberto; Diaz-Vega, Alexis; Aleman, Larissa; Chiong, Mario; Garcia, Lorena; Bambs, Claudia; Troncoso, Rodrigo; Cifuentes, Mariana; Morselli, Eugenia; Ferreccio, Catterina; Quest, Andrew F G; Criollo, Alfredo; Lavandero, Sergio

2018-05-30

Non-communicable diseases (NCDs), also known as chronic diseases, are long-lasting conditions that affect millions of people around the world. Different factors contribute to their genesis and progression; however they share common features, which are critical for the development of novel therapeutic strategies. A persistently altered inflammatory response is typically observed in many NCDs together with redox imbalance. Additionally, dysregulated proteostasis, mainly derived as a consequence of compromised autophagy, is a common feature of several chronic diseases. In this review, we discuss the crosstalk among inflammation, autophagy and oxidative stress, and how they participate in the progression of chronic diseases such as cancer, cardiovascular diseases, obesity and type II diabetes mellitus. Copyright © 2018 Elsevier Inc. All rights reserved.

Novel biomarkers for prediabetes, diabetes, and associated complications

PubMed Central

Dorcely, Brenda; Katz, Karin; Jagannathan, Ram; Chiang, Stephanie S; Oluwadare, Babajide; Goldberg, Ira J; Bergman, Michael

2017-01-01

The number of individuals with prediabetes is expected to grow substantially and estimated to globally affect 482 million people by 2040. Therefore, effective methods for diagnosing prediabetes will be required to reduce the risk of progressing to diabetes and its complications. The current biomarkers, glycated hemoglobin (HbA1c), fructosamine, and glycated albumin have limitations including moderate sensitivity and specificity and are inaccurate in certain clinical conditions. Therefore, identification of additional biomarkers is being explored recognizing that any single biomarker will also likely have inherent limitations. Therefore, combining several biomarkers may more precisely identify those at high risk for developing prediabetes and subsequent progression to diabetes. This review describes recently identified biomarkers and their potential utility for addressing the burgeoning epidemic of dysglycemic disorders. PMID:28860833

The influence of kinematic conditions and design on the wear of patella-femoral replacements

PubMed Central

Maiti, Raman; Fisher, John; Rowley, Liam

2014-01-01

The success rate of patella-femoral arthroplasty varies between 44% and 90% in 17 years of follow-up. Several studies have been performed previously for assessing the surface wear in the patella-femoral joint. However, they have not included all six degrees of freedom. The aim of this study was to develop a six-axis patella-femoral joint simulator to assess the wear rate for two patellae designs (round and oval dome) at different kinematic conditions. An increase in patellar rotation from 1° to 4° led to a significantly (p<0.049) increased wear rate of round dome from 8.6 mm3/million cycles to 12.3 mm3/million cycles. The wear rate for oval dome increased from 6.3 mm3/million cycles to 14.5 mm3/million cycles. However, the increase was nonsignificant (p>0.08). The increase in wear rate was likely due to the higher cross shear. A decrease in patellar medial lateral displacement from passive to constrained resulted in a nonsignificant reduction in wear (p>0.06). There was no significant difference in wear rate between the two patellae designs (p>0.28). The volumetric wear under all conditions was positively correlated with the level of passive patellar tilt (rho>0.8). This is the first report of preclinical wear simulation of patella-femoral joint in a six-axis simulator under different kinematic conditions. PMID:24477888

Aging Road User Survey and Crash Analysis to Identify Issues and Applicable Improvement Strategies for Kansas Conditions

DOT National Transportation Integrated Search

2018-02-02

The United States has over 4-million mi (6-million km) of roadways. The renewable energy potential on this size of land is enormous and could significantly contribute to the electricity demands of the United States. Developing piezoelectric technolog...

Forest drainage

Treesearch

R.W. Skaggs; S. Tian; G.M. Chescheir; Devendra Amatya; M.A. Youssef

2016-01-01

Most of the world's 4030 million ha of forested lands are situated on hilly, mountainous or well-drained upland landscapes where improved drainage is not needed. However, there are millions of hectares of poorly drained forested lands where excessively wet soil conditions limit tree growth and access for harvesting and other management activities. Improved or...

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

PubMed

Nuckols, Teryl K; Escarce, José J

2012-02-01

In July 2011, the Accreditation Council for Graduate Medical Education (ACGME) will implemented stricter duty-hour limits and related changes to the training environment. This may affect preventable adverse event (PAE) rates. To estimate direct costs under various implementation approaches, and examine net costs to teaching hospitals and cost-effectiveness to society across a range of hypothetical changes in PAEs. A decision-analytical model represented direct costs and PAE rates, mortality, and costs. Published literature and publicly available data. Patients admitted to hospitals with ACGME-accredited programs. One year. All teaching hospitals, major teaching hospitals, society. ACGME's 2011 Common Program Requirements. Direct annual costs (all accredited hospitals), net cost (major teaching hospitals), cost per death averted (society). RESULTS OF BASE-ANALYSIS: Nationwide, duty-hour changes would cost $177 million annually if interns maintain current productivity, vs. up to $982 million if they transfer work to a mixture of substitutes; training-environment changes will cost $204 million. If PAEs decline by 7.2-25.8%, net costs to major teaching hospitals will be zero. If PAEs fall by 3%, the cost to society per death averted would be -$523,000 (95%-confidence interval: -$1.82 million to $685,000) to $2.44 million ($271,000 to $6.91 million). If PAEs rise, the policy will be cost-increasing for teaching hospitals and society. The total direct annual cost nationwide would be up to $1.34 billion using nurse practitioners/physician assistants, $1.64 billion using attending physicians, $820 million hiring additional residents, vs. 1.42 billion using mixed substitutes. The effect on PAEs is unknown. Data were limited for some model parameters. Implementation decisions greatly affect the cost. Unless PAEs decline substantially, teaching hospitals will lose money. If PAEs decline modestly, the requirements might be cost-saving or cost-effective to society.

The relationship between chronic conditions and absenteeism and associated costs in Canada.

PubMed

Zhang, Wei; McLeod, Christopher; Koehoorn, Mieke

2016-09-01

This study aimed to measure and compare the relationship between chronic diseases and the number of absent workdays due to health problems and the associated costs among working Canadians. The study sample included respondents to the 2010 Canadian Community Health Survey between aged 15-75 years who reported employment in the past three months. Respondents reported their number of absent workdays due to health problems and chronic conditions. A negative binomial regression was used to estimate the incremental absent workdays associated with having a particular chronic condition (of 16 conditions), conditional on other chronic conditions and confounders. For each condition, we calculated the incremental number of absent workdays, the incremental productivity loss attributed to absenteeism per employee, and the overall productivity loss in the population. The final sample consisted of 28 678 respondents representing 15 468 788 employed Canadians. The average number of absent workdays due to health problems was 1.35 days over a 3-month period. The three conditions with the greatest association with absent workdays were mood disorders, heart disease, and bowel disorders. They were associated with 1.17, 0.81, and 0.80 additional absent workdays, respectively, compared to workers without this condition, holding other conditions and confounders at their means. At the national working population level, back problems (CAD$621 million), mood disorders (CAD$299 million) and migraine (CAD$245 million) accounted for the largest incremental productivity loss. Chronic conditions, especially mood disorders and back problems, are associated with substantial work productivity loss. The study findings can help policy-makers and employers prioritize their programs and resources aimed at reducing absenteeism among the working population with chronic conditions.

What Works for Asthma Education Programs: Lessons from Experimental Evaluations of Social Programs and Interventions for Children. Fact Sheet. Publication #2012-01

ERIC Educational Resources Information Center

Chrisler, Alison

2012-01-01

Asthma is a chronic respiratory disease that affects millions of children and adolescents each year. In 2009, 7.1 million children ages 0 to 17 years were reported to have asthma. Unfortunately, when children and teens are unable to manage and cope with their disease, it can compromise their physical, academic, and social development. Therefore,…

Personality and Social Influence Characteristic Affects on Ease of Use and Peer Influence of New Media Users Over Time

DTIC Science & Technology

2011-03-01

online social networking sites (SNSs) have emerged in today’s society as seen in the SNS Facebook and its over 500 million users. Millions of people...and locations through the social networking site ( SNS ) Facebook (Ghonim, 2011). Through the Facebook page created by Ghonim “We are all Khalid...1 Social Network Sites Defined ......................................................................................3 Purpose and

Mental Health Among Military Personnel and Veterans.

PubMed

Pickett, Treven; Rothman, David; Crawford, Eric F; Brancu, Mira; Fairbank, John A; Kudler, Harold S

2015-01-01

This commentary describes the prevalence of mental health problems affecting military service members and veterans in North Carolina and the rest of the nation, with a special emphasis on those who served in the recent wars in Iraq and Afghanistan. Approximately 1.9 million of these veterans have become eligible for Veterans Affairs health care since 2002, and an estimated 1.16 million veterans have registered for this care.

Globalization and the trends of medical technology trade in Turkey.

PubMed

Semin, Semih; Güldal, Dilek; Demiral, Yücel

2007-05-01

Medical technology trade is one of the most affected health areas by global regulations in the developing countries. The aim of the study is to examine recent changes in medical technology import and export and their results in Turkey. Data show that the total medical technology imports (MTI) increased from $ 34.6 million to $ 3427.9 million between 1970 and 2003. While MTI constituted 3.6% of total imports in 1970 and 1.3% in 1980, this ratio raised up to 4.9% in 2003. The ratio of MTI in total health expenditures were also increased from 7.6% in 1970 to 31.5% in 2003. Medical technology exports (MTE) have been increased from $ 0.9 million in 1970 to $ 303.2 million in 2003. The ratio of MTE to MTI increased from 2.7% to 13.9% between 1970 and 1990 and decreased after 1990, to 8.8%. Our study implied that the medical technology trade in Turkey has been negatively affected and in some respects differs from some other important industries in the globalization era. Nevertheless, detailed comparative studies in different developing countries such as China, Brazil, Mexico and India, are needed to explore the real state of medical technology trade, use and the effects of globalization on these topics.

Influence of the residue from an iron mining dam in the growth of two macrophyte species.

PubMed

Bottino, F; Milan, J A M; Cunha-Santino, M B; Bianchini, I

2017-11-01

On November 5th, 2015 the worst environmental disaster in Brazil spilled 60 million m 3 of iron mining residue into Gualaxo do Norte River (Minas Gerais State), an affluent of the highest River Basin of the Brazilian Southeast (Doce River Basin), reaching the Atlantic Ocean. To assess the impact of the iron residue on the aquatic plant metabolism, we performed macrophyte growth experiments under controlled light and temperature conditions using two species (Egeria densa and Chara sp.). The plants' growth data were fitted in a kinetic model to obtain the biomass yields (K) and growth rates (μ). Turbidity and electrical conductivity of the water were measured over time. Both plants showed the highest growth rates in the contaminated condition (0.056 d -1 for E. densa and 0.45 d -1 for Chara sp.) and the biomass increased in the short-term (≈20 days). The control condition (i.e. no impacted water) supported the biomass increasing over time and the development of vegetative buddings with high daily rates (1.75 cm d -1 for E. densa and 0.13 cm d -1 for Chara sp). Turbidity showed a sharp decrease in 48 h and had no effects in the plants growth in the contaminated condition. The contamination affected the plants' yields in the long-term affecting the biomass development. This study provides preliminary information about the ecological consequences of a mining dam rupture aiming to collaborate with monitoring and risk assessments. Copyright © 2017 Elsevier Ltd. All rights reserved.

RETINAL VEIN OCCLUSIONS, FROM BASICS TO THE LATEST TREATMENT.

PubMed

Ho, Mary; Liu, David T L; Lam, Dennis S C; Jonas, Jost B

2016-03-01

To review the pathophysiology, diagnosis, and updated treatments of retinal vein occlusions (RVOs). A review of the literature was performed, focusing on the epidemiology, pathophysiology, diagnosis, and treatments (including both medical and surgical treatments) of RVO. Based on this review, a comprehensive overview was provided regarding the topic of RVO and focused on recent treatment updates. Retinal vein occlusions have an age- and sex-standardized prevalence of 5.20 per 1,000 for any RVO, 4.42 per 1,000 for branch RVO, 0.80 per 1,000 for central RVO. Worldwide, an estimated 16.4 million adults are affected by RVOs, with 2.5 million affected by central RVO and 13.9 million affected by branch RVO. Retinal vein occlusion is recognized as an important cause of blindness and the diagnostic approaches and treatment options for RVO are reviewed and reported. The current treatment options including medical treatments (bevacizumab, ranibizumab, aflibercept, triamcinolone, and dexamethasone implants) and surgical alternatives were reviewed and reported with summaries on the corresponding strength of evidence. Despite the understanding of this disease entity, challenges persist in the long-term treatment of RVO-related complications and visual loss. This review provided a detailed summary on the rationality and efficacy of recently developed treatment regimes and evaluated the potential benefit of combination therapy.

Cerebral palsy research funding from the National Institutes of Health, 2001 to 2013.

PubMed

Wu, Yvonne W; Mehravari, Alison S; Numis, Adam L; Gross, Paul

2015-10-01

Cerebral palsy (CP) is a poorly understood disorder with no cure. We determined the landscape of National Institutes of Health (NIH) funding for CP-related research. We searched NIH databases Research Portfolio Online Reporting Tools Expenditures and Results, and Research, Condition, and Disease Categorization for keywords 'cerebral palsy' among all NIH-funded studies, 2001 to 2013. We classified grants by type and area of study. NIH funding, averaging $30 million per year, supported clinical ($215 million), basic ($187 million), and translational ($26.3 million) CP-related research. Clinical intervention studies comprised 19% of funding, and focused on treatments ($60.3 million), early parent intervention ($2.7 million), and CP prevention ($2.5 million). Among grants that specified gestational age, more funds were devoted to preterm ($166 million) than term infants ($15 million). CP in adulthood was the main focus of 4% of all funding. Annual NIH funding for CP increased steadily over the study period from $3.6 to $66.7 million. However, funding for clinical intervention studies peaked in 2008, and has since decreased. Additional research funds are needed to improve the treatment and prevention of CP. Topics that have been relatively underfunded include clinical interventions, prevention, and term infants and adults with CP. © 2015 Mac Keith Press.

Consideration of air quality standards for vegetation with respect to ozone

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

Heggestad, H.E.

1969-06-01

Present evidence suggests that ozone is the most damaging of all air pollutants affecting vegetation. It is the principal oxidant in the photochemical smog complex. Concentrations of ozone have exceeded 0.5 part per million (ppm) in the Los Angeles area. One-tenth of this level for 8 hours is known to injure very sensitive tobacco varieties. Many plant species are visibly affected after a few hours exposure at concentrations much lower than 0.5 ppm. There is also some evidence that ozone reduces plant growth. Many factors must be taken into account when considering standards to protect vegetation from ozone damage. Thesemore » include ozone concentration and methods of measurement, time of exposure, possible additive effects of other pollutants, sensitivity of plant species, their economic value, and the extent of injury which can be tolerated. The response of a species to the pollutant is conditioned by genetic factors and environmental conditions. Lack of specific routine methods for measuring ozone in ambient air is a handicap. California and Colorado established standards for oxidants at 0.15 and 0.10 ppm, respectively, for 1 hour. How these standards relate to the ozone dosage causing acute and chronic injury to various plant species is discussed.« less

Temperature and hydrology affect methane emissions from Prairie Pothole Wetlands

USGS Publications Warehouse

Bansal, Sheel; Tangen, Brian; Finocchiaro, Raymond

2016-01-01

The Prairie Pothole Region (PPR) in central North America consists of millions of depressional wetlands that each have considerable potential to emit methane (CH4). Changes in temperature and hydrology in the PPR from climate change may affect methane fluxes from these wetlands. To assess the potential effects of changes in climate on methane emissions, we examined the relationships between flux rates and temperature or water depth using six years of bi-weekly flux measurements during the snow-free period from six temporarily ponded and six permanently ponded wetlands in North Dakota, USA. Methane flux rates were among the highest reported for freshwater wetlands, and had considerable spatial and temporal variation. Methane flux rates increased with increasing temperature and water depth, and were especially high when conditions were warmer and wetter than average (163 ± 28 mg CH4 m−2 h−1) compared to warmer and drier (37 ± 7 mg CH4 m−2 h−1). Methane emission rates from permanent wetlands were less sensitive to changes in temperature and water depth compared to temporary wetlands, likely due to higher sulfate concentrations in permanent wetlands. While the predicted increase in temperature with climate change will likely increase methane emission rates from PPR wetlands, drier conditions could moderate these increases.

Clinical negligence in foot and ankle surgery: A 17-year review of claims to the NHS Litigation Authority.

PubMed

Ring, J; Talbot, C L; Clough, T M

2014-11-01

We present a review of litigation claims relating to foot and ankle surgery in the NHS in England during the 17-year period between 1995 and 2012. A freedom of information request was made to obtain data from the NHS litigation authority (NHSLA) relating to orthopaedic claims, and the foot and ankle claims were reviewed. During this period of time, a total of 10 273 orthopaedic claims were made, of which 1294 (12.6%) were related to the foot and ankle. 1036 were closed, which comprised of 1104 specific complaints. Analysis was performed using the complaints as the denominator. The cost of settling these claims was more than £36 million. There were 372 complaints (33.7%) involving the ankle, of which 273 (73.4%) were related to trauma. Conditions affecting the first ray accounted for 236 (21.4%), of which 232 (98.3%) concerned elective practice. Overall, claims due to diagnostic errors accounted for 210 (19.0%) complaints, 208 (18.8%) from alleged incompetent surgery and 149 (13.5%) from alleged mismanagement. Our findings show that the incorrect, delayed or missed diagnosis of conditions affecting the foot and ankle is a key area for improvement, especially in trauma practice. ©2014 The British Editorial Society of Bone & Joint Surgery.

PRISM: a novel research tool to assess the prevalence of pseudobulbar affect symptoms across neurological conditions.

PubMed

Brooks, Benjamin Rix; Crumpacker, David; Fellus, Jonathan; Kantor, Daniel; Kaye, Randall E

2013-01-01

Pseudobulbar affect (PBA) is a neurological condition characterized by involuntary, sudden, and frequent episodes of laughing and/or crying, which can be socially disabling. Although PBA occurs secondary to many neurological conditions, with an estimated United States (US) prevalence of up to 2 million persons, it is thought to be under-recognized and undertreated. The PBA Registry Series (PRISM) was established to provide additional PBA symptom prevalence data in a large, representative US sample of patients with neurological conditions known to be associated with PBA. Participating clinicians were asked to enroll ≥20 consenting patients with any of 6 conditions: Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), Parkinson's disease (PD), stroke, or traumatic brain injury (TBI). Patients (or their caregivers) completed the Center for Neurologic Study-Lability Scale (CNS-LS) and an 11-point scale measuring impact of the neurological condition on the patient's quality of life (QOL). Presence of PBA symptoms was defined as a CNS-LS score ≥13. Demographic data and current use of antidepressant or antipsychotic medications were also recorded. PRISM enrolled 5290 patients. More than one third of patients (n = 1944; 36.7%) had a CNS-LS score ≥13, suggesting PBA symptoms. The mean (SD) score measuring impact of neurological condition on QOL was significantly higher (worse) in patients with CNS-LS ≥13 vs <13 (6.7 [2.5] vs. 4.7 [3.1], respectively; P<0.0001 two-sample t-test). A greater percentage of patients with CNS-LS ≥13 versus <13 were using antidepressant/antipsychotic medications (53.0% vs 35.4%, respectively; P<0.0001, chi-square test). Data from PRISM, the largest clinic-based study to assess PBA symptom prevalence, showed that PBA symptoms were common among patients with diverse neurological conditions. Higher CNS-LS scores were associated with impaired QOL and greater use of antipsychotic/antidepressant medications. These data underscore a need for greater awareness, recognition, and diagnosis of PBA.

An estimate of the prevalence of epilepsy in Sub-Saharan Africa: A systematic analysis.

PubMed

Paul, Abigail; Adeloye, Davies; George-Carey, Rhiannon; Kolčić, Ivana; Grant, Liz; Chan, Kit Yee

2012-12-01

Epilepsy is a leading serious neurological condition worldwide and has particularly significant physical, economic and social consequences in Sub-Saharan Africa. This paper aims to contribute to the understanding of epilepsy prevalence in this region and how this varies by age and sex so as to inform understanding of the disease characteristics as well as the development of infrastructure, services and policies. A parallel systematic analysis of Medline, Embase and Global Health returned 32 studies that satisfied pre-defined quality criteria. Relevant data was extracted, tabulated and analyzed. We modelled the available information and used the UN population figures for Africa to determine the age-specific and overall burden of epilepsy. Active epilepsy was estimated to affect 4.4 million people in Sub-Saharan Africa, whilst lifetime epilepsy was estimated to affect 5.4 million. The prevalence of active epilepsy peaks in the 20-29 age group at 11.5/1000 and again in the 40-49 age group at 8.2/1000. The lowest prevalence value of 3.1/1000 is seen in the 60+ age group. This binomial pattern is also seen in both men and women, with the second peak more pronounced in women at 14.6/1000. The high prevalence of epilepsy, especially in young adults, has important consequences for both the workforce and community structures. An estimation of disease burden would be a beneficial outcome of further research, as would research into appropriate methods of improving health care for and tackling discrimination against people with epilepsy.

Targeting children of substance-using parents with the community-based group intervention TRAMPOLINE: A randomised controlled trial - design, evaluation, recruitment issues

PubMed Central

2012-01-01

Background Children of substance-abusing parents are at risk for developing psychosocial development problems. In Germany it is estimated that approx. 2.65 million children are affected by parental substance abuse or dependence. Only ten percent of them receive treatment when parents are treated. To date, no evaluated programme for children from substance-affected families exists in Germany. The study described in this protocol is designed to test the effectiveness of the group programme TRAMPOLINE for children aged 8-12 years with at least one substance-abusing or -dependent caregiver. The intervention is specifically geared to issues and needs of children from substance-affected families. Methods/Design The effectiveness of the manualised nine-session group programme TRAMPOLINE is tested among N = 218 children from substance-affected families in a multicentre randomised controlled trial. Outpatient counselling facilities across the nation from different settings (rural/urban, Northern/Southern/Eastern/Western regions of the country) will deliver the interventions, as they hold the primary access to the target group in Germany. The control condition is a group programme with the same duration that is not addiction-specific. We expect that participants in the intervention condition will show a significant improvement in the use of adaptive coping strategies (in general and within the family) compared to the control condition as a direct result of the intervention. Data is collected shortly before and after as well as six months after the intervention. Discussion In Germany, the study presented here is the first to develop and evaluate a programme for children of substance-abusing parents. Limitations and strengths are discussed with a special focus on recruitment challenges as they appear to be the most potent threat to feasibility in the difficult-to-access target group at hand (Trial registration: ISRCTN81470784). PMID:22439919

Targeting children of substance-using parents with the community-based group intervention TRAMPOLINE: a randomised controlled trial--design, evaluation, recruitment issues.

PubMed

Bröning, Sonja; Wiedow, Annika; Wartberg, Lutz; Ruths, Sylvia; Haevelmann, Andrea; Kindermann, Sally-Sophie; Moesgen, Diana; Schaunig-Busch, Ines; Klein, Michael; Thomasius, Rainer

2012-03-22

Children of substance-abusing parents are at risk for developing psychosocial development problems. In Germany it is estimated that approx. 2.65 million children are affected by parental substance abuse or dependence. Only ten percent of them receive treatment when parents are treated. To date, no evaluated programme for children from substance-affected families exists in Germany. The study described in this protocol is designed to test the effectiveness of the group programme TRAMPOLINE for children aged 8-12 years with at least one substance-abusing or -dependent caregiver. The intervention is specifically geared to issues and needs of children from substance-affected families. The effectiveness of the manualised nine-session group programme TRAMPOLINE is tested among N = 218 children from substance-affected families in a multicentre randomised controlled trial. Outpatient counselling facilities across the nation from different settings (rural/urban, Northern/Southern/Eastern/Western regions of the country) will deliver the interventions, as they hold the primary access to the target group in Germany. The control condition is a group programme with the same duration that is not addiction-specific. We expect that participants in the intervention condition will show a significant improvement in the use of adaptive coping strategies (in general and within the family) compared to the control condition as a direct result of the intervention. Data is collected shortly before and after as well as six months after the intervention. In Germany, the study presented here is the first to develop and evaluate a programme for children of substance-abusing parents. Limitations and strengths are discussed with a special focus on recruitment challenges as they appear to be the most potent threat to feasibility in the difficult-to-access target group at hand (Trial registration: ISRCTN81470784).

Wind tunnel results for a high-speed, natural laminar-flow airfoil designed for general aviation aircraft

NASA Technical Reports Server (NTRS)

Sewall, William G.; Mcghee, Robert J.; Viken, Jeffery K.; Waggoner, Edgar G.; Walker, Betty S.; Millard, Betty F.

1985-01-01

Two dimensional wind tunnel tests were conducted on a high speed natural laminar flow airfoil in both the Langley 6 x 28 inch Transonic Tunnel and the Langley Low Turbulence Pressure Tunnel. The test conditions consisted of Mach numbers ranging from 0.10 to 0.77 and Reynolds numbers ranging from 3 x 1 million to 11 x 1 million. The airfoil was designed for a lift coefficient of 0.20 at a Mach number of 0.70 and Reynolds number of 11 x 1 million. At these conditions, laminar flow would extend back to 50 percent chord of the upper surface and 70 percent chord of the lower surface. Low speed results were also obtained with a 0.20 chord trailing edge split flap deflected 60 deg.

Skills for Work in the Future: A Youth Perspective

ERIC Educational Resources Information Center

Lyngdoh, Bremley W. B.

2005-01-01

According to a 2004 International Labour Organization (ILO) report, young people represent 130 million of the world's 550 million working poor who are unable to lift themselves and their families above the equivalent of the $1 per day poverty line. These young people struggle to survive, often performing work under unsatisfactory conditions in the…

Prevalence and Determinants of Epilepsy among School Children in Aseer Region-KSA

ERIC Educational Resources Information Center

Rabie, Faten M.; Al Asmari, Aishah H.; Al-Barak, Sara A.; Al-Rashed, Fatima M.; Mare, Najla

2016-01-01

Epilepsy is a heterogeneous collection of neurological conditions and syndromes characterized by recurrent, unprovoked, paroxysmal seizure activity. It is estimated that 10.5 million children under 15 years have active epilepsy, representing about 25% of the global epilepsy population. Of the 3.5 million people who develop epilepsy annually, 40%…

A summary view of water supply and demand in the San Francisco Bay Region, California

USGS Publications Warehouse

Rantz, Saul E.

1972-01-01

This report presents a summary view of the water-supply situation in the nine counties that comprise the San Francisco Bay region, California, and thereby provides water data, based on 1970 conditions, that are needed for regional planning. For the purpose of this study the nine-county region has been divided into 15 subregions on the basis of hydrologic and economic considerations. Firm water supply is tabulated for each subregion by source--ground water, surface water, and imported water. Water demand in 1970 is tabulated for each subregion by type of use or demand--public supply, rural self-supply, irrigation, self-supplied industrial water and thermoelectric power generation. The San Francisco Bay region is dependent to a large degree on imported water. Under 1970 conditions of development, the firm water supply is 2.2 million acre-feet per year; of that quantity, almost 1 million acre-feet per year is imported water. The water demand in 1970 was 1.9 million acre-feet, about half of which was consumed. Under 1970 conditions of water development and use, a series of dry years would probably necessitate some curtailment of irrigation activities in four of the subregions, where the bulk of the demands i for irrigation water. Under those same conditions there is generally ample water for municipal and industrial use throughout the region, except in eastern Marin County where the firm municipal supple does not exceed the 1970 demand for municipal and industrial water. Although the firm water supply of the San Francisco Bay region, including imported water, is generally adequate to meet present needs, supplemental supply will be required to meet increased demand in the future. The expansion of existing surface-water facilities and the construction of new surface-water projects, now considered feasible, could provide a combined firm supplemental yield of slightly more than 1 million acre-feet per year, almost three-fourths of which would be available for import by those subregions that might experience a water deficient in the future. However, any supplemental water that might be developed by such alternative methods as desalination of brackish or salt water, weather modification, and various conservation measure, will correspondingly reduce requirement for supplemental water from the more conventional sources. The aspect of water quality is not discussed in this paper. Because of the present availability of imported water of good or acceptable quality, water quality, as it affects the supply, is not a serious problem at this time, except perhaps in local areas adjacent to San Francisco Bay and in the Sacramento-San Joaquin Delta. In those areas ground water has been degraded by salinity intrusion. Although the prediction of future trends in population, land use, and water demand is beyond the scope of this report, there is not doubt that vigilance and careful planning will be required to prevent serious future deterioration of the quality of the water supply.

Leadership Education and Service: Exploring Transformational Learning Following a Tornado

ERIC Educational Resources Information Center

Buschlen, Eric; Warner, Cathleen; Goffnett, Sean

2015-01-01

Each year, millions of people around the world are affected by natural disasters. Following these disasters, many students from colleges and universities arrive to support the affected areas. These seamless leadership learning opportunities engage students by allowing them to implement the concepts they learned in a classroom. Humanitarian relief…

E. coli in PA streams as affected by climate forcing

USDA-ARS?s Scientific Manuscript database

Each year, more than 9 million foodborne illnesses are estimated to be caused by major pathogens. More than 70% of the cropland for vegetables is irrigation water may contain pathogens or potential bacteria that affect human health. The FDA (Food and Drug Administration) has issued regulations manda...

Investigation of Solar Wind Correlations and Solar Wind Modifications Near Earth by Multi-Spacecraft Observations: IMP 8, WIND and INTERBALL-1

NASA Technical Reports Server (NTRS)

Paularena, Karolen I.; Richardson, John D.; Zastenker, Georgy N.

2002-01-01

The foundation of this Project is use of the opportunity available during the ISTP (International Solar-Terrestrial Physics) era to compare solar wind measurements obtained simultaneously by three spacecraft - IMP 8, WIND and INTERBALL-1 at wide-separated points. Using these data allows us to study three important topics: (1) the size and dynamics of near-Earth mid-scale (with dimension about 1-10 million km) and small-scale (with dimension about 10-100 thousand km) solar wind structures; (2) the reliability of the common assumption that solar wind conditions at the upstream Lagrangian (L1) point accurately predict the conditions affecting Earth's magnetosphere; (3) modification of the solar wind plasma and magnetic field in the regions near the Earth magnetosphere, the foreshock and the magnetosheath. Our Project was dedicated to these problems. Our research has made substantial contributions to the field and has lead others to undertake similar work.

Clinical Features of β-Thalassemia and Sickle Cell Disease.

PubMed

McGann, Patrick T; Nero, Alecia C; Ware, Russell E

2017-01-01

Sickle cell disease (SCD) and β-thalassemia are among the most common inherited diseases, affecting millions of persons globally. It is estimated that 5-7% of the world's population is a carrier of a significant hemoglobin variant. Without early diagnosis followed by initiation of preventative and therapeutic care, both SCD and β-thalassemia result in significant morbidity and early mortality. Despite great strides in the understanding of the molecular basis and pathophysiology of these conditions, the burden of disease remains high, particularly in limited resource settings. Current therapy relies heavily upon the availability and safety of erythrocyte transfusions to treat acute and chronic complications of these conditions, but frequent transfusions results in significant iron overload, as well as challenges from acquired infections and alloimmunization. Hydroxyurea is a highly effective treatment for SCD but less so for β-thalassemia, and does not represent curative therapy. As technology and use of cellular and gene therapies expand, SCD and thalassemia should be among the highest disease priorities.

Prevalence of migraine in the Canadian household population.

PubMed

Ramage-Morin, Pamela L; Gilmour, Heather

2014-06-01

Based on data from the 2010 and 2011 Canadian Community Health Surveys and the 2011 Survey of Living with Neurological Conditions in Canada, this article provides information about migraine among people living in private households. In 2010/2011, an estimated 8.3% of Canadians (2.7 million) reported that they had been diagnosed with migraine by a health professional. Females were more likely than males to report migraine: 11.8% versus 4.7%. Migraine prevalence was highest among people in their 30s and 40s: 17.0% for women and 6.5% for men. Compared with the national figure, the prevalence of migraine was lower in Quebec (6.8%) and higher in Manitoba (9.5%), Nova Scotia (9.1%) and Ontario (8.8%). Among people who reported a migraine diagnosis, 42% took prescription medication for their condition, and 56% incurred medication-related out-of-pocket expenses. Migraine was highly comorbid with depression and affected many aspects of daily life including education, work, sleep, and driving.

Wound repair and regeneration: mechanisms, signaling, and translation.

PubMed

Eming, Sabine A; Martin, Paul; Tomic-Canic, Marjana

2014-12-03

The cellular and molecular mechanisms underpinning tissue repair and its failure to heal are still poorly understood, and current therapies are limited. Poor wound healing after trauma, surgery, acute illness, or chronic disease conditions affects millions of people worldwide each year and is the consequence of poorly regulated elements of the healthy tissue repair response, including inflammation, angiogenesis, matrix deposition, and cell recruitment. Failure of one or several of these cellular processes is generally linked to an underlying clinical condition, such as vascular disease, diabetes, or aging, which are all frequently associated with healing pathologies. The search for clinical strategies that might improve the body's natural repair mechanisms will need to be based on a thorough understanding of the basic biology of repair and regeneration. In this review, we highlight emerging concepts in tissue regeneration and repair, and provide some perspectives on how to translate current knowledge into viable clinical approaches for treating patients with wound-healing pathologies. Copyright © 2014, American Association for the Advancement of Science.

Wound repair and regeneration: Mechanisms, signaling, and translation

PubMed Central

Eming, Sabine A.; Martin, Paul; Tomic-Canic, Marjana

2015-01-01

The cellular and molecular mechanisms underpinning tissue repair and its failure to heal are still poorly understood, and current therapies are limited. Poor wound healing after trauma, surgery, acute illness, or chronic disease conditions affects millions of people worldwide each year and is the consequence of poorly regulated elements of the healthy tissue repair response, including inflammation, angiogenesis, matrix deposition, and cell recruitment. Failure of one or several of these cellular processes is generally linked to an underlying clinical condition, such as vascular disease, diabetes, or aging, which are all frequently associated with healing pathologies. The search for clinical strategies that might improve the body’s natural repair mechanisms will need to be based on a thorough understanding of the basic biology of repair and regeneration. In this review, we highlight emerging concepts in tissue regeneration and repair, and provide some perspectives on how to translate current knowledge into viable clinical approaches for treating patients with wound-healing pathologies. PMID:25473038

The Feminization of Poverty for Midlife and Older Women and Its Effects on Their Health.

ERIC Educational Resources Information Center

Porcino, Jane

There are 16.4 million women over age 65 in this country, compared to 11 million men. The 41 percent of this population who live alone are the poorest of the poor in this country, with an annual median income of just over $3,000 for white women and little more than $2,000 for black women. This abject poverty affects the ability of these women to…

Payday for payers. Compensation of the top execs at investor-owned insurers outpaced that of the leaders at hospitals and specialty care.

PubMed

Kutscher, Beth; Barr, Paul; Zigmond, Jessica

2012-08-13

Top executives at investor-owned hospital chains saw their compensation packages take a hit last year, amid the debt-ceiling crisis and concerns over how it might affect Medicare. Wayne Smith at Community Health Systems led the pack in that sector, with a $21 million payday, while Trevor Fetter, left, of Tenet, came in a distant second with $10.7 million.

Advanced technology meets mental health: how smartphones, textile electronics, and signal processing can serve mental health monitoring, diagnosis, and treatment.

PubMed

Valenza, Gaetano; Lanatà, Antonio; Paradiso, Rita; Scilingo, Enzo Pasquale

2014-01-01

Mental disorders, characterized by impaired emotional and mood balance, are common in the West. Recent surveys have found that millions of people (age 18?65) have experienced some kind of mental disorder, such as psychotic disorder, major depression, bipolar disorder, panic disorder, social phobia, and somatoform disorder [1]. Specifically, in 2010, 164.8 million people in Europe were affected by such illnesses [1].

Immigrant families changing the face of America and delivery of health care services.

PubMed

Waldman, H Barry

2008-01-01

15.7 million U.S. children, including more than 1.5 million New York State children, live in immigrant families. These newest arrivals are becoming a critical component of the changing demographics of the state's--and nation's--evolving population. A complex set of economic, social and cultural factors affect these youngsters and their families, which, in turn, can have an impact on the delivery of health services.

The prevalence of refractive errors among adults in the United States, Western Europe, and Australia.

PubMed

Kempen, John H; Mitchell, Paul; Lee, Kristine E; Tielsch, James M; Broman, Aimee T; Taylor, Hugh R; Ikram, M Kamran; Congdon, Nathan G; O'Colmain, Benita J

2004-04-01

To estimate the prevalence of refractive errors in persons 40 years and older. Counts of persons with phakic eyes with and without spherical equivalent refractive error in the worse eye of +3 diopters (D) or greater, -1 D or less, and -5 D or less were obtained from population-based eye surveys in strata of gender, race/ethnicity, and 5-year age intervals. Pooled age-, gender-, and race/ethnicity-specific rates for each refractive error were applied to the corresponding stratum-specific US, Western European, and Australian populations (years 2000 and projected 2020). Six studies provided data from 29 281 persons. In the US, Western European, and Australian year 2000 populations 40 years or older, the estimated crude prevalence for hyperopia of +3 D or greater was 9.9%, 11.6%, and 5.8%, respectively (11.8 million, 21.6 million, and 0.47 million persons). For myopia of -1 D or less, the estimated crude prevalence was 25.4%, 26.6%, and 16.4% (30.4 million, 49.6 million, and 1.3 million persons), respectively, of whom 4.5%, 4.6%, and 2.8% (5.3 million, 8.5 million, and 0.23 million persons), respectively, had myopia of -5 D or less. Projected prevalence rates in 2020 were similar. Refractive errors affect approximately one third of persons 40 years or older in the United States and Western Europe, and one fifth of Australians in this age group.

The Economic Impact of Exposure to Secondhand Smoke in Minnesota

PubMed Central

Foldes, Steven S.; Alesci, Nina L.; Samet, Jonathan

2009-01-01

Objectives. Using the risk categories established by the 2006 US surgeon general's report, we estimated medical treatment costs related to exposure to secondhand tobacco smoke (SHS) in the state of Minnesota. Methods. We estimated the prevalence and costs of treated medical conditions related to SHS exposure in 2003 with data from Blue Cross and Blue Shield (Minnesota's largest insurer), the Current Population Survey, and population attributable risk estimates for these conditions reported in the scientific literature. We adjusted treatment costs to the state level by health insurance category by using the Medical Expenditure Panel Survey. Results. The total annual cost of treatment in Minnesota for conditions for which the 2006 surgeon general's report found sufficient evidence to conclude a causal link with exposure to SHS was $228.7 million in 2008 dollars—equivalent to $44.58 per Minnesota resident. Sensitivity analyses showed a range from $152.1 million to $330.0 million. Conclusions. The results present a strong rationale for regulating smoking in public places and were used to support the passage of Minnesota's Freedom to Breathe Act of 2007. PMID:19197082

GLOBAL WARMING AND POSSIBLE EFFECTS ON FUTURE THE BRAZILIAN GRAIN PRODUCTION Hilton S. Pinto.State University of Campinas (UNICAMP). CNPq. Eduardo D. Assad. Embrapa Agriculture Informatics (CNPTIA). CNPq. Eduardo Pavao. Embrapa Agriculture Informatics (CNPTIA). Ricardo Luna. Embrapa Agriculture Informatics (CNPTIA)

NASA Astrophysics Data System (ADS)

Pinto, H. S.; Assad, E. D.; Pavao, E.; Luna, R.

2012-12-01

According to the Brazilian Government (CONAB, July 2012) the actual area of grain production in the country is close to 50.8 million ha and the perspective of production is 162.6 million of tons. Maize and Soybean are responsible for more than 83% of the total harvest. The area available for agriculture in Brazil is 282.2 million ha or close to 33% of the total land of the country. From 1991 until 2010 the agricultural technology was responsible for an increase of production close to 154% while the planted area raised only 25%. Considering this rate of production in the last 20 years the Ministry of Agriculture made an extrapolation for 2020, when the country can produce close to 176 million of grains being 65 million tons of maize, 86 million tons of soybean and 70 million bags of coffee. In this case, it was not considered any variation in the climate conditions. In 2002, in partnership with the British Embassy in Brazil, Unicamp and Embrapa published the study "Global Warming and the New Geography of Agricultural Production in Brazil" (Pinto and Assad, 2002) based on a Regional Climate Model PRECIS from Hadley Centre, where the grain production was estimated to decrease due to temperature rise. Without considering any mitigation or adaptation action, in the worst scenario (A2-IPCC) the principal crops to be affected will be coffee with 6.7% estimated production decrease until 2020, soybean 22% and corn 12%. On the other hand, sugar cane, as a C4 plant, will have an increase of production in the order of 170%. As suggested by the Word Bank, a new project was developed for a more detailed analysis of the influence of the global warming in the Brazilian agriculture, affecting temperature and water deficit in the years 2020 and 2030. It was considered initially 23 Global Climatic Models (GCM) defined by IPCC, that were separated in blocks of similar comportment using cluster multivariate analysis. Other 3 Regional Climatic Models (RCM) were also used to give more detailed information of the future scenarios: PRECIS, BRAMS and ETA. The 4 GCMs that showed more similarity among themselves and the 3 RCM were used as simulation models with similar behavior for establishing the new scenarios for 2020 and 2030. The better and the worst forecast of the curves were used as simulation points for the future agriculture scenarios. In Brazil, most part of the agricultural plantation as well as the insurance are financed by the Ministry of Agriculture that has a basic directive of following the Public Policy Program of Climatic Risk Zoning for authorizing what, when and where to plant according to climate predominance. Based in this program and in the new climatic scenarios provided by the 7 models, a new geography for Brazilian agriculture was suggested for the years 2020 and for 2030 showing the same pessimistic tendency of decrease in production close to 24% for soybean and 19% for maize summer season as compared to 2012. The results obtained with this study were used as input for the economics complimentary analysis of Brazilian possible modification of the agribusiness until the years 2020 and 2030.

Pneumonia (image)

MedlinePlus

Pneumonia is an inflammation of the lungs caused by an infection. Many different organisms can cause it, including bacteria, viruses, and fungi. Pneumonia is a common illness that affects millions of ...

Exercise, Eating, Estrogen, and Osteoporosis.

ERIC Educational Resources Information Center

Brown, Jim

1986-01-01

Osteoporosis affects millions of people, especially women. Three methods for preventing or managing osteoporosis are recommended: (1) exercise; (2) increased calcium intake; and (3) estrogen replacement therapy. (CB)

Human health risks and socio-economic perspectives of arsenic exposure in Bangladesh: A scoping review.

PubMed

Rahman, M Azizur; Rahman, A; Khan, M Zaved Kaiser; Renzaho, Andre M N

2018-04-15

Arsenic contamination of drinking water, which can occur naturally or because of human activities such as mining, is the single most important public health issue in Bangladesh. Fifty out of the 64 districts in the country have arsenic concentration of groundwater exceeding 50µgL -1 , the Bangladeshi threshold, affecting 35-77 million people or 21-48% of the total population. Chronic arsenic exposure through drinking water and other dietary sources is an important public health issue worldwide affecting hundreds of millions of people. Consequently, arsenic poisoning has attracted the attention of researchers and has been profiled extensively in the literature. Most of the literature has focused on characterising arsenic poisoning and factors associated with it. However, studies examining the socio-economic aspects of chronic exposure of arsenic through either drinking water or foods remain underexplored. The objectives of this paper are (i) to review arsenic exposure pathways to humans; (ii) to summarise public health impacts of chronic arsenic exposure; and (iii) to examine socio-economic implications and consequences of arsenicosis with a focus on Bangladesh. This scoping review evaluates the contributions of different exposure pathways by analysing arsenic concentrations in dietary and non-dietary sources. The socio-economic consequences of arsenicosis disease in Bangladesh are discussed in this review by considering food habits, nutritional status, socio-economic conditions, and socio-cultural behaviours of the people of the country. The pathways of arsenic exposure in Bangladesh include drinking water, various plant foods and non-dietary sources such as soil. Arsenic affected people are often abandoned by the society, lose their jobs and get divorced and are forced to live a sub-standard life. The fragile public health system in Bangladesh has been burdened by the management of thousands of arsenicosis victims in Bangladesh. Copyright © 2017 Elsevier Inc. All rights reserved.

Impact of provincial characteristics on the number of traffic accident victims on interurban roads in Spain.

PubMed

Sánchez González, María Pilar; Escribano Sotos, Francisco; Tejada Ponce, Ángel

2018-02-21

This study has two aims. The first is to determine how various factors impact on the number of fatalities, serious injuries and slight injuries adjusted for the level of traffic on interurban roads in Spain. The second is to establish the number of victims per million vehicle-kilometres (veh-km) travelled on interurban roads in each province resulting from the effect of its specific characteristics. To this end, we developed six fixed effect panel data models with panel corrected standard errors for the 1999-2015 period. Our results show that while the proportion of high capacity roads, the unemployment rate and the motorization rate contribute to a reduction in the number of fatalities, serious injuries and slight injuries adjusted for level of traffic, the penalty-points licence system is effective in reducing the number of fatalities and serious injuries but not the number of slight injuries. Furthermore, the specific conditions in Ávila, Toledo, Madrid, Santa Cruz de Tenerife, Las Palmas de Gran Canaria, the Balearic Islands, Lleida and all the provinces on the Mediterranean coast cause a higher number of victims per million veh-km travelled than in the remaining provinces. Thus, greater public investment and more socially responsible behaviour are essential tools for reducing the number of traffic accident victims on Spanish interurban roads. Moreover, the provincial institutions emerge as key agents in improving road safety, due to their greater knowledge of the specific conditions and factors affecting each province. Copyright © 2018 Elsevier Ltd. All rights reserved.

Potential energy savings in buildings by an urban tree planting programme in California

Treesearch

E.G. McPherson; J.R. Simpson

2003-01-01

Tree canopy cover data from aerial photographs and building energy simulations were applied to estimate energy savings from existing trees and new plantings in California. There are approximately 177.3 million energy-conserving trees in California communities and 241.6 million empty planting sites. Existing trees are projected to reduce annual air conditioning energy...

Wildlife preservation and recreational use: Conflicting goals of wildland management

Treesearch

David N. Cole; Richard L. Knight

1991-01-01

Large tracts of wildland in North America have been set aside as wilderness areas and national parks. More than 200 million acres (88 million ha) of such lands have been formally designated in Canada and the United States (Eidsvik 1989). The primary goal of these designations is the preservation of undisturbed natural conditions and processes.

Effective management strategies for sage-grouse and sagebrush: a question of triage?

Treesearch

Michael J. Wisdom; Mary M. Rowland; Robin J. Tausch

2005-01-01

The sagebrush (Artemisia spp.) ecosystem once occupied over 150 million acres of western North America (Barbour and Billings 1988). The ecosystem still occupies over 100 million acres (Connelly et al. 2004, Wisdom et al. 2005), but the abundance and condition of sagebrush communities is declining rapidly in response to a variety of detrimental land...

Extreme ecosystem instability suppressed tropical dinosaur dominance for 30 million years.

PubMed

Whiteside, Jessica H; Lindström, Sofie; Irmis, Randall B; Glasspool, Ian J; Schaller, Morgan F; Dunlavey, Maria; Nesbitt, Sterling J; Smith, Nathan D; Turner, Alan H

2015-06-30

A major unresolved aspect of the rise of dinosaurs is why early dinosaurs and their relatives were rare and species-poor at low paleolatitudes throughout the Late Triassic Period, a pattern persisting 30 million years after their origin and 10-15 million years after they became abundant and speciose at higher latitudes. New palynological, wildfire, organic carbon isotope, and atmospheric pCO2 data from early dinosaur-bearing strata of low paleolatitudes in western North America show that large, high-frequency, tightly correlated variations in δ(13)Corg and palynomorph ecotypes occurred within a context of elevated and increasing pCO2 and pervasive wildfires. Whereas pseudosuchian archosaur-dominated communities were able to persist in these same regions under rapidly fluctuating extreme climatic conditions until the end-Triassic, large-bodied, fast-growing tachymetabolic dinosaurian herbivores requiring greater resources were unable to adapt to unstable high CO2 environmental conditions of the Late Triassic.

Extreme ecosystem instability suppressed tropical dinosaur dominance for 30 million years

NASA Astrophysics Data System (ADS)

Whiteside, Jessica H.; Lindström, Sofie; Irmis, Randall B.; Glasspool, Ian J.; Schaller, Morgan F.; Dunlavey, Maria; Nesbitt, Sterling J.; Smith, Nathan D.; Turner, Alan H.

2015-06-01

A major unresolved aspect of the rise of dinosaurs is why early dinosaurs and their relatives were rare and species-poor at low paleolatitudes throughout the Late Triassic Period, a pattern persisting 30 million years after their origin and 10-15 million years after they became abundant and speciose at higher latitudes. New palynological, wildfire, organic carbon isotope, and atmospheric pCO2 data from early dinosaur-bearing strata of low paleolatitudes in western North America show that large, high-frequency, tightly correlated variations in δ13Corg and palynomorph ecotypes occurred within a context of elevated and increasing pCO2 and pervasive wildfires. Whereas pseudosuchian archosaur-dominated communities were able to persist in these same regions under rapidly fluctuating extreme climatic conditions until the end-Triassic, large-bodied, fast-growing tachymetabolic dinosaurian herbivores requiring greater resources were unable to adapt to unstable high CO2 environmental conditions of the Late Triassic.

Extreme ecosystem instability suppressed tropical dinosaur dominance for 30 million years

PubMed Central

Whiteside, Jessica H.; Lindström, Sofie; Irmis, Randall B.; Glasspool, Ian J.; Schaller, Morgan F.; Dunlavey, Maria; Nesbitt, Sterling J.; Smith, Nathan D.; Turner, Alan H.

2015-01-01

A major unresolved aspect of the rise of dinosaurs is why early dinosaurs and their relatives were rare and species-poor at low paleolatitudes throughout the Late Triassic Period, a pattern persisting 30 million years after their origin and 10–15 million years after they became abundant and speciose at higher latitudes. New palynological, wildfire, organic carbon isotope, and atmospheric pCO2 data from early dinosaur-bearing strata of low paleolatitudes in western North America show that large, high-frequency, tightly correlated variations in δ13Corg and palynomorph ecotypes occurred within a context of elevated and increasing pCO2 and pervasive wildfires. Whereas pseudosuchian archosaur-dominated communities were able to persist in these same regions under rapidly fluctuating extreme climatic conditions until the end-Triassic, large-bodied, fast-growing tachymetabolic dinosaurian herbivores requiring greater resources were unable to adapt to unstable high CO2 environmental conditions of the Late Triassic. PMID:26080428

Nano-titanium dioxide induced cardiac injury in rat under oxidative stress.

PubMed

Sha, BaoYong; Gao, Wei; Wang, ShuQi; Li, Wei; Liang, Xuan; Xu, Feng; Lu, Tian Jian

2013-08-01

Heart diseases, which are related to oxidative stress (OS), negatively affect millions of people from kids to the elderly. Titanium dioxide (TiO2) has widespread applications in our daily life, especially nanoscale TiO2. Compared to the high risk of particulate matter (≤2.5μm) in air to heart disease patients, related research of TiO2 on diseased body is still unknown, which suggest us to explore the potential effects of nanoscale and microscale TiO2 to heart under OS conditions. Here, we used alloxan to induce OS conditions in rat, and investigated the response of heart tissue to TiO2 in healthy and alloxan treated rats. Compared with NMs treatment only, the synergistic interaction between OS conditions and nano-TiO2 significantly reduced the heart-related function indexes, inducing pathological changes of myocardium with significantly increased levels of cardiac troponin I and creatine kinase-MB. In contrast with the void response of micro-TiO2 to heart functions in alloxan treated rats, aggravation of OS conditions might play an important role in cardiac injury after alloxan and nano-TiO2 dual exposure. Our results demonstrated that OS conditions enhanced the adverse effects of nano-TiO2 to heart, suggesting that the use of NMs in stressed conditions (e.g., drug delivery) needs to be carefully monitored. Copyright © 2013 Elsevier Ltd. All rights reserved.

Current and emerging techniques for antibiotic susceptibility tests.

PubMed

Syal, Karan; Mo, Manni; Yu, Hui; Iriya, Rafael; Jing, Wenwen; Guodong, Sui; Wang, Shaopeng; Grys, Thomas E; Haydel, Shelley E; Tao, Nongjian

2017-01-01

Infectious diseases caused by bacterial pathogens are a worldwide burden. Serious bacterial infection-related complications, such as sepsis, affect over a million people every year with mortality rates ranging from 30% to 50%. Crucial clinical microbiology laboratory responsibilities associated with patient management and treatment include isolating and identifying the causative bacterium and performing antibiotic susceptibility tests (ASTs), which are labor-intensive, complex, imprecise, and slow (taking days, depending on the growth rate of the pathogen). Considering the life-threatening condition of a septic patient and the increasing prevalence of antibiotic-resistant bacteria in hospitals, rapid and automated diagnostic tools are needed. This review summarizes the existing commercial AST methods and discusses some of the promising emerging AST tools that will empower humans to win the evolutionary war between microbial genes and human wits.

Current and emerging techniques for antibiotic susceptibility tests

PubMed Central

Syal, Karan; Mo, Manni; Yu, Hui; Iriya, Rafael; Jing, Wenwen; Guodong, Sui; Wang, Shaopeng; Grys, Thomas E.; Haydel, Shelley E.; Tao, Nongjian

2017-01-01

Infectious diseases caused by bacterial pathogens are a worldwide burden. Serious bacterial infection-related complications, such as sepsis, affect over a million people every year with mortality rates ranging from 30% to 50%. Crucial clinical microbiology laboratory responsibilities associated with patient management and treatment include isolating and identifying the causative bacterium and performing antibiotic susceptibility tests (ASTs), which are labor-intensive, complex, imprecise, and slow (taking days, depending on the growth rate of the pathogen). Considering the life-threatening condition of a septic patient and the increasing prevalence of antibiotic-resistant bacteria in hospitals, rapid and automated diagnostic tools are needed. This review summarizes the existing commercial AST methods and discusses some of the promising emerging AST tools that will empower humans to win the evolutionary war between microbial genes and human wits. PMID:28638468

Development of a health promotion programme to improve awareness of factors that affect fertility, and evaluation of its reach in the first 5 years.

PubMed

Hammarberg, Karin; Norman, Robert J; Robertson, Sarah; McLachlan, Robert; Michelmore, Janet; Johnson, Louise

2017-06-01

Awareness among people of reproductive age about the factors that influence fertility and reproductive outcomes, including medically assisted reproduction outcomes, is generally low. To improve awareness about the potentially modifiable factors that affect fertility and reproductive outcomes, 'Your Fertility', a fertility health promotion programme funded by the Australian Government, was established in 2011. This paper describes the development and evaluation of the reach of the Your Fertility programme from its inception in 2011 to June 2016. Systematically recorded outcomes for the programme's key focus areas and Google Analytics data were collated. Key achievements include developing and maintaining an internationally renowned website that experiences high growth and demand for fertility-related information; by 2016, over 5 million users had viewed more than 10 million webpages, and over 96,000 users had engaged in programme messages across social media. Programme messages have reached more than 4 million Australian social media users, and a potential audience of 150 million through media coverage across more than 320 media features. More than 4200 education and health professionals have completed online learning modules, and external partnerships have been established with 14 separate organizations. Data collected over 5 years indicate that the Your Fertility programme meets a need for targeted, evidence-based, accessible fertility-related information.

Sub-Saharan Africa Report

DTIC Science & Technology

1987-02-20

from Tanzania; and the worsening of the country’s social and economic crisis, wherein famine has already affected millions of people, creating a...life of our citizens. As everyone is aware, the hunger and poverty have contiuued. The 60,000 Adventists in the country were as rauch affected by the... affected by the criminal actions of the armed bandits, the security system has been strengthened. This is being done by militiamen, together with

Staging Life in an Early Warm ‘Seltzer’ Ocean

DOE PAGES

Schoonen, Martin; Smirnov, Alexander

2016-12-01

A period as short as 20 million years within the first 100 million years after the formation of the Moon may have set the stage for the origin of life. This atmosphere contained more carbon dioxide than any other period afterwards. The carbon dioxide sustained greenhouse conditions, accelerated the weathering of a primitive crust and may have led to conditions conducive to the formation of the building blocks of life. The conversion of CO 2 as well as N 2 may have been facilitated by clays, zeolites, sulfides and metal alloys formed as the crust reacted with a warm ‘seltzer’more » ocean. We used geochemical modeling to constrain the conditions favorable for the formation of these potential mineral catalysts.« less

Staging Life in an Early Warm ‘Seltzer’ Ocean

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

Schoonen, Martin; Smirnov, Alexander

A period as short as 20 million years within the first 100 million years after the formation of the Moon may have set the stage for the origin of life. This atmosphere contained more carbon dioxide than any other period afterwards. The carbon dioxide sustained greenhouse conditions, accelerated the weathering of a primitive crust and may have led to conditions conducive to the formation of the building blocks of life. The conversion of CO 2 as well as N 2 may have been facilitated by clays, zeolites, sulfides and metal alloys formed as the crust reacted with a warm ‘seltzer’more » ocean. We used geochemical modeling to constrain the conditions favorable for the formation of these potential mineral catalysts.« less

[Positive and negative aspects of pharmaceutical services in Spain: about antidepressants and antipsychotics].

PubMed

Girona-Brumós, Lourdes; Ribera-Montañá, Ramón; Juárez-Giménez, Juan Carlos; Pilar Lalueza-Broto, María

2006-03-01

Mental disorders mortality rates are low but they are extremely disabling so that the diagnosis and treatment of mental illness is an important task for public health and it is central in current therapy strategies and sanitary policy. The aim of this study is to analyse conditions influencing antidepressants and antipsychotics use in Spain from 1997 to 2004. Tryciclic antidepressants have been of first-choice in depression treatment for many years but their side effects profile are related to a lack of treatment adherence. Trying to increase tolerance, new antidepressants have been developed and research into new therapeutic uses is being done. These are some of the reasons causing an increase in medical utilization and costs. Medical boxes sold have increased from 14,14 million in 1997 to 26,76 million in 2004, meaning 168,61 and 447,11 million euros respectively. Antipsychotic use has been maintained, 11,74 million boxes in 1997 and 12,65 in 2004; however, there has been a rise in price from 61,84 to 317,46 million euros due to second generation antipsychotics prescription (mainly risperidone and olanzapine) Some conditions have contributed to current situation: increased number of diagnosed patients with depression and other mental disorders, new approved therapeutic uses and a rise in elderly people receiving new antipsychotic agents. Moreover, promotional marketing is causing an increase in new recently commercialised drugs use.

Economic value of angling on the Colorado River at Lees Ferry: Using secondary data to estimate the influence of seasonality

USGS Publications Warehouse

Bair, Lucas S.; Rogowski, David L.; Neher, Christopher

2016-01-01

Glen Canyon Dam (GCD) on the Colorado River in northern Arizona provides water storage, flood control, and power system benefits to approximately 40 million people who rely on water and energy resources in the Colorado River basin. Downstream resources (e.g., angling, whitewater floating) in Glen Canyon National Recreation Area (GCNRA) and Grand Canyon National Park are impacted by the operation of GCD. The GCD Adaptive Management Program was established in 1997 to monitor and research the effects of dam operations on the downstream environment. We utilized secondary survey data and an individual observation travel cost model to estimate the net economic benefit of angling in GCNRA for each season and each type of angler. As expected, the demand for angling decreased with increasing travel cost; the annual value of angling at Lees Ferry totaled US$2.7 million at 2014 visitation levels. Demand for angling was also affected by season, with per-trip values of $210 in the summer, $237 in the spring, $261 in the fall, and $399 in the winter. This information provides insight into the ways in which anglers are potentially impacted by seasonal GCD operations and adaptive management experiments aimed at improving downstream resource conditions.

Food security in a changing climate

USGS Publications Warehouse

Pulwarty, Roger; Eilerts, Gary; Verdin, James

2012-01-01

By 2080 the effects of climate change—on heat waves, floods, sea level rise, and drought—could push an additional 600 million people into malnutrition and increase the number of people facing water scarcity by 1.8 billion. The precise impacts will, however, strongly depend on socioeconomic conditions such as local markets and food import dependence. In the near term, two factors are also changing the nature of food security: (1) rapid urbanization, with the proportion of the global population living in urban areas expanding from 13 percent in 1975 to greater than 50 percent at present, and (2) trade and domestic market liberalization since 1993, which has promoted removal of import controls, deregulation of prices, and the loss of preferential markets for many small economies. Over the last two years, the worst drought in decades has devastated eastern Africa. The resulting food-security crisis has affected roughly 13 million people and has reminded us that there is still a long way to go in addressing current climate-related risks. In the face of such profound changes and uncertainties, our approaches to food security must evolve. In this article, we describe four key elements that, in our view, will be essential to the success of efforts to address the linked challenges of food security and climate change.

Malaria and large dams in sub-Saharan Africa: future impacts in a changing climate.

PubMed

Kibret, Solomon; Lautze, Jonathan; McCartney, Matthew; Nhamo, Luxon; Wilson, G Glenn

2016-09-05

Sub-Saharan Africa (SSA) has embarked on a new era of dam building to improve food security and promote economic development. Nonetheless, the future impacts of dams on malaria transmission are poorly understood and seldom investigated in the context of climate and demographic change. The distribution of malaria in the vicinity of 1268 existing dams in SSA was mapped under the Intergovernmental Panel on Climate Change (IPCC) representative concentration pathways (RCP) 2.6 and 8.5. Population projections and malaria incidence estimates were used to compute population at risk of malaria in both RCPs. Assuming no change in socio-economic interventions that may mitigate impacts, the change in malaria stability and malaria burden in the vicinity of the dams was calculated for the two RCPs through to the 2080s. Results were compared against the 2010 baseline. The annual number of malaria cases associated with dams and climate change was determined for each of the RCPs. The number of dams located in malarious areas is projected to increase in both RCPs. Population growth will add to the risk of transmission. The population at risk of malaria around existing dams and associated reservoirs, is estimated to increase from 15 million in 2010 to 21-23 million in the 2020s, 25-26 million in the 2050s and 28-29 million in the 2080s, depending on RCP. The number of malaria cases associated with dams in malarious areas is expected to increase from 1.1 million in 2010 to 1.2-1.6 million in the 2020s, 2.1-3.0 million in the 2050s and 2.4-3.0 million in the 2080s depending on RCP. The number of cases will always be higher in RCP 8.5 than RCP 2.6. In the absence of changes in other factors that affect transmission (e.g., socio-economic), the impact of dams on malaria in SSA will be significantly exacerbated by climate change and increases in population. Areas without malaria transmission at present, which will transition to regions of unstable transmission, may be worst affected. Modifying conventional water management frameworks to improve malaria control, holds the potential to mitigate some of this increase and should be more actively implemented.

Integrated natural resource monitoring on Army lands and its application to conservation of neotropical birds

Treesearch

Timothy J. Hayden; David J. Tazik

1993-01-01

The U.S. Army is responsible for managing 5.0 million ha (12.4 million acres) of land on 186 major installations world-wide. The Land Condition Trend Analysis (LCTA) Program is the Army's integrated monitoring and data collection program designed to fulfill the Army's natural resource information and management needs. implementation of this program was...

Timber resource statistics for the Fairbanks block, Tanana inventory unit, Alaska, 1970.

Treesearch

Karl M. Hegg

1975-01-01

This report for the 3-million-acre Fairbanks block is the first of four on the 14-million-acre Tanana Valley inventory unit. Observations are made on forest condition, defect, stand regeneration, fire history, and present use. Data are provided for an operable noncommercial forest land category as well as for standard Forest Survey area and volume statistics....

The south's timer export potential

Treesearch

James E. Granskog

1986-01-01

Exports of southern wood products have bccil dcclirling since 1980, following a dramatic rise during the 1970s. The value of these exports rose from near the $50 million level in the early 1970s to almost $500 million in 1980, but has dropped by more than a third since then. Now, however, changing monetary conditions appear to be turning the trend upward again....

Site Suitability Analysis for Dissemination of Salt-tolerant Rice Varieties in Southern Bangladesh

NASA Astrophysics Data System (ADS)

Sinha, D. D.; Singh, A. N.; Singh, U. S.

2014-11-01

Bangladesh is a country of 14.4 million ha geographical area and has a population density of more than 1100 persons per sq. km. Rice is the staple food crop, growing on about 72 % of the total cultivated land and continues to be the most important crop for food security of the country. A project "Sustainable Rice Seed Production and Delivery Systems for Southern Bangladesh" has been executed by the International Rice Research Institute (IRRI) in twenty southern districts of Bangladesh. These districts grow rice in about 2.9 million ha out of the country's total rice area of 11.3 million ha. The project aims at contributing to the Government of Bangladesh's efforts in improving national and household food security through enhanced and sustained productivity by using salinity-, submergence- and drought- tolerant and high yielding rice varieties. Out of the 20 project districts, 12 coastal districts are affected by the problem of soil salinity. The salt-affected area in Bangladesh has increased from about 0.83 million ha in 1973 to 1.02 million ha in 2000, and 1.05 million ha in 2009 due to the influence of cyclonic storms like "Sidr", "Laila" and others, leading to salt water intrusion in croplands. Three salinity-tolerant rice varieties have recently been bred by IRRI and field tested and released by the Bangladesh Rice Research Institute (BRRI) and Bangladesh Institute of Nuclear Agriculture (BINA). These varieties are BRRI dhan- 47 and Bina dhan-8 and - 10. However, they can tolerate soil salinity level up to EC 8-10 dSm-1, whereas the EC of soils in several areas are much higher. Therefore, a large scale dissemination of these varieties can be done only when a site suitability analysis of the area is carried out. The present study was taken up with the objective of preparing the site suitability of the salt-tolerant varieties for the salinity-affected districts of southern Bangladesh. Soil salinity map prepared by Soil Resources Development Institute of Bangladesh shows five classes of salinity. viz., non-saline with some very slight saline soil, very slightly saline with some slight saline soil, slightly saline with some moderately saline soil, strongly saline with some moderately saline soil, and very strongly saline with some strongly saline soil. The soil EC level of different classes range from 2 dSm-1 to >16 dSm-1. The soil map was geo-referenced and digitized using Arc GIS. Salinity tolerance characteristics of the rice varieties were matched with the soil characteristics shown on the map. Three suitability classes were made; soils suitable for salt-tolerant varieties, not suitable for salt-tolerant varieties due to high soil salinity, and suitable for other high yielding varieties due to slight salinity. The mauza (smallest revenue unit) boundary provided by the Bangladesh Agriculture Research Council was also geo-referenced and digitized in the same projection. Overlaying and intersecting the mauza boundary on the soil suitability map provided the suitable and not suitable mauza. A total of 4070 mauzas in the 12 salinity-affected districts were listed and maps showing suitability of mauza prepared. About 0.6 million ha out of total 0.87 million ha salinity affected area were found suitable for growing the salinity-tolerant BRRI dhan-47, Bina dhan-8 and -10 in these districts. The maps and other generated information have helped the Dept. of Agriculture Extension (DAE) of Bangladesh in large scale dissemination of seeds of the salinity-tolerant rice varieties in different districts during the past two years.

UK investments in global infectious disease research 1997-2010: a case study.

PubMed

Head, Michael G; Fitchett, Joseph R; Cooke, Mary K; Wurie, Fatima B; Hayward, Andrew C; Atun, Rifat

2013-01-01

Infectious diseases account for 15 million deaths per year worldwide, and disproportionately affect young people, elderly people, and the poorest sections of society. We aimed to describe the investments awarded to UK institutions for infectious disease research. We systematically searched databases and websites for information on research studies from funding institutions and created a comprehensive database of infectious disease research projects for the period 1997-2010. We categorised studies and funding by disease, cross-cutting theme, and by a research and development value chain describing the type of science. Regression analyses were reported with Spearman's rank correlation coefficient to establish the relation between research investment, mortality, and disease burden as measured by disability-adjusted life years (DALYs). We identified 6170 funded studies, with a total research investment of UK£2·6 billion. Studies with a clear global health component represented 35·6% of all funding (£927 million). By disease, HIV received £461 million (17·7%), malaria £346 million (13·3%), tuberculosis £149 million (5·7%), influenza £80 million (3·1%), and hepatitis C £60 million (2·3%). We compared funding with disease burden (DALYs and mortality) to show low levels of investment relative to burden for gastrointestinal infections (£254 million, 9·7%), some neglected tropical diseases (£184 million, 7·1%), and antimicrobial resistance (£96 million, 3·7%). Virology was the highest funded category (£1 billion, 38·4%). Leading funding sources were the Wellcome Trust (£688 million, 26·4%) and the Medical Research Council (£673 million, 25·8%). Research funding has to be aligned with prevailing and projected global infectious disease burden. Funding agencies and industry need to openly document their research investments to redress any inequities in resource allocation. None. Copyright © 2013 Elsevier Ltd. All rights reserved.

Groundwater arsenic contamination throughout China.

PubMed

Rodríguez-Lado, Luis; Sun, Guifan; Berg, Michael; Zhang, Qiang; Xue, Hanbin; Zheng, Quanmei; Johnson, C Annette

2013-08-23

Arsenic-contaminated groundwater used for drinking in China is a health threat that was first recognized in the 1960s. However, because of the sheer size of the country, millions of groundwater wells remain to be tested in order to determine the magnitude of the problem. We developed a statistical risk model that classifies safe and unsafe areas with respect to geogenic arsenic contamination in China, using the threshold of 10 micrograms per liter, the World Health Organization guideline and current Chinese standard for drinking water. We estimate that 19.6 million people are at risk of being affected by the consumption of arsenic-contaminated groundwater. Although the results must be confirmed with additional field measurements, our risk model identifies numerous arsenic-affected areas and highlights the potential magnitude of this health threat in China.

Therapeutic potential of chalcones as cardiovascular agents.

PubMed

Mahapatra, Debarshi Kar; Bharti, Sanjay Kumar

2016-03-01

Cardiovascular diseases are the leading cause of death affecting 17.3 million people across the globe and are estimated to affect 23.3 million people by year 2030. In recent years, about 7.3 million people died due to coronary heart disease, 9.4 million deaths due to high blood pressure and 6.2 million due to stroke, where obesity and atherosclerotic progression remain the chief pathological factors. The search for newer and better cardiovascular agents is the foremost need to manage cardiac patient population across the world. Several natural and (semi) synthetic chalcones deserve the credit of being potential candidates to inhibit various cardiovascular, hematological and anti-obesity targets like angiotensin converting enzyme (ACE), cholesteryl ester transfer protein (CETP), diacylglycerol acyltransferase (DGAT), acyl-coenzyme A: cholesterol acyltransferase (ACAT), pancreatic lipase (PL), lipoprotein lipase (LPL), calcium (Ca(2+))/potassium (K(+)) channel, COX-1, TXA2 and TXB2. In this review, a comprehensive study of chalcones, their therapeutic targets, structure activity relationships (SARs), mechanisms of actions (MOAs) have been discussed. Chemically diverse chalcone scaffolds, their derivatives including structural manipulation of both aryl rings, replacement with heteroaryl scaffold(s) and hybridization through conjugation with other pharmacologically active scaffold have been highlighted. Chalcones which showed promising activity and have a well-defined MOAs, SARs must be considered as prototype for the design and development of potential anti-hypertensive, anti-anginal, anti-arrhythmic and cardioprotective agents. With the knowledge of these molecular targets, structural insights and SARs, this review may be helpful for (medicinal) chemists to design more potent, safe, selective and cost effective chalcone derivatives as potential cardiovascular agents. Copyright © 2016 Elsevier Inc. All rights reserved.

Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults

PubMed Central

Mucci, Nicola; Giorgi, Gabriele; De Pasquale Ceratti, Stefano; Fiz-Pérez, Javier; Mucci, Federico; Arcangeli, Giulio

2016-01-01

Hypertension (HT) is a long-term medical condition characterized by persistently elevated blood pressure (BP) in the arterial vessels. Although HT initially is an asymptomatic condition, it chronically evolves into a major risk factor for cardiovascular, cerebrovascular, and renal diseases that, in turn, represent crucial causes of morbidity and mortality in industrialized countries. HT is a complex disorder that is estimated to affect more than a quarter of the world’s adult population. It is classified on the basis of both its pathophysiology (primary and secondary HT) and on the resting BP values (elevated systolic, diastolic, and pulse pressure). It originates from a complicated interaction of genes and several environmental risk factors including aging, smoking, lack of exercise, overweight and obesity, elevated salt intake, stress, depression, and anxiety. Anxiety and depressive disorders are the most commonly diagnosed mental disorders, affecting millions of people each year and impairing every aspect of everyday life, both of them characterized by affective, cognitive, psychomotor, and neurovegetative symptoms. Moreover, work-related stress has been considered as an important risk factor for HT and cardiovascular diseases (CVDs). Although different authors have investigated and suggested possible relations between HT, stress, anxiety, and depression during the last decades, a full understanding of the underlying pathophysiological mechanisms has not been satisfactorily achieved, especially in young adults. The aim of this study was to investigate the impact of anxiety and work-related stress in the development of HT amongst young health care profession students and the possible related consequences of early CVDs. PMID:27840615

Effects of Affordable Care Act Marketplaces and Medicaid Eligibility Expansion on Access to Cancer Care.

PubMed

Graves, John A; Swartz, Katherine

The aim of this study was to inform oncologists about how repealing the Affordable Care Act (ACA) may affect their ability to provide cancer therapies for people with cancer enrolled in ACA health plans and why proposals to change Medicaid funding may make it even more difficult for Medicaid beneficiaries to access cancer treatments. We examined the regulations and provisions of the ACA related to how health insurance impacts access to diagnostic testing and treatments for people with cancer, including access to clinical trials. Similarly, we examined federal and state rules affecting Medicaid beneficiaries' access to cancer treatments. Repealing various provisions of the ACA will restrict who has access to both current and new cancer treatments. Such changes also will impact oncology research that depends on having heterogeneous people in clinical trials. Significant changes to the ACA will affect oncology treatment choices of everyone with health insurance-not only the 10 million people newly covered by ACA health plans and the 70 million people with Medicaid coverage.

Effects of Affordable Care Act Marketplaces and Medicaid Eligibility Expansion on Access to Cancer Care

PubMed Central

Graves, John A.; Swartz, Katherine

2017-01-01

Purpose To inform oncologists about how repealing the ACA may affect their ability to provide cancer therapies for people with cancer enrolled in ACA health plans, and why proposals to change Medicaid funding may make it even more difficult for Medicaid beneficiaries to access cancer treatments. Methods We examined the regulations and provisions of the ACA related to how health insurance impacts access to diagnostic testing and treatments for people with cancer, including access to clinical trials. Similarly, we examined federal and state rules affecting Medicaid beneficiaries’ access to cancer treatments. Results Repealing various provisions of the ACA will restrict who has access to both current and new cancer treatments. Such changes also will impact oncology research that depends on having heterogeneous people in clinical trials. Discussion Significant changes to the ACA will affect oncology treatment choices of everyone with health insurance – not just the 10 million people newly covered by ACA health plans and the 70 million people with Medicaid coverage. PMID:28537962

The long-term carbon cycle, fossil fuels and atmospheric composition.

PubMed

Berner, Robert A

2003-11-20

The long-term carbon cycle operates over millions of years and involves the exchange of carbon between rocks and the Earth's surface. There are many complex feedback pathways between carbon burial, nutrient cycling, atmospheric carbon dioxide and oxygen, and climate. New calculations of carbon fluxes during the Phanerozoic eon (the past 550 million years) illustrate how the long-term carbon cycle has affected the burial of organic matter and fossil-fuel formation, as well as the evolution of atmospheric composition.

Challenges and perspectives of Chagas disease: a review

PubMed Central

2013-01-01

Chagas disease (CD), also known as American trypanosomiasis, is caused by the flagellated protozoan Trypanosoma cruzi, and affects an estimated 8 to 10 million people worldwide. In Latin America, 25 million people live in risk areas, while in 2008 alone, 10,000 CD-related deaths were reported. This review aimed to evaluate the challenges of CD control, future perspectives, and actions performed worldwide to control expansion of the disease and its impact on public health in Latin America. PMID:24354455

Air pollution impacts of speed limitation measures in large cities: The need for improving traffic data in a metropolitan area

NASA Astrophysics Data System (ADS)

Baldasano, José M.; Gonçalves, María; Soret, Albert; Jiménez-Guerrero, Pedro

2010-08-01

Assessing the effects of air quality management strategies in urban areas is a major concern worldwide because of the large impacts on health caused by the exposure to air pollution. In this sense, this work analyses the changes in urban air quality due to the introduction of a maximum speed limit to 80 km h -1 on motorways in a large city by using a novel methodology combining traffic assimilation data and modelling systems implemented in a supercomputing facility. Albeit the methodology has been non-specifically developed and can be extrapolated to any large city or megacity, the case study of Barcelona is presented here. Hourly simulations take into account the entire year 2008 (when the 80 km h -1 limit has been introduced) vs. the traffic conditions for the year 2007. The data has been assimilated in an emission model, which considers hourly variable speeds and hourly traffic intensity in the affected area, taken from long-term measurement campaigns for the aforementioned years; it also permits to take into account the traffic congestion effect. Overall, the emissions are reduced up to 4%; however the local effects of this reduction achieve an important impact for the adjacent area to the roadways, reaching 11%. In this sense, the speed limitation effects assessed represent enhancements in air quality levels (5-7%) of primary pollutants over the area, directly improving the welfare of 1.35 million inhabitants (over 41% of the population of the Metropolitan Area) and affecting 3.29 million dwellers who are potentially benefited from this strategy for air quality management (reducing 0.6% the mortality rates in the area).

Small effect of water on upper-mantle rheology based on silicon self-diffusion coefficients.

PubMed

Fei, Hongzhan; Wiedenbeck, Michael; Yamazaki, Daisuke; Katsura, Tomoo

2013-06-13

Water has been thought to affect the dynamical processes in the Earth's interior to a great extent. In particular, experimental deformation results suggest that even only a few tens of parts per million of water by weight enhances the creep rates in olivine by orders of magnitude. However, those deformation studies have limitations, such as considering only a limited range of water concentrations and very high stresses, which might affect the results. Rock deformation can also be understood as an effect of silicon self-diffusion, because the creep rates of minerals at temperatures as high as those in the Earth's interior are limited by self-diffusion of the slowest species. Here we experimentally determine the silicon self-diffusion coefficient DSi in forsterite at 8 GPa and 1,600 K to 1,800 K as a function of water content CH2O from less than 1 to about 800 parts per million of water by weight, yielding the relationship, DSi ≈ (CH2O)(1/3). This exponent is strikingly lower than that obtained by deformation experiments (1.2; ref. 7). The high nominal creep rates in the deformation studies under wet conditions may be caused by excess grain boundary water. We conclude that the effect of water on upper-mantle rheology is very small. Hence, the smooth motion of the Earth's tectonic plates cannot be caused by mineral hydration in the asthenosphere. Also, water cannot cause the viscosity minimum zone in the upper mantle. And finally, the dominant mechanism responsible for hotspot immobility cannot be water content differences between their source and surrounding regions.

Evaluation of coded wire tags for marking lake trout

USGS Publications Warehouse

Elrod, Joseph H.; Schneider, Clifford P.

1986-01-01

Among hatchery-reared lake trout (Salvelinus namaycush) of the 1979-1982 year classes stocked in New York waters of Lake Ontario, more than 3 million fish were marked with a coded wire tag (CWT) plus an adipose fin clip, and 1.5 million with only conventional fin clips. Altogether, 7,640 tags were recovered from fish collected with bottom trawls and gill nets or caught by anglers during 1980-1983. One person was able to extract and decipher 200 or more CWTs per day with about a 1% error rate in reading and recording codes. Presence of the CWT did not affect growth. The adipose fin clip did not regenerate. The occurrence of fish with an adipose fin clip but no CWT resulted primarily from the regeneration of paired fins among fish marked with a combination of the adipose fin and a paired fin. Loss of CWTs between marking and stocking (generally 4-5 months for fish stocked in spring and 1-8 d for fish stocked in fall) declined from nearly 11% for the 1979 year class stocked as fall fingerlings to less than 3% for the 1981 and 1982 year classes - a difference that primarily reflected improvements in instrumentation and tagging technique. The rate of CWT loss after the marked fish were stocked was probably less than 1% per year. The CWT is a reliable method for marking hatchery-reared lake trout. A large number of experimental groups can be uniquely marked, and fish from each group can be accurately identified throughout their life. Use of this technique should greatly facilitate evaluations of genetic strain, hatchery experience, condition at time of stocking, season of stocking, size at stocking, method of stocking and other factors that affect poststocking survival and performance of lake trout stocked in the Great Lakes.

Brazilian Coffee Production as Function of Global Warming.

NASA Astrophysics Data System (ADS)

Avila, A. M. H. D.; Pinto, H. S.; Alfonsi, E. L., Sr.; Alfonsi, W. M. V.; Pereira, V. R.

2016-12-01

According to the Brazilian Government the actual area of coffee production in the country is close to 2.25 million hectares. The sector involves 290.000 of farmers with a production of 44 million of 60 Kg bags in 2015. The Arabica Coffee specie is cultivated in the country where the climate condition are characterized by a year mean temperatures between 18°C and 22°C. Temperatures higher than 33°C can cause abortion of flowers during the spring season and reduce the production while lower than 18°C can be affected by frost during winter when the minimum temperature can be lower than 2°C in the shelter. For a better quality of the final product the winter, between July and August, must be dry with rainfall lower than 50 mm/month. The Ministry of Agriculture defines those conditions for the Official Coffee Climatic Risk Zoning. In 2002, a partnership with the British Embassy and 2 Brazilian institutions, i. e. the State University of Campinas - UNICAMP and the Brazilian Agricultural Research Corporation - Embrapa, published the study "Global Warming and the New Geography of Agricultural Production in Brazil" (Pinto and Assad, 2002). This study was based on the PRECIS/Hadley Centre Regional Climate Model future projections. The crop simulations indicated a decrease in the grain production due to temperature rise. Later in 2012, a new study was developed in cooperation with the World Bank to evaluate the future of nine main commodities in Brazil under climate change, including the Arabica coffee. The worst scenario considering any mitigation and adaptation action indicated that the two most affected crops would be the soybean and coffee, with a reduction of 22% and 6.7 % in the yield respectively. Field surveys to evaluate the historical spatial dynamic and migration of Arabica coffee cultivated areas confirmed the results of the previous studies and indicated a recent increase in the search for cooler altitude areas to plant coffee. Also the field observations showed an increase in Robusta, a specie less susceptible to heat, in areas previously occupied with Arabica.

Control of foot-and-mouth disease by using replication-defective human adenoviruses to deliver vaccines and biotherapeutics

USDA-ARS?s Scientific Manuscript database

Foot-and-mouth disease (FMD) is one of the most contagious viral diseases that can affect cloven-hoofed livestock and wild animals. Outbreaks of FMD have caused devastating economic losses and the slaughter of millions of animals in many regions of the world affecting the food chain and global devel...

Biomedical Risk, Psychosocial Influences, and Developmental Outcomes: Lessons from the Pediatric HIV Population in Africa

ERIC Educational Resources Information Center

Serpell, Robert; Marfo, Kofi; Abubakar, Amina

2014-01-01

Sub-Saharan Africa is home to millions of HIV-affected children. These children are likely to experience multiple developmental delays. In this chapter, I present data highlighting compromised neurobehavioral, mental health, and scholastic outcomes for children affected by HIV. Furthermore, I discuss biomedical factors (e.g., disease severity and…

Endometriosis (For Teens)

MedlinePlus

... more than 5 million American women, including teen girls, are affected. It's not always diagnosed right away ... severe endometriosis can make it harder for a girl to have children in the future, it's a ...

Diabetes and driving safety: science, ethics, legality and practice.

PubMed

Cox, Daniel J; Singh, Harsimran; Lorber, Daniel

2013-04-01

Diabetes affects over 25 million people in the United States, most of whom are over the age of 16 and many of whom are licensed to drive a motor vehicle. Safe operation of a motor vehicle requires complex interactions of cognitive and motor functions and medical conditions that affect these functions often will increase the risk of motor vehicle accidents (MVA). In the case of diabetes, hypoglycemia is the most common factor that has been shown to increase MVA rates. When people with diabetes are compared with nondiabetic controls, systematic analyses show that the relative risk of MVA is increased by between 12% and 19% (Relative Risk Ratio 1.12-1.19). In comparison, the RRR for attention deficit hyperactivity disorder is 4.4 and for sleep apnea is 2.4. Epidemiologic research suggests that patients at risk for hypoglycemia-related MVAs may have some characteristics in common, including a history of severe hypoglycemia or of hypoglycemia-related driving mishaps. Experimental studies also have shown that people with a history of hypoglycemia-related driving mishaps have abnormal counter-regulatory responses to hypoglycemia and greater cognitive impairments during moderate hypoglycemia.

Anaemia in pregnancy.

PubMed

Goonewardene, Malik; Shehata, Mishkat; Hamad, Asma

2012-02-01

Anaemia in pregnancy, defined as a haemoglobin concentration (Hb) < 110 g/L, affects more than 56 million women globally, two thirds of them being from Asia. Multiple factors lead to anaemia in pregnancy, nutritional iron deficiency anaemia (IDA) being the commonest. Underlying inflammatory conditions, physiological haemodilution and several factors affecting Hb and iron status in pregnancy lead to difficulties in establishing a definitive diagnosis. IDA is associated with increased maternal and perinatal morbidity and mortality, and long-term adverse effects in the new born. Strategies to prevent anaemia in pregnancy and its adverse effects include treatment of underlying conditions, iron and folate supplementation given weekly for all menstruating women including adolescents and daily for women during pregnancy and the post partum period, and delayed clamping of the umbilical cord at delivery. Oral iron is preferable to intravenous therapy for treatment of IDA. B12 and folate deficiencies in pregnancy are rare and may be due to inadequate dietary intake with the latter being more common. These vitamins play an important role in embryo genesis and hence any relative deficiencies may result in congenital abnormalities. Finding the underlying cause are crucial to the management of these deficiencies. Haemolytic anaemias rare also rare in pregnancy, but may have life-threatening complications if the diagnosis is not made in good time and acted upon appropriately. Copyright © 2011 Elsevier Ltd. All rights reserved.

Hospitalization for urinary tract infections and the quality of preventive health care received by people with spina bifida.

PubMed

Armour, Brian S; Ouyang, Lijing; Thibadeau, Judy; Grosse, Scott D; Campbell, Vincent A; Joseph, David

2009-07-01

The preventive health care needs of people with disabilities often go unmet, resulting in medical complications that may require hospitalization. Such complications could be due, in part, to difficulty accessing care or the quality of ambulatory care services received. To use hospitalizations for urinary tract infections (UTIs) as a marker of the potential quality of ambulatory care services received by people affected by spina bifida. MarketScan inpatient and outpatient medical claims data for 2000 through 2003 were used to identify hospitalizations for UTI, which is an ambulatory care sensitive condition, for people affected by spina bifida and to calculate inpatient discharge rates, average lengths of stay, and average medical care expenditures for such hospitalizations. People affected by spina bifida averaged 0.5 hospitalizations per year, and there were 22.8 inpatient admissions with UTI per 1000 persons with spina bifida during the period 2000-2003, in comparison to an average of 0.44 admission with UTI per 1000 persons for those without spina bifida. If the number of UTI hospitalizations among people affected by spina bifida were reduced by 50%, expenditures could be reduced by $4.4 million per 1000 patients. Consensus on the evaluation and management of bacteriuria could enhance clinical care and reduce the disparity in UTI discharge rates among people affected by spina bifida compared to those without spina bifida. National evidence-based guidelines are needed.

Work disability resulting from chronic health conditions.

PubMed

Lerner, Debra; Allaire, Saralynn H; Reisine, Susan T

2005-03-01

To describe current programs and policies for addressing work disability among adults with chronic health conditions, and to identify opportunities for new research aimed at reducing the problem. The authors conducted secondary data analysis and a literature review. Millions of Americans with a chronic health condition have a work disability or are at risk of developing one. This public health problem is costing hundreds of billions of dollars a year nationally in lost productivity and diminishing the quality of life of millions of Americans. The medical care system, employers, and government--three traditional sources of help for adults with chronic health problems--are not sufficiently oriented toward the primary or secondary prevention of work disability. New research is urgently needed to reduce the burden of work disability on individuals and society.

Depression FAQs

Cancer.gov

Depression affects about 15 million American adults every year. Women are more likely to get depression than men. In general, about one out of every four women will get depression at some point in her life.

77 FR 15592 - Privacy Act; Implementation

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-16

... million or more or adversely affect in a material way the economy; a sector of the economy; productivity... integrity of Federal testing materials; and safeguard evaluation materials used for military promotions when...

Geography of blizzards in the conterminous United States, 1959--2000

NASA Astrophysics Data System (ADS)

Schwartz, Robert Michael

2001-07-01

Many individuals think of tornadoes and hurricanes when considering weather-related storms. However, winter storms and blizzards have potential impacts on millions of people and effects on the social landscape such as fatalities, injuries, and economic consequences. Additionally, these storms can last from a few hours to over a week. This study established a climatology of blizzards in the conterminous United States from 1959-2000 utilizing data from Storm Data to identify the spatial and temporal patterns of blizzards. The annual probability of a blizzard on a county level was calculated to give the empirical probability of having a blizzard in any given winter season. Additionally, the number of blizzards were compared to the El Nino Southern Oscillation (ENSO) teleconnection by running a linear regression to check for correlation. Finally, the social impacts of blizzards studied included the population affected, fatalities, injuries, property damage, crop damage, and federal disaster declarations. Maps were produced utilizing MapInfo and ArcView Geographic Information Systems (GIS) to summarize regional differences and temporal trends. There were 438 blizzards analyzed in the study with an annual mean of 10.7 blizzards per winter season with the majority of storms occurring in the northern Plains states of North Dakota, South Dakota, and western Minnesota. Time series analysis indicated an increase in the number of blizzards over the 41-year period while there was no linear trend of the area affected by blizzards. Annual probabilities of a blizzard were as high as 76% for Cavalier, Rolette, Steele, Towner, and Traill Counties in North Dakota. The ENSO teleconnection and the number of blizzards on the national scale suggested a negative correlation with fewer blizzards during El Nino episodes. Social impacts indicated blizzards affected 26.3 million per season with 16 fatalities and 49 injuries per season reported to Storm Data . The total population affected each winter did not show a linear trend. An average winter reported 551 million in property damage and 26 million in crop damage according to Storm Data. The number of declared disasters or emergencies due to blizzards has been increasing, especially in the 1990s.

Large-scale dam removal on the Elwha River, Washington, USA: river channel and floodplain geomorphic change

USGS Publications Warehouse

East, Amy E.; Pess, George R.; Bountry, Jennifer A.; Magirl, Christopher S.; Ritchie, Andrew C.; Logan, Joshua; Randle, Timothy J.; Mastin, Mark C.; Minear, Justin T.; Duda, Jeffrey J.; Liermann, Martin C.; McHenry, Michael L.; Beechie, Timothy J.; Shafroth, Patrick B.

2015-01-01

As 10.5 million t (7.1 million m3) of sediment was released from two former reservoirs, downstream dispersion of a sediment wave caused widespread bed aggradation of ~ 1 m (greater where pools filled), changed the river from pool–riffle to braided morphology, and decreased the slope of the lowermost river. The newly deposited sediment, which was finer than most of the pre-dam-removal bed, formed new bars (largely pebble, granule, and sand material), prompting aggradational channel avulsion that increased the channel braiding index by almost 50%. As a result of mainstem bed aggradation, floodplain channels received flow and accumulated new sediment even during low to moderate flow conditions. The river system showed a two- to tenfold greater geomorphic response to dam removal (in terms of bed elevation change magnitude) than it had to a 40-year flood event four years before dam removal. Two years after dam removal began, as the river had started to incise through deposits of the initial sediment wave, ~ 1.2 million t of new sediment (~ 10% of the amount released from the two reservoirs) was stored along 18 river km of the mainstem channel and 25 km of floodplain channels. The Elwha River thus was able to transport most of the released sediment to the river mouth. The geomorphic alterations and changing bed sediment grain size along the Elwha River have important ecological implications, affecting aquatic habitat structure, benthic fauna, salmonid fish spawning and rearing potential, and riparian vegetation. The response of the river to dam removal represents a unique opportunity to observe and quantify fundamental geomorphic processes associated with a massive sediment influx, and also provides important lessons for future river-restoration endeavors.

Health problems in Iraq.

PubMed

Acheson, E D

1992-02-22

Iraq is faced with large scale public health problems that have been caused by the destruction to their infrastructure during the Gulf war. Humanitarian aid is needed in order to avoid a large scale human disaster. In 1988 73% of Iraq's population lived in urban areas. The loss of electrical generating capacity has affected hospitals, water purification and sewage treatment. Iraq had made great strides int he health of their people with an infant mortality rate of 42/1000 in 1990 and 52./1000 for children under 5. The international study team's survey of over 9000 households revealed surprising evidence of widespread chronic malnutrition. Based on accepted mortality as a baseline, data suggests that mortality among Iraqi infants and children under 5 doubled in 1991. The current food ration provides only half of the energy requirement and with rapidly accelerating inflation, the cost of food while only make the situation worse. The UN Disaster Relief Office has received $1.059 billion from donor countries; but, only half of the requested $14 million has been funded through Unicef. This money is needed to meet basic requirements for water, sanitation, antibiotics, and vaccines. The UN Security Council approved resolutions 706 and 712 which would have allowed Iraq to sell $1.6 billion for foodstuffs, medicines, and materials and supplies necessary to civilian needs subject to monitoring and supervision to ensure equitable distribution. The Iraqi government has not met the requirements of 706 and 712 because of the monitoring conditions, so no money has been issued. More money is needed if humanitarian organizations are to do their work. Only $29 million of the $145 million needed for the 1st half of this year has been pledged.

The effects of prenatal cocaine, post-weaning housing and sex on conditioned place preference in adolescent rats.

PubMed

Dow-Edwards, Diana; Iijima, Maiko; Stephenson, Stacy; Jackson, April; Weedon, Jeremy

2014-04-01

Gestational exposure to cocaine now affects several million people including adolescents and young adults. Whether prenatal drug exposures alter an individual's tendency to take and/or abuse drugs is still a matter of debate. This study sought to answer the question "Does prenatal exposure to cocaine, in a dose-response fashion, alter the rewarding effects of cocaine using a conditioned place preference (CPP) procedure during adolescence in the rat?" Further, we wanted to assess the possible sex differences and the role of being raised in an enriched versus impoverished environment. Virgin female Sprague-Dawley rats were dosed daily with cocaine at 30 mg/kg (C30), 60 mg/kg (C60), or vehicle intragastrically prior to mating and throughout gestation. Pups were culled, fostered and, on postnatal day (PND) 23, placed into isolation cages or enriched cages with three same-sex littermates and stimulus objects. On PND43-47, CPP was determined across a range of cocaine doses. C30 exposure increased sensitivity to the rewarding effects of cocaine in adolescent males, and being raised in an enriched environment further enhanced this effect. Rats exposed to C60 resembled the controls in cocaine CPP. Overall, females were modestly affected by prenatal cocaine and enrichment. These data support the unique sensitivity of males to the effects of gestational cocaine, that moderate prenatal cocaine doses produce greater effects on developing reward circuits than high doses and that housing condition interacts with prenatal treatment and sex such that enrichment increases cocaine CPP mostly in adolescent males prenatally exposed to moderate cocaine doses.

The Multiple Species Inventory and Monitoring Protocol: A Population, Community, and Biodiversity Monitoring Solution for National Forest System Lands

Treesearch

P. N. Manley; B. Van Horne

2006-01-01

The U.S. Forest Service manages approximately 76 million ha (191 million acres) of National Forest System (NFS) lands. The National Forest Management Act (1976) recognizes the importance of maintaining species and ecosystem diversity on NFS lands as a critical component of our ecological and cultural heritage. Information on the condition of populations and habitats of...

The Magnitude of Medical Problems of the Elderly in the United States.

ERIC Educational Resources Information Center

Goldstein, Harold M.

1975-01-01

Medical problems of older Americans are described, based on the types of illnesses and their frequency among the elderly. Those 65 years of age and older are defined as elderly, placing 20 million of the 203 million Americans in this category (1970 census). The major causes of chronic conditions in the elderly and the percent of those 65-74 years…

Five anthropogenic factors that will radically alter forest conditions and management needs in the Northern United States

Treesearch

Stephen R. Shifley; W. Keith Moser; David J. Nowak; Patrick D. Miles; Brett J. Butler; Francisco X. Aguilar; Ryan D. DeSantis; Eric J. Greenfield

2014-01-01

The Northern United States includes the 20 states bounded by Maine, Maryland, Missouri, and Minnesota. With 70 million ha of forestland and 124 million people, it is the most densely forested (42% of land area) and most densely populated (74 people/km2) quadrant of the United States. Three recent, large-scale, multiresource assessments of forest...

The healthcare costs of secondhand smoke exposure in rural China.

PubMed

Yao, Tingting; Sung, Hai-Yen; Mao, Zhengzhong; Hu, Teh-wei; Max, Wendy

2015-10-01

The goal of this study was to assess the healthcare costs attributable to secondhand smoke (SHS) exposure among non-smoking adults (age ≥ 19) in rural China. We analysed data from the 2011 National Rural Household Survey which was conducted among adults in five provinces and one municipality in China (N=12,397). Respondents reported their smoking status, health conditions and healthcare expenditures. Relative risks were obtained from published sources. Healthcare costs included annual outpatient and inpatient hospitalisation expenditures for five SHS-related diseases: asthma, breast cancer (female only), heart disease, lung cancer and tuberculosis. SHS-attributable healthcare costs were estimated using a prevalence-based annual cost approach. The total healthcare costs of SHS exposure in rural China amounted to $1.2 billion in 2011, including $559 million for outpatient visits and $612.4 million for inpatient hospitalisations. The healthcare costs for women and men were $877.1 million and $294.3 million, respectively. Heart disease was the most costly condition for both women ($701.7 million) and men ($180.6 million). The total healthcare costs of SHS exposure in rural China accounted to 0.3% of China's national healthcare expenditures in 2011. Over one-fifth of the total healthcare costs of SHS exposure in rural China were paid by health insurance. The out-of-pocket expenditures per person accounted for almost half (47%) of their daily income. The adverse health effects of SHS exposure result in a large economic burden in China. Tobacco control policies that reduce SHS exposure could have an impact on reducing healthcare costs in China. 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.

Changes in southern hemispheric polar amplification over the past 5 million years revealed by climate modelling

NASA Astrophysics Data System (ADS)

Hoencamp, Jori; Stap, Lennert; Tuenter, Erik; Lourens, Luc; van de Wal, Roderik

2016-04-01

Knowledge on polar amplification is important to relate high latitude climate records to global mean temperature changes. Several studies have pointed out that the strength of polar amplification in the Northern Hemisphere varies considerably due to the presence of large ice sheets and more sea ice during colder climate conditions. As a result, the polar amplification in the Northern Hemisphere decreases for warmer climates. In this study, we address the fact that these changes in the Northern Hemisphere also affect the polar amplification in the Southern Hemisphere. We study the Southern and Northern Hemisphere amplification together over the past 5 million years with the CLIMBER-2 intermediate complexity model. Radiation, land ice extent and height, and greenhouse gases are prescribed as forcing. We find that in contrast to the reduction in polar amplification in the Northern Hemisphere, polar amplification in the Southern Hemisphere increases for warmer climates. The amplification decreases in the Northern Hemisphere from 2.7 during glacial conditions to 1.6 for a pre-industrial climate, which is line with other climate simulations. Over the same CO2 range the southern hemispheric polar amplification increases from 1 to 1.6. This is caused by the fact that the atmospheric transport needed to balance the radiation surplus in the equatorial region needs to be compensated by relatively stronger transport of energy in Southern direction while the transport in Northern direction reduces. This reduction in Northern direction is driven by less (land and sea) ice resulting in a smaller meridional gradient in Northern direction and hence a smaller atmospheric transport. As a consequence, the traditional scaled (with LGM temperature) Dome C record needs to be corrected with a maximum of 0.6 degrees half-way glacial and interglacial conditions, if it is to be interpreted as global mean temperature change indicator. While this changes the amplitude, the phasing of temperature records from the Southern Hemisphere remains unaffected.

Economic costs of depression in China.

PubMed

Hu, Teh-wei; He, Yanling; Zhang, Mingyuan; Chen, Ningshan

2007-02-01

A recent survey in China indicated the 12-month prevalence rate of depressive disorders was 2.5% in Beijing and 1.7% in Shanghai. These disorders may result in disability, premature death, and severe suffering of those affected and their families. This study estimates the economic consequences of depressive disorders in China. Depressive disorders can have both direct and indirect costs. To obtain direct costs, the research team interviewed 505 patients with depressive disorders and their caregivers in eight clinics/hospitals in five cities in China. Depression-related suicide rates were obtained from published literature. The human capital approach was used to estimate indirect costs. Epidemiological data were taken from available literature. The total estimated cost of depression in China is 51,370 million Renminbi (RMB) (or US $6,264 million) at 2002 prices. Direct costs were 8,090 million RMB (or US$ 986 million), about 16% of the total cost of depression. Indirect costs were 43,280 million RMB (or US$ 5,278 million), about 84% of the total cost of depression. Depression is a very costly disorder in China. The application of an effective treatment--reducing the length of depressive episodes (or preventing episodes) and reducing suicide rates--will lead to a significant reduction in the total burden resulting from depressive disorders. Government policymakers should seriously consider further investments in mental health services.

Catastrophic expenditure to pay for surgery worldwide: a modelling study.

PubMed

Shrime, Mark G; Dare, Anna J; Alkire, Blake C; O'Neill, Kathleen; Meara, John G

2015-04-27

Approximately 150 million individuals worldwide face catastrophic expenditure each year from medical costs alone, and the non-medical costs of accessing care increase that number. The proportion of this expenditure related to surgery is unknown. Because the World Bank has proposed elimination of medical impoverishment by 2030, the effect of surgical conditions on financial catastrophe should be quantified so that any financial risk protection mechanisms can appropriately incorporate surgery. To estimate the global incidence of catastrophic expenditure due to surgery, we built a stochastic model. The income distribution of each country, the probability of requiring surgery, and the medical and non-medical costs faced for surgery were incorporated. Sensitivity analyses were run to test the robustness of the model. 3·7 billion people (posterior credible interval 3·2-4·2 billion) risk catastrophic expenditure if they need surgery. Each year, 81·3 million people (80·8-81·7 million) worldwide are driven to financial catastrophe-32·8 million (32·4-33·1 million) from the costs of surgery alone and 48·5 million (47·7-49·3) from associated non-medical costs. The burden of catastrophic expenditure is highest in countries of low and middle income; within any country, it falls on the poor. Estimates were sensitive to the definition of catastrophic expenditure and the costs of care. The inequitable burden distribution was robust to model assumptions. Half the global population is at risk of financial catastrophe from surgery. Each year, surgical conditions cause 81 million individuals to face catastrophic expenditure, of which less than half is attributable to medical costs. These findings highlight the need for financial risk protection for surgery in health-system design. MGS received partial funding from NIH/NCI R25CA92203. Copyright © 2015 Shrime et al. Open Access article distributed under the terms of CC BY-NC-ND. Published by Elsevier Ltd.. All rights reserved.

Patterns and expenditures of multi-morbidity in an insured working population in the United States: insights for a sustainable health care system and building healthier lives.

PubMed

Greene, Robert; Dasso, Edwin; Ho, Sam; Frank, Jerry; Scandrett, Graeme; Genaidy, Ash

2013-12-01

The U.S. health care system is currently heading toward unsustainable health care expenditures and increased dissatisfaction with health outcomes. The objective of this population-based study is to uncover practical insights regarding patients with 1 or more chronic illnesses. A cross-sectional investigation was designed to gather data from health records drawn from diverse US geographic markets. A database of 9.74 million fully-insured, working individuals was used, together with members in the same households. Among nearly 3.43 million patients with claims, 2.22 million had chronic conditions. About 24.3% had 1 chronic condition and 40.4% had multi-morbidity. Health care expenditures for chronic conditions accounted for 92% of all costs (52% for chronic costs and 40% for nonchronic costs). Psychiatry, orthopedics-rheumatology, endocrinology, and cardiology areas accounted for two thirds of these chronic condition costs; nonchronic condition costs were dominated by otolaryngology, gastroenterology, dermatology, orthopedics-rheumatology conditions, and preventive services. About 50.1% of all households had 2 or more members with chronic conditions. In summary, multi-morbidity is prevalent not only among those older than age 65 years but also in younger and working individuals, and commonly occurs among several members of a household. The authors suggest that the disease-focused model of medicine should change to a more holistic illness-wellness model, emphasizing not only the physical but also the mental and social elements that can influence individual health. In that way the chronic care model could be broadened in context and content to improve the health of patients and households.

Safe application of regionalization for trade in poultry and poultry products during highly pathogenic avian influenza outbreaks in the USA.

PubMed

Swayne, David E; Hill, Rick E; Clifford, John

2017-04-01

The 2014-2015 H5Nx high pathogenicity avian influenza (HPAI) outbreak affected 211 commercial premises, 21 backyard flocks, 75 individual wild birds and four captive-reared raptors in 21 Western and upper Midwestern states, resulting in death or culling of over 50.4 million poultry in the stamping-out programme that cost the US government $850 million. The outbreak had a negative $3.3 billion impact on the economy. Seventeen trading partners suspended imports of all US-origin poultry and poultry products while 38 trading partners regionalized the United States, and allowed trade in poultry and poultry products to continue from areas of the US not affected by HPAI. Disease response and control activities in addition to the use of comprehensive surveillance and regionalization (zoning) as prescribed by the OIE Terrestrial Animal Health Code are a scientifically valid and effective means to maintain safe trade in poultry and poultry products. This was further realized during the 2016 H7N8 HPAI outbreak in Dubois County, Indiana, with greater acceptance of regionalization and continuity in trade with a more limited cost of $30 million for eradication.

Fibromyalgia: Prevalence, epidemiologic profiles and economic costs.

PubMed

Cabo-Meseguer, Asensi; Cerdá-Olmedo, Germán; Trillo-Mata, José Luis

2017-11-22

Fibromyalgia is an idiopathic chronic condition that causes widespread musculoskeletal pain, hyperalgesia and allodynia. This review aims to approach the general epidemiology of fibromyalgia according to the most recent published studies, identifying the general worldwide prevalence of the disease, its basic epidemiological profiles and its economic costs, with specific interest in the Spanish and Comunidad Valenciana cases. Fibromyalgia affects, on average, 2.10% of the world's population; 2.31% of the European population; 2.40% of the Spanish population; and 3.69% of the population in the Comunidad Valenciana. It supposes a painful loss of the quality of life of the people who suffer it and the economic costs are enormous: in Spain is has been estimated at more than 12,993 million euros annually. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Climate Change Is Increasing the Risk of the Reemergence of Malaria in Romania.

PubMed

Ivanescu, Larisa; Bodale, Ilie; Florescu, Simin-Aysel; Roman, Constantin; Acatrinei, Dumitru; Miron, Liviu

2016-01-01

The climatic modifications lead to global warming; favouring the risk of the appearance and development of diseases are considered until now tropical diseases. Another important factor is the workers' immigration, the economic crisis favouring the passive transmission of new species of culicidae from different areas. Malaria is the disease with the widest distribution in the globe. Millions of people are infected every year in Africa, India, South-East Asia, Middle East, and Central and South America, with more than 41% of the global population under the risk of infestation with malaria. The increase of the number of local cases reported in 2007-2011 indicates that the conditions can favour the high local transmission in the affected areas. In the situation presented, the establishment of the level of risk concerning the reemergence of malaria in Romania becomes a priority.

Label-free photoacoustic microscopy of peripheral nerves

NASA Astrophysics Data System (ADS)

Matthews, Thomas Paul; Zhang, Chi; Yao, Da-Kang; Maslov, Konstantin; Wang, Lihong V.

2014-01-01

Peripheral neuropathy is a common neurological problem that affects millions of people worldwide. Diagnosis and treatment of this condition are often hindered by the difficulties in making objective, noninvasive measurements of nerve fibers. Photoacoustic microscopy (PAM) has the ability to obtain high resolution, specific images of peripheral nerves without exogenous contrast. We demonstrated the first proof-of-concept imaging of peripheral nerves using PAM. As validated by both standard histology and photoacoustic spectroscopy, the origin of photoacoustic signals is myelin, the primary source of lipids in the nerves. An extracted sciatic nerve sandwiched between two layers of chicken tissue was imaged by PAM to mimic the in vivo case. Ordered fibrous structures inside the nerve, caused by the bundles of myelin-coated axons, could be observed clearly. With further technical improvements, PAM can potentially be applied to monitor and diagnose peripheral neuropathies.

The Population Biology and Transmission Dynamics of Loa loa.

PubMed

Whittaker, Charles; Walker, Martin; Pion, Sébastien D S; Chesnais, Cédric B; Boussinesq, Michel; Basáñez, María-Gloria

2018-04-01

Endemic to Central Africa, loiasis - or African eye worm (caused by the filarial nematode Loa loa) - affects more than 10 million people. Despite causing ocular and systemic symptoms, it has typically been considered a benign condition, only of public health relevance because it impedes mass drug administration-based interventions against onchocerciasis and lymphatic filariasis in co-endemic areas. Recent research has challenged this conception, demonstrating excess mortality associated with high levels of infection, implying that loiasis warrants attention as an intrinsic public health problem. This review summarises available information on the key parasitological, entomological, and epidemiological characteristics of the infection and argues for the mobilisation of resources to control the disease, and the development of a mathematical transmission model to guide deployment of interventions. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Season-ahead Drought Forecast Models for the Lower Colorado River Authority in Texas

NASA Astrophysics Data System (ADS)

Block, P. J.; Zimmerman, B.; Grzegorzewski, M.; Watkins, D. W., Jr.; Anderson, R.

2014-12-01

The Lower Colorado River Authority (LCRA) in Austin, Texas, manages the Highland Lakes reservoir system in Central Texas, a series of six lakes on the Lower Colorado River. This system provides water to approximately 1.1 million people in Central Texas, supplies hydropower to a 55-county area, supports rice farming along the Texas Gulf Coast, and sustains in-stream flows in the Lower Colorado River and freshwater inflows to Matagorda Bay. The current, prolonged drought conditions are severely taxing the LCRA's system, making allocation and management decisions exceptionally challenging, and affecting the ability of constituents to conduct proper planning. In this work, we further develop and evaluate season-ahead statistical streamflow and precipitation forecast models for integration into LCRA decision support models. Optimal forecast lead time, predictive skill, form, and communication are all considered.

Estimates of Ground-Water Recharge to the Yakima River Basin Aquifer System, Washington, for Predevelopment and Current Land-Use and Land-Cover Conditions

USGS Publications Warehouse

Vaccaro, J.J.; Olsen, T.D.

2007-01-01

Two models were used to estimate ground-water recharge to the Yakima River Basin aquifer system, Washington for predevelopment (estimate of natural conditions) and current (a multi-year, 1995-2004, composite) land-use and land-cover conditions. The models were the Precipitation-Runoff Modeling System (PRMS) and the Deep Percolation Model (DPM) that are contained in the U.S. Geological Survey's Modular Modeling System. Daily values of recharge were estimated for water years 1950-98 using previously developed PRMS-watershed models for four mainly forested upland areas, and for water years 1950-2003 using DPM applied to 17 semiarid to arid areas in the basin. The mean annual recharge under predevelopment conditions was estimated to be about 11.9 in. or 5,450 ft3/s (about 3.9 million acre-ft) for the 6,207 mi2 in the modeled area. In the modeled areas, recharge ranged from 0.08 in. (1.2 ft3/s) to 34 in. (2,825 ft3/s). About 97 percent of the recharge occurred in the 3,667 mi2 area included in the upland-area models, but much of this quantity is not available to recharge the bedrock hydrogeologic units. Only about 1.0 in., or 187 ft3/s (about 0.14 million acre-ft), was estimated to occur in the 2,540 mi2 area included in the semiarid to arid lowland modeled areas. The mean annual recharge to the aquifer system under current conditions was estimated to be about 15.6 in., or 7,149 ft3/s (about 5.2 million acre-ft). The increase in recharge is due to the application of irrigation water to croplands. The annual quantity of irrigation was more than five times the annual precipitation for some of the modeled areas. Mean annual actual evapotranspiration was estimated to have increased from predevelopment conditions by more than 1,700 ft3/s (about 1.2 million acre-ft) due to irrigation.

Winning the War: A Historical Analysis of the FFA during World War II

ERIC Educational Resources Information Center

Wolf, Kattlyn J.; Connors, James J.

2009-01-01

The United States' participation in World War II affected millions of men, women, and children, both at home and around the world. The war effort also affected the Future Farmers of America (FFA). FFA members, agriculture teachers, and national FFA officers all volunteered to serve their country during the war. Local FFA chapters and individual…

Sub-Saharan Africa Report No. 2807.

DTIC Science & Technology

1983-06-08

USSR Journalists’ Agreement Afghan Revolution Supported GDR Farmers’ Agreement GABON Observers Reportedly Consider Bongo Firmly in...is the position of white workers in South Africa? To what extent have pri- vileges affected their attitudes?" "What is your definition of the...reconversion of huge military expenditure into sound develop- ment programmes to alleviate poverty, illiteracy, disease and hunger which affect millions of

The emergence of modern sea ice cover in the Arctic Ocean.

PubMed

Knies, Jochen; Cabedo-Sanz, Patricia; Belt, Simon T; Baranwal, Soma; Fietz, Susanne; Rosell-Melé, Antoni

2014-11-28

Arctic sea ice coverage is shrinking in response to global climate change and summer ice-free conditions in the Arctic Ocean are predicted by the end of the century. The validity of this prediction could potentially be tested through the reconstruction of the climate of the Pliocene epoch (5.33-2.58 million years ago), an analogue of a future warmer Earth. Here we show that, in the Eurasian sector of the Arctic Ocean, ice-free conditions prevailed in the early Pliocene until sea ice expanded from the central Arctic Ocean for the first time ca. 4 million years ago. Amplified by a rise in topography in several regions of the Arctic and enhanced freshening of the Arctic Ocean, sea ice expanded progressively in response to positive ice-albedo feedback mechanisms. Sea ice reached its modern winter maximum extension for the first time during the culmination of the Northern Hemisphere glaciation, ca. 2.6 million years ago.

Annual summary of ground-water conditions in Arizona, spring 1982 to spring 1983

USGS Publications Warehouse

,

1984-01-01

The withdrawal of ground water was slightly less than 4.2 million acre-feet in Arizona in 1982, which is about 1.2 million acre-feet less than the amount withdrawn in 1981. Most of the decrease in 1982 was in the amount of ground water used for irrigation in the Basin and Range lowlands province. Through 1982, slightly more than 193 million acre-feet of ground water had been withdrawn from the ground-water reservoirs in Arizona. The report contains three small-scale maps that show ground-water pumpage by areas, the status of the ground-water inventory and observation-well program, and the ground-water quality sampling program. The main map, which is at a scale of 1:500,000, shows potential well production, depth to water in selected wells in spring 1983, and change in water level in selected wells from 1978 to 1983. A brief text summarizes the current ground-water conditions in the State. (USGS)

Don't Panic! | NIH MedlinePlus the Magazine

MedlinePlus

... please turn Javascript on. Feature: Phobias and Anxiety Disorders Don't Panic! Past Issues / Fall 2010 Table of Contents Phobias and other anxiety disorders affect millions of Americans. But researchers have found ...

Prevalence of Noninfectious Uveitis in the United States: A Claims-Based Analysis.

PubMed

Thorne, Jennifer E; Suhler, Eric; Skup, Martha; Tari, Samir; Macaulay, Dendy; Chao, Jingdong; Ganguli, Arijit

2016-11-01

Noninfectious uveitis (NIU) is a collection of intraocular inflammatory disorders that may be associated with significant visual impairment. To our knowledge, few studies have investigated NIU prevalence overall or stratified by inflammation location, severity, presence of systemic conditions, age, or sex. To estimate NIU prevalence using a large, retrospective, administrative claims database. This analysis used the OptumHealth Reporting and Insights database to estimate 2012 NIU prevalence. Analysis was conducted in September 2016. The large administrative insurance claims database includes 14 million privately insured individuals in 69 self-insured companies spanning diverse industries. Included in the study were patients with NIU with 2 or more uveitis diagnoses on separate days in 2012 and continuous enrollment in a health plan for all of 2012 and categorized by inflammation site. We estimated overall NIU prevalence by inflammation site, severity, sex, and age. Patients with anterior NIU were categorized by the presence of systemic conditions. Of the approximately 4 million eligible adult patients, approximately 2.1 million were women, and of the 932 260 children, 475 481 were boys. The adult prevalence of NIU was 121 cases per 100 000 persons (95% CI, 117.5-124.3). The pediatric NIU prevalence was 29 cases per 100 000 (95% CI, 26.1-33.2). Anterior NIU accounted for 81% (3904 cases) of adult NIU cases (98 per 100 000; 95% CI, 94.7-100.9) and 75% (207 cases) of pediatric NIU cases (22 per 100 000; 95% CI, 19.3-25.4). The prevalences of noninfectious intermediate, posterior, and panuveitis were, for adults, 1 (95% CI, 0.8-1.5), 10 (95% CI, 9.4-11.5), and 12 (95% CI, 10.6-12.7) per 100 000, respectively, and for pediatric patients, 0 (95% CI, 0.1-1.1), 3 (95% CI, 1.8-4.1), and 4 (95% CI, 2.9-5.6) per 100 000, respectively. The prevalence of NIU increased with age and was higher among adult females than males. Application of these estimates to the US population suggests that NIU affected approximately 298 801 American adults (95% CI, 290 512-307 324) and 21 879 children (95% CI, 19 360-24 626) in 2015. The estimated prevalence of NIU was 121 cases per 100 000 for adults (95% CI, 117.5-124.3) and 29 per 100 000 for children (95% CI, 26.1-33.2). Prevalence was estimated using administrative claims from a commercially insured population, which may have a different prevalence than other segments of the US population. A better understanding of the prevalence of NIU will help to determine the number of patients affected.

A global assessment of closed forests, deforestation and malaria risk

PubMed Central

GUERRA, C. A.; SNOW, R. W.; HAY, S. I.

2011-01-01

Global environmental change is expected to affect profoundly the transmission of the parasites that cause human malaria. Amongst the anthropogenic drivers of change, deforestation is arguably the most conspicuous, and its rate is projected to increase in the coming decades. The canonical epidemiological understanding is that deforestation increases malaria risk in Africa and the Americas and diminishes it in South–east Asia. Partial support for this position is provided here, through a systematic review of the published literature on deforestation, malaria and the relevant vector bionomics. By using recently updated boundaries for the spatial limits of malaria and remotely-sensed estimates of tree cover, it has been possible to determine the population at risk of malaria in closed forest, at least for those malaria-endemic countries that lie within the main blocks of tropical forest. Closed forests within areas of malaria risk cover approximately 1.5 million km2 in the Amazon region, 1.4 million km2 in Central Africa, 1.2 million km2 in the Western Pacific, and 0.7 million km2 in South–east Asia. The corresponding human populations at risk of malaria within these forests total 11.7 million, 18.7 million, 35.1 million and 70.1 million, respectively. By coupling these numbers with the country-specific rates of deforestation, it has been possible to rank malaria-endemic countries according to their potential for change in the population at risk of malaria, as the result of deforestation. The on-going research aimed at evaluating these relationships more quantitatively, through the Malaria Atlas Project (MAP), is highlighted. PMID:16630376

Recent Rates of Forest Harvest and Conversion in North America

NASA Technical Reports Server (NTRS)

Masek, Jeffrey G.; Cohen, Warren B.; Leckie, Donald; Wulder, Michael A.; Vargas, Rodrigo; de Jong, Ben; Healey, Sean; Law, Beverly; Birdsey, Richard; Houghton, R. A.;

PRISM: A Novel Research Tool to Assess the Prevalence of Pseudobulbar Affect Symptoms across Neurological Conditions

PubMed Central

Brooks, Benjamin Rix; Crumpacker, David; Fellus, Jonathan; Kantor, Daniel; Kaye, Randall E.

2013-01-01

Background Pseudobulbar affect (PBA) is a neurological condition characterized by involuntary, sudden, and frequent episodes of laughing and/or crying, which can be socially disabling. Although PBA occurs secondary to many neurological conditions, with an estimated United States (US) prevalence of up to 2 million persons, it is thought to be under-recognized and undertreated. The PBA Registry Series (PRISM) was established to provide additional PBA symptom prevalence data in a large, representative US sample of patients with neurological conditions known to be associated with PBA. Methods Participating clinicians were asked to enroll ≥20 consenting patients with any of 6 conditions: Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), Parkinson’s disease (PD), stroke, or traumatic brain injury (TBI). Patients (or their caregivers) completed the Center for Neurologic Study−Lability Scale (CNS-LS) and an 11-point scale measuring impact of the neurological condition on the patient’s quality of life (QOL). Presence of PBA symptoms was defined as a CNS−LS score ≥13. Demographic data and current use of antidepressant or antipsychotic medications were also recorded. Results PRISM enrolled 5290 patients. More than one third of patients (n = 1944; 36.7%) had a CNS-LS score ≥13, suggesting PBA symptoms. The mean (SD) score measuring impact of neurological condition on QOL was significantly higher (worse) in patients with CNS-LS ≥13 vs <13 (6.7 [2.5] vs. 4.7 [3.1], respectively; P<0.0001 two-sample t-test). A greater percentage of patients with CNS−LS ≥13 versus <13 were using antidepressant/antipsychotic medications (53.0% vs 35.4%, respectively; P<0.0001, chi-square test). Conclusions Data from PRISM, the largest clinic-based study to assess PBA symptom prevalence, showed that PBA symptoms were common among patients with diverse neurological conditions. Higher CNS−LS scores were associated with impaired QOL and greater use of antipsychotic/antidepressant medications. These data underscore a need for greater awareness, recognition, and diagnosis of PBA. PMID:23991068

Effects of Expanded Coverage for Chiropractic Services on Medicare Costs in a CMS Demonstration

PubMed Central

Stason, William B.; Ritter, Grant A; Prottas, Jeffrey; Tompkins, Christopher; Shepard, Donald S.

2016-01-01

Background Moderately convincing evidence supports the benefits of chiropractic manipulations for low back pain. Its effectiveness in other applications is less well documented, and its cost-effectiveness is not known. These questions led the Centers for Medicaid and Medicare Services (CMS) to conduct a two-year demonstration of expanded Medicare coverage for chiropractic services in the treatment of beneficiaries with neuromusculoskeletal (NMS) conditions affecting the back, limbs, neck, or head. Methods The demonstration was conducted in 2005–2007 in selected counties of Illinois, Iowa, and Virginia and the entire states of Maine and New Mexico. Medicare claims were compiled for the preceding year and two demonstration years for the demonstration areas and matched comparison areas. The impact of the demonstration was analyzed through multivariate regression analysis with a difference-in-difference framework. Results Expanded coverage increased Medicare expenditures by $50 million or 28.5% in users of chiropractic services and by $114 million or 10.4% in all patients treated for NMS conditions in demonstration areas during the two-year period. Results varied widely among demonstration areas ranging from increased costs per user of $485 in Northern Illinois and Chicago counties to decreases in costs per user of $59 in New Mexico and $178 in Scott County, Iowa. Conclusion The demonstration did not assess possible decreases in costs to other insurers, out-of-pocket payments by patients, the need for and costs of pain medications, or longer term clinical benefits such as avoidance of orthopedic surgical procedures beyond the two-year period of the demonstration. It is possible that other payers or beneficiaries saved money during the demonstration while costs to Medicare were increased. PMID:26928221

Distribution and formation of high-fluorine groundwater in China

NASA Astrophysics Data System (ADS)

Fuhong, Ren; Shuqin, Jiao

1988-08-01

In China, high-fluorine groundwater, which contains more than 1.0 mg/l fluorine, is mainly distributed in shallow aquifers of unconsolidated deposits in some arid and semiarid areas, deep aquifers of unconsolidated deposits in semiarid areas, as well as in hot springs of bed rock mountainous area and aquifers of fluorite-mine area. Its formation is controlled by regional climate factors, seepage conditions of groundwater, as well as the hydrogeochemical environment. The physicochemical properties of soil mass of the aeration zone play an important role in fluorine concentration in shallow groundwater. In the coastal plain areas, where groundwater is mainly recharged and discharged vertically, and its regime type belongs to the type of infiltration—evaporation, the grain size of soil mass of aeration zone directly influences the amount of fluorine transferred from solid medium into water; and the chemical constituents of the soil mass of aeration zone controls the chemical characteristics of the shallow groundwater, consequently influencing the concentration condition of fluorine in water. Fluorine ion in groundwater continuously migrates and concentrates under the comprehensive influence of many factors. High-fluorine groundwater exceeding the sanitary standard (1.0 mg/l) has an obvious zonality in regional distribution in China. Based on current statistics, there are roughly 50 million people (Zheng Qifu 1986) who have consumed water which exceeds standards in China. In highfluorine groundwater areas, endemic fluorine-poisoning often arises to different extents, affecting human health seriously. At the end of 1983, over 20 million patients were suffering from fluorine-poisoning diseases in China (Xu Guozhang, unpublished data). Therefore, research of the distribution feature and formation mechanism of fluorine ion in groundwater has become an important task.

Effects of Expanded Coverage for Chiropractic Services on Medicare Costs in a CMS Demonstration.

PubMed

Stason, William B; Ritter, Grant A; Martin, Timothy; Prottas, Jeffrey; Tompkins, Christopher; Shepard, Donald S

2016-01-01

Moderately convincing evidence supports the benefits of chiropractic manipulations for low back pain. Its effectiveness in other applications is less well documented, and its cost-effectiveness is not known. These questions led the Centers for Medicaid and Medicare Services (CMS) to conduct a two-year demonstration of expanded Medicare coverage for chiropractic services in the treatment of beneficiaries with neuromusculoskeletal (NMS) conditions affecting the back, limbs, neck, or head. The demonstration was conducted in 2005-2007 in selected counties of Illinois, Iowa, and Virginia and the entire states of Maine and New Mexico. Medicare claims were compiled for the preceding year and two demonstration years for the demonstration areas and matched comparison areas. The impact of the demonstration was analyzed through multivariate regression analysis with a difference-in-difference framework. Expanded coverage increased Medicare expenditures by $50 million or 28.5% in users of chiropractic services and by $114 million or 10.4% in all patients treated for NMS conditions in demonstration areas during the two-year period. Results varied widely among demonstration areas ranging from increased costs per user of $485 in Northern Illinois and Chicago counties to decreases in costs per user of $59 in New Mexico and $178 in Scott County, Iowa. The demonstration did not assess possible decreases in costs to other insurers, out-of-pocket payments by patients, the need for and costs of pain medications, or longer term clinical benefits such as avoidance of orthopedic surgical procedures beyond the two-year period of the demonstration. It is possible that other payers or beneficiaries saved money during the demonstration while costs to Medicare were increased.

Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification - United States, 2015.

PubMed

Boring, Michael A; Hootman, Jennifer M; Liu, Yong; Theis, Kristina A; Murphy, Louise B; Barbour, Kamil E; Helmick, Charles G; Brady, Terry J; Croft, Janet B

2017-05-26

Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.4 million adults (3). The impact of arthritis is considerable: an estimated 23.7 million adults have arthritis-attributable activity limitation (AAAL). The age-standardized prevalence of AAAL increased nearly 20% from 2002 to 2015 (3). Arthritis prevalence varies widely by state (range = 19%-36%) and county (range = 16%-39%) (4). Despite what is known about arthritis prevalence at the national, state, and county levels and the substantial impact of arthritis, little is known about the prevalence of arthritis and AAAL across urban-rural areas overall and among selected subgroups. To estimate the prevalence of arthritis and AAAL by urban-rural categories CDC analyzed data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS). The unadjusted prevalence of arthritis in the most rural areas was 31.8% (95% confidence intervals [CI] = 31.0%-32.5%) and in the most urban, was 20.5% (95% CI = 20.1%-21.0%). The unadjusted AAAL prevalence among adults with arthritis was 55.3% in the most rural areas and 49.7% in the most urban. Approximately 1 in 3 adults in the most rural areas have arthritis and over half of these adults have AAAL. Wider use of evidence-based interventions including physical activity and self-management education in rural areas might help reduce the impact of arthritis and AAAL.

Chronobiology and chronotherapy of allergic rhinitis and bronchial asthma.

PubMed

Smolensky, Michael H; Lemmer, Bjoern; Reinberg, Alain E

2007-08-31

Study of the chronobiology of allergic rhinitis (AR) and bronchial asthma (BA) and the chronopharmacology and chronotherapy of the medications used in their treatment began five decades ago. AR is an inflammatory disease of the upper airway tissue with hypersensitivity to specific environmental antigens, resulting in further local inflammation, vasomotor changes, and mucus hypersecretion. Symptoms include sneezing, nasal congestion, and runny and itchy nose. Approximately 25% of children and 40% of adults in USA are affected by AR during one or more seasons of the year. The manifestation and severity of AR symptoms exhibit prominent 24-h variation; in most persons they are worse overnight or early in the morning and often comprise nighttime sleep, resulting in poor daytime quality of life, compromised school and work performance, and irritability and moodiness. BA is also an inflammatory medical condition of the lower airways characterized by hypersensitivity to specific environmental antigens, resulting in greater local inflammation as well as bronchoconstriction, vasomotor change, and mucus hypersecretion. In USA an estimated 6.5 million children and 15.7 million adults have BA. The onset and worsening of BA are signaled by chest wheeze and/or croupy cough and difficult and labored breathing. Like AR, BA is primarily a nighttime medical condition. AR is treated with H1-antagonist, decongestant, and anti-inflammatory (glucocorticoid and leukotriene receptor antagonist and modifier) medications. Only H1-antagonist AR medications have been studied for their chronopharmacology and potential chronotherapy. BA is treated with some of the same medications and also theophylline and beta2-agonists. The chronopharmacology and chronotherapy of many classes of BA medications have been explored. This article reviews the rather extensive knowledge of the chronobiology of AR and BA and the chronopharmacology and chronotherapy of the various medications used in their treatment.

Space station ventilation study

NASA Technical Reports Server (NTRS)

Colombo, G. V.; Allen, G. E.

1972-01-01

A ventilation system design and selection method which is applicable to any manned vehicle were developed. The method was used to generate design options for the NASA 33-foot diameter space station, all of which meet the ventilation system design requirements. System characteristics such as weight, volume, and power were normalized to dollar costs for each option. Total system costs for the various options ranged from a worst case $8 million to a group of four which were all approximately $2 million. A system design was then chosen from the $2 million group and is presented in detail. A ventilation system layout was designed for the MSFC space station mockup which provided comfortable, efficient ventilation of the mockup. A conditioned air distribution system design for the 14-foot diameter modular space station, using the same techniques, is also presented. The tradeoff study resulted in the selection of a system which costs $1.9 million, as compared to the alternate configuration which would have cost $2.6 million.

Urologic diseases in America Project: analytical methods and principal findings.

PubMed

Litwin, Mark S; Saigal, Christopher S; Yano, Elizabeth M; Avila, Chantal; Geschwind, Sandy A; Hanley, Jan M; Joyce, Geoffrey F; Madison, Rodger; Pace, Jennifer; Polich, Suzanne M; Wang, Mingming

2005-03-01

The burden of urological diseases on the American public is immense in human and financial terms but it has been under studied. We undertook a project, Urologic Diseases in America, to quantify the burden of urological diseases on the American public. We identified public and private data sources that contain population based data on resource utilization by patients with benign and malignant urological conditions. Sources included the Centers for Medicare and Medicaid Services, National Center for Health Statistics, Medical Expenditure Panel Survey, National Health and Nutrition Examination Survey, Department of Veterans Affairs, National Association of Children's Hospitals and Related Institutions, and private data sets maintained by MarketScan Health and Productivity Management (MarketScan, Chichester, United Kingdom), Ingenix (Ingenix, Salt Lake City, Utah) and Center for Health Care Policy and Evaluation. Using diagnosis and procedure codes we described trends in the utilization of urological services. In 2000 urinary tract infections accounted for more than 6.8 million office visits and 1.3 million emergency room visits, and 245,000 hospitalizations in women with an annual cost of more than 2.4 billion dollars. Urinary tract infections accounted for more than 1.4 million office visits, 424,000 emergency room visits and 121,000 hospitalizations in men with an annual cost of more than 1 billion dollars. Benign prostatic hyperplasia was the primary diagnosis in more than 4.4 million office visits, 117,000 emergency room visits and 105,000 hospitalizations, accounting for 1.1 billion dollars in expenditures that year. Urolithiasis was the primary diagnosis for almost 2 million office visits, more than 600,000 emergency room visits, and more than 177,000 hospitalizations, totaling more than 2 billion dollars in annual expenditures. Urinary incontinence in women was the primary cause for more than 1.1 million office visits in 2000 and 452 million dollars in aggregate primary cause for more than 1.1 million office visits in 2000 and 452 million dollars in aggregate annual expenditures. Other manuscripts in this series present further detail for specific urologic conditions. Recent trends in epidemiology, practice patterns, resource utilization and costs for urological diseases have broad implications for quality of health care, access to care and the equitable allocation of scarce resources for clinical care and research.

Engineering of beam direct conversion for a 120-kV, 1-MW ion beam

NASA Technical Reports Server (NTRS)

Barr, W. L.; Doggett, J. N.; Hamilton, G. W.; Kinney, J. D.; Moir, R. W.

1977-01-01

Practical systems for beam direct conversion are required to recover the energy from ion beams at high efficiency and at very high beam power densities in the environment of a high-power neutral-injection system. Such an experiment is now in progress using a 120-kV beam with a maximum total current of 20 A. After neutralization, the H(+) component to be recovered will have a power of approximately 1 MW. A system testing these concepts has been designed and tested at 15 kV, 2 kW in preparation for the full-power tests. The engineering problems involved in the full-power tests affect electron suppression, gas pumping, voltage holding, diagnostics, and measurement conditions. Planning for future experiments at higher power includes the use of cryopumping and electron suppression by a magnetic field rather than by an electrostatic field. Beam direct conversion for large fusion experiments and reactors will save millions of dollars in the cost of power supplies and electricity and will dispose of the charged beam under conditions that may not be possible by other techniques.

[Allergic rhinitis update and its impact on asthma (ARIA 2008). Latin American perspective].

PubMed

Cagnani, Carlos E Baena; Solé, Dirceu; Díaz, Sandra N González; Zernotti, Mario E; Sisul, Juan C; Borges, Mario Sánchez; Guzmán, María Antonieta; Ivancevich, Juan C; Cepeda, Alfonso; Pérez, Noel Rodríguez; Gereda, José; Cruz, Alvaro; Croce, Victor H; Khaltaev, Nikolai; Bousquet, Jean

2009-01-01

Rhinitis is the most frequent respiratory disease in most countries of the world. It is estimated that 600 million people suffer this condition. Allergic rhinitis is a public health problem at global level. Patients who suffer allergic rhinitis have from mild to annoying nasal symptoms which affect quality of life, cause sleep disorders, scholar and workplace absenteeism, and health expenditure. Rhinitis is frequently associated to co-morbidities such as sinusitis, otitis media, and especially asthma. Rhinitis is under-diagnosed and under-treated worldwide and also in Latin American countries. ARIA is the very first evidence-based guideline for the diagnosis and treatment of rhinitis with focus in its co-morbidities (2001), especially asthma published in 2001. In 2008 an update was published. ARIA recommends an integrative approach for management; including anti-histamines (second generation), intra-nasal corticosteroids, anti-leukotrienes and immunotherapy. It also provides a questionnaire to evaluate asthma and its severity in those patients suffering rhinitis. The prevalence of allergic rhinitis is quite high in Latin American countries and in recent years a great insight on the burden of this condition has been gained.

Low Speed Analysis of Mission Adaptive Flaps on a High Speed Civil Transport Configuration

NASA Technical Reports Server (NTRS)

Lessard, Victor R.

1999-01-01

Thin-layer Navier-Stokes analyses were done on a high speed civil transport configuration with mission adaptive leading-edge flaps. The flow conditions simulated were Mach = 0.22 and Reynolds number of 4.27 million for angles-of-attack ranging from 0 to 18 degrees. Two turbulence closure models were used. Analyses were done exclusively with the Baldwin-Lomax turbulence model at low angle-of-attack conditions. At high angles-of-attack where considerable flow separation and vortices occurred the Spalart-Allmaras turbulence model was also considered. The effects of flow transition were studied. Predicted aerodynamic forces, moment, and pressure are compared to experimental data obtained in the 14- by 22-Foot Subsonic Tunnel at NASA Langley. The forces and moments correlated well with experimental data in terms of trends. Drag and pitching moment were consistently underpredicted. Predicted surface pressures compared well with experiment at low angles-of-attack. Above 10 angle-of-attack the pressure comparisons were not as favorable. The two turbulent models affected the pressures on the flap considerably and neither produced correct results at the high angles-of-attack.

Dynamics of Diabetes and Obesity: Epidemiological Perspective

PubMed Central

Boles, Annette; Kandimalla, Ramesh; Reddy, P. Hemachandra

2017-01-01

The purpose of this review article is to understand the current literature on obesity, diabetes and therapeutic avenues across the world. Diabetes is a chronic lifestyle condition that affects millions of people worldwide and it is a major health concern in our society. Diabetes and obesity are associated with various conditions, including non-modifiable and modifiable risk factors. Early detectable markers are not well established to detect pre-diabetes and as a result, it becomes diabetes. Several published epidemiological studies were assessed and the findings were summarized. Resources from published studies were used to identify criteria used for pre-diabetes, the role of diet in pre-diabetics and potential risks and characteristics associated with pre-diabetes. Preventive strategies are needed to combat diabetes. Individuals diagnosed with pre-diabetes need detailed education, need to fully understand the risk factors and have the ability to manage diabetes. Interventions exist that include chronic disease self-management programs, lifestyle interventions and pharmacological strategies. Obesity plays a large role in causing pre-diabetes and diabetes. Critical analysis of existing epidemiological research data suggests that additional research is needed to determine the efficacy of interventions. PMID:28130199

Chicago's urban forest ecosystem: results of the Chicago Urban Forest Climate Project

Treesearch

Gregory E. McPherson; David J. Nowak; Rowan A. Rowntree

1994-01-01

Results of the 3-year Chicago Urban Forest Climate Project indicate that there are an estimated 50.8 million trees in the Chicago area of Cook and DuPage Counties; 66 percent of these trees rated in good or excellent condition. During 1991, trees in the Chicago area removed an estimated 6,145 tons of air pollutants, providing air cleansing valued at $9.2 million...

Is glucose-6-phosphate dehydrogenase deficiency more prevalent in Carrion's disease endemic areas in Latin America?

PubMed

Mazulis, Fernando; Weilg, Claudia; Alva-Urcia, Carlos; Pons, Maria J; Del Valle Mendoza, Juana

2015-12-01

Glucose-6-phosphate dehydrogenase (G6PD) is a cytoplasmic enzyme with an important function in cell oxidative damage prevention. Erythrocytes have a predisposition towards oxidized environments due to their lack of mitochondria, giving G6PD a major role in its stability. G6PD deficiency (G6PDd) is the most common enzyme deficiency in humans; it affects approximately 400 million individuals worldwide. The overall G6PDd allele frequency across malaria endemic countries is estimated to be 8%, corresponding to approximately 220 million males and 133 million females. However, there are no reports on the prevalence of G6PDd in Andean communities where bartonellosis is prevalent. Copyright © 2015 Hainan Medical College. Production and hosting by Elsevier B.V. All rights reserved.

A long history of equatorial deep-water upwelling in the Pacific Ocean

NASA Astrophysics Data System (ADS)

Zhang, Yi Ge; Pagani, Mark; Henderiks, Jorijntje; Ren, Haojia

2017-06-01

Cold, nutrient- and CO2-rich waters upwelling in the eastern equatorial Pacific (EEP) give rise to the Pacific cold tongue. Quasi-periodic subsidence of the thermocline and attenuation in wind strength expressed by El Niño conditions decrease upwelling rates, increase surface-water temperatures in the EEP, and lead to changes in regional climates both near and far from the equatorial Pacific. EEP surface waters have elevated CO2 concentrations during neutral (upwelling) or La Niña (strong upwelling) conditions. In contrast, approximate air-sea CO2 equilibrium characterizes El Niño events. One hypothesis proposes that changes in physical oceanography led to the establishment of a deep tropical thermocline and expanded mixed-layer prior to 3 million years ago. These effects are argued to have substantially reduced deep-water upwelling rates in the EEP and promoted a "permanent El Niño-like" climate state. For this study, we test this supposition by reconstructing EEP "excess CO2" and upwelling history for the past 6.5 million years using the alkenone-pCO2 methodology. Contrary to previous assertions, our results indicate that average temporal conditions in the EEP over the past ∼6.5 million years were characterized by substantial CO2 disequilibrium and high nutrient delivery to surface waters - characteristics that imply strong upwelling of deep waters. Upwelling appears most vigorous between ∼6.5 to 4.5 million years ago coinciding with high accumulation rates of biogenic material during the late Miocene - early Pliocene "biogenic bloom".

Using Technology to Improve Access to Mental Health Services.

PubMed

Cortelyou-Ward, Kendall; Rotarius, Timothy; Honrado, Jed C

Mental ill-health is a public health threat that is prevalent throughout the United States. Tens of millions of Americans have been diagnosed along the continuum of mental ill-health, and many more millions of family members and friends are indirectly affected by the pervasiveness of mental ill-health. Issues such as access and the societal stigma related to mental health issues serve as deterrents to patients receiving their necessary care. However, technological advances have shown the potential to increase access to mental health services for many patients.

Recommendations for Future Army Analysis Efforts. Volume 4. Key Questions and Recommendations for Future Analysis Efforts on Explaining the Army and Supporting the Soldier

DTIC Science & Technology

1988-04-14

McDonalds or Burger King for snack shops, Marriott for messing/billeting facilities, etc.? RECOMMENDED ELEMENTS OF ANALYSIS/TOPICAL AREAS: DATE RESULTS ITEM...e.g., a Burger King on post) now brings in about SI million per month to the family support coffers. It began in 1984 and has returned $21 million...Army, private sector franchises and family support. - The first or leading question is whether the family affects retention and, if so, what the Army

Children and divorce: overview and analysis.

PubMed

Behrman, R E

1994-01-01

Over the past two decades, more than one million children each year have experienced a family divorce, and the proportion of children affected by divorce is expected to grow substantially in the twenty-first century. Most of these children experience significant changes in their living arrangements, and the poverty rate for children of divorce is about twice the rate for all children in the United States. We are, therefore, devoting this issue of the journal to divorce because it is a crucial factor in the lives of millions of children in this country.

Effects of canola meal pellet conditioning temperature and time on ruminal and intestinal digestion, hourly effective degradation ratio, and potential nitrogen to energy synchronization in dairy cows.

PubMed

Huang, Xuewei; Khan, Nazir A; Zhang, Xuewei; Yu, Peiqiang

2015-12-01

The increase in bio-oil production in North America has resulted in millions of tonnes of co-products: canola meal and carinata meal. Little research has been conducted to determine the effect of pellet conditioning temperature, time, and their interaction on processing-induced changes in nutrient digestibility in the rumen and intestine (in vitro) of dairy cattle. The objectives of this study were to investigate the effects of conditioning temperature (70, 80, and 90°C), time (50 and 75 s), and their interaction (temperature × time) during the pelleting of canola meal on (1) rumen degradation kinetics and effective rumen degradability of dry matter, crude protein (CP), and neutral detergent fiber; (2) intestinal digestibility of rumen-undegradable protein (RUP); and (3) hourly effective rumen degradation ratio and potential N to energy synchronization in dairy cattle. The results showed that the temperature and duration of pellet conditioning significantly altered the degradation characteristics of nutrients in the rumen. Pelleting increased CP degradation in the rumen, and CP digestion site was shifted to the rumen rather than to the small intestine. When conditioning temperature was set 80°C, the rumen degradation of CP and neutral detergent fiber was highest, but postrumen digestion was lowest. With respect to intestinal digestion, the available CP for intestinal digestion became less because of reduced RUP supply to the small intestine. The pelleting process tended to significantly affect the intestinal digestibility of RUP. However, the total digestible CP content of canola meal was not affected. In conclusion, pelleting induced changes in rumen and intestinal digestion profiles, and altered the potential N to energy synchronization and hourly effective rumen degradation ratio of canola meal in dairy cattle. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Peripheral Artery Disease

MedlinePlus

... narrow or block the arteries and limit the flow of oxygen-rich blood to your body. Risk Factors Peripheral artery disease (P.A.D.) affects millions of people in the United States. The disease is more common in blacks than ...

Heat transfer investigation of Langley Research Center transition models at a Mach number of 8, volume 2

NASA Technical Reports Server (NTRS)

Matthews, R. K.; Martindale, W. R.; Warmbrod, J. D.; Johnson, C. B.

1972-01-01

The results are presented of a wind tunnel test program to determine aerodynamic heat transfer distributions on delta body and straight body transition models of the space shuttle. Heat transfer rates were determined by the phase-change paint technique on Stycast and RTV models using Tempilag as the surface temperature indicator. The nominal test conditions were: Mach 8, length Reynolds numbers of 5 million and 7.4 million, and angles of attack of 20, 40, and 60 deg. Model details, test conditions, and reduced heat transfer data are included. Data reduction of the phase-change paint photographs was performed by utilizing a new technique.

MK-801 treatment affects glycolysis in oligodendrocytes more than in astrocytes and neuronal cells: insights for schizophrenia

PubMed Central

Guest, Paul C.; Iwata, Keiko; Kato, Takahiro A.; Steiner, Johann; Schmitt, Andrea; Turck, Christoph W.; Martins-de-Souza, Daniel

2015-01-01

Schizophrenia is a debilitating mental disorder, affecting more than 30 million people worldwide. As a multifactorial disease, the underlying causes of schizophrenia require analysis by multiplex methods such as proteomics to allow identification of whole protein networks. Previous post-mortem proteomic studies on brain tissues from schizophrenia patients have demonstrated changes in activation of glycolytic and energy metabolism pathways. However, it is not known whether these changes occur in neurons or in glial cells. To address this question, we treated neuronal, astrocyte, and oligodendrocyte cell lines with the NMDA receptor antagonist MK-801 and measured the levels of six glycolytic enzymes by Western blot analysis. MK-801 acts on the glutamatergic system and has been proposed as a pharmacological means of modeling schizophrenia. Treatment with MK-801 resulted in significant changes in the levels of glycolytic enzymes in all cell types. Most of the differences were found in oligodendrocytes, which had altered levels of hexokinase 1 (HK1), enolase 2 (ENO2), phosphoglycerate kinase (PGK), and phosphoglycerate mutase 1 after acute MK-801 treatment (8 h), and HK1, ENO2, PGK, and triosephosphate isomerase (TPI) following long term treatment (72 h). Addition of the antipsychotic clozapine to the cultures resulted in counter-regulatory effects to the MK-801 treatment by normalizing the levels of ENO2 and PGK in both the acute and long term cultures. In astrocytes, MK-801 affected only aldolase C (ALDOC) under both acute conditions and HK1 and ALDOC following long term treatment, and TPI was the only enzyme affected under long term conditions in the neuronal cells. In conclusion, MK-801 affects glycolysis in oligodendrocytes to a larger extent than neuronal cells and this may be modulated by antipsychotic treatment. Although cell culture studies do not necessarily reflect the in vivo pathophysiology and drug effects within the brain, these results suggest that neurons, astrocytes, and oligodendrocytes are affected differently in schizophrenia. Employing in vitro models using neurotransmitter agonists and antagonists may provide new insights about the pathophysiology of schizophrenia which could lead to a novel system for drug discovery. PMID:26029051

World health dilemmas: Orphan and rare diseases, orphan drugs and orphan patients

PubMed Central

Kontoghiorghe, Christina N; Andreou, Nicholas; Constantinou, Katerina; Kontoghiorghes, George J

2014-01-01

According to global annual estimates hunger/malnutrition is the major cause of death (36 of 62 million). Cardiovascular diseases and cancer (5.44 of 13.43 million) are the major causes of death in developed countries, while lower respiratory tract infections, human immunodeficiency virus infection/acquired immunodeficiency syndrome, diarrhoeal disease, malaria and tuberculosis (10.88 of 27.12 million) are the major causes of death in developing countries with more than 70% of deaths occurring in children. The majority of approximately 800 million people with other rare diseases, including 100000 children born with thalassaemia annually receive no treatment. There are major ethical dilemmas in dealing with global health issues such as poverty and the treatment of orphan and rare diseases. Of approximately 50000 drugs about 10% are orphan drugs, with annual sales of the latter approaching 100 billion USD. In comparison, the annual revenue in 2009 from the top 12 pharmaceutical companies in Western countries was 445 billion USD and the top drug, atorvastatin, reached 100 billion USD. In the same year, the total government expenditure for health in the developing countries was 410 billion USD with only 6%-7% having been received as aid from developed countries. Drugs cost the National Health Service in the United Kingdom more than 20 billion USD or 10% of the annual health budget. Uncontrollable drug prices and marketing policies affect global health budgets, clinical practice, patient safety and survival. Fines of 5.3 billion USD were imposed on two pharmaceutical companies in the United States, the regulatory authority in France was replaced and clinicians were charged with bribery in order to overcome recent illegal practises affecting patient care. High expenditure for drug development is mainly related to marketing costs. However, only 2 million USD was spent developing the drug deferiprone (L1) for thalassaemia up to the stage of multicentre clinical trials. The criteria for drug development, price levels and use needs to be readdressed to improve drug safety and minimise costs. New global health policies based on cheaper drugs can help the treatment of many categories of orphan and rare diseases and millions of orphan patients in developing and developed countries. PMID:25332915

World health dilemmas: Orphan and rare diseases, orphan drugs and orphan patients.

PubMed

Kontoghiorghe, Christina N; Andreou, Nicholas; Constantinou, Katerina; Kontoghiorghes, George J

2014-09-26

According to global annual estimates hunger/malnutrition is the major cause of death (36 of 62 million). Cardiovascular diseases and cancer (5.44 of 13.43 million) are the major causes of death in developed countries, while lower respiratory tract infections, human immunodeficiency virus infection/acquired immunodeficiency syndrome, diarrhoeal disease, malaria and tuberculosis (10.88 of 27.12 million) are the major causes of death in developing countries with more than 70% of deaths occurring in children. The majority of approximately 800 million people with other rare diseases, including 100000 children born with thalassaemia annually receive no treatment. There are major ethical dilemmas in dealing with global health issues such as poverty and the treatment of orphan and rare diseases. Of approximately 50000 drugs about 10% are orphan drugs, with annual sales of the latter approaching 100 billion USD. In comparison, the annual revenue in 2009 from the top 12 pharmaceutical companies in Western countries was 445 billion USD and the top drug, atorvastatin, reached 100 billion USD. In the same year, the total government expenditure for health in the developing countries was 410 billion USD with only 6%-7% having been received as aid from developed countries. Drugs cost the National Health Service in the United Kingdom more than 20 billion USD or 10% of the annual health budget. Uncontrollable drug prices and marketing policies affect global health budgets, clinical practice, patient safety and survival. Fines of 5.3 billion USD were imposed on two pharmaceutical companies in the United States, the regulatory authority in France was replaced and clinicians were charged with bribery in order to overcome recent illegal practises affecting patient care. High expenditure for drug development is mainly related to marketing costs. However, only 2 million USD was spent developing the drug deferiprone (L1) for thalassaemia up to the stage of multicentre clinical trials. The criteria for drug development, price levels and use needs to be readdressed to improve drug safety and minimise costs. New global health policies based on cheaper drugs can help the treatment of many categories of orphan and rare diseases and millions of orphan patients in developing and developed countries.

Infectious disease risk and international tourism demand.

PubMed

Rosselló, Jaume; Santana-Gallego, Maria; Awan, Waqas

2017-05-01

 For some countries, favourable climatic conditions for tourism are often associated with favourable conditions for infectious diseases, with the ensuing development constraints on the tourist sectors of impoverished countries where tourism's economic contribution has a high potential. This paper evaluates the economic implications of eradication of Malaria, Dengue, Yellow Fever and Ebola on the affected destination countries focusing on the tourist expenditures.  A gravity model for international tourism flows is used to provide an estimation of the impact of each travel-related disease on international tourist arrivals. Next the potential eradication of these diseases in the affected countries is simulated and the impact on tourism expenditures is estimated.  The results show that, in the case of Malaria, Dengue, Yellow Fever and Ebola, the eradication of these diseases in the affected countries would result in an increase of around 10 million of tourist worldwide and a rise in the tourism expenditure of 12 billion dollars.  By analysing the economic benefits of the eradication of Dengue, Ebola, Malaria, and Yellow Fever for the tourist sector-a strategic economic sector for many of the countries where these TRD are present-this paper explores a new aspect of the quantification of health policies which should be taken into consideration in future international health assessment programmes. It is important to note that the analysis is only made of the direct impact of the diseases' eradication and consequently the potential multiplicative effects of a growth in the GDP, in terms of tourism attractiveness, are not evaluated. Consequently, the economic results can be considered to be skeleton ones. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Estimated value of insurance premium due to Citarum River flood by using Bayesian method

NASA Astrophysics Data System (ADS)

Sukono; Aisah, I.; Tampubolon, Y. R. H.; Napitupulu, H.; Supian, S.; Subiyanto; Sidi, P.

2018-03-01

Citarum river flood in South Bandung, West Java Indonesia, often happens every year. It causes property damage, producing economic loss. The risk of loss can be mitigated by following the flood insurance program. In this paper, we discussed about the estimated value of insurance premiums due to Citarum river flood by Bayesian method. It is assumed that the risk data for flood losses follows the Pareto distribution with the right fat-tail. The estimation of distribution model parameters is done by using Bayesian method. First, parameter estimation is done with assumption that prior comes from Gamma distribution family, while observation data follow Pareto distribution. Second, flood loss data is simulated based on the probability of damage in each flood affected area. The result of the analysis shows that the estimated premium value of insurance based on pure premium principle is as follows: for the loss value of IDR 629.65 million of premium IDR 338.63 million; for a loss of IDR 584.30 million of its premium IDR 314.24 million; and the loss value of IDR 574.53 million of its premium IDR 308.95 million. The premium value estimator can be used as neither a reference in the decision of reasonable premium determination, so as not to incriminate the insured, nor it result in loss of the insurer.

Plate Speed-up and Deceleration during Continental Rifting: Insights from Global 2D Mantle Convection Models.

NASA Astrophysics Data System (ADS)

Brune, S.; Ulvrova, M.; Williams, S.

2017-12-01

The surface of the Earth is divided into a jigsaw of tectonic plates, some carrrying continents that disperse and aggregate through time, forming transient supercontinents like Pangea and Rodinia. Here, we study continental rifting using large-scale numerical simulations with self-consistent evolution of plate boundaries, where continental break-up emerges spontaneously due to slab pull, basal drag and trench suction forces.We use the StagYY convection code employing a visco-plastic rheology in a spherical annulus geometry. We consider an incompressible mantle under the Boussinesq approximation that is basally and internally heated.We show that continental separation follows a characteristic evolution with three distinctive phases: (1) A pre-rift phase that typically lasts for several hundreds of millions of years with tectonic quiescence in the suture and extensional stresses that are slowly building up. (2) A rift phase that further divides into a slow rift period of several tens of millions of years where stresses continuously increase followed by a rift acceleration period featuring an abrupt stress drop within several millions of years. The speed-up takes place before lithospheric break-up and therefore affects the structural architecture of the rifted margins. (3) The drifting phase with initially high divergence rates persists over tens of millions of years until the system adjust to new conditions and the spreading typically slows down.By illustrating the geodynamic connection between subduction dynamics and rift evolution, our results allow new interpretations of plate tectonic reconstructions. Rift acceleration within the second phase of rifting is compensated by enhanced convergence rates at subduction zones. This model outcome predicts enhanced subduction velocities, e.g. between North America and the Farallon plate during Central Atlantic rifting 200 My ago, or closure of potential back-arc basins such as in the proto-Andean ranges of South America during South Atlantic opening. Post-rift deceleration occurs when the global plate system re-equilibrates after continental rupture. This phenomenon of a plate slow-down after mechanical rupture is recorded by observations from rifted margins between Australia-Antarctica and Greenland-Eurasia.

Biopsychosocial Characteristics of Community-dwelling Older Adults with Limited Ability to Walk ¼ Mile

PubMed Central

Hardy, Susan E.; McGurl, David J.; Studenski, Stephanie A.; Degenholtz, Howard B.

2010-01-01

Objectives To establish nationally representative estimates of the prevalence of self-reported difficulty and inability to walk ¼ mile among older adults and to identify the characteristics independently associated with difficulty or inability to walk ¼ mile. Design Cross-sectional analysis of data from the 2003 Cost and Use Medicare Current Beneficiary Survey. Setting Community. Participants 9563 community-dwelling Medicare beneficiaries aged 65 years or older, representing an estimated total population of 34.2 million older adults. Measurements Self-reported ability to walk ¼ mile, sociodemographics, chronic conditions, body mass index, smoking, and functional status. Results In 2003, an estimated 9.5 million aged Medicare beneficiaries had difficulty walking ¼ mile and 5.9 million were unable. Among the 20.2 million older adults with no difficulty in basic or instrumental activities of daily living (ADL), an estimated 4.3 million (21%) had limited ability to walk ¼ mile. Having difficulty or being unable to walk ¼ mile was independently associated with older age, female sex, non-Hispanic ethnicity, lower educational level, Medicaid entitlement, most chronic medical conditions, current smoking, and being overweight or obese. Conclusion Almost half of older adults, and 20% of those reporting no ADL limitations, report limited ability to walk ¼ mile. Among functionally independent older adults, reported ability to walk ¼ mile can identify vulnerable older adults with greater medical problems and fewer resources, and may be a valuable clinical marker in planning their care. Future work is needed to determine the association between ¼ mile walk ability and subsequent functional decline and healthcare utilization. PMID:20210817

National estimates of hospital utilization by children with gastrointestinal disorders: analysis of the 1997 kids' inpatient database.

PubMed

Guthery, Stephen L; Hutchings, Caroline; Dean, J Michael; Hoff, Charles

2004-05-01

To identify and to generate national estimates of the principal gastrointestinal (GI) diagnoses associated with hospital utilization and to describe national hospital utilization patterns associated with pediatric GI disorders. We analyzed a nationwide and stratified probability sample of 1.9 million hospital discharges from 1997 of children 18 years and younger, weighted to 6.7 million discharges nationally. Principal GI diagnoses were identified through the use of the Clinical Classification Software and Major Diagnostic Categories. In 1997 in the United States, there were 329,825 pediatric discharges associated with a principal GI diagnosis, accounting for more than 2.6 billion US dollars in hospital charges and more than 1.1 million hospital days. Appendicitis, intestinal infection, noninfectious gastroenteritis, abdominal pain, esophageal disorders, and digestive congenital anomalies combined accounted for 75.1% of GI discharge diagnoses, 64.2% of GI hospital charges, and 68.0% of GI hospital days. Excluding normal newborn infants and conditions related to pregnancy, GI disorders were the third leading cause of hospitalization. GI disorders are a leading cause of hospitalization of children. A minority of GI conditions account for the majority of measures of utilization. Children are hospitalized for GI conditions and at institutions that are distinct from adults.

THE ECONOMIC BURDEN OF NONCERVICAL HUMAN PAPILLOMAVIRUS DISEASE IN THE UNITED STATES

PubMed Central

Hu, Delphine; Goldie, Sue J.

2008-01-01

Objective The purpose of this study was: (1) to estimate the direct medical costs of 7 major noncervical human papillomavirus (HPV)-related conditions, including genital cancers, mouth and oropharyngeal cancers, anogenital warts, and juvenile-onset recurrent respiratory papillomatosis; and (2) to approximate the economic burden of noncervical HPV disease. Study Design For each condition, we synthesized the best available secondary data to produce lifetime cost per case estimates, expressed in present value. Using an incidence-based approach, we then applied these costs to develop an aggregrate measure of economic burden. Results The economic burden associated with noncervical HPV 6,11,16, and 18-related conditions occurring in Americans in the year 2003 approximates $418 million (range, $160 million-$1.6 billion). Conclusion The economic burden of noncervical HPV disease is substantial. Analyses that assess the value of investments in HPV prevention and control programs, should take into account the costs, morbidity, and mortality associated with these conditions. PMID:18455524

Erosion in the Healthcare Safety Net: Impacts on Different Population Groups.

PubMed

Mobley, Lee; Kuo, Tzy-Mey; Bazzoli, Gloria J

2011-03-30

Safety net hospitals (SNHs) have played a critical role in the U.S. health system providing access to health care for vulnerable populations, in particular the Medicaid and uninsured populations. However, little research has examined how access for these populations changes when contraction of the safety net occurs. Institutional policies, such as hospital closure or ownership conversion, could affect the supply of minority health care providers, thus exacerbating disparities in outcomes. We use multilevel logistic modeling of person-level hospital discharge data to examine the effects of contractions in the California safety net over the period of 1990-2000 on access to care as measured by changes in ambulatory care sensitive condition (ACSC) admissions, using geographic methods to characterize proximity to a contraction event. We found that presence of a contraction event was associated with a statistically significant increase in the predicted probability of impeded access, with an increase of about 1% for Medicaid-insured populations and about 4-5% for the uninsured. The Medicaid-insured group also maintained the highest rates of ACSC admissions over time, suggesting persistent access problems for this vulnerable group. This research is timely given continued budget problems in many states, where rising unemployment has increased the number of Medicaid enrollees by 6 million and uninsured individuals by 1.5 million, increasing pressure on remaining SNHs.

New products tissue-engineering in the treatment of spinal cord injury

NASA Astrophysics Data System (ADS)

Bolshakov, I. N.; Sergienko, V. I.; Kiselev, S. L.; Lagarkova, M. A.; Remigaylo, A. A.; Mihaylov, A. A.; Prokopenko, S. V.

2015-11-01

In the treatment of patients with complicated spinal cord injury the Russian Health spends about one million rubles for each patient in the acute and the interim period after the injury. The number of complicated spinal cord injury is different in geographical areas Russian Federation from 30 to 50 people per 1 million that is affected by the year 5600. Applied to the present surgical and pharmacological techniques provide unsatisfactory results or minimally effective treatment. Transplantation of 100 thousand neuronal mouse predecessors (24 rats) or human neuronal predecessors (18 rats) in the anatomical gap rat spinal cord, followed by analysis of neurological deficit. The neuro-matrix implantation in the rat spinal cord containing 100 thousand neuronal precursors hESC, repeatable control neuro-matrix transplantation, non-cell mass, eliminating neurological deficit for 14 weeks after transplantation about 5-9 points on the scale of the BBB. The cultivation under conditions in vitro human induced pluripotent stem cells on collagen-chitosan matrix (hIPSC) showed that neurons differentiated from induced pluripotent stem cells grown on scaffolds as compact groups and has no neurites. Cells do not penetrate into the matrix during long-term cultivation and formed near the surface of the spherical structures resembling neurospheres. At least 90% of the cells were positive for the neuronal marker tubulin b3. Further studies should be performed to examine the compatibility of neuronal cultures and matrices.

Economic and environmental benefits of landfill gas utilisation in Oman.

PubMed

Abushammala, Mohammed Fm; Qazi, Wajeeha A; Azam, Mohammed-Hasham; Mehmood, Umais A; Al-Mufragi, Ghithaa A; Alrawahi, Noor-Alhuda

2016-08-01

Municipal solid waste disposed in landfill sites decomposes under anaerobic conditions and produces so-called landfill-gas, which contains 30%-40% of carbon dioxide (CO2) and 50%-60% of methane (CH4). Methane has the potential of causing global warming 25 times more than CO2 Therefore, migration of landfill-gas from landfills to the surrounding environment can potentially affect human life and environment. Thus, this research aims to determine municipal solid waste generation in Oman over the years 1971-2030, to quantify annual CH4 emissions inventory that resulted from this waste over the same period of time, and to determine the economic and environmental benefits of capturing the CH4 gas for energy production. It is found that cumulative municipal solid waste landfilled in Oman reaches 3089 Giga gram (Gg) in the year 2030, of which approximately 85 Gg of CH4 emissions are produced in the year 2030. The study also found that capturing CH4 emissions between the years 2016 and 2030 could attract revenues of up to US$333 million and US$291 million from the carbon reduction and electricity generation, simultaneously. It is concluded that CH4 emissions from solid waste in Oman increases enormously with time, and capture of this gas for energy production could provide a sustainable waste management solution in Oman. © The Author(s) 2016.

Erosion in the Healthcare Safety Net: Impacts on Different Population Groups

PubMed Central

Mobley, Lee; Kuo, Tzy-Mey; Bazzoli, Gloria J.

2011-01-01

Safety net hospitals (SNHs) have played a critical role in the U.S. health system providing access to health care for vulnerable populations, in particular the Medicaid and uninsured populations. However, little research has examined how access for these populations changes when contraction of the safety net occurs. Institutional policies, such as hospital closure or ownership conversion, could affect the supply of minority health care providers, thus exacerbating disparities in outcomes. We use multilevel logistic modeling of person-level hospital discharge data to examine the effects of contractions in the California safety net over the period of 1990–2000 on access to care as measured by changes in ambulatory care sensitive condition (ACSC) admissions, using geographic methods to characterize proximity to a contraction event. We found that presence of a contraction event was associated with a statistically significant increase in the predicted probability of impeded access, with an increase of about 1% for Medicaid-insured populations and about 4–5% for the uninsured. The Medicaid-insured group also maintained the highest rates of ACSC admissions over time, suggesting persistent access problems for this vulnerable group. This research is timely given continued budget problems in many states, where rising unemployment has increased the number of Medicaid enrollees by 6 million and uninsured individuals by 1.5 million, increasing pressure on remaining SNHs. PMID:21892377

Sentiment Propagation in Social Networks: A Case Study in LiveJournal

NASA Astrophysics Data System (ADS)

Zafarani, Reza; Cole, William D.; Liu, Huan

Social networking websites have facilitated a new style of communication through blogs, instant messaging, and various other techniques. Through collaboration, millions of users participate in millions of discussions every day. However, it is still difficult to determine the extent to which such discussions affect the emotions of the participants. We surmise that emotionally-oriented discussions may affect a given user's general emotional bent and be reflected in other discussions he or she may initiate or participate in. It is in this way that emotion (or sentiment) may propagate through a network. In this paper, we analyze sentiment propagation in social networks, review the importance and challenges of such a study, and provide methodologies for measuring this kind of propagation. A case study has been conducted on a large dataset gathered from the LiveJournal social network. Experimental results are promising in revealing some aspects of the sentiment propagation taking place in social networks.

Air Pollution, Oxidative Stress, and Alzheimer's Disease

PubMed Central

Moulton, Paula Valencia; Yang, Wei

2012-01-01

Alzheimer's disease (AD) is the most common form of dementia affecting millions of people worldwide and will continue to affect millions more with population aging on the rise. AD causality is multifactorial. Known causal factors include genetic predisposition, age, and sex. Environmental toxins such as air pollution (AP) have also been implicated in AD causation. Exposure to AP can lead to chronic oxidative stress (OS), which is involved in the pathogenesis of AD. Whereas AP plays a role in AD pathology, the epidemiological evidence for this association is limited. Given the significant prevalence of AP exposure combined with increased population aging, epidemiological evidence for this link is important to consider. In this paper, we examine the existing evidence supporting the relationship between AP, OS, and AD and provide recommendations for future research on the population level, which will provide evidence in support of public health interventions. PMID:22523504

Can Homeopathic Arsenic Remedy Combat Arsenic Poisoning in Humans Exposed to Groundwater Arsenic Contamination?: A Preliminary Report on First Human Trial

PubMed Central

2005-01-01

Groundwater arsenic (As) has affected millions of people globally distributed over 20 countries. In parts of West Bengal (India) and Bangladesh alone, over 100 million people are at risk, but supply of As-free water is grossly inadequate. Attempts to remove As by using orthodox medicines have mostly been unsuccessful. A potentized homeopathic remedy, Arsenicum Album-30, was administered to a group of As affected people and thereafter the As contents in their urine and blood were periodically determined. The activities of various toxicity marker enzymes and compounds in the blood, namely aspartate amino transferase, alanine amino transferase, acid phosphatase, alkaline phosphatase, lipid peroxidation and reduced glutathione, were also periodically monitored up to 3 months. The results are highly encouraging and suggest that the drug can alleviate As poisoning in humans. PMID:16322812

Genetics of Age-Related Macular Degeneration: Current Concepts, Future Directions

PubMed Central

DeAngelis, Margaret M.; Silveira, Alexandra C.; Carr, Elizabeth A.; Kim, Ivana K.

2014-01-01

Age-related macular degeneration (AMD) is a progressive degenerative disease which leads to blindness, affecting the quality of life of millions of Americans. More than 1.75 million individuals in the United States are affected by the advanced form of AMD. The etiological pathway of AMD is not yet fully understood, but there is a clear genetic influence on disease risk. To date, the 1q32 (CFH) and 10q26 (PLEKHA1/ARMS2/HTRA1) loci are the most strongly associated with disease; however, the variation in these genomic regions alone is unable to predict disease development with high accuracy. Therefore, current genetic studies are aimed at identifying new genes associated with AMD and their modifiers, with the goal of discovering diagnostic or prognostic biomarkers. Moreover, these studies provide the foundation for further investigation into the pathophysiology of AMD by utilizing a systems-biology-based approach to elucidate underlying mechanistic pathways. PMID:21609220

Downgrading, downsizing, degazettement, and reclassification of protected areas in Brazil.

PubMed

Bernard, E; Penna, L A O; Araújo, E

2014-08-01

Protected areas (PAs) are key elements for biodiversity conservation and ecosystem services. Brazil has the largest PA system in the world, covering approximately 220 million ha. This system expanded rapidly in the mid-1990s to the mid-2000s. Recent events in Brazil, however, have led to an increase in PA downgrading, downsizing, and degazettement (PADDD). Does this reflect a shift in the country's PA policy? We analyzed the occurrence, frequency, magnitude, type, spatial distribution, and causes of changes in PA boundaries and categories in Brazil. We identified 93 PADDD events from 1981 to 2012. Such events increased in frequency since 2008 and were ascribed primarily to generation and transmission of electricity in Amazonia. In Brazilian parks and reserves, 7.3 million ha were affected by PADDD events, and of these, 5.2 million ha were affected by downsizing or degazetting. Moreover, projects being considered by the Federal Congress may degazette 2.1 million ha of PA in Amazonia alone. Relaxing the protection status of existing PAs is proving to be politically easy in Brazil, and the recent increase in frequency and extension of PADDD reflects a change in governmental policy. By taking advantage of chronic deficiencies in financial and personnel resources and surveillance, disputes over land tenure, and the slowness of the Brazilian justice, government agencies have been implementing PADDD without consultation of civil society. If parks and reserves are to maintain their integrity, there will need to be investments in Brazilian PAs and a better understanding of the benefits PAs provide. © 2014 Society for Conservation Biology.

Renewed mobilization against malaria.

PubMed

1991-01-01

1 million people die in the world from malaria annually, 800,000 of whom are 5 year old children in Sub-Sahara Africa. Further it affects 270 million people. In fact, 110 million develop malaria, 90 million of whom are from Sub-Saharan Africa. Thus WHO has introduced a new world initiative for malaria control to reverse the worsening trend that began in the mid 1970s. In October 1991, 150 officials from 50 African, Asian, and Latin American countries and participants from UN cooperation and development agencies and bilateral agencies attended an interregional conference at the WHO Regional office for Africa in Brazzaville, Congo. It strove to evaluate malaria situations specific to Africa, to update the malaria control plan in Africa, and to contribute to the development of an implementable world strategy. This world strategy needs to consider the local situation and encourage participation of the government and people of affected countries. Further individuals, communities, and various sectors of the national economy including those involved in health, education, development, and agriculture need to participate in malaria control. In addition, for this strategy to work, most countries must strengthen the management and financing of health services to meet their needs. For example, local populations must share local operating costs such as those for essential drugs and mosquito control operations. Community participation must also include personal protection such as impregnated bed nets and environmental measures. Besides malaria control must be integrated into the existing health system at country, provincial, and peripheral levels. In sum, improved case management, control of malaria transmission, and prevention and control of epidemics form the basis for the new strategy.

Results of an investigation of the 0.003-scale space shuttle external tank MSFC model 460 in the NASA/MSFC 14 x 14 inch Trisonic Wind Tunnel to determine static pressure distributions during reentry (TA2F), volume 3

NASA Technical Reports Server (NTRS)

Ramsey, P. E.; Winkler, G. W.

1975-01-01

Static pressure distributions for the external tank (ET) at reentry conditions are presented. Basic configuration of the model was the MCR 0200 ET modified to include a rectangular crossbar at the aft ET/orbiter attach point. Mach numbers were 1.96, 3.48, and 4.96. Reynolds number per foot at these Mach numbers were 6.95 million, 6.42 million, and 4.95 million, respectively. Angle of attack range was -8 to 100 degrees and roll angle was 0 to 315 degrees.

Relative activity of cerebral subcortical gray matter in varying states of attention and awareness in normal subjects and patient studies

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

Cooper, M.; Chen, C.T.; Levy, J.

1985-05-01

An important aspect of the study of brain function involves measurement of the relationships; between activities in the subcortical gray matter of the caudate and of the thalamus; and between these structures and functional cortical areas. The authors have studied these relationships in 22 subjects under different conditions of activation, sleep and sensory deprivation using a PET VI system and F-18-2DG to determine regional cerebral metabolism. Subject activating conditions were maintained throughout the period of equilibration of F-18-2DG and E.E.G.'s were monitored. Multiple tomographic slices of 1-2 million counts were obtained simultaneously with slice separation of 14mm and each planemore » parallel to the cantho-meatal line. In activated and non-activated awake conditions for normal subjects, left and right thalmus-to-caudate ratios were similar and greater than unity. This relationship was maintained in non-REM sleep, but was reversed and divergent in REM sleep and sensory deprivation; this was also evident in 3/4 narcoleptics awake and asleep in non-REM and REM and 2/3 schizophrenics and affective disorder, subjects. This approach appears to have potential for characterizating normal and disordered regional cerebral function.« less

Pediatric surgery in Bangladesh.

PubMed

Bagwell, C E; Shandling, B

1986-09-01

Bangladesh, although a small country of only 55,000 square miles, is the world's eighth most populous nation, and its 90 million inhabitants occupy a land of harsh economic conditions. One half of this dense population is children, 90% of whom suffer from parasitic infestations, 10% are affected with neonatal tetanus, and one half are severely malnourished. Health care resources are scarce with one physician and hospital bed for about every 10,000 persons. A 1-month stay in Bangladesh at the Dhaka Shishu Hospital, made possible by the Canadian Association of Paediatric Surgeons, afforded an invaluable opportunity to be involved in Pediatric Surgery in such a setting. During the month, over 40 major pediatric surgical procedures were performed, including sequestrectomy, drainage of parietal wall abscess, and resection of massive neoplasms. Many unusual pathologic conditions, not commonly seen in Western countries, were encountered including canker otis, tuberculous ileitis, and ascaris-induced small bowel obstruction. In the setting of widespread malnutrition and limited diagnostic aids, appropriate surgical treatment remains crucial in many serious childhood conditions. Awareness of some of the more unusual infections and parasites seen in Third World nations is of great importance to Western surgeons due to increased travel and immigration and for a perspective on diseases rarely seen in more affluent countries.

Researchers consider U.S. Southwest's response to warmer, drier conditions

NASA Astrophysics Data System (ADS)

Schmidt, Kevin M.; Webb, Robert H.

In 2000, the popular press frequently referred to reports that the southwestern United States might experience a shift from relatively wet to dry conditions during the next couple of decades (see http://topex-www.jpl.nasa.gov/discover/PDO.html). These predictions stemmed from observations that the Pacific Decadal Oscillation (PDO) appeared to abruptly change from a “positive” to a “negative” phase in 1999 (Figure 1). During the mid-twentieth century, a similar negative phase of the PDO was accompanied by prolonged dry conditions in the southwest.By extrapolation, some climatologists predicted future drought in the southwest. Such a change would heavily affect land use planning in the region, because national demographics have stressed the region's resources over the past century From 1990 to 2000, for instance, the population of Nevada and Arizona increased by almost 2.3 million people (http://www.census.gov/population/www/cen2000/respop.html). To discuss potential scenarios of landscape and ecosystem response to 25 years of hot and dry climate, scientists from diverse disciplines gathered at the University of Arizona in April 2001. The objectives of this workshop were to address evidence supporting predictions of warmer and drier climate and the possible landscape responses (http://geology.wr.usgs.gov/sw-workshop/).

High-resolution near real-time drought monitoring in South Asia

NASA Astrophysics Data System (ADS)

Aadhar, Saran; Mishra, Vimal

2017-10-01

Drought in South Asia affect food and water security and pose challenges for millions of people. For policy-making, planning, and management of water resources at sub-basin or administrative levels, high-resolution datasets of precipitation and air temperature are required in near-real time. We develop a high-resolution (0.05°) bias-corrected precipitation and temperature data that can be used to monitor near real-time drought conditions over South Asia. Moreover, the dataset can be used to monitor climatic extremes (heat and cold waves, dry and wet anomalies) in South Asia. A distribution mapping method was applied to correct bias in precipitation and air temperature, which performed well compared to the other bias correction method based on linear scaling. Bias-corrected precipitation and temperature data were used to estimate Standardized precipitation index (SPI) and Standardized Precipitation Evapotranspiration Index (SPEI) to assess the historical and current drought conditions in South Asia. We evaluated drought severity and extent against the satellite-based Normalized Difference Vegetation Index (NDVI) anomalies and satellite-driven Drought Severity Index (DSI) at 0.05°. The bias-corrected high-resolution data can effectively capture observed drought conditions as shown by the satellite-based drought estimates. High resolution near real-time dataset can provide valuable information for decision-making at district and sub-basin levels.

Intimate partner violence: office screening for victims and perpetrators of IPV.

PubMed

Chen, Ping-Hsin; Jacobs, Abbie; Rovi, Susan L D

2013-09-01

Intimate partner violence (IPV) affects more than 12 million individuals annually. Power and control are central concepts underlying abusive relationships. Physicians may see IPV victims, perpetrators, and their children for annual examinations, as well as for injuries and health conditions associated with abuse. In 2013, the US Preventive Services Task Force recommended that women of childbearing age (ie, 14 to 46 years) be screened for IPV. Brief, validated screening tools, such as the 4-item Hurt, Insult, Threaten, and Scream (HITS), can be used to facilitate screening. Physicians should always assess patients whose medical histories or presenting symptoms or injuries are consistent with abuse. Risk factors for IPV and consequences of abuse include general health conditions (eg, asthma, irritable bowel syndrome), reproductive issues (eg, gynecologic disorders, unintended pregnancies), psychological conditions (eg, depression, sleep disturbances), and risky health behaviors (eg, substance use, poor health care adherence). Tools for identifying perpetrators are under investigation. To prepare the practice to address IPV, physicians should educate themselves and staff and learn about community and national resources. By identifying and responding to IPV, clinicians may be able to reduce IPV and interrupt the intergenerational cycle of violence. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

Neonatal Abstinence Syndrome: Trend and Expenditure in Louisiana Medicaid, 2003-2013.

PubMed

Okoroh, Ekwutosi M; Gee, Rebekah E; Jiang, Baogong; McNeil, Melissa B; Hardy-Decuir, Beverly A; Zapata, Amy L

2017-07-01

Objectives Determine trends in incidence and expenditure for perinatal drug exposure and neonatal abstinence syndrome (NAS) among Louisiana's Medicaid population. We also describe the maternal characteristics of NAS affected infants. Methods Retrospective cohort analysis using linked Medicaid and vital records data from 2003 to 2013. Conducted incidence and cost trends for drug exposed infants with and without NAS. Also performed comparison statistics among drug exposed infants with and without NAS and those not drug exposed. Results As rate of perinatal drug exposure increased, NAS rate per 1000 live Medicaid births also increased, from 2.1 (2003) to 3.6 (2007) to 8.0 (2013) (P for trend <0.0001). Total medical cost paid by Medicaid also increased from $1.3 million to $3.6 million to $8.7 million (P for trend <0.0001). Compared with drug exposed infants without NAS and those not drug exposed, infants with NAS were more likely to be white, have feeding difficulties, respiratory distress syndrome, sepsis, and seizures, all of which had an association at P < 0.0001. Over one-third (33.2%) of the mothers of infants with NAS had an opioid dependency in combination with a mental illness; with depression being most common. Conclusions for Practice Over an 11-year period, NAS rate among Louisiana's Medicaid infants quadrupled and the cost for caring for the affected infants increased six-fold. Medicaid, as the predominant payer for pregnant women and children affected by substance use disorders, must play a more active role in expanding access to comprehensive substance abuse treatment programs.

Mapping the biological condition of USA rivers and streams

EPA Science Inventory

We predicted the probable (pr) biological condition (BC) of ~5.4 million km of stream within the conterminous USA (CONUS). National maps of prBC could provide an important tool for prioritizing monitoring and restoration of streams. The USEPA uses a spatially balanced survey desi...

The effects of prenatal cocaine, post-weaning housing and sex on conditioned place preference in adolescent rats

PubMed Central

Dow-Edwards, Diana; Iijima, Maiko; Stephenson, Stacy; Jackson, April; Weedon, Jeremy

2014-01-01

Rationale Gestational exposure to cocaine now affects several million people including adolescents and young adults. Whether prenatal drug exposures alter an individual's tendency to take and/or abuse drugs is still a matter of debate. Objectives This study sought to answer the question does prenatal exposure to cocaine, in a dose-response fashion, alter the rewarding effects of cocaine using a conditioned place preference (CPP) procedure during adolescence in the rat. Further, we wanted to assess possible sex differences and the role of being raised in an enriched vs impoverished environment. Methods Virgin female Sprague-Dawley rats were dosed daily with cocaine at 30mg/kg (C30), 60mg/kg (C60) or vehicle intragastrically prior to mating and throughout gestation. Pups were culled, fostered and on postnatal day (PND) 23 placed into isolation cages or enriched cages with 3 same-sex littermates and stimulus objects. On PND43-47, CPP was determined across a range of cocaine doses. Results C30 exposure increased sensitivity to the rewarding effects of cocaine in adolescent males and being raised in an enriched environment further enhanced this effect. Rats exposed to C60 resembled the controls in cocaine CPP. Overall, females were modestly affected by prenatal cocaine and enrichment. Conclusions These data support the unique sensitivity of males to the effects of gestational cocaine, that moderate prenatal cocaine doses produce greater effects on developing reward circuits than high doses, and that housing condition interacts with prenatal treatment and sex such that enrichment increases cocaine CPP most in adolescent males prenatally exposed to moderate cocaine doses. PMID:24435324

Evidence-based approach for disaster preparedness authorities to inform the contents of repositories for prescription medications for chronic disease management and control.

PubMed

Brown, David W; Young, Stacy L; Engelgau, Michael M; Mensah, George A

2008-01-01

Chronic diseases are major causes of death and disability and often require multiple prescribed medications for treatment and control. Public health emergencies (e.g., disasters due to natural hazards) that disrupt the availability or supply of these medications may exacerbate chronic disease or even cause death. A repository of chronic disease pharmaceuticals and medical supplies organized for rapid response in the event of a public health emergency is desirable. However, there is no science base for determining the contents of such a repository. This study provides the first step in an evidence-based approach to inform the planning, periodic review, and revision of repositories of chronic disease medications. Data from the 2004 National Hospital Ambulatory Medical Care Survey (NHAMCS) were used to examine the prescription medication needs of persons presenting to US hospital emergency departments for chronic disease exacerbations. It was assumed that the typical distribution of cases for an emergency department will reflect the patient population treated in the days after a public health emergency. The estimated numbers of prescribed drugs for chronic conditions that represent the five leading causes of death, the five leading primary diagnoses for physician office visits, and the five leading causes of disease burden assessed by disability-adjusted life years are presented. The 2004 NHAMCS collected data on 36,589 patient visits that were provided by 376 emergency departments. Overall, the five drug classes mentioned most frequently for emergency department visits during 2004 were narcotic analgesics (30.7 million), non-steroidal anti-inflammatory drugs (25.2 million), non-narcotic analgesics (15.2 million), sedatives and hypnotics (10.4 million), and cephalosporins (8.2 million). The drug classes mentioned most frequently for chronic conditions were: (1) for heart disease, antianginal agents/vasodilators (715,000); (2) for cancer, narcotic analgesics (53,000); (3) for stroke, non-narcotic analgesics (138,000); (4) for chronic obstructive pulmonary disease, anti-asthmatics/bronchodilators (3.2 million); and (5) for diabetes, hypoglycemic agents (261,000). Ten medication categories were common across four or more chronic conditions. Persons with chronic diseases have an urgent need for ongoing care and medical support after public health emergencies. These findings provide one evidence-based approach for informing public health preparedness in terms of planning for and review of the prescription medication needs of clinically vulnerable populations with prevalent chronic disease.

Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations from 2015 to 2050

PubMed Central

Varma, Rohit; Vajaranant, Thasarat S.; Burkemper, Bruce; Wu, Shuang; Torres, Mina; Hsu, Chunyi; Choudhury, Farzana; McKean-Cowdin, Roberta

2016-01-01

Importance This paper describes the current and projected prevalence of visual impairment (VI) (visual acuity worse than 20/40, but better than 20/200) and blindness (visual acuity 20/200 or worse) in the United States. Objective To determine the demographic and geographic variations in VI and blindness in adults in the US population in 2015 and to estimate the projected prevalence through 2050 Design Descriptive Setting Population-based cross-sectional Participants Pooled data from adults, 40 years and older, from six major population-based studies on VI and blindness in the US. Prevalence of VI and blindness were reported by age, sex, race/ethnicity, and per capita prevalence by state, using the US census projections (2015 – 2050). Main Outcome and Measures Prevalence of VI and blindness Results In 2015, 1.02 million people were blind, and approximately 3.22 million people in the US had VI (best-corrected VA in the better-seeing eye), while up to 8.2 million people had VI due to uncorrected refractive error. By 2050, the number of these conditions are projected to double to approximately 2.01 million people with blindness, 6.95 million people with VI, and 16.4 million with VI due to uncorrected refractive error. The highest numbers of these conditions are predicted among non-Hispanic whites, women, and older adults, however African Americans are projected to experience the highest prevalence of blindness. By 2050, the highest prevalence of VI among minorities will shift from African Americans to Hispanics. From 2015-2050, the states projected to have the highest per-capita prevalence of VI are Florida and Hawaii and highest projected per-capita prevalence of blindness are Mississippi, Louisiana, and Florida. Conclusion & Relevance These data suggest that vision screening for refractive error and early eye disease may reduce or prevent a high proportion of individuals from experiencing unnecessary vision loss and blindness, decrease associated costs to the US economy for medical services and lost productivity, and contribute to better quality of life. Targeted education and screening programs for non-Hispanic white women and minorities should become increasingly important due to the projected growth of these populations and their relative contribution to the overall numbers of these conditions. PMID:27197072

The Economic Burden of Hepatitis A, B, and C in South Korea.

PubMed

Shon, Changwoo; Choi, Hyung-Yun; Shim, Jae-Jun; Park, So-Youn; Lee, Kyung Suk; Yoon, Seok-Jun; Oh, In-Hwan

2016-01-01

The prevalence of hepatitis in South Korea is relatively high compared to that in other high-income countries. For this reason, viral hepatitis infection not only affects the population's health, but also impacts national healthcare costs. This study was performed in order to estimate the individual economic costs of the hepatitis A, B, and C viruses as well as to determine, using nationally representative data, the trends in South Korea with respect to these viruses during the 2008-2011 period. The study found that the prevalence of hepatitis A had decreased, but those of hepatitis B and C had increased overall. The mortality rate of hepatitis C was higher than that of the other two types. The mortality rate of hepatitis B had changed little, whereas that of hepatitis C had risen. The total cost of hepatitis A had decreased, from US $62.2 million to US $45.7 million, although a notable exception occurred in 2009, when the cost was US $126.6 million. Conversely, the total cost of hepatitis B had increased rapidly during the same period, from US $501.4 million to US $607.8 million. Finally, the total cost of hepatitis C had also increased from US $63.9 million to US $90.7 million. The direct costs of hepatitis A, B, and C were estimated to account for approximately 35.5%, 46.6%, and 58.0% of the total, respectively. These findings demonstrate the economic burden associated with hepatitis A, B, and C, and demonstrate the need to establish an effective prevention and management policy for future planning in South Korea.

Interference of oxygen, carbon dioxide, and water vapor on the analysis for oxides of nitrogen by chemiluminescence

NASA Technical Reports Server (NTRS)

Maahs, H. G.

1975-01-01

The interference of small concentrations (less than 4 percent by volume) of oxygen, carbon dioxide, and water vapor on the analysis for oxides of nitrogen by chemiluminescence was measured. The sample gas consisted primarily of nitrogen, with less than 100 parts per million concentration of nitric oxide, and with small concentrations of oxygen, carbon dioxide, and water vapor added. Results obtained under these conditions indicate that although oxygen does not measurably affect the analysis for nitric oxide, the presence of carbon dioxide and water vapor causes the indicated nitric oxide concentration to be too low. An interference factor - defined as the percentage change in indicated nitric oxide concentration (relative to the true nitric oxide concentration) divided by the percent interfering gas present - was determined for carbon dioxide to be -0.60 + or - 0.04 and for water vapor to be -2.1 + or - 0.3.

Ozone curbs crown rust

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

Not Available

1970-01-01

Crown rust, the most destructive disease of oats, was suppressed in laboratory fumigation chambers by ozone air pollution levels commonly surpassed in many areas. Whether the effects of air pollution on crown rust are of economic importance under field conditions is yet to be determined. Crown rust, caused by the fungus Puccinia coronata, is particularly destructive in Southern and North Central States, often reducing yields 20 percent or more. Rust pustules on oats were significantly smaller when plants were exposed to 10 parts per hundred million ozone for 6 hours in the light on the 10 days after infection. Aboutmore » half as many rust spores were produced in the ozone chamber as in one protected by carbon filters. Exposure to 10 pphm ozone did not affect viability of spores. Spores produced on exposed plants germinated and penetrated stomates of oat leaves as well as spores produced on unexposed leaves.« less

Epidemiology and Pathophysiology of Chronic Thromboembolic Pulmonary Hypertension: Risk Factors and Mechanisms.

PubMed

Medrek, Sarah; Safdar, Zeenat

2016-01-01

Chronic thromboembolic pulmonary hypertension (CTEPH) occurs when thromboemboli travel to the pulmonary vasculature, fail to resolve, and cause elevated pulmonary arterial pressure. Untreated, this disease leads to progressive right heart failure and death. It develops in approximately 1% to 5% of patients who suffer an acute pulmonary embolism (PE) and has an overall incidence of 3 to 30 per million in the general population. While it is not entirely evident why most but not all people are able to clear this clot burden, there are known risk factors for the development of CTEPH. These include signs of right heart strain at the time of incident PE, inherited coagulopathies, inflammatory conditions, hypothyroidism, and a history of splenectomy. Since CTEPH can be treated both surgically and medically, it is critical to understand the pathophysiology of the disease so affected patients can be identified and diagnosed appropriately.

Climate Change Is Increasing the Risk of the Reemergence of Malaria in Romania

PubMed Central

Bodale, Ilie; Florescu, Simin-Aysel; Roman, Constantin; Acatrinei, Dumitru

2016-01-01

The climatic modifications lead to global warming; favouring the risk of the appearance and development of diseases are considered until now tropical diseases. Another important factor is the workers' immigration, the economic crisis favouring the passive transmission of new species of culicidae from different areas. Malaria is the disease with the widest distribution in the globe. Millions of people are infected every year in Africa, India, South-East Asia, Middle East, and Central and South America, with more than 41% of the global population under the risk of infestation with malaria. The increase of the number of local cases reported in 2007–2011 indicates that the conditions can favour the high local transmission in the affected areas. In the situation presented, the establishment of the level of risk concerning the reemergence of malaria in Romania becomes a priority. PMID:27847824

Effects of 1- and 2-MeV electrons on photomultiplier tubes

NASA Technical Reports Server (NTRS)

Beatty, M. E., III; Debnam, W. J., Jr.; Meredith, B. D.

1976-01-01

Various types of photomultiplier tubes useful for space applications were irradiated with 1- and 2-MeV electrons at Van Allen radiation belt fluxes of 100,000 to 10 millions electrons/sq cm-sec. The increase in the dark current due to electron irradiation was observed at various bias voltages under worst-case conditions (no shielding). Results were presented in the form of dark current plotted against electron flux. All the tubes tested showed extremely large increases in dark current. Tube types 541A, 6217, 6199, and 6903 exhibited the largest increases under irradiation, whereas type 1P22 was affected the least. All the damage observed was transient. The luminescence produced in the optical window probably accounts for a large part of the dark-current increases, but there were some effects possibly due to direct irradiation of the photocathode and dynode chain.

The Hub Population Health System: distributed ad hoc queries and alerts

PubMed Central

Anane, Sheila; Taverna, John; Amirfar, Sam; Stubbs-Dame, Remle; Singer, Jesse

2011-01-01

The Hub Population Health System enables the creation and distribution of queries for aggregate count information, clinical decision support alerts at the point-of-care for patients who meet specified conditions, and secure messages sent directly to provider electronic health record (EHR) inboxes. Using a metronidazole medication recall, the New York City Department of Health was able to determine the number of affected patients and message providers, and distribute an alert to participating practices. As of September 2011, the system is live in 400 practices and within a year will have over 532 practices with 2500 providers, representing over 2.5 million New Yorkers. The Hub can help public health experts to evaluate population health and quality improvement activities throughout the ambulatory care network. Multiple EHR vendors are building these features in partnership with the department's regional extension center in anticipation of new meaningful use requirements. PMID:22071531

Taxicab tipping and sunlight

PubMed Central

2017-01-01

Does the level of sunlight affect the tipping percentage in taxicab rides in New York City? We examined this question using data on 13.82 million cab rides from January to October in 2009 in New York City combined with data on hourly levels of solar radiation. We found a small but statistically significant positive relationship between sunlight and tipping, with an estimated tipping increase of 0.5 to 0.7 percentage points when transitioning from a dark sky to full sunshine. The findings are robust to two-way clustering of standard errors based on hour-of-the-day and day-of-the-year and controlling for day-of-the-year, month-of-the-year, cab driver fixed effects, weather conditions, and ride characteristics. The NYC cab ride context is suitable for testing the association between sunlight and tipping due to the largely random assignment of riders to drivers, direct exposure to sunlight, and low confounding from variation in service experiences. PMID:28594917

Taxicab tipping and sunlight.

PubMed

Devaraj, Srikant; Patel, Pankaj C

2017-01-01

Does the level of sunlight affect the tipping percentage in taxicab rides in New York City? We examined this question using data on 13.82 million cab rides from January to October in 2009 in New York City combined with data on hourly levels of solar radiation. We found a small but statistically significant positive relationship between sunlight and tipping, with an estimated tipping increase of 0.5 to 0.7 percentage points when transitioning from a dark sky to full sunshine. The findings are robust to two-way clustering of standard errors based on hour-of-the-day and day-of-the-year and controlling for day-of-the-year, month-of-the-year, cab driver fixed effects, weather conditions, and ride characteristics. The NYC cab ride context is suitable for testing the association between sunlight and tipping due to the largely random assignment of riders to drivers, direct exposure to sunlight, and low confounding from variation in service experiences.

CE: Epilepsy Update, Part 1: Refining Our Understanding of a Complex Disease.

PubMed

Smith, Gigi; Wagner, Janelle L; Edwards, Jonathan C

2015-05-01

Epilepsy is a serious, common neurologic disease that affects people of all ages. As underscored in the 2012 Institute of Medicine report Epilepsy Across the Spectrum: Promoting Health and Understanding, the millions of people living with epilepsy in the United States face the challenges of seeking out high-quality, coordinated health care and community services; overcoming epilepsy misinformation and stigma; and finding understanding and support in their communities. This article, the first in a two-part series, discusses new research that has increased our understanding of epilepsy's etiology and pathophysiology, new definitions that are changing the ways we evaluate and treat this disease, conditions that frequently present with epilepsy, and psychosocial challenges faced by people with epilepsy. Part 2, which will appear in next month's issue, reviews comprehensive nursing care and evidence-based treatment for epilepsy and presents resources for people with epilepsy and their families.

The science and practice of micronutrient supplementations in nutritional anemia: an evidence-based review.

PubMed

Chan, Lingtak-Neander; Mike, Leigh Ann

2014-08-01

Nutritional anemia is the most common type of anemia, affecting millions of people in all age groups worldwide. While inadequate access to food and nutrients can lead to anemia, patients with certain health status or medical conditions are also at increased risk of developing nutritional anemia. Iron, cobalamin, and folate are the most recognized micronutrients that are vital for the generation of erythrocytes. Iron deficiency is associated with insufficient production of hemoglobin. Deficiency of cobalamin or folate leads to impaired synthesis of deoxyribonucleic acid, proteins, and cell division. Recent research has demonstrated that the status of copper and zinc in the body can significantly affect iron absorption and utilization. With an increasing number of patients undergoing bariatric surgical procedures, more cases of anemia associated with copper and zinc deficiencies have also emerged. The intestinal absorption of these 5 critical micronutrients are highly regulated and mediated by specific apical transport mechanisms in the enterocytes. Health conditions that persistently alter the histology of the upper intestinal architecture, expression, or function of these substrate-specific transporters, or the normal digestion and flow of these key micronutrients, can lead to nutritional anemia. The focus of this article is to review the science of intestinal micronutrient absorption, discuss the clinical assessment of micronutrient deficiencies in relation to anemia, and suggest an effective treatment plan and monitoring strategies using an evidence-based approach. © 2014 American Society for Parenteral and Enteral Nutrition.

Consideration of air quality standards for vegetation with respect to ozone

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

Heggestad, H.E.

1968-01-01

There is an increasing body of evidence that ozone is the most damaging of all air pollutants affecting vegetation. It is the principal oxidant in the photochemical smog complex. Concentrations measured with an ultraviolet photometer, considered specific for ozone, have exceeded 0.5 part per million (ppM) in the Los Angeles area. Only one-tenth of this level, or 0.05 ppM, for 8 hours is known to injure very sensitive tobacco varieties. Studies in several laboratories show that a broad spectrum of plant species is visibly affected after a few hours exposure at concentrations much lower than 0.5 ppM. There is alsomore » some evidence that ozone reduces plant growth. Many factors must be taken into account in considering standards for possible use in the protection of vegetation from ozone damage. These include ozone concentration and methods of measurement, time of exposure, possible additive effects of other pollutants, sensitivity of species to ozone, their economic value, and the extent of injury which can be tolerated. The response of a species to the pollutant is conditioned by genetic factors and environmental conditions. The lack of routine, specific methods for measuring ozone in ambient air is a handicap. California and Colorado established standards for oxidants at 0.15 ppM and 0.10 ppM, respectively, for 1 hour. How these standards relate to the dosage of ozone that causes acute and chronic injury to various plant species is discussed. 28 references.« less

[The impact of the economic crisis on the health and healthcare of the immigrant population. SESPAS report 2014].

PubMed

Vázquez, María Luisa; Vargas, Ingrid; Aller, Marta-Beatriz

2014-06-01

Despite the economic crisis, the immigrant population of Spain continues to be high, with 5.7 million persons (11.4%). This population, whose health needs are similar to those of the general population, is more vulnerable due to their exposure to worse social determinants (living and working conditions together with a higher risk of exclusion from social services). In this article, we analyze how the economic crisis affects or can affect the health of the immigrant population in Spain by examining distinct population-specific or institutional factors that influence the effects of the crisis and the available data. The available evidence is limited, but several effects can be identified: firstly, some social determinants, such as higher unemployment rates and worse working conditions, have deteriorated, which can be expected to lead to a worsening of health status. These consequences have already been described for mental health or have been estimated for infectious diseases. Secondly, political decisions have had a direct impact, excluding-with some exceptions-undocumented immigrants from the right to health care. Finally, the lower priority given to adapting health services to the specific characteristics of the immigrant population (most of whom are documented) together with the introduction of new barriers, has hampered or will hamper access to health care. As a result, the economic crisis can be expected to have a greater impact on the immigrant population. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

The Cost of Ménière's Disease: A Novel Multisource Approach.

PubMed

Tyrrell, Jessica; Whinney, David J; Taylor, Timothy

2016-01-01

To estimate the annual cost of Ménière's disease and the cost per person in the UK population and to investigate the direct and indirect costs of the condition. The authors utilized a multidata approach to provide the first estimate of the cost of Ménière's. Data from the UK Biobank (a study of 500,000 individuals collected between 2007 and 2012), the Hospital Episode Statistics (data on all hospital admissions in England from 2008 to 2012) and the UK Ménière's Society (2014) were used to estimate the cost of Ménière's. Cases were self-reported in the UK Biobank and UK Ménière's Society, within the Hospital Episode Statistics cases were clinician diagnosed. The authors estimated the direct and indirect costs of the condition, using count data to represent numbers of individuals reporting specific treatments, operations etc. and basic statistical analyses (χ tests, linear and logistic regression) to compare cases and controls in the UK Biobank. Ménière's was estimated to cost between £541.30 million and £608.70 million annually (equivalent to US $829.9 to $934.2 million), equating to £3,341 to £3,757 ($5112 to $5748) per person per annum. The indirect costs were substantial, with loss of earnings contributing to over £400 million per annum. For the first time, the authors were able to estimate the economic burden of Ménière's disease. In the UK, the annual cost of this condition is substantial. Further research is required to develop cost-effective treatments and management strategies for Ménière's to reduce the economic burden of the disease. These findings should be interpreted with caution due to the uncertainties inherent in the analysis.

EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

EPA Science Inventory

Hurricane Katrina resulted in damage and destruction to local water supplies in Mississippi and Louisiana affecting millions of people. Immediately following the devastation, a multidisciplinary team of 30 EPA emergency response, research, and water program personnel joined force...

Managing cheatgrass in rangeland restoration efforts

USDA-ARS?s Scientific Manuscript database

The accidental introduction and subsequent invasion of cheatgrass (Bromus tectorum) onto millions of acres of Intermountain west rangelands has significantly affected the ability of resource managers and land owners to effectively restore or rehabilitate disturbed rangelands. The Nevada Section-Soci...

White Mountain National Forest Alternative Transportation Study

DOT National Transportation Integrated Search

2011-09-22

The White Mountain National Forest (WMNF) is one of the most visited federal lands for recreation in the country, attracting 1.7 million visitors annually. But growth in visitation to the WMNF is increasingly affecting the visitor experience and the ...

STREPTOCOCCUS: A WORLDWIDE FISH HEALTH PROBLEM

USDA-ARS?s Scientific Manuscript database

Streptococcus iniae and S. agalactiae are important emergent pathogens that affect many fish species worldwide, especially in warm-water regions. In marine and freshwater systems, these Gram-positive bacteria cause significant economic losses, estimated at hundreds of millions of dollars annually. ...

Fallacies Affecting Policy and Practice in the Teaching of English as a Foreign Language in State Primary Schools in Asia

ERIC Educational Resources Information Center

Hayes, David

2017-01-01

This article discusses the impact of the worldwide trend to introduce English as a foreign language (EFL) into primary schools at ever younger ages. This trend has gained momentum in recent years, affecting millions of children in countries throughout Asia. A policy decision of this kind has far-reaching implications but it is often made without…

Cognitive and Affective Uses of a Thoracic Outlet Syndrome Facebook Support Group.

PubMed

Walker, Kimberly K

2014-09-01

There are currently many disease-specific groups on Facebook in which patients may take an active part (Greene, Choudhry, Kilabuk, & Shrank, 2011). Although uses and gratifications of patient-disease groups have begun to be identified for chronic diseases, rare diseases have been omitted, even though they collectively affect roughly 30 million people in the United States and 350 million people worldwide. This study is a content analysis of one Facebook rare disease patient group, the Thoracic Outlet Syndrome (TOS) Awareness group. All wall posts were recorded and content analyzed for cognitive and affective categories and subcategories between October 9, 2011 (date of site origin), and May 1, 2012. Analysis of cognitive needs indicated TOS patients used the site more to share information about their own TOS symptoms and journey with diagnosis than to seek information. Analysis of affective needs found patients were more likely to use the site to give support and encouragement to others than to express concerns and complaints. The complaints they did express were primarily related to their frustration with the general medical community's perceived inability to diagnose and understand their disease or to question a specific doctor's diagnosis/recommendation. Results point to needs specific to TOS patients that uses and gratifications research can help clarify.

[The newborn infant of a mother with tuberculosis].

PubMed

Pedicino, R; Bressan, K; Bedetta, M

2010-06-01

TBC is a major infectious emergency in the world. OMS suggest that there are 8 millions of affected every year and 2 millions of deaths. Italy is considered a country with low prevalence, but the increase of the immigration from Africa Asia and Est Europa (country with high risk) imposes attention to the problem. The delivery is a critical moment to investigate people at risk of disease. The infection of the newborn can happen intrauterine or in the expulsive period, but is possible also at home, from somebody affected by an active pulmonary disease. Diagnosis in the newborn is not easy for the aspecificity of clinical signs and for the frequent initial negativeness of Mantoux test. Culture of placenta, gastric aspirate, tracheal secretions, urine would be requested, cerebrospinal fluid if necessary. Neonatal disease needs therapy with isoniazide, rifampicine, pirazinamide and, or ethambutol, or streptomycin. Profilaxis of a newborn from a woman affected by an active form of tuberculosis or living with people affected by an active pulmonary form consists in giving isoniazide until diagnostic tests are negative and in removing the sicks (only with pulmonary disease). New dangerous kinds of pharmacological multiresistent tuberculosis are appeared in the last years in the world and, with the coinfection HIV-TBC and the reorganization of the surveillance system, represents the major obligation for the next years.

The Economic Cost of Environmental Factors Among North Carolina Children Living in Substandard Housing

PubMed Central

Estes, Chris; Lee, Christopher

2009-01-01

Objectives. We quantified the economic cost of selected environmental factors among North Carolina children living in substandard housing. Methods. We gathered data on direct medical care costs for specific childhood medical conditions associated with environmental factors commonly found in substandard housing. Medical claims data for 2006 and 2007 were obtained from BlueCross BlueShield of North Carolina and the North Carolina Department of Health and Human Services. Indirect costs were based in part on nonmedical data obtained from several previous studies. Results. Total (direct and indirect) costs for the conditions assessed exceeded $92 million in 2006 and $108 million in 2007. Neurobehavioral conditions contributed to more than 52% of all costs, followed by lead poisoning (20%) and respiratory conditions (12%). Neurobehavioral conditions were the largest contributor to direct medical costs (44%), followed by respiratory conditions (38%) and accidental burns and falls (10%). Conclusions. Direct and indirect costs associated with environmental factors appear to be increasing at about twice the rate of medical inflation. More aggressive policies and funding are needed to reduce the substantial financial impact of childhood illnesses associated with substandard housing in North Carolina. PMID:19890173

The economic burden of human papillomavirus-related precancers and cancers in Sweden

PubMed Central

Silfverschiöld, Maria; Greiff, Lennart; Asciutto, Christine; Wennerberg, Johan; Lydryp, Marie-Louise; Håkansson, Ulf; Sparén, Pär; Borgfeldt, Christer

2017-01-01

Background High-risk (HR) human papillomavirus (HPV) infection is an established cause of malignant disease. We used a societal perspective to estimate the cost of HR HPV-related cervical, vulvar, vaginal, anal, and penile precancer and cancer, and oropharyngeal cancer in Sweden in 2006, 1 year before HPV vaccination became available in the country. Materials and methods This prevalence-based cost-of-illness study used diagnosis-specific data from national registries to determine the number of HR HPV-related precancers and cancers. The HR HPV-attributable fractions of these diseases were derived from a literature review and applied to the total burden to estimate HR HPV-attributable costs. Direct costs were based on health care utilization and indirect costs on loss of productivity due to morbidity (i.e., sick leave and early retirement) and premature mortality. Results The total annual cost of all HR HPV-attributable precancers and cancers was €94 million (€10.3/inhabitant). Direct costs accounted for €31.3 million (€3.4/inhabitant) of the total annual cost, and inpatient care amounted to €20.7 million of direct costs. Indirect costs made up €62.6 million (€6.9/inhabitant) of the total annual cost, and premature mortality amounted to €36 million of indirect costs. Cervical precancer and cancer was most costly (total annual cost €58.4 million). Among cancers affecting both genders, anal precancer and cancer, and oropharyngeal cancer were the most costly (€11.2 million and €11.9 million, respectively). For oropharyngeal cancer, males had the highest health care utilization and represented 71% of the total annual cost. Penile precancer and cancer was least costly (€2.6 million). Conclusion The economic burden of HR HPV-related precancers and cancers is substantial. The disease-related management and treatment costs we report are relevant as a point of reference for future economic evaluations investigating the overall benefits of HPV vaccination in females and males in Sweden. PMID:28651012

Coca Leaf and Cocaine Addiction: Some Historical Notes

PubMed Central

Blejer-Prieto, H.

1965-01-01

Coca-leaf habituation has affected millions of Andean natives for over 400 years. In the last half-century it has also involved millions more Malayans. Coca leaf, from which cocaine and extracts for some commercial carbonated soft drinks are obtained, remains relatively unknown by the medical and allied professions elsewhere. A review of the original medical, historical and other pertinent literature of the last 350 years illustrates the origins of the use of coca leaf, its spread, the isolation of cocaine and its first uses, as well as some of the euphoric and other effects of both substances. PMID:5318484

Promoting and sustaining a historical and global effort to prevent sepsis: the 2018 World Health Organization SAVE LIVES: Clean Your Hands campaign.

PubMed

Martischang, Romain; Pires, Daniela; Masson-Roy, Sarah; Saito, Hiroki; Pittet, Didier

2018-04-13

Sepsis is estimated to affect more than 30 million patients with potentially five million deaths every year worldwide. Prevention of sepsis, as well as early recognition, diagnosis and treatment, can't be overlooked to mitigate this global public health threat. World Health Organization (WHO) promotes hand hygiene in health care through its annual global campaign, SAVE LIVES: Clean Your Hands campaign on 5 May every year. The 2018 campaign targets sepsis with the overall theme "It's in your hands; prevent sepsis in health care".

Oxygen isotope constraints on the sulfur cycle over the past 10 million years.

PubMed

Turchyn, Alexandra V; Schrag, Daniel P

2004-03-26

Oxygen isotopes in marine sulfate (delta18O(SO4)) measured in marine barite show variability over the past 10 million years, including a 5 per mil decrease during the Plio-Pleistocene, with near-constant values during the Miocene that are slightly enriched over the modern ocean. A numerical model suggests that sea level fluctuations during Plio-Pleistocene glacial cycles affected the sulfur cycle by reducing the area of continental shelves and increasing the oxidative weathering of pyrite. The data also require that sulfate concentrations were 10 to 20% lower in the late Miocene than today.

Iron deficiency anaemia: with the conclusion of a need for iron reader

NASA Astrophysics Data System (ADS)

Lim, Wai Feng; Yap, Boon Kar; Lai, Mei I.; Talik, Noorazrina; Nasser, Ammar Ahmed; Al-Haiqi, Ahmed Mubarak Ahmed; Sankar Krishnan, Prajindra

2017-10-01

In our bloodstream, there are plenty of red blood cells (RBC), which function as an important oxygen carrier in our bodies. Each RBC consists of millions of haemoglobin (Hb), which is made up from globin and iron. If any deficiency/malfunction of any globin, it will lead to anaemia as indicated in low Hb level while iron deficiency anaemia (IDA) is anaemic due to the lacking of iron as indicated in low Hb and ferritin levels. IDA affects almost two billion people globally while anaemia without iron deficiency, such as thalassaemia, affects almost 4.5% in Malaysian population. These anaemic conditions have similar clinical symptoms like fatigue, dizziness, in which disturb their cognitive development and productivity in workplace. In areas without proper medical access, many anaemic individuals were misdiagnosed and treated with iron tablets because they were thought to have iron deficiency anaemia due to low Hb content. But, excess iron is toxic to the body. Misdiagnosis can be avoided by iron status assessment. We hereby review the currently available iron status parameters in laboratory and field study with the conclusion of demonstrating the importance of a need for iron reader, in the effort to reduce the prevalence of IDA globally.

A Review of Evidence-Based Care of Symptomatic Trichomoniasis and Asymptomatic Trichomonas vaginalis Infections

PubMed Central

Meites, Elissa; Gaydos, Charlotte A.; Hobbs, Marcia M.; Kissinger, Patricia; Nyirjesy, Paul; Schwebke, Jane R.; Secor, W. Evan; Sobel, Jack D.; Workowski, Kimberly A.

2015-01-01

Trichomonas vaginalis is the most prevalent nonviral sexually transmitted infection, affecting an estimated 3.7 million women and men in the United States. Health disparities are prominent in the epidemiology of this infection, which affects 11% of women aged ≥40 years and a disproportionately high percentage of black women. Particularly high prevalences have been identified among sexually transmitted disease (STD) clinic patients and incarcerated individuals. This article reviews and updates scientific evidence in key topic areas used for the development of the 2015 STD Treatment Guidelines published by the Centers for Disease Control and Prevention. Current evidence is presented regarding conditions associated with Trichomonas vaginalis infection, including human immunodeficiency virus (HIV) and pregnancy complications such as preterm birth. Nucleic acid amplification tests and point-of-care tests are newly available diagnostic methods that can be conducted on a variety of specimens, potentially allowing highly sensitive testing and screening of both women and men at risk for infection. Usually, trichomoniasis can be cured with single-dose therapy of an appropriate nitroimidazole antibiotic, but women who are also infected with HIV should receive therapy for 7 days. Antimicrobial resistance is an emerging concern. PMID:26602621

Economic abuse and intra-household inequities in food security.

PubMed

Power, Elaine M

2006-01-01

Food insecurity affected over 2.3 million Canadians in 2004. To date, the food security literature has not considered the potential impact of economic abuse on food security, but there are three ways in which these two important public health issues may be related: 1) victims of economic abuse are at risk of food insecurity when they are denied access to adequate financial resources; 2) the conditions that give rise to food insecurity may also precipitate intimate partner violence in all its forms; 3) women who leave economically abusive intimate heterosexual relationships are more likely to live in poverty and thus are at risk of food insecurity. This paper presents a case of one woman who, during a qualitative research interview, spontaneously reported economic abuse and heterosexual interpersonal violence. The economic abuse suffered by this participant appears to have affected her food security and that of her children, while her husband's was apparently unaffected. There is an urgent need to better understand the nature of intra-household food distribution in food-insecure households and the impact of economic abuse on its victims' food security. Such an understanding may lead to improved food security measurement tools and social policies to reduce food insecurity.

Folic acid advisories: a public health challenge?

PubMed

Herrera-Araujo, Daniel

2016-09-01

Neural tube defects are neurological conditions affecting one in 1000 fetuses in France each year. If a fetus is affected, there is a 90% chance that the pregnancy will be terminated. Increasing folic acid intake to 400μg per day 2months before and 2months after conception reduces prevalence rates by at least 40%. In 2005, France introduced a social marketing campaign seeking to increase the intake of folic acid by to-be-pregnant and pregnant women through information provision. This paper sets up a quasi-experimental setting to measure the impact of the French social marketing campaign on availability and preferences for folic acid. I combine detailed scanner data on grocery purchases with a dataset on macronutrients and micronutrients. The identification strategy exploits the variation in the usefulness of folic acid information between households: households that are pregnant or want to conceive a child use it, while those that are not pregnant do not. Results suggest evidence of a positive impact of the information campaign on folic acid household availability and preferences. A value per statistical neural tube defects case is found to be of at least 12 million. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Coal upgrading program for Usti nad Labem, Czech Republic: Task 8.3. Topical report, October 1994--August 1995

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

Young, B.C.; Musich, M.A.

1995-10-01

Coal has been a major energy source in the Czech Republic given its large coal reserves, especially brown coal and lignite (almost 4000 million metric tons) and smaller reserves of hard, mainly bituminous, coal (over 800 million tons). Political changes since 1989 have led to the reassessment of the role of coal in the future economy as increasing environmental regulations affect the use of the high-sulfur and high-ash brown coal and lignite as well as the high-ash hard coal. Already, the production of brown coal has declined from 87 million metric tons per year in 1989 to 67 million metricmore » tons in 1993 and is projected to decrease further to 50 million metric tons per year of brown coal by the year 2000. As a means of effectively utilizing its indigenous coal resources, the Czech Republic is upgrading various technologies, and these are available at different stages of development, demonstration, and commercialization. The purpose of this review is to provide a database of information on applicable technologies that reduce the impact of gaseous (SO{sub 2}, NO{sub x}, volatile organic compounds) and particulate emissions from the combustion of coal in district and residential heating systems.« less

Stochastic modelling of basal temperatures in divide regions of the Antarctic ice sheet over the last 1.5 million years

NASA Astrophysics Data System (ADS)

Van Liefferinge, Brice; Pattyn, Frank; Cavitte, Marie G. P.; Young, Duncan A.; Roberts, Jason L.

2017-04-01

The quest for oldest ice in Antarctica has recently been launched through an EU H2020 project (Beyond EPICA - Oldest Ice) and aims at identifying suitable areas for a potential future drilling. Retrieving an ice core of such age is essential to understand the relation between orbital changes and atmospheric composition during the mid-Pliocene transition. However, sites for a potential undisturbed record of 1.5 million-year old ice in Antarctica are difficult to find and require slow-moving ice (preferably an ice divide) and basal conditions that are not disturbed by large topographic variations. Furthermore, ice should be sufficiently thick but cold basal conditions should still prevail, since basal melting would destroy the bottom layers. Therefore, ice-flow conditions and thermodynamic characteristics are crucial for identifying potential locations of undisturbed ice. Van Liefferinge and Pattyn (2013) identified suitable areas based on a pan-Antarctic simplified thermodynamic ice sheet model and demonstrated that uncertainty in geothermal conditions remain a major unknown. In order to refine these estimates, and provide uncertainties, we employ a full thermo-mechanically coupled higher-order ice sheet model (Pattyn, 2003; Pattyn et al., 2004). Initial conditions for the calculations are based on an inversion of basal slipperiness, based on observed surface topography (Pollard and DeConto, 2012; Pattyn, in prep.). Uncertainties in geothermal conditions are introduced using the convolution of two Gaussian probability density functions: (a) the reconstruction of the Antarctic ice sheet geometry and testing ice thickness variability over the last 2 million years (Pollard and DeConto, 2009) and (b) the surface temperature reconstruction over the same period (Snyder et al., 2016). The standard deviation, the skewness and the kurtosis of the whole Antarctic ice sheet are analyzed to observe likely probable melt conditions. Finally, we focus on model results in the divide area between Dome Concordia and Dome Fuji, and compare to newly acquired radar data in the region (OIA survey).

Discovery of a lentivirus susceptibility gene in sheep

USDA-ARS?s Scientific Manuscript database

Ovine lentivirus targets the host immune system and causes persistent retroviral infections affecting millions of sheep worldwide. In primates, lentivirus resistance is attributed to mutant virus coreceptors that are not expressed. In sheep, some animals are resistant to lentivirus infection despit...

Differential microRNA Expression between Asthmatic and Healthy Donors

EPA Science Inventory

Introduction: Asthma is a chronic lung disease and is pathologically characterized by increases in bronchial hyperresponsiveness and chronic inflammation. It is estimated to affect approximately 300 million people worldwide and cases are expected to continually rise over the next...

Economic costs of alcohol use in Sri Lanka.

PubMed

Ranaweera, Sajeeva; Amarasinghe, Hemantha; Chandraratne, Nadeeka; Thavorncharoensap, Montarat; Ranasinghe, Thushara; Karunaratna, Sumudu; Kumara, Dinesh; Santatiwongchai, Benjarin; Chaikledkaew, Usa; Abeykoon, Palitha; De Silva, Amala

2018-01-01

Alcohol related disease conditions are responsible for a significant proportion of morbidity and mortality in Sri Lanka. This study quantified the economic cost of selected alcohol related disease conditions in Sri Lanka in 2015. This study uses the prevalence-based cost of illness methodology specified by the World Health Organization, and uses the gross costing approach. The direct costs includes the costs of curative care (inpatient and outpatient care borne by the state and out of pocket expenditure borne by patients) for alcohol related diseases, weighted by the respective population attributable fractions. Indirect costs consist of lost earnings due to absenteeism of the patient and carers due to seeking care and recuperation, and the loss of income due to mortality. Data form the Ministry of Health, Registrar General's Department, Department of Census and Statistics and the National Cancer Registry was used. Systemic and house costs and population attributable fractions were obtained from research studies. Economists, Public Health Experts, Medical Administrators and Clinical Specialists were iteratively consulted during the estimation and validation of the costs and the results. The estimated present value of current and future economic cost of the alcohol-related conditions for Sri Lanka in 2015 was USD 885.86 million, 1.07% of the GDP of that year. The direct cost of alcohol related disease conditions was USD 388.35 million, which was 44% of the total cost, while the indirect cost was USD 497.50 million, which was 66% of the total cost. Road Injury cost was the highest cost category among the conditions studied. Addressing alcohol use and its harms through effective implementation of evidence-based polices and interventions is urgently required to address the economic costs of alcohol use in Sri Lanka as it imposes a significant burden to the country.

Marine extinction risk shaped by trait-environment interactions over 500 million years.

PubMed

Orzechowski, Emily A; Lockwood, Rowan; Byrnes, Jarrett E K; Anderson, Sean C; Finnegan, Seth; Finkel, Zoe V; Harnik, Paul G; Lindberg, David R; Liow, Lee Hsiang; Lotze, Heike K; McClain, Craig R; McGuire, Jenny L; O'Dea, Aaron; Pandolfi, John M; Simpson, Carl; Tittensor, Derek P

2015-10-01

Perhaps the most pressing issue in predicting biotic responses to present and future global change is understanding how environmental factors shape the relationship between ecological traits and extinction risk. The fossil record provides millions of years of insight into how extinction selectivity (i.e., differential extinction risk) is shaped by interactions between ecological traits and environmental conditions. Numerous paleontological studies have examined trait-based extinction selectivity; however, the extent to which these patterns are shaped by environmental conditions is poorly understood due to a lack of quantitative synthesis across studies. We conducted a meta-analysis of published studies on fossil marine bivalves and gastropods that span 458 million years to uncover how global environmental and geochemical changes covary with trait-based extinction selectivity. We focused on geographic range size and life habit (i.e., infaunal vs. epifaunal), two of the most important and commonly examined predictors of extinction selectivity. We used geochemical proxies related to global climate, as well as indicators of ocean acidification, to infer average global environmental conditions. Life-habit selectivity is weakly dependent on environmental conditions, with infaunal species relatively buffered from extinction during warmer climate states. In contrast, the odds of taxa with broad geographic ranges surviving an extinction (>2500 km for genera, >500 km for species) are on average three times greater than narrow-ranging taxa (estimate of odds ratio: 2.8, 95% confidence interval = 2.3-3.5), regardless of the prevailing global environmental conditions. The environmental independence of geographic range size extinction selectivity emphasizes the critical role of geographic range size in setting conservation priorities. © 2015 John Wiley & Sons Ltd.

Economic costs of alcohol use in Sri Lanka

PubMed Central

Ranaweera, Sajeeva; Amarasinghe, Hemantha; Thavorncharoensap, Montarat; Ranasinghe, Thushara; Karunaratna, Sumudu; Santatiwongchai, Benjarin; Chaikledkaew, Usa; Abeykoon, Palitha; De Silva, Amala

2018-01-01

Aim Alcohol related disease conditions are responsible for a significant proportion of morbidity and mortality in Sri Lanka. This study quantified the economic cost of selected alcohol related disease conditions in Sri Lanka in 2015. Methods This study uses the prevalence-based cost of illness methodology specified by the World Health Organization, and uses the gross costing approach. The direct costs includes the costs of curative care (inpatient and outpatient care borne by the state and out of pocket expenditure borne by patients) for alcohol related diseases, weighted by the respective population attributable fractions. Indirect costs consist of lost earnings due to absenteeism of the patient and carers due to seeking care and recuperation, and the loss of income due to mortality. Data form the Ministry of Health, Registrar General’s Department, Department of Census and Statistics and the National Cancer Registry was used. Systemic and house costs and population attributable fractions were obtained from research studies. Economists, Public Health Experts, Medical Administrators and Clinical Specialists were iteratively consulted during the estimation and validation of the costs and the results. Results The estimated present value of current and future economic cost of the alcohol-related conditions for Sri Lanka in 2015 was USD 885.86 million, 1.07% of the GDP of that year. The direct cost of alcohol related disease conditions was USD 388.35 million, which was 44% of the total cost, while the indirect cost was USD 497.50 million, which was 66% of the total cost. Road Injury cost was the highest cost category among the conditions studied. Conclusion Addressing alcohol use and its harms through effective implementation of evidence-based polices and interventions is urgently required to address the economic costs of alcohol use in Sri Lanka as it imposes a significant burden to the country. PMID:29879178

Microglia: An Interface between the Loss of Neuroplasticity and Depression

PubMed Central

Singhal, Gaurav; Baune, Bernhard T.

2017-01-01

Depression has been widely accepted as a major psychiatric disease affecting nearly 350 million people worldwide. Research focus is now shifting from studying the extrinsic and social factors of depression to the underlying molecular causes. Microglial activity is shown to be associated with pathological conditions, such as psychological stress, pathological aging, and chronic infections. These are primary immune effector cells in the CNS and regulate the extensive dialogue between the nervous and the immune systems in response to different immunological, physiological, and psychological stressors. Studies have suggested that during stress and pathologies, microglia play a significant role in the disruption of neuroplasticity and have detrimental effects on neuroprotection causing neuroinflammation and exacerbation of depression. After a systematic search of literature databases, relevant articles on the microglial regulation of bidirectional neuroimmune pathways affecting neuroplasticity and leading to depression were reviewed. Although, several hypotheses have been proposed for the microglial role in the onset of depression, it is clear that all molecular pathways to depression are linked through microglia-associated neuroinflammation and hippocampal degeneration. Molecular factors such as an excess of glucocorticoids and changes in gene expression of neurotrophic factors, as well as neuro active substances secreted by gut microbiota have also been shown to affect microglial morphology and phenotype resulting in depression. This review aims to critically analyze the various molecular pathways associated with the microglial role in depression. PMID:28943841

The life cycle of continental rifts: Numerical models of plate tectonics and mantle convection.

NASA Astrophysics Data System (ADS)

Ulvrova, Martina; Brune, Sascha; Williams, Simon

2017-04-01

Plate tectonic processes and mantle convection form a self-organized system whose surface expression is characterized by repeated Wilson cycles. Conventional numerical models often capture only specific aspects of plate-mantle interaction, due to imposed lateral boundary conditions or simplified rheologies. Here we study continental rift evolution using a 2D spherical annulus geometry that does not require lateral boundary conditions. Instead, continental extension is driven self-consistently by slab pull, basal drag and trench suction forces. We use the numerical code StagYY to solve equations of conservation of mass, momentum and energy and transport of material properties. This code is capable of computing mantle convection with self-consistently generated Earth-like plate tectonics using a pseudo-plastic rheology. Our models involve an incompressible mantle under the Boussinesq approximation with internal heat sources and basal heating. Due to the 2D setup, our models allow for a comparably high resolution of 10 km at the mantle surface and 15 km at the core mantle boundary. Viscosity variations range over 7 orders of magnitude. We find that the causes for rift initiation are often related to subduction dynamics. Some rifts initiate due to increasing slab pull, others because of developing trench suction force, for instance by closure of an intra-oceanic back-arc basin. In agreement with natural settings, our models reproduce rifts forming in both young and old collision zones. Our experiments show that rift dynamics follow a characteristic evolution, which is independent of the specific setting: (1) continental rifts initiate during tens of million of years at low extension rates (few millimetres per year) (2) the extension velocity increases during less than 10 million years up to several tens of millimetres per year. This speed-up takes place before lithospheric break-up and affects the structural architecture of rifted margins. (3) high divergence rates persist until break-up is achieved and often reduce several tens of millions of years after continental separation. By illustrating the geodynamic connection between subduction dynamics and rift evolution, our results allow new interpretations of plate tectonic reconstructions. Rift acceleration during the transition from phase 1 to phase 2 induces elevated convergence rates at the opposite side of the continents. This leads to enhanced subduction velocities, e.g. between North America and the Farallon plate 200 million years ago, or to the closure of potential back-arc basins such as in the proto-Andean ranges of South America. Post-rift deceleration occurs when the global plate system re-equilibrates after the phase of enhanced stress during continental rupture. This phenomenon of a plate slow-down after mechanical rupture occurred in the real-world aftermath of Australia-Antarctica separation, South Atlantic opening, and North Atlantic break-up.

Biopsychosocial characteristics of community-dwelling older adults with limited ability to walk one-quarter of a mile.

PubMed

Hardy, Susan E; McGurl, David J; Studenski, Stephanie A; Degenholtz, Howard B

2010-03-01

To establish nationally representative estimates of the prevalence of self-reported difficulty and inability of older adults to walk one-quarter of a mile and to identify the characteristics independently associated with difficulty or inability to walk one-quarter of a mile. Cross-sectional analysis of data from the 2003 Cost and Use Medicare Current Beneficiary Survey. Community. Nine thousand five hundred sixty-three community-dwelling Medicare beneficiaries aged 65 and older, representing an estimated total population of 34.2 million older adults. Self-reported ability to walk one-quarter of a mile, sociodemographics, chronic conditions, body mass index, smoking, functional status. In 2003, an estimated 9.5 million older Medicare beneficiaries had difficulty walking one-quarter of a mile, and 5.9 million were unable to do so. Of the 20.2 million older adults with no difficulty in activities of daily living (ADLs) or instrumental activities of daily living (IADLs), an estimated 4.3 million (21%) had limited ability to walk one-quarter of a mile. Having difficulty or being unable to walk one-quarter of a mile was independently associated with older age, female sex, non-Hispanic ethnicity, lower educational level, Medicaid entitlement, most chronic medical conditions, current smoking, and being overweight or obese. Almost half of older adults and 20% of those reporting no ADL or IADL limitations report limited ability to walk one-quarter of a mile. For functionally independent older adults, reported ability to walk one-quarter of a mile can identify vulnerable older adults with greater medical problems and fewer resources and may be a valuable clinical marker in planning their care. Future work is needed to determine the association between ability to walk one-quarter of a mile walk and subsequent functional decline and healthcare use.

The effects of withdrawals and drought on groundwater availability in the Northern Guam Lens Aquifer, Guam

USGS Publications Warehouse

Gingerich, Stephen B.

2013-01-01

Owing to population growth, freshwater demand on Guam has increased in the past and will likely increase in the future. During the early 1970s to 2010, groundwater withdrawals from the limestone Northern Guam Lens Aquifer, the main source of freshwater on the island, tripled from about 15 to 45 million gallons per day. Because of proposed military relocation to Guam and expected population growth, freshwater demand on Guam is projected to increase further. The expected increased demand for groundwater has led to concern over the long-term sustainability of withdrawals from existing and proposed wells. A three-dimensional numerical groundwater flow and transport model was developed to simulate the effects of hypothetical withdrawal and recharge scenarios on water levels and on the transition zone between freshwater and saltwater. The model was constructed by using average recharge during 1961–2005 and withdrawals from 2010. Hydraulic properties used to construct the model were initially based on published estimates but ultimately were adjusted to obtain better agreement between simulated and measured water levels and salinity profiles in the modeled area. Two hypothetical groundwater withdrawal scenarios were simulated: no withdrawal to simulate predevelopment conditions and withdrawal at 2010 rates under a 5-year drought. Simulation results indicate that prior to pumping; the fresh-water lens was 10 to 50 feet thicker in the Yigo-Tumon basin and more than 50 feet thicker in the Hagåtña basin. Results also indicate that continuing the 2010 withdrawal distribution during a 5-year drought would result in decreased water levels, a thinner freshwater lens, and increased salinity of water pumped from wells. The available water with an acceptable salinity (chloride concentration less than 200 milligrams per liter) would decrease from about 34 million gallons per day to 11.5 million gallons per day after 5 years but recover to pre-drought levels 5 years after the return of average recharge conditions. Five additional scenarios were simulated to assess groundwater demand projections and proposed new well sites for the Department of Defense and Guam Water Authority wells under average and drought conditions. Simulation results from these projected withdrawal scenarios indicate decreased water levels, a thinner freshwater lens, increased water salinity, and unacceptable salinity at several current withdrawal sites. However, for the scenario including projected U.S. Marine Corps demands (46.62 million gallons per day, including 10 proposed wells) more than 40 million gallons per day of the withdrawn groundwater remains in the acceptable category. During a 5-year drought, this same pumping distribution results in only about 15 million gallons per day of withdrawn groundwater having acceptable salinity. A scenario in which groundwater withdrawal was redistributed in an attempt to maximize withdrawal while maintaining acceptable salinities in the withdrawn water was simulated. The redistributed withdrawal simulates about 47 million gallons per day of withdrawal with more than 41 million gallons per day of withdrawal with acceptable salinity.

The social cost of illegal drug consumption in Spain.

PubMed

García-Altés, Anna; Ollé, Josep Ma; Antoñanzas, Fernando; Colom, Joan

2002-09-01

The objective of this study was to estimate the social cost of the consumption of illegal drugs in Spain. We performed a cost-of-illness study, using a prevalence approximation and a societal perspective. The estimation of costs and consequences referred to 1997. As direct costs we included health-care costs, prevention, continuing education, research, administrative costs, non-governmental organizations and crime-related costs. As indirect costs we included lost productivity associated with mortality and the hospitalization of patients. Estimation of intangible costs was not included. The minimum cost of illegal drug consumption in Spain is 88,800 million pesetas (PTA) (467 million dollars). Seventy-seven per cent of the costs correspond to direct costs. Of those, crime-related costs represent 18%, while the largest part corresponds to the health-care costs (50% of direct costs). From the perspective of the health-care system, the minimum cost of illegal drug consumption is 44,000 million PTA (231 million dollars). The cost of illegal drug consumption represents 0.07% of the Spanish GDP. This gross figure compares with 2250 million PTA (12.5 million dollars) invested in prevention programmes during the same year, and with 12,300 million PTA (68.3 million dollars) spent on specific programmes and resources for the drug addict population. Although there are limitations intrinsic in this type of study and the estimations obtained in the present analysis are likely to be an underestimate of the real cost of this condition, we estimate that illegal drug consumption costs the Spanish economy at least 0.2% of GDP.

Management of irritable bowel syndrome in primary care: feasibility randomised controlled trial of mebeverine, methylcellulose, placebo and a patient self-management cognitive behavioural therapy website. (MIBS trial).

PubMed

Everitt, Hazel A; Moss-Morris, Rona E; Sibelli, Alice; Tapp, Laura; Coleman, Nicholas S; Yardley, Lucy; Smith, Peter W; Little, Paul S

2010-11-18

IBS affects 10-22% of the UK population. Abdominal pain, bloating and altered bowel habit affect quality of life, social functioning and time off work. Current GP treatment relies on a positive diagnosis, reassurance, lifestyle advice and drug therapies, but many suffer ongoing symptoms.A recent Cochrane review highlighted the lack of research evidence for IBS drugs. Neither GPs, nor patients have good evidence to inform prescribing decisions. However, IBS drugs are widely used: In 2005 the NHS costs were nearly £10 million for mebeverine and over £8 million for fibre-based bulking agents. CBT and self-management can be helpful, but poor availability in the NHS restricts their use. We have developed a web-based CBT self-management programme, Regul8, based on an existing evidence based self-management manual and in partnership with patients. This could increase access with minimal increased costs. The aim is to undertake a feasibility factorial RCT to assess the effectiveness of the commonly prescribed medications in UK general practice for IBS: mebeverine (anti-spasmodic) and methylcellulose (bulking-agent) and Regul8, the CBT based self-management website.135 patients aged 16 to 60 years with IBS symptoms fulfilling Rome III criteria, recruited via GP practices, will be randomised to 1 of 3 levels of the drug condition: mebeverine, methylcellulose or placebo for 6 weeks and to 1 of 3 levels of the website condition, Regul8 with a nurse telephone session and email support, Regul8 with minimal email support, or no website, thus creating 9 groups. Irritable bowel symptom severity scale and IBS-QOL will be measured at baseline, 6 and 12 weeks as the primary outcomes. An intention to treat analysis will be undertaken by ANCOVA for a factorial trial. This pilot will provide valuable information for a larger trial. Determining the effectiveness of commonly used drug treatments will help patients and doctors make informed treatment decisions regarding drug management of IBS symptoms, enabling better targeting of treatment. A web-based self-management CBT programme for IBS developed in partnership with patients has the potential to benefit large numbers of patients with low cost to the NHS. Assessment of the amount of email or therapist support required for the website will enable economic analysis to be undertaken.

Effects of Mountain Pine Beetle on Fuels and Expected Fire Behavior in Lodgepole Pine Forests, Colorado, USA

PubMed Central

Schoennagel, Tania; Veblen, Thomas T.; Negron, José F.; Smith, Jeremy M.

2012-01-01

In Colorado and southern Wyoming, mountain pine beetle (MPB) has affected over 1.6 million ha of predominantly lodgepole pine forests, raising concerns about effects of MPB-caused mortality on subsequent wildfire risk and behavior. Using empirical data we modeled potential fire behavior across a gradient of wind speeds and moisture scenarios in Green stands compared three stages since MPB attack (Red [1–3 yrs], Grey [4–10 yrs], and Old-MPB [∼30 yrs]). MPB killed 50% of the trees and 70% of the basal area in Red and Grey stages. Across moisture scenarios, canopy fuel moisture was one-third lower in Red and Grey stages compared to the Green stage, making active crown fire possible at lower wind speeds and less extreme moisture conditions. More-open canopies and high loads of large surface fuels due to treefall in Grey and Old-MPB stages significantly increased surface fireline intensities, facilitating active crown fire at lower wind speeds (>30–55 km/hr) across all moisture scenarios. Not accounting for low foliar moistures in Red and Grey stages, and large surface fuels in Grey and Old-MPB stages, underestimates the occurrence of active crown fire. Under extreme burning conditions, minimum wind speeds for active crown fire were 25–35 km/hr lower for Red, Grey and Old-MPB stands compared to Green. However, if transition to crown fire occurs (outside the stand, or within the stand via ladder fuels or wind gusts >65 km/hr), active crown fire would be sustained at similar wind speeds, suggesting observed fire behavior may not be qualitatively different among MPB stages under extreme burning conditions. Overall, the risk (probability) of active crown fire appears elevated in MPB-affected stands, but the predominant fire hazard (crown fire) is similar across MPB stages and is characteristic of lodgepole pine forests where extremely dry, gusty weather conditions are key factors in determining fire behavior. PMID:22272268

Yellow Fever outbreaks in unvaccinated populations, Brazil, 2008-2009.

PubMed

Romano, Alessandro Pecego Martins; Costa, Zouraide Guerra Antunes; Ramos, Daniel Garkauskas; Andrade, Maria Auxiliadora; Jayme, Valéria de Sá; Almeida, Marco Antônio Barreto de; Vettorello, Kátia Campomar; Mascheretti, Melissa; Flannery, Brendan

2014-03-01

Due to the risk of severe vaccine-associated adverse events, yellow fever vaccination in Brazil is only recommended in areas considered at risk for disease. From September 2008 through June 2009, two outbreaks of yellow fever in previously unvaccinated populations resulted in 21 confirmed cases with 9 deaths (case-fatality, 43%) in the southern state of Rio Grande do Sul and 28 cases with 11 deaths (39%) in Sao Paulo state. Epizootic deaths of non-human primates were reported before and during the outbreak. Over 5.5 million doses of yellow fever vaccine were administered in the two most affected states. Vaccine-associated adverse events were associated with six deaths due to acute viscerotropic disease (0.8 deaths per million doses administered) and 45 cases of acute neurotropic disease (5.6 per million doses administered). Yellow fever vaccine recommendations were revised to include areas in Brazil previously not considered at risk for yellow fever.

Yellow Fever Outbreaks in Unvaccinated Populations, Brazil, 2008–2009

PubMed Central

Romano, Alessandro Pecego Martins; Costa, Zouraide Guerra Antunes; Ramos, Daniel Garkauskas; Andrade, Maria Auxiliadora; Jayme, Valéria de Sá; de Almeida, Marco Antônio Barreto; Vettorello, Kátia Campomar; Mascheretti, Melissa; Flannery, Brendan

2014-01-01

Due to the risk of severe vaccine-associated adverse events, yellow fever vaccination in Brazil is only recommended in areas considered at risk for disease. From September 2008 through June 2009, two outbreaks of yellow fever in previously unvaccinated populations resulted in 21 confirmed cases with 9 deaths (case-fatality, 43%) in the southern state of Rio Grande do Sul and 28 cases with 11 deaths (39%) in Sao Paulo state. Epizootic deaths of non-human primates were reported before and during the outbreak. Over 5.5 million doses of yellow fever vaccine were administered in the two most affected states. Vaccine-associated adverse events were associated with six deaths due to acute viscerotropic disease (0.8 deaths per million doses administered) and 45 cases of acute neurotropic disease (5.6 per million doses administered). Yellow fever vaccine recommendations were revised to include areas in Brazil previously not considered at risk for yellow fever. PMID:24625634

Disaster Averted, For Now: How the American Health Care Act Would Have Affected Californians.

PubMed

Rasmussen, Petra W

2017-03-01

Although the American Health Care Act (AHCA) was recently defeated, the policies in the bill represented a mix of ideas long favored by conservatives. If enacted, this repeal-and-replace bill would have had devastating consequences for most of the 5 million Californians currently receiving direct benefits from the Affordable Care Act (ACA), including more than 1 million who receive subsidies through Covered California and almost 4 million who have enrolled in the Medi-Cal expansion. Although the bill failed to garner enough votes for passage, it is likely that efforts to chip away at the ACA will continue and that some of the ideas contained within the AHCA will be revisited. This policy brief summarizes some of the most significant reversals that would have occurred under the Republican plan in the individual and small group insurance markets.

Condom use increasing.

PubMed

Finger, W R

1998-01-01

Condom use is central to the prevention of AIDS among people at risk for contracting HIV. As such, condom use is increasing dramatically even though many men say that they do not like using them. Condom sales through social marketing campaigns have increased dramatically in some countries, where tens of millions of condoms are sold annually. For example, during the period 1991-96, annual social marketing sales increased about five-fold in Ethiopia to 21 million, and nine-fold in Brazil to 27 million. These sales reflect the success of condom social marketing campaigns in making condoms accessible and largely affordable. There is also a greater general awareness of AIDS than there used to be, and communication campaigns have shown that condoms are an effective solution. More condoms still need to be used in the ongoing struggle against HIV/AIDS. The author discusses the factors which affect the limited acceptance of condoms, condom use outside of marriage, social marketing, and family planning programs.

JPRS Report, China

DTIC Science & Technology

1989-06-30

in Hsin -chia-p’o: Erh- shih-wu nien lai tefa-chan [Singapore: The Last 25 Years of Development]: "In view of conditions in Singapore, public...Taiyuan Iron and Steel Corporation in Shanxi Province. The cost of the mill was 500 million Japanese yen ($3.6 million). The deal is an effort by the...tax office has no right to examine my books. If you want to examine them, tell you bureau chief to give me a call first." His rude and peremptory

Understanding the major transitions in Quaternary climate dynamics

NASA Astrophysics Data System (ADS)

Willeit, Matteo; Ganopolski, Andrey

2017-04-01

Climate dynamics over the past 3 million years was characterized by strong variability associated with glacial cycles and several distinct regime changes. The Pliocene-Pleistocene Transition (PPT), which happened around 2.7 million years ago, was characterized by the appearance of the large continental ice sheets over Northern Eurasia and North America. For two million years after the PPT climate variability was dominated by relatively symmetric 40 kyr cycles. At around 1 million years ago the dominant mode of climate variability experienced a relatively rapid transition from 40 kyr to strongly asymmetric 100 kyr cycles of larger amplitude (Mid-Pleistocene Transition). Additionally, during the past 800 kyr there are clear differences between the earlier and the later glacial cycles with the last five cycles characterized by larger magnitude of variability (Mid-Brunhes Event). Here, we use the Earth system model of intermediate complexity CLIMBER-2 to explore possible mechanisms that could explain these regime shifts. CLIMBER-2 incorporates all major components of the Earth system - atmosphere, ocean, land surface, northern hemisphere ice sheets, terrestrial biota and soil carbon, marine biogeochemistry and aeolian dust. The model was optimally tuned to reproduce climate, ice volume and CO2 variability over the last 400,000 years. Using the same model version, we performed a large set of simulations covering the entire Quaternary (3 million years) starting from identical initial conditions and using a parallelization in time technique which consists of starting the model at different times (every 100,000 years) and running each simulation for 500,000 years. The Earth's orbital variations are the only prescribed radiative forcing. Several sets of the Northern Hemisphere orography and sediment thickness representing different stages of landscape evolution during the Quaternary are prescribed as boundary conditions for the ice sheet model and volcanic CO2 outgassing is used as the external forcing for the carbon cycle to allow for different background atmospheric CO2 concentrations. We show that by varying only these two model boundary conditions and volcanic forcing the model is able to reproduce the major regime changes of Quaternary long-term climate dynamics.

Global neurosurgery: the current capacity and deficit in the provision of essential neurosurgical care. Executive Summary of the Global Neurosurgery Initiative at the Program in Global Surgery and Social Change.

PubMed

Dewan, Michael C; Rattani, Abbas; Fieggen, Graham; Arraez, Miguel A; Servadei, Franco; Boop, Frederick A; Johnson, Walter D; Warf, Benjamin C; Park, Kee B

2018-04-27

OBJECTIVE Worldwide disparities in the provision of surgical care result in otherwise preventable disability and death. There is a growing need to quantify the global burden of neurosurgical disease specifically, and the workforce necessary to meet this demand. METHODS Results from a multinational collaborative effort to describe the global neurosurgical burden were aggregated and summarized. First, country registries, third-party modeled data, and meta-analyzed published data were combined to generate incidence and volume figures for 10 common neurosurgical conditions. Next, a global mapping survey was performed to identify the number and location of neurosurgeons in each country. Finally, a practitioner survey was conducted to quantify the proportion of disease requiring surgery, as well as the median number of neurosurgical cases per annum. The neurosurgical case deficit was calculated as the difference between the volume of essential neurosurgical cases and the existing neurosurgical workforce capacity. RESULTS Every year, an estimated 22.6 million patients suffer from neurological disorders or injuries that warrant the expertise of a neurosurgeon, of whom 13.8 million require surgery. Traumatic brain injury, stroke-related conditions, tumors, hydrocephalus, and epilepsy constitute the majority of essential neurosurgical care worldwide. Approximately 23,300 additional neurosurgeons are needed to address more than 5 million essential neurosurgical cases-all in low- and middle-income countries-that go unmet each year. There exists a gross disparity in the allocation of the surgical workforce, leaving large geographic treatment gaps, particularly in Africa and Southeast Asia. CONCLUSIONS Each year, more than 5 million individuals suffering from treatable neurosurgical conditions will never undergo therapeutic surgical intervention. Populations in Africa and Southeast Asia, where the proportion of neurosurgeons to neurosurgical disease is critically low, are especially at risk. Increasing access to essential neurosurgical care in low- and middle-income countries via neurosurgical workforce expansion as part of surgical system strengthening is necessary to prevent severe disability and death for millions with neurological disease.

USGS reference materials

USGS Publications Warehouse

,

1995-01-01

Every year in the United States, millions of measurements are made on the chemical composition of items that affect us on a daily basis. Determining the accuracy of these measurements is based on the analysis of appropriate reference materials whose composition was previously determined through rigorous testing. Today, reference materials help us evaluate the composition of the food we eat, medicine we use, soil we grow our crops in, and hundreds of other products that affect our everyday lives.

Putting intimate partner violence on your radar.

PubMed

Collett, DeShana; Bennett, Tamara

2015-10-01

Intimate partner violence is a preventable health problem that affects more than 12 million people in the United States each year. Those affected can be of any sex, race, ethnicity, socioeconomic status, religion, education level, or sexual orientation. All clinicians should screen for intimate partner violence as part of the routine history and physical examination. This article describes the dynamics of intimate partner violence and the 2013 screening guidelines from the US Preventive Services Task Force.

The international experience of bacterial screen testing of platelet components with an automated microbial detection system: a need for consensus testing and reporting guidelines.

PubMed

Benjamin, Richard J; McDonald, Carl P

2014-04-01

The BacT/ALERT microbial detection system (bioMerieux, Inc, Durham, NC) is in routine use in many blood centers as a prerelease test for platelet collections. Published reports document wide variation in practices and outcomes. A systematic review of the English literature was performed to describe publications assessing the use of the BacT/ALERT culture system on platelet collections as a routine screen test of more than 10000 platelet components. Sixteen publications report the use of confirmatory testing to substantiate initial positive culture results but use varying nomenclature to classify the results. Preanalytical and analytical variables that may affect the outcomes differ widely between centers. Incomplete description of protocol details complicates comparison between sites. Initial positive culture results range from 539 to 10606 per million (0.054%-1.061%) and confirmed positive from 127 to 1035 per million (0.013%-0.104%) donations. False-negative results determined by outdate culture range from 662 to 2173 per million (0.066%-0.217%) and by septic reactions from 0 to 66 per million (0%-0.007%) collections. Current culture protocols represent pragmatic compromises between optimizing analytical sensitivity and ensuring the timely availability of platelets for clinical needs. Insights into the effect of protocol variations on outcomes are generally restricted to individual sites that implement limited changes to their protocols over time. Platelet manufacturers should reassess the adequacy of their BacT/ALERT screening protocols in light of the growing international experience and provide detailed documentation of all variables that may affect culture outcomes when reporting results. We propose a framework for a standardized nomenclature for reporting of the results of BacT/ALERT screening. Copyright © 2014 Elsevier Inc. All rights reserved.

Estimated Cost to a Restaurant of a Foodborne Illness Outbreak.

PubMed

Bartsch, Sarah M; Asti, Lindsey; Nyathi, Sindiso; Spiker, Marie L; Lee, Bruce Y

Although outbreaks of restaurant-associated foodborne illness occur periodically and make the news, a restaurant may not be aware of the cost of an outbreak. We estimated this cost under varying circumstances. We developed a computational simulation model; scenarios varied outbreak size (5 to 250 people affected), pathogen (n = 15), type of dining establishment (fast food, fast casual, casual dining, and fine dining), lost revenue (ie, meals lost per illness), cost of lawsuits and legal fees, fines, and insurance premium increases. We estimated that the cost of a single foodborne illness outbreak ranged from $3968 to $1.9 million for a fast-food restaurant, $6330 to $2.1 million for a fast-casual restaurant, $8030 to $2.2 million for a casual-dining restaurant, and $8273 to $2.6 million for a fine-dining restaurant, varying from a 5-person outbreak, with no lost revenue, lawsuits, legal fees, or fines, to a 250-person outbreak, with high lost revenue (100 meals lost per illness), and a high amount of lawsuits and legal fees ($1 656 569) and fines ($100 000). This cost amounts to 10% to 5790% of a restaurant's annual marketing costs and 0.3% to 101% of annual profits and revenue. The biggest cost drivers were lawsuits and legal fees, outbreak size, and lost revenue. Pathogen type affected the cost by a maximum of $337 000, the difference between a Bacillus cereus outbreak (least costly) and a listeria outbreak (most costly). The cost of a single foodborne illness outbreak to a restaurant can be substantial and outweigh the typical costs of prevention and control measures. Our study can help decision makers determine investment and motivate research for infection-control measures in restaurant settings.

Global Burden of Leptospirosis: Estimated in Terms of Disability Adjusted Life Years

PubMed Central

Torgerson, Paul R.; Hagan, José E.; Costa, Federico; Calcagno, Juan; Kane, Michael; Martinez-Silveira, Martha S.; Goris, Marga G. A.; Stein, Claudia; Ko, Albert I.; Abela-Ridder, Bernadette

2015-01-01

Background Leptospirosis, a spirochaetal zoonosis, occurs in diverse epidemiological settings and affects vulnerable populations, such as rural subsistence farmers and urban slum dwellers. Although leptospirosis can cause life-threatening disease, there is no global burden of disease estimate in terms of Disability Adjusted Life Years (DALYs) available. Methodology/Principal Findings We utilised the results of a parallel publication that reported global estimates of morbidity and mortality due to leptospirosis. We estimated Years of Life Lost (YLLs) from age and gender stratified mortality rates. Years of Life with Disability (YLDs) were developed from a simple disease model indicating likely sequelae. DALYs were estimated from the sum of YLLs and YLDs. The study suggested that globally approximately 2·90 million DALYs are lost per annum (UIs 1·25–4·54 million) from the approximately annual 1·03 million cases reported previously. Males are predominantly affected with an estimated 2·33 million DALYs (UIs 0·98–3·69) or approximately 80% of the total burden. For comparison, this is over 70% of the global burden of cholera estimated by GBD 2010. Tropical regions of South and South-east Asia, Western Pacific, Central and South America, and Africa had the highest estimated leptospirosis disease burden. Conclusions/Significance Leptospirosis imparts a significant health burden worldwide, which approach or exceed those encountered for a number of other zoonotic and neglected tropical diseases. The study findings indicate that highest burden estimates occur in resource-poor tropical countries, which include regions of Africa where the burden of leptospirosis has been under-appreciated and possibly misallocated to other febrile illnesses such as malaria. PMID:26431366

Effect of Intake Air Filter Condition on Vehicle Fuel Economy

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

Norman, Kevin M; Huff, Shean P; West, Brian H

2009-02-01

The U.S. Department of Energy (DOE) Office of Energy Efficiency and Renewable Energy and the U.S. Environmental Protection Agency (EPA) jointly maintain a fuel economy website (www.fueleconomy.gov), which helps fulfill their responsibility under the Energy Policy Act of 1992 to provide accurate fuel economy information [in miles per gallon (mpg)] to consumers. The site provides information on EPA fuel economy ratings for passenger cars and light trucks from 1985 to the present and other relevant information related to energy use such as alternative fuels and driving and vehicle maintenance tips. In recent years, fluctuations in the price of crude oilmore » and corresponding fluctuations in the price of gasoline and diesel fuels have renewed interest in vehicle fuel economy in the United States. (User sessions on the fuel economy website exceeded 20 million in 2008 compared to less than 5 million in 2004 and less than 1 million in 2001.) As a result of this renewed interest and the age of some of the references cited in the tips section of the website, DOE authorized the Oak Ridge National Laboratory (ORNL) Fuels, Engines, and Emissions Research Center (FEERC) to initiate studies to validate and improve these tips. This report documents a study aimed specifically at the effect of engine air filter condition on fuel economy. The goal of this study was to explore the effects of a clogged air filter on the fuel economy of vehicles operating over prescribed test cycles. Three newer vehicles (a 2007 Buick Lucerne, a 2006 Dodge Charger, and a 2003 Toyota Camry) and an older carbureted vehicle were tested. Results show that clogging the air filter has no significant effect on the fuel economy of the newer vehicles (all fuel injected with closed-loop control and one equipped with MDS). The engine control systems were able to maintain the desired AFR regardless of intake restrictions, and therefore fuel consumption was not increased. The carbureted engine did show a decrease in fuel economy with increasing restriction. However, the level of restriction required to cause a substantial (10-15%) decrease in fuel economy (such as that cited in the literature) was so severe that the vehicle was almost undrivable. Acceleration performance on all vehicles was improved with a clean air filter. Once it was determined how severe the restriction had to be to affect the carbureted vehicle fuel economy, the 2007 Buick Lucerne was retested in a similar manner. We were not able to achieve the level of restriction that was achieved with the 1972 Pontiac with the Lucerne. The Lucerne's air filter box would not hold the filter in place under such severe conditions. (It is believed that this testing exceeded the design limits of the air box.) Tests were conducted at a lower restriction level (although still considerably more severe than the initial clogged filter testing), allowing the air filter to stay seated in the air box, and no significant change was observed in the Lucerne's fuel economy or the AFR over the HFET cycle. Closed-loop control in modern fuel injected vehicle applications is sophisticated enough to keep a clogged air filter from affecting the vehicle fuel economy. However for older, open-loop, carbureted vehicles, a clogged air filter can affect the fuel economy. For the vehicle tested, the fuel economy with a new air filter improved as much as 14% over that with a severely clogged filter (in which the filter was so clogged that drivability was impacted). Under a more typical state of clog, the improvement with a new filter ranged from 2 to 6%.« less

Bullying Prevention and Social Justice

ERIC Educational Resources Information Center

Polanin, Megan; Vera, Elizabeth

2013-01-01

School bullying exists as a societal epidemic that affects millions of school-aged students (Espelage & Holt, 2012). Youths involved in bullying--whether perpetrating, witnessing, or being victimized--face inequitable access to school-based resources and opportunities aimed at academic growth and empowerment. This article conceptualizes school…

Protecting Consumers from Contaminated Drinking Water during Natural Disasters

EPA Science Inventory

Natural disasters can cause damage and destruction to local water supplies affecting millions of people. Communities should plan for and designate an authorized team to manage and prioritize emergency response in devastated areas. Sections 2.0 and 3.0 describe the Environmental...

Gay and Lesbian Parents

MedlinePlus

... Life Listen Español Text Size Email Print Share Gay and Lesbian Parents Page Content Article Body I am gay. Should I worry how this will affect my children? Millions of children have one or more gay and/or lesbian parents. For some children, having ...

DOES INHALATION OF METHANOL VAPOR AFFECT HUMAN NEUROBEHAVIOR?

EPA Science Inventory

In this pilot study, Dr. Mary Cook and colleagues exposed 12 young male volunteers to either filtered air or methanol vapor (192 parts per million) for 75 minutes. (This concentration of methanol is estimated to approach the highest concentration that individuals might expe...

First genomic survey of human skin fungal diversity

Cancer.gov

Fungal infections of the skin affect 29 million people in the United States. In the first study of human fungal skin diversity, National Institutes of Health researchers sequenced the DNA of fungi that thrive at different skin sites of healthy adults to d

Green Space and Childhood Autism

EPA Science Inventory

Autism, a group of complex neurodevelopmental disorders typically identified in early childhood, affects more than 3 million people in the U.S. To date, the cause of autism is unclear. It is believed that autism results from a combination of genetic and environmental factors incl...

From the lab - Testing Malaria-Resistant Mosquitoes | NIH MedlinePlus the Magazine

MedlinePlus

... Malaria-Resistant Mosquitoes Follow us Photo: AdobeStock Testing Malaria-Resistant Mosquitoes Malaria is a serious disease that affects 200 million ... is found in tropical areas of the world. Malaria kills thousands of people (more than 400,000 ...

How can we eradicate chlamydia?

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

Rousser, Margaret; He, Wei

Chlamydia is the most commonly contracted STI and affects millions of people worldwide, but it's not just hurting humans--it's also decimating koala populations! Find out how researches at the Lab are working toward developing the first vaccine against chlamydia--good news for humans and koalas.

Child-street migration among HIV-affected families in Kenya: a mediation analysis from cross-sectional data

PubMed Central

Goodman, Michael L.; Mutambudzi, Miriam S.; Gitari, Stanley; Keiser, Philip H.; Seidel, Sarah E.

2016-01-01

ABSTRACT Within Kenya, an estimated quarter of a million children live on the streets, and 1.8 million children are orphaned. In this study, we analyze how HIV contributes to the phenomenon of child-street migration. We interviewed a random community sample of caregiving women (n = 1974) in Meru County, Kenya, using a structured questionnaire in summer 2015. Items included reported HIV prevalence of respondent and her partner, social support, overall health, school enrollment of biologically related children and whether the respondent has a child currently living on the streets. Controlling for alcohol use, education, wealth, age and household size, we found a positive-graded association between the number of partners living with HIV and the probability that a child lives on the street. There was little difference in the odds of a child living on the street between maternally affected and paternally affected households. Lower maternal social support, overall health and school enrollment of biologically related children mediated 14% of the association between HIV-affected households and reporting child-street migration. Street-migration of children is strongly associated with household HIV, but the small percentage of mediated effect presents a greater need to focus on interactions between household and community factors in the context of HIV. Programs and policies responding to these findings will involve targeting parents and children in HIV-affected households, and coordinate care between clinical providers, social service providers and schools. PMID:27392012

Child-street migration among HIV-affected families in Kenya: a mediation analysis from cross-sectional data.

PubMed

Goodman, Michael L; Mutambudzi, Miriam S; Gitari, Stanley; Keiser, Philip H; Seidel, Sarah E

2016-03-01

Within Kenya, an estimated quarter of a million children live on the streets, and 1.8 million children are orphaned. In this study, we analyze how HIV contributes to the phenomenon of child-street migration. We interviewed a random community sample of caregiving women (n = 1974) in Meru County, Kenya, using a structured questionnaire in summer 2015. Items included reported HIV prevalence of respondent and her partner, social support, overall health, school enrollment of biologically related children and whether the respondent has a child currently living on the streets. Controlling for alcohol use, education, wealth, age and household size, we found a positive-graded association between the number of partners living with HIV and the probability that a child lives on the street. There was little difference in the odds of a child living on the street between maternally affected and paternally affected households. Lower maternal social support, overall health and school enrollment of biologically related children mediated 14% of the association between HIV-affected households and reporting child-street migration. Street-migration of children is strongly associated with household HIV, but the small percentage of mediated effect presents a greater need to focus on interactions between household and community factors in the context of HIV. Programs and policies responding to these findings will involve targeting parents and children in HIV-affected households, and coordinate care between clinical providers, social service providers and schools.

The longleaf pine forest: trends and current conditions

Treesearch

Kenneth W. Outcalt; Raymond M. Sheffield

1996-01-01

Longleaf pine (Pinus palustris Mill.) ecosystems once occupied perhaps as much as 60 million acres in the Southeastern United States (fig. l), stretching from southeastern Virginia south to central Florida and west into eastern Texas (Stout and Marion 1993). These fire-dependent ecosystems covered a wide range of site conditions, from low, wet...

Do Heat Waves have an Impact on Terrestrial Water Storage?

NASA Astrophysics Data System (ADS)

Brena-Naranjo, A.; Teuling, R.; Pedrozo-Acuña, A.

2014-12-01

Recent works have investigated the impact of heat waves on the surface energy and carbon balance. However, less attention has been given to the impacts on terrestrial hydrology. During the summer of 2010, the occurrence of an exceptional heat wave affected severely the Northern Hemisphere. The extension (more than 2 million km2) and severity of this extreme event caused substantial ecosystem damage (more than 1 million ha of forest fires), economic and human losses (~500 billion USD and more than 17 million of indirect deaths, respectively). This work investigates for the first time the impacts of the 2010 summer heat wave on terrestrial water storage. Our study area comprises three different regions where air temperature records were established or almost established during the summer: Western Russia, the Middle East and Eastern Sahel. Anomalies of terrestrial water storage derived from the Gravity Recovery and Climate Experiment (GRACE) were used to infer water storage deficits during the 2003-2013 period. Our analysis shows that Russia experienced the most severe water storage decline, followed by the Middle East, whereas Eastern Sahel was not significantly affected. The impact of the heat wave was spatially uniform in Russia but highly variable in the Middle East, with the Northern part substantially more affected than the Southern region. Lag times between maxima air temperatures and lower water storage deficits for Russia and the Middle East were approximately two and seven months, respectively. The results suggest that the response of terrestrial water storage to heat waves is stronger in energy-limited environments than in water-limited regions. Such differences in the magnitude and timing between meteorological and hydrological extremes can be explained by the propagation time between atmospheric water demand and natural or anthropogenic sources of water storage.

Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review

PubMed Central

Kinser, Patricia Anne; Lyon, Debra E.

2013-01-01

Major depressive disorder (MDD) affects millions of individuals and causes significant suffering worldwide. It has been speculated that MDD is associated with accelerated aging-related biological and functional decline. To examine the accelerated aging hypothesis, one of the biomarkers under study is leukocyte telomeres, and specifically the measure of telomere length and telomerase activity. This review integrates findings from eleven human studies which evaluated telomere length and telomerase activity, in order to synthesize the state of the current science and to inform the development of new knowledge and enhance nursing research of depression using appropriate biobehavioral measures. Although preliminary, the findings from this integrated review suggest that there is evidence to support a conceptualization of depression as a stress-related condition in which telomeres shorten over time in relation to cumulative exposure to the chronic stress of depression. For the purposes of testing in future nursing research, visual representations of the theoretical connection between stress vulnerabilities, depression, and health outcomes and key moderators and mediators involved in this conceptualization are provided. The findings from this review and the conceptual framework provided may be a useful step towards advancing therapeutic nursing interventions for this debilitating chronic condition. PMID:23691300

Fibromyalgia: presentation and management with a focus on pharmacological treatment.

PubMed

Sumpton, Janice E; Moulin, Dwight E

2008-01-01

Fibromyalgia is a condition with widespread muscle pain. Prevalence studies showed that 2% to 7% of the population have fibromyalgia, which affects approximately one million Canadians. Fibromyalgia is most common in women, but it also involves men and children. As with most chronic illnesses, the causes of fibromyalgia are unknown. However, recent research supports underlying abnormalities in the central nervous system, which supports fibromyalgia as a chronic disease state and valid clinical entity. Pain is the primary symptom, often accompanied by overwhelming fatigue, sleep dysfunction and cognitive impairment. In 1990, the American College of Rheumatology developed diagnostic criteria for the diagnosis of fibromyalgia. Lifestyle changes, including pacing of activities and aerobic exercise, are very important in managing fibromyalgia symptoms. Emotional and behavioural therapy can also be helpful. Controlled trials of antidepressants, gabapentinoids, tramadol, zopiclone and sodium oxybate have shown effectiveness in fibromyalgia patients. Pregabalin and duloxetine were recently approved in the United States. Effective management of fibromyalgia is complex and requires a multidisciplinary treatment approach. Response and tolerance of different therapeutic interventions vary from patient to patient. Recent advances in the pathophysiology of fibromyalgia offer hope for new and improved therapies in the management of this disabling condition.

Exploring a road map to counter misconceptions about the cervicovaginal microbiome and disease.

PubMed

Macklaim, Jean M; Cohen, Craig R; Donders, Gilbert; Gloor, Gregory B; Hill, Janet E; Parham, Groesbeck P; Ravel, Jacques; Spear, Gregory; van de Wijgert, Janneke; Reid, Gregor

2012-11-01

Urogenital diseases, especially infection and cancer, are major causes of death and morbidity in females. Yet, millions of women in the developing world have no access to basic urogynecological care, and the diagnosis and treatment of widespread aberrant bacterial conditions (bacterial vaginosis [BV] and aerobic vaginitis [AV]) remain suboptimal the world over. Samples from women living in resource-disadvantaged and developed countries have been analyzed by high-throughput sequencing to reveal the diversity of bacteria in the vagina, how rapidly the bacterial population fluctuates over time, and how rapidly the switch occurs between healthy and aberrant conditions. Unfortunately, clinical diagnostic methods are inefficient and too often outdated therapies are administered. The net result is suboptimal care and recurrent disease that adversely affects the quality of life. This viewpoint outlines a scientific and translational road map designed to improve the cervicovaginal health and treatment of disease. This comprises (1) improving education of women and physicians on the vaginal microbiota; (2) having agencies target funding for research to improve diagnosis and test new therapies; and (3) making sure that new approaches are accessible in developing countries, empowering to women, and are acceptable and appropriate for different populations.

Placental Nutrient Transport and Intrauterine Growth Restriction

PubMed Central

Gaccioli, Francesca; Lager, Susanne

2016-01-01

Intrauterine growth restriction refers to the inability of the fetus to reach its genetically determined potential size. Fetal growth restriction affects approximately 5–15% of all pregnancies in the United States and Europe. In developing countries the occurrence varies widely between 10 and 55%, impacting about 30 million newborns per year. Besides having high perinatal mortality rates these infants are at greater risk for severe adverse outcomes, such as hypoxic ischemic encephalopathy and cerebral palsy. Moreover, reduced fetal growth has lifelong health consequences, including higher risks of developing metabolic and cardiovascular diseases in adulthood. Numerous reports indicate placental insufficiency as one of the underlying causes leading to altered fetal growth and impaired placental capacity of delivering nutrients to the fetus has been shown to contribute to the etiology of intrauterine growth restriction. Indeed, reduced expression and/or activity of placental nutrient transporters have been demonstrated in several conditions associated with an increased risk of delivering a small or growth restricted infant. This review focuses on human pregnancies and summarizes the changes in placental amino acid, fatty acid, and glucose transport reported in conditions associated with intrauterine growth restriction, such as maternal undernutrition, pre-eclampsia, young maternal age, high altitude and infection. PMID:26909042

Assessing the sensitivity of human skin hyperspectral responses to increasing anemia severity levels

NASA Astrophysics Data System (ADS)

Baranoski, Gladimir V. G.; Dey, Ankita; Chen, Tenn F.

2015-09-01

Anemia is a prevalent medical condition that seriously affects millions of people all over the world. In many regions, not only its initial detection but also its monitoring are hindered by limited access to laboratory facilities. This situation has motivated the development of a wide range of optical devices and procedures to assist physicians in these tasks. Although noticeable progress has been achieved in this area, the search for reliable, low-cost, and risk-free solutions still continues, and the strengthening of the knowledge base about this disorder and its effects is essential for the success of these initiatives. We contribute to these efforts by closely examining the sensitivity of human skin hyperspectral responses (within and outside the visible region of the light spectrum) to reduced hemoglobin concentrations associated with increasing anemia severity levels. This investigation, which involves skin specimens with distinct biophysical and morphological characteristics, is supported by controlled in silico experiments performed using a predictive light transport model and measured data reported in the biomedical literature. We also propose a noninvasive procedure to be employed in the monitoring of this condition at the point-of-care.

The public health value of vaccination for seniors in Europe.

PubMed

Esposito, Susanna; Franco, Elisabetta; Gavazzi, Gaetan; de Miguel, Angel Gil; Hardt, Roland; Kassianos, George; Bertrand, Isabelle; Levant, Marie-Cécile; Soubeyrand, Benoit; López Trigo, Jose Antonio

2018-05-03

Longer life expectancy and decreasing fertility rates mean that the proportion of older people is continually increasing worldwide, and particularly in Europe. Ageing is associated with an increase in the risk and severity of infectious diseases. These diseases are also more difficult to diagnose and manage in seniors who often have at least one comorbid condition (60% of seniors have two or more conditions). Infectious diseases increase the risk of hospitalization, loss of autonomy and death in seniors. Effective vaccines are available in Europe for infectious diseases such as influenza, pneumococcal diseases, herpes zoster, diphtheria, tetanus and pertussis. Their effectiveness has been demonstrated in terms of reducing the rates of hospitalization, disability, dependency and death. The prevention of diseases in seniors also results in savings in healthcare and societal costs each year in Europe. Despite the availability of vaccines, vaccine-preventable diseases affect millions of European citizens annually, with the greatest burden of disease occurring in seniors, and the medical and economic benefits associated with are not being achieved. Vaccination coverage rates must be improved to achieve the full benefits of vaccination of seniors in Europe. Copyright © 2018 Elsevier Ltd. All rights reserved.

Foundations Invest In Environmental Health.

PubMed

Sessions, Kathryn; Fortunato, Karla; Johnson, Philip R S; Panek, Amy

2016-11-01

Nearly one in four deaths globally are due to environmental hazards such as air and water pollution, according to the World Health Organization. However, knowledge about how the environment affects health and health equity outcomes has not been well integrated into decisions that shape the conditions in which people live, work, and play. To address this challenge, US foundations have invested millions of dollars to make it easier to incorporate environmental health information into decisions ranging from family purchases and governmental policy making to business, medical, and other professional practices. This article summarizes grant making aimed at improving environmental conditions to improve health and health equity outcomes. We provide examples of environmental health grants that focus on tools that the public, policy makers, and professionals can use in making decisions. We found that the investment in and attention to environmental factors, including in work addressing social determinants of health, have been insufficient to realize the potential for reducing negative environmental impacts on health and health disparities. We argue that the grant making highlighted here has increased knowledge that could enable more widespread consideration of environmental health in many decisions, with positive effects on health and health equity. Project HOPE—The People-to-People Health Foundation, Inc.

Exploring a Road Map to Counter Misconceptions About the Cervicovaginal Microbiome and Disease

PubMed Central

Macklaim, Jean M.; Cohen, Craig R.; Donders, Gilbert; Gloor, Gregory B.; Hill, Janet E.; Parham, Groesbeck P.; Ravel, Jacques; Spear, Gregory; van de Wijgert, Janneke

2012-01-01

Urogenital diseases, especially infection and cancer, are major causes of death and morbidity in females. Yet, millions of women in the developing world have no access to basic urogynecological care, and the diagnosis and treatment of widespread aberrant bacterial conditions (bacterial vaginosis [BV] and aerobic vaginitis [AV]) remain suboptimal the world over. Samples from women living in resource-disadvantaged and developed countries have been analyzed by high-throughput sequencing to reveal the diversity of bacteria in the vagina, how rapidly the bacterial population fluctuates over time, and how rapidly the switch occurs between healthy and aberrant conditions. Unfortunately, clinical diagnostic methods are inefficient and too often outdated therapies are administered. The net result is suboptimal care and recurrent disease that adversely affects the quality of life. This viewpoint outlines a scientific and translational road map designed to improve the cervicovaginal health and treatment of disease. This comprises (1) improving education of women and physicians on the vaginal microbiota; (2) having agencies target funding for research to improve diagnosis and test new therapies; and (3) making sure that new approaches are accessible in developing countries, empowering to women, and are acceptable and appropriate for different populations. PMID:22614624

Climate change and health in Israel: adaptation policies for extreme weather events.

PubMed

Green, Manfred S; Pri-Or, Noemie Groag; Capeluto, Guedi; Epstein, Yoram; Paz, Shlomit

2013-06-27

Climatic changes have increased the world-wide frequency of extreme weather events such as heat waves, cold spells, floods, storms and droughts. These extreme events potentially affect the health status of millions of people, increasing disease and death. Since mitigation of climate change is a long and complex process, emphasis has recently been placed on the measures required for adaptation. Although the principles underlying these measures are universal, preparedness plans and policies need to be tailored to local conditions. In this paper, we conducted a review of the literature on the possible health consequences of extreme weather events in Israel, where the conditions are characteristic of the Mediterranean region. Strong evidence indicates that the frequency and duration of several types of extreme weather events are increasing in the Mediterranean Basin, including Israel. We examined the public health policy implications for adaptation to climate change in the region, and proposed public health adaptation policy options. Preparedness for the public health impact of increased extreme weather events is still relatively limited and clear public health policies are urgently needed. These include improved early warning and monitoring systems, preparedness of the health system, educational programs and the living environment. Regional collaboration should be a priority.

Rhabdomyolysis induced by antiepileptic drugs: characteristics, treatment and prognosis.

PubMed

Jiang, Wei; Wang, Xuefeng; Zhou, Shengnian

2016-01-01

Rhabdomyolysis syndrome refers to a variety of factors that affect the striated muscle cell membrane, the membrane channels and its energy supply. Most cases of rhabdomyolysis are due to direct trauma. However, infection, toxins, drugs, muscle ischemia, electrolyte imbalance, metabolic diseases, genetic diseases and abnormal body temperature can also lead to rhabdomyolysis. Epilepsy is one of the most common chronic neurological diseases. The primary long-term treatment is antiepileptic drugs (AEDs), which may cause rhabdomyolysis. This article summarizes the characteristics, treatment methods and prognosis of patients with rhabdomyolysis that is induced by antiepileptic drugs. This review is based on PubMed, EMBASE and MEDLINE searches of the literature using the keywords "epilepsy", "antiepileptic drugs","status epilepticus","rhabdomyolysis", and "antiepileptic drugs and rhabdomyolysis syndrome" as well as extensive personal clinical experience with various antiepileptic drugs. Potential relationships between antiepileptic drugs and rhabdomyolysis are discussed. Worldwide, there are approximately 50 million epilepsy patients, most of whom are treated with drugs. Reports have indicated that the majority of antiepileptic drugs on the market can cause rhabdomyolysis. Although rhabdomyolysis induced by antiepileptic drugs is a rare condition with a low incidence, this condition has serious consequences and merits attention from clinicians.

Heat transfer rate distributions on McDonnell-Douglas booster determined by phase change technique for nominal Mach number of 8

NASA Technical Reports Server (NTRS)

Matthews, R. K.; Martindale, W. R.; Warmbrod, J. D.

1972-01-01

The results of a wind tunnel test program to determine aerodynamic heat transfer distributions on the McDonnell Douglas Booster configuration are presented. Heat-transfer rates were determined by the phase-change paint technique on 0.009-scale Stycast models using Tempilaq as the surface temperature indicator. The nominal test conditions were; Mach 8, length Reynolds numbers 5 million and 7.3 million, and angles of attack of 40, 50, and 60 deg. At the higher Reynolds number, data were obtained with and without boundary layer trips. Model details, test conditions, and reduced heat-transfer data are presented. Data reduction of the phase-change paint photographs was performed by utilizing a new technique which is described.

Endurance and failure characteristics of main-shaft jet engine bearings at 3x10 to the 6th power DN

NASA Technical Reports Server (NTRS)

Bamberger, E. N.; Zaretsky, E. V.; Signer, H.

1976-01-01

Groups of thirty 120-mm bore angular contact ball bearings were endurance tested at a speed of 12,000 and 25,000 rpm and a thrust load of 66 721 N. The bearings were manufactured from a single heat of VIM-VAR AISI M-50 steel. At 1.44X1 million and 3.0x1 million DN, 84 483 and 74 800 bearing test hours were accumulated, respectively. Test results were compared with similar bearings made from CVM AISI M-50 steel run under the same conditions. Bearing lives at speeds of 3x1 million DN with the VIM-VAR AISI M-50 steel were nearly equivalent to those obtained at lower speeds. A combined processing and material life factor of 44 was found for VIM-VAR AISI M-50 steel. Continuous running after a spall has occurred at 3.0x1 million DN can result in a destructive fracture of the bearing inner race.

Fallout risk following a major nuclear attack on the United States.

PubMed

Harvey, T F; Shapiro, C S; Wittler, R F

1992-01-01

Fallout distributions are calculated for nuclear attacks on the contiguous United States. Four attack scenarios are treated, including counterforce and counterforce-countervalue attacks, for meteorological conditions associated with a typical day in summer and one in winter. The countervalue attacks contain mostly airbursts. To determine fallout effects, the population surviving the prompt effects is first calculated. For the prompt effects, a "conflagration-type" model is used. The counterforce attack produces about 8 million prompt deaths, and the counterforce-countervalue case projects 98 million prompt deaths. Partial relocation before attack to low-risk fallout areas at least 15 km from potential strategic targets would result in a decrease in projections of deaths by tens of millions. For fallout risk calculations, only the dose received in the first 48 h (the early or local fallout) is considered. Populations are assumed to be sheltered, with a shelter protection factor profile that varies for a large urban area, a small urban area, or a rural area. With these profiles, without relocation, the fallout fatalities for all four attack scenarios are calculated to be less than one million people. This can be compared to fallout fatalities of about 10 million for a hypothetical unsheltered "phantom" population.

International trade and air pollution: estimating the economic costs of air emissions from waterborne commerce vessels in the United States.

PubMed

Gallagher, Kevin P

2005-10-01

Although there is a burgeoning literature on the effects of international trade on the environment, relatively little work has been done on where trade most directly effects the environment: the transportation sector. This article shows how international trade is affecting air pollution emissions in the United States' shipping sector. Recent work has shown that cargo ships have been long overlooked regarding their contribution to air pollution. Indeed, ship emissions have recently been deemed "the last unregulated source of traditional air pollutants". Air pollution from ships has a number of significant local, national, and global environmental effects. Building on past studies, we examine the economic costs of this increasing and unregulated form of environmental damage. We find that total emissions from ships are largely increasing due to the increase in foreign commerce (or international trade). The economic costs of SO2 pollution range from dollars 697 million to dollars 3.9 billion during the period examined, or dollars 77 to dollars 435 million on an annual basis. The bulk of the cost is from foreign commerce, where the annual costs average to dollars 42 to dollars 241 million. For NOx emissions the costs are dollars 3.7 billion over the entire period or dollars 412 million per year. Because foreign trade is driving the growth in US shipping, we also estimate the effect of the Uruguay Round on emissions. Separating out the effects of global trade agreements reveals that the trade agreement-led emissions amounted to dollars 96 to dollars 542 million for SO2 between 1993 and 2001, or dollars 10 to dollars 60 million per year. For NOx they were dollars 745 million for the whole period or dollars 82 million per year. Without adequate policy responses, we predict that these trends and costs will continue into the future.

Virtual reality system in conjunction with neurorobotics and neuroprosthetics for rehabilitation of motor disorders.

PubMed

De Mauro, Alessandro; Carrasco, Eduardo; Oyarzun, David; Ardanza, Aitor; Frizera Neto, Anselmo; Torricelli, Diego; Pons, José Luis; Gil, Angel; Florez, Julian

2011-01-01

Cerebrovascular accidents (CVA) and spinal cord injuries (SCI) are the most common causes of paralysis and paresis with reported prevalence of 12,000 cases per million and 800 cases per million, respectively. Disabilities that follow CVA (hemiplegia) or SCI (paraplegia, tetraplegia) severely impair motor functions (e.g., standing, walking, reaching and grasping) and prevent the affected individuals from healthy-like, full and autonomous participation in daily activities. Our research focuses on the development of a new virtual reality (VR) system combined with wearable neurorobotics (NR), motor-neuroprosthetics (MNP) and brain neuro-machine interface (BNMI) to overcome the major limitations of current rehabilitation solutions.

The Turkish commercial health insurance industry.

PubMed

Kisa, A

2001-08-01

Turkey has experienced significant development in the private health insurance market since 1991. Improvements in private health services, increased public awareness, and insufficient service delivery by the social security organizations have encouraged more people to buy private health insurance. The number of people covered by private health insurance has reached 600,000, forming a $200 million market. The Turkish insurance industry is targeting 6-8 million insurance holders before the year 2005. This study examines the structure of the commercial health insurance industry of Turkey and gives the latest policy and legal changes made in the insurance market by the Turkish government to affect supply and demand.

Fascioliasis: An Ongoing Zoonotic Trematode Infection

PubMed Central

Nyindo, Mramba; Lukambagire, Abdul-Hamid

2015-01-01

Zoonotic trematode infections are an area of the neglected tropical diseases that have become of major interest to global and public health due to their associated morbidity. Human fascioliasis is a trematode zoonosis of interest in public health. It affects approximately 50 million people worldwide and over 180 million are at risk of infection in both developed and underdeveloped countries. The one health paradigm is an area that seeks to address the problem of zoonotic infections through a comprehensive and sustainable approach. This review attempts to address the major challenges in managing human and animal fascioliasis with valuable insights gained from the one health paradigm to global health and multidisciplinary integration. PMID:26417603

Fascioliasis: An Ongoing Zoonotic Trematode Infection.

PubMed

Nyindo, Mramba; Lukambagire, Abdul-Hamid

2015-01-01

Zoonotic trematode infections are an area of the neglected tropical diseases that have become of major interest to global and public health due to their associated morbidity. Human fascioliasis is a trematode zoonosis of interest in public health. It affects approximately 50 million people worldwide and over 180 million are at risk of infection in both developed and underdeveloped countries. The one health paradigm is an area that seeks to address the problem of zoonotic infections through a comprehensive and sustainable approach. This review attempts to address the major challenges in managing human and animal fascioliasis with valuable insights gained from the one health paradigm to global health and multidisciplinary integration.

Barriers and facilitators affecting African Americans continuation into graduate programs in nursing.

PubMed

Mingo, Aunderia Doreen

2008-01-01

The population in the United States (US) is becoming more and more diverse. With each year the minority population in the US continues to grow. In the year 2000 there were over 281 million Americans with approximately 23% of them being minorities (US Census, 2000). African-Americans accounted for 34.6 million of the population or 12.3% in the 2000 census. Yet despite their growing numbers in the general population African-American Registered Nurses (RNs) only accounted for 4.9% of the total nurse population in the 2002 National Sample Survey of RN's (Health Resources Services Administration [HRSA], 2002).

International comparative study of childhood malignancy comparative study of pediatric malignancy between Kurume and Karachi (K-K Project 1991).

PubMed

Shakoor, A; Murakami, T; Yamashita, F

1991-01-01

A study was undertaken to compare Pediatric Malignancy at Kurume (Japan) and Karachi (Pakistan) with reference to international data collected over the years, in order to identify essential differences between developed and developing conditions and factors influencing the etio-pathogenesis of pediatric cancer. The study was retrospective encompassing all types of cancer in children over a period of three years i-e 1988-1990. Essential factors related to present study were: 1. The population of Karachi is about 10 million while that of Kurume is only half a million. 2. Socio-economic conditions: The average socio-economic condition of people in Karachi is poor while in Kurume it appears to be good. 3. Educational status: Only 25% people in Karachi are educated beyond middle class while Kurume reveals a 100% education up to high school level. 4. Environmental conditions: The environmental conditions of Kurume and surrounding areas are very clean and free from pollution, sewage problems and traffic hazards. Karachi and its surroundings on the other hand pose very serious air and water industries! It was concluded that whereas genetic predisposition predominates, the environmental conditions, educational and socio-economic status of a society immensely influence the pattern and trends of pediatric carcinogenesis.

DIESEL EXHAUST PARTICLE-INDUCED EPITHELIAL TOXICITY IS MODULATED BY UV-IRRADIATION

EPA Science Inventory

Asthma is a chronic inflammatory disorder of the airways affecting nearly 20 million individuals in the U.S alone. Asthmatic symptoms can be exacerbated by environmental insults like exposure to particulate matter (PM). Diesel exhaust particles (DEP) account for a significant por...

Emergency Response Planning to Reduce the Impact of Contaminated Drinking Water during Natural Disasters

EPA Science Inventory

Natural disasters can be devastating to local water supplies affecting millions of people. Disaster recovery plans and water industry collaboration during emergencies protect consumers from contaminated drinking water supplies and help facilitate the repair of public water system...

Quality Counts

ERIC Educational Resources Information Center

Alderson, Kris

2008-01-01

Everyone wants kids to grow up smart. A child's educational success depends on good teachers, challenging curricula and involved parents. Student achievement also can be affected by the healthfulness of a school's environment. That environment includes the restrooms that consume millions of gallons of water on campuses throughout the nation.…

Meta-Analysis of the Chemical and Non-Chemical Stressors Affecting Childhood Obesity

EPA Science Inventory

Worldwide, approximately 42 million children under the age of 5 years are considered overweight or obese. While much research has focused on individual behaviors impacting obesity, little research has emphasized the complex interactions of numerous chemical and non-chemical stres...

Meta-Analysis of the Chemical and Non-Chemical Stressors Affecting Childhood Obesity?

EPA Science Inventory

Background: Worldwide, approximately 42 million children under the age of 5 years are considered overweight or obese. While much research has focused on individual behaviors impacting obesity, little research has emphasized the complex interactions of numerous chemical and non-ch...

STRESS IN THE AIR: INHALED POLLUTANTS AND MULTI-ORGAN IMPAIRMENT

EPA Science Inventory

Air pollution has been blamed for nearly 7 million premature deaths worldwide. For decades, the research on how air pollution impacts human health has centered on cardiopulmonary consequences. However, more recently it is clearly evident that air pollution affects every organ in ...

Colworth prize lecture 2016: exploiting new biological targets from a whole-cell phenotypic screening campaign for TB drug discovery.

PubMed

Moynihan, Patrick Joseph; Besra, Gurdyal S

2017-10-01

Mycobacterium tuberculosis is the aetiological agent of tuberculosis (TB) and is the leading bacterial cause of mortality and morbidity in the world. One third of the world's population is infected with TB, and in conjunction with HIV represents a serious problem that urgently needs addressing. TB is a disease of poverty and mostly affects young adults in their productive years, primarily in the developing world. The most recent report from the World Health Organisation states that 8 million new cases of TB were reported and that ~1.5 million people died from TB. The efficacy of treatment is threatened by the emergence of multi-drug and extensively drug-resistant strains of M. tuberculosis. It can be argued that, globally, M. tuberculosis is the single most important infectious agent affecting mankind. Our research aims to establish an academic-industrial partnership with the goal of discovering new drug targets and hit-to-lead new chemical entities for TB drug discovery.

Does Raising the Early Retirement Age Increase Employment of Older Workers?*

PubMed Central

Staubli, Stefan; Zweimüller, Josef

2013-01-01

Two pension reforms in Austria increased the early retirement age (ERA) from 60 to 62 for men and from 55 to 58.25 for women. We find that raising the ERA increased employment by 9.75 percentage points among affected men and by 11 percentage points among affected women. The reforms had large spillover effects on the unemployment insurance program but negligible effects on disability insurance claims. Specifically, unemployment increased by 12.5 percentage points among men and by 11.8 percentage points among women. The employment response was largest among high-wage and healthy workers, while low-wage and less healthy workers either continued to retire early via disability benefits or bridged the gap to the ERA via unemployment benefits. Taking spillover effects and additional tax revenues into account, we find that for a typical birth-year cohort a one year increase in the ERA resulted in a reduction of net government expenditures of 107 million euros for men and of 122 million euros for women. PMID:24319299

Does Raising the Early Retirement Age Increase Employment of Older Workers?

PubMed

Staubli, Stefan; Zweimüller, Josef

2013-12-01

Two pension reforms in Austria increased the early retirement age (ERA) from 60 to 62 for men and from 55 to 58.25 for women. We find that raising the ERA increased employment by 9.75 percentage points among affected men and by 11 percentage points among affected women. The reforms had large spillover effects on the unemployment insurance program but negligible effects on disability insurance claims. Specifically, unemployment increased by 12.5 percentage points among men and by 11.8 percentage points among women. The employment response was largest among high-wage and healthy workers, while low-wage and less healthy workers either continued to retire early via disability benefits or bridged the gap to the ERA via unemployment benefits. Taking spillover effects and additional tax revenues into account, we find that for a typical birth-year cohort a one year increase in the ERA resulted in a reduction of net government expenditures of 107 million euros for men and of 122 million euros for women.

The impact of health literacy on cardiovascular disease

PubMed Central

Safeer, Richard S; Cooke, Catherine E; Keenan, Jann

2006-01-01

One's ability to read, listen, and comprehend health information is a vital element of maintaining and improving health. However, 90 million people in the United States exhibit less than adequate health literacy skills. Given that more than 70 million Americans suffer from cardiovascular diseases, it is certain that every physician's practice is affected by health literacy issues. Those with language and cultural issues tend to be the most affected. Yet numerous studies find physicians do a poor job of assessing their patients’ health literacy skills. Patients are also unaware of the steps they should take, and how to take them, to improve their health and prevent complications. Numerous studies find, however, that outcomes can be improved with targeted patient education and improved physician communication skills that take into account patients’ health literacy levels. Unfortunately, the health care system is only beginning to recognize this problem and take action to overcome its negative impact. By improving the communication process with patients, physicians may be able to improve cardiovascular outcomes. PMID:17323600

[Child labour: a social problem that we are committed to].

PubMed

Cutri, Adrián; Hammermüller, Erica; Zubieta, Ana; Müller Opet, Beatriz; Miguelez, Lilia

2012-08-01

Child labor is a complex problem that violates the fundamental rights of children and affects their psychophysical development. Child labor affects 215 million children in the world and 115 million perform activities defined as the "worst forms of child labor". Most child labor is in agriculture (60%), where the majority are unpaid family workers, compared to 26% in services and 7% in industry. Argentina has adopted the abolitionist position, promoting prevention and eradication within an inclusive public policy aimed to all children can exercise their rights. The Sociedad Argentina de Pediatría endorses this approach and proposes a course of action: the health team training, and dissemination of the risks of child labor and occupational teenager safety standards. As pediatricians we must be involved in defending children rights, and be able to detect any situation of child labor, and protect the health of children and adolescents. The joint interaction with family, community and other sectors of society will strengthen the network needed to implement child labor eradication policies.

"I Can't Go to School and Leave Her in so Much Pain": Educational Shortfalls among Adolescent "Young Carers" in the South African AIDS Epidemic

ERIC Educational Resources Information Center

Cluver, L.; Operario, D.; Lane, T.; Kganakga, M.

2012-01-01

"I go to the hospital with my mother when she is sick. I can't go to school and leave her in so much pain. I won't concentrate." Millions of adolescents live with AIDS-affected parents or primary caregivers. Little is known about educational impacts of living in an AIDS-affected home, or of acting as a "young carer" in the…

Effects of Aging in Dry Eye

PubMed Central

de Paiva, Cintia S.

2017-01-01

Dry eye affects millions of people worldwide and causes eye well recognized risk factors for dry eye. Anatomical and inflammation-induced age-related changes affect all components of the lacrimal gland functional unit, inclusive of lacrimal gland, conjunctiva, meibomian gland and compromise ocular surface health. There is increased evidence that inflammation plays a role in dry eye. This review will summarize the current knowledge about aging and dry eye, inclusive of lessons learned from animal models and promising therapies. PMID:28282314

Quantitative Analysis of the Contributing Factors Affecting Specialty Care No-Show Rates at Brooke Army Medical Center

DTIC Science & Technology

2007-03-30

2002). In the Vein Treatment Surgery Center in Texas, failure to properly cancel cosmetic appointments will result in forfeiture of the patients’ $100...appointments. This problem affects more than just the United States. Missed appointments cost the National Healthcare System ( NHS ) in England a...significant amount of money last year. Official figures from the NHS showed 5.7 million appointments were missed in 2004-2005 (Carvel, 2006). When patients

Coping strategies, alexithymia and anxiety in young patients with food allergy.

PubMed

Polloni, L; DunnGalvin, A; Ferruzza, E; Bonaguro, R; Lazzarotto, F; Toniolo, A; Celegato, N; Muraro, A

2017-07-01

Food allergy is major public health concern affecting nearly 15 million Americans and 80 million Europeans. Risk of anaphylaxis and implications for social activities affect patients' quality of life and psychological well-being. We previously found that young patients reported higher levels of alexithymia (difficulty in recognizing and expressing emotions) compared with healthy peers and may influence affect, management style and clinical outcomes. This study aimed to explore links between coping strategies, alexithymia and anxiety among food-allergic adolescents and young adults. Ninety-two patients with IgE-mediated food allergy (mean age 18.6 years) completed Coping Orientation to Problems Experienced Inventory, Toronto Alexithymia Scale and Trait Anxiety subscale of State-Trait Anxiety Inventory. Multivariate analyses of variance assessed differences and associations between subgroups on the scales. Significant differences found between alexithymia levels in coping style were explained by Avoidance strategies. 'Avoidance' had the highest contribution in explaining alexithymia, followed by trait anxiety, age, anaphylaxis and social support. Respondents with higher alexithymia use avoidance as coping strategy over and above other coping strategies such as problem-solving and positive thinking, are younger, will have experienced anaphylaxis and will have lower social support. Recognizing the specific role of affect regulation in health behaviours may constitute an important step in supporting patients to explore more adaptive strategies. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Fish Passage Center; Columbia Basin Fish and Wildlife Authority, 2002 Annual Report.

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

DeHart, Michele; Berggren, Thomas J.; Filardo, Margaret

2003-09-01

The runoff volumes in 2002 were near average for the January to July period above Lower Granite Dam (80%) and The Dalles Dam (97%). The year 2002 hydrosystem operations and runoff conditions resulted in flows that were less than the seasonal Biological Opinion (Opinion) flow objectives at Lower Granite Dam for both the spring and summer period. The seasonal flow objectives for Priest Rapids and McNary dams were exceeded for the spring period, but at McNary Dam summer flow objectives were not met. While seasonal flow objectives were exceeded for the spring at McNary Dam, the 2002 season illustrated thatmore » Biological Opinion management to seasonal flow targets can result in conditions where a major portion of the juvenile fish migration migrates in conditions that are less than the flow objectives. The delay in runoff due to cool weather conditions and the inability of reservoirs to augment flows by drafting lower than the flood control elevations, resulted in flows less than the Opinion objectives until May 22, 2002. By this time approximately 73% of the yearling chinook and 56% of steelhead had already passed the project. For the most part, spill in 2002 was managed below the gas waiver limits for total dissolved gas levels and the NMFS action criteria for dissolved gas signs were not exceeded. The exception was at Lower Monumental Dam where no Biological Opinion spill occurred due to the need to conduct repairs in the stilling basin. Survival estimates obtained for PIT tagged juveniles were similar in range to those observed prior to 2001. A multi-year analysis of juvenile survival and the factors that affect it was conducted in 2002. A water transit time and flow relation was demonstrated for spring migrating chinook and steelhead of Snake River and Mid Columbia River origin. Returning numbers of adults observed at Bonneville Dam declined for spring chinook, steelhead and coho, while summer and fall chinook numbers increased. However, all numbers were far greater than observed in the past ten years averaged together. In 2002, about 87 million juvenile salmon were released from Federal, State, Tribal or private hatcheries into the Columbia River Basin above Bonneville Dam. This represents an increase over the past season, when only 71 million juvenile fish were released into the same area.« less

The link between poverty, environment and development. The political challenge of localizing Agenda 21.

PubMed

Wichmann, R

1995-11-01

This article discusses the links between poverty, development, the environment, and implementing Agenda 21. The poor in large cities experience greater health risks and threats from environmental hazards. The poor also face inadequate housing, poor sanitation, polluted drinking water, and lack of other basic services. Many poor live in marginalized areas more susceptible to environmental degradation. During 1990-2030, population size may reach 9.7 billion, or 3.7 billion more than today. 90% may be urban residents. Already a large proportion of urban population live in a decaying urban environment with health and life threatening conditions. At least 250 million do not have easy access to safe piped water. 400 million lack proper sanitation. The liberalization of the global economy is fueling urbanization. The cycle of poverty and environmental decline requires rapid economic growth and closing of the infrastructure gaps. Policy initiatives of Agenda 21 occur at the local urban level. At this level, policies directly affect people. The future success of Agenda 21 will depend on local initiatives. Management approaches may need to change in order to achieve sustainable development. The poor will be more vocal and heard from in the future. Critical areas of management include waste management, pollution control, traffic, transportation, energy, economic development, and job creation. Society must be able to participate in setting priorities. About 1500 local authorities are involved in Agenda 21 planning initiatives. Curitiba, Brazil, is an example of how cities can solve community problems.

Rage against the machine? Google's self-driving cars versus human drivers.

PubMed

Teoh, Eric R; Kidd, David G

2017-12-01

Automated driving represents both challenges and opportunities in highway safety. Google has been developing self-driving cars and testing them under employee supervision on public roads since 2009. These vehicles have been involved in several crashes, and it is of interest how this testing program compares to human drivers in terms of safety. Google car crashes were coded by type and severity based on narratives released by Google. Crash rates per million vehicle miles traveled (VMT) were computed for crashes deemed severe enough to be reportable to police. These were compared with police-reported crash rates for human drivers. Crash types also were compared. Google cars had a much lower rate of police-reportable crashes per million VMT than human drivers in Mountain View, Calif., during 2009-2015 (2.19 vs 6.06), but the difference was not statistically significant. The most common type of collision involving Google cars was when they got rear-ended by another (human-driven) vehicle. Google cars shared responsibility for only one crash. These results suggest Google self-driving cars, while a test program, are safer than conventional human-driven passenger vehicles; however, currently there is insufficient information to fully examine the extent to which disengagements affected these results. Results suggest that highly-automated vehicles can perform more safely than human drivers in certain conditions, but will continue to be involved in crashes with conventionally-driven vehicles. Copyright © 2017. Published by Elsevier Ltd.

Paper-Based Quantification of Male Fertility Potential.

PubMed

Nosrati, Reza; Gong, Max M; San Gabriel, Maria C; Pedraza, Claudio E; Zini, Armand; Sinton, David

2016-03-01

More than 70 million couples worldwide are affected by infertility, with male-factor infertility accounting for about half of the cases. Semen analysis is critical for determining male fertility potential, but conventional testing is costly and complex. Here, we demonstrate a paper-based microfluidic approach to quantify male fertility potential, simultaneously measuring 3 critical semen parameters in 10 min: live and motile sperm concentrations and sperm motility. The device measures the colorimetric change of yellow tetrazolium dye to purple formazan by the diaphorase flavoprotein enzyme present in metabolically active human sperm to quantify live and motile sperm concentration. Sperm motility was determined as the ratio of motile to live sperm. We assessed the performance of the device by use of clinical semen samples, in parallel with standard clinical approaches. Detection limits of 8.46 and 15.18 million/mL were achieved for live and motile sperm concentrations, respectively. The live and motile sperm concentrations and motility values from our device correlated with those of the standard clinical approaches (R(2) ≥ 0.84). In all cases, our device provided 100% agreement in terms of clinical outcome. The device was also robust and could tolerate conditions of high absolute humidity (22.8 g/m(3)) up to 16 weeks when packaged with desiccant. Our device outperforms existing commercial paper-based assays by quantitatively measuring live and motile sperm concentrations and motility, in only 10 min. This approach is applicable to current clinical practices as well as self-diagnostic applications. © 2015 American Association for Clinical Chemistry.

Optical modulation of transgene expression in retinal pigment epithelium

NASA Astrophysics Data System (ADS)

Palanker, D.; Lavinsky, D.; Chalberg, T.; Mandel, Y.; Huie, P.; Dalal, R.; Marmor, M.

2013-03-01

Over a million people in US alone are visually impaired due to the neovascular form of age-related macular degeneration (AMD). The current treatment is monthly intravitreal injections of a protein which inhibits Vascular Endothelial Growth Factor, thereby slowing progression of the disease. The immense financial and logistical burden of millions of intravitreal injections signifies an urgent need to develop more long-lasting and cost-effective treatments for this and other retinal diseases. Viral transfection of ocular cells allows creation of a "biofactory" that secretes therapeutic proteins. This technique has been proven successful in non-human primates, and is now being evaluated in clinical trials for wet AMD. However, there is a critical need to down-regulate gene expression in the case of total resolution of retinal condition, or if patient has adverse reaction to the trans-gene products. The site for genetic therapy of AMD and many other retinal diseases is the retinal pigment epithelium (RPE). We developed and tested in pigmented rabbits, an optical method to down-regulate transgene expression in RPE following vector delivery, without retinal damage. Microsecond exposures produced by a rapidly scanning laser vaporize melanosomes and destroy a predetermined fraction of the RPE cells selectively. RPE continuity is restored within days by migration and proliferation of adjacent RPE, but since the transgene is not integrated into the nucleus it is not replicated. Thus, the decrease in transgene expression can be precisely determined by the laser pattern density and further reduced by repeated treatment without affecting retinal structure and function.

Smart battery controller for lithium sulfur dioxide batteries

NASA Astrophysics Data System (ADS)

Atwater, Terrill; Bard, Arnold; Testa, Bruce; Shader, William

1992-08-01

Each year, the U.S. Army purchases millions of lithium sulfur dioxide batteries for use in portable electronics equipment. Because of their superior rate capability and service life over a wide variety of conditions, lithium batteries are the power source of choice for military equipment. There is no convenient method of determining the available energy remaining in partially used lithium batteries; hence, users do not take full advantage of all the available battery energy. Currently, users replace batteries before each mission, which leads to premature disposal, and results in the waste of millions of dollars in battery energy every year. Another problem of the lithium battery is that it is necessary to ensure complete discharge of the cells when the useful life of the battery has been expended, or when a hazardous condition exists; a hazardous condition may result in one or more of the cells venting. The Electronics Technology and Devices Laboratory has developed a working prototype of a smart battery controller (SBC) that addresses these problems.

Changes in rhizosphere bacterial gene expression following glyphosate treatment.

PubMed

Newman, Molli M; Lorenz, Nicola; Hoilett, Nigel; Lee, Nathan R; Dick, Richard P; Liles, Mark R; Ramsier, Cliff; Kloepper, Joseph W

2016-05-15

In commercial agriculture, populations and interactions of rhizosphere microflora are potentially affected by the use of specific agrichemicals, possibly by affecting gene expression in these organisms. To investigate this, we examined changes in bacterial gene expression within the rhizosphere of glyphosate-tolerant corn (Zea mays) and soybean (Glycine max) in response to long-term glyphosate (PowerMAX™, Monsanto Company, MO, USA) treatment. A long-term glyphosate application study was carried out using rhizoboxes under greenhouse conditions with soil previously having no history of glyphosate exposure. Rhizosphere soil was collected from the rhizoboxes after four growing periods. Soil microbial community composition was analyzed using microbial phospholipid fatty acid (PLFA) analysis. Total RNA was extracted from rhizosphere soil, and samples were analyzed using RNA-Seq analysis. A total of 20-28 million bacterial sequences were obtained for each sample. Transcript abundance was compared between control and glyphosate-treated samples using edgeR. Overall rhizosphere bacterial metatranscriptomes were dominated by transcripts related to RNA and carbohydrate metabolism. We identified 67 differentially expressed bacterial transcripts from the rhizosphere. Transcripts downregulated following glyphosate treatment involved carbohydrate and amino acid metabolism, and upregulated transcripts involved protein metabolism and respiration. Additionally, bacterial transcripts involving nutrients, including iron, nitrogen, phosphorus, and potassium, were also affected by long-term glyphosate application. Overall, most bacterial and all fungal PLFA biomarkers decreased after glyphosate treatment compared to the control. These results demonstrate that long-term glyphosate use can affect rhizosphere bacterial activities and potentially shift bacterial community composition favoring more glyphosate-tolerant bacteria. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Capturing Callisto

NASA Technical Reports Server (NTRS)

2007-01-01

The New Horizons Long Range Reconnaissance Imager (LORRI) captured these two images of Jupiter's outermost large moon, Callisto, as the spacecraft flew past Jupiter in late February. New Horizons' closest approach distance to Jupiter was 2.3 million kilometers (1.4 million miles), not far outside Callisto's orbit, which has a radius of 1.9 million kilometers (1.2 million miles). However, Callisto happened to be on the opposite side of Jupiter during the spacecraft's pass through the Jupiter system, so these images, taken from 4.7 million kilometers (3.0 million miles) and 4.2 million kilometers (2.6 million miles) away, are the closest of Callisto that New Horizons obtained.

Callisto's ancient, crater-scarred surface makes it very different from its three more active sibling satellites, Io, Europa and Ganymede. Callisto, 4,800 kilometers (3000 miles) in diameter, displays no large-scale geological features other than impact craters, and every bright spot in these images is a crater. The largest impact feature on Callisto, the huge basin Valhalla, is visible as a bright patch at the 10 o'clock position. The craters are bright because they have excavated material relatively rich in water ice from beneath the dark, dusty material that coats most of the surface.

The two images show essentially the same side of Callisto -- the side that faces Jupiter -- under different illumination conditions. The images accompanied scans of Callisto's infrared spectrum with New Horizons' Linear Etalon Imaging Spectral Array (LEISA). The New Horizons science team designed these scans to study how the infrared spectrum of Callisto's water ice changes as lighting and viewing conditions change, and as the ice cools through Callisto's late afternoon. The infrared spectrum of water ice depends slightly on its temperature, and a goal of New Horizons when it reaches the Pluto system (in 2015) is to use the water ice features in the spectrum of Pluto's moon Charon, and perhaps on Pluto itself, to measure surface temperature. Callisto provided an ideal opportunity to test this technique on a much better-known body.

The left image, taken at 05:03 Universal Time on February 27, 2007, is centered at 5 degrees south, 5 degrees west, and has a solar phase angle of 46 degrees. The right image was taken at 03:25 Universal Time on February 28, 2007. It is centered at 4 degrees south, 356 degrees west, and has a solar phase angle of 76 degrees.

Annual summary of ground-water conditions in Arizona, spring 1977 to spring 1978

USGS Publications Warehouse

,

1978-01-01

The withdrawal of ground water was about 5.5 million acre-feet in Arizona in 1977. About 4.7 million acre-feet of ground water was used for the irrigation of crops in 1977. The Salt River Valley and the lower Santa Cruz basin are the largest agricultural areas in the State. For 1973-77, ground-water withdrawal in the two areas was about 8.1 and 5.1 million acre-feet, respectively, and, in general, water levels are declining. Other areas in which ground-water withdrawals have caused water-level declines are the Willcox, San Simon, upper Santa Cruz, Avra Valley, Gila Bend, Harquahala Plains, and McMullen Valley areas. Two small-scale maps of Arizona show (1) pumpage of ground water by areas and (2) the status of the ground-water inventory in the State. The main map, scale 1:500 ,000, shows potential well production, depth to water in selected wells in spring 1978, and change in water level in selected wells from 1973 to 1978. The brief text that accompanies the maps summarizes the current ground-water conditions in the State. (Woodard-USGS)

Annual summary of ground-water conditions in Arizona, spring 1975 to spring 1976

USGS Publications Warehouse

Babcock, H.M.

1977-01-01

Two small-scale maps of Arizona show (1) pumpage of ground water by areas and (2) the status of the ground-water inventory in the State. A larger map of the State at a scale of 1:500,000 shows potential well production, depth to water in selected wells in spring 1976, and change in water level in selected wells from 1971 to 1976. The brief text that accompanies the maps summarizes the current ground-water conditions in the State. The withdrawal of ground water in Arizona was about 5.6 million acre-feet in 1975, of which about 4.7 million acre-feet was used for the irrigation of crops. The Salt River Valley and the lower Santa Cruz basin are the largest agricultural areas in the State. For 1971-75, ground-water withdrawal in the two areas was about 8.3 and 4.7 million acre-feet, respectively, and, in general, water levels are declining. Other areas in which ground-water withdrawals have caused large water-level declines are the Willcox, San Simon, upper Santa Cruz, Avra Valley, Gila Bend, Harquahala Plains, and McMullen Valley areas. (Woodard-USGS)

Annual summary of ground-water conditions in Arizona, spring 1976 to spring 1977

USGS Publications Warehouse

Babcock, H.M.

1977-01-01

Two small-scale maps of Arizona show (1) pumpage of ground water by areas and (2) the status of the ground-water inventory in the State. The main map, which is at a scale of 1:500,000, shows potential well production, depth of water in selected wells in spring 1977, and change in water level in selected wells from 1972 to 1977. The brief text that accompanies the maps summarizes the current ground-water conditions in the State. The withdrawal of ground water was about 5.5 million acre-feet in Arizona in 1976 of which about 4.7 million acre-feet was used for the irrigation. The Salt River Valley and the lower Santa Cruz basin are the largest agricultural areas in the State. For 1972-76, ground-water withdrawal in the two areas was about 8.2 to 4.9 million acre-feet, respectively, and, in general, water levels are declining. Other areas in which ground-water withdrawals have caused large water-level declines are the Willcox, San Simon, upper Santa Cruz, Avra Valley, Gila Bend, Harquahala Plains, and McMullen Valley areas. (Woodard-USGS)

Persistence of carbon release events through the peak of early Eocene global warmth

NASA Astrophysics Data System (ADS)

Kirtland Turner, Sandra; Sexton, Philip F.; Charles, Christopher D.; Norris, Richard D.

2014-10-01

The Early Eocene Climatic Optimum (53-50 million years ago) was preceded by approximately six million years of progressive global warming. This warming was punctuated by a series of rapid hyperthermal warming events triggered by the release of greenhouse gases. Over these six million years, the carbon isotope record suggests that the events became more frequent but smaller in magnitude. This pattern has been suggested to reflect a thermodynamic threshold for carbon release that was more easily crossed as global temperature rose, combined with a decrease in the size of carbon reservoirs during extremely warm conditions. Here we present a continuous, 4.25-million-year-long record of the stable isotope composition of carbonate sediments from the equatorial Atlantic, spanning the peak of early Eocene global warmth. A composite of this and pre-existing records shows that the carbon isotope excursions that identify the hyperthermals exhibit continuity in magnitude and frequency throughout the approximately 10-million-year period covering the onset, peak and termination of the Early Eocene Climate Optimum. We suggest that the carbon cycle processes behind these events, excluding the largest event, the Palaeocene-Eocene Thermal Maximum (about 56 million years ago), were not exceptional. Instead, we argue that the hyperthermals may reflect orbital forcing of the carbon cycle analogous to the mechanisms proposed to operate in the cooler Oligocene and Miocene.

Cost of close the gap for vision of Indigenous Australians: On estimating the extra resources required.

PubMed

Hsueh, Ya-seng Arthur; Brando, Alex; Dunt, David; Anjou, Mitchell D; Boudville, Andrea; Taylor, Hugh

2013-12-01

To estimate the costs of the extra resources required to close the gap of vision between Indigenous and non-Indigenous Australians. Constructing comprehensive eye care pathways for Indigenous Australians with their related probabilities, to capture full eye care usage compared with current usage rate for cataract surgery, refractive error and diabetic retinopathy using the best available data. Urban and remote regions of Australia. The provision of eye care for cataract surgery, refractive error and diabetic retinopathy. Estimated cost needed for full access, estimated current spending and estimated extra cost required to close the gaps of cataract surgery, refractive error and diabetic retinopathy for Indigenous Australians. Total cost needed for full coverage of all three major eye conditions is $45.5 million per year in 2011 Australian dollars. Current annual spending is $17.4 million. Additional yearly cost required to close the gap of vision is $28 million. This includes extra-capped funds of $3 million from the Commonwealth Government and $2 million from the State and Territory Governments. Additional coordination costs per year are $13.3 million. Although available data are limited, this study has produced the first estimates that are indicative of the need for planning and provide equity in eye care. © 2013 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

Capacity of US Forests to Maintain Existing Carbon Sequestration will be affected by Changes in Forest Disturbances and to a greater extent, the Economic and Societal Influences on Forest Management and Land Use

NASA Astrophysics Data System (ADS)

Joyce, L. A.; Running, S. W.; Breshears, D. D.; Dale, V.; Malmsheimer, R. W.; Sampson, N.; Sohngen, B.; Woodall, C. W.

2012-12-01

Increasingly the value of US forest carbon dynamics and carbon sequestration is being recognized in discussions of adaptation and mitigation to climate change. Past exploitation of forestlands in the United States for timber, fuelwood, and conversion to agriculture resulted in large swings in forestland area and terrestrial carbon dynamics. The National Climate Assessment explored the implications of current and future stressors, including climate change, to the future of forest carbon dynamics in the United States. While U.S forests and associated harvested wood products sequestered roughly 13 percent of all carbon dioxide emitted in the United States in 2010, the capacity of forests to maintain this amount of carbon sequestration will be affected by the effects of climate change on forest disturbances, tree growth and mortality, changes in species composition, and to a greater extent, the economic and societal influences on forest management and forestland use. Carbon mitigation through forest management includes three strategies: 1) land management to increase forest area (afforestation) and/or avoid deforestation; 2) carbon management in existing forests; and 3) use of wood in place of materials that require more carbon emissions to produce, in place of fossil fuels to produce energy or in wood products for carbon storage. A significant financial incentive facing many private forest owners is the value of their forest lands for conversion to urban or developed uses. In addition, consequences of large scale die-off and wildfire disturbance events from climate change pose major challenges to forestland area and forest management with potential impacts occurring up to regional scales for timber, flooding and erosion risks, other changes in water budgets, and biogeochemical changes including carbon storage. Options for carbon management on existing forests include practices that increase forest growth such as fertilization, irrigation, switch to fast-growing planting stock and shorter rotations, and weed, disease, and insect control, and increasing the interval between harvests or decreasing harvest intensity. Economic drivers will affect future carbon cycle of forests such as shifts in forest age class structure in response to markets, land-use changes such as urbanization, and forest type changes. Future changes in forestland objectives include the potential for bioenergy based on forestland resources, which is as large as 504 million acres of timberland and 91 million acres of other forest land out of the 751 million acres of U.S. forestland. Implications of forest product use for bioenergy depend on the context of specific locations such as feedstock type and prior management, land conditions, transport and storage logistics, conversion processes used to produce energy, distribution and use. Markets for energy from biomass appear to be ready to grow in response to energy pricing, policy and demand, although recent increases in the supply of natural gas have reduced urgency for new biomass projects. Beyond use in the forest industry and some residences, biopower is not a large-scale enterprise in the United States. Societal choices about forest policy will also affect the carbon cycles on public and private forestland.

Hyperhidrosis: an update on prevalence and severity in the United States.

PubMed

Doolittle, James; Walker, Patricia; Mills, Thomas; Thurston, Jane

2016-12-01

Current published estimates of the prevalence of hyperhidrosis in the United States are outdated and underestimate the true prevalence of the condition. The objectives of this study are to provide an updated estimate of the prevalence of hyperhidrosis in the US population and to further assess the severity and impact of sweating on those affected by the condition. For the purposes of obtaining prevalence, a nationally representative sample of 8160 individuals were selected using an online panel, and information as to whether or not they experience hyperhidrosis was obtained. The 393 individuals (210 female, 244 non-Hispanic white, 27 black, mean age 40.3, SE 0.64) who indicated that they have hyperhidrosis were asked further questions, including body areas impacted, severity of symptoms, age of onset, and socioemotional impact of the condition. Current results estimate the prevalence of hyperhidrosis at 4.8 %, which represents approximately 15.3 million people in the United States. Of these, 70 % report severe excessive sweating in at least one body area. In spite of this, only 51 % have discussed their excessive sweating with a healthcare professional. The main reasons are a belief that hyperhidrosis is not a medical condition and that no treatment options exist. The current study's findings with regard to age of onset and prevalence by body area generally align with the previous research. However, current findings suggest that the severity and prevalence are both higher than previously thought, indicating a need for greater awareness of the condition and its associated treatment options among medical professionals.

Effects of weather conditions, light conditions, and road lighting on vehicle speed.

PubMed

Jägerbrand, Annika K; Sjöbergh, Jonas

2016-01-01

Light conditions are known to affect the number of vehicle accidents and fatalities but the relationship between light conditions and vehicle speed is not fully understood. This study examined whether vehicle speed on roads is higher in daylight and under road lighting than in darkness, and determined the combined effects of light conditions, posted speed limit and weather conditions on driving speed. The vehicle speed of passenger cars in different light conditions (daylight, twilight, darkness, artificial light) and different weather conditions (clear weather, rain, snow) was determined using traffic and weather data collected on an hourly basis for approximately 2 years (1 September 2012-31 May 2014) at 25 locations in Sweden (17 with road lighting and eight without). In total, the data included almost 60 million vehicle passes. The data were cleaned by removing June, July, and August, which have different traffic patterns than the rest of the year. Only data from the periods 10:00 A.M.-04:00 P.M. and 06:00 P.M.-10:00 P.M. were used, to remove traffic during rush hour and at night. Multivariate adaptive regression splines was used to evaluate the overall influence of independent variables on vehicle speed and nonparametric statistical testing was applied to test for speed differences between dark-daylight, dark-twilight, and twilight-daylight, on roads with and without road lighting. The results show that vehicle speed in general depends on several independent variables. Analyses of vehicle speed and speed differences between daylight, twilight and darkness, with and without road lighting, did not reveal any differences attributable to light conditions. However, vehicle speed decreased due to rain or snow and the decrease was higher on roads without road lighting than on roads with lighting. These results suggest that the strong association between traffic accidents and darkness or low light conditions could be explained by drivers failing to adjust their speed to the reduced visibility in dark conditions.

Welfare effects of reduced milk production associated with Johne's disease on Johne's-positive versus Johne's-negative dairy operations.

PubMed

Losinger, Willard C

2006-08-01

An examination of the economic impacts of reduced milk production associated with Johne's disease on Johne's-positive and Johne's-negative dairy operations indicated that, if Johne's disease had not existed in US dairy cows in 1996, then the economic surplus of Johne's-negative operations would have been $600 million+/-$530 million lower, while the economic surplus of Johne's-positive operations would have been higher by $28 million+/-$79 million, which was not significantly different from zero. The data available for projecting changes in surplus were not sufficiently precise to allow an exact statement on whether Johne's-positive operations would have been better or worse off economically, in terms of the value received for producing more milk if they had not been affected by Johne's disease. The changes in producer surplus, based upon eliminating specific epidemiological risk factors for Johne's disease, were disaggregated between Johne's-positive dairy operations exposed to the risk factor and all other US dairy operations. Eliminating the risk factor of having any cows not born on the operation would have had a significant positive effect on the economic surplus of Johne's-positive operations that had any cows not born on the operation.

Floods of January-February 1957 in southeastern Kentucky and adjacent areas

USGS Publications Warehouse

,

1964-01-01

Heavy rains over an extensive area on January 27-February 2, caused extreme flooding in southeastern Kentucky and adjacent areas in West Virginia, Virginia, and Tennessee. Total rainfall for the storm period ranged from 6-9 inches over most of the report area and was 12? inches at the eastern end of the Virginia-Kentucky State line. The principal basins affected by the storm were those of the Big Sandy, Kentucky, Cumberland, and Tennessee Rivers. Maximum discharge of record occurred in many streams. On Levisa Fork near Grundy, Va., the peak discharge of 33,200 cfs was 50 percent greater than the previous maximum in 17 years of record and was 3.3 times the mean annual flood. The peak discharges on-tributaries of the Kentucky River and on ,the Holston and Clinch Rivers were also the greatest of record and .those on the upper Cumberland River were nearly as great as .those during the historic floods of 1918 and 1946. Total flood damage was estimated at $61 million of which $39 million was in the Big Sandy River basin (mostly in Kentucky) and $15 million was in the Kentucky River basin--$52 million of the total damage was in Kentucky.

Modern Innovative Solutions in Improving Outcomes in Chronic Obstructive Pulmonary Disease (MISSION COPD): A Comparison of Clinical Outcomes Before and After the MISSION Clinic

PubMed Central

Green, Ben; Brown, Thomas; Storrar, Will; Jones, Thomas; Fogg, Carole; Dewey, Ann; Longstaff, Jayne; Bassett, Paul

2017-01-01

Background Chronic obstructive pulmonary disorder (COPD) affects over 1 million people in the United Kingdom, and 1 person dies from COPD every 20 minutes. The cost to people with COPD and the National Health Service is huge – more than 24 million working days lost a year and the annual expenditure on COPD is £810 million and £930 million a year. Objective We aim to identify patients with COPD who are at risk of exacerbations and hospital admissions as well as those who have not been formally diagnosed, yet remain at risk. Methods This mixed-methods study will use both data and interviews from patients and health care professionals. The project Modern Innovative SolutionS in Improving Outcomes iN COPD (MISSION COPD) will hold multidisciplinary carousel style clinics to rapidly assess the patients’ COPD and related comorbidities, and enhance patient knowledge and skills for self-management. Results This study is ongoing. Conclusions This research will capture quantitative and qualitative outcomes to accompany a program of quality improvement through delivery of novel care models. PMID:28583907

Visual impairment and blindness due to macular diseases globally: a systematic review and meta-analysis.

PubMed

Jonas, Jost B; Bourne, Rupert R A; White, Richard A; Flaxman, Seth R; Keeffe, Jill; Leasher, Janet; Naidoo, Kovin; Pesudovs, Konrad; Price, Holly; Wong, Tien Y; Resnikoff, Serge; Taylor, Hugh R

2014-10-01

To estimate the number of people visually impaired or blind due to macular diseases except those caused by diabetic maculopathy. Meta-analysis. Based on the Global Burden of Disease Study 2010 and ongoing literature research, we examined how many people were affected by vision impairment (presenting visual acuity <6/18, ≥3/60) and blindness (presenting visual acuity <3/60) due to macular diseases, with diabetic maculopathy excluded. In 2010, of 32.4 million blind people and 191 million vision-impaired people, 2.1 million (95% uncertainty interval [UI]: 1.9, 2.7) people were blind, and 6.0 million (95% UI: 5.2, 8.1) million were visually impaired due to macular diseases. In 2010, macular diseases caused 6.6% (95% UI: 6.0, 7.9) of all blindness and 3.1% (95% UI: 2.7, 4.0) of all vision impairment, worldwide. These figures were lower in regions with young populations than in high-income regions. Between 1990 and 2010, the number of people who were blind or visually impaired due to macular diseases increased by 36%, or 0.6 million people (95% UI: 0.5, 0.8) and by 81%, or 2.7 million (95% UI: 2.6, 3.9) people, respectively, whereas the global population increased by 30%. Age-standardized global prevalence of macula-related blindness and vision impairment in adults 50 years of age and older decreased from 0.2% (95% UI: 0.2, 0.2) in 1990 to 0.1% (95% UI: 0.1, 0.2) in 2010 and remained unchanged from 0.4% (95% UI: 0.3, 0.5) to 0.4% (95% UI: 0.4, 0.6), respectively. In 2010, 2.1 million people were blind and 6.0 million people were visually impaired due to macular diseases, except those caused by diabetic maculopathy. Of every 15 blind people, 1 was blind due to macular disease, and of every 32 visually impaired people, 1 was visually impaired due to macular disease. Copyright © 2014 Elsevier Inc. All rights reserved.

Bioenergy from trees: using cost-effective thinning to reduce forest fire hazards

Treesearch

Marie Oliver; Jeremy Fried; Jamie Barbour

2009-01-01

Increasingly large and severe wildfires threaten millions of forested acres throughout the West. Under certain conditions, mechanical thinning can address these hazardous conditions while providing opportunitiesto create renewable energy and reduce our carbon footprint but how do land managers decide whether thinning is a good idea? How do they decide where to begin,...

Domains relating to the everyday impact of hearing loss, as reported by patients or their communication partner(s): protocol for a systematic review

PubMed Central

Vas, Venessa; Akeroyd, Michael A; Hall, Deborah A

2016-01-01

Introduction Hearing loss is a highly prevalent condition that affects around 1 in 6 people in the UK alone. This number is predicted to rise by the year 2031 to a staggering 14.5 million people due to the ageing population of the UK. Currently, the most common intervention for hearing loss is amplification with hearing aid(s) which serve to address the issue of audibility due to hearing loss, but cannot reverse its effects. The consequences of hearing loss are multifaceted, as it is a complex condition that can detrimentally affect various aspects of an individual's life, including communication and personal relationships. The scope of these reported issues is so broad that it calls on the need for patient-centred management plans that are tailored to each patient as well as appropriate measures to assess intervention benefit. It is unclear whether current outcome instruments adequately match what patients report as the most important problems for them. Methods and analysis The systematic review aims to capture existing knowledge about patients and their communication partner's perspective on the everyday impact of hearing loss. Methods are defined according to the Preferred Reporting Items for Systematic reviews and Meta-analyses for Protocols (PRISMA-P) 2015. Ethics and dissemination No ethical issues are foreseen. Findings will be reported in student's thesis as well as at national and international ENT/audiology conferences and in a peer-reviewed journal. Systematic review registration number PROSPERO CRD42015024914. PMID:27645555

Measuring Terrestrial Ozone from Historic Astronomical Spectra

ERIC Educational Resources Information Center

Griffin, Elizabeth

2009-01-01

"Ozone" is a sensitive topic that arouses interest everywhere. Its presence in the stratosphere affects us all, and its threatened reduction would have such dire consequences that it energizes international campaigns, influences the thinking of governments, and activates substantial alterations in the accustomed habits of millions throughout the…

Genetic testing for TMEM154 mutations associated with lentivirus susceptibility in sheep

USDA-ARS?s Scientific Manuscript database

In sheep, small ruminant lentiviruses cause an incurable, progressive, lymphoproliferative disease that affect millions of animals worldwide. Known as ovine progressive pneumonia virus (OPPV) in the U.S., and Visna/Maedi virus (VMV) elsewhere, these viruses reduce an animal’s health, productivity, ...

Genetic testing for TMEM154 mutations associated with lentivirus susceptibility in sheep

USDA-ARS?s Scientific Manuscript database

Ovine lentiviruses cause incurable, progressive, lymphoproliferative diseases that affect millions of sheep worldwide. Genetic variation in the ovine transmembrane protein 154 gene (TMEM154) has been recently associated with lentivirus infections in U.S. sheep. Sheep with the two most common TMEM1...

Everyday Inclusive Web Design: An Activity Perspective

ERIC Educational Resources Information Center

Kane, Shaun K.

2007-01-01

Introduction: Website accessibility is a problem that affects millions of people with disabilities. While most current accessibility initiatives target government or commercial sites, a growing segment of online content is being created by non-professionals. This content is often inaccessible to users with disabilities. Everyday inclusive Web…

Arsenic and Environmental Health: State of the Science and Future Research Opportunities

EPA Science Inventory

Background: Exposure to inorganic and organic arsenic compounds is a major public health problem that affects hundreds of millions of people worldwide. Exposure to arsenic is associated with cancer and noncancer effects in nearly every organ in the body, and evidence is mounting ...

Anthropogenic radionuclides for estimating rates of soil redistribution by wind

USDA-ARS?s Scientific Manuscript database

Erosion of soil by wind and water is a degrading process that affects millions of hectares worldwide. Atmospheric testing of nuclear weapons and the resulting fallout of anthropogenic radioisotopes, particularly Cesium 137, has made possible the estimation of mean soil redistribution rates. The pe...

Anthropogenic radioisotopes to estimate rates of soil redistribution by wind

USDA-ARS?s Scientific Manuscript database

Erosion of soil by wind and water is a degrading process that affects millions of hectares worldwide. Atmospheric testing of nuclear weapons and the resulting fallout of anthropogenic radioisotopes, particularly Cesium 137, has made possible the estimation of mean soil redistribution rates. The pe...

Green tea EGCG, T-cell function, and T-cell-mediated autoimmune encephalomyelitis

USDA-ARS?s Scientific Manuscript database

Autoimmune diseases are common, disabling immune disorders affecting millions of people. Recent studies indicate that dysregulated balance of different CD4+ T-cell subpopulations plays a key role in immune pathogenesis of several major autoimmune diseases. Green tea and its active ingredient, epigal...

The Green Obligation

ERIC Educational Resources Information Center

Adams, Cameron

2007-01-01

As the green movement grows, studies provide conclusive evidence about the benefits of environmentally conscious practices indoors and outdoors. Schools are no exception. Many of these studies demonstrate how poor indoor air quality (IAQ) in schools adversely affects many of the nation's 55 million students with health problems such as asthma and…

Disasters and Depressive Symptoms in Children: A Review

ERIC Educational Resources Information Center

Lai, Betty S.; Auslander, Beth A.; Fitzpatrick, Stephanie L.; Podkowirow, Valentina

2014-01-01

Background: Disasters are destructive, potentially traumatic events that affect millions of youth each year. Objective: The purpose of this paper was to review the literature on depressive symptoms among youth after disasters. Specifically, we examined the prevalence of depression, risk factors associated with depressive symptoms, and theories…

DIESEL EXHAUST PARTICLE-INDUCED EPITHELIAL TOXICITY IS MODULATED BY UV-IRRADIATION -- NCSU

EPA Science Inventory

Asthma is a chronic inflammatory disorder of the airways affecting nearly 20 million individuals in the U.S alone. Asthmatic symptoms can be exacerbated by environmental insults like exposure to particulate matter (PM). Diesel exhaust particles (DEP) account for a portion of PM...

A Behavioral Conceptualization of Aphasia

ERIC Educational Resources Information Center

Baker, Jonathan C.; LeBlanc, Linda A.; Raetz, Paige B.

2008-01-01

Aphasia is an acquired language impairment that affects over 1 million individuals, the majority of whom are over age 65 (Groher, 1989). This disorder has typically been conceptualized within a cognitive neuroscience framework, but a behavioral interpretation of aphasia is also possible. Skinner's (1957) analysis of verbal behavior proposes a…

Early-life influences on obesity: From preconception to adolescence

USDA-ARS?s Scientific Manuscript database

The double burden of under- and overnutrition profoundly affects human health globally. According to the World Health Organization, obesity and diabetes rates have almost doubled worldwide since 1980, and, in 2011, more than 40 million children under 5 years of age were overweight. Ecologic factors,...

Argpyrimidine-tagged rutin-encapsulated biocompatible (ethylene glycol dimers) nanoparticles: Synthesis, characterization and evaluation for targeted drug delivery.

PubMed

Bhattacherjee, Abhishek; Dhara, Kaliprasanna; Chakraborti, Abhay Sankar

2016-07-25

Diabetes mellitus represents a major metabolic disorder affecting millions of people all over the world. Currently available therapeutic treatments are not good enough to control the long-term complications of diabetes. Active targeting via inclusion of a specific ligand on the nanoparticles provides effective therapeutic approach in different diseases. However, such specific drug delivery systems have not been explored much in diabetes due to lack of suitable biological targets in this disorder. Our objective is to synthesize a ligand-tagged drug-loaded nanoparticle for delivery of the drug at specific sites to enhance its therapeutic efficiency in diabetic condition. The nanoparticles have been prepared by using biocompatible ethylene glycol-bis (succinic acid N-hydroxysuccinimide ester) dimers. Although advanced glycation end products (AGEs) are the root causes of diabetic complications, argpyrimidine, an AGE, possesses antioxidant and reducing activities. AGE interacts selectively with its cell surface receptors (RAGE), which are significantly increased in diabetic condition. We have selected RAGE as the target of argpyrimidine, which is tagged on the nanoparticles as a ligand. Rutin, having anti-hyperglycemic and anti-glycating activities, has been used for nanoencapsulation. Rutin-loaded argpyrimidine-tagged nanoparticles have been synthesized and characterized. We have demonstrated the drug releasing capacity and target specificity of the synthesised drug delivery system under ex vivo and in vivo conditions. Copyright © 2016 Elsevier B.V. All rights reserved.

High-Resolution Near Real-Time Drought Monitoring in South Asia

NASA Astrophysics Data System (ADS)

Aadhar, S.; Mishra, V.

2017-12-01

Drought in South Asia affect food and water security and pose challenges for millions of people. For policy-making, planning and management of water resources at the sub-basin or administrative levels, high-resolution datasets of precipitation and air temperature are required in near-real time. Here we develop a high resolution (0.05 degree) bias-corrected precipitation and temperature data that can be used to monitor near real-time drought conditions over South Asia. Moreover, the dataset can be used to monitor climatic extremes (heat waves, cold waves, dry and wet anomalies) in South Asia. A distribution mapping method was applied to correct bias in precipitation and air temperature (maximum and minimum), which performed well compared to the other bias correction method based on linear scaling. Bias-corrected precipitation and temperature data were used to estimate Standardized precipitation index (SPI) and Standardized Precipitation Evapotranspiration Index (SPEI) to assess the historical and current drought conditions in South Asia. We evaluated drought severity and extent against the satellite-based Normalized Difference Vegetation Index (NDVI) anomalies and satellite-driven Drought Severity Index (DSI) at 0.05˚. We find that the bias-corrected high-resolution data can effectively capture observed drought conditions as shown by the satellite-based drought estimates. High resolution near real-time dataset can provide valuable information for decision-making at district and sub- basin levels.

Male Mating Competitiveness of a Wolbachia-Introgressed Aedes polynesiensis Strain under Semi-Field Conditions

PubMed Central

Bossin, Hervé; Dobson, Stephen L.

2011-01-01

Background Lymphatic filariasis (LF), a global public health problem affecting approximately 120 million people worldwide, is a leading cause of disability in the developing world including the South Pacific. Despite decades of ongoing mass drug administration (MDA) in the region, some island nations have not yet achieved the threshold levels of microfilaremia established by the World Health Organization for eliminating transmission. Previously, the generation of a novel Aedes polynesiensis strain (CP) infected with an exogenous type of Wolbachia has been described. The CP mosquito is cytoplasmically incompatible (i.e., effectively sterile) when mated with wildtype mosquitoes, and a strategy was proposed for the control of A. polynesiensis populations by repeated, inundative releases of CP males to disrupt fertility of wild females. Such a strategy could lead to suppression of the vector population and subsequently lead to a reduction in the transmission of filarial worms. Methodology/Principal Findings CP males and F1 male offspring from wild-caught A. polynesiensis females exhibit near equal mating competitiveness with F1 females under semi-field conditions. Conclusions/Significance While laboratory experiments are important, prior projects have demonstrated the need for additional testing under semi-field conditions in order to recognize problems before field implementation. The results reported here from semi-field experiments encourage forward progression toward small-scale field releases. PMID:21829750

Prospectives for Gene Therapy of Retinal Degenerations

PubMed Central

Thumann, Gabriele

2012-01-01

Retinal degenerations encompass a large number of diseases in which the retina and associated retinal pigment epithelial (RPE) cells progressively degenerate leading to severe visual disorders or blindness. Retinal degenerations can be divided into two groups, a group in which the defect has been linked to a specific gene and a second group that has a complex etiology that includes environmental and genetic influences. The first group encompasses a number of relatively rare diseases with the most prevalent being Retinitis pigmentosa that affects approximately 1 million individuals worldwide. Attempts have been made to correct the defective gene by transfecting the appropriate cells with the wild-type gene and while these attempts have been successful in animal models, human gene therapy for these inherited retinal degenerations has only begun recently and the results are promising. To the second group belong glaucoma, age-related macular degeneration (AMD) and diabetic retinopathy (DR). These retinal degenerations have a genetic component since they occur more often in families with affected probands but they are also linked to environmental factors, specifically elevated intraocular pressure, age and high blood sugar levels respectively. The economic and medical impact of these three diseases can be assessed by the number of individuals affected; AMD affects over 30 million, DR over 40 million and glaucoma over 65 million individuals worldwide. The basic defect in these diseases appears to be the relative lack of a neurogenic environment; the neovascularization that often accompanies these diseases has suggested that a decrease in pigment epithelium-derived factor (PEDF), at least in part, may be responsible for the neurodegeneration since PEDF is not only an effective neurogenic and neuroprotective agent but also a potent inhibitor of neovascularization. In the last few years inhibitors of vascularization, especially antibodies against vascular endothelial cell growth factors (VEGF), have been used to prevent the neovascularization that accompanies AMD and DR resulting in the amelioration of vision in a significant number of patients. In animal models it has been shown that transfection of RPE cells with the gene for PEDF and other growth factors can prevent or slow degeneration. A limited number of studies in humans have also shown that transfection of RPE cells in vivo with the gene for PEDF is effective in preventing degeneration and restore vision. Most of these studies have used virally mediated gene delivery with all its accompanying side effects and have not been widely used. New techniques using non-viral protocols that allow efficient delivery and permanent integration of the transgene into the host cell genome offer novel opportunities for effective treatment of retinal degenerations. PMID:23372421

Analysis of environmental setting, surface-water and groundwater data, and data gaps for the Citizen Potawatomi Nation Tribal Jurisdictional Area, Oklahoma, through 2011

USGS Publications Warehouse

Andrews, William J.; Harich, Christopher R.; Smith, S. Jerrod; Lewis, Jason M.; Shivers, Molly J.; Seger, Christian H.; Becker, Carol J.

2013-01-01

The Citizen Potawatomi Nation Tribal Jurisdictional Area, consisting of approximately 960 square miles in parts of three counties in central Oklahoma, has an abundance of water resources, being underlain by three principal aquifers (alluvial/terrace, Central Oklahoma, and Vamoosa-Ada), bordered by two major rivers (North Canadian and Canadian), and has several smaller drainages. The Central Oklahoma aquifer (also referred to as the Garber-Wellington aquifer) underlies approximately 3,000 square miles in central Oklahoma in parts of Cleveland, Logan, Lincoln, Oklahoma, and Pottawatomie Counties and much of the tribal jurisdictional area. Water from these aquifers is used for municipal, industrial, commercial, agricultural, and domestic supplies. The approximately 115,000 people living in this area used an estimated 4.41 million gallons of fresh groundwater, 12.12 million gallons of fresh surface water, and 8.15 million gallons of saline groundwater per day in 2005. Approximately 8.48, 2.65, 2.24, 1.55, 0.83, and 0.81 million gallons per day of that water were used for domestic, livestock, commercial, industrial, crop irrigation, and thermoelectric purposes, respectively. Approximately one-third of the water used in 2005 was saline water produced during petroleum production. Future changes in use of freshwater in this area will be affected primarily by changes in population and agricultural practices. Future changes in saline water use will be affected substantially by changes in petroleum production. Parts of the area periodically are subject to flooding and severe droughts that can limit available water resources, particularly during summers, when water use increases and streamflows substantially decrease. Most of the area is characterized by rural types of land cover such as grassland, pasture/hay fields, and deciduous forest, which may limit negative effects on water quality by human activities because of lesser emissions of man-made chemicals on such areas than in more urbanized areas. Much of the water in the area is of good quality, though some parts of this area have water quality impaired by very hard surface water and groundwater; large chloride concentrations in some smaller streams; relatively large concentrations of nutrients and counts of fecal-indicator bacteria in the North Canadian River; and chloride, iron, manganese, and uranium concentrations that exceed primary or secondary drinking-water standards in water samples collected from small numbers of wells. Substantial amounts of hydrologic and water-quality data have been collected in much of this area, but there are gaps in those data caused by relatively few streamflow-gaging stations, uneven distribution of surface-water quality sampling sites, lack of surface-water quality sampling at high-flow and low-flow conditions, and lack of a regularly measured and sampled groundwater network. This report summarizes existing water-use, climatic, geographic, hydrologic, and water-quality data and describes several means of filling gaps in hydrologic data for this area.

Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis.

PubMed

Bourne, Rupert R A; Flaxman, Seth R; Braithwaite, Tasanee; Cicinelli, Maria V; Das, Aditi; Jonas, Jost B; Keeffe, Jill; Kempen, John H; Leasher, Janet; Limburg, Hans; Naidoo, Kovin; Pesudovs, Konrad; Resnikoff, Serge; Silvester, Alex; Stevens, Gretchen A; Tahhan, Nina; Wong, Tien Y; Taylor, Hugh R

2017-09-01

Global and regional prevalence estimates for blindness and vision impairment are important for the development of public health policies. We aimed to provide global estimates, trends, and projections of global blindness and vision impairment. We did a systematic review and meta-analysis of population-based datasets relevant to global vision impairment and blindness that were published between 1980 and 2015. We fitted hierarchical models to estimate the prevalence (by age, country, and sex), in 2015, of mild visual impairment (presenting visual acuity worse than 6/12 to 6/18 inclusive), moderate to severe visual impairment (presenting visual acuity worse than 6/18 to 3/60 inclusive), blindness (presenting visual acuity worse than 3/60), and functional presbyopia (defined as presenting near vision worse than N6 or N8 at 40 cm when best-corrected distance visual acuity was better than 6/12). Globally, of the 7·33 billion people alive in 2015, an estimated 36·0 million (80% uncertainty interval [UI] 12·9-65·4) were blind (crude prevalence 0·48%; 80% UI 0·17-0·87; 56% female), 216·6 million (80% UI 98·5-359·1) people had moderate to severe visual impairment (2·95%, 80% UI 1·34-4·89; 55% female), and 188·5 million (80% UI 64·5-350·2) had mild visual impairment (2·57%, 80% UI 0·88-4·77; 54% female). Functional presbyopia affected an estimated 1094·7 million (80% UI 581·1-1686·5) people aged 35 years and older, with 666·7 million (80% UI 364·9-997·6) being aged 50 years or older. The estimated number of blind people increased by 17·6%, from 30·6 million (80% UI 9·9-57·3) in 1990 to 36·0 million (80% UI 12·9-65·4) in 2015. This change was attributable to three factors, namely an increase because of population growth (38·4%), population ageing after accounting for population growth (34·6%), and reduction in age-specific prevalence (-36·7%). The number of people with moderate and severe visual impairment also increased, from 159·9 million (80% UI 68·3-270·0) in 1990 to 216·6 million (80% UI 98·5-359·1) in 2015. There is an ongoing reduction in the age-standardised prevalence of blindness and visual impairment, yet the growth and ageing of the world's population is causing a substantial increase in number of people affected. These observations, plus a very large contribution from uncorrected presbyopia, highlight the need to scale up vision impairment alleviation efforts at all levels. Brien Holden Vision Institute. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Policy perspectives on post pandemic influenza vaccination in Ghana and Malawi.

PubMed

Sambala, Evanson Z; Manderson, Lenore

2017-02-28

In the late 1990s, in the context of renewed concerns of an influenza pandemic, countries such as Ghana and Malawi established plans for the deployment of vaccines and vaccination strategies. A new pandemic was declared in mid-June 2009, and by April 2011, Ghana and Malawi vaccinated 10% of the population. We examine the public health policy perspectives on vaccination as a means to prevent the spread of infection under post pandemic conditions. In-depth interviews were conducted with 46 policymakers (Ghana, n = 24; Malawi, n = 22), identified through snowballing sampling. Interviews were supplemented by field notes and the analysis of policy documents. The use of vaccination to interrupt the pandemic influenza was affected by delays in the procurement, delivery and administration of vaccines, suboptimal vaccination coverage, refusals to be vaccinated, and the politics behind vaccination strategies. More generally, rolling-out of vaccination after the transmission of the influenza virus had abated was influenced by policymakers' own financial incentives, and government and foreign policy conditionality on vaccination. This led to confusion about targeting and coverage, with many policymakers justifying that the vaccination of 10% of the population would establish herd immunity and so reduce future risk. Ghana succeeded in vaccinating 2.3 million of the select groups (100% coverage), while Malawi, despite recourse to force, succeeded only in vaccinating 1.15 million (74% coverage of select groups). For most policymakers, vaccination coverage was perceived as successful, despite that vaccination delays and coverage would not have prevented infection when influenza was at its peak. While the vaccination strategy was problematic and implemented too late to reduce the effects of the 2009 epidemic, policy makers supported the overall goal of pandemic influenza vaccination to interrupt infection. In this context, there was strong support for governments engaging in contracts with pharmaceutical companies to ensure the timely supply of vaccines, and developing well-defined guidelines to address vaccination delays, refusals and coverage.

Healthcare Fraud and Abuse

PubMed Central

Rudman, William J; Eberhardt, John S; Pierce, William; Hart-Hester, Susan

2009-01-01

In Texas, a supplier of durable medical equipment was found guilty of five counts of healthcare fraud due to submission of false claims to Medicare. The court sentenced the supplier to 120 months of incarceration and restitution of $1.6 million.1 Raritan Bay Medical Center agreed to pay the government $7.5 million to settle allegations that it defrauded the Medicare program, purposely inflating charges for inpatient and outpatient care, artificially obtaining outlier payments from Medicare.2 AmeriGroup Illinois, Inc., fraudulently skewed enrollment into the Medicaid HMO program by refusing to register pregnant women and discouraging registration for individuals with preexisting conditions. Under the False Claims Act and the Illinois Whistleblower Reward and Protection Act, AmeriGroup paid $144 million in damages to Illinois and the U.S. government and $190 million in civil penalties.3 In Florida, a dermatologist was sentenced to 22 years in prison, paid $3.7 million in restitution, forfeited an addition $3.7 million, and paid a $25,000 fine for performing 3,086 medically unnecessary surgeries on 865 Medicare beneficiaries.4 In Florida, a physician was sentenced to 24 months incarceration, ordered to pay $727,000 in restitution for cash payments where the physician signed blank prescriptions and certificates for medical necessity for patients he never saw.5 The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) found that providers in 8 out of 10 audited states received an estimated total of $27.3 million in Medicaid overpayments for services claimed after beneficiaries' deaths.6 PMID:20169019

Ascent heat transfer rate distribution on the North American Rockwell delta wing orbiter and the General Dynamics/Convair booster at a Mach number of 8 (mated)

NASA Technical Reports Server (NTRS)

Matthews, R. K.; Martindale, W. R.; Warmbrod, J. D.

1972-01-01

A wind tunnel test program to determine aerodynamic interference heating on the North American Rockwell orbiter mated with the General Dynamics Convair booster is discussed. The tests were conducted at the Arnold Engineering Development Center (AEDC) in Tunnel B of the von Karman Gas Dynamics Facility (VKF). The test period was June 1971. Heat-transfer rates were determined by the phase-change paint technique on 0.013-scale Stycast models using Tempilaq as the surface temperature indicator. The nominal test conditions were: Mach 8, free-stream unit length Reynolds numbers of 1.25 x one million and 2.55 x one million angles of attack of -5, 0, +5 deg. Model details, test conditions, phase-change paint photographs and reduced heat-transfer coefficients are presented.

Astronomical fire: Richard Carrington and the solar flare of 1859.

PubMed

Clark, Stuart

2007-09-01

An explosion on the Sun in 1859, serendipitously witnessed by amateur astronomer Richard Carrington, plunged telegraphic communications into chaos and bathed two thirds of the Earth's skies in aurorae. Explaining what happened to the Sun and how it could affect Earth, 93 million miles away, helped change the direction of astronomy. From being concerned principally with charting the stars to aid navigation, astronomers became increasingly concerned with what the celestial objects were, how they behaved and how they might affect life on Earth.

Kosi Floods 2008: Devastation, Displacement and Migration Experience

NASA Astrophysics Data System (ADS)

Kumar, Prashant; Ahlawat, Monica

2017-04-01

The massive Kosi River floods of August 2008 caused unprecedented loss to lives, livelihoods, infrastructure and property in north-eastern Bihar. The five flood-affected districts (Araria, Madhepura, Purnia, Saharsa and Supaul) are among the poorest districts in India. In 2011, during the last national Census, the total population of the five districts was about 11 million. About 1,000 villages in these five districts were affected and nearly three million people were displaced. Displaced people had to face various kinds of problems like lack of livelihood, loss of house and property, lack of health and hygiene etc. Posts flooding, because of constrained livelihood opportunities, depressed economy, and probability of future flooding event, many families have migrated to other parts of the country. This study was done to find out how displacement as well as migration has affected their lives, how they have coped with it, and what the government response to this disaster was. Both primary as well as secondary data have been used for this study. Secondary data was collected from government offices and websites, news articles and satellite images. Satellite images were used to detect the change in course of river and how much this change in course affected the displacement pattern. For this purpose the satellite images of affected area from an earlier time period and during the floods were taken and their impact was studied. Primary data has been collected through questionnaire and field survey and has been used to understand migration experience of affected population. With the help of these data, the paper analyses the 2008 Kosi flood as a socio-ecological regime shift and explains migration as a societal response to such a shift. Keywords: Floods, Displacement, Satellite Images, Socio-Ecological Regime Shift, Migration

Investigating Arsenic Mobilization Mechanisms as well as Complexation Between Arsenic and Polysulfides Associated With a Bangladeshi Rice Paddy

NASA Astrophysics Data System (ADS)

Lin, T.; Kampalath, R.; Jay, J.

2009-12-01

The presence of arsenic in the groundwater has led to the largest environmental poisoning in history. Although it is a worldwide issue that affects numerous countries, including Taiwan, Bangladesh, India, China, Mexico, Peru, Australia, and the United States, the issue is of greatest concern in the West Bengal region. In the Ganges Delta, as many as 2 million people are diagnosed with arsenicosis each year. The World Health Organization (WHO) estimates 200,000 to 270,000 arsenic-induced cancer-related deaths in Bangladesh alone. More than 100 million people in the country consume groundwater that exceeds the WHO limit as 50% of the 8 million wells contain groundwater with more than 10 μg/L. Despite the tragic public health implications of this problem, we do not yet have a complete answer to the question of why dissolved arsenic concentrations are so high in the groundwater of the Ganges Delta. Since 1999, we have been intensively studying a field site in Munshiganj, Bangladesh with extremely high levels of arsenic in groundwater (up to 1.2 mg/L). Sediment cores were collected from two locations at the field site: 1) the rice paddy and 2) edge of a nearby irrigation pond. Recharge from irrigation ponds have recently been hypothesized to be an important site of arsenic mobilization. Recent work has proposed mineral dissolution under phosphorus-limited conditions as an important mechanism for arsenic mobilization. Using microcosms with paddy and pond sediment, we are comparing arsenic release via this mechanism with that resulting from reduction of iron hydroxides at our site. Concurrently, we are looking at enhanced solubility of As in the presence of polysulfides as the effects of elemental sulfur on As solubility have not been well researched. We hypothesize that the presence of elemental sulfur, and consequent formation of polysulfides, will substantially increase the solubility of orpiment in sulfidic water and that sorption of these complexes will significantly affect the mobility of these species of As in groundwater. We have shown substantial (order of magnitude) increases in metal solubility in bottle in the presence of elemental sulfur and sulfide compared to bottles in the presence of the same concentration of sulfide alone. This is presumably attributable to metal-polysulfide complexation. Further experiments measuring solubility over a range of pH and sulfide levels are necessary to model the data and determine complexation constants. By elucidating As mobilization mechanisms at an experimental rice paddy, this work could ultimately lead to solutions that minimize As exposure in critical populations.

Children with Disabilities in Disability-Inclusive Disaster Risk Reduction: Focussing on School Settings

ERIC Educational Resources Information Center

Ronoh, Steve; Gaillard, J. C.; Marlowe, Jay

2017-01-01

Every year, worldwide, disasters affect approximately seven million children with disabilities, highlighting their potential vulnerability. Although there is a growing move internationally to promote the rights of children with disabilities, they still receive little attention from disaster risk reduction (DRR) researchers and policy makers. They…

Sexuality and Perimenopause: What Counselors Need to Know

ERIC Educational Resources Information Center

Daire, Andrew P.; Fairall, Heidi

2005-01-01

Perimenopause, which recently has been recognized as separate from menopause, affects approximately 22 million U.S. women. It is a time when women are at greater risk for emotional, relationship, and sexual problems. The authors describe the symptoms of perimenopause, discuss the resulting psychosocial and sexual impact, and present treatment…

MANPOWER AND THE GROWTH OF PRODUCER SERVICES.

ERIC Educational Resources Information Center

GREENFIELD, HARRY I.

PRODUCER SERVICES, THOSE SERVICES WHICH BUSINESS FIRMS, NONPROFIT INSTITUTIONS, AND GOVERNMENTS PROVIDE AND USUALLY SELL TO THE PRODUCER RATHER THAN TO THE CONSUMER, AND THE FACTORS AFFECTING THEIR SUPPLY AND DEMAND ARE ANALYZED. APPROXIMATELY 8.5 MILLION WORKERS, OR ABOUT 13 PERCENT OF THE TOTAL, ARE EMPLOYED IN PRODUCER SERVICES. DURING THE…

Brain Games as a Potential Nonpharmaceutical Alternative for the Treatment of ADHD

ERIC Educational Resources Information Center

Wegrzyn, Stacy C.; Hearrington, Doug; Martin, Tim; Randolph, Adriane B.

2013-01-01

Attention deficit hyperactivity disorder (ADHD) is the most commonly diagnosed childhood neurobehavioral disorder, affecting approximately 5.5 million children, of which approximately 66% take ADHD medication daily. This study investigated a potential nonpharmaceutical alternative to address the academic engagement of 5th through 11th grade…

How the Budget Cuts Undercut Rural Women.

ERIC Educational Resources Information Center

Clark, Jane

This study describes the status of 34 million rural women and analyzes how they and their families will be directly affected by cuts in the 1983 federal budget in the areas of legal services, vocational education, domestic violence intervention, energy assistance and alternative energy development, public housing, unemployment compensation, social…

Travels with Gates - August 2010

Science.gov Websites

combat floods that are affecting 14 million people. Story Biography Speeches Travels Photo Essays Gates Visits Navy Special Warefare Training More Photo Essays Gates Attends Graduation in San Diego Gates Photo Essays News Photos Week In Photos Videos DIMOC DOD/Military Seals DoD Flickr Secretary of Defense

Circumcision: The Good, the Bad and American Values

ERIC Educational Resources Information Center

Buie, Mary E.

2005-01-01

National statistics estimate that 1.2 million newborn males are circumcised annually in the United States (70% to 80%). Such values as sanctity, equity, fraternity, paternity and liberty affect circumcision rates in America. The value of sanctity allows freedom of religious beliefs and traditions that often overcome medical impetus in…

3 CFR 8447 - Proclamation 8447 of October 30, 2009. National Diabetes Month, 2009

Code of Federal Regulations, 2010 CFR

2010-01-01

... A Proclamation Diabetes directly affects the lives of millions of Americans and their families... and live productive, normal lives. During National Diabetes Month, we recommit to educating Americans... obesity in our country. Preventive care is the simplest way to avoid diabetes and its complications. A...

"MXing It up": How African Adolescents May Affect Social Change through Mobile Phone Use

ERIC Educational Resources Information Center

Napolitano, Christopher M.

2010-01-01

This chapter outlines mobile phone use among African (particularly South African) adolescents. With an estimated 350 million active mobile phone subscriptions, improving network infrastructure, low-cost Internet-ready handsets, innovative programs and applications, mobiles in Africa, and their increasingly younger, increasingly poorer, and…